Hamilton County, OH

County

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2019 Population
817,473
0.0966% 1-year growth
US Senator
Sherrod Brown
Democratic Party
US Senator
Rob Portman
Republican Party
2019 Median Age
36.7
0.273% 1-year increase
2019 Poverty Rate
15.8%
2.9% 1-year decrease
2019 Median Household Income
$60,198
5.26% 1-year growth
2019 Median Property Value
$172,300
6.29% 1-year growth
2019 Employed Population
416,586
0.414% 1-year decline

About

In 2019, Hamilton County, OH had a population of 817k people with a median age of 36.7 and a median household income of $60,198. Between 2018 and 2019 the population of Hamilton County, OH grew from 816,684 to 817,473, a 0.0966% increase and its median household income grew from $57,189 to $60,198, a 5.26% increase.

The 5 largest ethnic groups in Hamilton County, OH are White (Non-Hispanic) (64.7%), Black or African American (Non-Hispanic) (25.6%), Two+ (Non-Hispanic) (3.32%), White (Hispanic) (2.62%), and Asian (Non-Hispanic) (2.6%). 0% of the households in Hamilton County, OH speak a non-English language at home as their primary language.

96.7% of the residents in Hamilton County, OH are U.S. citizens.

The largest universities in Hamilton County, OH are University of Cincinnati-Main Campus (11,243 degrees awarded in 2019), Xavier University (2,053 degrees), and Cincinnati State Technical and Community College (1,707 degrees).

In 2019, the median property value in Hamilton County, OH was $172,300, and the homeownership rate was 58.8%. Most people in Hamilton County, OH drove alone to work, and the average commute time was 23 minutes. The average car ownership in Hamilton County, OH was 2 cars per household.

Diversity

Hamilton County, OH is home to a population of 817k people, from which 96.7% are citizens. As of 2019, 5.7% of Hamilton County, OH residents were born outside of the country (46.6k people).

In 2019, there were 2.53 times more White (Non-Hispanic) residents (529k people) in Hamilton County, OH than any other race or ethnicity. There were 209k Black or African American (Non-Hispanic) and 27.1k Two+ (Non-Hispanic) residents, the second and third most common ethnic groups.

Race and Ethnicity

Race and Ethnicity

The 3 largest ethnic groups in Hamilton County, OH
  1. White (Non-Hispanic)
    529k ± 625
  2. Black or African American (Non-Hispanic)
    209k ± 4.74k
  3. Two+ (Non-Hispanic)
    27.1k ± 5.34k
3.56%
Hispanic Population
29.1k people

In 2019, there were 2.53 times more White (Non-Hispanic) residents (529k people) in Hamilton County, OH than any other race or ethnicity. There were 209k Black or African American (Non-Hispanic) and 27.1k Two+ (Non-Hispanic) residents, the second and third most common ethnic groups.

3.56% of the people in Hamilton County, OH are hispanic (29.1k people).

The following chart shows the 7 races represented in Hamilton County, OH as a share of the total population.

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Heritage

Foreign-Born Population

5.7%
2019 Foreign-Born Population
46.6k people
5.56%
2018 Foreign-Born Population
45.4k people

As of 2019, 5.7% of Hamilton County, OH residents (46.6k people) were born outside of the United States, which is lower than the national average of 13.7%. In 2018, the percentage of foreign-born citizens in Hamilton County, OH was 5.56%, meaning that the rate has been increasing.

The following chart shows the percentage of foreign-born residents in Hamilton County, OH compared to that of it's neighboring and parent geographies.

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Age by Nativity

37
Median Native-Born Age
± 0.4
37
Median Foreign-Born Age
± 2.4

In 2019, the median age of all people in Hamilton County, OH was 36.7. Native-born citizens, with a median age of 37, were generally younger than foreign-born citizens, with a median age of 37. But people in Hamilton County, OH are getting getting older. In 2018, the average age of all Hamilton County, OH residents was 37.

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Global Diversity

The PUMS dataset is not available at the County level, so we are showing data for Ohio.
Most Common Origin
  1. India
    65,657 ± 6,273 people
  2. Mexico
    44,844 ± 5,189 people
  3. China
    35,950 ± 4,648 people

In 2019, the most common birthplace for the foreign-born residents of Ohio was India, the natal country of 65,657 Ohio residents, followed by Mexico with 44,844 and China with 35,950.

