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ZipVitals

ZIP code

58440

in Fredonia, North DakotaPopulation 205

48.52/ 100

Ranked #18,283 of 32,066 US ZIPs (bottom 43%)

Ranked #332 of 371 North Dakota ZIPs (bottom 10.6%)

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.

Unemployment rate

44.6%

in the top 0.4% nationally

Lower is healthier

ST99th
US99th
Definition & source ›

The share of the civilian labor force that is unemployed.

Full methodology ›

Energy-cost burden

6.5%

in the top 1.7% nationally

Lower is healthier

ST99th
US98th
Definition & 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 ›

Distance to a Superfund site

165.8 mi

in the top 1.5% nationally

Higher is healthier

ST46th
US99th
Definition & 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 ›

Slow internet speeds

6.0%

in the top 2.1% nationally

Lower is healthier

ST94th
US98th
Definition & source ›

The share of homes whose fastest available download speed is under 10 Mbps.

Full methodology ›

Distance to a community health center

35.5 mi

in the top 2.9% nationally

Lower is healthier

ST81st
US97th
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 ›

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 ›

Loneliness

27.8%

in the bottom 6.4% nationally

Lower is healthier

ST56th
US6th
Definition & source ›

The estimated share of adults who report feeling lonely.

Full methodology ›

Hearing disability

11.4%

in the top 7.0% nationally

Lower is healthier

ST85th
US93rd
Definition & source ›

The estimated share of adults who are deaf or have serious difficulty hearing.

Full methodology ›

Fine-particle (PM2.5) exceedance

1.2%

in the top 7.7% nationally

Lower is healthier

ST27th
US92nd
Definition & 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 ›

Walkability

2.1 intersections/sq mi

in the bottom 8.1% nationally

Higher is healthier

ST6th
US8th
Definition & source ›

The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.

Full methodology ›

The read

By its overall health score, Fredonia, North Dakota (ZIP 58440) lands in the bottom 43% nationally (18,283rd) and the bottom 10.6% of North Dakota (332nd).

continue reading

The measures that press hardest set the tone here: unemployment rests in the top 0.4% nationally, and modeled energy burden is in the top 1.7% nationally. Slow internet speeds stands in the top 2.1% nationally, and distance to a community health center settles in the top 2.9% nationally. Modeled hearing disability lies in the top 7.0% nationally, and fine-particle resides in the top 7.7% nationally. On the stronger side, distance to a Superfund site lands in the top 1.5% nationally, floodplain exposure registers at the national minimum, and modeled loneliness sits in the bottom 6.4% nationally. Households without a vehicle rests at the national minimum, shared with about 16% of ZIPs.

Weighed against the ZIPs nearby, unemployment runs far higher than the surrounding ZIPs on this measure. To translate a couple of terms, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. Energy burden is the share of household income that goes to home energy bills. Overall, the nearest healthier neighbor is ZIP 58442, 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

