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ZipVitals

ZIP code

63131

in Town and Country, MissouriPopulation 17,935

68.94/ 100

Ranked #777 of 32,066 US ZIPs (top 2.5%)

Ranked #2 of 993 Missouri ZIPs (top 0.3%)

Ranked #2 of 234 St. Louis, MO-IL ZIPs (top 0.9%)

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.

Median household income

$225,493

in the top 0.7% nationally

Higher is healthier

ST99th
US99th
Definition & source ›

The middle household income in this ZIP — half of households earn more, half earn less — in dollars per year.

Full methodology ›

Food insecurity

4.7%

in the bottom 0.2% nationally

Lower is healthier

ST1st
US1st
Definition & source ›

The estimated share of adults who experienced food insecurity in the past 12 months.

Full methodology ›

Housing insecurity

5.0%

in the bottom 0.7% nationally

Lower is healthier

ST1st
US1st
Definition & source ›

The estimated share of adults who experienced housing insecurity in the past 12 months.

Full methodology ›

Lack of transportation

3.7%

in the bottom 0.8% nationally

Lower is healthier

ST1st
US1st
Definition & source ›

The estimated share of adults who lacked reliable transportation in the past 12 months.

Full methodology ›

Physician access

5.8 per 1,000 residents

in the top 0.9% nationally

Higher is healthier

ST99th
US99th
Definition & source ›

The number of physicians’ offices located 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 ›

Short sleep

26.7%

in the bottom 1.3% nationally

Lower is healthier

ST1st
US1st
Definition & source ›

The estimated share of adults who usually sleep less than seven hours in a 24-hour period.

Full methodology ›

Dental provider access

1.5 per 1,000 residents

in the top 2.6% nationally

Higher is healthier

ST98th
US97th
Definition & source ›

The number of dental offices located 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 ›

Utility shut-off threat

3.8%

in the bottom 2.8% nationally

Lower is healthier

ST1st
US3rd
Definition & source ›

The estimated share of adults whose household was threatened with a utility shut-off in the past 12 months.

Full methodology ›

Obesity

25.2%

in the bottom 5.9% nationally

Lower is healthier

ST1st
US6th
Definition & source ›

The estimated share of adults with obesity, defined as a body-mass index of 30 or higher.

Full methodology ›

Air-toxics cancer risk

40 per million

in the top 4.5% nationally

Lower is healthier

ST95th
US96th
Definition & source ›

The EPA’s modeled estimate of added lifetime cancer risk from breathing outdoor air toxics, in cases per million people exposed over a lifetime.

Full methodology ›

The read

Town and Country, Missouri (ZIP 63131), by its composite score, sits in the top 2.5% healthiest ZIPs nationally (777th) and the top 0.3% of Missouri (2nd).

continue reading

The measures fall on both sides for this area, fairly evenly: household income settles in the top 0.7% nationally, and modeled food insecurity sits in the bottom 0.2% nationally. Modeled housing insecurity lies in the bottom 0.7% nationally, and transportation rests in the bottom 0.8% nationally. Physicians resides in the top 0.9% nationally, modeled short sleep is in the bottom 1.3% nationally, and dental providers lands in the top 2.6% nationally. Modeled utility shutoff stands in the bottom 2.8% nationally, and obesity registers in the bottom 5.9% nationally. Pulling the other way, modeled air-toxics cancer risk settles in the top 4.5% nationally.

Next to the surrounding area, physicians runs far higher than the surrounding ZIPs on this measure. For anyone unfamiliar, air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. For a healthier comparison close by, see ZIP 63005, about 4.5 miles away.

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 St. Louis, MO-IL metro area.

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 82%

21%

Social Need / SDOH

in the top 0.4%

16%

Preventive Care

healthier than 97%

13%

Risk Behavior

healthier than 97%

11%

Mental Health

healthier than 91%

8%

Disability

healthier than 93%

7%

About typical

Climate / Disaster Risk

healthier than 48%

5%

Healthcare Access

healthier than 56%

5%

Holding it back

Environmental Hazard

healthier than 20%

14%

Lifting this score

Chronic Disease Burden

healthier than 94%

21%

Social Need / SDOH

in the top 0.2%

16%

Preventive Care

in the top 0.5%

13%

Risk Behavior

in the top 0.4%

11%

Mental Health

in the top 0.4%

8%

Disability

healthier than 99%

7%

Climate / Disaster Risk

healthier than 87%

5%

Healthcare Access

healthier than 61%

5%

Holding it back

Environmental Hazard

healthier than 17%

14%

Lifting this score

Chronic Disease Burden

healthier than 84%

21%

Social Need / SDOH

in the top 0.00%

16%

Preventive Care

healthier than 98%

13%

Risk Behavior

healthier than 98%

11%

Mental Health

healthier than 99%

8%

Disability

healthier than 97%

7%

Climate / Disaster Risk

healthier than 75%

5%

About typical

Healthcare Access

healthier than 42%

5%

Holding it back

Environmental Hazard

healthier than 38%

14%

“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

3 of our published findings list 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.

  • Above its nearby ZIPs

    The ZIP codes that outlive their neighbors

    Estimated life expectancy is 82.3 ± 1.2 years. The 45 nearest ZIP codes with estimates average 78.1 years — 4.2 years above them.

    Ranked #290 of the 3,687 ZIP codes this finding names, ordered by years above the nearby-ZIP average, highest first.