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Citizenship

96.7%
2019 Citizenship
97%
2018 Citizenship

As of 2019, 96.7% of Hamilton County, OH residents were US citizens, which is higher than the national average of 93.4%. In 2018, the percentage of US citizens in Hamilton County, OH was 97%, meaning that the rate of citizenship has been decreasing.

The following chart shows US citizenship percentages in Hamilton County, OH compared to that of it's neighboring and parent geographies.

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Military

Veterans

Most Common Service Period
  1. Vietnam
    13,875 ± 1,549
  2. Gulf War (1990s)
    4,929 ± 1,215
  3. Gulf War (2001-)
    4,921 ± 1,285

Hamilton County, OH has a large population of military personnel who served in Vietnam, 2.81 times greater than any other conflict.

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COVID-19

Daily New Cases by Date

Showing data at the state level for Ohio. Hospitalization data for some states may be delayed or not reported.
Y-Axis

This chart shows the number of COVID-19 daily new cases by date in Ohio, as a 7-day rolling average, compared with the four states with the most similar number of confirmed cases.

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Unemployment Insurance Claims

Data is only available at the state level. Showing data for Ohio.

This chart shows weekly unemployment insurance claims in Ohio (not-seasonally adjusted) compared with the four states with the most similar impact.

The most recent data point uses Advance State Claims data, which can be revised in subsequent weeks.

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Employment by Industry Sector

Data is only available at the state level. Showing data for Ohio.
Y-Axis
8.45%
Year-over-year growth
Employment change between May 2020 and May 2021

As of May 2021, there are 145M people employed in Ohio. This represents a 8.45% increase in employment when compared to May 2020.

The following chart shows monthly employment numbers for each industry sector in Ohio.

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Community Mobility

Data is only available at the state level. Showing data for Ohio.

This chart presents movement trends over time in the state of Ohio across different categories of places such as retail and recreation, groceries and pharmacies, parks, transit stations, workplaces, and residential.

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Economy

Median household income in Hamilton County, OH is $60,198. In 2019, the tract with the highest median household income in Hamilton County, OH was Census Tract 244 with a value of $166,979, followed by Census Tract 251.04 and Census Tract 273, with respective values of $157,045 and $147,159.

Males in Ohio have an average income that is 1.34 times higher than the average income of females, which is $49,419. The income inequality in Ohio (measured using the Gini index) is 0.459, which is lower than than the national average.

The economy of Hamilton County, OH employs 417k people. The largest industries in Hamilton County, OH are Health Care & Social Assistance (68,508 people), Manufacturing (47,782 people), and Retail Trade (40,870 people), and the highest paying industries are Mining, Quarrying, & Oil & Gas Extraction ($140,301), Management of Companies & Enterprises ($76,553), and Agriculture, Forestry, Fishing & Hunting, & Mining ($70,660).

Wages

Median Household Income

$60,198
2019 value
± $1,528
5.26%
1 Year Growth
± 3.59%

Households in Hamilton County, OH have a median annual income of $60,198, which is less than the median annual income of $65,712 across the entire United States. This is in comparison to a median income of $57,189 in 2018, which represents a 5.26% annual growth.

The following chart shows how the median household income in Hamilton County, OH compares to that of its neighboring and parent geographies.

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Wage by Gender in Common Jobs

The PUMS dataset is not available at the County level, so we are showing data for Ohio.
$66,262
Average Male Salary in Ohio
± $1,034
$49,419
Average Female Salary in Ohio
± $768

In 2019, full-time male employees in Ohio made 1.34 times more than female employees.

This chart shows the gender-based wage disparity in the 5 most common occupations in Ohio by number of full-time employees.

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Wage by Race and Ethnicity in Common Jobs

The PUMS dataset is not available at the County level, so we are showing data for Ohio.
Highest Average Salaries by Race & Ethnicity in Ohio
  1. Asian
    $71,604 ± $5,489
  2. White
    $51,654 ± $649
  3. American Indian
    $44,040 ± $14,012

In 2019 the highest paid race/ethnicity of Ohio workers was Asian. These workers were paid 1.39 times more than White workers, who made the second highest salary of any race/ethnicity in Ohio.

