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South Carolina Value:
Percentage of U.S. citizens age 65 and older who voted in the last presidential election
South Carolina Rank:
Percentage of U.S. citizens age 65 and older who voted in the last presidential election
84.7% - 80.0%
79.9% - 77.7%
77.6% - 75.5%
75.4% - 73.1%
73.0% - 62.8%
US Value: 74.7%
Top State(s): New Jersey: 84.7%
Bottom State(s): West Virginia: 62.8%
Definition: Percentage of U.S. citizens age 65 and older who voted in the last presidential election
Data Source and Years(s): U.S. Census Bureau, Current Population Survey, Voting and Registration Supplement, 2024
Suggested Citation: America's Health Rankings analysis of U.S. Census Bureau, Current Population Survey, Voting and Registration Supplement, United Health Foundation, AmericasHealthRankings.org, accessed 2026.
Voting is a form of civic participation associated with better health. Research suggests active social engagement can improve mental and physical health by providing a greater sense of belonging, purpose and support. Elected political representatives influence daily life by shaping policies that govern the distribution of power and resources impacting individual wealth, work conditions, education, housing, social services, and health care access and quality.
Older adults requiring disability accommodations face additional barriers to voting. A 2017 study found that 60% of sampled polling sites had one or more features that could impede voting, and only 17% of sites fully accommodated people with disabilities. When asked, 30% of adults with disabilities cited difficulty voting at a polling location, compared with 8% of adults without a disability.
Interventions are needed at multiple levels to increase voter participation in the United States, including:
Many national and state-level organizations are committed to improving voter access and turnout. One such organization, Vot-ER, promotes civic engagement by empowering health care institutions and providers to register patients and others in their institutions to vote.
Healthy People 2030 identifies civic participation as a key issue in the Social and Community Context domain of the social determinants of health.
Bath, Peter A., and Dorly Deeg. “Social Engagement and Health Outcomes among Older People: Introduction to a Special Section.” European Journal of Ageing 2, no. 1 (March 1, 2005): 24–30. https://doi.org/10.1007/s10433-005-0019-4.
Dawes, Daniel, and Juan Gonzalez. “The Politics of Population Health.” The Milbank Quarterly 101, no. S1 (April 2023): 224–41. https://doi.org/10.1111/1468-0009.12603.
Hajnal, Zoltan, Nazita Lajevardi, and Lindsay Nielson. “Voter Identification Laws and the Suppression of Minority Votes.” The Journal of Politics 79, no. 2 (2017): 363–79. https://doi.org/10.1086/688343.
Rome, Sunny Harris. “Why Voting Matters.” In Promote the Vote: Positioning Social Workers for Action, by Sunny Harris Rome, 31–49. Cham, Switzerland: Springer International Publishing, 2022. https://doi.org/10.1007/978-3-030-84482-0_2.
Schur, Lisa, Mason Ameri, and Meera Adya. “Disability, Voter Turnout, and Polling Place Accessibility.” Social Science Quarterly 98, no. 5 (November 2017): 1374–90.https://doi.org/10.1111/ssqu.12373.
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