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ZipVitals

ZIP code

28455

in Nakina, North CarolinaPopulation 1,644

37.88/ 100

Ranked #28,082 of 32,066 US ZIPs (bottom 12.5%)

Ranked #736 of 793 North Carolina ZIPs (bottom 7.2%)

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.

Fiber broadband

100%

at the national maximum

Higher is healthier

ST99th
US99th
Definition & source ›

The share of homes where fiber-optic internet service is available.

Full methodology ›

Distance to a hazardous-chemical facility

23.6 mi

in the top 3.4% nationally

Higher is healthier

ST98th
US97th
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 ›

Floodplain exposure

44%

in the top 5.2% nationally

Lower is healthier

ST92nd
US95th
Definition & source ›

The share of this ZIP’s land area inside FEMA’s 1%-annual-chance floodplain — the “100-year” flood zone, where flooding has about a 1-in-100 chance in any given year.

Measured from FEMA’s mapped flood panels. Where a panel has not been mapped, no value is published for that ZIP — those ZIPs are absent from this comparison rather than counted as unexposed.

Full methodology ›

Fatal road crashes

42.6 per 100,000 residents per year

in the top 6.0% 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 ›

Poverty rate

28.3%

in the top 8.0% nationally

Lower is healthier

ST94th
US92nd
Definition & source ›

The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.

Full methodology ›

Walkability

2.2 intersections/sq mi

in the bottom 8.4% nationally

Higher is healthier

ST5th
US8th
Definition & source ›

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

Full methodology ›

Tooth loss

23.4%

in the top 9.7% nationally

Lower is healthier

ST87th
US90th
Definition & source ›

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

Full methodology ›

Median household income

$37,760

in the bottom 4.6% nationally

Higher is healthier

ST5th
US5th
Definition & source ›

The middle household income in this ZIP — half of households earn more, half earn less — in dollars per year.

Full methodology ›

Cognitive disability

19.4%

in the top 12.1% nationally

Lower is healthier

ST91st
US88th
Definition & source ›

The estimated share of adults with serious difficulty concentrating, remembering, or making decisions.

Full methodology ›

Households without a vehicle

11.5%

in the top 11.8% nationally

Lower is healthier

ST93rd
US88th
Definition & source ›

The share of households with no vehicle available.

Full methodology ›

The read

In its overall standing, Nakina, North Carolina (ZIP 28455) lands in the bottom 12.5% nationally (28,082nd) and the bottom 7.2% of North Carolina (736th).

continue reading

Reading the numbers as a whole, the picture lands somewhere in between: fiber broadband settles at the national maximum, and distance to a hazardous-chemical facility is in the top 3.4% nationally. On the other side, floodplain exposure sits in the top 5.2% nationally, fatal road crashes lands in the top 6.0% nationally, and poverty lies in the top 8.0% nationally. Walkability stands in the bottom 8.4% nationally, and modeled tooth loss rests in the top 9.7% nationally. Household income registers in the bottom 4.6% nationally, and modeled cognitive disability resides in the top 12.1% nationally. Households without a vehicle settles in the top 11.8% nationally.

Put simply, distance to a hazardous-chemical facility is a plant handling large amounts of hazardous chemicals that must file an EPA risk-management plan for accidental releases. Floodplain exposure is land with about a 1-in-100 chance of flooding each year, nicknamed the "100-year floodplain". On the overall standing, ZIP 28420, just across the boundary, ranks healthier.

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

in the top 0.8%

14%

Holding it back

Chronic Disease Burden

healthier than 14%

21%

Social Need / SDOH

healthier than 11%

16%

Preventive Care

healthier than 26%

13%

Risk Behavior

healthier than 27%

11%

Mental Health

healthier than 12%

8%

Disability

healthier than 11%

7%

Climate / Disaster Risk

healthier than 9%

5%

Healthcare Access

healthier than 29%

5%

Lifting this score

Environmental Hazard

in the top 0.7%

14%

Holding it back

Chronic Disease Burden

healthier than 19%

21%

Social Need / SDOH

healthier than 13%

16%

Preventive Care

healthier than 9%

13%

Risk Behavior

healthier than 9%

11%

Mental Health

healthier than 5%

8%

Disability

healthier than 13%

7%

Climate / Disaster Risk

healthier than 8%

5%

Healthcare Access

healthier than 15%

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 99.3 (top 1%); chronic-disease standing 13.8 — 86 points apart, cleaner on the environment than it is on chronic illness.

