ZIP code
27818
in Como, North CarolinaPopulation 850
30.61/ 100
Ranked #30,638 of 32,066 US ZIPs (bottom 4.5%)
Ranked #783 of 793 North Carolina ZIPs (bottom 1.3%)
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.
Stroke
7.6%
in the top 0.6% nationally
Lower is healthier
ST99thUS99thDefinition & 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
9.3%
in the top 1.2% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The estimated share of adults with difficulty dressing or bathing.
Full methodology ›Diabetes
22.9%
in the top 1.2% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The estimated share of adults who have been diagnosed with diabetes.
Full methodology ›Vision disability
11.6%
in the top 2.6% nationally
Lower is healthier
ST98thUS97thDefinition & source ›
The estimated share of adults who are blind or have serious difficulty seeing even with glasses.
Full methodology ›Mobility disability
27.7%
in the top 1.3% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The estimated share of adults with serious difficulty walking or climbing stairs.
Full methodology ›Tooth loss
31.2%
in the top 2.5% nationally
Lower is healthier
ST98thUS98thDefinition & source ›
The estimated share of adults aged 65 and older who have lost all of their natural teeth.
Full methodology ›High blood pressure
53.4%
in the top 1.3% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The estimated share of adults who have been told by a health professional that they have high blood pressure.
Full methodology ›Independent-living disability
14.8%
in the top 2.9% nationally
Lower is healthier
ST98thUS97thDefinition & source ›
The estimated share of adults who have difficulty doing errands alone, such as visiting a doctor’s office, because of a physical, mental, or emotional condition.
Full methodology ›Binge drinking
10.0%
in the bottom 1.3% nationally
Lower is healthier
ST2ndUS1stDefinition & 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 ›Fair or poor health
33.1%
in the top 4.2% nationally
Lower is healthier
ST98thUS96thDefinition & source ›
The estimated share of adults who rate their own general health as fair or poor.
Full methodology ›The read
Overall, Como, North Carolina (ZIP 27818) lands in the bottom 4.5% nationally (30,638th) and the bottom 1.3% of North Carolina (783rd).
Where the load on this area runs deepest, the data leads: modeled stroke lands in the top 0.6% nationally, and self-care disability sits in the top 1.2% nationally. Modeled diabetes is in the top 1.2% nationally, and vision disability settles in the top 2.6% nationally. Modeled mobility disability resides in the top 1.3% nationally, tooth loss registers in the top 2.5% nationally, and high blood pressure rests in the top 1.3% nationally. Modeled independent living disability stands in the top 2.9% nationally, and fair or poor health lies in the top 4.2% nationally. More encouragingly, modeled binge drinking lands in the bottom 1.3% nationally.
For a healthier nearby comparison, ZIP 23827, just across the boundary, ranks better overall. Modeled vision disability lands in the top 2.6% nationally.
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.
Nothing measured is lifting this score.
About typical
Environmental Hazard
healthier than 45%
14%
Preventive Care
healthier than 57%
13%
Healthcare Access
healthier than 41%
5%
Holding it back
Chronic Disease Burden
healthier than 1%
21%
Social Need / SDOH
healthier than 4%
16%
Risk Behavior
healthier than 17%
11%
Mental Health
healthier than 28%
8%
Disability
healthier than 2%
7%
Climate / Disaster Risk
healthier than 19%
5%
Nothing measured is lifting this score.
About typical
Preventive Care
healthier than 43%
13%
Holding it back
Chronic Disease Burden
healthier than 1%
21%
Social Need / SDOH
healthier than 4%
16%
Environmental Hazard
healthier than 27%
14%
Risk Behavior
healthier than 4%
11%
Mental Health
healthier than 30%
8%
Disability
healthier than 1%
7%
Climate / Disaster Risk
healthier than 15%
5%
Healthcare Access
healthier than 27%
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.
