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ZIP code

23856

in Freeman, VirginiaPopulation 540

ZipVitals Score
How is the ZipVitals Score calculated? →

36.20/ 100

Ranked #28,909 of 32,066 US ZIPs (bottom 9.9%)

Ranked #833 of 873 Virginia ZIPs (bottom 4.6%)

Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.

Robust across all 9 health domains

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.

Short sleep

47.2%

in the top 1.3% nationally

Lower is healthier

ST99th
US99th
Definition & source ›

The estimated share of adults who usually sleep less than seven hours in a 24-hour period.

Full methodology ›

Diabetes

21.4%

in the top 2.2% nationally

Lower is healthier

ST98th
US98th
Definition & source ›

The estimated share of adults who have been diagnosed with diabetes.

Full methodology ›

Stroke

6.3%

in the top 2.8% nationally

Lower is healthier

ST97th
US97th
Definition & source ›

The estimated share of adults who have been told by a health professional that they have had a stroke.

Full methodology ›

Self-care disability

7.3%

in the top 4.7% nationally

Lower is healthier

ST97th
US95th
Definition & source ›

The estimated share of adults with difficulty dressing or bathing.

Full methodology ›

Binge drinking

10.8%

in the bottom 2.6% nationally

Lower is healthier

ST3rd
US3rd
Definition & 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 blood pressure

49.7%

in the top 3.7% nationally

Lower is healthier

ST97th
US96th
Definition & source ›

The estimated share of adults who have been told by a health professional that they have high blood pressure.

Full methodology ›

Mobility disability

24.1%

in the top 4.7% nationally

Lower is healthier

ST94th
US95th
Definition & source ›

The estimated share of adults with serious difficulty walking or climbing stairs.

Full methodology ›

Obesity

46.5%

in the top 2.6% nationally

Lower is healthier

ST98th
US97th
Definition & source ›

The estimated share of adults with obesity, defined as a body-mass index of 30 or higher.

Full methodology ›

Households without a vehicle

20.6%

in the top 4.3% nationally

Lower is healthier

ST97th
US96th
Definition & source ›

The share of households with no vehicle available.

Full methodology ›

Vision disability

9.1%

in the top 7.2% nationally

Lower is healthier

ST97th
US93rd
Definition & source ›

The estimated share of adults who are blind or have serious difficulty seeing even with glasses.

Full methodology ›

Cross-source signals

Health need and barriers to care documented here

On our reading, this ZIP code carries the overlap at its acute level: acute means at least three of the six health-need readings and at least three of the six access barriers apply to the same place.

These are two separate readings of public data that both apply to this place — never a claim that one causes the other, never a severity score, and never a statement about any person who lives here.

Health need documented here

  • Food insecurity
  • Housing insecurity
  • Adults reporting fair or poor health
  • Chronic conditions

Barriers to reaching care

  • Thin local supply of doctors
  • Thin local supply of pharmacies
  • Households with no vehicle

A reading appears below only where this ZIP code is among the most-affected 10% of US ZIP codes on it — one national bar, the same for every ZIP in the country.

See the full care-deserts analysis →

The read

By the composite health measure, Freeman, Virginia (ZIP 23856) ranks in the bottom 9.9% nationally (28,909th) and the bottom 4.6% of Virginia (833rd).

continue reading

On the ground, a handful of readings define this area: modeled short sleep registers in the top 1.3% nationally, and diabetes rests in the top 2.2% nationally. Modeled stroke stands in the top 2.8% nationally, and self-care disability lies in the top 4.7% nationally. Modeled high blood pressure lands in the top 3.7% nationally, mobility disability sits in the top 4.7% nationally, and obesity is in the top 2.6% nationally. Households without a vehicle settles in the top 4.3% nationally, and modeled vision disability resides in the top 7.2% nationally. On the better side, modeled binge drinking registers in the bottom 2.6% nationally.

Close by, ZIP 23847, just across the boundary, ranks healthier overall. On other measures, the area also shows documented health need overlapping with barriers to reaching care, sitting in the most-affected 10% of US ZIP codes on several need measures and several access barriers.

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.

Compare within

Nothing measured is lifting this score.

About typical

Preventive Care

healthier than 53%

13%

Mental Health

healthier than 47%

8%

Climate / Disaster Risk

healthier than 41%

5%

Holding it back

Chronic Disease Burden

healthier than 6%

21%

Social Need / SDOH

healthier than 4%

16%

Environmental Hazard

healthier than 34%

14%

Risk Behavior

healthier than 9%

11%

Disability

healthier than 8%

7%

Healthcare Access

healthier than 29%

5%

Nothing measured is lifting this score.