This chart shows the race- and ethnicity-based wage disparities in the 5 most common occupations in Ohio by number of full-time employees.

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Wage Distribution

The closest comparable wage GINI for Hamilton County, OH is from Ohio.
0.459
2019 Wage GINI in Ohio
0.46
2018 Wage GINI in Ohio

In 2019, the income inequality in Ohio was 0.459 according to the GINI calculation of the wage distribution. Income inequality had a 0.226% decline from 2018 to 2019, which means that wage distribution grew somewhat more even. The GINI for Ohio was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Ohio in comparison to the national average.

This chart shows the number of workers in Ohio across various wage buckets compared to the national average.

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Income by Location

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Race/Ethnicity
Highest Median Household Income (Total)
  1. Census Tract 244
  2. Census Tract 251.04
  3. Census Tract 273

In 2019, the tract with the highest Median Household Income (Total) in Hamilton County, OH was Census Tract 244 with a value of $166,979, followed by Census Tract 251.04 and Census Tract 273, with respective values of $157,045 and $147,159.

The following map shows all of the tracts in Hamilton County, OH colored by their Median Household Income (Total).

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Poverty by Age and Gender

Females 25 - 34
Largest Demographic Living in Poverty

15.8% of the population for whom poverty status is determined in Hamilton County, OH (125k out of 796k people) live below the poverty line, a number that is higher than the national average of 12.3%. The largest demographic living in poverty are Females 25 - 34, followed by Females 18 - 24 and then Males 18 - 24.

The Census Bureau uses a set of money income thresholds that vary by family size and composition to determine who classifies as impoverished. If a family's total income is less than the family's threshold than that family and every individual in it is considered to be living in poverty.

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Poverty by Race and Ethnicity

Largest Race or Ethnicity Living in Poverty
  1. Black
    58,892 ± 1,858
  2. White
    54,489 ± 1,720
  3. Hispanic
    7,983 ± 732

The most common racial or ethnic group living below the poverty line in Hamilton County, OH is Black, followed by White and Hispanic.

The Census Bureau uses a set of money income thresholds that vary by family size and composition to determine who classifies as impoverished. If a family's total income is less than the family's threshold than that family and every individual in it is considered to be living in poverty.

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Occupations

Employment by Occupations

417k
2019 Value
± 10,764
−0.414%
1 Year decline
± 3.67%

From 2018 to 2019, employment in Hamilton County, OH declined at a rate of −0.414%, from 418k employees to 417k employees.

The most common job groups, by number of people living in Hamilton County, OH, are Management Occupations (48,077 people), Office & Administrative Support Occupations (46,572 people), and Sales & Related Occupations (38,247 people). This chart illustrates the share breakdown of the primary jobs held by residents of Hamilton County, OH.

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Most Common

The most common jobs held by residents of Hamilton County, OH, by number of employees, are Management Occupations (48,077 people), Office & Administrative Support Occupations (46,572 people), and Sales & Related Occupations (38,247 people).

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Most Specialized

Compared to other counties, Hamilton County, OH has an unusually high number of residents working as Health Diagnosing & Treating Practitioners & Other Technical Occupations (1.44 times higher than expected), Community & Social Service Occupations (1.41 times), and Life, Physical, & Social Science Occupations (1.35 times).

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Highest Paid

The highest paid jobs held by residents of Hamilton County, OH, by median earnings, are Legal Occupations ($123,398), Architecture & Engineering Occupations ($81,344), and Management Occupations ($74,267).

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Industries

Employment by Industries

417k
2019 Value
± 10,764
−0.414%
1 Year decline
± 3.67%

From 2018 to 2019, employment in Hamilton County, OH declined at a rate of −0.414%, from 418k employees to 417k employees.

The most common employment sectors for those who live in Hamilton County, OH, are Health Care & Social Assistance (68,508 people), Manufacturing (47,782 people), and Retail Trade (40,870 people). This chart shows the share breakdown of the primary industries for residents of Hamilton County, OH, though some of these residents may live in Hamilton County, OH and work somewhere else. Census data is tagged to a residential address, not a work address.

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Most Common

The most common industries in Hamilton County, OH, by number of employees, are Health Care & Social Assistance (68,508 people), Manufacturing (47,782 people), and Retail Trade (40,870 people).

