ZIP code
23169
in Topping, VirginiaPopulation 1,104
47.25/ 100
Ranked #19,865 of 32,066 US ZIPs (bottom 38%)
Ranked #573 of 873 Virginia ZIPs (bottom 34%)
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
28.7 mi
in the top 4.4% nationally
Lower is healthier
ST99thUS96thDefinition & 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 ›Distance to a hazardous-chemical facility
16.7 mi
in the top 6.8% nationally
Higher is healthier
ST95thUS93rdDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest facility that handles enough hazardous chemicals to require an EPA risk-management plan for accidental releases.
Full methodology ›Crowded housing
7.0%
in the top 8.5% nationally
Lower is healthier
ST97thUS92ndDefinition & source ›
The share of occupied homes with more than one person per room, the Census definition of crowded housing.
Full methodology ›Unemployment rate
9.4%
in the top 11.1% nationally
Lower is healthier
ST93rdUS89thDefinition & source ›
The share of the civilian labor force that is unemployed.
Full methodology ›Binge drinking
12.5%
in the bottom 9.9% nationally
Lower is healthier
ST22ndUS10thDefinition & source ›
The estimated share of adults who report binge drinking — five or more drinks on one occasion for men, four or more for women.
Full methodology ›High cholesterol
43.6%
in the top 8.2% nationally
Lower is healthier
ST78thUS92ndDefinition & source ›
The estimated share of adults with high cholesterol, among those who have ever been screened for it.
Full methodology ›The read
Topping, Virginia (ZIP 23169), in overall standing, comes out in the bottom 38% nationally (19,865th) and the bottom 34% of Virginia (573rd).
A few readings each way define this mixed profile: distance to a hazardous-chemical facility rests in the top 6.8% nationally, modeled binge drinking settles in the bottom 9.9% nationally, and homeownership lands in the top 16% nationally. Pulling the other way, distance to a community health center rests in the top 4.4% nationally, crowded housing settles in the top 8.5% nationally, and unemployment lands in the top 11.1% nationally. Modeled high cholesterol rests in the top 8.2% nationally, and diabetes settles in the top 14.3% nationally. Fatal road crashes lands in the top 16% nationally. Recreation rests at the national minimum, shared with about 35% of ZIPs.
Defined simply, for reference, distance to a hazardous-chemical facility is a plant handling large amounts of hazardous chemicals that must file an EPA risk-management plan for accidental releases. Distance to a community health center is a federally funded (HRSA) community health center serving everyone regardless of ability to pay. The closest healthier ZIP overall is ZIP 22576, 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.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Environmental Hazard
healthier than 76%
14%
Preventive Care
healthier than 86%
13%
Risk Behavior
healthier than 66%
11%
About typical
Mental Health
healthier than 52%
8%
Holding it back
Chronic Disease Burden
healthier than 14%
21%
Social Need / SDOH
healthier than 35%
16%
Disability
healthier than 29%
7%
Climate / Disaster Risk
healthier than 40%
5%
Healthcare Access
healthier than 5%
5%
Lifting this score
Environmental Hazard
healthier than 63%
14%
Preventive Care
healthier than 77%
13%
About typical
Risk Behavior
healthier than 59%
11%
Mental Health
healthier than 59%
8%
Holding it back
Chronic Disease Burden
healthier than 25%
21%
Social Need / SDOH
healthier than 30%
16%
Disability
healthier than 34%
7%
Climate / Disaster Risk
healthier than 27%
5%
Healthcare Access
healthier than 1%
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 76.1; chronic-disease standing 14.3 — 62 points apart, cleaner on the environment than it is on chronic illness.
