ZIP code
42078
in Salem, KentuckyPopulation 1,702
33.86/ 100
Ranked #29,787 of 32,066 US ZIPs (bottom 7.2%)
Ranked #389 of 742 Kentucky ZIPs (bottom 48%)
Ranked #22 of 24 Paducah, KY-IL ZIPs (bottom 8.4%)
Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.
Some domains have limited local data — read this Score as directional
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
0.57 per 1,000 residents
in the top 3.9% nationally
Higher is healthier
ST93rdUS96thDefinition & 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 ›Lead in tap water
0 ppb
at the national minimum
Lower is healthier
US1stDefinition & source ›
The lead level at the 90th percentile of tap-water samples reported by the public water systems serving this ZIP, in parts per billion — the EPA requires action above 15 ppb.
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 ›Tooth loss
24.2%
in the top 8.4% nationally
Lower is healthier
ST54thUS92ndDefinition & source ›
The estimated share of adults aged 65 and older who have lost all of their natural teeth.
Full methodology ›Physician access
1.7 per 1,000 residents
in the top 9.4% nationally
Higher is healthier
ST95thUS91stDefinition & 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 ›Energy-cost burden
5.2%
in the top 7.5% nationally
Lower is healthier
ST88thUS93rdDefinition & source ›
The modeled share of household income spent on home energy bills — electricity, gas, and heating fuels.
A modeled share of household income spent on home energy. Estimates that hit the model’s 100% ceiling are suppressed rather than published, because at that point the figure reflects the model’s limit rather than a measured burden.
Full methodology ›Industrial-pollution burden
in the top 9.6% nationally
Lower is healthier
ST90thUS90thDefinition & source ›
The EPA’s modeled screening score for industrial chemical releases, weighting the amounts released by their toxicity and how many people live nearby — a relative comparison score, not a measured exposure.
Full methodology ›PFAS in drinking water
11.6%
in the bottom 12.9% nationally
Lower is healthier
ST6thUS13thDefinition & source ›
The modeled probability that PFAS “forever chemicals” would be detected in untreated groundwater in this area, the source private wells draw on.
A modeled likelihood for untreated groundwater, the source drawn on by private wells, which are federally unregulated. It is not a measurement of treated water delivered by a public system, and it is not a test of any individual well.
Full methodology ›PFOS in drinking water
60.4%
in the top 16% nationally
Lower is healthier
ST96thUS84thDefinition & source ›
The share of residents served by public water systems where PFOS, one of the most common “forever chemicals,” was detected in EPA testing.
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 ›The read
On the limited readings gathered so far, Salem, Kentucky (ZIP 42078) lands in the bottom 7.2% nationally (29,787th) and the bottom 48% of Kentucky (389th), based on limited data; treat as directional.
What the available data indicates is laid out plainly: pharmacy rests in the top 3.9% nationally, and lead in tap water settles at the national minimum. Distance to an emergency room lands at the national minimum, shared with about 11% of ZIPs. Physicians rests in the top 9.4% nationally, and modeled arsenic settles in the bottom 10.4% nationally. Modeled pfas lands in the bottom 12.9% nationally. Set against that, modeled tooth loss rests in the top 8.4% nationally, and energy burden settles in the top 7.5% nationally. Modeled industrial-pollution burden lands in the top 9.6% nationally, and walkability rests in the bottom 13.0% nationally.
Put plainly, lead in tap water is the EPA trigger, 15 parts per billion in tap samples, above which a water system must act on lead. Industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. Arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. A healthier nearby ZIP overall is ZIP 42047, 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
Healthcare Access
healthier than 73%
6%
About typical
Environmental Hazard
healthier than 54%
16%
Holding it back
Social Need / SDOH
healthier than 12%
19%
Preventive CarePartial
healthier than 17%
15%
Climate / Disaster Risk
healthier than 34%
6%
Not placed: Chronic Disease Burden and Risk Behavior — too little of each is measured here to compare reliably. They still count toward the score (together 38% of it); we just will not publish a standing we cannot stand behind.
No data: Mental Health and Disability — not measured in this ZIP, so it is left out of the score entirely rather than estimated.
