ZIP code
42081
in Smithland, KentuckyPopulation 2,161
36.95/ 100
Ranked #28,557 of 32,066 US ZIPs (bottom 11.0%)
Ranked #317 of 742 Kentucky ZIPs (top 43%)
Ranked #17 of 24 Paducah, KY-IL ZIPs (bottom 29%)
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.
PFOS in drinking water
100%
at the national maximum
Lower is healthier
ST99thUS99thDefinition & 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 ›Industrial-pollution burden
in the top 2.3% nationally
Lower is healthier
ST97thUS98thDefinition & 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 ›Elder-services access
0.51 per 1,000 residents
in the top 2.4% nationally
Higher is healthier
ST99thUS98thDefinition & 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 ›Pharmacy access
0.51 per 1,000 residents
in the top 4.9% nationally
Higher is healthier
ST91stUS95thDefinition & 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 ›PFAS in drinking water
100%
at the national maximum
Lower is healthier
ST99thUS99thDefinition & source ›
The share of residents served by public water systems where PFAS — man-made “forever chemicals” that build up in the body and environment instead of breaking down — were 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 ›Distance to a Superfund site
0.5 mi
in the bottom 5.5% nationally
Higher is healthier
ST2ndUS5thDefinition & 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 ›Housing-cost burden
6.7%
in the bottom 6.2% nationally
Lower is healthier
ST11thUS6thDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Child-care access
0.51 per 1,000 residents
in the top 10.3% nationally
Higher is healthier
ST94thUS90thDefinition & source ›
The number of child day-care services 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 ›Walkability
2.6 intersections/sq mi
in the bottom 11.6% nationally
Higher is healthier
ST9thUS12thDefinition & source ›
The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.
Full methodology ›PFAS in drinking water
11.2%
in the bottom 12.0% nationally
Lower is healthier
ST6thUS12thDefinition & 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 ›The read
On what the available sources can show, Smithland, Kentucky (ZIP 42081) lands in the bottom 11.0% nationally (28,557th) and the top 43% of Kentucky (317th), based on limited data; treat as directional.
Where the data reaches, it shows a few things about this area: elder services resides in the top 2.4% nationally, and pharmacy registers in the top 4.9% nationally. Housing-cost burden rests in the bottom 6.2% nationally, and childcare stands in the top 10.3% nationally. Distance to a community health center lies at the national minimum, shared with about 23% of ZIPs. By contrast, PFOS in drinking water lands at the national maximum, modeled industrial-pollution burden sits in the top 2.3% nationally, and PFAS in drinking water is at the national maximum. Distance to a Superfund site settles in the bottom 5.5% nationally, and walkability resides in the bottom 11.6% nationally.
Read against the ZIPs closest to it, industrial-pollution burden runs far higher than the surrounding ZIPs on this measure. To spell things out, PFOS in drinking water is a common one of the man-made "forever chemicals" that build up in the body and environment instead of breaking down. Industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. PFAS in drinking water is the family of man-made "forever chemicals" that build up in the body and environment instead of breaking down. Close by, ZIP 42029, 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.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Healthcare Access
healthier than 72%
6%
About typical
Social Need / SDOH
healthier than 40%
19%
Holding it back
Environmental Hazard
healthier than 5%
16%
Preventive CarePartial
healthier than 36%
15%
Climate / Disaster Risk
healthier than 21%
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
Social Need / SDOH
healthier than 86%
19%
Holding it back
Environmental Hazard
in the bottom 0.00%
16%
Preventive CarePartial
healthier than 40%
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
42029
Kentuckyshares a border
Score 41.24
Similar health profile
38107
Tennessee99% similar profile
Score 32.79
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 | 21.7% | 17.7–25.9 |
PreventionCDC PLACES 2022 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Colorectal cancer screening among adults aged 45–75 years | 67.6% | 62.0–72.8 |
| Visited dentist or dental clinic in the past year among adults | 55.9% | 51.6–60.0 |
| Mammography use among women aged 50-74 years | 73.9% | 65.0–81.6 |
Health Risk BehaviorsCDC PLACES 2022 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Short sleep duration among adults | 39.7% | 31.9–47.9 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | KY median (p10–p90) |
|---|---|---|---|
| Poverty rate | 10.1% | 10.6% (3.1–25.8%) n=32,364 | 17.1% (4.6–39.2%) n=747 |
| Uninsured 18–64 | 6.7% | 9.0% (1.5–24.3%) n=32,286 | 6.9% (0.0–16.5%) n=741 |
| No HS diploma (25+) | 6.4% | 7.9% (1.8–20.7%) n=32,505 | 13.7% (3.8–29.1%) n=748 |
| Bachelor's or higher (25+) | 16.8% | 23.3% (9.2–53.6%) n=32,505 | 14.8% (1.5–33.6%) n=748 |
| Unemployment rate (16+) | 1.1% | 3.9% (0.0–9.8%) n=32,274 | 3.8% (0.0–11.2%) n=733 |
| Households without a vehicle | 2.3% | 3.9% (0.0–12.5%) n=32,322 | 4.6% (0.0–15.0%) n=745 |
| Broadband subscription | 91.8% | 89.3% (75.1–97.1%) n=32,322 | 86.7% (71.5–97.1%) n=745 |
| Housing cost burden (≥30% income) | 6.7% | 23.7% (10.6–40.0%) n=32,322 | 20.9% (6.2–34.7%) n=745 |
| Homeownership rate | 85.0% | 78.7% (51.7–94.0%) n=32,322 | 78.0% (58.2–96.7%) n=745 |
| Crowded housing (>1 per room) | 0.9% | 1.3% (0.0–6.3%) n=32,322 | 0.7% (0.0–4.8%) n=745 |
| Foreign-born population | 0.5% | 2.6% (0.0–18.6%) n=32,553 | 0.3% (0.0–5.4%) n=749 |
| Single-parent households | 61.2% | 53.6% (37.3–74.1%) n=32,087 | 52.0% (34.7–75.0%) n=738 |
| Population 65+ | 17.5% | 19.4% (10.8–33.6%) n=32,553 | 18.2% (9.6–29.6%) n=749 |
| Median age | 43.6 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.8 yr (32.3–53.9) n=738 |
| Median household income | $92,868 | $72,070 ($46,039–$118,707) n=30,318 | $57,097 ($34,611–$87,693) n=645 |
| Median home value | $167,300 | $222,200 ($100,300–$579,820) n=30,049 | $144,600 ($66,860–$265,120) n=643 |
| Median gross rent | $850 | $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 | 75.5 yr ± 0.76 | 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 0.76 years of 75.5, 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