ZIP code
45688
in Waterloo, OhioPopulation 210
31.12/ 100
Ranked #30,518 of 32,066 US ZIPs (bottom 4.9%)
Ranked #1,127 of 1,176 Ohio ZIPs (bottom 4.2%)
Ranked #48 of 65 Huntington-Ashland, WV-KY-OH 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.
Park land
66.2%
in the top 1.3% nationally
Higher is healthier
ST99thUS99thDefinition & source ›
The share of this ZIP’s land area that is public parkland.
Full methodology ›PFOA in drinking water
100%
at the national maximum
Lower is healthier
ST99thUS99thDefinition & source ›
The share of residents served by public water systems where PFOA, one of the man-made “forever chemicals,” was 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 ›Transportation noise
0.00%
at the national minimum
Lower is healthier
ST1stUS1stDefinition & source ›
The modeled share of residents exposed to average road, rail, and aviation noise at or above 55 decibels — a noticeable background presence.
Full methodology ›Tree cover
85.9%
in the top 2.7% nationally
Higher is healthier
ST99thUS97thDefinition & source ›
The share of this ZIP’s land area covered by forest.
Full methodology ›Tooth loss
27.1%
in the top 5.1% nationally
Lower is healthier
ST94thUS95thDefinition & source ›
The estimated share of adults aged 65 and older who have lost all of their natural teeth.
Full methodology ›Energy-cost burden
5.8%
in the top 3.5% nationally
Lower is healthier
ST98thUS97thDefinition & 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 ›Short sleep
43.6%
in the top 5.3% nationally
Lower is healthier
ST93rdUS95thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
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 ›Colon-cancer screening
55.8%
in the bottom 5.8% nationally
Higher is healthier
ST2ndUS6thDefinition & source ›
The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.
Full methodology ›Housing-cost burden
45.5%
in the top 5.2% nationally
Lower is healthier
ST98thUS95thDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›The read
Waterloo, Ohio (ZIP 45688) ranks in the bottom 4.9% nationally (30,518th) and the bottom 4.2% of Ohio (1,127th).
Several readings make the pressure on this area plain: PFOA in drinking water rests at the national maximum, and modeled tooth loss lands in the top 5.1% nationally. Modeled energy burden settles in the top 3.5% nationally, and short sleep rests in the top 5.3% nationally. PFAS in drinking water lands at the national maximum, modeled colon screening settles in the bottom 5.8% nationally, and housing-cost burden rests in the top 5.2% nationally. On the encouraging side, park land lands in the top 1.3% nationally, modeled transportation noise settles at the national minimum, and modeled tree cover rests in the top 2.7% nationally.
Against its neighbors, park land runs far higher than the surrounding ZIPs on this measure. For context, PFOA in drinking water is one of the man-made "forever chemicals" that build up in the body and environment instead of breaking down. PFAS in drinking water is the family of man-made "forever chemicals" that build up in the body and environment instead of breaking down. Transportation noise is the modeled share of an area exposed to average road, rail, and air noise at or above 55 decibels. The closest ZIP that ranks healthier overall is ZIP 45656, 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. Compare it against the US, this state and the Huntington-Ashland, WV-KY-OH metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Environmental Hazard
healthier than 71%
14%
About typical
Climate / Disaster Risk
healthier than 56%
5%
Holding it back
Chronic Disease Burden
healthier than 5%
21%
Social Need / SDOH
healthier than 8%
16%
Preventive Care
healthier than 15%
13%
Risk Behavior
healthier than 2%
11%
Mental Health
healthier than 6%
8%
Disability
healthier than 11%
7%
Healthcare Access
healthier than 18%
5%
Lifting this score
Environmental Hazard
healthier than 95%
14%
Holding it back
Chronic Disease Burden
healthier than 3%
21%
Social Need / SDOH
healthier than 7%
16%
Preventive Care
healthier than 7%
13%
Risk Behavior
healthier than 4%
11%
Mental Health
healthier than 9%
8%
Disability
healthier than 5%
7%
Climate / Disaster Risk
healthier than 23%
5%
Healthcare Access
healthier than 5%
5%
Lifting this score
Environmental Hazard
in the top 0.00%
14%
Mental Health
healthier than 79%
8%
Climate / Disaster Risk
healthier than 65%
5%
Holding it back
Chronic Disease Burden
healthier than 23%
21%
Social Need / SDOH
healthier than 30%
16%
Preventive Care
healthier than 9%
13%
Risk Behavior
healthier than 16%
11%
Disability
healthier than 21%
7%
Healthcare Access
in the bottom 0.00%