About typical

Mental Health

healthier than 53%

8%

Holding it back

Chronic Disease Burden

healthier than 8%

21%

Social Need / SDOH

in the bottom 1.0%

16%

Environmental Hazard

healthier than 13%

14%

Preventive Care

healthier than 27%

13%

Risk Behavior

healthier than 3%

11%

Disability

healthier than 7%

7%

Climate / Disaster Risk

healthier than 31%

5%

Healthcare Access

healthier than 31%

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 ›

Nearby & similar ZIPs

Editorially selected — see how this ZIP compares to nearby and similar places.

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
MeasureCrude prevalence95% CI
Arthritis among adults34.2%30.8–37.9
High blood pressure among adults49.7%45.5–54.0
Cancer (non-skin) or melanoma among adults7.1%6.5–7.8
Current asthma among adults12.4%11.1–13.9
Coronary heart disease among adults9.6%8.7–10.7
Chronic obstructive pulmonary disease among adults10.6%9.3–12.0
Depression among adults20.7%17.6–24.0
Diagnosed diabetes among adults21.4%18.9–24.0
High cholesterol among adults who have ever been screened41.8%37.6–46.1
Obesity among adults46.5%38.5–55.0
Stroke among adults6.3%5.7–6.8
All teeth lost among adults aged >=65 years21.3%17.9–25.1
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years11.6%9.3–14.2
Taking medicine to control high blood pressure among adults with high blood pressure81.8%79.4–84.0
Visits to doctor for routine checkup within the past year among adults82.5%79.4–85.4
Cholesterol screening among adults86.7%84.8–88.5
Colorectal cancer screening among adults aged 45–75 years65.7%60.8–70.5
Visited dentist or dental clinic in the past year among adults51.9%48.2–55.7
Mammography use among women aged 50-74 years76.2%69.1–82.4
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults10.8%8.8–13.2
Current cigarette smoking among adults19.6%16.8–22.5
No leisure-time physical activity among adults36.6%31.4–42.1
Short sleep duration among adults47.2%40.1–54.3
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults30.2%26.6–33.8
Frequent mental distress among adults18.8%16.7–21.1
Frequent physical distress among adults17.9%15.8–20.1
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults18.8%16.6–21.2
Any disability among adults42.6%37.8–47.7
Hearing disability among adults8.0%7.1–8.9
Independent living disability among adults12.7%11.3–14.3
Mobility disability among adults24.1%21.3–27.0
Self-care disability among adults7.3%6.5–8.1
Vision disability among adults9.1%8.1–10.1
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults28.1%24.2–32.2
Food insecurity in the past 12 months among adults27.7%23.9–31.6
Received food stamps in the past 12 months among adults27.9%24.0–31.9
Housing insecurity in the past 12 months among adults20.8%18.0–23.8
Lack of reliable transportation in the past 12 months among adults14.1%12.3–16.0
Loneliness among adults37.4%32.5–42.7
Utility services shut-off threat in the past 12 months among adults15.1%13.1–17.3
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)VA median (p10–p90)
Poverty rate6.5%10.6% (3.1–25.8%) n=32,3649.2% (2.0–22.9%) n=863
Uninsured 18–640.0%9.0% (1.5–24.3%) n=32,2868.3% (0.0–19.2%) n=861
No HS diploma (25+)19.1%7.9% (1.8–20.7%) n=32,5059.2% (1.9–20.7%) n=872
Bachelor's or higher (25+)12.9%23.3% (9.2–53.6%) n=32,50526.0% (9.2–59.8%) n=872
Unemployment rate (16+)0.0%3.9% (0.0–9.8%) n=32,2743.2% (0.0–8.2%) n=860
Households without a vehicle20.6%3.9% (0.0–12.5%) n=32,3223.6% (0.0–11.3%) n=862
Broadband subscription73.7%89.3% (75.1–97.1%) n=32,32287.9% (69.5–97.9%) n=862
Housing cost burden (≥30% income)17.1%23.7% (10.6–40.0%) n=32,32223.1% (10.8–38.1%) n=862
Homeownership rate74.3%78.7% (51.7–94.0%) n=32,32278.1% (52.2–95.9%) n=862
Crowded housing (>1 per room)0.0%1.3% (0.0–6.3%) n=32,3220.7% (0.0–4.0%) n=862
Foreign-born population0.0%2.6% (0.0–18.6%) n=32,5532.9% (0.0–17.0%) n=874
Single-parent households33.1%53.6% (37.3–74.1%) n=32,08754.3% (38.2–78.2%) n=855
Population 65+42.6%19.4% (10.8–33.6%) n=32,55320.5% (10.8–37.3%) n=874
Median age60.3 yr42.2 yr (33.0–56.3) n=32,29243.6 yr (34.0–59.2) n=864
Median household income$46,932$72,070 ($46,039–$118,707) n=30,318$73,854 ($46,504–$141,698) n=804
Median home value$87,500$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
MeasureValueUS median (p10–p90)VA median (p10–p90)
Life expectancy at birth75.8 yr ± 1.0078.9 yr (74.7–82.8) n=31,30877.6 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 1.00 years of 75.8, and it’s very unlikely to be off by more than twice that.

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