ZIP code
58278
in Thompson, North DakotaPopulation 2,168
61.22/ 100
Ranked #3,992 of 32,066 US ZIPs (top 12.5%)
Ranked #17 of 371 North Dakota ZIPs (top 4.6%)
Ranked #2 of 31 Grand Forks, ND-MN ZIPs (top 6.5%)
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
24.2%
in the top 0.7% nationally
Lower is healthier
ST96thUS99thDefinition & 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 ›Food insecurity
6.6%
in the bottom 2.6% nationally
Lower is healthier
ST2ndUS3rdDefinition & source ›
The estimated share of adults who experienced food insecurity in the past 12 months.
Full methodology ›Lack of transportation
4.3%
in the bottom 2.6% nationally
Lower is healthier
ST3rdUS3rdDefinition & source ›
The estimated share of adults who lacked reliable transportation in the past 12 months.
Full methodology ›Fine-particle (PM2.5) exceedance
2.7%
in the top 2.7% nationally
Lower is healthier
ST86thUS97thDefinition & 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 ›Loneliness
27%
in the bottom 3.1% nationally
Lower is healthier
ST30thUS3rdDefinition & source ›
The estimated share of adults who report feeling lonely.
Full methodology ›Distance to a Superfund site
102.8 mi
in the top 3.5% nationally
Higher is healthier
ST16thUS97thDefinition & 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 ›Housing insecurity
6.5%
in the bottom 4.4% nationally
Lower is healthier
ST8thUS4thDefinition & source ›
The estimated share of adults who experienced housing insecurity in the past 12 months.
Full methodology ›Radon
3.3 pCi/L
in the top 6.9% nationally
Lower is healthier
ST56thUS93rdDefinition & 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 ›Lead in tap water
0 ppb
at the national minimum
Lower is healthier
US1stDefinition & source ›
The lead level at the 90th percentile of tap-water samples reported by the public water systems serving this ZIP, in parts per billion — the EPA requires action above 15 ppb.
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 ›Civic-institution access
0.94 per 1,000 residents
in the top 4.7% nationally
Higher is healthier
ST93rdUS95thDefinition & source ›
The number of civic and social organizations 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
Overall, Thompson, North Dakota (ZIP 58278) lands in the top 12.5% healthiest ZIPs nationally (3,992nd) and the top 4.6% of North Dakota (17th).
The picture here is genuinely mixed, with readings on both sides: modeled food insecurity settles in the bottom 2.6% nationally, and transportation resides in the bottom 2.6% nationally. Modeled loneliness registers in the bottom 3.1% nationally, and distance to a Superfund site rests in the top 3.5% nationally. Modeled housing insecurity stands in the bottom 4.4% nationally, lead in tap water lies at the national minimum, and civic lands in the top 4.7% nationally. On the other side, modeled binge drinking sits in the top 0.7% nationally, fine-particle is in the top 2.7% nationally, and radon settles in the top 6.9% nationally.
Set beside the nearby areas, outer-floodplain exposure runs far higher than the surrounding ZIPs on this measure. A note on the terms: fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. 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. For a healthier nearby comparison, ZIP 58205, about 9.4 miles away, ranks better 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. Compare it against the US, this state and the Grand Forks, ND-MN metro area.
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 84%
21%
Social Need / SDOH
healthier than 80%
16%
Preventive Care
healthier than 67%
13%
Mental Health
healthier than 87%
8%
Disability
healthier than 94%
7%
Climate / Disaster Risk
healthier than 73%
5%
About typical
Risk Behavior
healthier than 56%
11%
Holding it back
Environmental Hazard
healthier than 16%
14%
Healthcare Access
healthier than 39%
5%
Lifting this score
Chronic Disease Burden
healthier than 88%
21%
Social Need / SDOH
healthier than 78%
16%
Disability
healthier than 97%
7%
Healthcare Access
healthier than 88%
5%
About typical
Preventive Care
healthier than 48%
13%
Risk Behavior
healthier than 49%
11%
Holding it back
Environmental Hazard
healthier than 22%
14%
Mental Health
healthier than 36%
8%
Climate / Disaster Risk
healthier than 32%
5%
Lifting this score
Chronic Disease Burden
healthier than 73%
21%
Social Need / SDOH
in the top 0.00%
16%
Preventive Care
healthier than 60%
13%
Risk Behavior
healthier than 73%
11%
Mental Health
healthier than 80%
8%
Disability
healthier than 87%
7%
Healthcare Access
healthier than 67%
5%
Holding it back
Environmental Hazard
healthier than 33%
14%
Climate / Disaster Risk
healthier than 27%
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 ›
Findings that name this ZIP
One of our published findings lists this ZIP code. Each finding compares one published measure against a stated benchmark, and names only the ZIP codes whose estimates are reliable enough to rank. See all surprising findings.
Heavy environment, light chronic burden
Where the environment and chronic illness point in opposite directions
Environmental-hazard standing 16.5; chronic-disease standing 84.3 — 68 points apart, heavier on the environment than it is on chronic illness.
