ZIP code
35481
in Reform, AlabamaPopulation 3,132
37.23/ 100
Ranked #28,417 of 32,066 US ZIPs (bottom 11.4%)
Ranked #485 of 619 Alabama ZIPs (bottom 22%)
Ranked #22 of 31 Tuscaloosa, AL ZIPs (bottom 29%)
Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.
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.
High blood pressure
52.2%
in the top 1.8% nationally
Lower is healthier
ST83rdUS98thDefinition & source ›
The estimated share of adults who have been told by a health professional that they have high blood pressure.
Full methodology ›Obesity
48.6%
in the top 1.2% nationally
Lower is healthier
ST91stUS99thDefinition & source ›
The estimated share of adults with obesity, defined as a body-mass index of 30 or higher.
Full methodology ›Diabetes
19.9%
in the top 3.9% nationally
Lower is healthier
ST81stUS96thDefinition & source ›
The estimated share of adults who have been diagnosed with diabetes.
Full methodology ›Stroke
5.9%
in the top 4.7% nationally
Lower is healthier
ST83rdUS95thDefinition & source ›
The estimated share of adults who have been told by a health professional that they have had a stroke.
Full methodology ›Mobility disability
23.8%
in the top 5.3% nationally
Lower is healthier
ST82ndUS95thDefinition & source ›
The estimated share of adults with serious difficulty walking or climbing stairs.
Full methodology ›Outpatient-care access
0.64 per 1,000 residents
in the top 4.7% nationally
Higher is healthier
ST96thUS95thDefinition & source ›
The number of outpatient 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 ›High cholesterol
45.6%
in the top 3.3% nationally
Lower is healthier
ST88thUS97thDefinition & source ›
The estimated share of adults with high cholesterol, among those who have ever been screened for it.
Full methodology ›Binge drinking
11.4%
in the bottom 4.3% nationally
Lower is healthier
ST18thUS4thDefinition & 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 ›Self-care disability
6.8%
in the top 6.8% nationally
Lower is healthier
ST80thUS93rdDefinition & source ›
The estimated share of adults with difficulty dressing or bathing.
Full methodology ›Tooth loss
25%
in the top 7.3% nationally
Lower is healthier
ST86thUS93rdDefinition & source ›
The estimated share of adults aged 65 and older who have lost all of their natural teeth.
Full methodology ›Cross-source signals
Health need and barriers to care documented here
On our reading, this ZIP code carries the overlap at its acute level: acute means at least three of the six health-need readings and at least three of the six access barriers apply to the same place.
These are two separate readings of public data that both apply to this place — never a claim that one causes the other, never a severity score, and never a statement about any person who lives here.
Health need documented here
- People living in poverty
- Adults reporting fair or poor health
- Chronic conditions
Barriers to reaching care
- Distance to the nearest emergency room
- Thin local supply of pharmacies
- Limited home internet for telehealth
A reading appears below only where this ZIP code is among the most-affected 10% of US ZIP codes on it — one national bar, the same for every ZIP in the country.
See the full care-deserts analysis →The read
On balance, and by the composite measure, Reform, Alabama (ZIP 35481) ranks in the bottom 11.4% nationally (28,417th) and the bottom 22% of Alabama (485th).
The readings that matter most locally set the tone for the profile: modeled high blood pressure is in the top 1.8% nationally, and obesity stands in the top 1.2% nationally. Modeled diabetes settles in the top 3.9% nationally, and stroke lies in the top 4.7% nationally. Modeled mobility disability resides in the top 5.3% nationally, high cholesterol lands in the top 3.3% nationally, and self-care disability registers in the top 6.8% nationally. Modeled tooth loss sits in the top 7.3% nationally. On the encouraging side, outpatient rests in the top 4.7% nationally, and modeled binge drinking is in the bottom 4.3% nationally.
