ZIP code
23156
in Shacklefords, VirginiaPopulation 1,158
46.05/ 100
Ranked #21,296 of 32,066 US ZIPs (bottom 34%)
Ranked #617 of 873 Virginia ZIPs (bottom 29%)
Ranked #74 of 93 Richmond, VA ZIPs (bottom 20%)
Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.
What defines this ZIP
Metrics where this ZIP sits in the tails of the national distribution — the ones that most set it apart. Select any tile for its definition and methodology.
Distance to a community health center
19.1 mi
in the top 8.8% nationally
Lower is healthier
ST94thUS91stDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest federally funded community health center, which serves patients regardless of ability to pay.
Full methodology ›Outer-floodplain exposure
3.5%
in the top 9.7% nationally
Lower is healthier
ST92ndUS90thDefinition & source ›
The share of this ZIP’s land area inside FEMA’s 0.2%-annual-chance flood band — the “500-year” zone, a lower but real 1-in-500 yearly chance.
Measured from FEMA’s mapped flood panels. Where a panel has not been mapped, no value is published for that ZIP — those ZIPs are absent from this comparison rather than counted as unexposed.
Full methodology ›Fatal road crashes
34.5 per 100,000 residents per year
in the top 9.9% nationally
Lower is healthier
ST91stUS90thDefinition & source ›
The annual rate of fatal road crashes per 100,000 residents, pooled over a ten-year window.
A rate per resident population. Where a ZIP has too few residents for the rate to be reliable — about 30% of US ZIPs — no value is published rather than an unstable one; those ZIPs are absent from this comparison, not counted as crash-free.
Full methodology ›Median household income
$36,179
in the bottom 3.8% nationally
Higher is healthier
ST3rdUS4thDefinition & source ›
The middle household income in this ZIP — half of households earn more, half earn less — in dollars per year.
Full methodology ›Unemployment rate
8.6%
in the top 13.1% nationally
Lower is healthier
ST91stUS87thDefinition & source ›
The share of the civilian labor force that is unemployed.
Full methodology ›High cholesterol
43.2%
in the top 9.8% nationally
Lower is healthier
ST73rdUS90thDefinition & source ›
The estimated share of adults with high cholesterol, among those who have ever been screened for it.
Full methodology ›The read
Judged by its overall standing, Shacklefords, Virginia (ZIP 23156) sits in the bottom 34% nationally (21,296th) and the bottom 29% of Virginia (617th).
An even profile, with readings pulling both ways: modeled binge drinking is in the bottom 10.6% nationally. Crowded housing lies at the national minimum, shared with about 29% of ZIPs. Against that, distance to a community health center registers in the top 8.8% nationally, and outer-floodplain exposure is in the top 9.7% nationally. Fatal road crashes lies in the top 9.9% nationally, and household income registers in the bottom 3.8% nationally. Modeled diabetes is in the top 11.0% nationally, and high blood pressure lies in the top 11.4% nationally. Unemployment registers in the top 13.1% nationally, and modeled high cholesterol is in the top 9.8% nationally.
Placed beside its immediate neighbors, outer-floodplain exposure runs far higher than the surrounding ZIPs on this measure. Put plainly, distance to a community health center is a federally funded (HRSA) community health center serving everyone regardless of ability to pay. Outer-floodplain exposure is land with a lower but real 1-in-500 chance of flooding each year, nicknamed the "500-year floodplain". A healthier nearby ZIP overall is ZIP 23011, just across the boundary.
