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ZipVitals

ZIP code

28456

in Riegelwood, North CarolinaPopulation 3,860

46.29/ 100

Ranked #21,007 of 32,066 US ZIPs (bottom 34%)

Ranked #530 of 793 North Carolina ZIPs (bottom 33%)

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.

Distance to a Superfund site

In this ZIP

at the national minimum

Higher is healthier

ST1st
US1st
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Superfund site — an abandoned or uncontrolled hazardous-waste site the EPA has listed for cleanup.

Full methodology ›

Elder-services access

0.57 per 1,000 residents

in the top 2.0% nationally

Higher is healthier

ST99th
US98th
Definition & source ›

The number of services for older adults and people with disabilities 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.

Full methodology ›

Fatal road crashes

51.8 per 100,000 residents per year

in the top 3.5% nationally

Lower is healthier

ST97th
US97th
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 ›

Grocery access

0.29 per 1,000 residents

in the top 3.9% nationally

Higher is healthier

ST93rd
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 ›

Binge drinking

11.8%

in the bottom 5.8% nationally

Lower is healthier

ST12th
US6th
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 ›

Unemployment rate

11.0%

in the top 7.9% nationally

Lower is healthier

ST94th
US92nd
Definition & source ›

The share of the civilian labor force that is unemployed.

Full methodology ›

High blood pressure

46.6%

in the top 8.5% nationally

Lower is healthier

ST88th
US92nd
Definition & source ›

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

Full methodology ›

Radon

0.7 pCi/L

in the bottom 2.5% nationally

Lower is healthier

ST9th
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 ›

Humid extreme heat

119.2 days/year

in the top 13.9% nationally

Lower is healthier

ST98th
US86th
Definition & source ›

The average number of days per year when modeled heat stress — temperature, humidity, sun, and wind combined — reaches levels hard on the body outdoors.

Full methodology ›

Short sleep

40.6%

in the top 14.4% nationally

Lower is healthier

ST93rd
US86th
Definition & source ›

The estimated share of adults who usually sleep less than seven hours in a 24-hour period.

Full methodology ›

The read

By the composite measure, Riegelwood, North Carolina (ZIP 28456) sits in the bottom 34% nationally (21,007th) and the bottom 33% of North Carolina (530th).

continue reading

Where this area is stretched, the data is unambiguous: distance to a Superfund site settles at the national minimum, fatal road crashes stands in the top 3.5% nationally, and unemployment is in the top 7.9% nationally. Modeled high blood pressure rests in the top 8.5% nationally, tooth loss sits in the top 11.3% nationally, and stroke registers in the top 11.3% nationally. Better still, elder services lands in the top 2.0% nationally, and grocery resides in the top 3.9% nationally. Modeled binge drinking lies in the bottom 5.8% nationally, and radon settles in the bottom 2.5% nationally.

In plain language, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. ZIP 28451, just across the boundary, ranks healthier overall.

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 91%

14%

Preventive Care

healthier than 70%

13%

About typical

Risk Behavior

healthier than 44%

11%

Mental Health

healthier than 55%

8%

Holding it back

Chronic Disease Burden

healthier than 18%

21%

Social Need / SDOH

healthier than 17%

16%

Disability

healthier than 26%

7%

Climate / Disaster Risk

healthier than 30%

5%

Healthcare Access

healthier than 33%

5%

Lifting this score

Environmental Hazard

healthier than 80%

14%

Preventive Care

healthier than 61%

13%

Mental Health

healthier than 78%

8%

Holding it back

Chronic Disease Burden

healthier than 26%

21%

Social Need / SDOH

healthier than 18%

16%

Risk Behavior

healthier than 24%

11%

Disability

healthier than 35%

7%

Climate / Disaster Risk

healthier than 28%

5%

Healthcare Access

healthier than 18%

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 90.7 (top 10%); chronic-disease standing 18.4 — 72 points apart, cleaner on the environment than it is on chronic illness.

