ZIP code
23414
in Nelsonia, VirginiaPopulation 26
47.66/ 100
Ranked #19,379 of 32,066 US ZIPs (bottom 40%)
Ranked #562 of 873 Virginia ZIPs (bottom 36%)
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.
Loud transportation noise
8.7%
in the top 0.4% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The modeled share of residents exposed to average road, rail, and aviation noise at or above 65 decibels — around the volume of normal conversation.
Full methodology ›Housing-cost burden
0.00%
at the national minimum
Lower is healthier
ST1stUS1stDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Poverty rate
0.00%
at the national minimum
Lower is healthier
ST1stUS1stDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
Full methodology ›Homeownership rate
100%
at the national maximum
Higher is healthier
ST99thUS99thDefinition & source ›
The share of occupied homes that are owned, rather than rented, by the people living in them.
Full methodology ›Expected annual disaster loss
$0
in the bottom 2.7% nationally
Lower is healthier
ST1stUS3rdDefinition & source ›
FEMA’s modeled estimate, in dollars per year, of the average harm to people expected from natural hazards — an annualized average, not a forecast for any single year.
Full methodology ›Home broadband subscription
100%
at the national maximum
Higher is healthier
ST99thUS99thDefinition & source ›
The share of households with a broadband internet subscription.
Full methodology ›Tooth loss
27.2%
in the top 5.0% nationally
Lower is healthier
ST98thUS95thDefinition & source ›
The estimated share of adults aged 65 and older who have lost all of their natural teeth.
Full methodology ›Floodplain exposure
0.00%
at the national minimum
Lower is healthier
ST1stUS1stDefinition & source ›
The share of this ZIP’s land area inside FEMA’s 1%-annual-chance floodplain — the “100-year” flood zone, where flooding has about a 1-in-100 chance in any given year.
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 ›Transportation noise
15.7%
in the top 4.0% nationally
Lower is healthier
ST98thUS96thDefinition & source ›
The modeled share of residents exposed to average road, rail, and aviation noise at or above 55 decibels — a noticeable background presence.
Full methodology ›Uninsured (under 65)
16.6%
in the top 8.1% nationally
Lower is healthier
ST99thUS92ndDefinition & source ›
The estimated share of adults aged 18–64 with no current health-insurance coverage.
Full methodology ›The read
By the composite measure, Nelsonia, Virginia (ZIP 23414) sits in the bottom 40% nationally (19,379th) and the bottom 36% of Virginia (562nd).
What the numbers press hardest on defines much of the story here: modeled loud transportation noise is in the top 0.4% nationally, tooth loss rests in the top 5.0% nationally, and transportation noise sits in the top 4.0% nationally. On the encouraging side, housing-cost burden registers at the national minimum, poverty lands at the national minimum, and homeownership resides at the national maximum. Modeled expected annual loss lies in the bottom 2.7% nationally, and home broadband subscription settles at the national maximum. Floodplain exposure stands at the national minimum. Unemployment is at the national minimum, shared with about 15% of ZIPs.
Compared with the ZIPs that surround it, loud transportation noise runs far higher than the surrounding ZIPs on this measure. In plain language, expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. Loud transportation noise is the modeled share of an area exposed to road, rail, and air noise at or above 65 decibels, near conversation volume. Floodplain exposure is land with about a 1-in-100 chance of flooding each year, nicknamed the "100-year floodplain". ZIP 23417, about 6.0 miles away, ranks healthier overall.
