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ZipVitals

ZIP code

28438

in Evergreen, North CarolinaPopulation 1,582

41.66/ 100

Ranked #25,523 of 32,066 US ZIPs (bottom 20%)

Ranked #682 of 793 North Carolina ZIPs (bottom 14.0%)

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.

Fatal road crashes

63.2 per 100,000 residents per year

in the top 2.0% nationally

Lower is healthier

ST99th
US98th
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 ›

Arsenic in groundwater

1.1%

in the bottom 4.7% nationally

Lower is healthier

ST5th
US5th
Definition & source ›

The modeled probability that untreated groundwater in this area — the source private wells draw on — exceeds the federal arsenic limit of 10 micrograms per liter.

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 ›

Slow internet speeds

1.5%

in the top 7.5% nationally

Lower is healthier

ST96th
US93rd
Definition & source ›

The share of homes whose fastest available download speed is under 10 Mbps.

Full methodology ›

High blood pressure

46.8%

in the top 8.1% nationally

Lower is healthier

ST89th
US92nd
Definition & source ›

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

Full methodology ›

Binge drinking

12.2%

in the bottom 7.9% nationally

Lower is healthier

ST15th
US8th
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 ›

Stroke

5.4%

in the top 8.9% nationally

Lower is healthier

ST85th
US91st
Definition & source ›

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

Full methodology ›

Radon

0.7 pCi/L

in the bottom 2.3% nationally

Lower is healthier

ST8th
US2nd
Definition & 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 ›

Distance to a nursing home

10 mi

in the top 11.2% nationally

Lower is healthier

ST96th
US89th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.

Full methodology ›

Distance to a hazardous-chemical facility

10.7 mi

in the top 12.9% nationally

Higher is healthier

ST90th
US87th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest facility that handles enough hazardous chemicals to require an EPA risk-management plan for accidental releases.

Full methodology ›

Walkability

2.8 intersections/sq mi

in the bottom 13.6% nationally

Higher is healthier

ST10th
US14th
Definition & source ›

The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.

Full methodology ›

The read

Evergreen, North Carolina (ZIP 28438) ranks in the bottom 20% nationally (25,523rd) and the bottom 14.0% of North Carolina (682nd).

continue reading

Several signals sit on each side of the ledger here: modeled arsenic settles in the bottom 4.7% nationally. Unemployment rests at the national minimum, shared with about 15% of ZIPs. Modeled binge drinking lands in the bottom 7.9% nationally, and radon settles in the bottom 2.3% nationally. Working the other way, fatal road crashes rests in the top 2.0% nationally, slow internet speeds lands in the top 7.5% nationally, and modeled high blood pressure settles in the top 8.1% nationally. Modeled stroke rests in the top 8.9% nationally, floodplain exposure lands in the top 10.7% nationally, and distance to a nursing home settles in the top 11.2% nationally.

For context, arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Floodplain exposure is land with about a 1-in-100 chance of flooding each year, nicknamed the "100-year floodplain". The closest ZIP that ranks healthier overall is ZIP 28320, 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 94%

14%

Preventive Care

healthier than 65%

13%

About typical

Risk Behavior

healthier than 45%

11%

Holding it back

Chronic Disease Burden

healthier than 11%

21%

Social Need / SDOH

healthier than 13%

16%

Mental Health

healthier than 31%

8%

Disability

healthier than 15%

7%

Climate / Disaster Risk

healthier than 16%

5%

Healthcare Access

healthier than 21%

5%

Lifting this score

Environmental Hazard

healthier than 85%

14%

About typical

Preventive Care

healthier than 55%

13%

Holding it back

Chronic Disease Burden

healthier than 14%

21%

Social Need / SDOH

healthier than 14%

16%

Risk Behavior

healthier than 25%

11%

Mental Health

healthier than 39%

8%

Disability

healthier than 19%

7%

Climate / Disaster Risk

healthier than 12%

5%

Healthcare Access

healthier than 9%

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.

  • Clean environment, heavy chronic burden

    Where the environment and chronic illness point in opposite directions

    Environmental-hazard standing 94.3 (top 10%); chronic-disease standing 10.8 — 84 points apart, cleaner on the environment than it is on chronic illness.

