Health and wealth are important to international social work discussions. This article examines the relationship between wealth indexes and the outcome of diseases such as diabetes, asthma, and BMI irregularities. It examines a construct of virtual neighborhoods in urban and rural populations of women. The data are drawn from the NFHS-3 (2007) and applies a hierarchical logistic regression analysis. It is found that women in mid-level neighborhoods in rural areas and poor neighborhoods in urban areas are most at-risk for negative health outcomes. Thus, women’s health outcomes and processes appear to be complicated due to poverty and neighborhood interaction.