ZIP code
24090
in Fincastle, VirginiaPopulation 4,521
54.49/ 100
Ranked #10,094 of 32,066 US ZIPs (top 31%)
Ranked #287 of 873 Virginia ZIPs (top 33%)
Ranked #13 of 33 Roanoke, VA ZIPs (top 39%)
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.
Park land
21.5%
in the top 6.5% nationally
Higher is healthier
ST90thUS94thDefinition & source ›
The share of this ZIP’s land area that is public parkland.
Full methodology ›Radon
2.5 pCi/L
in the top 20% nationally
Lower is healthier
ST92ndUS80thDefinition & source ›
The modeled typical indoor radon level for this area, in picocuries per liter — the EPA recommends fixing a home at 4 pCi/L or above.
Modeled from indoor-radon measurements. In Alaska and Hawaii, where those measurements are not published, a US Geological Survey geologic radon-potential category stands in — a coarser input, disclosed rather than hidden.
Full methodology ›Loneliness
29.9%
in the bottom 22% nationally
Lower is healthier
ST5thUS22ndDefinition & source ›
The estimated share of adults who report feeling lonely.
Full methodology ›The read
Fincastle, Virginia (ZIP 24090) ranks in the top 31% healthiest ZIPs nationally (10,094th) and the top 33% of Virginia (287th).
The strongest marks in the data are worth naming first: park land rests in the top 6.5% nationally, and modeled arsenic lands in the bottom 12.1% nationally. Distance to a nursing home settles at the national minimum, shared with about 27% of ZIPs. Modeled tree cover rests in the top 13.6% nationally, civic lands in the top 16% nationally, and unemployment settles in the bottom 17% nationally. Modeled tooth loss rests in the bottom 17% nationally. On the other side, home broadband subscription lands in the bottom 11.5% nationally, and distance to an emergency room settles in the top 13.8% nationally. Physicians rests at the national minimum, shared with about 38% of ZIPs.
Against its neighbors, park land runs far higher than the surrounding ZIPs on this measure. For context, arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. The closest ZIP that ranks healthier overall is ZIP 24175, 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 Roanoke, VA metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Social Need / SDOH
healthier than 80%
16%
Preventive Care
healthier than 78%
13%
Risk Behavior
healthier than 75%
11%
About typical
Chronic Disease Burden
healthier than 45%
21%
Mental Health
healthier than 49%
8%
Disability
healthier than 59%
7%
Climate / Disaster Risk
healthier than 58%
5%
Healthcare Access
healthier than 46%
5%
Holding it back
Environmental Hazard
healthier than 40%
14%
Lifting this score
Chronic Disease Burden
healthier than 64%
21%
Social Need / SDOH
healthier than 73%
16%
Preventive Care
healthier than 64%
13%
Risk Behavior
healthier than 70%
11%
Disability
healthier than 66%
7%
Climate / Disaster Risk
healthier than 66%
5%
About typical
Mental Health
healthier than 55%
8%
Healthcare Access
healthier than 53%
5%
Holding it back
Environmental Hazard
healthier than 19%
14%
Lifting this score
Chronic Disease Burden
healthier than 66%
21%
Social Need / SDOH
healthier than 66%
16%
Preventive Care
healthier than 63%
13%
Risk Behavior
healthier than 72%
11%
Mental Health
healthier than 78%
8%
Disability
healthier than 63%
7%
About typical
Environmental Hazard
healthier than 47%
14%
Climate / Disaster Risk
healthier than 56%
5%
Healthcare Access
healthier than 50%
5%
Nothing measured is holding this score back.
