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ZipVitals

ZIP code

63389

in Winfield, MissouriPopulation 7,616

45.66/ 100

Ranked #21,700 of 32,066 US ZIPs (bottom 32%)

Ranked #405 of 993 Missouri ZIPs (top 41%)

Ranked #176 of 234 St. Louis, MO-IL ZIPs (bottom 25%)

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.

Lithium in drinking water

99 µg/L

in the top 2.4% nationally

Lower is healthier

ST99th
US98th
Definition & source ›

The average detected level of lithium — a natural trace metal with no federal drinking-water limit yet — across the public water systems serving this ZIP, in micrograms per liter.

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 ›

Floodplain exposure

41.6%

in the top 5.8% nationally

Lower is healthier

ST95th
US94th
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 ›

Binge drinking

18.3%

in the top 16% nationally

Lower is healthier

ST94th
US84th
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 ›

High blood pressure

33.4%

in the bottom 25% nationally

Lower is healthier

ST9th
US25th
Definition & source ›

The estimated share of adults who have been told by a health professional that they have high blood pressure.

Full methodology ›

Median household income

$98,393

in the top 20% nationally

Higher is healthier

ST92nd
US80th
Definition & source ›

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

Full methodology ›

The read

On the composite measure, Winfield, Missouri (ZIP 63389) stands in the bottom 32% nationally (21,700th) and the top 41% of Missouri (405th).

continue reading

A profile of give and take, with clear readings each way: elder services settles in the top 11.0% nationally. On the other side, lithium in drinking water rests in the top 2.4% nationally, and floodplain exposure lands in the top 5.8% nationally. Modeled cognitive disability settles in the top 14.1% nationally, and crowded housing rests in the top 16% nationally. Recreation lands at the national minimum, shared with about 35% of ZIPs. Modeled binge drinking settles in the top 16% nationally, lead in tap water rests in the top 20% nationally, and modeled short sleep lands in the top 19% nationally. Modeled extreme heat settles in the top 22% nationally.

For clarity, lithium in drinking water is a natural metal that dissolves into some groundwater and has no federal drinking-water limit yet. Lead in tap water is the EPA trigger, 15 parts per billion in tap samples, above which a water system must act on lead. Floodplain exposure is land with about a 1-in-100 chance of flooding each year, nicknamed the "100-year floodplain". ZIP 62006, just across the boundary, ranks better overall among the ZIPs nearby.

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 61%

21%

Social Need / SDOH

healthier than 64%

16%

About typical

Environmental Hazard

healthier than 56%

14%

Disability

healthier than 43%

7%

Holding it back

Preventive Care

healthier than 23%

13%

Risk Behavior

healthier than 11%

11%

Mental Health

healthier than 17%

8%

Climate / Disaster Risk

healthier than 10%

5%

Healthcare Access

healthier than 37%

5%

Lifting this score

Chronic Disease Burden

healthier than 83%

21%

Social Need / SDOH

healthier than 71%

16%

Disability

healthier than 74%

7%

About typical

Environmental Hazard

healthier than 45%

14%

Holding it back

Preventive Care

healthier than 22%

13%

Risk Behavior

healthier than 23%

11%

Mental Health

healthier than 20%

8%

Climate / Disaster Risk

healthier than 5%

5%

Healthcare Access

healthier than 38%

5%

Lifting this score

Chronic Disease Burden

healthier than 60%

21%

Environmental Hazard

healthier than 84%

14%

Holding it back

Social Need / SDOH

healthier than 38%

16%

Preventive Care

healthier than 9%

13%

Risk Behavior

healthier than 15%

11%

Mental Health

healthier than 9%

8%

Disability

healthier than 37%

7%

Climate / Disaster Risk

healthier than 11%

5%

Healthcare Access

healthier than 27%

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

2 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.

  • Below what income predicts

    The ZIP codes that outlive their incomes

    Estimated life expectancy is 76.7 ± 1.2 years. A median household income of $98,393 predicts 80.0 years — 3.3 years below.

    Ranked #4,481 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.

  • Below its nearby ZIPs

    The ZIP codes that outlive their neighbors

    Estimated life expectancy is 76.7 ± 1.2 years. The 49 nearest ZIP codes with estimates average 79.2 years — 2.5 years below them.

