ZIP code
63430
in Alexandria, MissouriPopulation 457
38.02/ 100
Ranked #27,998 of 32,066 US ZIPs (bottom 12.7%)
Ranked #764 of 993 Missouri ZIPs (bottom 23%)
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.
Floodplain exposure
43.6%
in the top 5.3% nationally
Lower is healthier
ST95thUS95thDefinition & 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 ›Home broadband subscription
68.3%
in the bottom 5.3% nationally
Higher is healthier
ST6thUS5thDefinition & source ›
The share of households with a broadband internet subscription.
Full methodology ›Poverty rate
31.7%
in the top 5.9% nationally
Lower is healthier
ST95thUS94thDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
Full methodology ›Energy-cost burden
5.4%
in the top 5.8% nationally
Lower is healthier
ST94thUS94thDefinition & 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 ›Cognitive disability
20%
in the top 9.4% nationally
Lower is healthier
ST72ndUS91stDefinition & source ›
The estimated share of adults with serious difficulty concentrating, remembering, or making decisions.
Full methodology ›Distance to an emergency room
16.4 mi
in the top 9.1% nationally
Lower is healthier
ST84thUS91stDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›Outer-floodplain exposure
1.7%
in the top 17% nationally
Lower is healthier
ST90thUS83rdDefinition & source ›
The share of this ZIP’s land area inside FEMA’s 0.2%-annual-chance flood band — the “500-year” zone, a lower but real 1-in-500 yearly chance.
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 ›Air-toxics cancer risk
20 per million
in the bottom 25% nationally
Lower is healthier
ST1stUS25thDefinition & 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
Overall, Alexandria, Missouri (ZIP 63430) places in the bottom 12.7% nationally (27,998th) and the bottom 23% of Missouri (764th).
The data opens on a genuinely even set of readings: households without a vehicle is at the national minimum, shared with about 16% of ZIPs. Homeownership lands in the top 10.1% nationally. Crowded housing stands at the national minimum, shared with about 29% of ZIPs. On the other side, floodplain exposure registers in the top 5.3% nationally, home broadband subscription settles in the bottom 5.3% nationally, and poverty sits in the top 5.9% nationally. Modeled energy burden lies in the top 5.8% nationally, modeled cognitive disability rests in the top 9.4% nationally, and distance to an emergency room resides in the top 9.1% nationally. Fiber broadband is at the national minimum, shared with about 19% of ZIPs.
Beside the areas that surround it, outer-floodplain exposure runs far higher than the surrounding ZIPs on this measure. For readers new to these terms, floodplain exposure is land with about a 1-in-100 chance of flooding each year, nicknamed the "100-year floodplain". Energy burden is the share of household income that goes to home energy bills. Among nearby ZIPs, the nearest healthier one overall is ZIP 52619, 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 63%
14%
About typical
Healthcare Access
healthier than 56%
5%
Holding it back
Chronic Disease Burden
healthier than 26%
21%
Social Need / SDOH
healthier than 8%
16%
Preventive Care
healthier than 24%
13%
Risk Behavior
healthier than 7%
11%
Mental Health
healthier than 16%
8%
Disability
healthier than 18%
7%
Climate / Disaster Risk
healthier than 10%
5%
Lifting this score
Healthcare Access
healthier than 61%
5%
About typical
Environmental Hazard
healthier than 55%
14%
Holding it back
Chronic Disease Burden
healthier than 40%
21%
Social Need / SDOH
healthier than 5%
16%
Preventive Care
healthier than 23%
13%
Risk Behavior
healthier than 12%
11%
Mental Health
healthier than 18%
8%
Disability
healthier than 32%
7%
Climate / Disaster Risk
healthier than 5%
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
52619
Iowashares a border
Score 52.07
Closest healthier
52632
Iowashares a border
Score 43.98
Similar health profile
70363
Louisiana99% similar profile
Score 30.53
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 | 31.5% | 27.9–35.1 |
| High blood pressure among adults | 39.5% | 35.3–43.8 |
| Cancer (non-skin) or melanoma among adults | 8.9% | 8.1–9.9 |
| Current asthma among adults | 10.8% | 9.5–12.1 |
| Coronary heart disease among adults | 8.7% | 7.8–9.7 |
| Chronic obstructive pulmonary disease among adults | 10.5% | 9.2–12.0 |
| Depression among adults | 25.9% | 22.1–30.0 |
| Diagnosed diabetes among adults | 13.8% | 11.9–15.7 |
| High cholesterol among adults who have ever been screened | 39.1% | 34.5–43.6 |
| Obesity among adults | 41.9% | 33.5–50.5 |
| Stroke among adults | 4.3% | 3.9–4.8 |
| All teeth lost among adults aged >=65 years | 20.3% | 16.8–24.2 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 9.2% | 7.4–11.0 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 77.4% | 74.3–80.1 |
| Visits to doctor for routine checkup within the past year among adults | 77.3% | 73.5–80.9 |
| Cholesterol screening among adults | 82.0% | 79.7–84.2 |
| Colorectal cancer screening among adults aged 45–75 years | 61.2% | 55.5–66.5 |
| Visited dentist or dental clinic in the past year among adults | 58.4% | 54.4–62.3 |
| Mammography use among women aged 50-74 years | 72.7% | 63.8–80.0 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.7% | 13.6–20.1 |
| Current cigarette smoking among adults | 21.3% | 18.2–24.5 |
| No leisure-time physical activity among adults | 33.4% | 28.2–38.7 |
| Short sleep duration among adults | 39.3% | 32.1–46.4 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 24.7% | 21.5–28.1 |
| Frequent mental distress among adults | 19.4% | 17.1–21.7 |
| Frequent physical distress among adults | 16.8% | 14.8–18.9 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 20.0% | 17.6–22.2 |
| Any disability among adults | 41.0% | 35.8–45.8 |
| Hearing disability among adults | 10.4% | 9.2–11.5 |
| Independent living disability among adults | 10.9% | 9.6–12.2 |
| Mobility disability among adults | 18.5% | 16.1–21.1 |
| Self-care disability among adults | 4.9% | 4.4–5.5 |
| Vision disability among adults | 6.1% | 5.4–6.8 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 19.9% | 16.6–23.4 |
| Food insecurity in the past 12 months among adults | 15.8% | 13.1–18.9 |
| Received food stamps in the past 12 months among adults | 13.4% | 11.1–16.1 |
| Housing insecurity in the past 12 months among adults | 12.7% | 10.8–14.9 |
| Lack of reliable transportation in the past 12 months among adults | 9.4% | 8.2–10.9 |
| Loneliness among adults | 31.0% | 25.8–36.2 |
| Utility services shut-off threat in the past 12 months among adults | 10.0% | 8.6–11.6 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 31.7% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 9.6% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 0.7% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 25.5% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 5.6% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 0.0% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 68.3% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 20.4% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 94.0% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 0.0% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 54.7% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 23.9% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 38.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $65,250 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | — | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $825 | $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 | 76.6 yr ± 0.92 | 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 0.92 years of 76.6, 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