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ZipVitals

ZIP code

28278

in Charlotte, North CarolinaPopulation 37,420

63.45/ 100

Ranked #2,731 of 32,066 US ZIPs (top 8.6%)

Ranked #53 of 793 North Carolina ZIPs (top 6.7%)

Ranked #19 of 113 Charlotte-Concord-Gastonia, NC-SC ZIPs (top 17%)

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.

Industrial-pollution burden

in the top 1.1% nationally

Lower is healthier

ST99th
US99th
Definition & source ›

The EPA’s modeled screening score for industrial chemical releases, weighting the amounts released by their toxicity and how many people live nearby — a relative comparison score, not a measured exposure.

Full methodology ›

Lead in tap water

0 ppb

at the national minimum

Lower is healthier

US1st
Definition & source ›

The lead level at the 90th percentile of tap-water samples reported by the public water systems serving this ZIP, in parts per billion — the EPA requires action above 15 ppb.

Measured from EPA records for the public water systems that serve this ZIP. Households on private wells — roughly 30% of the US population — are not covered by this measure, and this figure says nothing about their water.

Full methodology ›

Coronary heart disease

4.0%

in the bottom 3.3% nationally

Lower is healthier

ST4th
US3rd
Definition & source ›

The estimated share of adults who have been told by a health professional that they have coronary heart disease or angina.

Full methodology ›

Hearing disability

4.5%

in the bottom 3.6% nationally

Lower is healthier

ST3rd
US4th
Definition & source ›

The estimated share of adults who are deaf or have serious difficulty hearing.

Full methodology ›

Air-toxics cancer risk

39.8 per million

in the top 6.8% nationally

Lower is healthier

ST96th
US93rd
Definition & source ›

The EPA’s modeled estimate of added lifetime cancer risk from breathing outdoor air toxics, in cases per million people exposed over a lifetime.

Full methodology ›

Energy-cost burden

1.4%

in the bottom 3.8% nationally

Lower is healthier

ST5th
US4th
Definition & source ›

The modeled share of household income spent on home energy bills — electricity, gas, and heating fuels.

A modeled share of household income spent on home energy. Estimates that hit the model’s 100% ceiling are suppressed rather than published, because at that point the figure reflects the model’s limit rather than a measured burden.

Full methodology ›

PFAS in drinking water

62.3%

in the top 7.1% nationally

Lower is healthier

ST87th
US93rd
Definition & source ›

The modeled probability that PFAS “forever chemicals” would be detected in untreated groundwater in this area, the source private wells draw on.

A modeled likelihood for untreated groundwater, the source drawn on by private wells, which are federally unregulated. It is not a measurement of treated water delivered by a public system, and it is not a test of any individual well.

Full methodology ›

Mobility disability

8.9%

in the bottom 5.3% nationally

Lower is healthier

ST5th
US5th
Definition & source ›

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

Full methodology ›

High cholesterol

31.5%

in the bottom 5.5% nationally

Lower is healthier

ST6th
US5th
Definition & source ›

The estimated share of adults with high cholesterol, among those who have ever been screened for it.

Full methodology ›

Mammography

81.5%

in the top 5.2% nationally

Higher is healthier

ST95th
US95th
Definition & source ›

The estimated share of women aged 50–74 who had a mammogram within the past two years.

Full methodology ›

The read

In overall standing, ZIP 28278, one of several in Charlotte, North Carolina comes out in the top 8.6% healthiest ZIPs nationally (2,731st) and the top 6.7% of North Carolina (53rd).

continue reading

Both sides of the picture show up plainly in this area's numbers: lead in tap water sits at the national minimum, modeled coronary heart disease settles in the bottom 3.3% nationally, and modeled hearing disability registers in the bottom 3.6% nationally. Modeled energy burden stands in the bottom 3.8% nationally, mobility disability lands in the bottom 5.3% nationally, and high cholesterol is in the bottom 5.5% nationally. Modeled mammography resides in the top 5.2% nationally. By contrast, modeled industrial-pollution burden rests in the top 1.1% nationally, and air-toxics cancer risk lies in the top 6.8% nationally. Modeled pfas sits in the top 7.1% nationally.

Relative to the ZIPs around it, industrial-pollution burden runs far higher than the surrounding ZIPs on this measure. In plain terms, industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. Lead in tap water is the EPA trigger, 15 parts per billion in tap samples, above which a water system must act on lead. Air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. The nearest healthier ZIP overall is ZIP 29708, 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 Charlotte-Concord-Gastonia, NC-SC metro area.

Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.

Compare within

Lifting this score

Chronic Disease Burden

healthier than 95%

21%

Social Need / SDOH

healthier than 90%

16%

Preventive Care

healthier than 74%

13%

Risk Behavior

healthier than 82%

11%

Mental Health

healthier than 77%

8%

Disability

healthier than 94%

7%

Healthcare Access

healthier than 61%

5%

Holding it back

Environmental Hazard

healthier than 4%

14%

Climate / Disaster Risk

healthier than 32%

5%

Lifting this score

Chronic Disease Burden

healthier than 96%

21%

Social Need / SDOH

healthier than 89%

16%

Preventive Care

healthier than 67%

13%

Risk Behavior

healthier than 77%

11%

Mental Health

healthier than 95%

8%

Disability

healthier than 97%

7%

About typical

Healthcare Access

healthier than 55%

5%

Holding it back

Environmental Hazard

in the bottom 0.2%

14%

Climate / Disaster Risk

healthier than 30%

5%

Lifting this score

Chronic Disease Burden

healthier than 94%

21%

Social Need / SDOH

healthier than 80%

16%

Preventive Care

healthier than 79%

13%

Risk Behavior

healthier than 77%

11%

Mental Health

healthier than 93%

8%

Disability

healthier than 91%

7%

About typical

Healthcare Access

healthier than 41%

5%

Holding it back

Environmental Hazard

healthier than 3%

14%

Climate / Disaster Risk

healthier than 12%

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.