    Ranked #1,930 of the 3,687 ZIP codes this finding names, ordered by years above the nearby-ZIP average, 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 adults26.8%23.6–30.0
High blood pressure among adults33.4%29.5–37.4
Cancer (non-skin) or melanoma among adults7.7%7.0–8.6
Current asthma among adults11.0%9.7–12.4
Coronary heart disease among adults6.2%5.5–6.8
Chronic obstructive pulmonary disease among adults8.0%7.1–9.0
Depression among adults25.8%22.0–29.7
Diagnosed diabetes among adults10.9%9.4–12.4
High cholesterol among adults who have ever been screened35.8%31.6–40.0
Obesity among adults40.0%32.2–47.9
Stroke among adults3.2%3.0–3.5
All teeth lost among adults aged >=65 years17.4%14.3–20.6
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years9.0%7.5–10.5
Taking medicine to control high blood pressure among adults with high blood pressure73.9%70.6–76.9
Visits to doctor for routine checkup within the past year among adults76.2%72.1–79.9
Cholesterol screening among adults82.3%79.9–84.5
Colorectal cancer screening among adults aged 45–75 years62.2%57.0–67.1
Visited dentist or dental clinic in the past year among adults57.7%54.0–61.2
Mammography use among women aged 50-74 years74.6%67.1–81.1
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults18.3%14.9–21.8
Current cigarette smoking among adults18.4%15.9–21.1
No leisure-time physical activity among adults29.0%24.3–33.6
Short sleep duration among adults39.7%33.5–46.4
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults20.4%17.8–23.1
Frequent mental distress among adults19.2%17.0–21.5
Frequent physical distress among adults14.7%13.0–16.5
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults19.0%16.8–21.2
Any disability among adults37.1%32.5–41.7
Hearing disability among adults7.8%6.9–8.6
Independent living disability among adults9.3%8.2–10.4
Mobility disability among adults14.9%13.0–16.9
Self-care disability among adults3.7%3.4–4.1
Vision disability among adults4.7%4.2–5.2
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults20.2%17.2–23.4
Food insecurity in the past 12 months among adults13.1%11.0–15.4
Received food stamps in the past 12 months among adults10.1%8.5–11.7
Housing insecurity in the past 12 months among adults11.9%10.3–13.9
Lack of reliable transportation in the past 12 months among adults8.2%7.2–9.3
Loneliness among adults32.3%27.7–37.2
Utility services shut-off threat in the past 12 months among adults8.4%7.3–9.6
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)MO median (p10–p90)
Poverty rate10.2%10.6% (3.1–25.8%) n=32,36412.3% (3.2–26.0%) n=1,009
Uninsured 18–649.4%9.0% (1.5–24.3%) n=32,28613.2% (3.5–28.4%) n=1,006
No HS diploma (25+)13.6%7.9% (1.8–20.7%) n=32,5059.5% (2.5–20.5%) n=1,009
Bachelor's or higher (25+)15.5%23.3% (9.2–53.6%) n=32,50518.1% (7.2–40.2%) n=1,009
Unemployment rate (16+)3.0%3.9% (0.0–9.8%) n=32,2742.9% (0.0–8.5%) n=1,003
Households without a vehicle2.8%3.9% (0.0–12.5%) n=32,3224.1% (0.0–11.9%) n=1,009
Broadband subscription92.4%89.3% (75.1–97.1%) n=32,32286.3% (72.7–95.2%) n=1,009
Housing cost burden (≥30% income)19.6%23.7% (10.6–40.0%) n=32,32220.7% (8.4–33.9%) n=1,009
Homeownership rate75.0%78.7% (51.7–94.0%) n=32,32279.4% (56.0–94.3%) n=1,009
Crowded housing (>1 per room)4.5%1.3% (0.0–6.3%) n=32,3221.1% (0.0–5.1%) n=1,009
Foreign-born population0.4%2.6% (0.0–18.6%) n=32,5530.8% (0.0–6.4%) n=1,010
Single-parent households54.2%53.6% (37.3–74.1%) n=32,08755.0% (39.5–75.6%) n=1,005
Population 65+13.2%19.4% (10.8–33.6%) n=32,55319.2% (11.7–31.1%) n=1,010
Median age42.0 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (33.3–55.9) n=1,005
Median household income$98,393$72,070 ($46,039–$118,707) n=30,318$61,740 ($42,457–$95,231) n=948
Median home value$236,900$222,200 ($100,300–$579,820) n=30,049$174,150 ($91,880–$309,500) n=930
Median gross rent$953$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 birth76.7 yr ± 0.6378.9 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 0.63 years of 76.7, 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