McDowell County, West Virginia

WV · FIPS 54047 Republican

Located in West Virginia, McDowell County has a population of 17,943 residents and a median age of 43.7 years, making it the #1,993 most populous county out of 3,222 nationwide. In terms of economic indicators, the county has a poverty rate of 34.2%. The median home value is $50,000, and the median household income is $31,559, which is 58% below the national median.

17,943
Population
#1,993 of 3,222
$31,559
Median Income
-58.0% #3,142 of 3,222
43.7 years
Median Age
+12.3% #1,026 of 3,222
34.2%
Poverty Rate
+171.2% #3,134 of 3,222

Demographics

McDowell County has a population of 17,943, making it the #1,993 most populous county in the US. The median age is 43.7 years, which is 12.3% above the national median.

Population Trend

Rankings →

Year-over-Year Population Growth

Age & Sex Distribution

Race & Ethnicity

Nativity

98.4%
Native Born
1.6%
Foreign Born

Geographic Mobility (Past Year)

Economy

The median household income in McDowell County is $31,559, ranking #3,142 out of 3,222 counties — 58.0% below the national median. The poverty rate is 34.2% and unemployment stands at 8.2%.

Income#3,142
$31,559
-58.0%
vs nation
2th percentile
Per Capita#3,153
$17,253
-58.2%
vs nation
2th percentile
Poverty#3,134
34.2%
+171.2%
vs nation
3th percentile
Unemployment#2,973
8.2%
+55.2%
vs nation
8th percentile

Income Distribution

Industry of Employment

Occupation

Housing

The median home value in McDowell County is $50,000 (-82.3% vs national). Renters pay a median of $643/mo and the homeownership rate is 77.3%.

Home Value#3,216
$50,000
-82.3%
vs nation
0th percentile
Rent#2,964
$643
-44.7%
vs nation
8th percentile
Homeownership#1,097
77.3%
+20.0%
vs nation
66th percentile

Household Type

Education

In McDowell County, 6.8% of adults age 25+ hold a bachelor's degree or higher, which is 79.9% below the national average, ranking #3,219 out of 3,222 counties.

Bachelor's Degree or Higher
6.8% −79.9% vs nation
Rank #3,219 of 3,222
0th percentile

Bachelor's Degree or Higher Trend

Rankings →

Health & Wellbeing

Life expectancy in McDowell County is 65.1 years. 33.6% of adults report poor or fair health and 10.4% lack health insurance. Data from County Health Rankings (2025).

Life Expectancy#3,043
65.1
-13.4%
vs nation
1th percentile
Poor/Fair Health#3,112
33.6%
+71.8%
vs nation
1th percentile
Diabetes#3,091
17.1%
+53.6%
vs nation
2th percentile
Insufficient Sleep#3,129
47.5%
+27.3%
vs nation
1th percentile
Poor Mental Health Days#3,142
7.7
+36.3%
vs nation
0th percentile
Poor Physical Health Days#3,140
6.8
+52.1%
vs nation
0th percentile
Uninsured Rate#1,800
10.4%
-0.4%
vs nation
43th percentile
Physical Inactivity#3,102
38.6%
+46.3%
vs nation
1th percentile
Food Insecurity#3,079
22.0%
+52.7%
vs nation
2th percentile

Substance Use

28.1% of adults in McDowell County smoke , 44.3% are obese , and 14.0% report excessive drinking. The drug overdose death rate is 180.7 per 100,000.

Adult Smoking#3,120
28.1%
+56.5%
vs nation
1th percentile
Adult Obesity#2,958
44.3%
+16.9%
vs nation
6th percentile
Excessive Drinking#66
14.0%
-29.4%
vs nation
98th percentile
Drug Overdose Deaths#2,114
180.7
+458.8%
vs nation
0th percentile

Safety

The homicide rate in McDowell County is 19.0 per 100,000 and the suicide rate is 33.1 per 100,000. Motor vehicle deaths occur at a rate of 27.6 per 100,000.

Homicide Rate#1,438
19.0
+137.0%
vs nation
6th percentile
Suicide Rate#2,411
33.1
+67.6%
vs nation
6th percentile
Firearm Fatalities#2,199
28.1
+57.2%
vs nation
11th percentile
Motor Vehicle Deaths#2,258
27.6
+36.5%
vs nation
20th percentile

Families & Children

36.9% of children in McDowell County live in poverty . The teen birth rate is 36.9 per 1,000 females age 15–19.

Teen Birth Rate#2,710
36.9
+68.9%
vs nation
10th percentile
Child Poverty#3,049
36.9%
+94.3%
vs nation
3th percentile

Civic & Transportation

Voter turnout in McDowell County is 45.9%. The mean commute time is 39.5 min, which is 42.9% above the national average.

Voter Turnout
45.9% NaN% vs nation
Rank #NaN of NaN
th percentile

Voter Turnout Trend

Mean Commute Time
39.5 min +42.9% vs nation
Rank #76 of 3,222
98th percentile

Mean Commute Time Trend

Rankings →

Elections

In the 2024 presidential election, McDowell County voted Republican with a margin of 60.3%. The vote was 19.1% Dem / 79.4% Rep. Compared to 2020, the margin shifted 1.8 toward Republicans .

2024 REP +60.3%
19.1% 79.4%
Dem 5,425 votes Rep
2020 REP +58.5%
20.4% 78.9%
Dem 6,527 votes Rep
2016 REP +51.6%
23.1% 74.7%
Dem 6,179 votes Rep
2012 REP +30.1%
34% 64.1%
Dem 6,136 votes Rep
2008 DEM +8.5%
53.3% 44.8%
Dem 6,430 votes Rep

Vote Share Over Time

About McDowell County, West Virginia

McDowell County, West Virginia has a total population of 17,943, making it the 1,993rd most populous county in the United States. The median age in McDowell County is 43.7 years, which is 12.3% above the national median of 38.9 years.

The median household income in McDowell County is $31,559, which ranks #3,142 of 3,222 counties nationwide. This is 58.0% below the national median of $75,149. The poverty rate is 34.2%, higher than the national rate of 12.6%. The unemployment rate stands at 8.2%.

The median home value in McDowell County is $50,000, 82.3% below the national median. Renters in McDowell County pay a median gross rent of $643 per month. The homeownership rate is 77.3%, compared to the national rate of 64.4%.

In McDowell County, 6.8% of residents aged 25 and older hold a bachelor's degree or higher, 79.9% below the national average of 33.7%. Health insurance coverage stands at 91.2% of the population. The average commute time for workers is 39.5 min.

McDowell County is a diverse community. The largest racial or ethnic group is White (non-Hispanic) at 86.5% of the population, followed by Black (non-Hispanic) (8.8%) and Two or More Races (2.5%).

All data for McDowell County, West 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.