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ZipVitals

ZIP code

38374

in Scotts Hill, TennesseePopulation 1,815

37.65/ 100

Ranked #28,210 of 32,066 US ZIPs (bottom 12.1%)

Ranked #429 of 616 Tennessee ZIPs (bottom 30%)

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.

Pharmacy access

1.1 per 1,000 residents

in the top 0.8% nationally

Higher is healthier

ST99th
US99th
Definition & source ›

The number of pharmacies 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 ›

Grocery access

0.54 per 1,000 residents

in the top 1.4% nationally

Higher is healthier

ST99th
US99th
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 ›

Elder-services access

0.54 per 1,000 residents

in the top 2.2% 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 ›

Poverty rate

33.9%

in the top 4.9% nationally

Lower is healthier

ST96th
US95th
Definition & source ›

The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.

Full methodology ›

Fatal road crashes

38.6 per 100,000 residents per year

in the top 7.5% nationally

Lower is healthier

ST90th
US93rd
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 ›

Lithium in drinking water

64 µg/L

in the top 7.8% nationally

Lower is healthier

ST86th
US92nd
Definition & source ›

The average detected level of lithium — a natural trace metal with no federal drinking-water limit yet — across the public water systems serving this ZIP, in micrograms per liter.

Measured from EPA records for the public water systems that serve this ZIP. Households on private wells — roughly 30% of the US population — are not covered by this measure, and this figure says nothing about their water.

Full methodology ›

Hearing disability

11.1%

in the top 8.7% nationally

Lower is healthier

ST90th
US91st
Definition & source ›

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

Full methodology ›

Coronary heart disease

10.2%

in the top 8.3% nationally

Lower is healthier

ST88th
US92nd
Definition & source ›

The estimated share of adults who have been told by a health professional that they have coronary heart disease or angina.

Full methodology ›

High cholesterol

43.9%

in the top 7.2% nationally

Lower is healthier

ST87th
US93rd
Definition & source ›

The estimated share of adults with high cholesterol, among those who have ever been screened for it.

Full methodology ›

High blood pressure

45.9%

in the top 10.0% nationally

Lower is healthier

ST80th
US90th
Definition & source ›

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

Full methodology ›

The read

On balance, and by the composite measure, Scotts Hill, Tennessee (ZIP 38374) ranks in the bottom 12.1% nationally (28,210th) and the bottom 30% of Tennessee (429th).

continue reading

The burdens that read clearest in the data come first: poverty sits in the top 4.9% nationally, and fatal road crashes rests in the top 7.5% nationally. Lithium in drinking water is in the top 7.8% nationally, and modeled hearing disability stands in the top 8.7% nationally. Modeled coronary heart disease settles in the top 8.3% nationally, mobility disability lies in the top 10.3% nationally, and high cholesterol resides in the top 7.2% nationally. Better still, pharmacy lands in the top 0.8% nationally, grocery registers in the top 1.4% nationally, and elder services sits in the top 2.2% nationally.

Compared with the ZIPs it borders, pharmacy runs far higher than the surrounding ZIPs on this measure. In plainer terms, lithium in drinking water is a natural metal that dissolves into some groundwater and has no federal drinking-water limit yet. For a healthier nearby ZIP overall, look to ZIP 38351, 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 88%

14%

About typical

Social Need / SDOH

healthier than 48%

16%

Holding it back

Chronic Disease Burden

healthier than 8%

21%

Preventive Care

healthier than 25%

13%

Risk Behavior

healthier than 22%

11%

Mental Health

healthier than 8%

8%

Disability

healthier than 12%

7%

Climate / Disaster Risk

healthier than 30%

5%

Healthcare Access

healthier than 20%

5%

Lifting this score

Environmental Hazard

healthier than 95%

14%

Mental Health

healthier than 63%

8%

About typical

Social Need / SDOH

healthier than 47%

16%

Risk Behavior

healthier than 42%

11%

Holding it back

Chronic Disease Burden

healthier than 20%

21%

Preventive Care

healthier than 37%

13%

Disability

healthier than 25%

7%

Climate / Disaster Risk

healthier than 22%

5%

Healthcare Access

healthier than 14%

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 88.1; chronic-disease standing 8.5 (bottom 10%) — 80 points apart, cleaner on the environment than it is on chronic illness.