Ranked #16,187 of the 18,187 ZIP codes this finding names, ordered by the gap from cleanest environment to heaviest chronic burden, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
56721
Minnesotashares a border
Score 52.38
Closest healthier
58205
North Dakotaabout 9.4 mi away
Score 65.25
Similar health profile
07882
New Jersey99% similar profile
Score 58.72
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 | 25.5% | 22.6–28.6 |
| High blood pressure among adults | 29.8% | 26.6–33.3 |
| Cancer (non-skin) or melanoma among adults | 8.4% | 7.6–9.3 |
| Current asthma among adults | 10.0% | 8.8–11.4 |
| Coronary heart disease among adults | 5.1% | 4.4–5.8 |
| Chronic obstructive pulmonary disease among adults | 4.7% | 3.9–5.6 |
| Depression among adults | 21.7% | 18.7–25.0 |
| Diagnosed diabetes among adults | 9.0% | 7.7–10.6 |
| High cholesterol among adults who have ever been screened | 35.5% | 32.0–39.3 |
| Obesity among adults | 35.8% | 30.8–41.3 |
| Stroke among adults | 2.5% | 2.2–2.8 |
| All teeth lost among adults aged >=65 years | 8.4% | 6.7–10.3 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 4.7% | 3.7–5.9 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 76.4% | 73.0–79.6 |
| Visits to doctor for routine checkup within the past year among adults | 75.8% | 72.5–79.0 |
| Cholesterol screening among adults | 87.3% | 85.3–89.0 |
| Colorectal cancer screening among adults aged 45–75 years | 67.6% | 63.3–71.7 |
| Visited dentist or dental clinic in the past year among adults | 72.0% | 68.9–74.9 |
| Mammography use among women aged 50-74 years | 75.7% | 68.7–81.9 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 24.2% | 20.8–27.8 |
| Current cigarette smoking among adults | 10.4% | 8.4–12.8 |
| No leisure-time physical activity among adults | 18.0% | 14.8–21.5 |
| Short sleep duration among adults | 31.4% | 27.0–36.0 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 12.8% | 10.8–15.2 |
| Frequent mental distress among adults | 12.8% | 11.0–14.7 |
| Frequent physical distress among adults | 10.3% | 8.9–12.0 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 10.0% | 8.5–11.8 |
| Any disability among adults | 22.2% | 19.0–25.9 |
| Hearing disability among adults | 6.3% | 5.5–7.2 |
| Independent living disability among adults | 5.2% | 4.5–6.1 |
| Mobility disability among adults | 8.7% | 7.3–10.4 |
| Self-care disability among adults | 2.5% | 2.1–2.9 |
| Vision disability among adults | 2.9% | 2.5–3.3 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 18.5% | 15.7–21.6 |
| Food insecurity in the past 12 months among adults | 6.6% | 5.2–8.2 |
| Received food stamps in the past 12 months among adults | 3.9% | 2.9–5.0 |
| Housing insecurity in the past 12 months among adults | 6.5% | 5.2–7.9 |
| Lack of reliable transportation in the past 12 months among adults | 4.3% | 3.6–5.1 |
| Loneliness among adults | 27.0% | 23.5–30.9 |
| Utility services shut-off threat in the past 12 months among adults | 4.3% | 3.5–5.2 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | ND median (p10–p90) |
|---|---|---|---|
| Poverty rate | 4.1% | 10.6% (3.1–25.8%) n=32,364 | 8.0% (1.0–21.4%) n=380 |
| Uninsured 18–64 | 2.5% | 9.0% (1.5–24.3%) n=32,286 | 6.5% (0.0–19.2%) n=380 |
| No HS diploma (25+) | 0.9% | 7.9% (1.8–20.7%) n=32,505 | 6.3% (0.6–13.4%) n=382 |
| Bachelor's or higher (25+) | 41.1% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (12.5–41.0%) n=382 |
| Unemployment rate (16+) | 2.8% | 3.9% (0.0–9.8%) n=32,274 | 1.1% (0.0–6.5%) n=382 |
| Households without a vehicle | 1.1% | 3.9% (0.0–12.5%) n=32,322 | 1.5% (0.0–7.4%) n=379 |
| Broadband subscription | 93.0% | 89.3% (75.1–97.1%) n=32,322 | 88.7% (75.3–98.1%) n=379 |
| Housing cost burden (≥30% income) | 17.0% | 23.7% (10.6–40.0%) n=32,322 | 15.2% (4.0–28.2%) n=379 |
| Homeownership rate | 94.5% | 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 | 3.2% | 2.6% (0.0–18.6%) n=32,553 | 0.9% (0.0–5.7%) n=383 |
| Single-parent households | 62.8% | 53.6% (37.3–74.1%) n=32,087 | 59.3% (40.0–83.3%) n=377 |
| Population 65+ | 11.8% | 19.4% (10.8–33.6%) n=32,553 | 21.6% (9.1–38.9%) n=383 |
| Median age | 45.0 yr | 42.2 yr (33.0–56.3) n=32,292 | 42.9 yr (31.1–60.2) n=381 |
| Median household income | $111,250 | $72,070 ($46,039–$118,707) n=30,318 | $79,666 ($56,729–$115,391) n=354 |
| Median home value | $313,400 | $222,200 ($100,300–$579,820) n=30,049 | $159,750 ($88,870–$297,180) n=328 |
| Median gross rent | $817 | $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 | 83.2 yr ± 2.30 | 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 2.30 years of 83.2, 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