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ZipVitals

ZIP code

38381

in Toone, TennesseePopulation 1,490

38.36/ 100

Ranked #27,807 of 32,066 US ZIPs (bottom 13.3%)

Ranked #397 of 616 Tennessee ZIPs (bottom 36%)

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.

Fatal road crashes

87.2 per 100,000 residents per year

in the top 0.8% nationally

Lower is healthier

ST99th
US99th
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 ›

Fiber broadband

99.4%

in the top 3.6% nationally

Higher is healthier

ST80th
US96th
Definition & source ›

The share of homes where fiber-optic internet service is available.

Full methodology ›

Distance to a Superfund site

0.3 mi

in the bottom 4.6% nationally

Higher is healthier

ST3rd
US5th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Superfund site — an abandoned or uncontrolled hazardous-waste site the EPA has listed for cleanup.

Full methodology ›

Home broadband subscription

72.2%

in the bottom 7.5% nationally

Higher is healthier

ST6th
US7th
Definition & source ›

The share of households with a broadband internet subscription.

Full methodology ›

Civic-institution access

0.71 per 1,000 residents

in the top 7.6% nationally

Higher is healthier

ST96th
US92nd
Definition & 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 ›

Poverty rate

27.6%

in the top 8.5% nationally

Lower is healthier

ST91st
US92nd
Definition & source ›

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

Full methodology ›

Binge drinking

12.2%

in the bottom 7.9% nationally

Lower is healthier

ST10th
US8th
Definition & 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 ›

Housing-cost burden

40.2%

in the top 9.8% nationally

Lower is healthier

ST96th
US90th
Definition & source ›

The share of households spending 30% or more of their income on housing.

Full methodology ›

Distance to a hazardous-chemical facility

11.5 mi

in the top 11.8% nationally

Higher is healthier

ST91st
US88th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest facility that handles enough hazardous chemicals to require an EPA risk-management plan for accidental releases.

Full methodology ›

Humid extreme heat

115.3 days/year

in the top 16% nationally

Lower is healthier

ST91st
US84th
Definition & source ›

The average number of days per year when modeled heat stress — temperature, humidity, sun, and wind combined — reaches levels hard on the body outdoors.

Full methodology ›

The read

Toone, Tennessee (ZIP 38381) ranks in the bottom 13.3% nationally (27,807th) and the bottom 36% of Tennessee (397th).

continue reading

Several signals sit on each side of the ledger here: fiber broadband lies in the top 3.6% nationally, and civic is in the top 7.6% nationally. Modeled binge drinking registers in the bottom 7.9% nationally, and distance to a hazardous-chemical facility lies in the top 11.8% nationally. Working the other way, fatal road crashes is in the top 0.8% nationally, distance to a Superfund site registers in the bottom 4.6% nationally, and home broadband subscription lies in the bottom 7.5% nationally. Poverty is in the top 8.5% nationally, housing-cost burden registers in the top 9.8% nationally, and modeled high blood pressure lies in the top 10.8% nationally.

For context, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Distance to a hazardous-chemical facility is a plant handling large amounts of hazardous chemicals that must file an EPA risk-management plan for accidental releases. The closest ZIP that ranks healthier overall is ZIP 38340, 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 72%

14%

Healthcare Access

healthier than 65%

5%

Holding it back

Chronic Disease Burden

healthier than 13%

21%

Social Need / SDOH

healthier than 22%

16%

Preventive Care

healthier than 36%

13%

Risk Behavior

healthier than 19%

11%

Mental Health

healthier than 7%

8%

Disability

healthier than 16%

7%

Climate / Disaster Risk

healthier than 21%

5%

Lifting this score

Environmental Hazard

healthier than 72%

14%

Preventive Care

healthier than 64%

13%

Healthcare Access

healthier than 67%

5%

About typical

Mental Health

healthier than 58%

8%

Holding it back

Chronic Disease Burden

healthier than 33%

21%

Social Need / SDOH

healthier than 11%

16%

Risk Behavior

healthier than 36%

11%

Disability

healthier than 35%

7%

Climate / Disaster Risk

healthier than 9%

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 72.0; chronic-disease standing 12.9 — 59 points apart, cleaner on the environment than it is on chronic illness.