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Most Specialized

Compared to other counties, Hamilton County, OH has an unusually high number of Management of Companies & Enterprises (2.1 times higher than expected), Finance & Insurance (1.35 times), and Arts, Entertainment, & Recreation (1.28 times) industries.

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Highest Paying

The highest paying industries in Hamilton County, OH, by median earnings, are Mining, Quarrying, & Oil & Gas Extraction ($140,301), Management of Companies & Enterprises ($76,553), and Agriculture, Forestry, Fishing & Hunting, & Mining ($70,660).

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Domestic Trade

Domestic Production & Consumption

Domestic production and consumption consists of products and services shipped from Ohio to other states, or from other states to Ohio.
Top Domestic Production in Dollars
  1. $79.7B
  2. $71B
  3. $49.9B

In 2018, the top outbound Ohio product (by dollars) was Motorized vehicles with $79.7B, followed by Mixed freight ($71B) and Machinery ($49.9B).

The following chart shows the share of these products in relation to all outbound Ohio products.

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Domestic Trade Growth

Showing data for Ohio.
$678B
2018 Value in Ohio
$1.22T
Projected 2045 Value in Ohio
80.7% growth

In 2018, total outbound Ohio trade was $678B. This is expected to increase 80.7% to $1.22T by 2045.

The following chart shows how the domestic outbound Ohio trade is projected to change in comparison to its neighboring states.

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Interstate Trade

Interstate trade consists of products and services shipped from Ohio to other states, or from other states to Ohio.
Most Common Trade Partners
  1. $63.5B
  2. $35.9B
  3. $32.6B

In 2018, the top outbound Ohio domestic partner for goods and services (by dollars) was Michigan with $63.5B, followed by Indiana with $35.9B and Pennsylvania and $32.6B.

The following map shows the amount of trade that Ohio shares with each state (excluding itself).

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Civics

In the 2016 presidential election, the popular vote in Hamilton County, OH went to Hillary Rodham Clinton with 52.7% of the vote. The runner-up was Donald J. Trump (42.4%), followed by Other (4.82%). The most partisan county was Mercer County, OH with 80.6% of the vote going to Donald J. Trump running for the Republican Party.

Sherrod Brown and Rob Portman are the senators currently representing the state of Ohio. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Ohio is currently represented by 16 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

Presidential Popular Vote by County

Presidential voting results are only available at the county level. Showing data for the counties inside of Ohio.
Showing data up to the 2016 election. Updated election results are currently being processed, and will be released in the coming months.
Hillary Rodham Clinton
Popular Vote for Hamilton County, OH
52.7% for the Democratic Party
Most Partisan Counties in Ohio
  1. 80.6% for Donald J. Trump (Republican Party)
  2. 79.7% for Donald J. Trump (Republican Party)
  3. 79% for Donald J. Trump (Republican Party)

In the 2016 presidential election, the most partisan county in Ohio was Mercer County, OH with 80.6% of the vote going to Donald J. Trump running for the Republican Party.

The following map shows the counties in Ohio colored by their party leaning.

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US Senators from Ohio

Senatorial voting results are only available at the state level. Showing data for Ohio.
Sherrod Brown
Senator from Ohio1
Assumed office on January 3, 2007
Rob Portman
Senator from Ohio3
Assumed office on January 3, 2011

Sherrod Brown and Rob Portman are the senators currently representing Ohio.

In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

The following chart shows elected senators in Ohio over time, excluding special elections, colored by their political party.

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US Representatives from Ohio

Ohio is currently represented by 16 members in the U.S. house.

Members of the House of Representives are elected to 2-year terms, and the following chart shows the how the members for Ohio have changed over time starting in 2008.

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Education

In 2019, universities in Hamilton County, OH awarded 18,931 degrees. The student population of Hamilton County, OH is skewed towards women, with 29,265 male students and 38,503 female students.

Most students graduating from Universities in Hamilton County, OH are White (12,662 and 72.2%), followed by Black or African American (2,108 and 12%), Hispanic or Latino (801 and 4.57%), and Unknown (756 and 4.31%).

The largest universities in Hamilton County, OH by number of degrees awarded are University of Cincinnati-Main Campus (11,243 and 59.4%), Xavier University (2,053 and 10.8%), and Cincinnati State Technical and Community College (1,707 and 9.02%).

