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ZIP code

52657

in St. Paul, IowaPopulation 65

ZipVitals Score
How is the ZipVitals Score calculated? →

58.11/ 100

Ranked #6,309 of 32,066 US ZIPs (top 20%)

Ranked #109 of 922 Iowa ZIPs (top 11.9%)

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.

Expected annual disaster loss

$0

in the bottom 2.1% nationally

Lower is healthier

ST1st
US2nd
Definition & 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 ›

Transportation noise

0.00%

at the national minimum

Lower is healthier

ST1st
US1st
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 ›

Poverty rate

0.00%

at the national minimum

Lower is healthier

ST1st
US1st
Definition & source ›

The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.

Full methodology ›

Floodplain exposure

0.00%

at the national minimum

Lower is healthier

ST1st
US1st
Definition & 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 ›

Natural-disaster risk

in the bottom 4.7% nationally

Lower is healthier

ST3rd
US5th
Definition & 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 ›

Binge drinking

20.3%

in the top 5.2% nationally

Lower is healthier

ST64th
US95th
Definition & 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 ›

Homeownership rate

97.1%

in the top 6.4% nationally

Higher is healthier

ST96th
US94th
Definition & source ›

The share of occupied homes that are owned, rather than rented, by the people living in them.

Full methodology ›

Housing insecurity

7.3%

in the bottom 9.5% nationally

Lower is healthier

ST12th
US9th
Definition & source ›

The estimated share of adults who experienced housing insecurity in the past 12 months.

Full methodology ›

Distance to a community health center

17.8 mi

in the top 9.7% nationally

Lower is healthier

ST72nd
US90th
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 ›

Home broadband subscription

97.1%

in the top 10.2% nationally

Higher is healthier

ST96th
US90th
Definition & source ›

The share of households with a broadband internet subscription.

Full methodology ›

The read

St. Paul, Iowa (ZIP 52657), overall, ranks in the top 20% healthiest ZIPs nationally (6,309th) and the top 11.9% of Iowa (109th).

continue reading

This area's measures are easy to read as a mixed set: modeled expected annual loss resides in the bottom 2.1% nationally, modeled transportation noise settles at the national minimum, and poverty is at the national minimum. Floodplain exposure sits at the national minimum, modeled disaster risk lands in the bottom 4.7% nationally, and homeownership lies in the top 6.4% nationally. Unemployment stands at the national minimum, shared with about 15% of ZIPs. Households without a vehicle rests at the national minimum, shared with about 16% of ZIPs. Set against that, modeled binge drinking registers in the top 5.2% nationally. Fiber broadband resides at the national minimum, shared with about 19% of ZIPs.

Defined simply, 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. ZIP 52658, about 8.5 miles away, 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.

