Perry County, Missouri

MO · FIPS 29157 Republican

Located in Missouri, Perry County has a population of 18,976 residents and a median age of 42.2 years, making it the #1,935 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 $188,200, and the median household income is $62,981, which is 16% below the national median.

18,976
Population
#1,935 of 3,222
$62,981
Median Income
-16.2% #1,799 of 3,222
42.2 years
Median Age
+8.5% #1,441 of 3,222
13.9%
Poverty Rate
+10.0% #1,720 of 3,222

Demographics

Perry County has a population of 18,976, making it the #1,935 most populous county in the US. The median age is 42.2 years, which is 8.5% above the national median.

Population Trend

Rankings →

Year-over-Year Population Growth

Age & Sex Distribution

Race & Ethnicity

Nativity

98.3%
Native Born
1.7%
Foreign Born

Geographic Mobility (Past Year)

Economy

The median household income in Perry County is $62,981, ranking #1,799 out of 3,222 counties — 16.2% below the national median. The poverty rate is 13.9% and unemployment stands at 4.9%.

Income#1,799
$62,981
-16.2%
vs nation
44th percentile
Per Capita#1,493
$35,632
-13.6%
vs nation
54th percentile
Poverty#1,720
13.9%
+10.0%
vs nation
47th percentile
Unemployment#1,947
4.9%
-7.6%
vs nation
40th percentile

Income Distribution

Industry of Employment

Occupation

Housing

The median home value in Perry County is $188,200 (-33.2% vs national). Renters pay a median of $923/mo and the homeownership rate is 76.5%.

Home Value#1,541
$188,200
-33.2%
vs nation
52th percentile
Rent#1,317
$923
-20.6%
vs nation
59th percentile
Homeownership#1,258
76.5%
+18.8%
vs nation
61th percentile

Household Type

Education

In Perry County, 20.9% of adults age 25+ hold a bachelor's degree or higher, which is 38.1% below the national average, ranking #1,854 out of 3,222 counties.

Bachelor's Degree or Higher
20.9% −38.1% vs nation
Rank #1,854 of 3,222
42th percentile

Bachelor's Degree or Higher Trend

Rankings →

Health & Wellbeing

Life expectancy in Perry County is 76.4 years. 18.6% of adults report poor or fair health and 10.9% lack health insurance. Data from County Health Rankings (2025).

Life Expectancy#1,138
76.4
+1.7%
vs nation
63th percentile
Poor/Fair Health#1,494
18.6%
-4.9%
vs nation
53th percentile
Diabetes#1,209
10.1%
-9.3%
vs nation
62th percentile
Insufficient Sleep#2,066
39.2%
+5.1%
vs nation
34th percentile
Poor Mental Health Days#1,697
5.7
+1.0%
vs nation
46th percentile
Poor Physical Health Days#2,134
4.7
+6.3%
vs nation
32th percentile
Uninsured Rate#1,905
10.9%
+4.5%
vs nation
39th percentile
Physical Inactivity#1,810
27.1%
+2.7%
vs nation
42th percentile
Food Insecurity#1,432
13.8%
-4.2%
vs nation
55th percentile

Substance Use

20.0% of adults in Perry County smoke , 37.3% are obese , and 22.9% report excessive drinking. The drug overdose death rate is 22.7 per 100,000.

Adult Smoking#2,269
20.0%
+11.4%
vs nation
28th percentile
Adult Obesity#1,234
37.3%
-1.6%
vs nation
61th percentile
Excessive Drinking#2,614
22.9%
+15.2%
vs nation
17th percentile
Drug Overdose Deaths#740
22.7
-29.8%
vs nation
65th percentile

Safety

The suicide rate is 18.7 per 100,000. Motor vehicle deaths occur at a rate of 14.2 per 100,000.

Suicide Rate#1,371
18.7
-5.1%
vs nation
46th percentile
Firearm Fatalities#946
14.7
-17.8%
vs nation
62th percentile
Motor Vehicle Deaths#847
14.2
-29.9%
vs nation
70th percentile

Families & Children

13.0% of children in Perry County live in poverty . The teen birth rate is 19.2 per 1,000 females age 15–19.

Teen Birth Rate#1,384
19.2
-12.0%
vs nation
54th percentile
Child Poverty#779
13.0%
-31.6%
vs nation
75th percentile

Civic & Transportation

Voter turnout in Perry County is 65.0%. The mean commute time is 23.6 min, which is 14.6% below the national average.

Voter Turnout
65.0% NaN% vs nation
Rank #NaN of NaN
th percentile

Voter Turnout Trend

Mean Commute Time
23.6 min −14.6% vs nation
Rank #2,239 of 3,222
31th percentile

Mean Commute Time Trend

Rankings →

Elections

In the 2024 presidential election, Perry County voted Republican with a margin of 63.4%. The vote was 17.9% Dem / 81.3% Rep. Compared to 2020, the margin shifted +0.1 toward Democrats .

2024 REP +63.4%
17.9% 81.3%
Dem 9,823 votes Rep
2020 REP +63.5%
17.6% 81.1%
Dem 9,447 votes Rep
2016 REP +61.7%
17.4% 79.1%
Dem 8,732 votes Rep
2012 REP +43.7%
27.3% 71%
Dem 7,987 votes Rep
2008 REP +29.1%
34.8% 63.9%
Dem 8,647 votes Rep

Vote Share Over Time

About Perry County, Missouri

Perry County, Missouri has a total population of 18,976, making it the 1,935th most populous county in the United States. The median age in Perry County is 42.2 years, which is 8.5% above the national median of 38.9 years.

The median household income in Perry County is $62,981, which ranks #1,799 of 3,222 counties nationwide. This is 16.2% 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 4.9%.

The median home value in Perry County is $188,200, 33.2% below the national median. Renters in Perry County pay a median gross rent of $923 per month. The homeownership rate is 76.5%, compared to the national rate of 64.4%.

In Perry County, 20.9% of residents aged 25 and older hold a bachelor's degree or higher, 38.1% below the national average of 33.7%. Health insurance coverage stands at 94.3% of the population. The average commute time for workers is 23.6 min.

Perry County is a diverse community. The largest racial or ethnic group is White (non-Hispanic) at 93.4% of the population, followed by Two or More Races (2.6%) and Hispanic or Latino (2.5%).

All data for Perry County, Missouri 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.