ZIP code
45042
in Middletown, OhioPopulation 27,652
44.27/ 100
Ranked #23,158 of 32,066 US ZIPs (bottom 28%)
Ranked #784 of 1,176 Ohio ZIPs (bottom 33%)
Ranked #115 of 156 Cincinnati, OH-KY-IN ZIPs (bottom 26%)
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.
Industrial-pollution burden
in the top 8.3% nationally
Lower is healthier
ST80thUS92ndDefinition & 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
56.9%
in the top 9.4% nationally
Lower is healthier
ST84thUS91stDefinition & 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 ›Mental-health provider access
0.11 per 1,000 residents
in the top 9.7% nationally
Higher is healthier
ST91stUS90thDefinition & source ›
The number of mental-health clinics 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 ›Expected annual disaster loss
$0
in the top 12.3% nationally
Lower is healthier
ST97thUS88thDefinition & 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, ZIP 45042, one of several in Middletown, Ohio ranks in the bottom 28% nationally (23,158th) and the bottom 33% of Ohio (784th).
The picture here is genuinely mixed, with readings on both sides: mental-health providers lands in the top 9.7% nationally, and transit sits in the top 11.1% nationally. Distance to a community health center is at the national minimum, shared with about 23% of ZIPs. Subsidized affordable housing settles in the top 12.7% nationally. Distance to a nursing home resides at the national minimum, shared with about 27% of ZIPs. On the other side, modeled industrial-pollution burden registers in the top 8.3% nationally, pfas rests in the top 9.4% nationally, and radon stands in the top 13.2% nationally. Modeled expected annual loss lies in the top 12.3% nationally, and PFOS in drinking water lands in the top 15% nationally.
To spell things out, industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. 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. Close by, ZIP 45005, 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 Cincinnati, OH-KY-IN metro area.
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 61%
5%
Healthcare Access
healthier than 89%
5%
About typical
Social Need / SDOH
healthier than 45%
16%
Preventive Care
healthier than 54%
13%
Disability
healthier than 48%
7%
Holding it back
Chronic Disease Burden
healthier than 31%
21%
Environmental Hazard
healthier than 4%
14%
Risk Behavior
healthier than 17%
11%
Mental Health
healthier than 15%
8%
Lifting this score
Healthcare Access
healthier than 88%
5%
About typical
Social Need / SDOH
healthier than 50%
16%
Preventive Care
healthier than 49%
13%
Disability
healthier than 40%
7%
Holding it back
Chronic Disease Burden
healthier than 39%
21%
Environmental Hazard
healthier than 8%
14%
Risk Behavior
healthier than 34%
11%
Mental Health
healthier than 29%
8%
Climate / Disaster Risk
healthier than 29%
5%
Lifting this score
Healthcare Access
healthier than 82%
5%
About typical
Climate / Disaster Risk
healthier than 51%
5%
Holding it back
Chronic Disease Burden
healthier than 28%
21%
Social Need / SDOH
healthier than 28%
16%
Environmental Hazard
healthier than 15%
14%
Preventive Care
healthier than 36%
13%
Risk Behavior
healthier than 28%
11%
Mental Health
healthier than 25%
8%
Disability
healthier than 32%
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 75.7 ± 1.1 years. A median household income of $69,520 predicts 78.6 years — 2.9 years below.
Ranked #4,023 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 75.7 ± 1.1 years. The 47 nearest ZIP codes with estimates average 78.3 years — 2.6 years below them.
