Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN

Public Use Microdata Area (PUMA)

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2021 Population

131,222

0.559% 1-year growth

US Senator

Marsha Blackburn

Republican Party

US Senator

Bill Hagerty

Republican Party

2021 Median Age

39.8

0% 1-year change

2021 Poverty Rate

17.3%

0.757% 1-year decrease

2021 Median Household Income

$48,634

6.52% 1-year growth

2021 Median Property Value

$153,000

6.62% 1-year growth

About

In 2021, Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN had a population of 131k people with a median age of 39.8 and a median household income of $48,634. Between 2020 and 2021 the population of Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN grew from 130,493 to 131,222, a 0.559% increase and its median household income grew from $45,658 to $48,634, a 6.52% increase.

The 5 largest ethnic groups in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN are White (Non-Hispanic) (87.9%), White (Hispanic) (2.81%), Black or African American (Non-Hispanic) (2.74%), Two+ (Non-Hispanic) (2.41%), and Other (Hispanic) (2.06%).

4.92% of the households in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN reported speaking a non-English language at home as their primary shared language. This does not consider the potential multi-lingual nature of households, but only the primary self-reported language spoken by all members of the household.

97.3% of the residents in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN are U.S. citizens.

The largest universities in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN are Tennessee College of Applied Technology-Hartsville (221 degrees awarded in 2021) and Tennessee College of Applied Technology-McMinnville (135 degrees).

In 2021, the median property value in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN was $153,000, and the homeownership rate was 72.9%.

Most people in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN drove alone to work, and the average commute time was 31.3 minutes. The average car ownership in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN was 2 cars per household.

Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN borders Barren River Area Development District (Outer) PUMA, KY, Hendersonville City PUMA, TN, Putnam, Overton, Jackson, Clay & Pickett Counties PUMA, TN, Cumberland, White, Fentress & Van Buren Counties PUMA, TN, Rhea, Marion, Sequatchie, Grundy, Bledsoe & Meigs Counties PUMA, TN, Coffee, Franklin, Lincoln & Moore Counties PUMA, TN, Lebanon & Mount Juliet Cities PUMA, TN, Smyrna Town & La Vergne City PUMA, TN, and Murfreesboro City PUMA, TN.

United States Tennessee

Population & Diversity

Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN is home to a population of 131k people, from which 97.3% are citizens. As of 2021, 3.48% of Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN residents were born outside of the country (4.57k people).

In 2021, there were 31.3 times more White (Non-Hispanic) residents (115k people) in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN than any other race or ethnicity. There were 3.68k White (Hispanic) and 3.6k Black or African American (Non-Hispanic) residents, the second and third most common ethnic groups.

The most common non-English languages spoken as the primary langauge in households in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN are Spanish (4,554 households), Yiddish, Pennsylvania Dutch or Other West Germanic Languages (502 households), and Persian (Incl. Farsi, Dari) (192 households).

Citizenship

97.3%

2021 Citizenship

97.2%

2020 Citizenship

As of 2021, 97.3% of Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN residents were US citizens, which is higher than the national average of 93.4%. In 2020, the percentage of US citizens in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN was 97.2%, meaning that the rate of citizenship has been increasing.

The following chart shows US citizenship percentages in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN compared to that of it's neighboring and parent geographies.

Diversity

Race and Ethnicity

The 3 largest ethnic groups in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN

White (Non-Hispanic)
115k ± 314
White (Hispanic)
3.68k ± 693
Black or African American (Non-Hispanic)
3.6k ± 368

6.18%

Hispanic Population

8.12k people

6.18% of the people in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN are hispanic (8.12k people).

The following chart shows the 7 races represented in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN as a share of the total population.

Foreign-Born Population

3.48%

2021 Foreign-Born Population

4.57k people

3.6%

2020 Foreign-Born Population

4.7k people

As of 2021, 3.48% of Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN residents (4.57k people) were born outside of the United States, which is lower than the national average of 13.6%. In 2020, the percentage of foreign-born citizens in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN was 3.6%, meaning that the rate has been decreasing.

The following chart shows the percentage of foreign-born residents in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN compared to that of it's neighboring and parent geographies.

Non-English Households

Most Common Non-English Languages

Spanish
4,554 households (3.7%)
Yiddish, Pennsylvania Dutch or Other West Germanic Languages
502 households (0.408%)
Persian (Incl. Farsi, Dari)
192 households (0.156%)

4.92% of the households in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN reported speaking a non-English language at home as their primary shared language, which is lower than the national average of 21.7%. This does not consider the potential multi-lingual nature of households, but only the primary self-reported language spoken by all members of the household.

