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ZipVitals

ZIP code

50628

in Elma, IowaPopulation 1,423

44.99/ 100

Ranked #22,416 of 32,066 US ZIPs (bottom 30%)

Ranked #879 of 922 Iowa ZIPs (bottom 4.7%)

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

Robust across all 9 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.

PFAS in drinking water

5.9%

in the bottom 1.9% nationally

Lower is healthier

ST5th
US2nd
Definition & source ›

The modeled probability that PFAS “forever chemicals” would be detected in untreated groundwater in this area, the source private wells draw on.

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 ›

Energy-cost burden

6.1%

in the top 2.7% nationally

Lower is healthier

ST96th
US97th
Definition & 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 ›

Distance to a community health center

29.6 mi

in the top 4.2% nationally

Lower is healthier

ST90th
US96th
Definition & 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 ›

Child-care access

0.77 per 1,000 residents

in the top 4.2% nationally

Higher is healthier

ST92nd
US96th
Definition & source ›

The number of child day-care services 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.

Full methodology ›

Hearing disability

11.6%

in the top 6.0% nationally

Lower is healthier

ST99th
US94th
Definition & source ›

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

Full methodology ›

Radon

3.1 pCi/L

in the top 8.5% nationally

Lower is healthier

ST34th
US92nd
Definition & 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 ›

Coronary heart disease

10.4%

in the top 7.1% nationally

Lower is healthier

ST99th
US93rd
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 ›

Home broadband subscription

73.8%

in the bottom 8.7% nationally

Higher is healthier

ST5th
US9th
Definition & source ›

The share of households with a broadband internet subscription.

Full methodology ›

Transportation noise

0.18%

in the bottom 10.0% nationally

Lower is healthier

ST20th
US10th
Definition & 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 ›

Stroke

5.1%

in the top 12.8% nationally

Lower is healthier

ST99th
US87th
Definition & source ›

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

Full methodology ›

The read

On balance, and by the composite measure, Elma, Iowa (ZIP 50628) ranks in the bottom 30% nationally (22,416th) and the bottom 4.7% of Iowa (879th).

continue reading

The measures that press hardest set the tone here: modeled energy burden lands in the top 2.7% nationally, and distance to a community health center registers in the top 4.2% nationally. Modeled hearing disability sits in the top 6.0% nationally, and radon rests in the top 8.5% nationally. Modeled coronary heart disease is in the top 7.1% nationally, and home broadband subscription stands in the bottom 8.7% nationally. On the stronger side, modeled pfas settles in the bottom 1.9% nationally, childcare lies in the top 4.2% nationally, and modeled transportation noise resides in the bottom 10.0% nationally. Distance to a nursing home lands at the national minimum, shared with about 27% of ZIPs.

In plainer terms, pfas is the man-made "forever chemicals" that build up in the body and environment instead of breaking down; here a modeled estimate of the chance a private well contains them. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Energy burden is the share of household income that goes to home energy bills. For a healthier nearby ZIP overall, look to ZIP 50460, 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

Preventive Care

healthier than 73%

13%

Mental Health

healthier than 75%

8%

Climate / Disaster Risk

healthier than 67%

5%

About typical

Environmental Hazard

healthier than 53%

14%

Holding it back

Chronic Disease Burden

healthier than 17%

21%

Social Need / SDOH

healthier than 8%

16%

Risk Behavior

healthier than 33%

11%

Disability

healthier than 23%

7%

Healthcare Access

healthier than 5%

5%

Lifting this score

Environmental Hazard

healthier than 77%

14%

Climate / Disaster Risk

healthier than 83%

5%

About typical

Preventive Care

healthier than 45%

13%

Mental Health

healthier than 56%

8%

Holding it back

Chronic Disease Burden

healthier than 2%

21%

Social Need / SDOH

healthier than 2%

16%

Risk Behavior

healthier than 37%

11%

Disability

healthier than 2%

7%

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.

