ZIP code
45381
in West Alexandria, OhioPopulation 5,626
48.48/ 100
Ranked #18,326 of 32,066 US ZIPs (bottom 43%)
Ranked #520 of 1,176 Ohio ZIPs (top 44%)
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.
Radon
3.3 pCi/L
in the top 6.7% nationally
Lower is healthier
ST81stUS93rdDefinition & 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 ›Colon-cancer screening
70.5%
in the top 18% nationally
Higher is healthier
ST90thUS82ndDefinition & source ›
The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.
Full methodology ›Distance to a community health center
8.9 mi
in the top 23% nationally
Lower is healthier
ST91stUS77thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest federally funded community health center, which serves patients regardless of ability to pay.
Full methodology ›The read
West Alexandria, Ohio (ZIP 45381), by its overall standing, sits in the bottom 43% nationally (18,326th) and the top 44% of Ohio (520th).
The measures fall on both sides of the ledger for this area: modeled loud transportation noise stands at the national minimum, shared with about 22% of ZIPs. Modeled colon screening lands in the top 18% nationally. Set against that, modeled radon is in the top 6.7% nationally. Fiber broadband resides at the national minimum, shared with about 19% of ZIPs. Modeled arsenic rests in the top 11.3% nationally, and industrial-pollution burden lies in the top 13.5% nationally. Distance to a hazardous-chemical facility sits at the national minimum, shared with about 31% of ZIPs. Distance to a community health center settles in the top 23% nationally. Park land registers at the national minimum, shared with about 48% of ZIPs. Distance to an emergency room stands in the top 24% nationally.
Defined in plain terms, radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. Industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. The nearest ZIP ranking healthier overall is ZIP 45309, 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
Preventive Care
healthier than 70%
13%
Disability
healthier than 63%
7%
About typical
Chronic Disease Burden
healthier than 42%
21%
Social Need / SDOH
healthier than 51%
16%
Climate / Disaster Risk
healthier than 55%
5%
Holding it back
Environmental Hazard
healthier than 11%
14%
Risk Behavior
healthier than 32%
11%
Mental Health
healthier than 24%
8%
Healthcare Access
healthier than 26%
5%
Lifting this score
Preventive Care
healthier than 72%
13%
Disability
healthier than 60%
7%
About typical
Chronic Disease Burden
healthier than 57%
21%
Social Need / SDOH
healthier than 58%
16%
Risk Behavior
healthier than 59%
11%
Mental Health
healthier than 53%
8%
Holding it back
Environmental Hazard
healthier than 20%
14%
Climate / Disaster Risk
healthier than 21%
5%
Healthcare Access
healthier than 12%
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 ›
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
45309
Ohioshares a border
Score 50.63
Closest healthier
45330
Ohioshares a border
Score 50.32
Similar health profile
45368
Ohio96% similar profile
Score 48.81
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 | 32.4% | 29.1–35.9 |
| High blood pressure among adults | 38.1% | 34.2–42.2 |
| Cancer (non-skin) or melanoma among adults | 9.9% | 8.9–10.8 |
| Current asthma among adults | 11.0% | 9.8–12.4 |
| Coronary heart disease among adults | 7.7% | 6.8–8.5 |
| Chronic obstructive pulmonary disease among adults | 8.7% | 7.6–9.8 |
| Depression among adults | 26.1% | 22.6–30.0 |
| Diagnosed diabetes among adults | 13.0% | 11.3–14.8 |
| High cholesterol among adults who have ever been screened | 37.5% | 33.4–41.8 |
| Obesity among adults | 39.0% | 31.4–47.0 |
| Stroke among adults | 3.7% | 3.3–4.0 |
