Skip to content

What city in the US has the highest life expectancy?

4 min read

While the average life expectancy in the United States generally hovers in the high 70s, many specific regions significantly surpass this number. The factors influencing longevity are complex, but analysis frequently points to a particular metropolitan area. So, what city in the US has the highest life expectancy?

Quick Summary

The San Francisco-Oakland-Berkeley metropolitan area in California is frequently cited as having the highest life expectancy in the U.S., a distinction influenced by its high income levels, active lifestyles, and superior healthcare access.

Key Points

  • Top-Ranking Cities: The San Francisco-Oakland-Berkeley metropolitan area in California is frequently cited as having the highest life expectancy among major U.S. cities.

  • Multiple Factors at Play: High life expectancy in these cities is a result of a combination of factors, including excellent healthcare access, high average income, and environmental quality.

  • Lifestyle is Key: A culture that promotes physical activity through walkable communities and access to outdoor recreation, alongside healthy dietary options, is a major contributor to longevity.

  • Socioeconomic Influence: Higher income and education levels are strongly correlated with better health outcomes and longer lifespans in studies.

  • Adopting Habits Anywhere: Individuals can adopt the healthy lifestyle habits observed in these long-living cities, such as focusing on diet and exercise, regardless of their location.

  • Small Communities vs. Major Metros: Some smaller counties may show even higher life expectancy figures due to unique demographics, but major metro areas offer a more representative view of urban longevity.

In This Article

The Bay Area's Edge in Longevity

According to a June 2025 report, the San Francisco-Oakland-Berkeley, CA, metropolitan area holds one of the highest life expectancies in the nation, with residents living to an average of 83.8 years. This figure rivals some of the longest-living populations globally and is a significant benchmark in American public health. While some studies may cite specific small counties with even higher figures due to unique demographics (like Summit County, Colorado, and Mono County, California), the Bay Area's consistently high ranking among major urban centers makes it a prime example of longevity.

The Bay Area's longevity is not a singular achievement but the result of a convergence of factors that support long-term health and wellness. Understanding these elements can offer valuable insights for individuals and communities seeking to improve their own health outcomes.

Key Factors Driving Longevity in Top Cities

While high life expectancy is often associated with affluence, the full picture is more complex. A combination of social, economic, and environmental factors creates an environment where people can thrive well into old age.

Access to Exceptional Healthcare

One of the most significant determinants of life expectancy is the quality and availability of healthcare. Cities with top-tier medical facilities and high rates of health insurance coverage enable residents to receive preventative care, manage chronic conditions effectively, and access advanced treatments. The Bay Area, home to world-renowned hospitals and medical research centers, exemplifies this trend.

Lifestyle and Physical Activity

The culture of physical activity in areas like the Bay Area and other high-ranking cities plays a crucial role. Many of these regions boast extensive trail systems, parks, and outdoor recreational opportunities that encourage an active lifestyle. A climate that allows for year-round outdoor activity, as seen in San Francisco and Honolulu, also contributes to higher rates of exercise and lower rates of obesity. Studies have shown that regular physical activity can significantly reduce the risk of heart disease, stroke, and other chronic illnesses.

High Socioeconomic Status

Income and education are strongly correlated with life expectancy. Affluent cities like San Francisco and Arlington, VA, have higher median incomes and lower poverty rates, which translates to better nutrition, safer living conditions, and reduced stress levels for many residents. Higher education levels also tend to be associated with greater health awareness and more informed lifestyle choices.

Environmental Quality

Clean air and water contribute to overall health and respiratory well-being. Cities with strong environmental regulations and low pollution scores, such as Honolulu, offer a healthier living environment. The Bay Area also benefits from its coastal location, with strong ocean breezes helping to mitigate poor air quality often seen in more inland urban areas.

Diet and Nutrition

Availability and cultural emphasis on fresh, healthy food are important. High-ranking cities often have a strong food scene with abundant options for plant-based and organic diets. Access to farmers' markets and diverse culinary options can lead to better overall nutrition and lower rates of diet-related diseases.

Comparison of Longevity-Leading Metro Areas

Metro Area Key Factors Contributing to Longevity
San Francisco-Oakland-Berkeley, CA High income, active culture, low smoking/obesity, excellent healthcare
San Jose-Santa Clara-Sunnyvale, CA High-tech jobs, healthy incomes, active lifestyles, low obesity
Arlington, VA High income, top-tier healthcare access, low poverty rate
Urban Honolulu, HI Low obesity, excellent healthcare, active lifestyle, clean environment
Bridgeport-Stamford-Norwalk, CT High income, top-tier healthcare access, low obesity

Can You Live Longer by Moving to One of These Cities?

While the prospect of extending your lifespan by relocating is appealing, it's important to understand the complexities involved. A city's high life expectancy is an average and reflects a wide range of factors, many of which are deeply embedded in the community's infrastructure and socioeconomic landscape. Simply moving won't guarantee a longer life, but it can provide access to resources and a culture that promotes healthier living.

For example, living in a walkable city with abundant parks can make physical activity more accessible and enjoyable. Having access to high-quality healthcare can lead to better preventative care and quicker treatment. Ultimately, personal choices and lifestyle habits remain the most critical determinants of individual longevity, regardless of location.

Conclusion

While the exact city with the absolute highest life expectancy can shift slightly depending on the specific study and metrics used, the San Francisco-Oakland-Berkeley metropolitan area consistently emerges as a leader among major U.S. urban centers. Its success is a testament to the powerful combination of high socioeconomic status, access to top-tier healthcare, and a culture that promotes an active and healthy lifestyle. By studying what makes these cities thrive, both individuals and policymakers can gain valuable insights into building a healthier, longer-living society.

For more detailed information on life expectancy data and trends, review the reports from the Centers for Disease Control and Prevention (CDC).

What Does This Mean for You?

Even if you don't live in a city with a high life expectancy, you can adopt many of the lifestyle habits and priorities that contribute to longevity. Focusing on regular physical activity, a balanced diet, access to quality medical care, and strong social connections can significantly impact your health and lifespan, no matter where you call home.

Frequently Asked Questions

Yes, multiple studies have shown a strong correlation between higher income levels and longer life expectancy. This is often due to increased access to quality healthcare, better nutrition, and lower stress levels associated with financial stability.

A city's environment plays a significant role. Factors like clean air and water, access to green spaces, and a mild climate that encourages outdoor activity can all positively impact health and, by extension, life expectancy.

No, it does not guarantee a longer life. A city's high average life expectancy reflects broad community factors. While moving can provide access to better resources, individual lifestyle choices, genetics, and health habits are the most significant determinants of personal longevity.

Besides the Bay Area, other cities and metro areas that frequently rank highly include Arlington, VA; San Jose, CA; Urban Honolulu, HI; and Bridgeport-Stamford-Norwalk, CT. Colorado counties like Summit County are also noted for exceptional longevity.

Physical activity is a key factor. Cities that promote walkable lifestyles, have extensive park systems, and encourage outdoor recreation tend to have higher life expectancies and lower rates of obesity. Regular exercise reduces the risk of heart disease, stroke, and other chronic conditions.

Many high-ranking cities promote healthy eating through a culture of fresh food access, including farmers' markets and diverse, nutritious food options. This emphasis on diet is a contributing factor to the lower rates of diet-related diseases observed.

Progressive public health policies, including investments in healthcare infrastructure, access to health insurance, and environmental protections, contribute significantly to overall community health and longevity. These policies create a supportive ecosystem for healthy living.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5
  6. 6

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.