ZIP code
51459
in Ralston, IowaPopulation 54
52.14/ 100
Ranked #13,256 of 32,066 US ZIPs (top 41%)
Ranked #483 of 922 Iowa ZIPs (bottom 48%)
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.
Transportation noise
25%
in the top 1.7% nationally
Lower is healthier
ST99thUS98thDefinition & 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 ›Binge drinking
21.4%
in the top 2.5% nationally
Lower is healthier
ST86thUS98thDefinition & 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 ›Floodplain exposure
0.00%
at the national minimum
Lower is healthier
ST1stUS1stDefinition & source ›
The share of this ZIP’s land area inside FEMA’s 1%-annual-chance floodplain — the “100-year” flood zone, where flooding has about a 1-in-100 chance in any given year.
Measured from FEMA’s mapped flood panels. Where a panel has not been mapped, no value is published for that ZIP — those ZIPs are absent from this comparison rather than counted as unexposed.
Full methodology ›Distance to a community health center
32.3 mi
in the top 3.6% nationally
Lower is healthier
ST93rdUS96thDefinition & 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 ›Tree cover
0.00%
at the national minimum
Higher is healthier
ST1stUS1stDefinition & source ›
The share of this ZIP’s land area covered by forest.
Full methodology ›Expected annual disaster loss
$0
in the bottom 6.0% nationally
Lower is healthier
ST7thUS6thDefinition & 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 ›Natural-disaster risk
in the bottom 7.0% nationally
Lower is healthier
ST6thUS7thDefinition & 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 ›Poverty rate
29.6%
in the top 7.1% nationally
Lower is healthier
ST97thUS93rdDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
Full methodology ›Short sleep
29.4%
in the bottom 7.1% nationally
Lower is healthier
ST9thUS7thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Energy-cost burden
5.2%
in the top 6.9% nationally
Lower is healthier
ST85thUS93rdDefinition & 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 ›The read
Ralston, Iowa (ZIP 51459), by its composite score, sits in the top 41% healthiest ZIPs nationally (13,256th) and the bottom 48% of Iowa (483rd).
The measures fall on both sides for this area, fairly evenly: floodplain exposure is at the national minimum, and modeled expected annual loss lands in the bottom 6.0% nationally. Modeled disaster risk stands in the bottom 7.0% nationally, and short sleep registers in the bottom 7.1% nationally. Pulling the other way, modeled transportation noise settles in the top 1.7% nationally, modeled binge drinking sits in the top 2.5% nationally, and distance to a community health center lies in the top 3.6% nationally. Modeled tree cover rests at the national minimum, poverty resides in the top 7.1% nationally, and modeled energy burden is in the top 6.9% nationally.
Next to the surrounding area, transportation noise runs far higher than the surrounding ZIPs on this measure. For anyone unfamiliar, expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. Disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. Transportation noise is the modeled share of an area exposed to average road, rail, and air noise at or above 55 decibels. For a healthier comparison close by, see ZIP 51443, 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
Chronic Disease Burden
healthier than 64%
21%
Mental Health
healthier than 68%
8%
Disability
healthier than 72%
7%
Climate / Disaster Risk
healthier than 76%
5%
About typical
Preventive Care
healthier than 57%
13%
Risk Behavior
healthier than 47%
11%
Holding it back
Social Need / SDOH
healthier than 23%
16%
Environmental Hazard
healthier than 29%
14%
Healthcare Access
healthier than 2%
5%
Lifting this score
Chronic Disease Burden
healthier than 72%
21%
Risk Behavior
healthier than 68%
11%
Disability
healthier than 71%
7%
Climate / Disaster Risk
healthier than 95%
5%
About typical
Environmental Hazard
healthier than 43%
14%
Holding it back
Social Need / SDOH
healthier than 21%
16%
Preventive Care
healthier than 17%
13%
Mental Health
healthier than 31%
8%
Healthcare Access
healthier than 4%
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
51443
Iowashares a border
Score 52.86
Closest healthier
51401
Iowaabout 6.2 mi away
Score 52.94
Similar health profile
56759
Minnesota98% similar profile
Score 53.80
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 | 28.2% | 24.9–31.6 |