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
45656
Ohioshares a border
Score 42.08
Closest healthier
45658
Ohioshares a border
Score 38.27
Similar health profile
41650
Kentucky99% similar profile
Score 15.13
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 | 37.0% | 33.9–40.2 |
| High blood pressure among adults | 47.0% | 43.4–50.6 |
| Cancer (non-skin) or melanoma among adults | 9.3% | 8.4–10.2 |
| Current asthma among adults | 11.8% | 10.5–13.2 |
| Coronary heart disease among adults | 10.5% | 9.1–11.8 |
| Chronic obstructive pulmonary disease among adults | 13.8% | 11.6–16.0 |
| Depression among adults | 28.1% | 24.7–31.4 |
| Diagnosed diabetes among adults | 18.2% | 15.9–20.5 |
| High cholesterol among adults who have ever been screened | 41.6% | 38.0–45.2 |
| Obesity among adults | 45.2% | 39.6–50.5 |
| Stroke among adults | 5.1% | 4.5–5.8 |
| All teeth lost among adults aged >=65 years | 27.1% | 23.2–30.9 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 10.4% | 8.2–13.0 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 80.8% | 78.2–83.0 |
| Visits to doctor for routine checkup within the past year among adults | 79.7% | 76.7–82.2 |
| Cholesterol screening among adults | 83.4% | 81.1–85.4 |
| Colorectal cancer screening among adults aged 45–75 years | 55.8% | 51.0–60.5 |
| Visited dentist or dental clinic in the past year among adults | 48.2% | 44.8–51.3 |
| Mammography use among women aged 50-74 years | 68.4% | 60.9–74.9 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.1% | 11.9–16.4 |
| Current cigarette smoking among adults | 25.7% | 21.5–30.1 |
| No leisure-time physical activity among adults | 38.2% | 32.9–43.6 |
| Short sleep duration among adults | 43.6% | 38.8–48.3 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 29.5% | 25.3–33.8 |
| Frequent mental distress among adults | 21.0% | 18.5–23.4 |
| Frequent physical distress among adults | 19.3% | 16.8–21.8 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 19.0% | 16.5–21.7 |
| Any disability among adults | 41.7% | 36.9–46.7 |
| Hearing disability among adults | 9.8% | 8.6–11.1 |
| Independent living disability among adults | 12.0% | 10.4–13.8 |
| Mobility disability among adults | 21.1% | 18.0–24.2 |
| Self-care disability among adults | 6.2% | 5.2–7.2 |
| Vision disability among adults | 7.5% | 6.5–8.6 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 22.9% | 19.3–26.7 |
| Food insecurity in the past 12 months among adults | 21.9% | 17.7–26.2 |
| Received food stamps in the past 12 months among adults | 21.9% | 17.8–26.2 |
| Housing insecurity in the past 12 months among adults | 15.1% | 12.6–17.9 |
| Lack of reliable transportation in the past 12 months among adults | 10.8% | 9.1–12.6 |
| Loneliness among adults | 37.4% | 32.2–42.5 |
| Utility services shut-off threat in the past 12 months among adults | 12.1% | 10.2–14.1 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | OH median (p10–p90) |
|---|---|---|---|
| Poverty rate | 31.4% | 10.6% (3.1–25.8%) n=32,364 | 10.7% (3.5–26.2%) n=1,177 |
| Uninsured 18–64 | 28.9% | 9.0% (1.5–24.3%) n=32,286 | 7.8% (2.5–18.1%) n=1,174 |
| No HS diploma (25+) | 0.0% | 7.9% (1.8–20.7%) n=32,505 | 7.5% (2.3–17.0%) n=1,179 |
| Bachelor's or higher (25+) | 8.4% | 23.3% (9.2–53.6%) n=32,505 | 19.7% (8.1–45.8%) n=1,179 |
| Unemployment rate (16+) | 0.0% | 3.9% (0.0–9.8%) n=32,274 | 3.7% (0.0–9.8%) n=1,171 |
| Households without a vehicle | 0.0% | 3.9% (0.0–12.5%) n=32,322 | 4.4% (0.0–14.5%) n=1,177 |
| Broadband subscription | 74.0% | 89.3% (75.1–97.1%) n=32,322 | 88.9% (76.5–96.0%) n=1,177 |
| Housing cost burden (≥30% income) | 45.5% | 23.7% (10.6–40.0%) n=32,322 | 21.3% (11.2–34.6%) n=1,177 |
| Homeownership rate | 83.1% | 78.7% (51.7–94.0%) n=32,322 | 78.3% (52.8–91.8%) n=1,177 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 0.8% (0.0–3.5%) n=1,177 |
| Foreign-born population | 0.0% | 2.6% (0.0–18.6%) n=32,553 | 1.0% (0.0–6.8%) n=1,180 |
| Single-parent households | 20.8% | 53.6% (37.3–74.1%) n=32,087 | 53.2% (36.6–68.1%) n=1,168 |
| Population 65+ | 8.1% | 19.4% (10.8–33.6%) n=32,553 | 19.0% (11.1–27.2%) n=1,180 |
| Median age | 32.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.2–50.5) n=1,169 |
| Median household income | — | $72,070 ($46,039–$118,707) n=30,318 | $70,500 ($46,328–$101,197) n=1,127 |
| Median home value | $52,700 | $222,200 ($100,300–$579,820) n=30,049 | $177,700 ($104,860–$310,980) n=1,117 |
| Median gross rent | — | $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 | 72.5 yr ± 1.87 | 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 1.87 years of 72.5, 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