ZIP code
43920
in East Liverpool, OhioPopulation 21,103
38.79/ 100
Ranked #27,548 of 32,066 US ZIPs (bottom 14.1%)
Ranked #1,005 of 1,176 Ohio ZIPs (bottom 14.6%)
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.
PFAS in drinking water
60.2%
in the top 7.9% nationally
Lower is healthier
ST87thUS92ndDefinition & 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 ›Short sleep
42.2%
in the top 8.6% nationally
Lower is healthier
ST88thUS91stDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Physician access
1.7 per 1,000 residents
in the top 9.8% nationally
Higher is healthier
ST93rdUS90thDefinition & 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 ›Subsidized affordable housing
252 units
in the top 9.8% nationally
Higher is healthier
ST89thUS90thDefinition & source ›
The number of affordable rental units in this ZIP supported by the federal Low-Income Housing Tax Credit program.
Full methodology ›Energy-cost burden
4.8%
in the top 11.5% nationally
Lower is healthier
ST94thUS89thDefinition & 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 ›Dry extreme heat
0.1 days/year
in the bottom 23% nationally
Lower is healthier
ST10thUS23rdDefinition & source ›
The average number of days per year with a modeled daily high of at least 95 °F.
Full methodology ›The read
East Liverpool, Ohio (ZIP 43920) ranks in the bottom 14.1% nationally (27,548th) and the bottom 14.6% of Ohio (1,005th).
A balanced set of signals defines this area, not any single one: distance to an emergency room is at the national minimum, shared with about 11% of ZIPs. Physicians registers in the top 9.8% nationally, and subsidized affordable housing lies in the top 9.8% nationally. Distance to a community health center is at the national minimum, shared with about 23% of ZIPs. Distance to a nursing home registers at the national minimum, shared with about 27% of ZIPs. By contrast, modeled pfas lies in the top 7.9% nationally, radon is in the top 10.2% nationally, and short sleep registers in the top 8.6% nationally. Fiber broadband lies at the national minimum, shared with about 19% of ZIPs. Modeled obesity is in the top 10.9% nationally.
For context, pfas is the man-made "forever chemicals" that build up in the body and environment instead of breaking down; here a modeled estimate of the chance a private well contains them. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Subsidized affordable housing is the main federal tax-credit program (HUD) funding affordable rental housing, counted as local units it supports. The closest ZIP that ranks healthier overall is ZIP 15059, 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
Climate / Disaster Risk
healthier than 75%
5%
Healthcare Access
in the top 0.00%
5%
Holding it back
Chronic Disease Burden
healthier than 14%
21%
Social Need / SDOH
healthier than 19%
16%
Environmental Hazard
healthier than 16%
14%
Preventive Care
healthier than 35%
13%
Risk Behavior
healthier than 5%
11%
Mental Health
healthier than 15%
8%
Disability
healthier than 26%
7%
Lifting this score
Climate / Disaster Risk
healthier than 64%
5%
Healthcare Access
in the top 0.00%
5%
Holding it back
Chronic Disease Burden
healthier than 13%
21%
Social Need / SDOH
healthier than 16%
16%
Environmental Hazard
healthier than 29%
14%
Preventive Care
healthier than 20%
13%
Risk Behavior
healthier than 10%
11%
Mental Health
healthier than 29%
8%
Disability
healthier than 15%
7%
“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
2 of our published findings list 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.
Below what income predicts
The ZIP codes that outlive their incomes
Estimated life expectancy is 74.2 ± 1.0 years. A median household income of $50,251 predicts 77.4 years — 3.2 years below.
Ranked #4,325 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.
Below its nearby ZIPs
The ZIP codes that outlive their neighbors
Estimated life expectancy is 74.2 ± 1.0 years. The 48 nearest ZIP codes with estimates average 77.4 years — 3.2 years below them.
