ZIP code
49221
in Adrian, MichiganPopulation 41,087
46.20/ 100
Ranked #21,109 of 32,066 US ZIPs (bottom 34%)
Ranked #737 of 973 Michigan ZIPs (bottom 24%)
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.
Subsidized affordable housing
989 units
in the top 1.4% nationally
Higher is healthier
ST99thUS99thDefinition & source ›
The number of affordable rental units in this ZIP supported by the federal Low-Income Housing Tax Credit program.
Full methodology ›Lithium in drinking water
9.4 µg/L
in the bottom 2.9% nationally
Lower is healthier
ST1stUS3rdDefinition & source ›
The average detected level of lithium — a natural trace metal with no federal drinking-water limit yet — across the public water systems serving this ZIP, in micrograms per liter.
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 ›Expected annual disaster loss
$0
in the top 6.7% nationally
Lower is healthier
ST98thUS93rdDefinition & 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 ›Radon
2.9 pCi/L
in the top 12.4% nationally
Lower is healthier
ST98thUS88thDefinition & 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 ›Natural-disaster risk
in the top 12.0% nationally
Lower is healthier
ST97thUS88thDefinition & source ›
This area’s national rank on its single highest non-flood natural hazard — such as wildfire, tornado, or earthquake — in FEMA’s modeled National Risk Index; flooding is shown separately.
Full methodology ›The read
On balance, and by the composite measure, Adrian, Michigan (ZIP 49221) ranks in the bottom 34% nationally (21,109th) and the bottom 24% of Michigan (737th).
The measures split the difference for this area: subsidized affordable housing lands in the top 1.4% nationally, and lithium in drinking water registers in the bottom 2.9% nationally. Distance to an emergency room sits at the national minimum, shared with about 11% of ZIPs. Distance to a community health center rests at the national minimum, shared with about 23% of ZIPs. Distance to a nursing home is at the national minimum, shared with about 27% of ZIPs. Mental-health providers stands in the top 14.6% nationally, and outpatient settles in the top 15.0% nationally. Against that, modeled expected annual loss lies in the top 6.7% nationally, radon resides in the top 12.4% nationally, and disaster risk lands in the top 12.0% nationally.
Compared with the ZIPs it borders, expected annual loss runs far higher than the surrounding ZIPs on this measure. In plainer terms, lithium in drinking water is a natural metal that dissolves into some groundwater and has no federal drinking-water limit yet. Expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. For a healthier nearby ZIP overall, look to ZIP 49229, 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
Climate / Disaster Risk
healthier than 80%
5%
Healthcare Access
in the top 0.00%
5%
About typical
Chronic Disease Burden
healthier than 42%
21%
Social Need / SDOH
healthier than 42%
16%
Preventive Care
healthier than 48%
13%
Holding it back
Environmental Hazard
healthier than 21%
14%
Risk Behavior
healthier than 30%
11%
Mental Health
healthier than 10%
8%
Disability
healthier than 35%
7%
Lifting this score
Healthcare Access
in the top 0.00%
5%
About typical
Chronic Disease Burden
healthier than 48%
21%
Social Need / SDOH
healthier than 46%
16%
Climate / Disaster Risk
healthier than 40%
5%
Holding it back
Environmental Hazard
healthier than 11%
14%
Preventive Care
healthier than 14%
13%
Risk Behavior
healthier than 17%
11%
Mental Health
healthier than 18%
8%
Disability
healthier than 28%
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 ›
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
49229
Michiganshares a border
Score 52.16
Closest healthier
49235
Michiganshares a border
Score 47.53
Similar health profile
48911
Michigan98% similar profile
Score 47.08
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 | 28.5% | 25.5–31.6 |
| High blood pressure among adults | 37.2% | 33.4–41.1 |
| Cancer (non-skin) or melanoma among adults | 8.7% | 7.9–9.5 |
| Current asthma among adults | 11.6% | 10.3–13.0 |
| Coronary heart disease among adults | 7.5% | 6.8–8.2 |
| Chronic obstructive pulmonary disease among adults | 9.1% | 8.2–10.0 |