Ranked #1,600 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
22503
Virginiashares a border
Score 45.26
Closest healthier
22576
Virginiashares a border
Score 52.29
Similar health profile
24448
Virginia93% similar profile
Score 46.12
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 | 36.6% | 32.7–40.6 |
| High blood pressure among adults | 43.5% | 39.0–48.2 |
| Cancer (non-skin) or melanoma among adults | 10.6% | 9.5–11.7 |
| Current asthma among adults | 11.5% | 10.1–13.0 |
| Coronary heart disease among adults | 9.0% | 7.8–10.3 |
| Chronic obstructive pulmonary disease among adults | 9.8% | 8.1–11.7 |
| Depression among adults | 23.6% | 20.0–27.5 |
| Diagnosed diabetes among adults | 16.5% | 14.2–19.1 |
| High cholesterol among adults who have ever been screened | 43.6% | 39.0–48.5 |
| Obesity among adults | 40.1% | 32.2–48.6 |
| Stroke among adults | 4.8% | 4.3–5.5 |
| All teeth lost among adults aged >=65 years | 15.4% | 12.6–18.5 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 7.9% | 6.1–10.5 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 82.2% | 79.4–84.7 |
| Visits to doctor for routine checkup within the past year among adults | 82.7% | 79.4–85.6 |
| Cholesterol screening among adults | 89.4% | 87.4–91.0 |
| Colorectal cancer screening among adults aged 45–75 years | 69.5% | 64.5–74.1 |
| Visited dentist or dental clinic in the past year among adults | 67.7% | 64.3–71.0 |
| Mammography use among women aged 50-74 years | 75.7% | 68.2–82.4 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 12.5% | 10.0–15.2 |
| Current cigarette smoking among adults | 15.5% | 12.4–18.8 |
| No leisure-time physical activity among adults | 28.0% | 22.9–33.7 |
| Short sleep duration among adults | 35.9% | 29.4–42.7 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 22.7% | 19.0–26.8 |
| Frequent mental distress among adults | 16.2% | 14.0–18.5 |
| Frequent physical distress among adults | 16.4% | 14.0–19.0 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 15.4% | 13.0–18.0 |
| Any disability among adults | 37.1% | 31.8–42.7 |
| Hearing disability among adults | 9.0% | 7.9–10.3 |
| Independent living disability among adults | 9.7% | 8.2–11.4 |
| Mobility disability among adults | 19.4% | 16.4–23.0 |
| Self-care disability among adults | 5.0% | 4.3–5.9 |
| Vision disability among adults | 6.0% | 5.2–7.0 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 20.0% | 16.5–23.6 |
| Food insecurity in the past 12 months among adults | 14.0% | 11.0–17.3 |
| Received food stamps in the past 12 months among adults | 12.9% | 9.9–16.2 |
| Housing insecurity in the past 12 months among adults | 10.6% | 8.6–12.9 |
| Lack of reliable transportation in the past 12 months among adults | 7.7% | 6.4–9.1 |
| Loneliness among adults | 30.9% | 25.8–36.3 |
| Utility services shut-off threat in the past 12 months among adults | 7.5% | 6.1–8.8 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | VA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 14.5% | 10.6% (3.1–25.8%) n=32,364 | 9.2% (2.0–22.9%) n=863 |
| Uninsured 18–64 | 19.6% | 9.0% (1.5–24.3%) n=32,286 | 8.3% (0.0–19.2%) n=861 |
| No HS diploma (25+) | 8.5% | 7.9% (1.8–20.7%) n=32,505 | 9.2% (1.9–20.7%) n=872 |
| Bachelor's or higher (25+) | 27.8% | 23.3% (9.2–53.6%) n=32,505 | 26.0% (9.2–59.8%) n=872 |
| Unemployment rate (16+) | 9.4% | 3.9% (0.0–9.8%) n=32,274 | 3.2% (0.0–8.2%) n=860 |
| Households without a vehicle | 2.3% | 3.9% (0.0–12.5%) n=32,322 | 3.6% (0.0–11.3%) n=862 |
| Broadband subscription | 89.1% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (69.5–97.9%) n=862 |
| Housing cost burden (≥30% income) | 26.9% | 23.7% (10.6–40.0%) n=32,322 | 23.1% (10.8–38.1%) n=862 |
| Homeownership rate | 91.0% | 78.7% (51.7–94.0%) n=32,322 | 78.1% (52.2–95.9%) n=862 |
| Crowded housing (>1 per room) | 7.0% | 1.3% (0.0–6.3%) n=32,322 | 0.7% (0.0–4.0%) n=862 |
| Foreign-born population | 7.2% | 2.6% (0.0–18.6%) n=32,553 | 2.9% (0.0–17.0%) n=874 |
| Single-parent households | 70.1% | 53.6% (37.3–74.1%) n=32,087 | 54.3% (38.2–78.2%) n=855 |
| Population 65+ | 24.5% | 19.4% (10.8–33.6%) n=32,553 | 20.5% (10.8–37.3%) n=874 |
| Median age | 45.9 yr | 42.2 yr (33.0–56.3) n=32,292 | 43.6 yr (34.0–59.2) n=864 |
| Median household income | $71,964 | $72,070 ($46,039–$118,707) n=30,318 | $73,854 ($46,504–$141,698) n=804 |
| Median home value | $247,900 | $222,200 ($100,300–$579,820) n=30,049 | $274,800 ($123,240–$642,380) n=789 |
| Median gross rent | $860 | $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 | 78.8 yr ± 2.10 | 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 2.10 years of 78.8, 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