  • Heavy environment, light chronic burden

    Where the environment and chronic illness point in opposite directions

    Environmental-hazard standing 20.5; chronic-disease standing 82.2 — 62 points apart, heavier on the environment than it is on chronic illness.

    Ranked #15,579 of the 18,187 ZIP codes this finding names, ordered by the gap from cleanest environment to heaviest chronic burden, highest first.

  • Highest-risk tenth

    Air toxics and the years between the two ends of the risk scale

    Modeled air-toxics cancer risk is 40.0 cases per million — among the tenth of compared ZIP codes with the most. Estimated life expectancy is 82.3 ± 1.2 years.

    Ranked #504 of the 4,173 ZIP codes this finding names, ordered by modeled air-toxics risk, highest first.

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 adults28.5%26.1–31.1
High blood pressure among adults34.4%31.6–37.3
Cancer (non-skin) or melanoma among adults11.0%10.1–12.1
Current asthma among adults9.3%8.3–10.4
Coronary heart disease among adults5.7%5.2–6.4
Chronic obstructive pulmonary disease among adults4.8%4.2–5.5
Depression among adults21.2%18.8–23.8
Diagnosed diabetes among adults9.4%8.3–10.7
High cholesterol among adults who have ever been screened39.2%36.1–42.4
Obesity among adults25.2%22.1–28.6
Stroke among adults2.7%2.5–3.0
All teeth lost among adults aged >=65 years4.6%3.6–5.8
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years3.7%3.1–4.4
Taking medicine to control high blood pressure among adults with high blood pressure81.5%79.1–83.9
Visits to doctor for routine checkup within the past year among adults81.4%79.0–83.7
Cholesterol screening among adults90.8%89.6–91.9
Colorectal cancer screening among adults aged 45–75 years73.1%69.1–76.8
Visited dentist or dental clinic in the past year among adults76.4%73.6–78.9
Mammography use among women aged 50-74 years80.9%75.0–85.9
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults16.4%14.2–18.8
Current cigarette smoking among adults7.8%6.7–9.1
No leisure-time physical activity among adults17.9%15.7–20.4
Short sleep duration among adults26.7%23.2–30.3
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults11.9%10.6–13.5
Frequent mental distress among adults12.0%10.7–13.5
Frequent physical distress among adults10.1%9.0–11.4
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults9.9%8.8–11.2
Any disability among adults26.2%23.7–29.1
Hearing disability among adults7.2%6.5–8.1
Independent living disability among adults5.2%4.6–5.8
Mobility disability among adults10.4%9.2–11.8
Self-care disability among adults2.2%2.0–2.4
Vision disability among adults2.8%2.5–3.1
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults15.0%13.0–17.1
Food insecurity in the past 12 months among adults4.7%3.9–5.5
Received food stamps in the past 12 months among adults2.9%2.4–3.5
Housing insecurity in the past 12 months among adults5.0%4.2–5.8
Lack of reliable transportation in the past 12 months among adults3.7%3.2–4.2
Loneliness among adults27.7%24.8–31.0
Utility services shut-off threat in the past 12 months among adults3.8%3.2–4.3
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)MO median (p10–p90)
Poverty rate2.1%10.6% (3.1–25.8%) n=32,36412.3% (3.2–26.0%) n=1,009
Uninsured 18–641.1%9.0% (1.5–24.3%) n=32,28613.2% (3.5–28.4%) n=1,006
No HS diploma (25+)1.3%7.9% (1.8–20.7%) n=32,5059.5% (2.5–20.5%) n=1,009
Bachelor's or higher (25+)81.6%23.3% (9.2–53.6%) n=32,50518.1% (7.2–40.2%) n=1,009
Unemployment rate (16+)2.2%3.9% (0.0–9.8%) n=32,2742.9% (0.0–8.5%) n=1,003
Households without a vehicle1.7%3.9% (0.0–12.5%) n=32,3224.1% (0.0–11.9%) n=1,009
Broadband subscription97.5%89.3% (75.1–97.1%) n=32,32286.3% (72.7–95.2%) n=1,009
Housing cost burden (≥30% income)18.5%23.7% (10.6–40.0%) n=32,32220.7% (8.4–33.9%) n=1,009
Homeownership rate93.7%78.7% (51.7–94.0%) n=32,32279.4% (56.0–94.3%) n=1,009
Crowded housing (>1 per room)0.4%1.3% (0.0–6.3%) n=32,3221.1% (0.0–5.1%) n=1,009
Foreign-born population7.0%2.6% (0.0–18.6%) n=32,5530.8% (0.0–6.4%) n=1,010
Single-parent households53.9%53.6% (37.3–74.1%) n=32,08755.0% (39.5–75.6%) n=1,005
Population 65+22.6%19.4% (10.8–33.6%) n=32,55319.2% (11.7–31.1%) n=1,010
Median age46.3 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (33.3–55.9) n=1,005
Median household income$225,493$72,070 ($46,039–$118,707) n=30,318$61,740 ($42,457–$95,231) n=948
Median home value$778,100$222,200 ($100,300–$579,820) n=30,049$174,150 ($91,880–$309,500) n=930
Median gross rent$1,896$1,021 ($677–$1,912) n=25,670$813 ($553–$1,265) n=786
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)MO median (p10–p90)
Life expectancy at birth82.3 yr ± 0.6078.9 yr (74.7–82.8) n=31,30877.6 yr (74.6–81.0) n=995

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 0.60 years of 82.3, 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