In 2021, the most common non-English language spoken in households in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN was Spanish. 3.7% of the households in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN reported speaking Spanish at home as the primary shared language between all members living in the household.

Military

Veterans

Most Common Service Period

Vietnam
2,948 ± 310
Gulf War (2001-)
1,221 ± 304
Gulf War (1990s)
931 ± 243

Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN has a large population of military personnel who served in Vietnam, 2.41 times greater than any other conflict.

Economy

The economy of Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN employs 53.1k people. The largest industries in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN are Construction (4,015 people), Motor vehicles & motor vehicle equipment manufacturing (3,571 people), and Elementary & secondary schools (3,534 people), and the highest paying industries are Architectural, engineering & related services ($98,483), Management, scientific & technical consulting services ($91,110), and Computer Systems Design ($88,894).

Employment

Workforce Diversity

Measure

RACE/ETHNICITY

24,196

Women

46.2%

28,123

Men

53.8%

The workforce of Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN in 2020 was 52,319 people, with 46.2% woman, and 53.8% men.

The visualization shows the distribution of the workforce by gender and age in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN.

With the upper buttons you can see the distribution of the average salary and add a filter by race.

Occupations

53.1k

2021 Value

1.48%

1 Year growth

± 1.48%

From 2020 to 2021, employment in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN grew at a rate of 1.48%, from 52.3k employees to 53.1k employees.

The most common job groups, by number of people living in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN, are Driver/sales workers & truck drivers (1,792 people), Miscellaneous production workers, including semiconductor processors (1,432 people), and Cooks (1,332 people). This chart illustrates the share breakdown of the primary jobs held by residents of Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN.

Unemployment Insurance Claims

Data is only available at the state level. Showing data for false.

This chart shows weekly unemployment insurance claims in Tennessee (not-seasonally adjusted) compared with the four states with the most similar impact.

The most recent data point uses Advance State Claims data, which can be revised in subsequent weeks.

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Industries

Employment by Industries

53.1k

2021 Value

1.48%

1 Year growth

± 1.48%

From 2020 to 2021, employment in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN grew at a rate of 1.48%, from 52.3k employees to 53.1k employees.

The most common employment sectors for those who live in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN, are Construction (4,015 people), Motor vehicles & motor vehicle equipment manufacturing (3,571 people), and Elementary & secondary schools (3,534 people). This chart shows the share breakdown of the primary industries for residents of Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN, though some of these residents may live in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN and work somewhere else. Census data is tagged to a residential address, not a work address.

Median Earnings by Industry

$38,759

Median earning men ± $1,268

$31,442

Median earning women ± $940

The industries with the best median earnings for men in 2021 are Educational Services, & Health Care & Social Assistance ($48,088), Transportation & Warehousing, & Utilities ($47,581), and Public Administration ($44,615).

The industries with the best median earnings for women in 2021 are Public Administration ($39,993), Agriculture, Forestry, Fishing & Hunting, & Mining ($38,056), and Educational Services, & Health Care & Social Assistance ($36,993).

Employment by Industry Sector

Data is only available at the state level. Showing data for false.

Y-Axis

2.75%

Year-over-year growth

Employment change between February 2022 and February 2023

As of February 2023, there are 155M people employed in Tennessee. This represents a 2.75% increase in employment when compared to February 2022.

The following chart shows monthly employment numbers for each industry sector in Tennessee.

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Domestic Trade

Domestic Production & Consumption

Domestic production and consumption consists of products and services shipped from Tennessee to other states, or from other states to Tennessee.

Top Domestic Production in Dollars

In 2020, the top outbound Tennessee product (by dollars) was Electronics with $51.3B, followed by Motorized vehicles ($50.3B) and Pharmaceuticals ($49.5B).

The following chart shows the share of these products in relation to all outbound Tennessee products.

Domestic Trade Growth

Showing data for Tennessee.

$471B

2020 Value in Tennessee

$1.05T

Projected 2050 Value in Tennessee

123% growth

In 2020, total outbound Tennessee trade was $471B. This is expected to increase 123% to $1.05T by 2050.

The following chart shows how the domestic outbound Tennessee trade is projected to change in comparison to its neighboring states.

Interstate Trade

Interstate trade consists of products and services shipped from Tennessee to other states, or from other states to Tennessee.

Most Common Trade Partners

Georgia
$34.2B
Texas
$26.7B
Kentucky
$21B

In 2020, the top outbound Tennessee domestic partner for goods and services (by dollars) was Georgia with $34.2B, followed by Texas with $26.7B and Kentucky and $21B.

The following map shows the amount of trade that Tennessee shares with each state (excluding itself).