Nearby
23827
Virginiashares a border
Score 50.46
Closest healthier
23874
Virginiashares a border
Score 50.36
Similar health profile
36033
Alabama99% similar profile
Score 34.62
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 | 38.0% | 33.9–42.0 |
| High blood pressure among adults | 53.4% | 48.8–57.8 |
| Cancer (non-skin) or melanoma among adults | 8.3% | 7.4–9.2 |
| Current asthma among adults | 12.9% | 11.4–14.6 |
| Coronary heart disease among adults | 11.5% | 10.2–13.0 |
| Chronic obstructive pulmonary disease among adults | 13.8% | 11.9–15.9 |
| Depression among adults | 24.0% | 20.3–27.9 |
| Diagnosed diabetes among adults | 22.9% | 20.2–25.9 |
| High cholesterol among adults who have ever been screened | 42.2% | 37.2–47.0 |
| Obesity among adults | 45.3% | 36.0–54.3 |
| Stroke among adults | 7.6% | 6.7–8.5 |
| All teeth lost among adults aged >=65 years | 31.2% | 26.3–36.4 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 13.3% | 10.6–16.3 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 83.5% | 81.1–85.6 |
| Visits to doctor for routine checkup within the past year among adults | 84.0% | 80.9–86.9 |
| Cholesterol screening among adults | 87.3% | 85.3–89.1 |
| Colorectal cancer screening among adults aged 45–75 years | 65.1% | 59.4–70.4 |
| Visited dentist or dental clinic in the past year among adults | 51.1% | 47.0–55.2 |
| Mammography use among women aged 50-74 years | 76.9% | 69.0–83.6 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 10.0% | 8.0–12.3 |
| Current cigarette smoking among adults | 21.6% | 18.4–25.2 |
| No leisure-time physical activity among adults | 38.0% | 32.6–44.2 |
| Short sleep duration among adults | 41.0% | 33.8–48.3 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 33.1% | 29.1–37.7 |
| Frequent mental distress among adults | 18.8% | 16.7–21.2 |
| Frequent physical distress among adults | 19.0% | 16.7–21.6 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 19.9% | 17.4–22.6 |
| Any disability among adults | 45.8% | 40.7–51.2 |
| Hearing disability among adults | 10.3% | 9.1–11.6 |
| Independent living disability among adults | 14.8% | 13.0–16.9 |
| Mobility disability among adults | 27.7% | 24.3–31.5 |
| Self-care disability among adults | 9.3% | 8.1–10.6 |
| Vision disability among adults | 11.6% | 10.2–13.2 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 26.9% | 22.7–31.2 |
| Food insecurity in the past 12 months among adults | 31.5% | 26.8–36.3 |
| Received food stamps in the past 12 months among adults | 32.8% | 27.8–37.7 |
| Housing insecurity in the past 12 months among adults | 21.1% | 17.8–24.5 |
| Lack of reliable transportation in the past 12 months among adults | 15.6% | 13.4–18.0 |
| Loneliness among adults | 34.5% | 28.7–40.0 |
| Utility services shut-off threat in the past 12 months among adults | 16.8% | 14.3–19.3 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | NC median (p10–p90) |
|---|---|---|---|
| Poverty rate | 10.9% | 10.6% (3.1–25.8%) n=32,364 | 13.0% (4.4–25.0%) n=793 |
| Uninsured 18–64 | 0.7% | 9.0% (1.5–24.3%) n=32,286 | 14.5% (5.7–24.9%) n=794 |
| No HS diploma (25+) | 4.9% | 7.9% (1.8–20.7%) n=32,505 | 10.4% (3.1–19.8%) n=798 |
| Bachelor's or higher (25+) | 21.2% | 23.3% (9.2–53.6%) n=32,505 | 22.8% (10.7–53.4%) n=798 |
| Unemployment rate (16+) | 0.0% | 3.9% (0.0–9.8%) n=32,274 | 4.2% (0.0–9.1%) n=796 |
| Households without a vehicle | 10.7% | 3.9% (0.0–12.5%) n=32,322 | 3.9% (0.0–10.2%) n=793 |
| Broadband subscription | 86.8% | 89.3% (75.1–97.1%) n=32,322 | 87.6% (76.2–96.3%) n=793 |
| Housing cost burden (≥30% income) | 26.5% | 23.7% (10.6–40.0%) n=32,322 | 24.7% (14.1–36.5%) n=793 |
| Homeownership rate | 91.0% | 78.7% (51.7–94.0%) n=32,322 | 75.0% (52.7–89.7%) n=793 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 1.4% (0.0–4.5%) n=793 |
| Foreign-born population | 0.0% | 2.6% (0.0–18.6%) n=32,553 | 4.2% (0.0–12.9%) n=799 |
| Single-parent households | 82.7% | 53.6% (37.3–74.1%) n=32,087 | 51.8% (39.2–70.1%) n=790 |
| Population 65+ | 27.2% | 19.4% (10.8–33.6%) n=32,553 | 19.7% (11.1–31.9%) n=799 |
| Median age | 57.4 yr | 42.2 yr (33.0–56.3) n=32,292 | 42.5 yr (33.3–55.7) n=797 |
| Median household income | $58,478 | $72,070 ($46,039–$118,707) n=30,318 | $65,030 ($44,419–$97,111) n=749 |
| Median home value | $101,900 | $222,200 ($100,300–$579,820) n=30,049 | $223,850 ($113,970–$452,990) n=758 |
| Median gross rent | — | $1,021 ($677–$1,912) n=25,670 | $957 ($715–$1,575) n=687 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | NC median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 74.0 yr ± 0.72 | 78.9 yr (74.7–82.8) n=31,308 | 77.3 yr (74.6–80.8) n=747 |
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 0.72 years of 74.0, 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