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 adults34.7%31.1–38.3
High blood pressure among adults42.8%38.5–47.1
Cancer (non-skin) or melanoma among adults11.8%10.6–12.9
Current asthma among adults10.1%9.0–11.3
Coronary heart disease among adults10.4%9.3–11.6
Chronic obstructive pulmonary disease among adults10.8%9.4–12.3
Depression among adults20.0%17.1–23.2
Diagnosed diabetes among adults15.1%13.2–17.3
High cholesterol among adults who have ever been screened40.5%36.1–44.8
Obesity among adults39.2%31.6–47.2
Stroke among adults5.1%4.6–5.7
All teeth lost among adults aged >=65 years14.6%12.1–17.8
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years8.2%6.5–9.9
Taking medicine to control high blood pressure among adults with high blood pressure82.6%80.1–84.8
Visits to doctor for routine checkup within the past year among adults79.5%76.0–82.5
Cholesterol screening among adults85.4%83.4–87.1
Colorectal cancer screening among adults aged 45–75 years69.8%64.7–74.5
Visited dentist or dental clinic in the past year among adults65.2%61.8–68.8
Mammography use among women aged 50-74 years77.0%69.9–83.1
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults17.1%14.3–20.3
Current cigarette smoking among adults18.3%15.6–21.2
No leisure-time physical activity among adults30.7%26.0–35.9
Short sleep duration among adults32.2%26.1–38.7
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults23.5%20.4–26.8
Frequent mental distress among adults16.1%14.3–18.0
Frequent physical distress among adults16.2%14.2–18.2
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults15.1%13.3–17.1
Any disability among adults35.9%31.5–40.4
Hearing disability among adults11.6%10.3–13.0
Independent living disability among adults9.8%8.5–11.3
Mobility disability among adults19.1%16.6–21.7
Self-care disability among adults5.0%4.4–5.7
Vision disability among adults6.0%5.2–6.9
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults23.5%20.1–27.3
Food insecurity in the past 12 months among adults13.6%11.1–16.3
Received food stamps in the past 12 months among adults12.6%10.4–15.2
Housing insecurity in the past 12 months among adults9.4%7.9–11.1
Lack of reliable transportation in the past 12 months among adults7.3%6.3–8.5
Loneliness among adults31.1%26.3–36.1
Utility services shut-off threat in the past 12 months among adults6.8%5.8–7.9
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)IA median (p10–p90)
Poverty rate8.4%10.6% (3.1–25.8%) n=32,3648.5% (2.7–19.1%) n=931
Uninsured 18–6423.6%9.0% (1.5–24.3%) n=32,2865.4% (0.7–14.7%) n=931
No HS diploma (25+)8.3%7.9% (1.8–20.7%) n=32,5055.1% (1.6–12.9%) n=932
Bachelor's or higher (25+)13.3%23.3% (9.2–53.6%) n=32,50520.9% (9.8–36.8%) n=932
Unemployment rate (16+)0.6%3.9% (0.0–9.8%) n=32,2742.2% (0.0–6.7%) n=932
Households without a vehicle8.7%3.9% (0.0–12.5%) n=32,3222.4% (0.0–7.9%) n=931
Broadband subscription73.8%89.3% (75.1–97.1%) n=32,32288.5% (77.9–95.1%) n=931
Housing cost burden (≥30% income)20.9%23.7% (10.6–40.0%) n=32,32218.2% (9.0–28.8%) n=931
Homeownership rate73.6%78.7% (51.7–94.0%) n=32,32282.1% (66.8–93.5%) n=931
Crowded housing (>1 per room)3.4%1.3% (0.0–6.3%) n=32,3220.4% (0.0–3.3%) n=931
Foreign-born population1.1%2.6% (0.0–18.6%) n=32,5531.0% (0.0–7.2%) n=932
Single-parent households42.0%53.6% (37.3–74.1%) n=32,08756.8% (43.7–75.5%) n=928
Population 65+21.3%19.4% (10.8–33.6%) n=32,55320.2% (12.7–31.0%) n=932
Median age39.2 yr42.2 yr (33.0–56.3) n=32,29242.7 yr (34.1–54.7) n=931
Median household income$68,750$72,070 ($46,039–$118,707) n=30,318$73,848 ($55,055–$102,762) n=911
Median home value$153,500$222,200 ($100,300–$579,820) n=30,049$161,100 ($93,820–$278,170) n=892
Median gross rent$672$1,021 ($677–$1,912) n=25,670$825 ($614–$1,113) n=771
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)IA median (p10–p90)
Life expectancy at birth77.9 yr ± 0.5678.9 yr (74.7–82.8) n=31,30880.0 yr (77.2–83.4) n=917

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 0.56 years of 77.9, 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