What’s driving this score
Nine domains make up the ZipVitals Score — here is how this ZIP does on each, and how much each one counts. Compare it against the US, this state and the Richmond, VA metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Environmental Hazard
healthier than 75%
14%
Preventive Care
healthier than 78%
13%
About typical
Risk Behavior
healthier than 51%
11%
Mental Health
healthier than 49%
8%
Holding it back
Chronic Disease Burden
healthier than 16%
21%
Social Need / SDOH
healthier than 29%
16%
Disability
healthier than 28%
7%
Climate / Disaster Risk
healthier than 30%
5%
Healthcare Access
healthier than 10%
5%
Lifting this score
Environmental Hazard
healthier than 61%
14%
Preventive Care
healthier than 64%
13%
About typical
Mental Health
healthier than 55%
8%
Holding it back
Chronic Disease Burden
healthier than 28%
21%
Social Need / SDOH
healthier than 25%
16%
Risk Behavior
healthier than 36%
11%
Disability
healthier than 34%
7%
Climate / Disaster Risk
healthier than 15%
5%
Healthcare Access
healthier than 9%
5%
Lifting this score
Environmental Hazard
healthier than 84%
14%
About typical
Preventive Care
healthier than 44%
13%
Holding it back
Chronic Disease Burden
healthier than 10%
21%
Social Need / SDOH
healthier than 16%
16%
Risk Behavior
healthier than 35%
11%
Mental Health
healthier than 36%
8%
Disability
healthier than 22%
7%
Climate / Disaster Risk
healthier than 18%
5%
Healthcare Access
healthier than 2%
5%
“Share” is how much of this ZIP’s score the domain accounts for. Percentages are rounded; higher is healthier in every domain. How the score works, and who it compares you with ›
Findings that name this ZIP
One of our published findings lists this ZIP code. Each finding compares one published measure against a stated benchmark, and names only the ZIP codes whose estimates are reliable enough to rank. See all surprising findings.
Clean environment, heavy chronic burden
Where the environment and chronic illness point in opposite directions
Environmental-hazard standing 75.2; chronic-disease standing 15.6 — 60 points apart, cleaner on the environment than it is on chronic illness.
Ranked #1,763 of the 18,187 ZIP codes this finding names, ordered by the gap from cleanest environment to heaviest chronic burden, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
23011
Virginiashares a border
Score 57.88
Closest healthier
23032
Virginiashares a border
Score 50.43
Similar health profile
36871
Alabama97% similar profile
Score 45.09
How these were chosen: only ZIPs with a published Score appear — a nearby ZIP with too little data to score won’t. Nearby means closest by distance between ZIP boundaries, which can cross state lines. A similar health profile is a close match across the nine Score domains, not similar demographics. Distances are measured between ZIP boundaries — ZIPs that touch share a border. How distance is measured
Evidence
Every measure this page draws on, by source. Collapsed by default — the full data stays in the page for search engines either way.
Health OutcomesCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Arthritis among adults | 35.2% | 31.6–39.3 |
| High blood pressure among adults | 45.4% | 41.1–50.1 |
| Cancer (non-skin) or melanoma among adults | 9.7% | 8.7–10.8 |
| Current asthma among adults | 11.4% | 10.1–12.9 |
| Coronary heart disease among adults | 9.0% | 8.0–10.2 |
| Chronic obstructive pulmonary disease among adults | 9.8% | 8.2–11.5 |
| Depression among adults | 23.0% | 19.5–26.9 |
| Diagnosed diabetes among adults | 17.2% | 14.9–19.7 |
| High cholesterol among adults who have ever been screened | 43.2% | 38.6–48.1 |
| Obesity among adults | 40.5% | 32.2–49.6 |
| Stroke among adults | 4.9% | 4.4–5.5 |
| All teeth lost among adults aged >=65 years | 12.8% | 10.6–15.4 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.7% | 7.0–10.9 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 81.8% | 79.2–84.2 |
| Visits to doctor for routine checkup within the past year among adults | 81.8% | 78.4–84.8 |
| Cholesterol screening among adults | 88.5% | 86.5–90.2 |
| Colorectal cancer screening among adults aged 45–75 years | 70.7% | 65.7–75.4 |
| Visited dentist or dental clinic in the past year among adults | 60.5% | 56.8–64.3 |
