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ZipVitals

ZIP code

28742

in Horse Shoe, North CarolinaPopulation 2,710

56.86/ 100

Ranked #7,403 of 32,066 US ZIPs (top 23%)

Ranked #170 of 793 North Carolina ZIPs (top 21%)

Ranked #15 of 29 Asheville, NC ZIPs (bottom 48%)

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.

Tree cover

88.2%

in the top 1.9% nationally

Higher is healthier

ST98th
US98th
Definition & source ›

The share of this ZIP’s land area covered by forest.

Full methodology ›

Unemployment rate

14.1%

in the top 4.4% nationally

Lower is healthier

ST98th
US96th
Definition & source ›

The share of the civilian labor force that is unemployed.

Full methodology ›

Arsenic in groundwater

1.2%

in the bottom 5.6% nationally

Lower is healthier

ST8th
US6th
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 ›

Home broadband subscription

75.5%

in the bottom 10.5% nationally

Higher is healthier

ST9th
US10th
Definition & source ›

The share of households with a broadband internet subscription.

Full methodology ›

Energy-cost burden

1.8%

in the bottom 9.0% nationally

Lower is healthier

ST11th
US9th
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 ›

Loneliness

28.8%

in the bottom 12.4% nationally

Lower is healthier

ST9th
US12th
Definition & source ›

The estimated share of adults who report feeling lonely.

Full methodology ›

PFAS in drinking water

11.7%

in the bottom 13.1% nationally

Lower is healthier

ST5th
US13th
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 ›

Fatal road crashes

3.7 per 100,000 residents per year

in the bottom 13.5% nationally

Lower is healthier

ST7th
US13th
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 ›

Transportation noise

0.50%

in the bottom 15% nationally

Lower is healthier

ST7th
US15th
Definition & source ›

The modeled share of residents exposed to average road, rail, and aviation noise at or above 55 decibels — a noticeable background presence.

Full methodology ›

Radon

2.4 pCi/L

in the top 22% nationally

Lower is healthier

ST99th
US78th
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 ›

The read

Horse Shoe, North Carolina (ZIP 28742), by its overall standing, sits in the top 23% healthiest ZIPs nationally (7,403rd) and the top 21% of North Carolina (170th).

continue reading

Both sides of the picture show up plainly in this area's numbers: modeled tree cover is in the top 1.9% nationally, and arsenic resides in the bottom 5.6% nationally. Modeled extreme heat rests at the national minimum, shared with about 19% of ZIPs. Modeled energy burden lies in the bottom 9.0% nationally, and loneliness sits in the bottom 12.4% nationally. Modeled pfas settles in the bottom 13.1% nationally, and fatal road crashes registers in the bottom 13.5% nationally. Crowded housing stands at the national minimum, shared with about 29% of ZIPs. By contrast, unemployment lands in the top 4.4% nationally, and home broadband subscription is in the bottom 10.5% nationally.

Held up against its neighbors, park land runs far higher than the surrounding ZIPs on this measure. Defined in plain terms, arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. Pfas is the man-made "forever chemicals" that build up in the body and environment instead of breaking down; here a modeled estimate of the chance a private well contains them. Extreme heat is a modeled count of days a year reaching a dangerously high temperature, a leading weather hazard. The nearest ZIP ranking healthier overall is ZIP 28704, 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 Asheville, NC metro area.

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

Compare within

Lifting this score

Social Need / SDOH

healthier than 80%

16%

Preventive Care

healthier than 85%

13%

Risk Behavior

healthier than 84%

11%

Climate / Disaster Risk

healthier than 65%

5%

Healthcare Access

healthier than 68%

5%

About typical

Chronic Disease Burden

healthier than 53%

21%

Environmental Hazard

healthier than 58%

14%

Mental Health

healthier than 46%

8%

Disability

healthier than 58%

7%

Nothing measured is holding this score back.

Lifting this score

Chronic Disease Burden

healthier than 68%

21%

Social Need / SDOH

healthier than 79%

16%

Preventive Care

healthier than 81%

13%

Risk Behavior

healthier than 80%

11%

Mental Health

healthier than 67%

8%

Disability

healthier than 73%

7%

Climate / Disaster Risk

healthier than 91%

5%

Healthcare Access

healthier than 63%

5%

About typical

Environmental Hazard

healthier than 43%

14%

Nothing measured is holding this score back.