Compare within

Lifting this score

Chronic Disease Burden

healthier than 80%

21%

Social Need / SDOH

healthier than 66%

16%

Environmental Hazard

healthier than 64%

14%

Preventive Care

healthier than 64%

13%

Mental Health

healthier than 66%

8%

Disability

healthier than 81%

7%

Climate / Disaster Risk

healthier than 64%

5%

About typical

Risk Behavior

healthier than 55%

11%

Holding it back

Healthcare Access

healthier than 9%

5%

Lifting this score

Chronic Disease Burden

healthier than 93%

21%

Social Need / SDOH

healthier than 81%

16%

Environmental Hazard

healthier than 89%

14%

Risk Behavior

healthier than 81%

11%

Disability

healthier than 87%

7%

Climate / Disaster Risk

healthier than 76%

5%

Holding it back

Preventive Care

healthier than 24%

13%

Mental Health

healthier than 27%

8%

Healthcare Access

healthier than 25%

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 adults26.1%23.2–29.3
High blood pressure among adults30.4%26.8–34.3
Cancer (non-skin) or melanoma among adults9.4%8.4–10.6
Current asthma among adults10.1%8.9–11.4
Coronary heart disease among adults5.9%5.1–7.0
Chronic obstructive pulmonary disease among adults6.0%4.7–7.5
Depression among adults21.1%18.1–24.6
Diagnosed diabetes among adults8.9%7.5–10.6
High cholesterol among adults who have ever been screened33.7%30.0–37.8
Obesity among adults32.6%26.5–39.5
Stroke among adults3.0%2.5–3.5
All teeth lost among adults aged >=65 years10.2%8.1–12.6
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years5.8%4.0–8.1
Taking medicine to control high blood pressure among adults with high blood pressure77.4%74.4–80.1
Visits to doctor for routine checkup within the past year among adults76.6%72.8–80.0
Cholesterol screening among adults84.4%81.5–86.8
Colorectal cancer screening among adults aged 45–75 years70.8%66.4–75.0
Visited dentist or dental clinic in the past year among adults73.7%70.6–76.7
Mammography use among women aged 50-74 years73.8%65.5–80.5
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults20.3%17.1–23.9
Current cigarette smoking among adults13.1%9.9–16.7
No leisure-time physical activity among adults22.2%17.5–27.5
Short sleep duration among adults32.4%26.7–38.4
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults14.9%11.9–18.5
Frequent mental distress among adults16.4%13.8–19.0
Frequent physical distress among adults11.8%9.9–14.1
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults12.9%10.2–15.7
Any disability among adults26.6%22.1–31.7
Hearing disability among adults7.2%6.2–8.4
Independent living disability among adults6.8%5.4–8.4
Mobility disability among adults11.5%9.1–14.2
Self-care disability among adults2.7%2.1–3.3
Vision disability among adults3.5%2.8–4.3
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults22.0%18.1–26.1
Food insecurity in the past 12 months among adults8.9%6.3–12.0
Received food stamps in the past 12 months among adults7.3%5.0–10.0
Housing insecurity in the past 12 months among adults7.3%5.5–9.4
Lack of reliable transportation in the past 12 months among adults5.4%4.3–6.8
Loneliness among adults31.0%25.9–36.1
Utility services shut-off threat in the past 12 months among adults4.8%3.8–5.9
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)IA median (p10–p90)
Poverty rate0.0%10.6% (3.1–25.8%) n=32,3648.5% (2.7–19.1%) n=931
Uninsured 18–640.0%9.0% (1.5–24.3%) n=32,2865.4% (0.7–14.7%) n=931
No HS diploma (25+)0.0%7.9% (1.8–20.7%) n=32,5055.1% (1.6–12.9%) n=932
Bachelor's or higher (25+)40.4%23.3% (9.2–53.6%) n=32,50520.9% (9.8–36.8%) n=932
Unemployment rate (16+)0.0%3.9% (0.0–9.8%) n=32,2742.2% (0.0–6.7%) n=932
Households without a vehicle0.0%3.9% (0.0–12.5%) n=32,3222.4% (0.0–7.9%) n=931
Broadband subscription97.1%89.3% (75.1–97.1%) n=32,32288.5% (77.9–95.1%) n=931
Housing cost burden (≥30% income)14.7%23.7% (10.6–40.0%) n=32,32218.2% (9.0–28.8%) n=931
Homeownership rate97.1%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 population0.0%2.6% (0.0–18.6%) n=32,5531.0% (0.0–7.2%) n=932
Single-parent households52.0%53.6% (37.3–74.1%) n=32,08756.8% (43.7–75.5%) n=928
Population 65+15.4%19.4% (10.8–33.6%) n=32,55320.2% (12.7–31.0%) n=932
Median age40.3 yr42.2 yr (33.0–56.3) n=32,29242.7 yr (34.1–54.7) n=931
Median household income$72,500$72,070 ($46,039–$118,707) n=30,318$73,848 ($55,055–$102,762) n=911
Median home value$140,600$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
MeasureValueUS median (p10–p90)IA median (p10–p90)
Life expectancy at birth79.6 yr ± 1.0678.9 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 1.06 years of 79.6, 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