    Ranked #339 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 adults35.0%31.5–38.7
High blood pressure among adults46.8%42.6–51.2
Cancer (non-skin) or melanoma among adults9.7%8.7–10.6
Current asthma among adults11.8%10.5–13.3
Coronary heart disease among adults9.6%8.6–10.7
Chronic obstructive pulmonary disease among adults11.1%9.7–12.6
Depression among adults24.8%21.4–28.5
Diagnosed diabetes among adults16.5%14.4–18.8
High cholesterol among adults who have ever been screened40.8%36.5–45.2
Obesity among adults40.8%33.2–48.9
Stroke among adults5.4%4.9–5.9
All teeth lost among adults aged >=65 years19.7%16.5–23.1
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years10.9%9.1–13.0
Taking medicine to control high blood pressure among adults with high blood pressure80.4%77.8–82.9
Visits to doctor for routine checkup within the past year among adults82.1%79.0–84.9
Cholesterol screening among adults87.9%86.2–89.4
Colorectal cancer screening among adults aged 45–75 years66.3%61.4–70.9
Visited dentist or dental clinic in the past year among adults56.6%52.8–60.4
Mammography use among women aged 50-74 years78.4%71.5–84.3
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults12.2%10.0–14.7
Current cigarette smoking among adults18.6%15.9–21.4
No leisure-time physical activity among adults31.4%26.5–36.5
Short sleep duration among adults36.5%30.3–43.0
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults25.3%22.0–28.8
Frequent mental distress among adults17.8%15.8–20.0
Frequent physical distress among adults16.4%14.4–18.6
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults17.4%15.3–19.6
Any disability among adults39.5%34.6–44.4
Hearing disability among adults10.0%8.9–11.2
Independent living disability among adults11.1%9.8–12.4
Mobility disability among adults20.6%18.0–23.4
Self-care disability among adults5.9%5.3–6.6
Vision disability among adults7.4%6.6–8.2
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults23.9%20.7–27.8
Food insecurity in the past 12 months among adults19.6%17.0–22.4
Received food stamps in the past 12 months among adults18.3%15.9–21.1
Housing insecurity in the past 12 months among adults14.3%12.4–16.3
Lack of reliable transportation in the past 12 months among adults10.2%9.1–11.5
Loneliness among adults33.2%28.4–38.5
Utility services shut-off threat in the past 12 months among adults10.3%9.0–11.8
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)NC median (p10–p90)
Poverty rate13.9%10.6% (3.1–25.8%) n=32,36413.0% (4.4–25.0%) n=793
Uninsured 18–6425.7%9.0% (1.5–24.3%) n=32,28614.5% (5.7–24.9%) n=794
No HS diploma (25+)11.8%7.9% (1.8–20.7%) n=32,50510.4% (3.1–19.8%) n=798
Bachelor's or higher (25+)5.6%23.3% (9.2–53.6%) n=32,50522.8% (10.7–53.4%) n=798
Unemployment rate (16+)0.0%3.9% (0.0–9.8%) n=32,2744.2% (0.0–9.1%) n=796
Households without a vehicle4.9%3.9% (0.0–12.5%) n=32,3223.9% (0.0–10.2%) n=793
Broadband subscription81.4%89.3% (75.1–97.1%) n=32,32287.6% (76.2–96.3%) n=793
Housing cost burden (≥30% income)18.8%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)0.0%1.3% (0.0–6.3%) n=32,3221.4% (0.0–4.5%) n=793
Foreign-born population0.5%2.6% (0.0–18.6%) n=32,5534.2% (0.0–12.9%) n=799
Single-parent households55.7%53.6% (37.3–74.1%) n=32,08751.8% (39.2–70.1%) n=790
Population 65+26.5%19.4% (10.8–33.6%) n=32,55319.7% (11.1–31.9%) n=799
Median age42.3 yr42.2 yr (33.0–56.3) n=32,29242.5 yr (33.3–55.7) n=797
Median household income$59,199$72,070 ($46,039–$118,707) n=30,318$65,030 ($44,419–$97,111) n=749
Median home value$160,800$222,200 ($100,300–$579,820) n=30,049$223,850 ($113,970–$452,990) n=758
Median gross rent$704$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 birth73.4 yr ± 1.0378.9 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 1.03 years of 73.4, 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