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
Mental Health
healthier than 70%
8%
Climate / Disaster Risk
healthier than 75%
5%
About typical
Social Need / SDOH
healthier than 42%
16%
Healthcare Access
healthier than 43%
5%
Holding it back
Chronic Disease Burden
healthier than 38%
21%
Environmental Hazard
healthier than 37%
14%
Preventive Care
healthier than 18%
13%
Risk Behavior
healthier than 33%
11%
Disability
healthier than 35%
7%
Lifting this score
Mental Health
healthier than 79%
8%
Climate / Disaster Risk
healthier than 89%
5%
About typical
Chronic Disease Burden
healthier than 56%
21%
Disability
healthier than 42%
7%
Healthcare Access
healthier than 49%
5%
Holding it back
Social Need / SDOH
healthier than 35%
16%
Environmental Hazard
healthier than 15%
14%
Preventive Care
healthier than 5%
13%
Risk Behavior
healthier than 19%
11%
“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 ›
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
23308
Virginiashares a border
Score 41.58
Closest healthier
23417
Virginiaabout 6.0 mi away
Score 48.09
Similar health profile
17246
Pennsylvania91% similar profile
Score 45.58
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 | 26.6% | 23.6–29.9 |
| High blood pressure among adults | 41.1% | 37.1–45.4 |
| Cancer (non-skin) or melanoma among adults | 5.7% | 5.0–6.5 |
| Current asthma among adults | 11.0% | 9.7–12.6 |
| Coronary heart disease among adults | 6.5% | 5.4–7.8 |
| Chronic obstructive pulmonary disease among adults | 7.9% | 5.9–10.1 |
| Depression among adults | 19.2% | 16.3–22.5 |
| Diagnosed diabetes among adults | 15.6% | 13.3–18.1 |
| High cholesterol among adults who have ever been screened | 39.4% | 35.5–43.4 |
| Obesity among adults | 40.7% | 34.3–47.6 |
| Stroke among adults | 3.9% | 3.2–4.6 |
| All teeth lost among adults aged >=65 years | 27.2% | 22.6–32.0 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 16.6% | 11.4–22.2 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 76.6% | 73.5–79.5 |
| Visits to doctor for routine checkup within the past year among adults | 77.7% | 73.8–81.3 |
| Cholesterol screening among adults | 83.7% | 80.5–87.0 |
| Colorectal cancer screening among adults aged 45–75 years | 64.3% | 59.1–69.1 |
| Visited dentist or dental clinic in the past year among adults | 58.1% | 54.5–61.7 |
| Mammography use among women aged 50-74 years | 71.0% | 62.7–78.5 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.2% | 11.5–17.2 |
| Current cigarette smoking among adults | 16.8% | 12.8–20.9 |
| No leisure-time physical activity among adults | 31.4% | 25.3–37.8 |
| Short sleep duration among adults | 38.0% | 32.0–44.5 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 26.0% | 21.0–31.5 |
| Frequent mental distress among adults | 17.3% | 14.6–20.1 |
| Frequent physical distress among adults | 15.2% | 12.5–18.0 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 17.9% | 14.3–21.7 |
| Any disability among adults | 35.4% | 29.4–41.9 |
| Hearing disability among adults | 5.8% | 4.9–6.9 |
| Independent living disability among adults | 9.6% | 7.7–11.8 |
| Mobility disability among adults | 16.6% | 13.2–20.3 |
| Self-care disability among adults | 5.1% | 4.1–6.4 |
| Vision disability among adults | 6.8% | 5.5–8.2 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 27.5% | 22.8–32.7 |
| Food insecurity in the past 12 months among adults | 22.9% | 17.0–29.3 |
| Received food stamps in the past 12 months among adults | 18.3% | 13.3–24.0 |
| Housing insecurity in the past 12 months among adults | 18.0% | 13.9–22.4 |
| Lack of reliable transportation in the past 12 months among adults | 11.8% | 9.3–14.6 |
| Loneliness among adults | 37.2% | 31.6–43.2 |
| Utility services shut-off threat in the past 12 months among adults | 11.0% | 8.7–13.5 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | VA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 0.0% | 10.6% (3.1–25.8%) n=32,364 | 9.2% (2.0–22.9%) n=863 |
| Uninsured 18–64 | 0.0% | 9.0% (1.5–24.3%) n=32,286 | 8.3% (0.0–19.2%) n=861 |
| No HS diploma (25+) | 0.0% | 7.9% (1.8–20.7%) n=32,505 | 9.2% (1.9–20.7%) n=872 |
| Bachelor's or higher (25+) | 58.3% | 23.3% (9.2–53.6%) n=32,505 | 26.0% (9.2–59.8%) n=872 |
| Unemployment rate (16+) | 0.0% | 3.9% (0.0–9.8%) n=32,274 | 3.2% (0.0–8.2%) n=860 |
| Households without a vehicle | 0.0% | 3.9% (0.0–12.5%) n=32,322 | 3.6% (0.0–11.3%) n=862 |
| Broadband subscription | 100.0% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (69.5–97.9%) n=862 |
| Housing cost burden (≥30% income) | 0.0% | 23.7% (10.6–40.0%) n=32,322 | 23.1% (10.8–38.1%) n=862 |
| Homeownership rate | 100.0% | 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 | 26.9% | 2.6% (0.0–18.6%) n=32,553 | 2.9% (0.0–17.0%) n=874 |
| Single-parent households | 0.0% | 53.6% (37.3–74.1%) n=32,087 | 54.3% (38.2–78.2%) n=855 |
| Population 65+ | 0.0% | 19.4% (10.8–33.6%) n=32,553 | 20.5% (10.8–37.3%) n=874 |
| Median age | 19.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 43.6 yr (34.0–59.2) n=864 |
| Median household income | — | $72,070 ($46,039–$118,707) n=30,318 | $73,854 ($46,504–$141,698) n=804 |
| Median home value | — | $222,200 ($100,300–$579,820) n=30,049 | $274,800 ($123,240–$642,380) n=789 |
| Median gross rent | — | $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 | 77.7 yr ± 1.20 | 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 1.20 years of 77.7, 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