ZIP code
52646
in Oakville, IowaPopulation 255
54.06/ 100
Ranked #10,623 of 32,066 US ZIPs (top 33%)
Ranked #331 of 922 Iowa ZIPs (top 36%)
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.
Binge drinking
21.9%
in the top 1.9% nationally
Lower is healthier
ST91stUS98thDefinition & 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 ›Lithium in drinking water
9.2 µg/L
in the bottom 1.6% nationally
Lower is healthier
ST1stUS2ndDefinition & 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 ›PFAS in drinking water
100%
at the national maximum
Lower is healthier
ST99thUS99thDefinition & source ›
The share of residents served by public water systems where PFAS — man-made “forever chemicals” that build up in the body and environment instead of breaking down — were detected in EPA testing.
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 ›Transportation noise
0.07%
in the bottom 7.8% nationally
Lower is healthier
ST13thUS8thDefinition & 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 ›High cholesterol
33.4%
in the bottom 11.0% nationally
Lower is healthier
ST5thUS11thDefinition & source ›
The estimated share of adults with high cholesterol, among those who have ever been screened for it.
Full methodology ›Unemployment rate
7.9%
in the top 16% nationally
Lower is healthier
ST92ndUS84thDefinition & source ›
The share of the civilian labor force that is unemployed.
Full methodology ›High blood pressure
31.5%
in the bottom 17% nationally
Lower is healthier
ST8thUS17thDefinition & source ›
The estimated share of adults who have been told by a health professional that they have high blood pressure.
Full methodology ›Diabetes
10.1%
in the bottom 17% nationally
Lower is healthier
ST10thUS17thDefinition & source ›
The estimated share of adults who have been diagnosed with diabetes.
Full methodology ›Air-toxics cancer risk
20 per million
in the bottom 25% nationally
Lower is healthier
ST1stUS25thDefinition & source ›
The EPA’s modeled estimate of added lifetime cancer risk from breathing outdoor air toxics, in cases per million people exposed over a lifetime.
Full methodology ›The read
Oakville, Iowa (ZIP 52646), overall, ranks in the top 33% healthiest ZIPs nationally (10,623rd) and the top 36% of Iowa (331st), based on limited data; treat as directional.
This area's measures are easy to read as a mixed set: lithium in drinking water lies in the bottom 1.6% nationally, and modeled transportation noise stands in the bottom 7.8% nationally. Modeled loud transportation noise rests at the national minimum, shared with about 22% of ZIPs. Homeownership registers in the top 13.1% nationally. Crowded housing resides at the national minimum, shared with about 29% of ZIPs. Modeled high cholesterol settles in the bottom 11.0% nationally. Set against that, modeled binge drinking is in the top 1.9% nationally, and PFAS in drinking water sits at the national maximum. Modeled radon lands in the top 12.6% nationally. Distance to a hazardous-chemical facility lies at the national minimum, shared with about 31% of ZIPs.
Defined simply, lithium in drinking water is a natural metal that dissolves into some groundwater and has no federal drinking-water limit yet. PFAS in drinking water is the family of man-made "forever chemicals" that build up in the body and environment instead of breaking down. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. ZIP 52637, just across the boundary, comes out healthier overall.
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 77%
21%
Environmental Hazard
healthier than 70%
14%
Disability
healthier than 71%
7%
About typical
Preventive Care
healthier than 54%
13%
Mental Health
healthier than 48%
8%
Climate / Disaster RiskPartial
healthier than 44%
5%
Healthcare Access
healthier than 43%
5%
Holding it back
Social Need / SDOH
healthier than 30%
16%
Risk Behavior
healthier than 27%
11%
Lifting this score
Chronic Disease Burden
healthier than 90%
21%
Environmental Hazard
healthier than 92%
14%
Disability
healthier than 68%
7%
Healthcare Access
healthier than 79%
5%
Holding it back
Social Need / SDOH
healthier than 33%
16%
Preventive Care
healthier than 15%
13%
Risk Behavior
healthier than 24%
11%
Mental Health
healthier than 6%
8%
Climate / Disaster RiskPartial
healthier than 26%
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
52601
Iowashares a border
Score 49.94
Closest healthier
52637