    Ranked #933 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 adults31.9%29.2–34.7
High blood pressure among adults46.6%43.4–50.0
Cancer (non-skin) or melanoma among adults7.6%7.0–8.2
Current asthma among adults12.1%11.0–13.3
Coronary heart disease among adults7.9%7.3–8.6
Chronic obstructive pulmonary disease among adults8.5%7.7–9.4
Depression among adults21.8%19.2–24.6
Diagnosed diabetes among adults16.6%14.9–18.4
High cholesterol among adults who have ever been screened38.2%35.0–41.7
Obesity among adults41.6%35.8–47.8
Stroke among adults5.2%4.9–5.6
All teeth lost among adults aged >=65 years22.5%19.4–25.6
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years11.6%10.1–13.3
Taking medicine to control high blood pressure among adults with high blood pressure80.7%78.6–82.7
Visits to doctor for routine checkup within the past year among adults83.0%80.5–85.2
Cholesterol screening among adults88.9%87.6–90.1
Colorectal cancer screening among adults aged 45–75 years66.9%63.1–70.4
Visited dentist or dental clinic in the past year among adults55.0%51.8–57.9
Mammography use among women aged 50-74 years79.1%73.9–83.4
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults11.8%10.1–13.7
Current cigarette smoking among adults16.0%14.2–18.0
No leisure-time physical activity among adults30.6%27.0–34.4
Short sleep duration among adults40.6%35.7–45.6
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults24.1%21.8–26.6
Frequent mental distress among adults17.2%15.6–18.9
Frequent physical distress among adults14.7%13.4–16.2
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults16.3%14.7–17.9
Any disability among adults37.3%34.0–40.9
Hearing disability among adults7.5%6.8–8.3
Independent living disability among adults10.2%9.2–11.1
Mobility disability among adults19.3%17.5–21.3
Self-care disability among adults5.5%5.1–6.0
Vision disability among adults7.1%6.6–7.7
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults27.7%24.9–31.1
Food insecurity in the past 12 months among adults21.1%18.9–23.5
Received food stamps in the past 12 months among adults17.8%15.8–20.2
Housing insecurity in the past 12 months among adults16.7%15.0–18.7
Lack of reliable transportation in the past 12 months among adults10.7%9.8–12.0
Loneliness among adults35.7%32.0–40.0
Utility services shut-off threat in the past 12 months among adults11.1%10.0–12.5
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)NC median (p10–p90)
Poverty rate14.5%10.6% (3.1–25.8%) n=32,36413.0% (4.4–25.0%) n=793
Uninsured 18–6421.7%9.0% (1.5–24.3%) n=32,28614.5% (5.7–24.9%) n=794
No HS diploma (25+)11.5%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+)11.0%3.9% (0.0–9.8%) n=32,2744.2% (0.0–9.1%) n=796
Households without a vehicle1.7%3.9% (0.0–12.5%) n=32,3223.9% (0.0–10.2%) n=793
Broadband subscription81.5%89.3% (75.1–97.1%) n=32,32287.6% (76.2–96.3%) n=793
Housing cost burden (≥30% income)32.5%23.7% (10.6–40.0%) n=32,32224.7% (14.1–36.5%) n=793
Homeownership rate84.7%78.7% (51.7–94.0%) n=32,32275.0% (52.7–89.7%) n=793
Crowded housing (>1 per room)1.5%1.3% (0.0–6.3%) n=32,3221.4% (0.0–4.5%) n=793
Foreign-born population6.7%2.6% (0.0–18.6%) n=32,5534.2% (0.0–12.9%) n=799
Single-parent households38.6%53.6% (37.3–74.1%) n=32,08751.8% (39.2–70.1%) n=790
Population 65+18.7%19.4% (10.8–33.6%) n=32,55319.7% (11.1–31.9%) n=799
Median age47.2 yr42.2 yr (33.0–56.3) n=32,29242.5 yr (33.3–55.7) n=797
Median household income$49,670$72,070 ($46,039–$118,707) n=30,318$65,030 ($44,419–$97,111) n=749
Median home value$167,900$222,200 ($100,300–$579,820) n=30,049$223,850 ($113,970–$452,990) n=758
Median gross rent$785$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 birth75.3 yr ± 1.3878.9 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 1.38 years of 75.3, 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