ZIP code
58442
in Gackle, North DakotaPopulation 441
48.79/ 100
Ranked #17,942 of 32,066 US ZIPs (bottom 44%)
Ranked #329 of 371 North Dakota ZIPs (bottom 11.4%)
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.
Industrial-pollution burden
in the bottom 0.6% nationally
Lower is healthier
ST3rdUS1stDefinition & 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 ›Hearing disability
13.1%
in the top 1.8% nationally
Lower is healthier
ST98thUS98thDefinition & source ›
The estimated share of adults who are deaf or have serious difficulty hearing.
Full methodology ›Distance to a Superfund site
165 mi
in the top 1.5% nationally
Higher is healthier
ST45thUS99thDefinition & 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 ›Transportation noise
0.00%
at the national minimum
Lower is healthier
ST1stUS1stDefinition & 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 ›Distance to a community health center
35.6 mi
in the top 2.9% nationally
Lower is healthier
ST81stUS97thDefinition & 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
ST1stUS1stDefinition & 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 ›Energy-cost burden
5.8%
in the top 3.5% nationally
Lower is healthier
ST96thUS97thDefinition & 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 nursing home
18.7 mi
in the top 3.8% nationally
Lower is healthier
ST88thUS96thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Radon
3.2 pCi/L
in the top 7.3% nationally
Lower is healthier
ST50thUS93rdDefinition & 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 ›Coronary heart disease
10.8%
in the top 5.1% nationally
Lower is healthier
ST97thUS95thDefinition & source ›
The estimated share of adults who have been told by a health professional that they have coronary heart disease or angina.
Full methodology ›The read
Overall, Gackle, North Dakota (ZIP 58442) lands in the bottom 44% nationally (17,942nd) and the bottom 11.4% of North Dakota (329th).
Several measures weigh most on this area's profile, and they come first: modeled hearing disability registers in the top 1.8% nationally, and distance to a community health center rests in the top 2.9% nationally. Modeled energy burden stands in the top 3.5% nationally, and distance to a nursing home lies in the top 3.8% nationally. Modeled radon lands in the top 7.3% nationally, and coronary heart disease sits in the top 5.1% nationally. On the better side, modeled industrial-pollution burden is in the bottom 0.6% nationally, distance to a Superfund site settles in the top 1.5% nationally, and modeled transportation noise resides at the national minimum. Floodplain exposure registers at the national minimum.
A note on the terms: industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. 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 58424, just across the boundary, 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.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Preventive Care
healthier than 80%
13%
Risk Behavior
healthier than 65%
11%
Mental Health
healthier than 94%
8%
Climate / Disaster Risk
healthier than 92%
5%
About typical
Environmental Hazard
healthier than 56%
14%
Holding it back
Chronic Disease Burden
healthier than 15%
21%
Social Need / SDOH
healthier than 19%
16%
Disability
healthier than 27%
7%
Healthcare Access
in the bottom 0.5%
5%
Lifting this score
Environmental Hazard
healthier than 88%
14%
Preventive Care
healthier than 79%
13%
Risk Behavior
healthier than 72%
11%
Mental Health
healthier than 84%
8%
Climate / Disaster Risk
healthier than 88%
5%
Holding it back
Chronic Disease Burden
healthier than 6%
21%
Social Need / SDOH
healthier than 12%
16%
Disability
healthier than 8%
7%
Healthcare Access
healthier than 6%
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
58424
North Dakotashares a border
Score 55.11
Closest healthier
58454
North Dakotashares a border
Score 51.77
Similar health profile
58562
North Dakota99% similar profile
Score 47.93
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 | 37.0% | 33.0–40.9 |
| High blood pressure among adults | 44.0% | 39.6–48.5 |
| Cancer (non-skin) or melanoma among adults | 13.0% | 11.8–14.4 |