| High blood pressure among adults | 34.6% | 30.5–38.7 |
| Cancer (non-skin) or melanoma among adults | 9.7% | 8.7–10.8 |
| Current asthma among adults | 10.1% | 8.8–11.4 |
| Coronary heart disease among adults | 6.7% | 5.8–7.8 |
| Chronic obstructive pulmonary disease among adults | 7.0% | 5.7–8.6 |
| Depression among adults | 20.7% | 17.5–24.2 |
| Diagnosed diabetes among adults | 10.7% | 9.0–12.6 |
| High cholesterol among adults who have ever been screened | 36.2% | 32.2–40.4 |
| Obesity among adults | 38.4% | 30.6–46.5 |
| Stroke among adults | 3.4% | 2.9–3.9 |
| All teeth lost among adults aged >=65 years | 11.5% | 9.2–14.2 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 6.4% | 4.5–9.2 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 79.0% | 76.0–81.6 |
| Visits to doctor for routine checkup within the past year among adults | 77.8% | 74.0–81.2 |
| Cholesterol screening among adults | 84.6% | 81.6–87.2 |
| Colorectal cancer screening among adults aged 45–75 years | 68.0% | 62.7–73.2 |
| Visited dentist or dental clinic in the past year among adults | 68.4% | 64.9–71.8 |
| Mammography use among women aged 50-74 years | 73.4% | 65.4–80.8 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 21.4% | 17.9–25.0 |
| Current cigarette smoking among adults | 14.2% | 10.9–17.7 |
| No leisure-time physical activity among adults | 25.3% | 20.0–31.1 |
| Short sleep duration among adults | 29.4% | 23.6–35.7 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 16.8% | 13.6–20.6 |
| Frequent mental distress among adults | 16.5% | 14.0–19.0 |
| Frequent physical distress among adults | 12.9% | 10.8–15.1 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 13.5% | 11.0–16.2 |
| Any disability among adults | 27.7% | 23.0–32.8 |
| Hearing disability among adults | 7.8% | 6.7–8.9 |
| Independent living disability among adults | 7.2% | 5.8–8.8 |
| Mobility disability among adults | 12.7% | 10.3–15.3 |
| Self-care disability among adults | 3.2% | 2.6–3.9 |
| Vision disability among adults | 3.9% | 3.3–4.7 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 22.5% | 18.8–26.9 |
| Food insecurity in the past 12 months among adults | 9.9% | 7.1–13.3 |
| Received food stamps in the past 12 months among adults | 7.7% | 5.5–10.5 |
| Housing insecurity in the past 12 months among adults | 7.7% | 5.8–10.0 |
| Lack of reliable transportation in the past 12 months among adults | 5.8% | 4.7–7.3 |
| Loneliness among adults | 31.5% | 26.7–37.0 |
| Utility services shut-off threat in the past 12 months among adults | 5.1% | 4.0–6.3 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | IA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 29.6% | 10.6% (3.1–25.8%) n=32,364 | 8.5% (2.7–19.1%) n=931 |
| Uninsured 18–64 | 16.0% | 9.0% (1.5–24.3%) n=32,286 | 5.4% (0.7–14.7%) n=931 |
| No HS diploma (25+) | 0.0% | 7.9% (1.8–20.7%) n=32,505 | 5.1% (1.6–12.9%) n=932 |
| Bachelor's or higher (25+) | 0.0% | 23.3% (9.2–53.6%) n=32,505 | 20.9% (9.8–36.8%) n=932 |
| Unemployment rate (16+) | 9.1% | 3.9% (0.0–9.8%) n=32,274 | 2.2% (0.0–6.7%) n=932 |
| Households without a vehicle | 4.5% | 3.9% (0.0–12.5%) n=32,322 | 2.4% (0.0–7.9%) n=931 |
| Broadband subscription | 95.5% | 89.3% (75.1–97.1%) n=32,322 | 88.5% (77.9–95.1%) n=931 |
| Housing cost burden (≥30% income) | 13.6% | 23.7% (10.6–40.0%) n=32,322 | 18.2% (9.0–28.8%) n=931 |
| Homeownership rate | 81.8% | 78.7% (51.7–94.0%) n=32,322 | 82.1% (66.8–93.5%) n=931 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 0.4% (0.0–3.3%) n=931 |
| Foreign-born population | 0.0% | 2.6% (0.0–18.6%) n=32,553 | 1.0% (0.0–7.2%) n=932 |
| Single-parent households | 33.3% | 53.6% (37.3–74.1%) n=32,087 | 56.8% (43.7–75.5%) n=928 |
| Population 65+ | 24.1% | 19.4% (10.8–33.6%) n=32,553 | 20.2% (12.7–31.0%) n=932 |
| Median age | 40.0 yr | 42.2 yr (33.0–56.3) n=32,292 | 42.7 yr (34.1–54.7) n=931 |
| Median household income | $63,333 | $72,070 ($46,039–$118,707) n=30,318 | $73,848 ($55,055–$102,762) n=911 |
| Median home value | $75,000 | $222,200 ($100,300–$579,820) n=30,049 | $161,100 ($93,820–$278,170) n=892 |
| Median gross rent | — | $1,021 ($677–$1,912) n=25,670 | $825 ($614–$1,113) n=771 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | IA median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 83.4 yr ± 2.02 | 78.9 yr (74.7–82.8) n=31,308 | 80.0 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 2.02 years of 83.4, 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