ZIP code
38454
in Duck River, TennesseePopulation 1,084
44.34/ 100
Ranked #23,078 of 32,066 US ZIPs (bottom 28%)
Ranked #204 of 616 Tennessee ZIPs (top 33%)
Ranked #73 of 110 Nashville-Davidson--Murfreesboro--Franklin, TN ZIPs (bottom 34%)
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.
Fiber broadband
100%
at the national maximum
Higher is healthier
ST99thUS99thDefinition & source ›
The share of homes where fiber-optic internet service is available.
Full methodology ›Home broadband subscription
63.7%
in the bottom 3.8% nationally
Higher is healthier
ST2ndUS4thDefinition & source ›
The share of households with a broadband internet subscription.
Full methodology ›Fatal road crashes
46.1 per 100,000 residents per year
in the top 5.0% nationally
Lower is healthier
ST93rdUS95thDefinition & 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 ›Poverty rate
1.8%
in the bottom 6.4% nationally
Lower is healthier
ST2ndUS6thDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
Full methodology ›Transportation noise
0.19%
in the bottom 10.3% nationally
Lower is healthier
ST7thUS10thDefinition & source ›
The modeled share of residents exposed to average road, rail, and aviation noise at or above 55 decibels — a noticeable background presence.
Full methodology ›Distance to an emergency room
13.1 mi
in the top 15% nationally
Lower is healthier
ST94thUS85thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›The read
By the composite health measure, Duck River, Tennessee (ZIP 38454) ranks in the bottom 28% nationally (23,078th) and the top 33% of Tennessee (204th).
A number of measures pull each way for this area: fiber broadband lies at the national maximum, and poverty lands in the bottom 6.4% nationally. Unemployment sits at the national minimum, shared with about 15% of ZIPs. Households without a vehicle is at the national minimum, shared with about 16% of ZIPs. Modeled arsenic settles in the bottom 10.3% nationally, and transportation noise resides in the bottom 10.3% nationally. Modeled loud transportation noise registers at the national minimum, shared with about 22% of ZIPs. Modeled tree cover rests in the top 11.1% nationally. Set against that, home broadband subscription stands in the bottom 3.8% nationally, and fatal road crashes lies in the top 5.0% nationally.
To spell things out, arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. Transportation noise is the modeled share of an area exposed to average road, rail, and air noise at or above 55 decibels. Loud transportation noise is the modeled share of an area exposed to road, rail, and air noise at or above 65 decibels, near conversation volume. Close by, ZIP 38487, just across the boundary, ranks healthier overall.
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 Nashville-Davidson--Murfreesboro--Franklin, TN 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 72%
14%
About typical
Preventive Care
healthier than 57%
13%
Climate / Disaster Risk
healthier than 43%
5%
Holding it back
Chronic Disease Burden
healthier than 23%
21%
Social Need / SDOH
healthier than 35%
16%
Risk Behavior
healthier than 37%
11%
Mental Health
healthier than 9%
8%
Disability
healthier than 33%
7%
Healthcare Access
healthier than 27%
5%
Lifting this score
Environmental Hazard
healthier than 72%
14%
Preventive Care
healthier than 85%
13%
Risk Behavior
healthier than 68%
11%
Mental Health
healthier than 71%
8%
Disability
healthier than 68%
7%
About typical
Chronic Disease Burden
healthier than 54%
21%
Climate / Disaster Risk
healthier than 49%
5%
Holding it back
Social Need / SDOH
healthier than 27%
16%
Healthcare Access
healthier than 24%
5%
Lifting this score
Environmental Hazard
healthier than 94%
14%
Preventive Care
healthier than 81%
13%
About typical
Risk Behavior
healthier than 45%
11%
Mental Health
healthier than 53%
8%
Holding it back
Chronic Disease Burden
healthier than 11%
21%
Social Need / SDOH
healthier than 4%
16%
Disability
healthier than 29%
7%
Climate / Disaster Risk
healthier than 40%
5%
Healthcare Access
healthier than 19%
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 ›
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
37033
Tennesseeshares a border