Ranked #2,526 of the 3,687 ZIP codes this finding names, ordered by years above the nearby-ZIP average, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
15059
Pennsylvaniashares a border
Score 46.88
Closest healthier
26034
West Virginiashares a border
Score 41.32
Similar health profile
18854
Pennsylvania99% similar profile
Score 39.35
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 | 35.0% | 31.5–38.3 |
| High blood pressure among adults | 42.7% | 38.6–46.6 |
| Cancer (non-skin) or melanoma among adults | 9.9% | 9.0–10.8 |
| Current asthma among adults | 11.8% | 10.5–13.2 |
| Coronary heart disease among adults | 9.1% | 8.2–10.0 |
| Chronic obstructive pulmonary disease among adults | 11.5% | 10.4–12.6 |
| Depression among adults | 26.5% | 22.9–30.1 |
| Diagnosed diabetes among adults | 15.9% | 13.9–17.9 |
| High cholesterol among adults who have ever been screened | 38.5% | 34.3–42.4 |
| Obesity among adults | 42.5% | 35.5–49.2 |
| Stroke among adults | 4.6% | 4.3–5.0 |
| All teeth lost among adults aged >=65 years | 21.2% | 17.6–25.2 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 9.3% | 7.9–10.8 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 80.3% | 77.7–82.6 |
| Visits to doctor for routine checkup within the past year among adults | 79.3% | 75.9–82.3 |
| Cholesterol screening among adults | 84.8% | 83.0–86.6 |
| Colorectal cancer screening among adults aged 45–75 years | 63.7% | 58.7–68.6 |
| Visited dentist or dental clinic in the past year among adults | 55.3% | 51.7–59.1 |
| Mammography use among women aged 50-74 years | 71.9% | 64.1–79.1 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.3% | 13.5–19.2 |
| Current cigarette smoking among adults | 20.7% | 18.2–23.2 |
| No leisure-time physical activity among adults | 34.1% | 29.6–38.6 |
| Short sleep duration among adults | 42.2% | 36.3–48.4 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 24.4% | 21.6–27.1 |
| Frequent mental distress among adults | 19.3% | 17.3–21.4 |
| Frequent physical distress among adults | 17.7% | 15.8–19.6 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 16.4% | 14.7–18.2 |
| Any disability among adults | 34.8% | 30.7–38.8 |
| Hearing disability among adults | 8.7% | 7.7–9.6 |
| Independent living disability among adults | 10.6% | 9.5–11.6 |
| Mobility disability among adults | 18.4% | 16.2–20.5 |
| Self-care disability among adults | 5.2% | 4.7–5.6 |
| Vision disability among adults | 6.3% | 5.8–6.8 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 21.2% | 18.0–24.5 |
| Food insecurity in the past 12 months among adults | 17.9% | 15.5–20.4 |
| Received food stamps in the past 12 months among adults | 16.7% | 14.7–18.9 |
| Housing insecurity in the past 12 months among adults | 13.0% | 11.3–14.8 |
| Lack of reliable transportation in the past 12 months among adults | 9.3% | 8.3–10.4 |
| Loneliness among adults | 33.8% | 28.6–38.9 |
| Utility services shut-off threat in the past 12 months among adults | 10.1% | 8.8–11.4 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | OH median (p10–p90) |
|---|---|---|---|
| Poverty rate | 20.5% | 10.6% (3.1–25.8%) n=32,364 | 10.7% (3.5–26.2%) n=1,177 |
| Uninsured 18–64 | 11.7% | 9.0% (1.5–24.3%) n=32,286 | 7.8% (2.5–18.1%) n=1,174 |
| No HS diploma (25+) | 10.5% | 7.9% (1.8–20.7%) n=32,505 | 7.5% (2.3–17.0%) n=1,179 |
| Bachelor's or higher (25+) | 14.5% | 23.3% (9.2–53.6%) n=32,505 | 19.7% (8.1–45.8%) n=1,179 |
| Unemployment rate (16+) | 5.9% | 3.9% (0.0–9.8%) n=32,274 | 3.7% (0.0–9.8%) n=1,171 |
| Households without a vehicle | 8.8% | 3.9% (0.0–12.5%) n=32,322 | 4.4% (0.0–14.5%) n=1,177 |
| Broadband subscription | 86.2% | 89.3% (75.1–97.1%) n=32,322 | 88.9% (76.5–96.0%) n=1,177 |
| Housing cost burden (≥30% income) | 23.7% | 23.7% (10.6–40.0%) n=32,322 | 21.3% (11.2–34.6%) n=1,177 |
| Homeownership rate | 68.6% | 78.7% (51.7–94.0%) n=32,322 | 78.3% (52.8–91.8%) n=1,177 |
| Crowded housing (>1 per room) | 1.5% | 1.3% (0.0–6.3%) n=32,322 | 0.8% (0.0–3.5%) n=1,177 |
| Foreign-born population | 0.2% | 2.6% (0.0–18.6%) n=32,553 | 1.0% (0.0–6.8%) n=1,180 |
| Single-parent households | 51.7% | 53.6% (37.3–74.1%) n=32,087 | 53.2% (36.6–68.1%) n=1,168 |
| Population 65+ | 22.7% | 19.4% (10.8–33.6%) n=32,553 | 19.0% (11.1–27.2%) n=1,180 |
| Median age | 44.0 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.2–50.5) n=1,169 |
| Median household income | $50,251 | $72,070 ($46,039–$118,707) n=30,318 | $70,500 ($46,328–$101,197) n=1,127 |
| Median home value | $116,200 | $222,200 ($100,300–$579,820) n=30,049 | $177,700 ($104,860–$310,980) n=1,117 |
| Median gross rent | $782 | $1,021 ($677–$1,912) n=25,670 | $907 ($714–$1,294) n=1,007 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | OH median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 74.2 yr ± 0.53 | 78.9 yr (74.7–82.8) n=31,308 | 77.9 yr (74.0–81.3) n=1,154 |
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 0.53 years of 74.2, 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