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ZipVitals

ZIP code

28384

in St. Pauls, North CarolinaPopulation 11,379

38.66/ 100

Ranked #27,626 of 32,066 US ZIPs (bottom 13.9%)

Ranked #723 of 793 North Carolina ZIPs (bottom 8.9%)

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.

Tooth loss

28.5%

in the top 4.1% nationally

Lower is healthier

ST96th
US96th
Definition & source ›

The estimated share of adults aged 65 and older who have lost all of their natural teeth.

Full methodology ›

Vision disability

9.8%

in the top 5.3% nationally

Lower is healthier

ST95th
US95th
Definition & source ›

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

Full methodology ›

Uninsured (under 65)

19.2%

in the top 5.2% nationally

Lower is healthier

ST99th
US95th
Definition & source ›

The estimated share of adults aged 18–64 with no current health-insurance coverage.

Full methodology ›

Self-care disability

7.1%

in the top 5.4% nationally

Lower is healthier

ST92nd
US95th
Definition & source ›

The estimated share of adults with difficulty dressing or bathing.

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 ›

Grocery access

0.27 per 1,000 residents

in the top 4.4% nationally

Higher is healthier

ST92nd
US96th
Definition & source ›

The number of full supermarkets inside this ZIP’s boundary, per 1,000 residents.

Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one. ZipVitals’s food-access signal is derived from these in-ZIP densities — it is not USDA’s food-desert designation, which measures distance to the nearest supermarket. Where a leg is missing, a ZIP reads “not determinable,” never “not a food desert.”

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 ›

Fatal road crashes

43.1 per 100,000 residents per year

in the top 5.8% nationally

Lower is healthier

ST95th
US94th
Definition & source ›

The annual rate of fatal road crashes per 100,000 residents, pooled over a ten-year window.

A rate per resident population. Where a ZIP has too few residents for the rate to be reliable — about 30% of US ZIPs — no value is published rather than an unstable one; those ZIPs are absent from this comparison, not counted as crash-free.

Full methodology ›

Binge drinking

11.7%

in the bottom 5.3% nationally

Lower is healthier

ST10th
US5th
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 ›

Fair or poor health

29.9%

in the top 8.5% nationally

Lower is healthier

ST94th
US92nd
Definition & source ›

The estimated share of adults who rate their own general health as fair or poor.

Full methodology ›

The read

St. Pauls, North Carolina (ZIP 28384), by its overall standing, sits in the bottom 13.9% nationally (27,626th) and the bottom 8.9% of North Carolina (723rd).

continue reading

Both sides of the picture show up plainly in this area's numbers: grocery lands in the top 4.4% nationally, lead in tap water is at the national minimum, and modeled binge drinking resides in the bottom 5.3% nationally. By contrast, modeled tooth loss rests in the top 4.1% nationally, vision disability lies in the top 5.3% nationally, and uninsured sits in the top 5.2% nationally. Modeled self-care disability settles in the top 5.4% nationally, and obesity registers in the top 2.6% nationally. Fatal road crashes stands in the top 5.8% nationally, and modeled fair or poor health lands in the top 8.5% nationally.

Defined in plain terms, lead in tap water is the EPA trigger, 15 parts per billion in tap samples, above which a water system must act on lead. The nearest ZIP ranking healthier overall is ZIP 28306, 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.

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

Compare within

Lifting this score

Environmental Hazard

healthier than 74%

14%

Healthcare Access

healthier than 67%

5%

Holding it back

Chronic Disease Burden

healthier than 11%

21%

Social Need / SDOH

healthier than 11%

16%

Preventive Care

healthier than 23%

13%

Risk Behavior

healthier than 27%

11%

Mental Health

healthier than 39%

8%

Disability

healthier than 7%

7%

Climate / Disaster Risk

healthier than 29%

5%

Lifting this score

Healthcare Access

healthier than 62%

5%

About typical

Environmental Hazard

healthier than 58%

14%

Mental Health

healthier than 55%

8%

Holding it back

Chronic Disease Burden

healthier than 14%

21%

Social Need / SDOH

healthier than 13%

16%

Preventive Care

healthier than 7%

13%

Risk Behavior

healthier than 8%

11%

Disability

healthier than 8%

7%

Climate / Disaster Risk

healthier than 25%

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

2 of our published findings list 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.

  • Below what income predicts

    The ZIP codes that outlive their incomes

    Estimated life expectancy is 74.8 ± 1.6 years. A median household income of $51,167 predicts 77.4 years — 2.6 years below.

    Ranked #3,647 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.

  • Clean environment, heavy chronic burden

    Where the environment and chronic illness point in opposite directions

    Environmental-hazard standing 73.8; chronic-disease standing 10.9 — 63 points apart, cleaner on the environment than it is on chronic illness.