Iowashares a border
Score 56.60
Similar health profile
18456
Pennsylvania95% similar profile
Score 56.95
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 | 25.8% | 23.3–28.5 |
| High blood pressure among adults | 31.5% | 28.4–34.5 |
| Cancer (non-skin) or melanoma among adults | 8.1% | 7.4–8.8 |
| Current asthma among adults | 10.3% | 9.3–11.4 |
| Coronary heart disease among adults | 6.1% | 5.5–6.8 |
| Chronic obstructive pulmonary disease among adults | 6.7% | 5.9–7.8 |
| Depression among adults | 22.2% | 19.5–25.1 |
| Diagnosed diabetes among adults | 10.1% | 8.9–11.4 |
| High cholesterol among adults who have ever been screened | 33.4% | 30.2–36.6 |
| Obesity among adults | 37.1% | 31.3–43.0 |
| Stroke among adults | 3.1% | 2.8–3.5 |
| All teeth lost among adults aged >=65 years | 8.4% | 7.1–10.1 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 6.9% | 5.6–8.3 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 76.2% | 73.6–78.4 |
| Visits to doctor for routine checkup within the past year among adults | 76.7% | 73.8–79.3 |
| Cholesterol screening among adults | 83.2% | 81.2–85.0 |
| Colorectal cancer screening among adults aged 45–75 years | 67.2% | 62.9–71.4 |
| Visited dentist or dental clinic in the past year among adults | 67.9% | 65.1–70.7 |
| Mammography use among women aged 50-74 years | 78.5% | 72.9–83.4 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 21.9% | 19.1–24.7 |
| Current cigarette smoking among adults | 16.1% | 13.6–18.7 |
| No leisure-time physical activity among adults | 25.3% | 21.6–29.1 |
| Short sleep duration among adults | 31.9% | 27.3–36.9 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 17.5% | 15.3–20.0 |
| Frequent mental distress among adults | 17.6% | 15.8–19.5 |
| Frequent physical distress among adults | 12.8% | 11.4–14.4 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 14.5% | 12.8–16.4 |
| Any disability among adults | 28.3% | 24.8–31.8 |
| Hearing disability among adults | 7.2% | 6.5–8.0 |
| Independent living disability among adults | 7.5% | 6.7–8.5 |
| Mobility disability among adults | 12.1% | 10.5–13.9 |
| Self-care disability among adults | 3.3% | 2.9–3.8 |
| Vision disability among adults | 4.1% | 3.7–4.6 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 24.4% | 21.5–27.5 |
| Food insecurity in the past 12 months among adults | 11.6% | 9.6–13.7 |
| Received food stamps in the past 12 months among adults | 9.3% | 7.6–11.3 |
| Housing insecurity in the past 12 months among adults | 9.4% | 8.0–10.9 |
| Lack of reliable transportation in the past 12 months among adults | 6.7% | 5.8–7.7 |
| Loneliness among adults | 32.9% | 29.1–36.8 |
| Utility services shut-off threat in the past 12 months among adults | 6.2% | 5.3–7.1 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | IA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 17.6% | 10.6% (3.1–25.8%) n=32,364 | 8.5% (2.7–19.1%) n=931 |
| Uninsured 18–64 | 18.0% | 9.0% (1.5–24.3%) n=32,286 | 5.4% (0.7–14.7%) n=931 |
| No HS diploma (25+) | 12.8% | 7.9% (1.8–20.7%) n=32,505 | 5.1% (1.6–12.9%) n=932 |
| Bachelor's or higher (25+) | 1.7% | 23.3% (9.2–53.6%) n=32,505 | 20.9% (9.8–36.8%) n=932 |
| Unemployment rate (16+) | 7.9% | 3.9% (0.0–9.8%) n=32,274 | 2.2% (0.0–6.7%) n=932 |
| Households without a vehicle | 1.7% | 3.9% (0.0–12.5%) n=32,322 | 2.4% (0.0–7.9%) n=931 |
| Broadband subscription | 80.2% | 89.3% (75.1–97.1%) n=32,322 | 88.5% (77.9–95.1%) n=931 |
| Housing cost burden (≥30% income) | 16.4% | 23.7% (10.6–40.0%) n=32,322 | 18.2% (9.0–28.8%) n=931 |
| Homeownership rate | 92.2% | 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 | 0.4% | 2.6% (0.0–18.6%) n=32,553 | 1.0% (0.0–7.2%) n=932 |
| Single-parent households | 53.8% | 53.6% (37.3–74.1%) n=32,087 | 56.8% (43.7–75.5%) n=928 |
| Population 65+ | 18.0% | 19.4% (10.8–33.6%) n=32,553 | 20.2% (12.7–31.0%) n=932 |
| Median age | 53.6 yr | 42.2 yr (33.0–56.3) n=32,292 | 42.7 yr (34.1–54.7) n=931 |
| Median household income | $62,500 | $72,070 ($46,039–$118,707) n=30,318 | $73,848 ($55,055–$102,762) n=911 |
| Median home value | $118,100 | $222,200 ($100,300–$579,820) n=30,049 | $161,100 ($93,820–$278,170) n=892 |
| Median gross rent | $850 | $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 | 78.4 yr ± 0.74 | 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 0.74 years of 78.4, 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