    Ranked #262 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 adults33.3%29.7–36.8
High blood pressure among adults43.3%39.0–47.5
Cancer (non-skin) or melanoma among adults9.2%8.2–10.1
Current asthma among adults11.7%10.4–13.2
Coronary heart disease among adults9.4%8.4–10.4
Chronic obstructive pulmonary disease among adults11.7%10.3–13.2
Depression among adults27.2%23.4–31.3
Diagnosed diabetes among adults15.3%13.3–17.3
High cholesterol among adults who have ever been screened39.8%35.4–44.3
Obesity among adults40.4%32.5–48.9
Stroke among adults5.0%4.6–5.5
All teeth lost among adults aged >=65 years23.4%19.4–28.0
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years13.3%11.0–16.0
Taking medicine to control high blood pressure among adults with high blood pressure77.9%74.9–80.6
Visits to doctor for routine checkup within the past year among adults79.5%75.8–82.9
Cholesterol screening among adults85.3%83.2–87.3
Colorectal cancer screening among adults aged 45–75 years60.9%55.4–66.2
Visited dentist or dental clinic in the past year among adults51.3%47.2–55.5
Mammography use among women aged 50-74 years74.8%66.5–82.0
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults13.7%11.1–16.6
Current cigarette smoking among adults20.5%17.6–23.5
No leisure-time physical activity among adults32.2%27.3–37.3
Short sleep duration among adults36.4%29.7–43.5
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults26.3%23.1–29.8
Frequent mental distress among adults19.4%17.3–21.8
Frequent physical distress among adults17.3%15.3–19.3
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults19.4%17.2–21.8
Any disability among adults40.6%35.7–45.5
Hearing disability among adults10.3%9.2–11.5
Independent living disability among adults11.9%10.6–13.3
Mobility disability among adults20.2%17.7–22.8
Self-care disability among adults6.1%5.4–6.7
Vision disability among adults7.7%6.9–8.5
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults23.2%19.6–27.4
Food insecurity in the past 12 months among adults20.6%17.5–23.9
Received food stamps in the past 12 months among adults19.0%16.1–22.3
Housing insecurity in the past 12 months among adults14.5%12.4–16.8
Lack of reliable transportation in the past 12 months among adults10.8%9.4–12.3
Loneliness among adults33.7%28.4–39.5
Utility services shut-off threat in the past 12 months among adults10.3%8.9–11.9
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)NC median (p10–p90)
Poverty rate28.3%10.6% (3.1–25.8%) n=32,36413.0% (4.4–25.0%) n=793
Uninsured 18–6421.5%9.0% (1.5–24.3%) n=32,28614.5% (5.7–24.9%) n=794
No HS diploma (25+)4.7%7.9% (1.8–20.7%) n=32,50510.4% (3.1–19.8%) n=798
Bachelor's or higher (25+)17.1%23.3% (9.2–53.6%) n=32,50522.8% (10.7–53.4%) n=798
Unemployment rate (16+)7.5%3.9% (0.0–9.8%) n=32,2744.2% (0.0–9.1%) n=796
Households without a vehicle11.5%3.9% (0.0–12.5%) n=32,3223.9% (0.0–10.2%) n=793
Broadband subscription88.2%89.3% (75.1–97.1%) n=32,32287.6% (76.2–96.3%) n=793
Housing cost burden (≥30% income)26.5%23.7% (10.6–40.0%) n=32,32224.7% (14.1–36.5%) n=793
Homeownership rate61.6%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 population0.0%2.6% (0.0–18.6%) n=32,5534.2% (0.0–12.9%) n=799
Single-parent households30.3%53.6% (37.3–74.1%) n=32,08751.8% (39.2–70.1%) n=790
Population 65+24.8%19.4% (10.8–33.6%) n=32,55319.7% (11.1–31.9%) n=799
Median age38.9 yr42.2 yr (33.0–56.3) n=32,29242.5 yr (33.3–55.7) n=797
Median household income$37,760$72,070 ($46,039–$118,707) n=30,318$65,030 ($44,419–$97,111) n=749
Median home value$117,800$222,200 ($100,300–$579,820) n=30,049$223,850 ($113,970–$452,990) n=758
Median gross rent$787$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 birth70.4 yr ± 1.4378.9 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 1.43 years of 70.4, 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