    Ranked #512 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 adults38.5%35.7–41.4
High blood pressure among adults45.9%42.6–49.2
Cancer (non-skin) or melanoma among adults10.7%9.9–11.6
Current asthma among adults11.0%9.9–12.1
Coronary heart disease among adults10.2%9.3–11.2
Chronic obstructive pulmonary disease among adults12.7%11.4–14.2
Depression among adults29.1%26.0–32.3
Diagnosed diabetes among adults16.8%15.1–18.6
High cholesterol among adults who have ever been screened43.9%40.4–47.4
Obesity among adults39.6%33.9–45.8
Stroke among adults5.1%4.6–5.5
All teeth lost among adults aged >=65 years19.4%16.7–22.5
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years11.8%10.0–13.9
Taking medicine to control high blood pressure among adults with high blood pressure80.2%78.0–82.1
Visits to doctor for routine checkup within the past year among adults79.3%76.5–81.9
Cholesterol screening among adults86.8%85.2–88.3
Colorectal cancer screening among adults aged 45–75 years60.0%56.1–63.9
Visited dentist or dental clinic in the past year among adults53.4%50.3–56.5
Mammography use among women aged 50-74 years69.5%62.9–75.6
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults13.0%11.1–15.1
Current cigarette smoking among adults22.0%19.2–24.9
No leisure-time physical activity among adults31.6%27.7–35.7
Short sleep duration among adults38.0%33.2–43.3
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults27.5%24.5–30.4
Frequent mental distress among adults19.5%17.7–21.5
Frequent physical distress among adults18.6%16.7–20.5
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults19.0%17.1–21.1
Any disability among adults42.0%38.2–45.9
Hearing disability among adults11.1%10.1–12.2
Independent living disability among adults11.6%10.4–12.9
Mobility disability among adults21.8%19.6–24.2
Self-care disability among adults5.5%4.9–6.1
Vision disability among adults6.9%6.3–7.7
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)TN median (p10–p90)
Poverty rate33.9%10.6% (3.1–25.8%) n=32,36413.8% (5.1–26.1%) n=609
Uninsured 18–647.1%9.0% (1.5–24.3%) n=32,28614.0% (5.9–24.0%) n=615
No HS diploma (25+)13.8%7.9% (1.8–20.7%) n=32,50511.6% (4.2–19.5%) n=613
Bachelor's or higher (25+)8.2%23.3% (9.2–53.6%) n=32,50519.0% (10.0–42.6%) n=613
Unemployment rate (16+)0.8%3.9% (0.0–9.8%) n=32,2744.0% (0.4–9.6%) n=613
Households without a vehicle3.9%3.9% (0.0–12.5%) n=32,3223.9% (0.3–10.1%) n=608
Broadband subscription85.1%89.3% (75.1–97.1%) n=32,32286.7% (76.0–94.9%) n=608
Housing cost burden (≥30% income)19.9%23.7% (10.6–40.0%) n=32,32221.4% (11.8–33.6%) n=608
Homeownership rate70.0%78.7% (51.7–94.0%) n=32,32277.7% (53.4–91.5%) n=608
Crowded housing (>1 per room)0.4%1.3% (0.0–6.3%) n=32,3221.5% (0.0–4.5%) n=608
Foreign-born population0.0%2.6% (0.0–18.6%) n=32,5531.8% (0.0–8.3%) n=617
Single-parent households54.8%53.6% (37.3–74.1%) n=32,08752.6% (39.1–68.7%) n=608
Population 65+19.9%19.4% (10.8–33.6%) n=32,55319.0% (11.5–27.9%) n=617
Median age39.8 yr42.2 yr (33.0–56.3) n=32,29242.3 yr (33.8–52.5) n=615
Median household income$38,389$72,070 ($46,039–$118,707) n=30,318$61,577 ($42,745–$94,822) n=594
Median home value$116,000$222,200 ($100,300–$579,820) n=30,049$215,100 ($120,900–$397,120) n=593
Median gross rent$742$1,021 ($677–$1,912) n=25,670$908 ($659–$1,523) n=516
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)TN median (p10–p90)
Life expectancy at birth75.7 yr ± 0.9178.9 yr (74.7–82.8) n=31,30875.1 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 0.91 years of 75.7, 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