ZIP code
44133
in North Royalton, OhioPopulation 31,018
60.13/ 100
Ranked #4,762 of 32,066 US ZIPs (top 14.9%)
Ranked #74 of 1,176 Ohio ZIPs (top 6.3%)
Ranked #18 of 113 Cleveland, OH ZIPs (top 16%)
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.
Binge drinking
19.9%
in the top 6.6% nationally
Lower is healthier
ST97thUS93rdDefinition & source ›
The estimated share of adults who report binge drinking — five or more drinks on one occasion for men, four or more for women.
Full methodology ›Fatal road crashes
2.6 per 100,000 residents per year
in the bottom 8.9% nationally
Lower is healthier
ST8thUS9thDefinition & 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 ›Lead in tap water
0.0005 ppb
in the bottom 9.9% nationally
Lower is healthier
US10thDefinition & 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 ›Lack of transportation
5.2%
in the bottom 9.9% nationally
Lower is healthier
ST8thUS10thDefinition & source ›
The estimated share of adults who lacked reliable transportation in the past 12 months.
Full methodology ›Housing insecurity
7.5%
in the bottom 11.4% nationally
Lower is healthier
ST8thUS11thDefinition & source ›
The estimated share of adults who experienced housing insecurity in the past 12 months.
Full methodology ›Energy-cost burden
1.8%
in the bottom 9.7% nationally
Lower is healthier
ST5thUS10thDefinition & 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 ›Cognitive disability
11.1%
in the bottom 10.8% nationally
Lower is healthier
ST8thUS11thDefinition & source ›
The estimated share of adults with serious difficulty concentrating, remembering, or making decisions.
Full methodology ›Fair or poor health
14.8%
in the bottom 12.7% nationally
Lower is healthier
ST8thUS13thDefinition & source ›
The estimated share of adults who rate their own general health as fair or poor.
Full methodology ›Independent-living disability
6.3%
in the bottom 12.2% nationally
Lower is healthier
ST8thUS12thDefinition & source ›
The estimated share of adults who have difficulty doing errands alone, such as visiting a doctor’s office, because of a physical, mental, or emotional condition.
Full methodology ›Expected annual disaster loss
$0
in the top 14.8% nationally
Lower is healthier
ST96thUS85thDefinition & source ›
FEMA’s modeled estimate, in dollars per year, of the average harm to people expected from natural hazards — an annualized average, not a forecast for any single year.
Full methodology ›The read
By the composite health measure, North Royalton, Ohio (ZIP 44133) ranks in the top 14.9% healthiest ZIPs nationally (4,762nd) and the top 6.3% of Ohio (74th).
A number of measures place this area on solid footing: fatal road crashes is in the bottom 8.9% nationally, and lead in tap water settles in the bottom 9.9% nationally. Modeled transportation resides in the bottom 9.9% nationally, and housing insecurity registers in the bottom 11.4% nationally. Modeled energy burden rests in the bottom 9.7% nationally, food insecurity stands in the bottom 12.2% nationally, and cognitive disability lies in the bottom 10.8% nationally. Distance to a nursing home lands at the national minimum, shared with about 27% of ZIPs. By contrast, modeled binge drinking sits in the top 6.6% nationally, and industrial-pollution burden is in the top 14.4% nationally.
Read against the ZIPs closest to it, park land runs far lower than the surrounding ZIPs on this measure. To spell things out, 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. Energy burden is the share of household income that goes to home energy bills. Close by, ZIP 44136, 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 Cleveland, OH metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Chronic Disease Burden
healthier than 71%
21%
Social Need / SDOH
healthier than 85%
16%
Preventive Care
healthier than 88%
13%
Risk Behavior
healthier than 65%
11%
Disability
healthier than 87%
7%
Climate / Disaster Risk
healthier than 78%
5%
About typical
Environmental Hazard
healthier than 54%
14%
Mental Health
healthier than 59%
8%
Healthcare Access
healthier than 58%
5%
Nothing measured is holding this score back.
Lifting this score
Chronic Disease Burden
healthier than 89%
21%
Social Need / SDOH
healthier than 89%
16%
Environmental Hazard
healthier than 84%
14%
Preventive Care
healthier than 91%
13%
Risk Behavior
healthier than 88%
11%
Mental Health
healthier than 93%
8%
Disability
healthier than 91%
7%
Climate / Disaster Risk
healthier than 73%
5%
About typical
Healthcare Access
healthier than 56%
5%
Nothing measured is holding this score back.
Lifting this score
Chronic Disease Burden
healthier than 89%
21%
Social Need / SDOH
healthier than 70%
16%
Environmental Hazard
healthier than 80%
14%
Preventive Care
healthier than 73%
13%
Risk Behavior
healthier than 75%
11%
Mental Health
healthier than 75%
8%
Disability
healthier than 86%
7%
About typical
Healthcare Access
healthier than 41%
5%
Holding it back
Climate / Disaster Risk
healthier than 35%
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 ›
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.
Above what income predicts
The ZIP codes that outlive their incomes
Estimated life expectancy is 80.7 ± 0.9 years. A median household income of $83,717 predicts 79.4 years — 1.3 years above.
Ranked #1,368 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.
Above its nearby ZIPs
The ZIP codes that outlive their neighbors
Estimated life expectancy is 80.7 ± 0.9 years. The 46 nearest ZIP codes with estimates average 78.0 years — 2.7 years above them.
