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ZipVitals

ZIP code

58831

in Alexander, North DakotaPopulation 1,089

54.98/ 100

Ranked #9,460 of 32,066 US ZIPs (top 30%)

Ranked #159 of 371 North Dakota ZIPs (top 43%)

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.

Fatal road crashes

137.7 per 100,000 residents per year

in the top 0.2% nationally

Lower is healthier

ST99th
US99th
Definition & source ›

The annual rate of fatal road crashes per 100,000 residents, pooled over a ten-year window.

A rate per resident population. Where a ZIP has too few residents for the rate to be reliable — about 30% of US ZIPs — no value is published rather than an unstable one; those ZIPs are absent from this comparison, not counted as crash-free.

Full methodology ›

Binge drinking

22.9%

in the top 1.2% nationally

Lower is healthier

ST93rd
US99th
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 ›

Distance to a Superfund site

223.2 mi

in the top 0.8% nationally

Higher is healthier

ST74th
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 ›

Crowded housing

13.8%

in the top 2.6% nationally

Lower is healthier

ST98th
US97th
Definition & source ›

The share of occupied homes with more than one person per room, the Census definition of crowded housing.

Full methodology ›

Slow internet speeds

4.4%

in the top 2.8% nationally

Lower is healthier

ST89th
US97th
Definition & source ›

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

Full methodology ›

Home broadband subscription

100%

at the national maximum

Higher is healthier

ST99th
US99th
Definition & source ›

The share of households with a broadband internet subscription.

Full methodology ›

Fine-particle (PM2.5) exceedance

1.4%

in the top 6.3% nationally

Lower is healthier

ST44th
US94th
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 ›

Housing-cost burden

8.1%

in the bottom 7.4% nationally

Lower is healthier

ST21st
US7th
Definition & source ›

The share of households spending 30% or more of their income on housing.

Full methodology ›

Floodplain exposure

0.13%

in the bottom 7.8% nationally

Lower is healthier

ST30th
US8th
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 ›

Humid extreme heat

10.8 days/year

in the bottom 7.8% nationally

Lower is healthier

ST23rd
US8th
Definition & source ›

The average number of days per year when modeled heat stress — temperature, humidity, sun, and wind combined — reaches levels hard on the body outdoors.

Full methodology ›

The read

Overall, Alexander, North Dakota (ZIP 58831) places in the top 30% healthiest ZIPs nationally (9,460th) and the top 43% of North Dakota (159th).

continue reading

The measures fall on both sides for this area, fairly evenly: distance to a Superfund site lies in the top 0.8% nationally, and home broadband subscription rests at the national maximum. Housing-cost burden resides in the bottom 7.4% nationally, and floodplain exposure is in the bottom 7.8% nationally. Modeled humid heat lands in the bottom 7.8% nationally. Pulling the other way, fatal road crashes stands in the top 0.2% nationally, modeled binge drinking registers in the top 1.2% nationally, and crowded housing settles in the top 2.6% nationally. Slow internet speeds sits in the top 2.8% nationally, and modeled fine-particle lies in the top 6.3% nationally.

Beside the areas that surround it, fatal road crashes runs far higher than the surrounding ZIPs on this measure. For readers new to these 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. Floodplain exposure is land with about a 1-in-100 chance of flooding each year, nicknamed the "100-year floodplain". Among nearby ZIPs, the nearest healthier one overall is ZIP 58838, 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