“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
24066
Virginiashares a border
Score 50.88
Closest healthier
24175
Virginiashares a border
Score 56.39
Similar health profile
49684
Michigan99% similar profile
Score 58.95
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 | 31.4% | 28.0–35.1 |
| High blood pressure among adults | 39.5% | 35.3–43.8 |
| Cancer (non-skin) or melanoma among adults | 10.2% | 9.2–11.2 |
| Current asthma among adults | 10.6% | 9.4–12.0 |
| Coronary heart disease among adults | 7.5% | 6.7–8.3 |
| Chronic obstructive pulmonary disease among adults | 7.9% | 7.0–8.9 |
| Depression among adults | 24.1% | 20.6–27.9 |
| Diagnosed diabetes among adults | 13.2% | 11.5–15.2 |
| High cholesterol among adults who have ever been screened | 41.3% | 36.9–46.0 |
| Obesity among adults | 36.1% | 28.9–44.1 |
| Stroke among adults | 3.7% | 3.4–4.1 |
| All teeth lost among adults aged >=65 years | 8.8% | 7.3–10.5 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 7.1% | 5.9–8.5 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 80.0% | 77.1–82.6 |
| Visits to doctor for routine checkup within the past year among adults | 80.4% | 77.1–83.6 |
| Cholesterol screening among adults | 88.9% | 87.3–90.4 |
| Colorectal cancer screening among adults aged 45–75 years | 68.4% | 64.2–72.3 |
| Visited dentist or dental clinic in the past year among adults | 69.7% | 66.8–72.5 |
| Mammography use among women aged 50-74 years | 74.5% | 67.7–80.5 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.7% | 12.1–17.7 |
| Current cigarette smoking among adults | 14.0% | 12.0–16.3 |
| No leisure-time physical activity among adults | 24.4% | 20.4–28.8 |
| Short sleep duration among adults | 33.2% | 28.0–38.9 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 18.4% | 16.0–21.0 |
| Frequent mental distress among adults | 16.2% | 14.3–18.3 |
| Frequent physical distress among adults | 14.4% | 12.7–16.3 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 14.2% | 12.5–16.0 |
| Any disability among adults | 32.4% | 28.2–36.8 |
| Hearing disability among adults | 8.0% | 7.1–9.0 |
| Independent living disability among adults | 7.9% | 7.0–8.9 |
| Mobility disability among adults | 15.2% | 13.2–17.4 |
| Self-care disability among adults | 3.6% | 3.2–4.0 |
| Vision disability among adults | 4.4% | 4.0–4.9 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 19.8% | 16.7–23.0 |
| Food insecurity in the past 12 months among adults | 10.2% | 8.5–12.1 |
| Received food stamps in the past 12 months among adults | 8.5% | 7.1–10.1 |
| Housing insecurity in the past 12 months among adults | 8.4% | 7.0–9.8 |
| Lack of reliable transportation in the past 12 months among adults | 6.0% | 5.2–6.8 |
| Loneliness among adults | 29.9% | 25.4–34.8 |
| Utility services shut-off threat in the past 12 months among adults | 5.6% | 4.8–6.5 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | VA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 11.4% | 10.6% (3.1–25.8%) n=32,364 | 9.2% (2.0–22.9%) n=863 |
| Uninsured 18–64 | 12.0% | 9.0% (1.5–24.3%) n=32,286 | 8.3% (0.0–19.2%) n=861 |
| No HS diploma (25+) | 5.9% | 7.9% (1.8–20.7%) n=32,505 | 9.2% (1.9–20.7%) n=872 |
| Bachelor's or higher (25+) | 25.8% | 23.3% (9.2–53.6%) n=32,505 | 26.0% (9.2–59.8%) n=872 |
| Unemployment rate (16+) | 0.7% | 3.9% (0.0–9.8%) n=32,274 | 3.2% (0.0–8.2%) n=860 |
| Households without a vehicle | 3.0% | 3.9% (0.0–12.5%) n=32,322 | 3.6% (0.0–11.3%) n=862 |
| Broadband subscription | 76.4% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (69.5–97.9%) n=862 |
| Housing cost burden (≥30% income) | 16.8% | 23.7% (10.6–40.0%) n=32,322 | 23.1% (10.8–38.1%) n=862 |
| Homeownership rate | 86.8% | 78.7% (51.7–94.0%) n=32,322 | 78.1% (52.2–95.9%) n=862 |
| Crowded housing (>1 per room) | 1.1% | 1.3% (0.0–6.3%) n=32,322 | 0.7% (0.0–4.0%) n=862 |
| Foreign-born population | 1.3% | 2.6% (0.0–18.6%) n=32,553 | 2.9% (0.0–17.0%) n=874 |
| Single-parent households | 71.7% | 53.6% (37.3–74.1%) n=32,087 | 54.3% (38.2–78.2%) n=855 |
| Population 65+ | 25.6% | 19.4% (10.8–33.6%) n=32,553 | 20.5% (10.8–37.3%) n=874 |
| Median age | 47.9 yr | 42.2 yr (33.0–56.3) n=32,292 | 43.6 yr (34.0–59.2) n=864 |
| Median household income | $90,521 | $72,070 ($46,039–$118,707) n=30,318 | $73,854 ($46,504–$141,698) n=804 |
| Median home value | $286,900 | $222,200 ($100,300–$579,820) n=30,049 | $274,800 ($123,240–$642,380) n=789 |
| Median gross rent | $961 | $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 | 77.8 yr ± 0.94 | 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 0.94 years of 77.8, 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