For a healthier nearby ZIP overall, look to ZIP 35461, just across the boundary. The area additionally shows documented health need overlapping with barriers to reaching care, sitting in the most-affected 10% of US ZIP codes on several need measures and several access barriers.
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 Tuscaloosa, AL metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Environmental Hazard
healthier than 77%
14%
Preventive Care
healthier than 62%
13%
About typical
Healthcare Access
healthier than 51%
5%
Holding it back
Chronic Disease Burden
healthier than 4%
21%
Social Need / SDOH
healthier than 10%
16%
Risk Behavior
healthier than 21%
11%
Mental Health
healthier than 39%
8%
Disability
healthier than 7%
7%
Climate / Disaster Risk
healthier than 23%
5%
Lifting this score
Environmental Hazard
healthier than 64%
14%
Preventive Care
healthier than 71%
13%
About typical
Mental Health
healthier than 59%
8%
Healthcare Access
healthier than 53%
5%
Holding it back
Chronic Disease Burden
healthier than 11%
21%
Social Need / SDOH
healthier than 23%
16%
Risk Behavior
healthier than 38%
11%
Disability
healthier than 19%
7%
Climate / Disaster Risk
healthier than 31%
5%
Lifting this score
Preventive Care
healthier than 63%
13%
Mental Health
healthier than 60%
8%
About typical
Environmental Hazard
healthier than 50%
14%
Climate / Disaster Risk
healthier than 57%
5%
Healthcare Access
healthier than 53%
5%
Holding it back
Chronic Disease Burden
healthier than 20%
21%
Social Need / SDOH
healthier than 33%
16%
Risk Behavior
healthier than 37%
11%
Disability
healthier than 27%
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 ›
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 76.9; chronic-disease standing 3.6 (bottom 10%) — 73 points apart, cleaner on the environment than it is on chronic illness.
Ranked #857 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.
Nearby
35447
Alabamashares a border
Score 35.37
Closest healthier
35461
Alabamashares a border
Score 47.42
Similar health profile
29628
South Carolina99% similar profile
Score 37.43
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
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Arthritis among adults | 37.3% | 33.5–41.4 |
| High blood pressure among adults | 52.2% | 47.7–56.9 |
| Cancer (non-skin) or melanoma among adults | 9.2% | 8.4–10.2 |
| Current asthma among adults | 11.0% | 9.6–12.4 |
| Coronary heart disease among adults | 10.2% | 9.2–11.3 |
| Chronic obstructive pulmonary disease among adults | 11.7% | 10.3–13.2 |
| Depression among adults | 22.9% | 19.4–26.9 |
| Diagnosed diabetes among adults | 19.9% | 17.4–22.7 |
| High cholesterol among adults who have ever been screened | 45.6% | 41.0–50.6 |
| Obesity among adults | 48.6% | 40.2–57.9 |
| Stroke among adults | 5.9% | 5.4–6.5 |
| All teeth lost among adults aged >=65 years | 25.0% | 21.0–29.5 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 11.1% | 9.3–13.2 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 82.1% | 79.6–84.5 |
| Visits to doctor for routine checkup within the past year among adults | 83.2% | 80.0–86.2 |
| Cholesterol screening among adults | 86.7% | 84.9–88.5 |
| Colorectal cancer screening among adults aged 45–75 years | 67.1% | 62.1–71.9 |
| Visited dentist or dental clinic in the past year among adults | 52.1% | 48.2–56.2 |
| Mammography use among women aged 50-74 years | 77.2% | 70.1–83.5 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 11.4% | 9.2–14.0 |
