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ZIP code

49756

in Lewiston, MichiganPopulation 4,100

ZipVitals Score
How is the ZipVitals Score calculated? →

45.49/ 100

Ranked #21,886 of 32,066 US ZIPs (bottom 32%)

Ranked #773 of 973 Michigan ZIPs (bottom 21%)

Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.

Broad coverage across health domains

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.

Coronary heart disease

11.6%

in the top 2.6% nationally

Lower is healthier

ST96th
US97th
Definition & source ›

The estimated share of adults who have been told by a health professional that they have coronary heart disease or angina.

Full methodology ›

Park land

36.6%

in the top 3.7% nationally

Higher is healthier

ST95th
US96th
Definition & source ›

The share of this ZIP’s land area that is public parkland.

Full methodology ›

Hearing disability

12.0%

in the top 4.5% nationally

Lower is healthier

ST97th
US96th
Definition & source ›

The estimated share of adults who are deaf or have serious difficulty hearing.

Full methodology ›

Grocery access

0.26 per 1,000 residents

in the top 4.6% nationally

Higher is healthier

ST97th
US95th
Definition & source ›

The number of full supermarkets 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. ZipVitals’s food-access signal is derived from these in-ZIP densities — it is not USDA’s food-desert designation, which measures distance to the nearest supermarket. Where a leg is missing, a ZIP reads “not determinable,” never “not a food desert.”

Full methodology ›

Stroke

5.5%

in the top 7.8% nationally

Lower is healthier

ST93rd
US92nd
Definition & source ›

The estimated share of adults who have been told by a health professional that they have had a stroke.

Full methodology ›

Distance to an emergency room

16.6 mi

in the top 8.9% nationally

Lower is healthier

ST94th
US91st
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.

Full methodology ›

Arsenic in groundwater

1.4%

in the bottom 10.0% nationally

Lower is healthier

ST5th
US10th
Definition & source ›

The modeled probability that untreated groundwater in this area — the source private wells draw on — exceeds the federal arsenic limit of 10 micrograms per liter.

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 ›

High blood pressure

46.2%

in the top 9.4% nationally

Lower is healthier

ST92nd
US91st
Definition & source ›

The estimated share of adults who have been told by a health professional that they have high blood pressure.

Full methodology ›

Tree cover

64.7%

in the top 12.1% nationally

Higher is healthier

ST96th
US88th
Definition & source ›

The share of this ZIP’s land area covered by forest.

Full methodology ›

High cholesterol

43.1%

in the top 10.2% nationally

Lower is healthier

ST95th
US90th
Definition & source ›

The estimated share of adults with high cholesterol, among those who have ever been screened for it.

Full methodology ›

The read

On balance, and by the composite measure, Lewiston, Michigan (ZIP 49756) ranks in the bottom 32% nationally (21,886th) and the bottom 21% of Michigan (773rd), based on limited data; treat as directional.

continue reading

The measures split the difference for this area: park land registers in the top 3.7% nationally, and grocery sits in the top 4.6% nationally. Modeled arsenic rests in the bottom 10.0% nationally. Distance to a community health center is at the national minimum, shared with about 23% of ZIPs. Modeled tree cover stands in the top 12.1% nationally. Against that, modeled coronary heart disease settles in the top 2.6% nationally, hearing disability lies in the top 4.5% nationally, and stroke resides in the top 7.8% nationally. Distance to an emergency room lands in the top 8.9% nationally, and modeled high blood pressure registers in the top 9.4% nationally.

Compared with the ZIPs it borders, park land runs far higher than the surrounding ZIPs on this measure. In plainer terms, arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. Distance to a community health center is a federally funded (HRSA) community health center serving everyone regardless of ability to pay. For a healthier nearby ZIP overall, look to ZIP 48619, 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.

Compare within

Lifting this score

Environmental Hazard

healthier than 93%

14%

Preventive Care

healthier than 86%

13%

Risk Behavior

healthier than 61%

11%

Climate / Disaster RiskPartial

healthier than 98%

5%

About typical

Healthcare Access

healthier than 45%

5%

Holding it back

Chronic Disease Burden

healthier than 6%

21%

Social Need / SDOH

healthier than 29%

16%

Mental Health

healthier than 32%

8%

Disability

healthier than 18%

7%

Lifting this score

Environmental Hazard

healthier than 91%

14%

Preventive Care

healthier than 66%

13%

Mental Health

healthier than 73%

8%

Climate / Disaster RiskPartial

healthier than 98%

5%

About typical

Risk Behavior

healthier than 57%

11%

Healthcare Access

healthier than 45%

5%

Holding it back

Chronic Disease Burden

healthier than 4%

21%

Social Need / SDOH

healthier than 32%

16%

Disability

healthier than 10%

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.