| Current asthma among adults | 10.2% | 8.9–11.5 |
| Coronary heart disease among adults | 10.8% | 9.4–12.3 |
| Chronic obstructive pulmonary disease among adults | 9.8% | 8.0–11.6 |
| Depression among adults | 18.9% | 16.0–22.3 |
| Diagnosed diabetes among adults | 14.5% | 12.4–16.8 |
| High cholesterol among adults who have ever been screened | 41.1% | 36.5–45.7 |
| Obesity among adults | 39.9% | 32.2–47.9 |
| Stroke among adults | 5.2% | 4.5–5.9 |
| All teeth lost among adults aged >=65 years | 12.0% | 9.5–14.7 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 7.7% | 6.0–9.7 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 84.8% | 82.4–87.0 |
| Visits to doctor for routine checkup within the past year among adults | 79.7% | 76.4–82.8 |
| Cholesterol screening among adults | 87.7% | 85.9–89.4 |
| Colorectal cancer screening among adults aged 45–75 years | 68.4% | 63.2–73.1 |
| Visited dentist or dental clinic in the past year among adults | 60.8% | 56.9–64.7 |
| Mammography use among women aged 50-74 years | 78.9% | 71.4–85.0 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 15.2% | 12.6–18.0 |
| Current cigarette smoking among adults | 14.7% | 12.1–17.4 |
| No leisure-time physical activity among adults | 29.0% | 23.7–34.4 |
| Short sleep duration among adults | 31.9% | 25.5–38.5 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 21.3% | 17.7–24.9 |
| Frequent mental distress among adults | 12.7% | 11.0–14.4 |
| Frequent physical distress among adults | 15.0% | 12.8–17.3 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 12.5% | 10.6–14.3 |
| Any disability among adults | 36.1% | 31.1–41.0 |
| Hearing disability among adults | 13.1% | 11.4–14.7 |
| Independent living disability among adults | 9.0% | 7.5–10.5 |
| Mobility disability among adults | 18.6% | 15.5–21.8 |
| Self-care disability among adults | 4.7% | 3.9–5.5 |
| Vision disability among adults | 5.9% | 5.0–6.8 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 19.7% | 16.6–23.0 |
| Food insecurity in the past 12 months among adults | 11.1% | 9.0–13.6 |
| Received food stamps in the past 12 months among adults | 7.6% | 6.0–9.6 |
| Housing insecurity in the past 12 months among adults | 7.9% | 6.6–9.5 |
| Lack of reliable transportation in the past 12 months among adults | 6.2% | 5.3–7.2 |
| Loneliness among adults | 27.9% | 23.5–32.7 |
| Utility services shut-off threat in the past 12 months among adults | 5.4% | 4.6–6.4 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | ND median (p10–p90) |
|---|---|---|---|
| Poverty rate | 25.0% | 10.6% (3.1–25.8%) n=32,364 | 8.0% (1.0–21.4%) n=380 |
| Uninsured 18–64 | 21.8% | 9.0% (1.5–24.3%) n=32,286 | 6.5% (0.0–19.2%) n=380 |
| No HS diploma (25+) | 8.1% | 7.9% (1.8–20.7%) n=32,505 | 6.3% (0.6–13.4%) n=382 |
| Bachelor's or higher (25+) | 19.7% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (12.5–41.0%) n=382 |
| Unemployment rate (16+) | 4.8% | 3.9% (0.0–9.8%) n=32,274 | 1.1% (0.0–6.5%) n=382 |
| Households without a vehicle | 3.4% | 3.9% (0.0–12.5%) n=32,322 | 1.5% (0.0–7.4%) n=379 |
| Broadband subscription | 86.3% | 89.3% (75.1–97.1%) n=32,322 | 88.7% (75.3–98.1%) n=379 |
| Housing cost burden (≥30% income) | 11.4% | 23.7% (10.6–40.0%) n=32,322 | 15.2% (4.0–28.2%) n=379 |
| Homeownership rate | 84.6% | 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 | 1.4% | 2.6% (0.0–18.6%) n=32,553 | 0.9% (0.0–5.7%) n=383 |
| Single-parent households | 52.5% | 53.6% (37.3–74.1%) n=32,087 | 59.3% (40.0–83.3%) n=377 |
| Population 65+ | 32.0% | 19.4% (10.8–33.6%) n=32,553 | 21.6% (9.1–38.9%) n=383 |
| Median age | 49.1 yr | 42.2 yr (33.0–56.3) n=32,292 | 42.9 yr (31.1–60.2) n=381 |
| Median household income | $56,920 | $72,070 ($46,039–$118,707) n=30,318 | $79,666 ($56,729–$115,391) n=354 |
| Median home value | $112,500 | $222,200 ($100,300–$579,820) n=30,049 | $159,750 ($88,870–$297,180) n=328 |
| Median gross rent | $519 | $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 | 79.0 yr ± 1.30 | 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 1.30 years of 79.0, 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