| Depression among adults | 28.0% | 24.2–31.9 |
| Diagnosed diabetes among adults | 12.8% | 11.2–14.6 |
| High cholesterol among adults who have ever been screened | 36.4% | 32.4–40.4 |
| Obesity among adults | 41.9% | 35.0–48.7 |
| Stroke among adults | 3.9% | 3.6–4.2 |
| All teeth lost among adults aged >=65 years | 14.3% | 11.8–17.1 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 9.5% | 8.1–10.9 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 75.8% | 73.0–78.4 |
| Visits to doctor for routine checkup within the past year among adults | 77.7% | 74.1–81.0 |
| Cholesterol screening among adults | 84.4% | 82.6–86.2 |
| Colorectal cancer screening among adults aged 45–75 years | 66.5% | 62.0–71.0 |
| Visited dentist or dental clinic in the past year among adults | 63.0% | 59.7–66.3 |
| Mammography use among women aged 50-74 years | 78.6% | 72.1–84.4 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.2% | 13.3–19.3 |
| Current cigarette smoking among adults | 16.7% | 14.6–19.0 |
| No leisure-time physical activity among adults | 28.6% | 24.7–33.0 |
| Short sleep duration among adults | 37.7% | 32.3–43.4 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 22.4% | 20.0–25.1 |
| Frequent mental distress among adults | 19.4% | 17.4–21.7 |
| Frequent physical distress among adults | 15.6% | 13.9–17.5 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 17.0% | 15.3–18.9 |
| Any disability among adults | 35.2% | 31.2–39.4 |
| Hearing disability among adults | 8.1% | 7.3–9.0 |
| Independent living disability among adults | 10.0% | 9.1–11.1 |
| Mobility disability among adults | 15.5% | 13.8–17.5 |
| Self-care disability among adults | 4.5% | 4.1–4.9 |
| Vision disability among adults | 6.0% | 5.5–6.5 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 23.7% | 20.2–27.2 |
| Food insecurity in the past 12 months among adults | 18.4% | 15.9–20.9 |
| Received food stamps in the past 12 months among adults | 17.8% | 15.6–20.1 |
| Housing insecurity in the past 12 months among adults | 13.6% | 11.7–15.5 |
| Lack of reliable transportation in the past 12 months among adults | 9.9% | 8.7–11.1 |
| Loneliness among adults | 33.2% | 28.2–38.3 |
| Utility services shut-off threat in the past 12 months among adults | 9.9% | 8.6–11.3 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MI median (p10–p90) |
|---|---|---|---|
| Poverty rate | 15.5% | 10.6% (3.1–25.8%) n=32,364 | 10.7% (4.3–22.3%) n=974 |
| Uninsured 18–64 | 8.7% | 9.0% (1.5–24.3%) n=32,286 | 6.8% (2.5–13.5%) n=975 |
| No HS diploma (25+) | 11.2% | 7.9% (1.8–20.7%) n=32,505 | 6.7% (2.5–14.2%) n=974 |
| Bachelor's or higher (25+) | 22.3% | 23.3% (9.2–53.6%) n=32,505 | 22.1% (11.4–48.3%) n=974 |
| Unemployment rate (16+) | 4.5% | 3.9% (0.0–9.8%) n=32,274 | 4.6% (1.3–10.0%) n=974 |
| Households without a vehicle | 7.9% | 3.9% (0.0–12.5%) n=32,322 | 4.5% (0.9–10.8%) n=973 |
| Broadband subscription | 90.0% | 89.3% (75.1–97.1%) n=32,322 | 88.8% (79.5–95.5%) n=973 |
| Housing cost burden (≥30% income) | 27.9% | 23.7% (10.6–40.0%) n=32,322 | 22.5% (14.8–32.9%) n=973 |
| Homeownership rate | 71.1% | 78.7% (51.7–94.0%) n=32,322 | 85.3% (62.2–94.6%) n=973 |
| Crowded housing (>1 per room) | 1.9% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–3.6%) n=973 |
| Foreign-born population | 2.7% | 2.6% (0.0–18.6%) n=32,553 | 1.8% (0.3–10.0%) n=975 |
| Single-parent households | 56.5% | 53.6% (37.3–74.1%) n=32,087 | 56.5% (43.6–74.2%) n=970 |
| Population 65+ | 19.9% | 19.4% (10.8–33.6%) n=32,553 | 20.5% (13.7–35.2%) n=975 |
| Median age | 41.1 yr | 42.2 yr (33.0–56.3) n=32,292 | 43.6 yr (35.2–58.2) n=974 |
| Median household income | $65,977 | $72,070 ($46,039–$118,707) n=30,318 | $68,216 ($47,282–$105,129) n=962 |
| Median home value | $170,400 | $222,200 ($100,300–$579,820) n=30,049 | $192,350 ($116,360–$355,650) n=952 |
| Median gross rent | $992 | $1,021 ($677–$1,912) n=25,670 | $972 ($719–$1,368) n=849 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | MI median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 78.1 yr ± 0.57 | 78.9 yr (74.7–82.8) n=31,308 | 78.6 yr (75.7–81.6) n=940 |
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 0.57 years of 78.1, 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