Civics

In the 2020 presidential election, the popular vote in Tennessee went to Donald J. Trump with 60.7% of the vote. The runner-up was Joseph R Biden Jr. (37.5%), followed by Jo Jorgensen (0.978%).

Marsha Blackburn and Bill Hagerty are the senators currently representing the state of Tennessee. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Tennessee is currently represented by 9 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

Presidential Elections

Presidential Popular Vote Over Time

Voting results are not available for Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN. Showing the available data for Tennessee.

2020 Election Results

Donald J. Trump (60.7%)
Republican Party
Joseph R Biden Jr. (37.5%)
Democratic Party
Jo Jorgensen (0.978%)
Independent Party

In the 2020 presidential election, the popular vote in Tennessee went to Donald J. Trump with 60.7% of the vote. The runner-up was Joseph R Biden Jr. (37.5%), followed by Jo Jorgensen (0.978%).

The following chart shows the popular vote results in Tennessee for each registered party from 1976 to 2020.

Senator Elections

US Senators from Tennessee

Senatorial voting results are only available at the state level. Showing data for Tennessee.

Marsha Blackburn

Senator from Tennessee

Assumed office on January 3, 2019

Bill Hagerty

Senator from Tennessee

Assumed office on January 3, 2021

Marsha Blackburn and Bill Hagerty are the senators currently representing Tennessee.

In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

The following chart shows elected senators in Tennessee over time, excluding special elections, colored by their political party.

US Representative Elections

US Representatives from Tennessee

Tennessee is currently represented by 9 members in the U.S. house.

Members of the House of Representives are elected to 2-year terms, and the following chart shows the how the members for Tennessee have changed over time starting in 2008.

Education

In 2021, universities in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN awarded 356 degrees. The student population of Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN in 2021 is skewed towards men, with 751 male students and 281 female students.

Most students graduating from Universities in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN are White (304 and 85.4%), followed by Black or African American (21 and 5.9%), Hispanic or Latino (13 and 3.65%), and Two or More Races (8 and 2.25%).

The largest universities in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN by number of degrees awarded are Tennessee College of Applied Technology-Hartsville (221 and 62.1%) and Tennessee College of Applied Technology-McMinnville (135 and 37.9%).

The most popular majors in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN are Licensed Practical & Vocational Nurse Training (63 and 17.7%), Industrial Mechanics & Maintenance Technology (53 and 14.9%), and Nursing Assistant & Patient Care Assistant (48 and 13.5%).

Completions

Awarded Degrees over Time

The graph shows the evolution of awarded degrees by degrees. Under the paragraphs, the average number of awarded degrees by university in each degree is shown.

Working Population

Educational Pyramid

Measure

In 2021, 0.807% of men over 25 years of age had not completed any academic degree (no schooling), while 0.861% of women were in the same situation.

This visualization shows the gender distribution of the population according to the academic level reached.

Educational Attainment

Race

The most common educational levels obtained by the working population of Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN in 2021 were High School or Equivalent (45.9k), Secondary Education (20.9k), and Some college (18.2k).

This visualization illustrates the percentage distribution of the population according to the highest educational level reached. You can filter the data by race by using the selector above.

Housing & Living

The median property value in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN was $153,000 in 2021, which is 0.625 times smaller than the national average of $244,900. Between 2020 and 2021 the median property value increased from $143,500 to $153,000, a 6.62% increase. The homeownership rate in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN is 72.9%, which is approximately the same as the national average of 64.6%.

People in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN have an average commute time of 31.3 minutes, and they drove alone to work. Car ownership in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN is approximately the same as the national average, with an average of 2 cars per household.

Median household income in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN is $48,634. In 2021, the PUMA with the highest Median Household Income in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN was Franklin & Brentwood Cities PUMA, TN with a value of $116,492, followed by Collierville Town & Germantown City PUMA, TN and Nashville-Davidson (Southwest) PUMA, TN, with respective values of $106,550 and $94,118.

Property

$153,000

Median Property Value 2021

±$3,901

$36,149

Median Property Taxes

±$1,255

The following chart display owner-occupied housing units distributed between a series of property tax buckets compared to the national averages for each bucket. In Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN the largest share of households pay taxes in the < $800 range.

The chart underneath the paragraph shows the property taxes in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN compared to it's parent and neighbor geographies.

Rent vs Own

72.9%

Homeownership

2021

68.8%

Homeowners with Mortgage

2021

In 2021, 72.9% of the housing units in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN were occupied by their owner. This percentage grew from the previous year's rate of 72.4%.

This chart shows the percentage of owner in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN compared it's parent and neighboring geographies.

Equity

Income by Location

Use the dropdown to filter by race/ethnicity.