Score 40.88
Closest healthier
38487
Tennesseeshares a border
Score 44.40
Similar health profile
04263
Maine99% similar profile
Score 42.62
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 | 36.2% | 32.2–40.2 |
| High blood pressure among adults | 43.5% | 38.9–48.1 |
| Cancer (non-skin) or melanoma among adults | 10.1% | 9.1–11.2 |
| Current asthma among adults | 11.0% | 9.7–12.4 |
| Coronary heart disease among adults | 8.3% | 7.2–9.4 |
| Chronic obstructive pulmonary disease among adults | 10.2% | 8.6–11.8 |
| Depression among adults | 28.9% | 24.8–33.1 |
| Diagnosed diabetes among adults | 14.7% | 12.5–16.9 |
| High cholesterol among adults who have ever been screened | 42.8% | 38.0–47.5 |
| Obesity among adults | 37.5% | 29.5–46.1 |
| Stroke among adults | 4.1% | 3.7–4.7 |
| All teeth lost among adults aged >=65 years | 13.7% | 11.0–16.8 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 10.4% | 8.4–12.8 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 79.0% | 75.9–81.9 |
| Visits to doctor for routine checkup within the past year among adults | 79.3% | 75.6–82.7 |
| Cholesterol screening among adults | 88.3% | 86.5–90.0 |
| Colorectal cancer screening among adults aged 45–75 years | 65.0% | 59.4–70.1 |
| Visited dentist or dental clinic in the past year among adults | 62.0% | 58.0–65.9 |
| Mammography use among women aged 50-74 years | 76.4% | 68.3–83.2 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.0% | 11.4–17.0 |
| Current cigarette smoking among adults | 19.3% | 16.2–22.6 |
| No leisure-time physical activity among adults | 28.2% | 23.1–33.5 |
| Short sleep duration among adults | 37.2% | 30.4–44.8 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 23.2% | 19.8–26.8 |
| Frequent mental distress among adults | 19.1% | 16.9–21.5 |
| Frequent physical distress among adults | 16.4% | 14.3–18.7 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 17.3% | 15.0–19.7 |
| Any disability among adults | 37.4% | 32.2–42.6 |
| Hearing disability among adults | 9.0% | 7.9–10.3 |
| Independent living disability among adults | 9.4% | 8.1–10.8 |
| Mobility disability among adults | 17.8% | 15.1–20.6 |
| Self-care disability among adults | 4.2% | 3.6–4.9 |
| Vision disability among adults | 5.3% | 4.6–6.0 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | TN median (p10–p90) |
|---|---|---|---|
| Poverty rate | 1.8% | 10.6% (3.1–25.8%) n=32,364 | 13.8% (5.1–26.1%) n=609 |
| Uninsured 18–64 | 0.0% | 9.0% (1.5–24.3%) n=32,286 | 14.0% (5.9–24.0%) n=615 |
| No HS diploma (25+) | 16.5% | 7.9% (1.8–20.7%) n=32,505 | 11.6% (4.2–19.5%) n=613 |
| Bachelor's or higher (25+) | 17.7% | 23.3% (9.2–53.6%) n=32,505 | 19.0% (10.0–42.6%) n=613 |
| Unemployment rate (16+) | 0.0% | 3.9% (0.0–9.8%) n=32,274 | 4.0% (0.4–9.6%) n=613 |
| Households without a vehicle | 0.0% | 3.9% (0.0–12.5%) n=32,322 | 3.9% (0.3–10.1%) n=608 |
| Broadband subscription | 63.7% | 89.3% (75.1–97.1%) n=32,322 | 86.7% (76.0–94.9%) n=608 |
| Housing cost burden (≥30% income) | 21.2% | 23.7% (10.6–40.0%) n=32,322 | 21.4% (11.8–33.6%) n=608 |
| Homeownership rate | 83.6% | 78.7% (51.7–94.0%) n=32,322 | 77.7% (53.4–91.5%) n=608 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 1.5% (0.0–4.5%) n=608 |
| Foreign-born population | 1.1% | 2.6% (0.0–18.6%) n=32,553 | 1.8% (0.0–8.3%) n=617 |
| Single-parent households | 58.5% | 53.6% (37.3–74.1%) n=32,087 | 52.6% (39.1–68.7%) n=608 |
| Population 65+ | 23.6% | 19.4% (10.8–33.6%) n=32,553 | 19.0% (11.5–27.9%) n=617 |
| Median age | 52.0 yr | 42.2 yr (33.0–56.3) n=32,292 | 42.3 yr (33.8–52.5) n=615 |
| Median household income | $61,914 | $72,070 ($46,039–$118,707) n=30,318 | $61,577 ($42,745–$94,822) n=594 |
| Median home value | $176,100 | $222,200 ($100,300–$579,820) n=30,049 | $215,100 ($120,900–$397,120) n=593 |
| Median gross rent | $1,368 | $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 unavailable for this ZIP — fewer than 80% of the census tracts that make it up could be matched across the 2010→2020 tract-boundary revision, so no value is published rather than an unreliable one. See how coverage gaps are handled. | |||
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