Counties with the shortest life expectancy in Massachusetts
Life expectancy can be affected by a variety of factors. About 25% of your lifespan is determined by genetics, according to the National Library of Medicine. Health and wellness habits—like following a balanced, nutrient-rich diet; not smoking; drinking minimal alcohol; maintaining a healthy weight; and staying physically active—can add more than a decade to your life, research from the National Institutes of Health shows. While these factors are significant, another important element that you might not have considered is your environment and community.
While life expectancy generally increases annually in the United States—jumping from about 70.8 years old to 77.5 between 1970 and 2022, according to the Centers for Disease Control and Prevention—this particular metric can vary from state to state or even county to county. In some parts of the country, the average lifespan is getting shorter based on a variety of risk factors on top of health, including socioeconomic factors like poverty, unemployment, income, and education.
According to a 2020 study from researchers at Penn State, West Virginia, and Michigan State Universities, communities with a higher population density, more fast food restaurants, and a high number of extraction industry-based jobs tend to have shorter life expectancies.
To find out how life expectancy varies within Massachusetts, Stacker used 2024 County Health Rankings & Roadmaps from the University of Wisconsin Population Health Institute to identify the counties with the shortest life expectancy. Life expectancy measures the average number of years from birth a person can expect to live and is calculated based on the number of deaths in a given time period and the average number of people at risk of dying during that period. Counties with unreliable or insufficient data were excluded from the analysis. Mortality data came from the National Vital Statistics System.
Read on to see if your county is on the list.
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#7. Essex County (tie)
– Life expectancy: 79.7 years
— 0.2 years lower than the state average
About
Essex County is rich in colonial heritage, maritime history, and cultural depth, offering a tapestry of historic towns and coastal character. Cobblestone streets, preserved architecture, and artistic communities reflect a strong appreciation for the past. The region balances historic charm with vibrant, modern life through local festivals, museums, and thriving small businesses.
Residents enjoy a variety of experiences—from scenic waterfronts and hiking trails to bustling marketplaces and quiet neighborhoods. The county’s legacy of innovation and craftsmanship continues to shape its identity. Essex County stands as a blend of tradition, resilience, and timeless New England appeal.
Where is Essex County?
Essex County, Massachusetts is located in the northeastern part of the state, bordering the Atlantic Ocean. It lies about 20 miles north of Boston, the state’s capital and largest city. The county includes cities like Salem, Lynn, and Lawrence, forming part of the Greater Boston area.
Essex County is around 90 miles northeast of Springfield, in western Massachusetts. It is approximately 60 miles south of Portsmouth, New Hampshire, near the New Hampshire border. Additionally, the county is about 135 miles northeast of Hartford, Connecticut, placing it firmly in New England’s coastal region.
#6. Barnstable County
– Life expectancy: 79.5 years
— 0.4 years lower than the state average
About
Barnstable County is known for its coastal charm, maritime heritage, and laid-back atmosphere shaped by centuries of seafaring tradition. Its towns offer a blend of sandy shores, lighthouses, and historic homes that preserve a classic New England feel. The region thrives on tourism, local arts, and a deep connection to nature and the sea.
Residents enjoy a rhythm of life influenced by tides, seasons, and community pride. Fishing, festivals, and outdoor living are woven into daily routines. Barnstable County captures the essence of coastal living—scenic, storied, and warmly enduring.
Where is Barnstable County?
Barnstable County, Massachusetts is located in the southeastern part of the state and covers all of Cape Cod. It lies about 70 miles southeast of Boston, the state’s capital and largest city. The county includes towns like Hyannis, Falmouth, and Provincetown, stretching out into the Atlantic Ocean.
Barnstable County is approximately 100 miles east of Providence, Rhode Island, another major New England city. It is around 150 miles southeast of Springfield, in western Massachusetts. Additionally, the county is about 160 miles northeast of Hartford, Connecticut, making it a key coastal region in southern New England.
#4. Worcester County (tie)
– Life expectancy: 79.0 years
— 0.9 years lower than the state average
About
Worcester County combines industrial heritage with rolling countryside, offering a diverse landscape of cities, towns, and rural farmland. Its roots in manufacturing and innovation are balanced by cultural institutions, universities, and a strong local economy. Communities here value hard work, education, and regional pride.
Residents experience a mix of urban energy and small-town charm, with access to parks, lakes, and historic landmarks. Local festivals, farmers markets, and recreational opportunities support a lively and connected way of life. Worcester County reflects resilience, diversity, and a commitment to growth grounded in tradition.
Where is Worcester County?
Worcester County, Massachusetts is located in the central part of the state, with the city of Worcester as its county seat. It lies about 45 miles west of Boston, the state’s capital. The county includes both urban centers and rural towns, forming a bridge between eastern and western Massachusetts.