Ranked #1,034 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
44129
Ohioshares a border
Score 52.14
Closest healthier
44136
Ohioshares a border
Score 61.00
Similar health profile
06278
Connecticut99% similar profile
Score 60.99
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 | 28.2% | 25.8–30.7 |
| High blood pressure among adults | 33.9% | 31.3–36.7 |
| Cancer (non-skin) or melanoma among adults | 9.8% | 8.9–10.6 |
| Current asthma among adults | 10.7% | 9.6–11.9 |
| Coronary heart disease among adults | 6.2% | 5.6–6.9 |
| Chronic obstructive pulmonary disease among adults | 6.5% | 5.8–7.4 |
| Depression among adults | 24.7% | 22.2–27.5 |
| Diagnosed diabetes among adults | 10.3% | 9.0–11.6 |
| High cholesterol among adults who have ever been screened | 39.1% | 36.3–42.0 |
| Obesity among adults | 29.8% | 26.5–33.4 |
| Stroke among adults | 3.1% | 2.8–3.4 |
| All teeth lost among adults aged >=65 years | 8.2% | 6.9–9.7 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 5.8% | 4.8–6.8 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 78.4% | 75.8–80.8 |
| Visits to doctor for routine checkup within the past year among adults | 79.4% | 76.8–81.8 |
| Cholesterol screening among adults | 88.9% | 87.5–90.2 |
| Colorectal cancer screening among adults aged 45–75 years | 70.8% | 67.5–73.8 |
| Visited dentist or dental clinic in the past year among adults | 71.5% | 69.1–73.9 |
| Mammography use among women aged 50-74 years | 79.3% | 74.5–83.4 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 19.9% | 17.5–22.6 |
| Current cigarette smoking among adults | 12.3% | 10.7–14.2 |
| No leisure-time physical activity among adults | 19.2% | 16.8–21.9 |
| Short sleep duration among adults | 33.3% | 30.2–36.6 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 14.8% | 13.1–16.7 |
| Frequent mental distress among adults | 14.6% | 13.1–16.3 |
| Frequent physical distress among adults | 11.9% | 10.6–13.4 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 11.1% | 9.8–12.4 |
| Any disability among adults | 25.6% | 23.0–28.6 |
| Hearing disability among adults | 6.3% | 5.6–7.0 |
| Independent living disability among adults | 6.3% | 5.6–7.1 |
| Mobility disability among adults | 11.5% | 10.1–13.1 |
| Self-care disability among adults | 2.8% | 2.5–3.1 |
| Vision disability among adults | 3.5% | 3.2–3.9 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 19.2% | 16.6–22.0 |
| Food insecurity in the past 12 months among adults | 8.9% | 7.5–10.4 |
| Received food stamps in the past 12 months among adults | 6.4% | 5.4–7.5 |
| Housing insecurity in the past 12 months among adults | 7.5% | 6.4–8.7 |
| Lack of reliable transportation in the past 12 months among adults | 5.2% | 4.6–5.9 |
| Loneliness among adults | 34.6% | 30.7–38.6 |
| Utility services shut-off threat in the past 12 months among adults | 5.4% | 4.6–6.2 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | OH median (p10–p90) |
|---|---|---|---|
| Poverty rate | 5.8% | 10.6% (3.1–25.8%) n=32,364 | 10.7% (3.5–26.2%) n=1,177 |
| Uninsured 18–64 | 8.0% | 9.0% (1.5–24.3%) n=32,286 | 7.8% (2.5–18.1%) n=1,174 |
| No HS diploma (25+) | 4.3% | 7.9% (1.8–20.7%) n=32,505 | 7.5% (2.3–17.0%) n=1,179 |
| Bachelor's or higher (25+) | 38.3% | 23.3% (9.2–53.6%) n=32,505 | 19.7% (8.1–45.8%) n=1,179 |
| Unemployment rate (16+) | 4.6% | 3.9% (0.0–9.8%) n=32,274 | 3.7% (0.0–9.8%) n=1,171 |
| Households without a vehicle | 4.9% | 3.9% (0.0–12.5%) n=32,322 | 4.4% (0.0–14.5%) n=1,177 |
| Broadband subscription | 94.1% | 89.3% (75.1–97.1%) n=32,322 | 88.9% (76.5–96.0%) n=1,177 |
| Housing cost burden (≥30% income) | 23.0% | 23.7% (10.6–40.0%) n=32,322 | 21.3% (11.2–34.6%) n=1,177 |
| Homeownership rate | 71.7% | 78.7% (51.7–94.0%) n=32,322 | 78.3% (52.8–91.8%) n=1,177 |
| Crowded housing (>1 per room) | 0.7% | 1.3% (0.0–6.3%) n=32,322 | 0.8% (0.0–3.5%) n=1,177 |
| Foreign-born population | 12.6% | 2.6% (0.0–18.6%) n=32,553 | 1.0% (0.0–6.8%) n=1,180 |
| Single-parent households | 56.1% | 53.6% (37.3–74.1%) n=32,087 | 53.2% (36.6–68.1%) n=1,168 |
| Population 65+ | 22.1% | 19.4% (10.8–33.6%) n=32,553 | 19.0% (11.1–27.2%) n=1,180 |
| Median age | 45.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.2–50.5) n=1,169 |
| Median household income | $83,717 | $72,070 ($46,039–$118,707) n=30,318 | $70,500 ($46,328–$101,197) n=1,127 |
| Median home value | $292,500 | $222,200 ($100,300–$579,820) n=30,049 | $177,700 ($104,860–$310,980) n=1,117 |
| Median gross rent | $1,116 | $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 | 80.7 yr ± 0.48 | 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 0.48 years of 80.7, 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