    Ranked #1,533 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 adults32.0%29.4–34.7
High blood pressure among adults45.0%41.8–48.2
Cancer (non-skin) or melanoma among adults7.0%6.4–7.7
Current asthma among adults12.0%10.8–13.3
Coronary heart disease among adults8.8%8.1–9.7
Chronic obstructive pulmonary disease among adults10.9%9.8–12.1
Depression among adults22.4%19.7–25.2
Diagnosed diabetes among adults17.2%15.4–19.2
High cholesterol among adults who have ever been screened39.4%36.2–42.7
Obesity among adults46.5%41.6–51.5
Stroke among adults5.4%5.0–5.8
All teeth lost among adults aged >=65 years28.5%24.6–32.8
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years19.2%17.0–21.5
Taking medicine to control high blood pressure among adults with high blood pressure78.9%76.5–81.2
Visits to doctor for routine checkup within the past year among adults80.9%78.2–83.5
Cholesterol screening among adults84.8%83.0–86.4
Colorectal cancer screening among adults aged 45–75 years61.3%57.0–65.5
Visited dentist or dental clinic in the past year among adults49.5%46.1–53.0
Mammography use among women aged 50-74 years77.2%71.1–82.6
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults11.7%9.9–13.7
Current cigarette smoking among adults19.8%17.7–22.2
No leisure-time physical activity among adults35.3%31.7–39.3
Short sleep duration among adults38.3%33.8–42.9
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults29.9%27.3–32.8
Frequent mental distress among adults18.5%16.7–20.4
Frequent physical distress among adults17.1%15.6–19.0
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults20.0%18.1–22.1
Any disability among adults40.1%36.7–43.8
Hearing disability among adults9.2%8.3–10.2
Independent living disability among adults12.6%11.5–13.9
Mobility disability among adults21.3%19.4–23.6
Self-care disability among adults7.1%6.6–7.7
Vision disability among adults9.8%9.1–10.6
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults24.9%22.1–28.0
Food insecurity in the past 12 months among adults27.1%24.5–29.8
Received food stamps in the past 12 months among adults26.2%23.5–29.2
Housing insecurity in the past 12 months among adults19.9%17.8–22.0
Lack of reliable transportation in the past 12 months among adults14.3%12.9–15.7
Loneliness among adults32.8%29.2–36.7
Utility services shut-off threat in the past 12 months among adults14.0%12.5–15.6
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)NC median (p10–p90)
Poverty rate27.7%10.6% (3.1–25.8%) n=32,36413.0% (4.4–25.0%) n=793
Uninsured 18–6431.5%9.0% (1.5–24.3%) n=32,28614.5% (5.7–24.9%) n=794
No HS diploma (25+)24.9%7.9% (1.8–20.7%) n=32,50510.4% (3.1–19.8%) n=798
Bachelor's or higher (25+)11.1%23.3% (9.2–53.6%) n=32,50522.8% (10.7–53.4%) n=798
Unemployment rate (16+)5.2%3.9% (0.0–9.8%) n=32,2744.2% (0.0–9.1%) n=796
Households without a vehicle6.6%3.9% (0.0–12.5%) n=32,3223.9% (0.0–10.2%) n=793
Broadband subscription82.9%89.3% (75.1–97.1%) n=32,32287.6% (76.2–96.3%) n=793
Housing cost burden (≥30% income)24.5%23.7% (10.6–40.0%) n=32,32224.7% (14.1–36.5%) n=793
Homeownership rate70.4%78.7% (51.7–94.0%) n=32,32275.0% (52.7–89.7%) n=793
Crowded housing (>1 per room)5.7%1.3% (0.0–6.3%) n=32,3221.4% (0.0–4.5%) n=793
Foreign-born population14.5%2.6% (0.0–18.6%) n=32,5534.2% (0.0–12.9%) n=799
Single-parent households41.5%53.6% (37.3–74.1%) n=32,08751.8% (39.2–70.1%) n=790
Population 65+14.6%19.4% (10.8–33.6%) n=32,55319.7% (11.1–31.9%) n=799
Median age36.1 yr42.2 yr (33.0–56.3) n=32,29242.5 yr (33.3–55.7) n=797
Median household income$51,167$72,070 ($46,039–$118,707) n=30,318$65,030 ($44,419–$97,111) n=749
Median home value$94,000$222,200 ($100,300–$579,820) n=30,049$223,850 ($113,970–$452,990) n=758
Median gross rent$817$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 at birth74.8 yr ± 0.8278.9 yr (74.7–82.8) n=31,30877.3 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 0.82 years of 74.8, 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