Lifting this score
Environmental Hazard
in the top 0.00%
16%
Holding it back
Social Need / SDOH
healthier than 5%
19%
Preventive CarePartial
in the bottom 0.00%
15%
Climate / Disaster Risk
in the bottom 0.00%
6%
Healthcare Access
in the bottom 0.00%
6%
Not placed: Chronic Disease Burden and Risk Behavior — too little of each is measured here to compare reliably. They still count toward the score (together 38% of it); we just will not publish a standing we cannot stand behind.
No data: Mental Health and Disability — not measured in this ZIP, so it is left out of the score entirely rather than estimated.
“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
42028
Kentuckyshares a border
Score 32.96
Closest healthier
42047
Kentuckyshares a border
Score 41.97
Similar health profile
35958
Alabama100% similar profile
Score 31.52
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 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| All teeth lost among adults aged >=65 years | 24.2% | 20.3–28.2 |
PreventionCDC PLACES 2022 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Colorectal cancer screening among adults aged 45–75 years | 66.2% | 61.2–70.8 |
| Visited dentist or dental clinic in the past year among adults | 52.0% | 48.0–55.7 |
| Mammography use among women aged 50-74 years | 70.8% | 62.2–78.1 |
Health Risk BehaviorsCDC PLACES 2022 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Short sleep duration among adults | 40.4% | 33.8–47.4 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | KY median (p10–p90) |
|---|---|---|---|
| Poverty rate | 17.6% | 10.6% (3.1–25.8%) n=32,364 | 17.1% (4.6–39.2%) n=747 |
| Uninsured 18–64 | 4.7% | 9.0% (1.5–24.3%) n=32,286 | 6.9% (0.0–16.5%) n=741 |
| No HS diploma (25+) | 9.4% | 7.9% (1.8–20.7%) n=32,505 | 13.7% (3.8–29.1%) n=748 |
| Bachelor's or higher (25+) | 14.1% | 23.3% (9.2–53.6%) n=32,505 | 14.8% (1.5–33.6%) n=748 |
| Unemployment rate (16+) | 1.7% | 3.9% (0.0–9.8%) n=32,274 | 3.8% (0.0–11.2%) n=733 |
| Households without a vehicle | 3.4% | 3.9% (0.0–12.5%) n=32,322 | 4.6% (0.0–15.0%) n=745 |
| Broadband subscription | 79.3% | 89.3% (75.1–97.1%) n=32,322 | 86.7% (71.5–97.1%) n=745 |
| Housing cost burden (≥30% income) | 16.9% | 23.7% (10.6–40.0%) n=32,322 | 20.9% (6.2–34.7%) n=745 |
| Homeownership rate | 89.5% | 78.7% (51.7–94.0%) n=32,322 | 78.0% (58.2–96.7%) n=745 |
| Crowded housing (>1 per room) | 0.6% | 1.3% (0.0–6.3%) n=32,322 | 0.7% (0.0–4.8%) n=745 |
| Foreign-born population | 0.1% | 2.6% (0.0–18.6%) n=32,553 | 0.3% (0.0–5.4%) n=749 |
| Single-parent households | 51.7% | 53.6% (37.3–74.1%) n=32,087 | 52.0% (34.7–75.0%) n=738 |
| Population 65+ | 29.3% | 19.4% (10.8–33.6%) n=32,553 | 18.2% (9.6–29.6%) n=749 |
| Median age | 47.1 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.8 yr (32.3–53.9) n=738 |
| Median household income | $56,397 | $72,070 ($46,039–$118,707) n=30,318 | $57,097 ($34,611–$87,693) n=645 |
| Median home value | $85,300 | $222,200 ($100,300–$579,820) n=30,049 | $144,600 ($66,860–$265,120) n=643 |
| Median gross rent | $669 | $1,021 ($677–$1,912) n=25,670 | $821 ($592–$1,170) n=466 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | KY median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 73.7 yr ± 1.07 | 78.9 yr (74.7–82.8) n=31,308 | 74.8 yr (71.5–78.1) n=739 |
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 1.07 years of 73.7, 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