ZIP code
45426
in Trotwood, OhioPopulation 14,114
44.30/ 100
Ranked #23,117 of 32,066 US ZIPs (bottom 28%)
Ranked #779 of 1,176 Ohio ZIPs (bottom 34%)
Ranked #45 of 57 Dayton-Kettering-Beavercreek, OH ZIPs (bottom 21%)
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.
Lead in tap water
43 ppb
in the top 0.2% nationally
Lower is healthier
US99thDefinition & 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 ›Diabetes
21.2%
in the top 2.3% nationally
Lower is healthier
ST98thUS98thDefinition & source ›
The estimated share of adults who have been diagnosed with diabetes.
Full methodology ›Short sleep
46.2%
in the top 1.9% nationally
Lower is healthier
ST96thUS98thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Subsidized affordable housing
698 units
in the top 2.8% nationally
Higher is healthier
ST97thUS97thDefinition & source ›
The number of affordable rental units in this ZIP supported by the federal Low-Income Housing Tax Credit program.
Full methodology ›Binge drinking
11.1%
in the bottom 3.4% nationally
Lower is healthier
ST1stUS3rdDefinition & 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 ›PFAS in drinking water
100%
at the national maximum
Lower is healthier
ST99thUS99thDefinition & source ›
The share of residents served by public water systems where PFAS — man-made “forever chemicals” that build up in the body and environment instead of breaking down — were detected in EPA testing.
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 ›Loneliness
39.4%
in the top 5.3% nationally
Lower is healthier
ST93rdUS95thDefinition & source ›
The estimated share of adults who report feeling lonely.
Full methodology ›Utility shut-off threat
15.8%
in the top 5.9% nationally
Lower is healthier
ST93rdUS94thDefinition & source ›
The estimated share of adults whose household was threatened with a utility shut-off in the past 12 months.
Full methodology ›Stroke
5.6%
in the top 6.9% nationally
Lower is healthier
ST96thUS93rdDefinition & source ›
The estimated share of adults who have been told by a health professional that they have had a stroke.
Full methodology ›Unemployment rate
11.6%
in the top 6.9% nationally
Lower is healthier
ST94thUS93rdDefinition & source ›
The share of the civilian labor force that is unemployed.
Full methodology ›The read
Overall, ZIP 45426, one of several in Trotwood, Ohio lands in the bottom 28% nationally (23,117th) and the bottom 34% of Ohio (779th).
Several measures weigh most on this area's profile, and they come first: lead in tap water lands in the top 0.2% nationally, and modeled diabetes sits in the top 2.3% nationally. Modeled short sleep is in the top 1.9% nationally, and PFAS in drinking water settles at the national maximum. Modeled loneliness resides in the top 5.3% nationally, utility shutoff registers in the top 5.9% nationally, and stroke rests in the top 6.9% nationally. Unemployment stands in the top 6.9% nationally. On the better side, subsidized affordable housing lies in the top 2.8% nationally, and modeled binge drinking lands in the bottom 3.4% nationally.
Set beside the nearby areas, lead in tap water runs far lower than the surrounding ZIPs on this measure. A note on the terms: lead in tap water is the EPA trigger, 15 parts per billion in tap samples, above which a water system must act on lead. PFAS in drinking water is the family of man-made "forever chemicals" that build up in the body and environment instead of breaking down. Subsidized affordable housing is the main federal tax-credit program (HUD) funding affordable rental housing, counted as local units it supports. For a healthier nearby comparison, ZIP 45309, just across the boundary, ranks better 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 Dayton-Kettering-Beavercreek, OH metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Preventive Care
healthier than 81%
13%
Climate / Disaster Risk
healthier than 67%
5%
Healthcare Access
healthier than 87%
5%
About typical
Mental Health
healthier than 45%
8%
Holding it back
Chronic Disease Burden
healthier than 12%
21%
Social Need / SDOH
healthier than 29%
16%
Environmental Hazard
healthier than 31%
14%
Risk Behavior
healthier than 16%
11%
Disability
healthier than 26%
7%
Lifting this score
Preventive Care
healthier than 84%
13%
Mental Health
healthier than 86%
8%
Healthcare Access
healthier than 85%
5%
About typical
Environmental Hazard
healthier than 53%
14%
Climate / Disaster Risk
healthier than 40%
5%
Holding it back
Chronic Disease Burden
healthier than 10%
21%
Social Need / SDOH
healthier than 30%
16%
Risk Behavior
healthier than 31%
11%
Disability
healthier than 15%
7%
Lifting this score
Environmental Hazard
healthier than 89%
14%
Preventive Care
healthier than 79%
13%
Mental Health
healthier than 77%
8%
Healthcare Access
healthier than 80%
5%
About typical
Climate / Disaster Risk
healthier than 57%
5%
Holding it back
Chronic Disease Burden
healthier than 9%
21%
Social Need / SDOH
healthier than 16%
16%
Risk Behavior
healthier than 18%
11%
Disability
healthier than 14%
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 73.3 ± 1.3 years. A median household income of $51,908 predicts 77.5 years — 4.2 years below.
Ranked #5,189 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 73.3 ± 1.3 years. The 48 nearest ZIP codes with estimates average 77.1 years — 3.8 years below them.