| All teeth lost among adults aged >=65 years | 11.2% | 9.1–13.4 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 7.1% | 5.9–8.5 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 80.3% | 77.9–82.6 |
| Visits to doctor for routine checkup within the past year among adults | 79.5% | 76.3–82.6 |
| Cholesterol screening among adults | 86.6% | 85.0–88.2 |
| Colorectal cancer screening among adults aged 45–75 years | 70.5% | 66.0–74.5 |
| Visited dentist or dental clinic in the past year among adults | 64.6% | 61.2–67.7 |
| Mammography use among women aged 50-74 years | 74.5% | 66.8–80.8 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.8% | 14.1–20.0 |
| Current cigarette smoking among adults | 16.4% | 14.0–18.8 |
| No leisure-time physical activity among adults | 29.1% | 24.7–33.8 |
| Short sleep duration among adults | 36.2% | 29.9–42.4 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 19.0% | 16.5–21.6 |
| Frequent mental distress among adults | 17.8% | 15.8–19.9 |
| Frequent physical distress among adults | 14.5% | 12.8–16.3 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 14.0% | 12.4–15.7 |
| Any disability among adults | 30.5% | 26.3–34.7 |
| Hearing disability among adults | 7.4% | 6.6–8.3 |
| Independent living disability among adults | 8.0% | 7.0–8.9 |
| Mobility disability among adults | 14.1% | 12.2–16.1 |
| Self-care disability among adults | 3.6% | 3.2–4.0 |
| Vision disability among adults | 4.4% | 3.9–4.8 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 20.6% | 17.5–24.0 |
| Food insecurity in the past 12 months among adults | 11.5% | 9.6–13.5 |
| Received food stamps in the past 12 months among adults | 9.3% | 7.7–10.9 |
| Housing insecurity in the past 12 months among adults | 9.3% | 7.9–10.9 |
| Lack of reliable transportation in the past 12 months among adults | 6.6% | 5.7–7.5 |
| Loneliness among adults | 34.0% | 29.0–39.2 |
| Utility services shut-off threat in the past 12 months among adults | 6.7% | 5.7–7.7 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | OH median (p10–p90) |
|---|---|---|---|
| Poverty rate | 11.2% | 10.6% (3.1–25.8%) n=32,364 | 10.7% (3.5–26.2%) n=1,177 |
| Uninsured 18–64 | 4.3% | 9.0% (1.5–24.3%) n=32,286 | 7.8% (2.5–18.1%) n=1,174 |
| No HS diploma (25+) | 7.9% | 7.9% (1.8–20.7%) n=32,505 | 7.5% (2.3–17.0%) n=1,179 |
| Bachelor's or higher (25+) | 18.3% | 23.3% (9.2–53.6%) n=32,505 | 19.7% (8.1–45.8%) n=1,179 |
| Unemployment rate (16+) | 4.2% | 3.9% (0.0–9.8%) n=32,274 | 3.7% (0.0–9.8%) n=1,171 |
| Households without a vehicle | 2.5% | 3.9% (0.0–12.5%) n=32,322 | 4.4% (0.0–14.5%) n=1,177 |
| Broadband subscription | 88.0% | 89.3% (75.1–97.1%) n=32,322 | 88.9% (76.5–96.0%) n=1,177 |
| Housing cost burden (≥30% income) | 24.1% | 23.7% (10.6–40.0%) n=32,322 | 21.3% (11.2–34.6%) n=1,177 |
| Homeownership rate | 79.9% | 78.7% (51.7–94.0%) n=32,322 | 78.3% (52.8–91.8%) n=1,177 |
| Crowded housing (>1 per room) | 0.6% | 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 | 57.7% | 53.6% (37.3–74.1%) n=32,087 | 53.2% (36.6–68.1%) n=1,168 |
| Population 65+ | 25.1% | 19.4% (10.8–33.6%) n=32,553 | 19.0% (11.1–27.2%) n=1,180 |
| Median age | 42.4 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.2–50.5) n=1,169 |
| Median household income | $62,263 | $72,070 ($46,039–$118,707) n=30,318 | $70,500 ($46,328–$101,197) n=1,127 |
| Median home value | $204,900 | $222,200 ($100,300–$579,820) n=30,049 | $177,700 ($104,860–$310,980) n=1,117 |
| Median gross rent | $756 | $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 | 77.8 yr ± 0.79 | 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 0.79 years of 77.8, 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