ZIP code
63359
in Middletown, MissouriPopulation 1,667
41.55/ 100
Ranked #25,613 of 32,066 US ZIPs (bottom 20%)
Ranked #615 of 993 Missouri ZIPs (bottom 38%)
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.
PFAS in drinking water
4.2%
in the bottom 0.6% nationally
Lower is healthier
ST1stUS1stDefinition & source ›
The modeled probability that PFAS “forever chemicals” would be detected in untreated groundwater in this area, the source private wells draw on.
A modeled likelihood for untreated groundwater, the source drawn on by private wells, which are federally unregulated. It is not a measurement of treated water delivered by a public system, and it is not a test of any individual well.
Full methodology ›PFAS in drinking water
100%
at the national maximum
Lower is healthier
ST99thUS99thDefinition & source ›
The share of residents served by public water systems where PFAS — man-made “forever chemicals” that build up in the body and environment instead of breaking down — were detected in EPA testing.
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 ›Transportation noise
0.01%
in the bottom 5.6% nationally
Lower is healthier
ST9thUS6thDefinition & 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 ›Slow internet speeds
1.4%
in the top 8.2% nationally
Lower is healthier
ST91stUS92ndDefinition & source ›
The share of homes whose fastest available download speed is under 10 Mbps.
Full methodology ›Hearing disability
11.0%
in the top 9.4% nationally
Lower is healthier
ST74thUS91stDefinition & source ›
The estimated share of adults who are deaf or have serious difficulty hearing.
Full methodology ›The read
Judged by its overall standing, Middletown, Missouri (ZIP 63359) sits in the bottom 20% nationally (25,613th) and the bottom 38% of Missouri (615th).
A balanced showing across the data, with a few readings each side: modeled pfas registers in the bottom 0.6% nationally, and transportation noise is in the bottom 5.6% nationally. Modeled loud transportation noise lies at the national minimum, shared with about 22% of ZIPs. On the other hand, PFAS in drinking water registers at the national maximum, and slow internet speeds is in the top 8.2% nationally. Modeled hearing disability lies in the top 9.4% nationally, and distance to an emergency room registers in the top 10.5% nationally. Modeled tooth loss is in the top 10.8% nationally, and cognitive disability lies in the top 14.1% nationally. Modeled mobility disability registers in the top 15% nationally.
Put plainly, pfas is the man-made "forever chemicals" that build up in the body and environment instead of breaking down; here a modeled estimate of the chance a private well contains them. PFAS in drinking water is the family of man-made "forever chemicals" that build up in the body and environment instead of breaking down. Transportation noise is the modeled share of an area exposed to average road, rail, and air noise at or above 55 decibels. A healthier nearby ZIP overall is ZIP 63334, 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.
Lifting this score
Environmental Hazard
healthier than 72%
14%
About typical
Social Need / SDOH
healthier than 44%
16%
Climate / Disaster Risk
healthier than 44%
5%
Holding it back
Chronic Disease Burden
healthier than 14%
21%
Preventive Care
healthier than 37%
13%
Risk Behavior
healthier than 14%
11%
Mental Health
healthier than 27%
8%
Disability
healthier than 17%
7%
Healthcare Access
healthier than 27%
5%
Lifting this score
Environmental Hazard
healthier than 68%
14%
Climate / Disaster Risk
healthier than 75%
5%
About typical
Social Need / SDOH
healthier than 49%
16%
Preventive Care
healthier than 48%
13%
Mental Health
healthier than 45%
8%
Holding it back
Chronic Disease Burden
healthier than 18%
21%
Risk Behavior
healthier than 31%
11%
Disability
healthier than 28%
7%
Healthcare Access
healthier than 24%
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.
Clean environment, heavy chronic burden
Where the environment and chronic illness point in opposite directions
Environmental-hazard standing 72.5; chronic-disease standing 14.5 — 58 points apart, cleaner on the environment than it is on chronic illness.
Ranked #1,885 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
63333
Missourishares a border
Score 41.02
Closest healthier
63334
Missourishares a border
Score 42.63
Similar health profile
63655
Missouri99% similar profile
Score 41.61
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 | 35.7% | 32.9–38.5 |
| High blood pressure among adults | 42.5% | 39.2–45.7 |
| Cancer (non-skin) or melanoma among adults | 10.5% | 9.7–11.3 |
| Current asthma among adults | 11.0% | 10.0–12.0 |
| Coronary heart disease among adults | 9.3% | 8.4–10.1 |
| Chronic obstructive pulmonary disease among adults | 11.5% | 10.2–12.8 |
| Depression among adults | 25.1% | 22.4–27.7 |
| Diagnosed diabetes among adults | 14.8% | 13.2–16.3 |
| High cholesterol among adults who have ever been screened | 42.0% | 38.7–45.2 |
| Obesity among adults | 38.3% | 32.5–44.0 |
| Stroke among adults | 4.7% | 4.3–5.1 |
| All teeth lost among adults aged >=65 years | 22.8% | 20.2–26.0 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 9.4% | 7.9–11.2 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 80.7% | 78.7–82.6 |
| Visits to doctor for routine checkup within the past year among adults | 79.8% | 77.3–82.0 |
| Cholesterol screening among adults | 85.3% | 83.7–86.7 |
| Colorectal cancer screening among adults aged 45–75 years | 63.1% | 59.8–67.1 |
| Visited dentist or dental clinic in the past year among adults | 55.4% | 52.8–58.4 |
| Mammography use among women aged 50-74 years | 72.1% | 67.0–77.7 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.7% | 12.8–16.7 |
| Current cigarette smoking among adults | 20.4% | 17.9–23.1 |
| No leisure-time physical activity among adults | 34.4% | 30.2–38.6 |
| Short sleep duration among adults | 38.3% | 34.5–43.7 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 25.0% | 22.3–27.9 |
| Frequent mental distress among adults | 18.1% | 16.4–19.7 |
| Frequent physical distress among adults | 17.5% | 15.8–19.3 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 19.0% | 17.1–20.9 |
| Any disability among adults | 41.4% | 37.6–45.2 |
| Hearing disability among adults | 11.0% | 10.0–11.9 |
| Independent living disability among adults | 10.9% | 9.7–12.0 |
| Mobility disability among adults | 20.5% | 18.3–22.7 |
| Self-care disability among adults | 5.0% | 4.5–5.6 |
| Vision disability among adults | 6.1% | 5.5–6.8 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 20.0% | 17.6–22.4 |
| Food insecurity in the past 12 months among adults | 14.7% | 12.7–16.9 |
| Received food stamps in the past 12 months among adults | 12.3% | 10.5–14.3 |
| Housing insecurity in the past 12 months among adults | 11.7% | 10.3–13.3 |
| Lack of reliable transportation in the past 12 months among adults | 8.4% | 7.5–9.4 |
| Loneliness among adults | 30.1% | 26.7–33.5 |
| Utility services shut-off threat in the past 12 months among adults | 8.7% | 7.7–9.8 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 6.1% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 12.7% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 6.5% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 15.9% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 2.5% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 4.3% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 88.5% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 13.6% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 82.4% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 1.6% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 0.7% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 48.2% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 11.1% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 35.2 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $75,227 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $160,200 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $774 | $1,021 ($677–$1,912) n=25,670 | $813 ($553–$1,265) n=786 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 75.7 yr ± 0.79 | 78.9 yr (74.7–82.8) n=31,308 | 77.6 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 0.79 years of 75.7, 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