Ranked #2,036 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
45005
Ohioshares a border
Score 48.10
Closest healthier
45064
Ohioshares a border
Score 48.13
Similar health profile
15212
Pennsylvania99% similar profile
Score 46.30
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 | 31.8% | 29.0–34.6 |
| High blood pressure among adults | 39.1% | 35.7–42.3 |
| Cancer (non-skin) or melanoma among adults | 9.5% | 8.7–10.4 |
| Current asthma among adults | 11.3% | 10.1–12.6 |
| Coronary heart disease among adults | 8.0% | 7.2–8.7 |
| Chronic obstructive pulmonary disease among adults | 9.4% | 8.4–10.4 |
| Depression among adults | 27.2% | 24.0–30.5 |
| Diagnosed diabetes among adults | 14.2% | 12.6–15.8 |
| High cholesterol among adults who have ever been screened | 37.6% | 34.1–41.0 |
| Obesity among adults | 41.4% | 36.1–46.5 |
| Stroke among adults | 3.9% | 3.6–4.2 |
| All teeth lost among adults aged >=65 years | 18.0% | 15.0–21.0 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.5% | 7.3–9.6 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 79.5% | 77.1–81.8 |
| Visits to doctor for routine checkup within the past year among adults | 80.8% | 78.0–83.4 |
| Cholesterol screening among adults | 85.5% | 83.9–87.1 |
| Colorectal cancer screening among adults aged 45–75 years | 64.5% | 60.0–68.6 |
| Visited dentist or dental clinic in the past year among adults | 60.4% | 57.0–63.4 |
| Mammography use among women aged 50-74 years | 75.9% | 68.9–81.6 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 17.3% | 14.7–20.1 |
| Current cigarette smoking among adults | 17.9% | 15.8–20.1 |
| No leisure-time physical activity among adults | 30.7% | 26.9–34.3 |
| Short sleep duration among adults | 37.5% | 32.6–42.4 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 21.7% | 19.3–24.0 |
| Frequent mental distress among adults | 18.8% | 16.9–20.7 |
| Frequent physical distress among adults | 15.5% | 13.8–17.1 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 15.2% | 13.6–16.8 |
| Any disability among adults | 31.0% | 27.5–34.3 |
| Hearing disability among adults | 7.6% | 6.8–8.4 |
| Independent living disability among adults | 9.0% | 8.2–10.0 |
| Mobility disability among adults | 14.9% | 13.2–16.7 |
| Self-care disability among adults | 4.3% | 3.9–4.7 |
| Vision disability among adults | 5.2% | 4.8–5.7 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 21.6% | 18.6–25.0 |
| Food insecurity in the past 12 months among adults | 15.3% | 13.3–17.4 |
| Received food stamps in the past 12 months among adults | 13.4% | 11.7–15.2 |
| Housing insecurity in the past 12 months among adults | 11.8% | 10.2–13.6 |
| Lack of reliable transportation in the past 12 months among adults | 8.3% | 7.4–9.4 |
| Loneliness among adults | 35.4% | 30.8–40.4 |
| Utility services shut-off threat in the past 12 months among adults | 8.8% | 7.7–10.1 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | OH median (p10–p90) |
|---|---|---|---|
| Poverty rate | 11.0% | 10.6% (3.1–25.8%) n=32,364 | 10.7% (3.5–26.2%) n=1,177 |
| Uninsured 18–64 | 9.1% | 9.0% (1.5–24.3%) n=32,286 | 7.8% (2.5–18.1%) n=1,174 |
| No HS diploma (25+) | 7.7% | 7.9% (1.8–20.7%) n=32,505 | 7.5% (2.3–17.0%) n=1,179 |
| Bachelor's or higher (25+) | 21.2% | 23.3% (9.2–53.6%) n=32,505 | 19.7% (8.1–45.8%) n=1,179 |
| Unemployment rate (16+) | 2.9% | 3.9% (0.0–9.8%) n=32,274 | 3.7% (0.0–9.8%) n=1,171 |
| Households without a vehicle | 7.8% | 3.9% (0.0–12.5%) n=32,322 | 4.4% (0.0–14.5%) n=1,177 |
| Broadband subscription | 88.2% | 89.3% (75.1–97.1%) n=32,322 | 88.9% (76.5–96.0%) n=1,177 |
| Housing cost burden (≥30% income) | 24.5% | 23.7% (10.6–40.0%) n=32,322 | 21.3% (11.2–34.6%) n=1,177 |
| Homeownership rate | 72.2% | 78.7% (51.7–94.0%) n=32,322 | 78.3% (52.8–91.8%) n=1,177 |
| Crowded housing (>1 per room) | 1.3% | 1.3% (0.0–6.3%) n=32,322 | 0.8% (0.0–3.5%) n=1,177 |
| Foreign-born population | 3.4% | 2.6% (0.0–18.6%) n=32,553 | 1.0% (0.0–6.8%) n=1,180 |
| Single-parent households | 59.3% | 53.6% (37.3–74.1%) n=32,087 | 53.2% (36.6–68.1%) n=1,168 |
| Population 65+ | 20.0% | 19.4% (10.8–33.6%) n=32,553 | 19.0% (11.1–27.2%) n=1,180 |
| Median age | 41.6 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.2–50.5) n=1,169 |
| Median household income | $69,520 | $72,070 ($46,039–$118,707) n=30,318 | $70,500 ($46,328–$101,197) n=1,127 |
| Median home value | $202,200 | $222,200 ($100,300–$579,820) n=30,049 | $177,700 ($104,860–$310,980) n=1,117 |
| Median gross rent | $922 | $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 | 75.7 yr ± 0.58 | 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 0.58 years of 75.7, 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