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ZipVitals

ZIP code

52057

in Manchester, IowaPopulation 8,193

49.47/ 100

Ranked #16,977 of 32,066 US ZIPs (bottom 47%)

Ranked #709 of 922 Iowa ZIPs (bottom 23%)

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.

Distance to a community health center

27.8 mi

in the top 4.7% nationally

Lower is healthier

ST88th
US95th
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 ›

Industrial-pollution burden

in the top 6.8% nationally

Lower is healthier

ST98th
US93rd
Definition & source ›

The EPA’s modeled screening score for industrial chemical releases, weighting the amounts released by their toxicity and how many people live nearby — a relative comparison score, not a measured exposure.

Full methodology ›

Mental-health provider access

0.12 per 1,000 residents

in the top 8.4% nationally

Higher is healthier

ST93rd
US92nd
Definition & source ›

The number of mental-health clinics located 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 ›

Dental provider access

0.87 per 1,000 residents

in the top 9.2% nationally

Higher is healthier

ST95th
US91st
Definition & source ›

The number of dental offices located 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 ›

The read

By its overall health score, Manchester, Iowa (ZIP 52057) lands in the bottom 47% nationally (16,977th) and the bottom 23% of Iowa (709th).

continue reading

Neither strongly one way nor the other, the measures sit mixed: distance to an emergency room resides at the national minimum, shared with about 11% of ZIPs. Mental-health providers lands in the top 8.4% nationally, and dental providers registers in the top 9.2% nationally. Childcare sits in the top 10.7% nationally, modeled short sleep rests in the bottom 12.4% nationally, and elder services is in the top 12.4% nationally. Against that, distance to a community health center stands in the top 4.7% nationally, modeled industrial-pollution burden settles in the top 6.8% nationally, and modeled radon lies in the top 13.0% nationally. Lithium in drinking water resides in the top 11.6% nationally.

Weighed against the ZIPs nearby, industrial-pollution burden runs far higher than the surrounding ZIPs on this measure. To translate a couple of terms, industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Lithium in drinking water is a natural metal that dissolves into some groundwater and has no federal drinking-water limit yet. Overall, the nearest healthier neighbor is ZIP 50654, 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 67%

13%

Mental Health

healthier than 71%

8%

Climate / Disaster Risk

healthier than 61%

5%

About typical

Social Need / SDOH

healthier than 58%

16%

Holding it back

Chronic Disease Burden

healthier than 33%

21%

Environmental Hazard

healthier than 36%

14%

Risk Behavior

healthier than 36%

11%

Disability

healthier than 37%

7%

Healthcare Access

healthier than 6%

5%

Lifting this score

Social Need / SDOH

healthier than 73%

16%

Climate / Disaster Risk

healthier than 68%

5%

About typical

Environmental Hazard

healthier than 54%

14%

Risk Behavior

healthier than 44%

11%

Mental Health

healthier than 42%

8%

Holding it back

Chronic Disease Burden

healthier than 17%

21%

Preventive Care

healthier than 31%

13%

Disability

healthier than 9%

7%

Healthcare Access

healthier than 15%

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 adults31.8%28.1–35.5
High blood pressure among adults39.2%34.8–43.7
Cancer (non-skin) or melanoma among adults10.4%9.4–11.5
Current asthma among adults10.2%8.9–11.5
Coronary heart disease among adults8.6%7.5–9.7
Chronic obstructive pulmonary disease among adults9.4%8.0–10.8
Depression among adults20.0%16.7–23.5
Diagnosed diabetes among adults13.5%11.6–15.5
High cholesterol among adults who have ever been screened38.6%33.9–43.2
Obesity among adults40.9%32.9–49.0
Stroke among adults4.4%3.9–4.9
All teeth lost among adults aged >=65 years12.9%10.4–15.8
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years7.5%6.0–9.2
Taking medicine to control high blood pressure among adults with high blood pressure80.8%78.0–83.3
Visits to doctor for routine checkup within the past year among adults78.7%75.0–82.0
Cholesterol screening among adults84.8%82.8–86.8
Colorectal cancer screening among adults aged 45–75 years68.9%64.1–73.4
Visited dentist or dental clinic in the past year among adults67.4%63.9–70.7
Mammography use among women aged 50-74 years76.1%68.3–82.7
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults18.2%15.0–21.6
Current cigarette smoking among adults17.7%14.8–20.7
No leisure-time physical activity among adults30.2%25.1–35.3
Short sleep duration among adults30.6%24.6–37.1
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults21.2%18.0–24.4
Frequent mental distress among adults16.6%14.4–18.7
Frequent physical distress among adults14.9%12.9–16.9
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults14.8%12.9–16.9
Any disability among adults32.7%28.0–37.4
Hearing disability among adults9.7%8.5–10.9
Independent living disability among adults9.1%7.8–10.5
Mobility disability among adults16.6%14.0–19.2
Self-care disability among adults4.4%3.8–5.0
Vision disability among adults5.4%4.7–6.2
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults23.3%19.5–27.2
Food insecurity in the past 12 months among adults13.6%11.1–16.6
Received food stamps in the past 12 months among adults12.5%10.2–15.1
Housing insecurity in the past 12 months among adults9.5%7.9–11.4
Lack of reliable transportation in the past 12 months among adults7.3%6.2–8.5
Loneliness among adults31.6%26.4–36.9
Utility services shut-off threat in the past 12 months among adults6.9%5.8–8.1
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)IA median (p10–p90)
Poverty rate8.8%10.6% (3.1–25.8%) n=32,3648.5% (2.7–19.1%) n=931
Uninsured 18–645.6%9.0% (1.5–24.3%) n=32,2865.4% (0.7–14.7%) n=931
No HS diploma (25+)6.8%7.9% (1.8–20.7%) n=32,5055.1% (1.6–12.9%) n=932
Bachelor's or higher (25+)26.8%23.3% (9.2–53.6%) n=32,50520.9% (9.8–36.8%) n=932
Unemployment rate (16+)2.5%3.9% (0.0–9.8%) n=32,2742.2% (0.0–6.7%) n=932
Households without a vehicle7.3%3.9% (0.0–12.5%) n=32,3222.4% (0.0–7.9%) n=931
Broadband subscription86.2%89.3% (75.1–97.1%) n=32,32288.5% (77.9–95.1%) n=931
Housing cost burden (≥30% income)24.0%23.7% (10.6–40.0%) n=32,32218.2% (9.0–28.8%) n=931
Homeownership rate74.0%78.7% (51.7–94.0%) n=32,32282.1% (66.8–93.5%) n=931
Crowded housing (>1 per room)0.0%1.3% (0.0–6.3%) n=32,3220.4% (0.0–3.3%) n=931
Foreign-born population0.6%2.6% (0.0–18.6%) n=32,5531.0% (0.0–7.2%) n=932
Single-parent households64.1%53.6% (37.3–74.1%) n=32,08756.8% (43.7–75.5%) n=928
Population 65+21.7%19.4% (10.8–33.6%) n=32,55320.2% (12.7–31.0%) n=932
Median age44.8 yr42.2 yr (33.0–56.3) n=32,29242.7 yr (34.1–54.7) n=931
Median household income$69,635$72,070 ($46,039–$118,707) n=30,318$73,848 ($55,055–$102,762) n=911
Median home value$184,300$222,200 ($100,300–$579,820) n=30,049$161,100 ($93,820–$278,170) n=892
Median gross rent$752$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 birth79.5 yr ± 0.7178.9 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 0.71 years of 79.5, 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