Ranked #2,909 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
45309
Ohioshares a border
Score 50.63
Closest healthier
45315
Ohioshares a border
Score 58.07
Similar health profile
42266
Kentucky98% similar profile
Score 45.23
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 | 33.1% | 30.2–36.0 |
| High blood pressure among adults | 47.6% | 44.1–50.9 |
| Cancer (non-skin) or melanoma among adults | 7.1% | 6.5–7.8 |
| Current asthma among adults | 13.1% | 11.8–14.6 |
| Coronary heart disease among adults | 8.2% | 7.4–9.1 |
| Chronic obstructive pulmonary disease among adults | 9.1% | 8.1–10.1 |
| Depression among adults | 21.9% | 19.1–24.8 |
| Diagnosed diabetes among adults | 21.2% | 19.0–23.5 |
| High cholesterol among adults who have ever been screened | 34.5% | 31.3–37.8 |
| Obesity among adults | 44.7% | 39.5–49.8 |
| Stroke among adults | 5.6% | 5.2–6.1 |
| All teeth lost among adults aged >=65 years | 22.7% | 19.3–26.4 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.5% | 7.2–9.9 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 83.1% | 81.0–85.0 |
| Visits to doctor for routine checkup within the past year among adults | 85.3% | 82.9–87.4 |
| Cholesterol screening among adults | 88.3% | 86.9–89.7 |
| Colorectal cancer screening among adults aged 45–75 years | 67.4% | 63.3–71.2 |
| Visited dentist or dental clinic in the past year among adults | 55.7% | 52.4–59.0 |
| Mammography use among women aged 50-74 years | 77.6% | 71.8–82.6 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 11.1% | 9.2–13.0 |
| Current cigarette smoking among adults | 16.3% | 14.3–18.5 |
| No leisure-time physical activity among adults | 36.3% | 32.3–40.5 |
| Short sleep duration among adults | 46.2% | 42.0–50.4 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 26.8% | 24.2–29.8 |
| Frequent mental distress among adults | 18.2% | 16.3–20.2 |
| Frequent physical distress among adults | 15.4% | 13.8–17.2 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 14.9% | 13.3–16.6 |
| Any disability among adults | 35.6% | 32.0–39.3 |
| Hearing disability among adults | 6.0% | 5.3–6.7 |
| Independent living disability among adults | 10.6% | 9.6–11.8 |
| Mobility disability among adults | 20.2% | 18.1–22.4 |
| Self-care disability among adults | 6.1% | 5.5–6.6 |
| Vision disability among adults | 7.5% | 6.9–8.2 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 26.4% | 22.9–30.1 |
| Food insecurity in the past 12 months among adults | 24.7% | 21.6–28.1 |
| Received food stamps in the past 12 months among adults | 23.5% | 20.6–26.6 |
| Housing insecurity in the past 12 months among adults | 20.2% | 17.7–23.0 |
| Lack of reliable transportation in the past 12 months among adults | 12.8% | 11.3–14.4 |
| Loneliness among adults | 39.4% | 34.7–44.3 |
| Utility services shut-off threat in the past 12 months among adults | 15.8% | 13.9–17.8 |
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 | 11.8% | 9.0% (1.5–24.3%) n=32,286 | 7.8% (2.5–18.1%) n=1,174 |
| No HS diploma (25+) | 5.8% | 7.9% (1.8–20.7%) n=32,505 | 7.5% (2.3–17.0%) n=1,179 |
| Bachelor's or higher (25+) | 23.1% | 23.3% (9.2–53.6%) n=32,505 | 19.7% (8.1–45.8%) n=1,179 |
| Unemployment rate (16+) | 11.6% | 3.9% (0.0–9.8%) n=32,274 | 3.7% (0.0–9.8%) n=1,171 |
| Households without a vehicle | 12.0% | 3.9% (0.0–12.5%) n=32,322 | 4.4% (0.0–14.5%) n=1,177 |
| Broadband subscription | 89.0% | 89.3% (75.1–97.1%) n=32,322 | 88.9% (76.5–96.0%) n=1,177 |
| Housing cost burden (≥30% income) | 33.8% | 23.7% (10.6–40.0%) n=32,322 | 21.3% (11.2–34.6%) n=1,177 |
| Homeownership rate | 55.3% | 78.7% (51.7–94.0%) n=32,322 | 78.3% (52.8–91.8%) n=1,177 |
| Crowded housing (>1 per room) | 0.8% | 1.3% (0.0–6.3%) n=32,322 | 0.8% (0.0–3.5%) n=1,177 |
| Foreign-born population | 3.6% | 2.6% (0.0–18.6%) n=32,553 | 1.0% (0.0–6.8%) n=1,180 |
| Single-parent households | 40.7% | 53.6% (37.3–74.1%) n=32,087 | 53.2% (36.6–68.1%) n=1,168 |
| Population 65+ | 24.2% | 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 | $51,908 | $72,070 ($46,039–$118,707) n=30,318 | $70,500 ($46,328–$101,197) n=1,127 |
| Median home value | $123,900 | $222,200 ($100,300–$579,820) n=30,049 | $177,700 ($104,860–$310,980) n=1,117 |
| Median gross rent | $1,000 | $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 | 73.3 yr ± 0.66 | 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 0.66 years of 73.3, 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