Chronic Disease Burden

healthier than 77%

21%

Social Need / SDOH

healthier than 64%

16%

Mental Health

healthier than 80%

8%

Disability

healthier than 81%

7%

Climate / Disaster Risk

healthier than 90%

5%

About typical

Environmental Hazard

healthier than 58%

14%

Holding it back

Preventive Care

healthier than 22%

13%

Risk Behavior

healthier than 14%

11%

Healthcare Access

healthier than 21%

5%

Lifting this score

Chronic Disease Burden

healthier than 83%

21%

Environmental Hazard

healthier than 90%

14%

Disability

healthier than 77%

7%

Climate / Disaster Risk

healthier than 82%

5%

Healthcare Access

healthier than 77%

5%

About typical

Social Need / SDOH

healthier than 49%

16%

Holding it back

Preventive Care

healthier than 10%

13%

Risk Behavior

healthier than 6%

11%

Mental Health

healthier than 19%

8%

“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 adults25.2%22.2–28.4
High blood pressure among adults31.5%27.7–35.5
Cancer (non-skin) or melanoma among adults7.6%6.8–8.5
Current asthma among adults10.2%9.0–11.5
Coronary heart disease among adults5.6%4.9–6.3
Chronic obstructive pulmonary disease among adults5.7%4.9–6.6
Depression among adults20.8%17.6–24.2
Diagnosed diabetes among adults9.5%8.1–11.0
High cholesterol among adults who have ever been screened33.1%29.2–37.2
Obesity among adults40.2%33.0–47.6
Stroke among adults2.8%2.5–3.2
All teeth lost among adults aged >=65 years15.4%12.5–18.9
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years7.7%6.2–9.5
Taking medicine to control high blood pressure among adults with high blood pressure74.0%70.5–77.1
Visits to doctor for routine checkup within the past year among adults71.9%67.6–75.9
Cholesterol screening among adults83.2%80.7–85.5
Colorectal cancer screening among adults aged 45–75 years63.2%58.0–68.3
Visited dentist or dental clinic in the past year among adults61.3%57.4–65.1
Mammography use among women aged 50-74 years74.6%66.6–81.6
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults22.9%19.2–26.9
Current cigarette smoking among adults15.2%12.6–17.9
No leisure-time physical activity among adults22.7%18.8–27.0
Short sleep duration among adults37.8%31.6–44.5
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults15.5%13.1–18.1
Frequent mental distress among adults14.8%13.0–16.8
Frequent physical distress among adults11.7%10.2–13.4
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults12.7%11.0–14.6
Any disability among adults27.4%23.4–31.6
Hearing disability among adults7.2%6.3–8.1
Independent living disability among adults6.7%5.9–7.7
Mobility disability among adults10.5%8.9–12.2
Self-care disability among adults3.0%2.6–3.4
Vision disability among adults3.8%3.4–4.3
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults22.7%19.1–26.5
Food insecurity in the past 12 months among adults10.4%8.5–12.7
Received food stamps in the past 12 months among adults6.3%5.0–7.8
Housing insecurity in the past 12 months among adults9.3%7.8–11.1
Lack of reliable transportation in the past 12 months among adults6.2%5.3–7.2
Loneliness among adults29.4%24.6–34.3
Utility services shut-off threat in the past 12 months among adults5.9%4.9–6.9
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)ND median (p10–p90)
Poverty rate7.2%10.6% (3.1–25.8%) n=32,3648.0% (1.0–21.4%) n=380
Uninsured 18–6421.7%9.0% (1.5–24.3%) n=32,2866.5% (0.0–19.2%) n=380
No HS diploma (25+)10.3%7.9% (1.8–20.7%) n=32,5056.3% (0.6–13.4%) n=382
Bachelor's or higher (25+)13.1%23.3% (9.2–53.6%) n=32,50524.6% (12.5–41.0%) n=382
Unemployment rate (16+)0.7%3.9% (0.0–9.8%) n=32,2741.1% (0.0–6.5%) n=382
Households without a vehicle4.3%3.9% (0.0–12.5%) n=32,3221.5% (0.0–7.4%) n=379
Broadband subscription100.0%89.3% (75.1–97.1%) n=32,32288.7% (75.3–98.1%) n=379
Housing cost burden (≥30% income)8.1%23.7% (10.6–40.0%) n=32,32215.2% (4.0–28.2%) n=379
Homeownership rate74.9%78.7% (51.7–94.0%) n=32,32283.5% (59.2–98.7%) n=379
Crowded housing (>1 per room)13.8%1.3% (0.0–6.3%) n=32,3220.0% (0.0–4.6%) n=379
Foreign-born population0.6%2.6% (0.0–18.6%) n=32,5530.9% (0.0–5.7%) n=383
Single-parent households52.3%53.6% (37.3–74.1%) n=32,08759.3% (40.0–83.3%) n=377
Population 65+8.2%19.4% (10.8–33.6%) n=32,55321.6% (9.1–38.9%) n=383
Median age37.6 yr42.2 yr (33.0–56.3) n=32,29242.9 yr (31.1–60.2) n=381
Median household income$98,380$72,070 ($46,039–$118,707) n=30,318$79,666 ($56,729–$115,391) n=354
Median home value$342,100$222,200 ($100,300–$579,820) n=30,049$159,750 ($88,870–$297,180) n=328
Median gross rent$1,223$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 birth79.7 yr ± 2.1278.9 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 2.12 years of 79.7, 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