Worcester County is approximately 25 miles north of Providence, Rhode Island. It is about 60 miles east of Springfield, a major city in western Massachusetts. Additionally, the county is roughly 90 miles northeast of Hartford, Connecticut, placing it in the heart of southern New England.
#4. Plymouth County (tie)
– Life expectancy: 79.0 years
— 0.9 years lower than the state average
About
Plymouth County carries a deep sense of American heritage, with historic landmarks, coastal villages, and traditions that span generations. The area blends scenic beauty with suburban growth, offering both quiet neighborhoods and thriving town centers. Maritime culture, local pride, and preserved history define the region’s character.
Residents enjoy access to beaches, forests, and a wide range of community events that foster strong local connections. The lifestyle is shaped by a respect for the past and a focus on family, education, and quality of life. Plymouth County stands as a place where legacy and everyday living meet in harmony.
Where is Plymouth County?
Plymouth County, Massachusetts is located in the southeastern part of the state, with towns like Plymouth, Brockton, and Hingham. It lies about 40 miles south of Boston, the state’s capital. The county stretches from the South Shore to parts of Cape Cod Bay.
Plymouth County is approximately 35 miles east of Providence, Rhode Island. It is about 90 miles southeast of Springfield, located in western Massachusetts. Additionally, the county is roughly 120 miles northeast of Hartford, Connecticut, placing it within the coastal New England region.
#3. Bristol County
– Life expectancy: 77.7 years
— 2.2 years lower than the state average
About
Bristol County blends historic mill towns with coastal charm, reflecting a rich industrial past alongside evolving modern communities. Its cities and villages showcase a mix of cultural diversity, historic architecture, and strong neighborhood ties. The area’s identity is rooted in hard work, resilience, and a deep connection to local heritage.
Residents benefit from access to arts, parks, and waterfronts while enjoying a lifestyle that values both tradition and progress. Local festivals, food, and community pride create a strong sense of belonging. Bristol County offers a dynamic mix of history, culture, and everyday comfort.
Where is Bristol County?
Bristol County, Massachusetts is located in the southeastern corner of the state, with cities like Fall River, New Bedford, and Taunton. It lies about 40 miles south of Boston, the state’s capital. The county borders Rhode Island and the Atlantic coastline.
Bristol County is approximately 20 miles east of Providence, Rhode Island. It is about 95 miles southeast of Springfield, in western Massachusetts. Additionally, the county is roughly 115 miles northeast of Hartford, Connecticut, placing it in the southern coastal area of New England.
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#2. Berkshire County
– Life expectancy: 77.3 years
— 2.6 years lower than the state average
About
Berkshire County is known for its natural beauty, cultural richness, and peaceful rural character. Rolling hills, forests, and historic towns create a setting that inspires both artists and outdoor enthusiasts. The region thrives on a blend of creativity, history, and a strong connection to the land.
Residents enjoy a slower pace of life enriched by museums, music festivals, and farm-to-table living. Community values, scenic living, and year-round recreation shape daily experiences. Berkshire County reflects a refined, grounded lifestyle with deep artistic and environmental roots.
Where is Berkshire County?
Berkshire County, Massachusetts is located in the far western part of the state, with Pittsfield as its largest city. It lies about 135 miles west of Boston, the state’s capital. The county borders New York to the west and Vermont to the north.
Berkshire County is approximately 25 miles northwest of Springfield, a major city in western Massachusetts. It is about 40 miles southeast of Albany, New York. Additionally, the county is roughly 65 miles northeast of Hartford, Connecticut, placing it in the mountainous and rural region of western New England.
#1. Hampden County
– Life expectancy: 76.9 years
— 3.0 years lower than the state average
About
Hampden County combines urban energy with historic neighborhoods, manufacturing heritage, and a diverse cultural presence. Its cities and towns offer a mix of industry, education, and community spirit grounded in hard work and resilience. Landmarks, local events, and a proud sense of identity contribute to a vibrant regional character.
Residents benefit from access to museums, green spaces, and thriving small businesses that support a connected lifestyle. The area celebrates multiculturalism, innovation, and neighborhood pride. Hampden County represents a dynamic blend of tradition, progress, and community-driven strength.
Where is Hampden County?
Hampden County, Massachusetts is located in the southwestern part of the state, with Springfield as its largest city and urban center. It lies about 90 miles west of Boston, the state’s capital. The county borders Connecticut to the south, making it part of the Pioneer Valley region.
Hampden County is approximately 25 miles north of Hartford, Connecticut, a major nearby city. It is about 35 miles south of Greenfield, in Franklin County. Additionally, the county is roughly 85 miles east of Albany, New York, placing it near the tri-state area of Massachusetts, Connecticut, and New York.
This story features data reporting by Karim Noorani, writing by Kiersten Hickman, and is part of a series utilizing data automation across 49 states.
By Stacker