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
MeasureCrude prevalence95% CI
Arthritis among adults40.3%37.4–43.3
High blood pressure among adults46.2%42.8–49.5
Cancer (non-skin) or melanoma among adults13.2%12.3–14.2
Current asthma among adults11.6%10.6–12.8
Coronary heart disease among adults11.6%10.7–12.6
Chronic obstructive pulmonary disease among adults13.0%11.8–14.5
Depression among adults26.1%23.3–29.1
Diagnosed diabetes among adults16.4%14.9–18.3
High cholesterol among adults who have ever been screened43.1%39.5–46.5
Obesity among adults37.4%31.6–43.5
Stroke among adults5.5%5.1–6.0
All teeth lost among adults aged >=65 years13.9%12.0–16.0
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years7.1%5.9–8.3
Taking medicine to control high blood pressure among adults with high blood pressure83.6%81.6–85.3
Visits to doctor for routine checkup within the past year among adults83.3%81.0–85.3
Cholesterol screening among adults89.6%88.4–90.7
Colorectal cancer screening among adults aged 45–75 years71.4%67.9–74.7
Visited dentist or dental clinic in the past year among adults63.1%60.2–65.8
Mammography use among women aged 50-74 years73.9%67.9–79.0
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults13.0%11.2–14.9
Current cigarette smoking among adults17.5%15.5–19.9
No leisure-time physical activity among adults29.8%26.2–33.8
Short sleep duration among adults33.4%28.5–38.4
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults24.4%21.9–27.1
Frequent mental distress among adults16.7%15.2–18.3
Frequent physical distress among adults18.0%16.4–19.9
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults15.3%13.8–16.9
Any disability among adults39.4%35.8–43.2
Hearing disability among adults12.0%11.0–13.1
Independent living disability among adults10.6%9.6–11.7
Mobility disability among adults20.8%18.7–23.2
Self-care disability among adults5.3%4.8–5.8
Vision disability among adults6.4%5.8–7.0
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults21.9%19.1–24.6
Food insecurity in the past 12 months among adults14.7%12.7–16.8
Received food stamps in the past 12 months among adults14.6%12.6–16.8
Housing insecurity in the past 12 months among adults9.7%8.4–11.0
Lack of reliable transportation in the past 12 months among adults7.7%6.8–8.5
Loneliness among adults30.9%27.1–34.8
Utility services shut-off threat in the past 12 months among adults7.4%6.5–8.2
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)MI median (p10–p90)
Poverty rate16.8%10.6% (3.1–25.8%) n=32,36410.7% (4.3–22.3%) n=974
Uninsured 18–6413.7%9.0% (1.5–24.3%) n=32,2866.8% (2.5–13.5%) n=975
No HS diploma (25+)9.1%7.9% (1.8–20.7%) n=32,5056.7% (2.5–14.2%) n=974
Bachelor's or higher (25+)18.2%23.3% (9.2–53.6%) n=32,50522.1% (11.4–48.3%) n=974
Unemployment rate (16+)7.3%3.9% (0.0–9.8%) n=32,2744.6% (1.3–10.0%) n=974
Households without a vehicle6.6%3.9% (0.0–12.5%) n=32,3224.5% (0.9–10.8%) n=973
Broadband subscription82.3%89.3% (75.1–97.1%) n=32,32288.8% (79.5–95.5%) n=973
Housing cost burden (≥30% income)25.4%23.7% (10.6–40.0%) n=32,32222.5% (14.8–32.9%) n=973
Homeownership rate86.4%78.7% (51.7–94.0%) n=32,32285.3% (62.2–94.6%) n=973
Crowded housing (>1 per room)1.5%1.3% (0.0–6.3%) n=32,3221.1% (0.0–3.6%) n=973
Foreign-born population1.9%2.6% (0.0–18.6%) n=32,5531.8% (0.3–10.0%) n=975
Single-parent households75.2%53.6% (37.3–74.1%) n=32,08756.5% (43.6–74.2%) n=970
Population 65+35.5%19.4% (10.8–33.6%) n=32,55320.5% (13.7–35.2%) n=975
Median age59.1 yr42.2 yr (33.0–56.3) n=32,29243.6 yr (35.2–58.2) n=974
Median household income$53,333$72,070 ($46,039–$118,707) n=30,318$68,216 ($47,282–$105,129) n=962
Median home value$162,900$222,200 ($100,300–$579,820) n=30,049$192,350 ($116,360–$355,650) n=952
Median gross rent$828$1,021 ($677–$1,912) n=25,670$972 ($719–$1,368) n=849
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)MI median (p10–p90)
Life expectancy at birth76.0 yr ± 1.1878.9 yr (74.7–82.8) n=31,30878.6 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 1.18 years of 76.0, and it’s very unlikely to be off by more than twice that.

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