Race/Ethnicity

Highest Median Household Income (Total)

In 2021, the PUMA with the highest Median Household Income (Total) in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN was Franklin & Brentwood Cities PUMA, TN with a value of $116,492, followed by Collierville Town & Germantown City PUMA, TN and Nashville-Davidson (Southwest) PUMA, TN, with respective values of $106,550 and $94,118.

The following map shows all of the PUMAs in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN colored by their Median Household Income (Total).

Household Income

Please note that the buckets used in this visualization were not evenly distributed by ACS when publishing the data.

$48,634

Median Household Income

± $1,774

49.6k

Number of Households

± 1,628

In 2021, the median household income of the 49.6k households in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN grew to $48,634 from the previous year's value of $45,658.

The following chart displays the households in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN distributed between a series of income buckets compared to the national averages for each bucket. The largest share of households have an income in the $75k - $100k range.

Wage Distribution

0.379

2021 Wage GINI in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN

0.381

2020 Wage GINI in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN

In 2021, the income inequality in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN was 0.379 according to the GINI calculation of the wage distribution. Income inequality had a 0.627% decline from 2020 to 2021, which means that wage distribution grew somewhat more even. The GINI for Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN in comparison to the national average.

This chart shows the number of workers in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN across various wage buckets compared to the national average.

Transportation

Commuter Transportation

Most Common Commute in 2021

Drove Alone (84.4%)
Carpooled (10%)
Worked At Home (4%)

In 2021, 84.4% of workers in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN drove alone to work, followed by those who carpooled to work (10%) and those who worked at home (4%).

The following chart shows the number of households using each mode of transportation over time, using a logarithmic scale on the y-axis to help better show variations in the smaller means of commuting.

Commute Time

31.3 minutes

Average Travel Time

Using averages, employees in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN have a longer commute time (31.3 minutes) than the normal US worker (26.8 minutes). Additionally, 3.76% of the workforce in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN compares to that of it's neighboring and parent geographies.

Car Ownership

2 cars

Average Number

The following chart displays the households in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN have 2 cars.

Poverty

Poverty & Diversity

17.3% of the population for whom poverty status is determined in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN (22.1k out of 127k people) live below the poverty line, a number that is higher than the national average of 12.6%. The largest demographic living in poverty are Females 25 - 34, followed by Females 55 - 64 and then Females 6 - 11.

The most common racial or ethnic group living below the poverty line in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN is White, followed by Hispanic and Black.

The Census Bureau uses a set of money income thresholds that vary by family size and composition to determine who classifies as impoverished. If a family's total income is less than the family's threshold than that family and every individual in it is considered to be living in poverty.

Social Needs

Data only available at the state level.

Most prevalent states

California
35,798 individuals
New York
5,087 individuals
Florida
4,915 individuals

In 2017, California had the highest estimated number of chronically homeless individuals in the nation, at 35,798. New York has the second highest (5,087), followed by Florida (4,915).

The following map shows the estimated number of chronically homeless individuals by state over multiple years.

Health

88.9% of the population of Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN has health coverage, with 40.8% on employee plans, 20.6% on Medicaid, 13% on Medicare, 12.8% on non-group plans, and 1.67% on military or VA plans.

Primary care physicians in Tennessee see 1401 patients per year on average, which represents a 0.358% increase from the previous year (1396 patients). Compare this to dentists who see 1794 patients per year, and mental health providers who see 594 patients per year.

Coverage

Patient to Clinician Ratios

Data is only available at the state level. Showing data for Tennessee.

1,401 to 1

Patient to Primary Care Physician Ratio in Tennessee

Primary care physicians in Tennessee see an average of 1,401 patients per year. This represents a 0.358% increase from the previous year (1,396 patients).

The following chart shows how the number of patients seen by primary care physicians has been changing over time in Tennessee in comparison to its neighboring geographies.

Health Care Diversity

In 2021, insured persons according to age ranges were distributed in 24.5% under 18 years, 19.9% between 18 and 34 years, 39% between 35 and 64 years, and 16.6% over 64 years.

By gender, of the total number of insured persons, 49.1% were men and 50.9% were women.

The following chart shows the number of people with health coverage by gender.

Uninsured People

11.1%

Uninsured

40.8%

Employer Coverage

20.6%

Medicaid

13%

Medicare

12.8%

Non-Group

1.67%

Military or VA

Between 2020 and 2021, the percent of uninsured citizens in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN declined by 0.279% from 11.1% to 11.1%.

The following chart shows how the percent of uninsured individuals in Warren, Macon, Smith, DeKalb, Cannon & Trousdale Counties PUMA, TN changed over time compared with the percent of individuals enrolled in various types of health insurance.