The most popular majors in Hamilton County, OH are Registered Nursing (1,593 and 8.41%), General Business Administration & Management (747 and 3.95%), and General Marketing & Marketing Management (637 and 3.36%).

The median tuition costs in Hamilton County, OH are $16,880 for private four year colleges, and $7,375 and $19,441 respectively, for public four year colleges for in-state students and out-of-state students.

Concentrations

Most Common
  1. 1,022 degree-majorss awarded
  2. 545 degree-majorss awarded
  3. 352 degree-majorss awarded

In 2019, the most common concentation for Bachelors Degree recipients in Hamilton County, OH was Registered Nursing with 1,022 degrees awarded.

This visualization illustrates the percentage of students graduating with a Bachelors Degree from schools in Hamilton County, OH according to their major.

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Universities

Largest Universities by degrees awarded
  1. 11,243 degrees awarded
  2. 2,053 degrees awarded
  3. 1,707 degrees awarded
$7,375
Median In-State Public
$16,880
Median Private

In 2019, the Hamilton County, OH institution with the largest number of graduating students was University of Cincinnati-Main Campus with 11,243 degrees awarded.

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Student Gender for Common Institutions

7,905
Degrees Awarded to Men
11,026
Degrees Awarded to Women

In 2019, 7,905 men were awarded degrees from institutions in Hamilton County, OH, which is 0.717 times less than the 11,026 female students who received degrees in the same year.

This chart displays the gender disparity between the top 5 institutions in Hamilton County, OH by degrees awarded.

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Student Race and Ethnicity

Most Common Student Race or Ethnicity
  1. White
    12,662 degrees awarded
  2. Black or African American
    2,108 degrees awarded
  3. Hispanic or Latino
    801 degrees awarded

In 2019 the most common race/ethnicity group awarded degrees at institutions in Hamilton County, OH was White students. These 12,662 degrees mean that there were 6.01 times more degrees awarded to White students then the next closest race/ethnicity group, Black or African American, with 2,108 degrees awarded.

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Housing & Living

The median property value in Hamilton County, OH was $172,300 in 2019, which is 0.716 times smaller than the national average of $240,500. Between 2018 and 2019 the median property value increased from $162,100 to $172,300, a 6.29% increase. The homeownership rate in Hamilton County, OH is 58.8%, which is lower than the national average of 64.1%. People in Hamilton County, OH have an average commute time of 23 minutes, and they drove alone to work. Car ownership in Hamilton County, OH is approximately the same as the national average, with an average of 2 cars per household.

Housing

Property Value

$172,300
2019 Median
± $4,096
$162,100
2018 Median
± $3,595

In 2019, the median property value in Hamilton County, OH grew to to $172,300 from the previous year's value of $162,100.

The following charts display, first, the property values in Hamilton County, OH compared to it's parent and neighbor geographies and, second, owner-occupied housing units distributed between a series of property value buckets compared to the national averages for each bucket. In Hamilton County, OH the largest share of households have a property value in the $125k - $150k range.

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Household Income

Please note that the buckets used in this visualization were not evenly distributed by ACS when publishing the data.
$60,198
Median Household Income
± $1,528
347k
Number of Households
± 9,257

In 2019, the median household income of the 347k households in Hamilton County, OH grew to $60,198 from the previous year's value of $57,189.

The following chart displays the households in Hamilton County, OH distributed between a series of income buckets compared to the national averages for each bucket. The largest share of households have an income in the $75k - $100k range.

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Property Taxes

$3k+
Average Range

This chart shows the households in Hamilton County, OH distributed between a series of property tax buckets compared to the national averages for each bucket. In Hamilton County, OH the largest share of households pay taxes in the $3k+ range.

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Rent vs Own

58.8%
2019 Homeownership
57.5%
2018 Homeownership

In 2019, 58.8% of the housing units in Hamilton County, OH were occupied by their owner. This percentage grew from the previous year's rate of 57.5%.

This percentage of owner-occupation is lower than the national average of 64.1%. This chart shows the ownership percentage in Hamilton County, OH compared it's parent and neighboring geographies.

