ZIP code
38242
in Paris, TennesseePopulation 19,293
37.21/ 100
Ranked #28,430 of 32,066 US ZIPs (bottom 11.4%)
Ranked #443 of 616 Tennessee ZIPs (bottom 28%)
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.
Expected annual disaster loss
$1
in the top 0.3% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
FEMA’s modeled estimate, in dollars per year, of the average harm to people expected from natural hazards — an annualized average, not a forecast for any single year.
Full methodology ›Natural-disaster risk
in the top 0.6% nationally
Lower is healthier
ST99thUS99thDefinition & 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 ›Mental-health provider access
0.15 per 1,000 residents
in the top 6.7% nationally
Higher is healthier
ST94thUS93rdDefinition & 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 ›Civic-institution access
0.75 per 1,000 residents
in the top 6.9% nationally
Higher is healthier
ST97thUS93rdDefinition & source ›
The number of civic and social organizations 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 ›Mobility disability
22.4%
in the top 8.4% nationally
Lower is healthier
ST84thUS92ndDefinition & source ›
The estimated share of adults with serious difficulty walking or climbing stairs.
Full methodology ›Elder-services access
0.15 per 1,000 residents
in the top 10.1% nationally
Higher is healthier
ST92ndUS90thDefinition & 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 ›Physician access
1.5 per 1,000 residents
in the top 12.1% nationally
Higher is healthier
ST90thUS88thDefinition & source ›
The number of physicians’ offices 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 ›Distance to a community health center
13.9 mi
in the top 13.5% nationally
Lower is healthier
ST93rdUS87thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest federally funded community health center, which serves patients regardless of ability to pay.
Full methodology ›Fiber broadband
5.2%
in the bottom 30% nationally
Higher is healthier
ST8thUS30thDefinition & source ›
The share of homes where fiber-optic internet service is available.
Full methodology ›The read
In overall standing, Paris, Tennessee (ZIP 38242) comes out in the bottom 11.4% nationally (28,430th) and the bottom 28% of Tennessee (443rd).
The data is direct about where this area carries real strain: modeled expected annual loss registers in the top 0.3% nationally, disaster risk stands in the top 0.6% nationally, and mobility disability lands in the top 8.4% nationally. Modeled independent living disability is in the top 10.3% nationally, and cognitive disability resides in the top 10.7% nationally. More encouragingly, distance to an emergency room rests at the national minimum, shared with about 11% of ZIPs. Mental-health providers lies in the top 6.7% nationally, and civic sits in the top 6.9% nationally. Elder services settles in the top 10.1% nationally, and subsidized affordable housing registers in the top 11.9% nationally.
Relative to the ZIPs around it, expected annual loss runs far higher than the surrounding ZIPs on this measure. In plain terms, expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. Disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. Subsidized affordable housing is the main federal tax-credit program (HUD) funding affordable rental housing, counted as local units it supports. The nearest healthier ZIP overall is ZIP 38222, 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.
Lifting this score
Environmental Hazard
healthier than 76%
14%
About typical
Social Need / SDOH
healthier than 59%
16%
Holding it back
Chronic Disease Burden
healthier than 10%
21%
Preventive Care
healthier than 31%
13%
Risk Behavior
healthier than 17%
11%
Mental Health
healthier than 4%
8%
Disability
healthier than 10%
7%
Climate / Disaster Risk
healthier than 32%
5%
Healthcare Access
healthier than 20%
5%
Lifting this score
Social Need / SDOH
healthier than 64%
16%
Environmental Hazard
healthier than 79%
14%
About typical
Preventive Care
healthier than 54%
13%
Holding it back
Chronic Disease Burden
healthier than 23%
21%
Risk Behavior
healthier than 30%
11%
Mental Health
healthier than 30%
8%
Disability
healthier than 21%
7%
Climate / Disaster Risk
healthier than 25%
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
2 of our published findings list 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.
Below what income predicts
The ZIP codes that outlive their incomes
Estimated life expectancy is 74.0 ± 1.0 years. A median household income of $47,938 predicts 77.2 years — 3.2 years below.
Ranked #4,357 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.
Clean environment, heavy chronic burden
Where the environment and chronic illness point in opposite directions
Environmental-hazard standing 76.5; chronic-disease standing 9.5 (bottom 10%) — 67 points apart, cleaner on the environment than it is on chronic illness.
