Letcher County, Kentucky

KY · FIPS 21133 Republican

Located in Kentucky, Letcher County has a population of 20,808 residents and a median age of 43.5 years, making it the #1,833 most populous county out of 3,222 nationwide. In terms of economic indicators, the county has a poverty rate of 24.4%. The median home value is $67,400, and the median household income is $41,793, which is 44% below the national median.

20,808
Population
#1,833 of 3,222
$41,793
Median Income
-44.4% #3,038 of 3,222
43.5 years
Median Age
+11.8% #1,059 of 3,222
24.4%
Poverty Rate
+93.3% #2,966 of 3,222

Demographics

Letcher County has a population of 20,808, making it the #1,833 most populous county in the US. The median age is 43.5 years, which is 11.8% above the national median.

Population Trend

Rankings →

Year-over-Year Population Growth

Age & Sex Distribution

Race & Ethnicity

Nativity

99.3%
Native Born
0.7%
Foreign Born

Geographic Mobility (Past Year)

Economy

The median household income in Letcher County is $41,793, ranking #3,038 out of 3,222 counties — 44.4% below the national median. The poverty rate is 24.4% and unemployment stands at 6.2%.

Income#3,038
$41,793
-44.4%
vs nation
6th percentile
Per Capita#3,075
$22,681
-45.0%
vs nation
5th percentile
Poverty#2,966
24.4%
+93.3%
vs nation
8th percentile
Unemployment#2,581
6.2%
+16.1%
vs nation
20th percentile

Income Distribution

Industry of Employment

Occupation

Housing

The median home value in Letcher County is $67,400 (-76.1% vs national). Renters pay a median of $669/mo and the homeownership rate is 74.1%.

Home Value#3,202
$67,400
-76.1%
vs nation
0th percentile
Rent#2,873
$669
-42.5%
vs nation
11th percentile
Homeownership#1,686
74.1%
+15.1%
vs nation
48th percentile

Household Type

Education

In Letcher County, 12.5% of adults age 25+ hold a bachelor's degree or higher, which is 63.0% below the national average, ranking #3,071 out of 3,222 counties.

Bachelor's Degree or Higher
12.5% −63.0% vs nation
Rank #3,071 of 3,222
5th percentile

Bachelor's Degree or Higher Trend

Rankings →

Health & Wellbeing

Life expectancy in Letcher County is 67.7 years. 24.9% of adults report poor or fair health and 7.1% lack health insurance. Data from County Health Rankings (2025).

Life Expectancy#3,004
67.7
-9.9%
vs nation
2th percentile
Poor/Fair Health#2,708
24.9%
+27.3%
vs nation
14th percentile
Diabetes#2,408
12.7%
+14.1%
vs nation
23th percentile
Insufficient Sleep#2,994
43.8%
+17.4%
vs nation
5th percentile
Poor Mental Health Days#2,758
6.4
+12.7%
vs nation
12th percentile
Poor Physical Health Days#3,094
5.9
+33.0%
vs nation
2th percentile
Uninsured Rate#842
7.1%
-32.3%
vs nation
73th percentile
Physical Inactivity#2,070
28.3%
+7.3%
vs nation
34th percentile
Food Insecurity#3,121
23.7%
+64.5%
vs nation
1th percentile

Substance Use

21.2% of adults in Letcher County smoke , 40.6% are obese , and 13.4% report excessive drinking. The drug overdose death rate is 58.4 per 100,000.

Adult Smoking#2,553
21.2%
+18.1%
vs nation
19th percentile
Adult Obesity#2,245
40.6%
+7.1%
vs nation
29th percentile
Excessive Drinking#35
13.4%
-32.6%
vs nation
99th percentile
Drug Overdose Deaths#1,935
58.4
+80.6%
vs nation
9th percentile

Safety

The homicide rate in Letcher County is 7.2 per 100,000 and the suicide rate is 14.5 per 100,000. Motor vehicle deaths occur at a rate of 28.3 per 100,000.

Homicide Rate#927
7.2
-9.5%
vs nation
40th percentile
Suicide Rate#641
14.5
-26.7%
vs nation
75th percentile
Firearm Fatalities#1,623
19.7
+10.0%
vs nation
34th percentile
Motor Vehicle Deaths#2,298
28.3
+39.7%
vs nation
19th percentile

Families & Children

28.9% of children in Letcher County live in poverty . The teen birth rate is 31.8 per 1,000 females age 15–19.

Teen Birth Rate#2,444
31.8
+45.6%
vs nation
19th percentile
Child Poverty#2,785
28.9%
+52.2%
vs nation
11th percentile

Civic & Transportation

Voter turnout in Letcher County is 53.3%. The mean commute time is 29.4 min, which is 6.6% above the national average.

Voter Turnout
53.3% NaN% vs nation
Rank #NaN of NaN
th percentile

Voter Turnout Trend

Mean Commute Time
29.4 min +6.6% vs nation
Rank #984 of 3,222
69th percentile

Mean Commute Time Trend

Rankings →

Elections

In the 2024 presidential election, Letcher County voted Republican with a margin of 63.9%. The vote was 17.3% Dem / 81.2% Rep. Compared to 2020, the margin shifted 4.5 toward Republicans .

2024 REP +63.9%
17.3% 81.2%
Dem 8,430 votes Rep
2020 REP +59.4%
19.7% 79.1%
Dem 9,135 votes Rep
2016 REP +63.0%
16.9% 79.9%
Dem 9,131 votes Rep
2012 REP +58.4%
19.4% 77.8%
Dem 8,758 votes Rep
2008 REP +33.3%
31.9% 65.2%
Dem 8,235 votes Rep

Vote Share Over Time

About Letcher County, Kentucky

Letcher County, Kentucky has a total population of 20,808, making it the 1,833rd most populous county in the United States. The median age in Letcher County is 43.5 years, which is 11.8% above the national median of 38.9 years.

The median household income in Letcher County is $41,793, which ranks #3,038 of 3,222 counties nationwide. This is 44.4% below the national median of $75,149. The poverty rate is 24.4%, higher than the national rate of 12.6%. The unemployment rate stands at 6.2%.

The median home value in Letcher County is $67,400, 76.1% below the national median. Renters in Letcher County pay a median gross rent of $669 per month. The homeownership rate is 74.1%, compared to the national rate of 64.4%.

In Letcher County, 12.5% of residents aged 25 and older hold a bachelor's degree or higher, 63.0% below the national average of 33.7%. Health insurance coverage stands at 96.6% of the population. The average commute time for workers is 29.4 min.

Letcher County is a community. The largest racial or ethnic group is White (non-Hispanic) at 96.5% of the population, followed by Two or More Races (1.5%).

All data for Letcher County, Kentucky 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.