ZIP code
58233
in Forest River, North DakotaPopulation 265
53.59/ 100
Ranked #11,236 of 32,066 US ZIPs (top 35%)
Ranked #221 of 371 North Dakota ZIPs (bottom 40%)
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.
Loneliness
26.5%
in the bottom 1.9% nationally
Lower is healthier
ST17thUS2ndDefinition & source ›
The estimated share of adults who report feeling lonely.
Full methodology ›Distance to a Superfund site
139.1 mi
in the top 2.1% nationally
Higher is healthier
ST31stUS98thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Superfund site — an abandoned or uncontrolled hazardous-waste site the EPA has listed for cleanup.
Full methodology ›Radon
3.5 pCi/L
in the top 4.6% nationally
Lower is healthier
ST84thUS95thDefinition & 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 ›Fiber broadband
99.4%
in the top 3.7% nationally
Higher is healthier
ST83rdUS96thDefinition & source ›
The share of homes where fiber-optic internet service is available.
Full methodology ›Housing-cost burden
6.4%
in the bottom 6.0% nationally
Lower is healthier
ST16thUS6thDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Fine-particle (PM2.5) exceedance
1.5%
in the top 6.2% nationally
Lower is healthier
ST45thUS94thDefinition & source ›
The share of days in the year when modeled fine-particle (PM2.5) pollution was above the EPA’s daily limit of 35 micrograms per cubic meter.
Full methodology ›Lithium in drinking water
68 µg/L
in the top 6.7% nationally
Lower is healthier
ST48thUS93rdDefinition & 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 ›Industrial-pollution burden
in the bottom 7.6% nationally
Lower is healthier
ST39thUS8thDefinition & 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 ›Energy-cost burden
5.1%
in the top 8.7% nationally
Lower is healthier
ST89thUS91stDefinition & 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
Forest River, North Dakota (ZIP 58233), overall, ranks in the top 35% healthiest ZIPs nationally (11,236th) and the bottom 40% of North Dakota (221st).
Taken together, the data gives a genuinely mixed reading: modeled loneliness lands in the bottom 1.9% nationally, distance to a Superfund site lies in the top 2.1% nationally, and fiber broadband stands in the top 3.7% nationally. Housing-cost burden rests in the bottom 6.0% nationally. Unemployment registers at the national minimum, shared with about 15% of ZIPs. Modeled industrial-pollution burden resides in the bottom 7.6% nationally. On the other side, modeled radon settles in the top 4.6% nationally, and fine-particle is in the top 6.2% nationally. Lithium in drinking water sits in the top 6.7% nationally, and modeled energy burden lands in the top 8.7% nationally.
Defined simply, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. ZIP 58231, 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
Preventive Care
healthier than 65%
13%
Mental Health
healthier than 92%
8%
About typical
Chronic Disease Burden
healthier than 46%
21%
Social Need / SDOH
healthier than 45%
16%
Risk Behavior
healthier than 45%
11%
Disability
healthier than 60%
7%
Climate / Disaster Risk
healthier than 54%
5%
Holding it back
Environmental Hazard
healthier than 34%
14%
Healthcare Access
healthier than 16%
5%
Lifting this score
Mental Health
healthier than 73%
8%
Healthcare Access
healthier than 73%
5%
About typical
Chronic Disease Burden
healthier than 40%
21%
Environmental Hazard
healthier than 57%
14%
Preventive Care
healthier than 45%
13%
Disability
healthier than 43%
7%
Holding it back
Social Need / SDOH
healthier than 25%
16%
Risk Behavior
healthier than 30%
11%
Climate / Disaster Risk
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.
