ZIP code
42749
in Horse Cave, KentuckyPopulation 4,423
23.50/ 100
Ranked #31,616 of 32,066 US ZIPs (bottom 1.5%)
Ranked #604 of 742 Kentucky ZIPs (bottom 19%)
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.
Tooth loss
31.8%
in the top 2.2% nationally
Lower is healthier
ST85thUS98thDefinition & source ›
The estimated share of adults aged 65 and older who have lost all of their natural teeth.
Full methodology ›Short sleep
44.5%
in the top 3.7% nationally
Lower is healthier
ST86thUS96thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Industrial-pollution burden
in the top 3.9% nationally
Lower is healthier
ST96thUS96thDefinition & 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 ›Grocery access
0.19 per 1,000 residents
in the top 7.9% nationally
Higher is healthier
ST94thUS92ndDefinition & 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 ›Nitrate in drinking water
0.16%
in the top 8.0% nationally
Lower is healthier
ST95thUS92ndDefinition & source ›
The modeled share of this area’s domestic-well groundwater at or above the federal nitrate limit of 10 milligrams per liter.
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 ›Radon
3 pCi/L
in the top 10.3% nationally
Lower is healthier
ST99thUS90thDefinition & source ›
The modeled typical indoor radon level for this area, in picocuries per liter — the EPA recommends fixing a home at 4 pCi/L or above.
Modeled from indoor-radon measurements. In Alaska and Hawaii, where those measurements are not published, a US Geological Survey geologic radon-potential category stands in — a coarser input, disclosed rather than hidden.
Full methodology ›Median household income
$45,500
in the bottom 9.5% nationally
Higher is healthier
ST26thUS9thDefinition & source ›
The middle household income in this ZIP — half of households earn more, half earn less — in dollars per year.
Full methodology ›Subsidized affordable housing
104 units
in the top 18% nationally
Higher is healthier
ST90thUS82ndDefinition & source ›
The number of affordable rental units in this ZIP supported by the federal Low-Income Housing Tax Credit program.
Full methodology ›Fine-particle (PM2.5) exceedance
0.27%
in the top 32% nationally
Lower is healthier
ST94thUS68thDefinition & source ›
The share of days in the year when modeled fine-particle (PM2.5) pollution was above the EPA’s daily limit of 35 micrograms per cubic meter.
Full methodology ›The read
On the coverage assembled to date, Horse Cave, Kentucky (ZIP 42749) lands in the bottom 1.5% nationally (31,616th) and the bottom 19% of Kentucky (604th), based on limited data; treat as directional.
What little the measures show is worth setting out plainly: distance to an emergency room is at the national minimum, shared with about 11% of ZIPs. Grocery stands in the top 7.9% nationally. Distance to a community health center settles at the national minimum, shared with about 23% of ZIPs. Distance to a nursing home lies at the national minimum, shared with about 27% of ZIPs. On the other hand, modeled tooth loss resides in the top 2.2% nationally, short sleep lands in the top 3.7% nationally, and industrial-pollution burden registers in the top 3.9% nationally. Modeled nitrate sits in the top 8.0% nationally, modeled radon rests in the top 10.3% nationally, and fatal road crashes is in the top 13.9% nationally.
Compared with the ZIPs it borders, industrial-pollution burden runs far higher than the surrounding ZIPs on this measure. In plainer terms, industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. Nitrate is a groundwater compound from fertilizer, manure, and sewage, here a modeled estimate of the chance private-well levels exceed a benchmark. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. For a healthier nearby ZIP overall, look to ZIP 42127, 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
in the top 0.00%
6%
About typical
Social Need / SDOH
healthier than 44%
19%
Climate / Disaster Risk
healthier than 52%
6%
Holding it back
Environmental Hazard
healthier than 25%
16%
Preventive CarePartial
healthier than 9%
15%
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 93%
19%
Healthcare Access
in the top 0.00%
6%
About typical
Environmental Hazard
healthier than 43%
16%
Holding it back
Preventive CarePartial
in the bottom 0.00%
15%
Climate / Disaster Risk
healthier than 37%
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
42127
Kentuckyshares a border
Score 25.32
Closest healthier
42129
Kentuckyshares a border
Score 36.14
Similar health profile
40033
Kentucky100% similar profile
Score 28.18
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 | 31.8% | 27.4–36.6 |
PreventionCDC PLACES 2022 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Colorectal cancer screening among adults aged 45–75 years | 62.8% | 57.7–67.8 |
| Visited dentist or dental clinic in the past year among adults | 47.6% | 44.0–51.5 |
| Mammography use among women aged 50-74 years | 70.4% | 62.2–77.8 |
Health Risk BehaviorsCDC PLACES 2022 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Short sleep duration among adults | 44.5% | 37.6–51.5 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | KY median (p10–p90) |
|---|---|---|---|
| Poverty rate | 21.2% | 10.6% (3.1–25.8%) n=32,364 | 17.1% (4.6–39.2%) n=747 |
| Uninsured 18–64 | 15.1% | 9.0% (1.5–24.3%) n=32,286 | 6.9% (0.0–16.5%) n=741 |
| No HS diploma (25+) | 14.9% | 7.9% (1.8–20.7%) n=32,505 | 13.7% (3.8–29.1%) n=748 |
| Bachelor's or higher (25+) | 11.9% | 23.3% (9.2–53.6%) n=32,505 | 14.8% (1.5–33.6%) n=748 |
| Unemployment rate (16+) | 4.7% | 3.9% (0.0–9.8%) n=32,274 | 3.8% (0.0–11.2%) n=733 |
| Households without a vehicle | 7.3% | 3.9% (0.0–12.5%) n=32,322 | 4.6% (0.0–15.0%) n=745 |
| Broadband subscription | 87.3% | 89.3% (75.1–97.1%) n=32,322 | 86.7% (71.5–97.1%) n=745 |
| Housing cost burden (≥30% income) | 28.2% | 23.7% (10.6–40.0%) n=32,322 | 20.9% (6.2–34.7%) n=745 |
| Homeownership rate | 65.6% | 78.7% (51.7–94.0%) n=32,322 | 78.0% (58.2–96.7%) n=745 |
| Crowded housing (>1 per room) | 0.5% | 1.3% (0.0–6.3%) n=32,322 | 0.7% (0.0–4.8%) n=745 |
| Foreign-born population | 1.6% | 2.6% (0.0–18.6%) n=32,553 | 0.3% (0.0–5.4%) n=749 |
| Single-parent households | 60.1% | 53.6% (37.3–74.1%) n=32,087 | 52.0% (34.7–75.0%) n=738 |
| Population 65+ | 20.9% | 19.4% (10.8–33.6%) n=32,553 | 18.2% (9.6–29.6%) n=749 |
| Median age | 48.7 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.8 yr (32.3–53.9) n=738 |
| Median household income | $45,500 | $72,070 ($46,039–$118,707) n=30,318 | $57,097 ($34,611–$87,693) n=645 |
| Median home value | $142,200 | $222,200 ($100,300–$579,820) n=30,049 | $144,600 ($66,860–$265,120) n=643 |
| Median gross rent | $726 | $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 | 74.9 yr ± 0.90 | 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 0.90 years of 74.9, 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