Lifting this score

Environmental Hazard

healthier than 71%

14%

About typical

Social Need / SDOH

healthier than 43%

16%

Preventive Care

healthier than 54%

13%

Mental Health

healthier than 50%

8%

Disability

healthier than 54%

7%

Climate / Disaster Risk

healthier than 54%

5%

Holding it back

Chronic Disease Burden

healthier than 39%

21%

Risk Behavior

healthier than 39%

11%

Healthcare Access

healthier than 29%

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 ›

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 adults31.2%27.8–34.6
High blood pressure among adults37.7%33.7–41.8
Cancer (non-skin) or melanoma among adults10.5%9.6–11.5
Current asthma among adults10.7%9.5–12.1
Coronary heart disease among adults7.5%6.8–8.3
Chronic obstructive pulmonary disease among adults8.0%7.0–9.0
Depression among adults25.4%21.9–29.0
Diagnosed diabetes among adults11.6%10.1–13.4
High cholesterol among adults who have ever been screened39.1%34.9–43.3
Obesity among adults30.9%24.9–37.4
Stroke among adults3.8%3.4–4.1
All teeth lost among adults aged >=65 years9.4%7.8–11.3
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years7.9%6.6–9.2
Taking medicine to control high blood pressure among adults with high blood pressure79.8%76.8–82.5
Visits to doctor for routine checkup within the past year among adults81.4%78.2–84.2
Cholesterol screening among adults89.7%88.3–91.0
Colorectal cancer screening among adults aged 45–75 years70.1%65.7–74.1
Visited dentist or dental clinic in the past year among adults67.3%64.1–70.4
Mammography use among women aged 50-74 years77.4%70.8–83.0
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults14.3%11.8–16.9
Current cigarette smoking among adults13.1%11.2–15.3
No leisure-time physical activity among adults21.5%18.0–25.3
Short sleep duration among adults32.8%27.4–38.5
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults17.7%15.5–20.1
Frequent mental distress among adults15.6%13.8–17.5
Frequent physical distress among adults13.1%11.5–14.8
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults13.6%12.0–15.4
Any disability among adults31.4%27.4–35.4
Hearing disability among adults8.6%7.7–9.6
Independent living disability among adults7.7%6.8–8.6
Mobility disability among adults14.5%12.6–16.5
Self-care disability among adults3.7%3.3–4.1
Vision disability among adults4.6%4.2–5.1
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults18.8%15.9–21.8
Food insecurity in the past 12 months among adults10.4%8.8–12.3
Received food stamps in the past 12 months among adults8.4%7.0–9.9
Housing insecurity in the past 12 months among adults8.3%7.0–9.6
Lack of reliable transportation in the past 12 months among adults6.1%5.4–7.0
Loneliness among adults28.8%24.4–33.1
Utility services shut-off threat in the past 12 months among adults5.7%4.9–6.6
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)NC median (p10–p90)
Poverty rate13.6%10.6% (3.1–25.8%) n=32,36413.0% (4.4–25.0%) n=793
Uninsured 18–6417.9%9.0% (1.5–24.3%) n=32,28614.5% (5.7–24.9%) n=794
No HS diploma (25+)3.0%7.9% (1.8–20.7%) n=32,50510.4% (3.1–19.8%) n=798
Bachelor's or higher (25+)46.4%23.3% (9.2–53.6%) n=32,50522.8% (10.7–53.4%) n=798
Unemployment rate (16+)14.1%3.9% (0.0–9.8%) n=32,2744.2% (0.0–9.1%) n=796
Households without a vehicle3.0%3.9% (0.0–12.5%) n=32,3223.9% (0.0–10.2%) n=793
Broadband subscription75.5%89.3% (75.1–97.1%) n=32,32287.6% (76.2–96.3%) n=793
Housing cost burden (≥30% income)19.8%23.7% (10.6–40.0%) n=32,32224.7% (14.1–36.5%) n=793
Homeownership rate79.3%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 population1.8%2.6% (0.0–18.6%) n=32,5534.2% (0.0–12.9%) n=799
Single-parent households55.2%53.6% (37.3–74.1%) n=32,08751.8% (39.2–70.1%) n=790
Population 65+22.8%19.4% (10.8–33.6%) n=32,55319.7% (11.1–31.9%) n=799
Median age47.7 yr42.2 yr (33.0–56.3) n=32,29242.5 yr (33.3–55.7) n=797
Median household income$99,007$72,070 ($46,039–$118,707) n=30,318$65,030 ($44,419–$97,111) n=749
Median home value$414,600$222,200 ($100,300–$579,820) n=30,049$223,850 ($113,970–$452,990) n=758
Median gross rent$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 birth80.8 yr ± 1.0578.9 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 1.05 years of 80.8, 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