Nearby
58231
North Dakotashares a border
Score 53.84
Closest healthier
58244
North Dakotashares a border
Score 55.25
Similar health profile
68626
Nebraska98% similar profile
Score 57.21
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 | 32.4% | 29.6–35.3 |
| High blood pressure among adults | 38.2% | 35.0–41.5 |
| Cancer (non-skin) or melanoma among adults | 10.3% | 9.5–11.2 |
| Current asthma among adults | 9.9% | 8.9–11.0 |
| Coronary heart disease among adults | 8.0% | 7.2–8.9 |
| Chronic obstructive pulmonary disease among adults | 7.6% | 6.6–8.8 |
| Depression among adults | 19.6% | 17.2–22.2 |
| Diagnosed diabetes among adults | 12.9% | 11.4–14.5 |
| High cholesterol among adults who have ever been screened | 39.4% | 36.1–42.6 |
| Obesity among adults | 37.3% | 32.3–42.5 |
| Stroke among adults | 3.9% | 3.5–4.3 |
| All teeth lost among adults aged >=65 years | 10.7% | 9.0–12.5 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.2% | 6.8–9.9 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 80.9% | 78.5–83.2 |
| Visits to doctor for routine checkup within the past year among adults | 77.8% | 75.0–80.4 |
| Cholesterol screening among adults | 87.2% | 85.6–88.7 |
| Colorectal cancer screening among adults aged 45–75 years | 66.9% | 62.7–70.8 |
| Visited dentist or dental clinic in the past year among adults | 62.6% | 59.5–65.7 |
| Mammography use among women aged 50-74 years | 77.9% | 72.1–82.7 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 18.8% | 16.4–21.4 |
| Current cigarette smoking among adults | 14.6% | 12.4–17.1 |
| No leisure-time physical activity among adults | 25.4% | 21.8–29.2 |
| Short sleep duration among adults | 33.7% | 29.1–38.6 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 18.6% | 16.1–21.2 |
| Frequent mental distress among adults | 12.8% | 11.3–14.3 |
| Frequent physical distress among adults | 13.5% | 11.9–15.2 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 11.8% | 10.3–13.4 |
| Any disability among adults | 29.7% | 26.2–33.6 |
| Hearing disability among adults | 9.5% | 8.5–10.5 |
| Independent living disability among adults | 7.2% | 6.3–8.2 |
| Mobility disability among adults | 14.2% | 12.3–16.2 |
| Self-care disability among adults | 3.9% | 3.5–4.4 |
| Vision disability among adults | 4.7% | 4.2–5.3 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 20.6% | 18.1–23.3 |
| Food insecurity in the past 12 months among adults | 10.7% | 9.1–12.5 |
| Received food stamps in the past 12 months among adults | 6.6% | 5.4–8.0 |
| Housing insecurity in the past 12 months among adults | 8.7% | 7.4–9.9 |
| Lack of reliable transportation in the past 12 months among adults | 5.8% | 5.1–6.6 |
| Loneliness among adults | 26.5% | 23.4–29.9 |
| Utility services shut-off threat in the past 12 months among adults | 5.5% | 4.8–6.3 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | ND median (p10–p90) |
|---|---|---|---|
| Poverty rate | 5.7% | 10.6% (3.1–25.8%) n=32,364 | 8.0% (1.0–21.4%) n=380 |
| Uninsured 18–64 | 5.6% | 9.0% (1.5–24.3%) n=32,286 | 6.5% (0.0–19.2%) n=380 |
| No HS diploma (25+) | 6.5% | 7.9% (1.8–20.7%) n=32,505 | 6.3% (0.6–13.4%) n=382 |
| Bachelor's or higher (25+) | 20.9% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (12.5–41.0%) n=382 |
| Unemployment rate (16+) | 0.0% | 3.9% (0.0–9.8%) n=32,274 | 1.1% (0.0–6.5%) n=382 |
| Households without a vehicle | 2.1% | 3.9% (0.0–12.5%) n=32,322 | 1.5% (0.0–7.4%) n=379 |
| Broadband subscription | 89.4% | 89.3% (75.1–97.1%) n=32,322 | 88.7% (75.3–98.1%) n=379 |
| Housing cost burden (≥30% income) | 6.4% | 23.7% (10.6–40.0%) n=32,322 | 15.2% (4.0–28.2%) n=379 |
| Homeownership rate | 86.5% | 78.7% (51.7–94.0%) n=32,322 | 83.5% (59.2–98.7%) n=379 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 0.0% (0.0–4.6%) n=379 |
| Foreign-born population | 2.3% | 2.6% (0.0–18.6%) n=32,553 | 0.9% (0.0–5.7%) n=383 |
| Single-parent households | 79.7% | 53.6% (37.3–74.1%) n=32,087 | 59.3% (40.0–83.3%) n=377 |
| Population 65+ | 33.6% | 19.4% (10.8–33.6%) n=32,553 | 21.6% (9.1–38.9%) n=383 |
| Median age | 57.6 yr | 42.2 yr (33.0–56.3) n=32,292 | 42.9 yr (31.1–60.2) n=381 |
| Median household income | $84,375 | $72,070 ($46,039–$118,707) n=30,318 | $79,666 ($56,729–$115,391) n=354 |
| Median home value | $121,900 | $222,200 ($100,300–$579,820) n=30,049 | $159,750 ($88,870–$297,180) n=328 |
| Median gross rent | $435 | $1,021 ($677–$1,912) n=25,670 | $767 ($513–$1,222) n=212 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | ND median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 79.9 yr ± 1.00 | 78.9 yr (74.7–82.8) n=31,308 | 80.0 yr (77.6–84.0) n=379 |
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 1.00 years of 79.9, 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