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Commute Time

23 minutes
Average Travel Time

Using averages, employees in Hamilton County, OH have a shorter commute time (23 minutes) than the normal US worker (26 minutes). Additionally, 1.56% of the workforce in Hamilton County, OH have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Hamilton County, OH compares to that of it's neighboring and parent geographies.

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Commuter Transportation

Most Common Commute in 2019
  1. Drove Alone (79%)
  2. Carpooled (8.69%)
  3. Worked At Home (5.54%)

In 2019, 79% of workers in Hamilton County, OH drove alone to work, followed by those who carpooled to work (8.69%) and those who worked at home (5.54%).

The following chart shows the number of households using each mode of transportation over time, using a logarithmic scale on the y-axis to help better show variations in the smaller means of commuting.

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Transportation

Car Ownership

2 cars
Average Number

The following chart displays the households in Hamilton County, OH distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Hamilton County, OH have 2 cars, followed by false.

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Health

93.8% of the population of Hamilton County, OH has health coverage, with 55% on employee plans, 16.7% on Medicaid, 12.7% on Medicare, 8.48% on non-group plans, and 0.866% on military or VA plans.

Per capita personal health care spending in Ohio was $8,712 in 2014. This is a 5.14% increase from the previous year ($8,286).

Primary care physicians in Hamilton County, OH see 894 patients per year on average, which represents a 1.43% decrease from the previous year (907 patients). Compare this to dentists who see 1321 patients per year, and mental health providers who see 251 patients per year.

Comparing across all counties in the state, Lawrence County has the highest prevalence of diabetes (19.1%). Additionally, Jackson County has the highest prevalence of adult obesity (42.8%)

Patient to Clinician Ratios

894 to 1
Patient to Primary Care Physician Ratio in Hamilton County, OH

Primary care physicians in Hamilton County, OH see an average of 894 patients per year. This represents a 1.43% decrease from the previous year (907 patients).

The following chart shows how the number of patients seen by primary care physicians has been changing over time in Hamilton County, OH in comparison to its neighboring geographies.

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Behavioral Health Conditions

Data only available at the state level.
State with the Highest Prevalence
  1. 8.26% of the population affected
  2. 8.13% of the population affected
  3. 7.98% of the population affected

In 2016, West Virginia had the highest prevalence of adults with major depressive episode, with 8.26% of the population affected. The second highest is Arkansas (8.13%), followed by New Hampshire (7.98%).

The following map shows the percent of individuals with major depressive episode by state over multiple years.

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Access and Quality

Data only available at state level.
Most prevalent states
  1. 19.2% of adults
  2. 17.9% of adults
  3. 17.6% of adults

In 2016, Mississippi had the highest prevalence of adults who haven't seen a doctor in the past 12 months due to cost, at 19.2%. It is followed by Texas (17.9%) and Louisiana (17.6%).

The following map shows the prevalence of adults who haven't seen a doctor in the past 12 months due to cost by state over multiple years.

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Health Care Spending

Data is only available at the state level. Showing data for Ohio.
$8,712
Total Per Capita Spending on Personal Health Care in Ohio
$4,371
Per Enrollee Private Health Insurance Spending on Personal Health Care
$7,007
Per Enrollee Medicaid Spending on Personal Health Care
$11,038
Per Enrollee Medicare Spending on Personal Health Care

Between 2013 and 2014, all personal health care spending per capita in Ohio (including private, Medicare, and Medicaid) grew 5.14%, from $8,286 to $8,712.

The following chart shows how this spending changed over time in comparison to Medicaid, Medicare, and private insurance spending, per enrollee.

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Health Care Coverage

6.24%
Uninsured
55%
Employer Coverage
16.7%
Medicaid
12.7%
Medicare
8.48%
Non-Group
0.866%
Military or VA

Between 2018 and 2019, the percent of uninsured citizens in Hamilton County, OH grew by 19.6% from 5.21% to 6.24%.

The following chart shows how the percent of uninsured individuals in Hamilton County, OH changed over time compared with the percent of individuals enrolled in various types of health insurance.

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Health Risks

Data available at the county level.
Most at risk counties
  1. 19.1% prevalence
  2. 18.9% prevalence
  3. 18.7% prevalence

Lawrence County has the highest prevalence of diabetes in Ohio, at 19.1%.

The following map shows the prevalence of diabetes in Ohio by county over multiple years.

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