| Current cigarette smoking among adults | 19.7% | 16.8–22.7 |
| No leisure-time physical activity among adults | 36.4% | 30.9–42.4 |
| Short sleep duration among adults | 40.1% | 33.6–47.0 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 30.2% | 26.7–34.0 |
| Frequent mental distress among adults | 18.2% | 16.1–20.5 |
| Frequent physical distress among adults | 17.8% | 15.7–20.2 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 18.4% | 16.2–20.8 |
| Any disability among adults | 43.7% | 38.8–49.1 |
| Hearing disability among adults | 10.7% | 9.6–12.0 |
| Independent living disability among adults | 12.8% | 11.4–14.3 |
| Mobility disability among adults | 23.8% | 21.0–26.8 |
| Self-care disability among adults | 6.8% | 6.1–7.5 |
| Vision disability among adults | 8.4% | 7.6–9.3 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 26.8% | 23.0–30.7 |
| Food insecurity in the past 12 months among adults | 25.9% | 22.6–29.4 |
| Received food stamps in the past 12 months among adults | 21.6% | 18.7–24.6 |
| Housing insecurity in the past 12 months among adults | 17.7% | 15.4–20.0 |
| Lack of reliable transportation in the past 12 months among adults | 12.5% | 11.0–14.1 |
| Loneliness among adults | 35.6% | 30.5–41.1 |
| Utility services shut-off threat in the past 12 months among adults | 13.0% | 11.4–14.7 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | AL median (p10–p90) |
|---|---|---|---|
| Poverty rate | 28.8% | 10.6% (3.1–25.8%) n=32,364 | 15.4% (5.1–31.1%) n=623 |
| Uninsured 18–64 | 13.8% | 9.0% (1.5–24.3%) n=32,286 | 13.7% (5.2–25.2%) n=625 |
| No HS diploma (25+) | 11.3% | 7.9% (1.8–20.7%) n=32,505 | 13.2% (3.6–23.0%) n=626 |
| Bachelor's or higher (25+) | 10.2% | 23.3% (9.2–53.6%) n=32,505 | 16.9% (6.9–38.8%) n=626 |
| Unemployment rate (16+) | 3.6% | 3.9% (0.0–9.8%) n=32,274 | 4.2% (0.0–11.0%) n=622 |
| Households without a vehicle | 7.6% | 3.9% (0.0–12.5%) n=32,322 | 4.0% (0.0–12.1%) n=622 |
| Broadband subscription | 78.1% | 89.3% (75.1–97.1%) n=32,322 | 84.9% (68.8–94.9%) n=622 |
| Housing cost burden (≥30% income) | 25.6% | 23.7% (10.6–40.0%) n=32,322 | 21.3% (10.1–35.0%) n=622 |
| Homeownership rate | 75.1% | 78.7% (51.7–94.0%) n=32,322 | 78.3% (54.7–92.5%) n=622 |
| Crowded housing (>1 per room) | 0.2% | 1.3% (0.0–6.3%) n=32,322 | 1.3% (0.0–4.2%) n=622 |
| Foreign-born population | 0.5% | 2.6% (0.0–18.6%) n=32,553 | 1.3% (0.0–6.2%) n=628 |
| Single-parent households | 52.9% | 53.6% (37.3–74.1%) n=32,087 | 50.9% (35.0–68.6%) n=617 |
| Population 65+ | 21.3% | 19.4% (10.8–33.6%) n=32,553 | 19.0% (11.9–29.2%) n=628 |
| Median age | 41.0 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.3 yr (33.4–52.9) n=621 |
| Median household income | $45,207 | $72,070 ($46,039–$118,707) n=30,318 | $55,896 ($37,738–$88,230) n=587 |
| Median home value | $84,000 | $222,200 ($100,300–$579,820) n=30,049 | $160,950 ($87,300–$292,680) n=568 |
| Median gross rent | $400 | $1,021 ($677–$1,912) n=25,670 | $856 ($625–$1,266) n=503 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | AL median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 75.3 yr ± 1.18 | 78.9 yr (74.7–82.8) n=31,308 | 74.7 yr (72.1–78.3) n=599 |
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 1.18 years of 75.3, and it’s very unlikely to be off by more than twice that.
More ZIPs to explore ▾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