Environmental Hazard

healthier than 64%

14%

Preventive Care

healthier than 65%

13%

Mental Health

healthier than 92%

8%

Climate / Disaster Risk

healthier than 91%

5%

About typical

Risk Behavior

healthier than 45%

11%

Holding it back

Chronic Disease Burden

healthier than 24%

21%

Social Need / SDOH

healthier than 8%

16%

Disability

healthier than 36%

7%

Healthcare Access

healthier than 3%

5%

Lifting this score

Environmental Hazard

healthier than 93%

14%

Mental Health

healthier than 77%

8%

Climate / Disaster Risk

healthier than 86%

5%

About typical

Preventive Care

healthier than 44%

13%

Holding it back

Chronic Disease Burden

healthier than 14%

21%

Social Need / SDOH

healthier than 5%

16%

Risk Behavior

healthier than 30%

11%

Disability

healthier than 14%

7%

Healthcare Access

healthier than 23%

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 adults33.8%30.8–36.9
High blood pressure among adults42.3%38.6–46.0
Cancer (non-skin) or melanoma among adults11.2%10.2–12.1
Current asthma among adults10.0%9.0–11.1
Coronary heart disease among adults9.7%8.6–10.9
Chronic obstructive pulmonary disease among adults9.3%7.9–10.8
Depression among adults18.9%16.4–21.6
Diagnosed diabetes among adults14.3%12.6–16.2
High cholesterol among adults who have ever been screened40.2%36.6–43.9
Obesity among adults40.3%33.8–46.6
Stroke among adults4.7%4.1–5.2
All teeth lost among adults aged >=65 years14.3%12.2–16.5
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years7.7%5.9–9.7
Taking medicine to control high blood pressure among adults with high blood pressure82.6%80.3–84.7
Visits to doctor for routine checkup within the past year among adults77.6%74.6–80.4
Cholesterol screening among adults86.5%84.6–88.3
Colorectal cancer screening among adults aged 45–75 years67.1%62.8–70.9
Visited dentist or dental clinic in the past year among adults63.3%60.2–66.3
Mammography use among women aged 50-74 years76.6%70.2–82.0
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults17.2%14.8–19.7
Current cigarette smoking among adults16.8%14.0–19.7
No leisure-time physical activity among adults27.9%23.7–32.4
Short sleep duration among adults32.4%27.3–37.7
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults21.1%18.1–24.4
Frequent mental distress among adults13.2%11.8–14.9
Frequent physical distress among adults14.8%13.0–16.7
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults12.7%11.1–14.7
Any disability among adults33.7%29.5–38.0
Hearing disability among adults11.4%10.2–12.6
Independent living disability among adults8.4%7.3–9.6
Mobility disability among adults16.8%14.4–19.3
Self-care disability among adults4.7%4.0–5.4
Vision disability among adults5.5%4.8–6.2
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults21.0%18.2–24.2
Food insecurity in the past 12 months among adults11.9%9.8–14.4
Received food stamps in the past 12 months among adults8.2%6.5–10.2
Housing insecurity in the past 12 months among adults8.9%7.4–10.5
Lack of reliable transportation in the past 12 months among adults6.4%5.5–7.5
Loneliness among adults27.8%24.0–32.1
Utility services shut-off threat in the past 12 months among adults6.1%5.2–7.2
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)ND median (p10–p90)
Poverty rate8.8%10.6% (3.1–25.8%) n=32,3648.0% (1.0–21.4%) n=380
Uninsured 18–646.5%9.0% (1.5–24.3%) n=32,2866.5% (0.0–19.2%) n=380
No HS diploma (25+)1.5%7.9% (1.8–20.7%) n=32,5056.3% (0.6–13.4%) n=382
Bachelor's or higher (25+)7.7%23.3% (9.2–53.6%) n=32,50524.6% (12.5–41.0%) n=382
Unemployment rate (16+)44.6%3.9% (0.0–9.8%) n=32,2741.1% (0.0–6.5%) n=382
Households without a vehicle0.0%3.9% (0.0–12.5%) n=32,3221.5% (0.0–7.4%) n=379
Broadband subscription87.7%89.3% (75.1–97.1%) n=32,32288.7% (75.3–98.1%) n=379
Housing cost burden (≥30% income)23.5%23.7% (10.6–40.0%) n=32,32215.2% (4.0–28.2%) n=379
Homeownership rate70.4%78.7% (51.7–94.0%) n=32,32283.5% (59.2–98.7%) n=379
Crowded housing (>1 per room)2.5%1.3% (0.0–6.3%) n=32,3220.0% (0.0–4.6%) n=379
Foreign-born population0.0%2.6% (0.0–18.6%) n=32,5530.9% (0.0–5.7%) n=383
Single-parent households36.4%53.6% (37.3–74.1%) n=32,08759.3% (40.0–83.3%) n=377
Population 65+18.0%19.4% (10.8–33.6%) n=32,55321.6% (9.1–38.9%) n=383
Median age35.1 yr42.2 yr (33.0–56.3) n=32,29242.9 yr (31.1–60.2) n=381
Median household income$67,083$72,070 ($46,039–$118,707) n=30,318$79,666 ($56,729–$115,391) n=354
Median home value$93,100$222,200 ($100,300–$579,820) n=30,049$159,750 ($88,870–$297,180) n=328
Median gross rent$1,021 ($677–$1,912) n=25,670$767 ($513–$1,222) n=212
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)ND median (p10–p90)
Life expectancy at birth79.8 yr ± 0.9778.9 yr (74.7–82.8) n=31,30880.0 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 0.97 years of 79.8, 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