Accomack County, Virginia

VA · FIPS 51001 Republican

Located in Virginia, Accomack County has a population of 33,335 residents and a median age of 47.6 years, making it the #1,385 most populous county out of 3,222 nationwide. In terms of economic indicators, the county has a poverty rate of 13.9%. The median home value is $204,300, and the median household income is $58,993, which is 21% below the national median.

33,335
Population
#1,385 of 3,222
$58,993
Median Income
-21.5% #2,170 of 3,222
47.6 years
Median Age
+22.4% #399 of 3,222
13.9%
Poverty Rate
+10.5% #1,732 of 3,222

Demographics

Accomack County has a population of 33,335, making it the #1,385 most populous county in the US. The median age is 47.6 years, which is 22.4% above the national median.

Population Trend

Rankings →

Year-over-Year Population Growth

Age & Sex Distribution

Race & Ethnicity

Nativity

91.5%
Native Born
8.5%
Foreign Born

Geographic Mobility (Past Year)

Economy

The median household income in Accomack County is $58,993, ranking #2,170 out of 3,222 counties — 21.5% below the national median. The poverty rate is 13.9% and unemployment stands at 3.4%.

Income#2,170
$58,993
-21.5%
vs nation
33th percentile
Per Capita#1,738
$34,132
-17.3%
vs nation
46th percentile
Poverty#1,732
13.9%
+10.5%
vs nation
46th percentile
Unemployment#891
3.4%
-36.5%
vs nation
72th percentile

Income Distribution

Industry of Employment

Occupation

Housing

The median home value in Accomack County is $204,300 (-27.5% vs national). Renters pay a median of $977/mo and the homeownership rate is 71.4%.

Home Value#1,361
$204,300
-27.5%
vs nation
58th percentile
Rent#1,073
$977
-16.0%
vs nation
67th percentile
Homeownership#2,100
71.4%
+10.9%
vs nation
35th percentile

Household Type

Education

In Accomack County, 21.7% of adults age 25+ hold a bachelor's degree or higher, which is 35.6% below the national average, ranking #1,696 out of 3,222 counties.

Bachelor's Degree or Higher
21.7% −35.6% vs nation
Rank #1,696 of 3,222
47th percentile

Bachelor's Degree or Higher Trend

Rankings →

Health & Wellbeing

Life expectancy in Accomack County is 73.8 years. 23.2% of adults report poor or fair health and 10.9% lack health insurance. Data from County Health Rankings (2025).

Life Expectancy#1,987
73.8
-1.8%
vs nation
35th percentile
Poor/Fair Health#2,451
23.2%
+18.6%
vs nation
22th percentile
Diabetes#2,711
13.6%
+22.2%
vs nation
14th percentile
Insufficient Sleep#1,741
38.1%
+2.1%
vs nation
45th percentile
Poor Mental Health Days#2,356
6.0
+6.7%
vs nation
25th percentile
Poor Physical Health Days#1,862
4.6
+2.5%
vs nation
41th percentile
Uninsured Rate#1,906
10.9%
+4.5%
vs nation
39th percentile
Physical Inactivity#2,339
29.7%
+12.6%
vs nation
26th percentile
Food Insecurity#1,180
13.0%
-9.8%
vs nation
63th percentile

Substance Use

21.7% of adults in Accomack County smoke , 44.0% are obese , and 17.4% report excessive drinking. The drug overdose death rate is 25.3 per 100,000.

Adult Smoking#2,654
21.7%
+20.8%
vs nation
16th percentile
Adult Obesity#2,930
44.0%
+16.1%
vs nation
7th percentile
Excessive Drinking#662
17.4%
-12.5%
vs nation
79th percentile
Drug Overdose Deaths#914
25.3
-21.6%
vs nation
57th percentile

Safety

The homicide rate in Accomack County is 14.4 per 100,000 and the suicide rate is 15.8 per 100,000. Motor vehicle deaths occur at a rate of 19.2 per 100,000.

Homicide Rate#1,344
14.4
+80.2%
vs nation
13th percentile
Suicide Rate#880
15.8
-20.2%
vs nation
66th percentile
Firearm Fatalities#1,898
22.6
+26.7%
vs nation
23th percentile
Motor Vehicle Deaths#1,492
19.2
-5.1%
vs nation
47th percentile

Families & Children

24.1% of children in Accomack County live in poverty and the infant mortality rate is 8.9 per 1,000 live births. The teen birth rate is 26.5 per 1,000 females age 15–19.

Infant Mortality#1,163
8.9
+31.0%
vs nation
15th percentile
Teen Birth Rate#2,067
26.5
+21.2%
vs nation
31th percentile
Child Poverty#2,430
24.1%
+26.9%
vs nation
23th percentile

Civic & Transportation

Voter turnout in Accomack County is 70.5%. The mean commute time is 22.6 min, which is 18.0% below the national average.

Voter Turnout
70.5% NaN% vs nation
Rank #NaN of NaN
th percentile

Voter Turnout Trend

Mean Commute Time
22.6 min −18.0% vs nation
Rank #2,411 of 3,222
25th percentile

Mean Commute Time Trend

Rankings →

Elections

In the 2024 presidential election, Accomack County voted Republican with a margin of 13.3%. The vote was 43% Dem / 56.3% Rep. Compared to 2020, the margin shifted 3.9 toward Republicans .

2024 REP +13.3%
43% 56.3%
Dem 17,144 votes Rep
2020 REP +9.4%
44.7% 54.1%
Dem 16,962 votes Rep
2016 REP +11.7%
42.8% 54.5%
Dem 15,755 votes Rep
2012 REP +3.5%
47.8% 51.3%
Dem 16,020 votes Rep
2008 REP +1.4%
48.7% 50.1%
Dem 15,623 votes Rep

Vote Share Over Time

About Accomack County, Virginia

Accomack County, Virginia has a total population of 33,335, making it the 1,385th most populous county in the United States. The median age in Accomack County is 47.6 years, which is 22.4% above the national median of 38.9 years.

The median household income in Accomack County is $58,993, which ranks #2,170 of 3,222 counties nationwide. This is 21.5% below the national median of $75,149. The poverty rate is 13.9%, higher than the national rate of 12.6%. The unemployment rate stands at 3.4%.

The median home value in Accomack County is $204,300, 27.5% below the national median. Renters in Accomack County pay a median gross rent of $977 per month. The homeownership rate is 71.4%, compared to the national rate of 64.4%.

In Accomack County, 21.7% of residents aged 25 and older hold a bachelor's degree or higher, 35.6% below the national average of 33.7%. Health insurance coverage stands at 89.0% of the population. The average commute time for workers is 22.6 min.

Accomack County is a diverse community. The largest racial or ethnic group is White (non-Hispanic) at 58.1% of the population, followed by Black (non-Hispanic) (27.1%) and Hispanic or Latino (10.9%).

All data for Accomack County, Virginia comes from the U.S. Census Bureau's American Community Survey (ACS) 5-Year Estimates. These figures are estimates based on survey sampling and are subject to margin of error. For the most detailed and up-to-date data, visit the Census Bureau's official data portal.