| Mammography use among women aged 50-74 years | 75.9% | 68.0–82.9 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 12.6% | 10.2–15.3 |
| Current cigarette smoking among adults | 16.1% | 13.2–19.3 |
| No leisure-time physical activity among adults | 29.3% | 24.4–35.1 |
| Short sleep duration among adults | 38.3% | 31.4–45.9 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 23.4% | 20.1–27.2 |
| Frequent mental distress among adults | 17.0% | 14.9–19.3 |
| Frequent physical distress among adults | 16.4% | 14.3–18.9 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 15.8% | 13.7–18.2 |
| Any disability among adults | 37.3% | 32.5–42.7 |
| Hearing disability among adults | 8.6% | 7.6–9.8 |
| Independent living disability among adults | 9.8% | 8.5–11.3 |
| Mobility disability among adults | 19.6% | 16.9–22.7 |
| Self-care disability among adults | 5.0% | 4.3–5.7 |
| Vision disability among adults | 6.2% | 5.4–7.0 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 22.0% | 18.4–26.0 |
| Food insecurity in the past 12 months among adults | 15.6% | 12.7–18.8 |
| Received food stamps in the past 12 months among adults | 14.2% | 11.5–17.1 |
| Housing insecurity in the past 12 months among adults | 11.8% | 9.8–14.0 |
| Lack of reliable transportation in the past 12 months among adults | 8.4% | 7.1–9.8 |
| Loneliness among adults | 33.6% | 28.3–39.4 |
| Utility services shut-off threat in the past 12 months among adults | 8.2% | 7.0–9.7 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | VA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 22.1% | 10.6% (3.1–25.8%) n=32,364 | 9.2% (2.0–22.9%) n=863 |
| Uninsured 18–64 | 6.5% | 9.0% (1.5–24.3%) n=32,286 | 8.3% (0.0–19.2%) n=861 |
| No HS diploma (25+) | 14.9% | 7.9% (1.8–20.7%) n=32,505 | 9.2% (1.9–20.7%) n=872 |
| Bachelor's or higher (25+) | 14.6% | 23.3% (9.2–53.6%) n=32,505 | 26.0% (9.2–59.8%) n=872 |
| Unemployment rate (16+) | 8.6% | 3.9% (0.0–9.8%) n=32,274 | 3.2% (0.0–8.2%) n=860 |
| Households without a vehicle | 4.2% | 3.9% (0.0–12.5%) n=32,322 | 3.6% (0.0–11.3%) n=862 |
| Broadband subscription | 81.9% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (69.5–97.9%) n=862 |
| Housing cost burden (≥30% income) | 34.7% | 23.7% (10.6–40.0%) n=32,322 | 23.1% (10.8–38.1%) n=862 |
| Homeownership rate | 81.9% | 78.7% (51.7–94.0%) n=32,322 | 78.1% (52.2–95.9%) n=862 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 0.7% (0.0–4.0%) n=862 |
| Foreign-born population | 2.5% | 2.6% (0.0–18.6%) n=32,553 | 2.9% (0.0–17.0%) n=874 |
| Single-parent households | 81.0% | 53.6% (37.3–74.1%) n=32,087 | 54.3% (38.2–78.2%) n=855 |
| Population 65+ | 32.0% | 19.4% (10.8–33.6%) n=32,553 | 20.5% (10.8–37.3%) n=874 |
| Median age | 59.0 yr | 42.2 yr (33.0–56.3) n=32,292 | 43.6 yr (34.0–59.2) n=864 |
| Median household income | $36,179 | $72,070 ($46,039–$118,707) n=30,318 | $73,854 ($46,504–$141,698) n=804 |
| Median home value | $196,700 | $222,200 ($100,300–$579,820) n=30,049 | $274,800 ($123,240–$642,380) n=789 |
| Median gross rent | $939 | $1,021 ($677–$1,912) n=25,670 | $1,144 ($742–$2,191) n=615 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | VA median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 82.0 yr ± 2.24 | 78.9 yr (74.7–82.8) n=31,308 | 77.6 yr (74.5–81.4) n=826 |
About the ± — it’s this estimate’s give-or-take (statisticians call it the standard error). The true life expectancy for this ZIP most likely falls within 2.24 years of 82.0, and it’s very unlikely to be off by more than twice that.
More ZIPs to explore ▾More ZIPs to explore ▴
How these lists were built: they draw only from ZIPs that have a published Score, so ZIPs with too little data to score are not listed. Distance-based lists use distance between ZIP boundaries with no state filter, so an out-of-state ZIP can appear. Statistically similar means a close match across the nine Score domains, not a demographic match: the measure is the cosine similarity between two ZIPs’ domain scores, taken over the domains both ZIPs have data for and only where that overlap covers at least six of the nine — and where no ZIP clears that minimum-overlap floor, that list is left out rather than filled with a weak match. How distance is measured