Ranked #1,259 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
38222
Tennesseeshares a border
Score 42.97
Closest healthier
38225
Tennesseeshares a border
Score 37.63
Similar health profile
38552
Tennessee99% similar profile
Score 39.62
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 | 37.8% | 34.1–41.4 |
| High blood pressure among adults | 45.1% | 40.8–49.2 |
| Cancer (non-skin) or melanoma among adults | 10.0% | 9.0–10.9 |
| Current asthma among adults | 11.5% | 10.1–12.9 |
| Coronary heart disease among adults | 9.7% | 8.7–10.7 |
| Chronic obstructive pulmonary disease among adults | 12.4% | 11.0–13.7 |
| Depression among adults | 30.7% | 26.6–34.9 |
| Diagnosed diabetes among adults | 17.1% | 14.9–19.3 |
| High cholesterol among adults who have ever been screened | 41.9% | 37.5–46.3 |
| Obesity among adults | 38.9% | 31.6–46.6 |
| Stroke among adults | 5.1% | 4.7–5.5 |
| All teeth lost among adults aged >=65 years | 21.8% | 18.1–25.7 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 12.6% | 10.8–14.5 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 80.5% | 77.8–82.8 |
| Visits to doctor for routine checkup within the past year among adults | 80.1% | 76.6–83.2 |
| Cholesterol screening among adults | 86.6% | 84.8–88.2 |
| Colorectal cancer screening among adults aged 45–75 years | 63.1% | 57.7–68.3 |
| Visited dentist or dental clinic in the past year among adults | 52.9% | 48.9–56.8 |
| Mammography use among women aged 50-74 years | 71.6% | 63.1–79.2 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 12.8% | 10.4–15.4 |
| Current cigarette smoking among adults | 21.7% | 18.9–24.5 |
| No leisure-time physical activity among adults | 33.4% | 28.4–38.2 |
| Short sleep duration among adults | 39.4% | 32.3–46.6 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 28.1% | 24.9–31.3 |
| Frequent mental distress among adults | 20.4% | 18.2–22.7 |
| Frequent physical distress among adults | 18.6% | 16.5–20.7 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 19.7% | 17.6–21.8 |
| Any disability among adults | 43.1% | 38.3–47.6 |
| Hearing disability among adults | 10.3% | 9.2–11.5 |
| Independent living disability among adults | 12.2% | 10.9–13.5 |
| Mobility disability among adults | 22.4% | 19.8–24.9 |
| Self-care disability among adults | 5.7% | 5.2–6.2 |
| Vision disability among adults | 7.4% | 6.7–8.1 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | TN median (p10–p90) |
|---|---|---|---|
| Poverty rate | 19.7% | 10.6% (3.1–25.8%) n=32,364 | 13.8% (5.1–26.1%) n=609 |
| Uninsured 18–64 | 17.3% | 9.0% (1.5–24.3%) n=32,286 | 14.0% (5.9–24.0%) n=615 |
| No HS diploma (25+) | 10.3% | 7.9% (1.8–20.7%) n=32,505 | 11.6% (4.2–19.5%) n=613 |
| Bachelor's or higher (25+) | 20.7% | 23.3% (9.2–53.6%) n=32,505 | 19.0% (10.0–42.6%) n=613 |
| Unemployment rate (16+) | 3.3% | 3.9% (0.0–9.8%) n=32,274 | 4.0% (0.4–9.6%) n=613 |
| Households without a vehicle | 6.7% | 3.9% (0.0–12.5%) n=32,322 | 3.9% (0.3–10.1%) n=608 |
| Broadband subscription | 84.5% | 89.3% (75.1–97.1%) n=32,322 | 86.7% (76.0–94.9%) n=608 |
| Housing cost burden (≥30% income) | 22.9% | 23.7% (10.6–40.0%) n=32,322 | 21.4% (11.8–33.6%) n=608 |
| Homeownership rate | 67.1% | 78.7% (51.7–94.0%) n=32,322 | 77.7% (53.4–91.5%) n=608 |
| Crowded housing (>1 per room) | 1.8% | 1.3% (0.0–6.3%) n=32,322 | 1.5% (0.0–4.5%) n=608 |
| Foreign-born population | 1.8% | 2.6% (0.0–18.6%) n=32,553 | 1.8% (0.0–8.3%) n=617 |
| Single-parent households | 58.4% | 53.6% (37.3–74.1%) n=32,087 | 52.6% (39.1–68.7%) n=608 |
| Population 65+ | 24.4% | 19.4% (10.8–33.6%) n=32,553 | 19.0% (11.5–27.9%) n=617 |
| Median age | 44.4 yr | 42.2 yr (33.0–56.3) n=32,292 | 42.3 yr (33.8–52.5) n=615 |
| Median household income | $47,938 | $72,070 ($46,039–$118,707) n=30,318 | $61,577 ($42,745–$94,822) n=594 |
| Median home value | $173,600 | $222,200 ($100,300–$579,820) n=30,049 | $215,100 ($120,900–$397,120) n=593 |
| Median gross rent | $782 | $1,021 ($677–$1,912) n=25,670 | $908 ($659–$1,523) n=516 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | TN median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 74.0 yr ± 0.53 | 78.9 yr (74.7–82.8) n=31,308 | 75.1 yr (72.6–78.1) n=587 |
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 0.53 years of 74.0, 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