    Ranked #1,804 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 adults35.9%32.2–39.5
High blood pressure among adults45.6%41.0–49.8
Cancer (non-skin) or melanoma among adults8.8%7.9–9.8
Current asthma among adults11.7%10.4–13.2
Coronary heart disease among adults8.6%7.7–9.6
Chronic obstructive pulmonary disease among adults11.0%9.7–12.7
Depression among adults28.3%24.3–32.3
Diagnosed diabetes among adults17.1%14.9–19.4
High cholesterol among adults who have ever been screened40.9%36.4–45.4
Obesity among adults42.5%34.2–51.0
Stroke among adults4.9%4.4–5.3
All teeth lost among adults aged >=65 years19.9%16.4–23.9
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years11.7%9.6–13.9
Taking medicine to control high blood pressure among adults with high blood pressure79.4%76.6–81.9
Visits to doctor for routine checkup within the past year among adults80.7%77.0–83.8
Cholesterol screening among adults87.2%85.2–88.9
Colorectal cancer screening among adults aged 45–75 years62.2%56.7–67.7
Visited dentist or dental clinic in the past year among adults54.6%50.5–58.7
Mammography use among women aged 50-74 years72.6%64.3–80.4
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults12.2%9.8–14.8
Current cigarette smoking among adults21.0%17.9–24.4
No leisure-time physical activity among adults32.6%27.5–37.9
Short sleep duration among adults40.8%33.7–48.2
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults27.2%23.8–30.8
Frequent mental distress among adults20.4%18.1–22.8
Frequent physical distress among adults17.6%15.5–19.9
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults19.2%16.8–21.6
Any disability among adults40.5%35.5–45.6
Hearing disability among adults8.8%7.8–9.9
Independent living disability among adults11.6%10.2–13.2
Mobility disability among adults20.8%18.2–23.6
Self-care disability among adults5.5%4.9–6.2
Vision disability among adults7.0%6.3–7.9
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)TN median (p10–p90)
Poverty rate27.6%10.6% (3.1–25.8%) n=32,36413.8% (5.1–26.1%) n=609
Uninsured 18–6416.0%9.0% (1.5–24.3%) n=32,28614.0% (5.9–24.0%) n=615
No HS diploma (25+)14.1%7.9% (1.8–20.7%) n=32,50511.6% (4.2–19.5%) n=613
Bachelor's or higher (25+)15.0%23.3% (9.2–53.6%) n=32,50519.0% (10.0–42.6%) n=613
Unemployment rate (16+)4.4%3.9% (0.0–9.8%) n=32,2744.0% (0.4–9.6%) n=613
Households without a vehicle1.9%3.9% (0.0–12.5%) n=32,3223.9% (0.3–10.1%) n=608
Broadband subscription72.2%89.3% (75.1–97.1%) n=32,32286.7% (76.0–94.9%) n=608
Housing cost burden (≥30% income)40.2%23.7% (10.6–40.0%) n=32,32221.4% (11.8–33.6%) n=608
Homeownership rate83.0%78.7% (51.7–94.0%) n=32,32277.7% (53.4–91.5%) n=608
Crowded housing (>1 per room)0.0%1.3% (0.0–6.3%) n=32,3221.5% (0.0–4.5%) n=608
Foreign-born population0.5%2.6% (0.0–18.6%) n=32,5531.8% (0.0–8.3%) n=617
Single-parent households49.6%53.6% (37.3–74.1%) n=32,08752.6% (39.1–68.7%) n=608
Population 65+24.4%19.4% (10.8–33.6%) n=32,55319.0% (11.5–27.9%) n=617
Median age33.8 yr42.2 yr (33.0–56.3) n=32,29242.3 yr (33.8–52.5) n=615
Median household income$51,313$72,070 ($46,039–$118,707) n=30,318$61,577 ($42,745–$94,822) n=594
Median home value$110,000$222,200 ($100,300–$579,820) n=30,049$215,100 ($120,900–$397,120) n=593
Median gross rent$682$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 birth74.7 yr ± 1.7278.9 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 1.72 years of 74.7, 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