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ZipVitals

ZIP code

28756

in Mill Spring, North CarolinaPopulation 4,706

44.33/ 100

Ranked #23,086 of 32,066 US ZIPs (bottom 28%)

Ranked #597 of 793 North Carolina ZIPs (bottom 25%)

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.

Mental-health provider access

0.24 per 1,000 residents

in the top 3.0% nationally

Higher is healthier

ST96th
US97th
Definition & source ›

The number of mental-health clinics located 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 ›

Arsenic in groundwater

1.2%

in the bottom 6.3% nationally

Lower is healthier

ST9th
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 ›

Crowded housing

7.5%

in the top 7.5% nationally

Lower is healthier

ST97th
US93rd
Definition & source ›

The share of occupied homes with more than one person per room, the Census definition of crowded housing.

Full methodology ›

Natural-disaster risk

in the top 7.8% nationally

Lower is healthier

ST94th
US92nd
Definition & source ›

This area’s national rank on its single highest non-flood natural hazard — such as wildfire, tornado, or earthquake — in FEMA’s modeled National Risk Index; flooding is shown separately.

Full methodology ›

Tree cover

71.1%

in the top 8.6% nationally

Higher is healthier

ST89th
US91st
Definition & source ›

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

Full methodology ›

Hearing disability

10.6%

in the top 12.7% nationally

Lower is healthier

ST90th
US87th
Definition & source ›

The estimated share of adults who are deaf or have serious difficulty hearing.

Full methodology ›

The read

Judged by its overall standing, Mill Spring, North Carolina (ZIP 28756) sits in the bottom 28% nationally (23,086th) and the bottom 25% of North Carolina (597th).

continue reading

A balanced showing across the data, with a few readings each side: mental-health providers is in the top 3.0% nationally, modeled arsenic lies in the bottom 6.3% nationally, and modeled tree cover registers in the top 8.6% nationally. Distance to a community health center is at the national minimum, shared with about 23% of ZIPs. On the other hand, crowded housing lies in the top 7.5% nationally, and modeled disaster risk registers in the top 7.8% nationally. Modeled self-care disability is in the top 11.4% nationally, and coronary heart disease lies in the top 11.4% nationally. Modeled hearing disability registers in the top 12.7% nationally, and stroke is in the top 12.8% nationally.

Put plainly, arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. Disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. Distance to a community health center is a federally funded (HRSA) community health center serving everyone regardless of ability to pay. A healthier nearby ZIP overall is ZIP 28139, 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 63%

14%

Preventive Care

healthier than 64%

13%

Healthcare Access

healthier than 66%

5%

About typical

Social Need / SDOH

healthier than 41%

16%

Risk Behavior

healthier than 55%

11%

Climate / Disaster Risk

healthier than 57%

5%

Holding it back

Chronic Disease Burden

healthier than 14%

21%

Mental Health

healthier than 22%

8%

Disability

healthier than 14%

7%

Lifting this score

Climate / Disaster Risk

healthier than 84%

5%

Healthcare Access

healthier than 61%

5%

About typical

Environmental Hazard

healthier than 47%

14%

Preventive Care

healthier than 53%

13%

Holding it back

Chronic Disease Burden

healthier than 19%

21%

Social Need / SDOH

healthier than 39%

16%

Risk Behavior

healthier than 35%

11%

Mental Health

healthier than 17%

8%

Disability

healthier than 17%

7%

“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 adults34.6%30.9–38.3
High blood pressure among adults43.5%38.9–48.0
Cancer (non-skin) or melanoma among adults10.4%9.4–11.5
Current asthma among adults11.5%10.1–12.9
Coronary heart disease among adults9.8%8.6–10.9
Chronic obstructive pulmonary disease among adults12.1%10.4–13.9
Depression among adults26.7%22.8–30.6
Diagnosed diabetes among adults15.6%13.4–17.8
High cholesterol among adults who have ever been screened41.2%36.5–45.7
Obesity among adults39.5%31.5–47.8
Stroke among adults5.1%4.6–5.7
All teeth lost among adults aged >=65 years15.3%12.4–18.5
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years11.9%9.8–14.2
Taking medicine to control high blood pressure among adults with high blood pressure80.2%77.2–82.7
Visits to doctor for routine checkup within the past year among adults80.4%76.8–83.5
Cholesterol screening among adults87.4%85.6–89.1
Colorectal cancer screening among adults aged 45–75 years67.7%62.6–72.3
Visited dentist or dental clinic in the past year among adults62.9%59.3–66.5
Mammography use among women aged 50-74 years77.3%70.0–83.6
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults13.7%11.1–16.5
Current cigarette smoking among adults19.2%16.3–22.5
No leisure-time physical activity among adults29.4%24.7–34.4
Short sleep duration among adults32.3%26.1–38.7
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults25.1%21.8–28.7
Frequent mental distress among adults17.7%15.7–19.9
Frequent physical distress among adults16.8%14.7–19.1
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults17.5%15.4–19.9
Any disability among adults39.1%34.4–43.9
Hearing disability among adults10.6%9.3–11.9
Independent living disability among adults11.2%9.7–12.7
Mobility disability among adults20.3%17.5–23.2
Self-care disability among adults6.1%5.3–7.0
Vision disability among adults7.5%6.6–8.5
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults21.0%17.8–24.5
Food insecurity in the past 12 months among adults18.5%15.7–21.6
Received food stamps in the past 12 months among adults17.9%15.2–20.9
Housing insecurity in the past 12 months among adults12.6%10.8–14.7
Lack of reliable transportation in the past 12 months among adults9.7%8.4–11.1
Loneliness among adults30.5%25.7–35.8
Utility services shut-off threat in the past 12 months among adults9.3%8.1–10.7
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)NC median (p10–p90)
Poverty rate18.1%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+)12.0%7.9% (1.8–20.7%) n=32,50510.4% (3.1–19.8%) n=798
Bachelor's or higher (25+)19.4%23.3% (9.2–53.6%) n=32,50522.8% (10.7–53.4%) n=798
Unemployment rate (16+)6.7%3.9% (0.0–9.8%) n=32,2744.2% (0.0–9.1%) n=796
Households without a vehicle2.2%3.9% (0.0–12.5%) n=32,3223.9% (0.0–10.2%) n=793
Broadband subscription84.0%89.3% (75.1–97.1%) n=32,32287.6% (76.2–96.3%) n=793
Housing cost burden (≥30% income)17.6%23.7% (10.6–40.0%) n=32,32224.7% (14.1–36.5%) n=793
Homeownership rate75.1%78.7% (51.7–94.0%) n=32,32275.0% (52.7–89.7%) n=793
Crowded housing (>1 per room)7.5%1.3% (0.0–6.3%) n=32,3221.4% (0.0–4.5%) n=793
Foreign-born population6.3%2.6% (0.0–18.6%) n=32,5534.2% (0.0–12.9%) n=799
Single-parent households44.8%53.6% (37.3–74.1%) n=32,08751.8% (39.2–70.1%) n=790
Population 65+18.8%19.4% (10.8–33.6%) n=32,55319.7% (11.1–31.9%) n=799
Median age38.4 yr42.2 yr (33.0–56.3) n=32,29242.5 yr (33.3–55.7) n=797
Median household income$63,663$72,070 ($46,039–$118,707) n=30,318$65,030 ($44,419–$97,111) n=749
Median home value$277,600$222,200 ($100,300–$579,820) n=30,049$223,850 ($113,970–$452,990) n=758
Median gross rent$644$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 birth80.7 yr ± 2.0978.9 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 2.09 years of 80.7, 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