ZIP code
63438
in Durham, MissouriPopulation 232
44.53/ 100
Ranked #22,878 of 32,066 US ZIPs (bottom 29%)
Ranked #453 of 993 Missouri ZIPs (top 46%)
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.
Poverty rate
0.00%
at the national minimum
Lower is healthier
ST1stUS1stDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
Full methodology ›Natural-disaster risk
in the bottom 9.7% nationally
Lower is healthier
ST9thUS10thDefinition & source ›
This area’s national rank on its single highest non-flood natural hazard — such as wildfire, tornado, or earthquake — in FEMA’s modeled National Risk Index; flooding is shown separately.
Full methodology ›Expected annual disaster loss
$0
in the bottom 13.1% nationally
Lower is healthier
ST6thUS13thDefinition & source ›
FEMA’s modeled estimate, in dollars per year, of the average harm to people expected from natural hazards — an annualized average, not a forecast for any single year.
Full methodology ›Median household income
$42,188
in the bottom 7.0% nationally
Higher is healthier
ST9thUS7thDefinition & source ›
The middle household income in this ZIP — half of households earn more, half earn less — in dollars per year.
Full methodology ›Distance to a community health center
12.8 mi
in the top 15% nationally
Lower is healthier
ST97thUS85thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest federally funded community health center, which serves patients regardless of ability to pay.
Full methodology ›Distance to a nursing home
8.4 mi
in the top 15% nationally
Lower is healthier
ST92ndUS85thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›The read
Durham, Missouri (ZIP 63438), in overall standing, comes out in the bottom 29% nationally (22,878th) and the top 46% of Missouri (453rd).
A balanced showing across the data, with a few readings each side: poverty registers at the national minimum. Unemployment is at the national minimum, shared with about 15% of ZIPs. Households without a vehicle lies at the national minimum, shared with about 16% of ZIPs. Modeled disaster risk registers in the bottom 9.7% nationally, and expected annual loss is in the bottom 13.1% nationally. Modeled pfas lies in the bottom 14.3% nationally. Crowded housing registers at the national minimum, shared with about 29% of ZIPs. On the other hand, modeled hearing disability is in the top 10.1% nationally, household income lies in the bottom 7.0% nationally, and modeled tooth loss registers in the top 13.4% nationally.
Defined simply, for reference, disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. Expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. 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. The closest healthier ZIP overall is ZIP 63440, 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 90%
14%
About typical
Social Need / SDOH
healthier than 41%
16%
Preventive Care
healthier than 51%
13%
Mental Health
healthier than 49%
8%
Holding it back
Chronic Disease Burden
healthier than 18%
21%
Risk Behavior
healthier than 21%
11%
Disability
healthier than 25%
7%
Climate / Disaster Risk
healthier than 27%
5%
Healthcare Access
healthier than 11%
5%
Lifting this score
Environmental Hazard
healthier than 93%
14%
Preventive Care
healthier than 72%
13%
Mental Health
healthier than 84%
8%
About typical
Social Need / SDOH
healthier than 45%
16%
Risk Behavior
healthier than 50%
11%
Disability
healthier than 45%
7%
Holding it back
Chronic Disease Burden
healthier than 25%
21%
Climate / Disaster Risk
healthier than 26%
5%
Healthcare Access
healthier than 2%
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
63440
Missourishares a border
Score 44.69
Closest healthier
63454
Missourishares a border
Score 47.63
Similar health profile
63882
Missouri95% similar profile
Score 38.62
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 | 35.1% | 31.7–38.3 |
| High blood pressure among adults | 42.4% | 38.4–46.1 |
| Cancer (non-skin) or melanoma among adults | 11.0% | 10.0–12.1 |
| Current asthma among adults | 10.4% | 9.3–11.5 |
| Coronary heart disease among adults | 9.2% | 8.1–10.5 |
| Chronic obstructive pulmonary disease among adults | 10.5% | 8.8–12.3 |
| Depression among adults | 23.7% | 20.7–26.8 |
| Diagnosed diabetes among adults | 14.5% | 12.6–16.4 |
| High cholesterol among adults who have ever been screened | 41.6% | 37.6–45.6 |
| Obesity among adults | 37.7% | 31.3–44.5 |
| Stroke among adults | 4.5% | 3.9–5.1 |
| All teeth lost among adults aged >=65 years | 21.6% | 18.2–25.2 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.2% | 6.5–10.4 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 81.1% | 78.5–83.6 |
| Visits to doctor for routine checkup within the past year among adults | 80.2% | 77.2–82.9 |
| Cholesterol screening among adults | 86.6% | 84.8–88.4 |
| Colorectal cancer screening among adults aged 45–75 years | 65.6% | 61.2–69.6 |
| Visited dentist or dental clinic in the past year among adults | 57.2% | 53.8–60.3 |
| Mammography use among women aged 50-74 years | 72.9% | 66.2–78.7 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.7% | 12.5–17.1 |
| Current cigarette smoking among adults | 18.5% | 15.5–21.7 |
| No leisure-time physical activity among adults | 31.9% | 27.5–36.8 |
| Short sleep duration among adults | 38.9% | 33.4–44.6 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 23.2% | 19.9–26.7 |
| Frequent mental distress among adults | 16.5% | 14.8–18.3 |
| Frequent physical distress among adults | 16.6% | 14.7–18.6 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 17.2% | 15.2–19.6 |
| Any disability among adults | 39.2% | 35.0–43.8 |
| Hearing disability among adults | 10.9% | 9.7–12.2 |
| Independent living disability among adults | 9.7% | 8.4–11.0 |
| Mobility disability among adults | 19.1% | 16.5–22.0 |
| Self-care disability among adults | 4.6% | 3.9–5.3 |
| Vision disability among adults | 5.5% | 4.7–6.3 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 19.3% | 16.5–22.4 |
| Food insecurity in the past 12 months among adults | 12.1% | 9.8–14.8 |
| Received food stamps in the past 12 months among adults | 9.3% | 7.4–11.5 |
| Housing insecurity in the past 12 months among adults | 9.8% | 8.3–11.5 |
| Lack of reliable transportation in the past 12 months among adults | 7.2% | 6.2–8.4 |
| Loneliness among adults | 29.5% | 25.6–33.7 |
| Utility services shut-off threat in the past 12 months among adults | 7.2% | 6.2–8.2 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 0.0% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 0.0% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 3.2% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 12.9% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 0.0% | 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 | 88.9% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 30.9% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 85.2% | 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 | 29.3% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 15.5% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 28.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $42,188 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $187,500 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | — | $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 | 79.4 yr ± 1.14 | 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 1.14 years of 79.4, 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