Pike County, Missouri

MO · FIPS 29163 Republican

Located in Missouri, Pike County has a population of 17,711 residents and a median age of 39.6 years, making it the #1,998 most populous county out of 3,222 nationwide. In terms of economic indicators, the county has a poverty rate of 16.0%. The median home value is $146,000, and the median household income is $54,989, which is 27% below the national median.

17,711
Population
#1,998 of 3,222
$54,989
Median Income
-26.8% #2,474 of 3,222
39.6 years
Median Age
+1.8% #2,236 of 3,222
16.0%
Poverty Rate
+26.7% #2,116 of 3,222

Demographics

Pike County has a population of 17,711, making it the #1,998 most populous county in the US. The median age is 39.6 years, which is 1.8% above the national median.

Population Trend

Rankings →

Year-over-Year Population Growth

Age & Sex Distribution

Race & Ethnicity

Nativity

98.5%
Native Born
1.5%
Foreign Born

Geographic Mobility (Past Year)

Economy

The median household income in Pike County is $54,989, ranking #2,474 out of 3,222 counties — 26.8% below the national median. The poverty rate is 16.0% and unemployment stands at 3.9%.

Income#2,474
$54,989
-26.8%
vs nation
23th percentile
Per Capita#2,707
$28,004
-32.1%
vs nation
16th percentile
Poverty#2,116
16.0%
+26.7%
vs nation
34th percentile
Unemployment#1,290
3.9%
-25.8%
vs nation
60th percentile

Income Distribution

Industry of Employment

Occupation

Housing

The median home value in Pike County is $146,000 (-48.2% vs national). Renters pay a median of $778/mo and the homeownership rate is 73.3%.

Home Value#2,312
$146,000
-48.2%
vs nation
28th percentile
Rent#2,285
$778
-33.1%
vs nation
29th percentile
Homeownership#1,825
73.3%
+13.8%
vs nation
43th percentile

Household Type

Education

In Pike County, 16.6% of adults age 25+ hold a bachelor's degree or higher, which is 50.6% below the national average, ranking #2,562 out of 3,222 counties.

Bachelor's Degree or Higher
16.6% −50.6% vs nation
Rank #2,562 of 3,222
20th percentile

Bachelor's Degree or Higher Trend

Rankings →

Health & Wellbeing

Life expectancy in Pike County is 75.5 years. 21.4% of adults report poor or fair health and 13.1% lack health insurance. Data from County Health Rankings (2025).

Life Expectancy#1,439
75.5
+0.5%
vs nation
53th percentile
Poor/Fair Health#2,118
21.4%
+9.4%
vs nation
33th percentile
Diabetes#1,779
11.2%
+0.6%
vs nation
43th percentile
Insufficient Sleep#2,408
40.4%
+8.3%
vs nation
23th percentile
Poor Mental Health Days#2,077
5.9
+4.2%
vs nation
34th percentile
Poor Physical Health Days#2,239
4.8
+8.1%
vs nation
29th percentile
Uninsured Rate#2,340
13.1%
+24.9%
vs nation
26th percentile
Physical Inactivity#2,225
29.1%
+10.3%
vs nation
29th percentile
Food Insecurity#2,152
16.0%
+11.1%
vs nation
32th percentile

Substance Use

22.6% of adults in Pike County smoke , 43.3% are obese , and 19.7% report excessive drinking. The drug overdose death rate is 30.2 per 100,000.

Adult Smoking#2,786
22.6%
+25.9%
vs nation
11th percentile
Adult Obesity#2,851
43.3%
+14.2%
vs nation
9th percentile
Excessive Drinking#1,463
19.7%
-0.9%
vs nation
54th percentile
Drug Overdose Deaths#1,179
30.2
-6.6%
vs nation
44th percentile

Safety

The suicide rate is 20.8 per 100,000. Motor vehicle deaths occur at a rate of 15.0 per 100,000.

Suicide Rate#1,653
20.8
+5.3%
vs nation
35th percentile
Firearm Fatalities#636
12.3
-31.5%
vs nation
74th percentile
Motor Vehicle Deaths#966
15.0
-26.0%
vs nation
66th percentile

Families & Children

18.7% of children in Pike County live in poverty . The teen birth rate is 24.6 per 1,000 females age 15–19.

Teen Birth Rate#1,908
24.6
+12.6%
vs nation
36th percentile
Child Poverty#1,711
18.7%
-1.5%
vs nation
46th percentile

Civic & Transportation

Voter turnout in Pike County is 54.9%. The mean commute time is 25.3 min, which is 8.2% below the national average.

Voter Turnout
54.9% NaN% vs nation
Rank #NaN of NaN
th percentile

Voter Turnout Trend

Mean Commute Time
25.3 min −8.2% vs nation
Rank #1,863 of 3,222
42th percentile

Mean Commute Time Trend

Rankings →

Elections

In the 2024 presidential election, Pike County voted Republican with a margin of 57.9%. The vote was 20.7% Dem / 78.6% Rep. Compared to 2020, the margin shifted 4.0 toward Republicans .

2024 REP +57.9%
20.7% 78.6%
Dem 7,824 votes Rep
2020 REP +53.9%
22.3% 76.2%
Dem 7,695 votes Rep
2016 REP +47.0%
24.5% 71.5%
Dem 7,375 votes Rep
2012 REP +27.2%
35.3% 62.5%
Dem 7,319 votes Rep
2008 REP +10.0%
44.2% 54.2%
Dem 7,881 votes Rep

Vote Share Over Time

About Pike County, Missouri

Pike County, Missouri has a total population of 17,711, making it the 1,998th most populous county in the United States. The median age in Pike County is 39.6 years, which is 1.8% above the national median of 38.9 years.

The median household income in Pike County is $54,989, which ranks #2,474 of 3,222 counties nationwide. This is 26.8% below the national median of $75,149. The poverty rate is 16.0%, higher than the national rate of 12.6%. The unemployment rate stands at 3.9%.

The median home value in Pike County is $146,000, 48.2% below the national median. Renters in Pike County pay a median gross rent of $778 per month. The homeownership rate is 73.3%, compared to the national rate of 64.4%.

In Pike County, 16.6% of residents aged 25 and older hold a bachelor's degree or higher, 50.6% below the national average of 33.7%. Health insurance coverage stands at 91.0% of the population. The average commute time for workers is 25.3 min.

Pike County is a diverse community. The largest racial or ethnic group is White (non-Hispanic) at 89.0% of the population, followed by Black (non-Hispanic) (5.0%) and Two or More Races (2.6%).

All data for Pike 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.