  • Heavy environment, light chronic burden

    Where the environment and chronic illness point in opposite directions

    Environmental-hazard standing 4.1 (bottom 10%); chronic-disease standing 94.8 (top 10%) — 91 points apart, heavier on the environment than it is on chronic illness.

    Ranked #17,924 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.

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 adults20.5%17.9–23.2
High blood pressure among adults28.9%25.4–32.3
Cancer (non-skin) or melanoma among adults6.1%5.5–6.8
Current asthma among adults10.1%8.8–11.4
Coronary heart disease among adults4.0%3.5–4.4
Chronic obstructive pulmonary disease among adults4.0%3.5–4.5
Depression among adults21.9%18.7–25.1
Diagnosed diabetes among adults8.8%7.5–10.2
High cholesterol among adults who have ever been screened31.5%27.8–35.1
Obesity among adults28.1%23.1–33.0
Stroke among adults2.4%2.2–2.5
All teeth lost among adults aged >=65 years7.4%5.9–9.0
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years8.1%7.0–9.2
Taking medicine to control high blood pressure among adults with high blood pressure72.8%68.9–76.1
Visits to doctor for routine checkup within the past year among adults78.9%75.4–82.0
Cholesterol screening among adults89.5%88.0–90.9
Colorectal cancer screening among adults aged 45–75 years66.6%61.9–70.9
Visited dentist or dental clinic in the past year among adults68.4%65.1–71.4
Mammography use among women aged 50-74 years81.5%75.2–86.6
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults15.9%13.1–18.7
Current cigarette smoking among adults9.3%8.0–10.9
No leisure-time physical activity among adults17.7%14.8–20.8
Short sleep duration among adults37.5%32.7–42.2
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults13.0%11.3–14.8
Frequent mental distress among adults14.5%12.7–16.3
Frequent physical distress among adults9.5%8.3–10.7
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults11.4%10.0–12.8
Any disability among adults23.3%20.1–26.5
Hearing disability among adults4.5%4.0–5.1
Independent living disability among adults5.5%4.9–6.2
Mobility disability among adults8.9%7.7–10.2
Self-care disability among adults2.6%2.4–2.9
Vision disability among adults3.5%3.2–3.9
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults22.7%19.5–26.1
Food insecurity in the past 12 months among adults11.4%9.8–13.1
Received food stamps in the past 12 months among adults7.9%6.7–9.2
Housing insecurity in the past 12 months among adults10.6%9.1–12.2
Lack of reliable transportation in the past 12 months among adults6.4%5.6–7.3
Loneliness among adults31.1%27.0–35.8
Utility services shut-off threat in the past 12 months among adults6.8%5.9–7.8
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)NC median (p10–p90)
Poverty rate3.5%10.6% (3.1–25.8%) n=32,36413.0% (4.4–25.0%) n=793
Uninsured 18–645.5%9.0% (1.5–24.3%) n=32,28614.5% (5.7–24.9%) n=794
No HS diploma (25+)5.1%7.9% (1.8–20.7%) n=32,50510.4% (3.1–19.8%) n=798
Bachelor's or higher (25+)58.2%23.3% (9.2–53.6%) n=32,50522.8% (10.7–53.4%) n=798
Unemployment rate (16+)3.0%3.9% (0.0–9.8%) n=32,2744.2% (0.0–9.1%) n=796
Households without a vehicle1.8%3.9% (0.0–12.5%) n=32,3223.9% (0.0–10.2%) n=793
Broadband subscription96.6%89.3% (75.1–97.1%) n=32,32287.6% (76.2–96.3%) n=793
Housing cost burden (≥30% income)24.9%23.7% (10.6–40.0%) n=32,32224.7% (14.1–36.5%) n=793
Homeownership rate74.3%78.7% (51.7–94.0%) n=32,32275.0% (52.7–89.7%) n=793
Crowded housing (>1 per room)1.1%1.3% (0.0–6.3%) n=32,3221.4% (0.0–4.5%) n=793
Foreign-born population16.9%2.6% (0.0–18.6%) n=32,5534.2% (0.0–12.9%) n=799
Single-parent households46.7%53.6% (37.3–74.1%) n=32,08751.8% (39.2–70.1%) n=790
Population 65+11.0%19.4% (10.8–33.6%) n=32,55319.7% (11.1–31.9%) n=799
Median age36.6 yr42.2 yr (33.0–56.3) n=32,29242.5 yr (33.3–55.7) n=797
Median household income$125,470$72,070 ($46,039–$118,707) n=30,318$65,030 ($44,419–$97,111) n=749
Median home value$460,600$222,200 ($100,300–$579,820) n=30,049$223,850 ($113,970–$452,990) n=758
Median gross rent$1,786$1,021 ($677–$1,912) n=25,670$957 ($715–$1,575) n=687
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)NC median (p10–p90)
Life expectancy unavailable for this ZIP — fewer than 80% of the census tracts that make it up could be matched across the 2010→2020 tract-boundary revision, so no value is published rather than an unreliable one. See how coverage gaps are handled.
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