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ZipVitals

ZIP code

63446

in Knox City, MissouriPopulation 493

34.05/ 100

Ranked #29,712 of 32,066 US ZIPs (bottom 7.4%)

Ranked #882 of 993 Missouri ZIPs (bottom 11.2%)

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.

Cognitive disability

22.7%

in the top 2.8% nationally

Lower is healthier

ST94th
US97th
Definition & source ›

The estimated share of adults with serious difficulty concentrating, remembering, or making decisions.

Full methodology ›

Independent-living disability

14.2%

in the top 3.8% nationally

Lower is healthier

ST95th
US96th
Definition & source ›

The estimated share of adults who have difficulty doing errands alone, such as visiting a doctor’s office, because of a physical, mental, or emotional condition.

Full methodology ›

Mobility disability

25%

in the top 3.5% nationally

Lower is healthier

ST94th
US97th
Definition & source ›

The estimated share of adults with serious difficulty walking or climbing stairs.

Full methodology ›

Hearing disability

12.4%

in the top 3.3% nationally

Lower is healthier

ST91st
US97th
Definition & source ›

The estimated share of adults who are deaf or have serious difficulty hearing.

Full methodology ›

Home broadband subscription

62.9%

in the bottom 3.5% nationally

Higher is healthier

ST4th
US3rd
Definition & source ›

The share of households with a broadband internet subscription.

Full methodology ›

PFAS in drinking water

7.3%

in the bottom 3.9% nationally

Lower is healthier

ST10th
US4th
Definition & 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 ›

Fair or poor health

31%

in the top 6.6% nationally

Lower is healthier

ST94th
US93rd
Definition & source ›

The estimated share of adults who rate their own general health as fair or poor.

Full methodology ›

Coronary heart disease

10.7%

in the top 5.6% nationally

Lower is healthier

ST91st
US94th
Definition & source ›

The estimated share of adults who have been told by a health professional that they have coronary heart disease or angina.

Full methodology ›

Self-care disability

6.7%

in the top 7.4% nationally

Lower is healthier

ST93rd
US93rd
Definition & source ›

The estimated share of adults with difficulty dressing or bathing.

Full methodology ›

Stroke

5.6%

in the top 6.9% nationally

Lower is healthier

ST92nd
US93rd
Definition & source ›

The estimated share of adults who have been told by a health professional that they have had a stroke.

Full methodology ›

The read

By the composite health measure, Knox City, Missouri (ZIP 63446) ranks in the bottom 7.4% nationally (29,712th) and the bottom 11.2% of Missouri (882nd).

continue reading

A number of measures mark where this area is under strain: modeled cognitive disability sits in the top 2.8% nationally, and independent living disability is in the top 3.8% nationally. Modeled mobility disability settles in the top 3.5% nationally, and hearing disability resides in the top 3.3% nationally. Home broadband subscription registers in the bottom 3.5% nationally, modeled fair or poor health rests in the top 6.6% nationally, and modeled coronary heart disease stands in the top 5.6% nationally. Modeled self-care disability lies in the top 7.4% nationally, and stroke lands in the top 6.9% nationally. On the brighter side, modeled pfas sits in the bottom 3.9% nationally.

To spell things out, 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. Close by, ZIP 63458, just across the boundary, ranks healthier overall.

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.

Compare within

Lifting this score

Environmental Hazard

healthier than 95%

14%

About typical

Healthcare Access

healthier than 40%

5%

Holding it back

Chronic Disease Burden

healthier than 6%

21%

Social Need / SDOH

healthier than 15%

16%

Preventive Care

healthier than 19%

13%

Risk Behavior

healthier than 9%

11%

Mental Health

healthier than 14%

8%

Disability

healthier than 3%

7%

Climate / Disaster Risk

healthier than 39%

5%

Lifting this score

Environmental Hazard

healthier than 98%

14%

About typical

Climate / Disaster Risk

healthier than 59%

5%

Healthcare Access

healthier than 44%

5%

Holding it back

Chronic Disease Burden

healthier than 6%

21%

Social Need / SDOH

healthier than 13%

16%

Preventive Care

healthier than 14%

13%

Risk Behavior

healthier than 17%

11%

Mental Health

healthier than 15%

8%

Disability

healthier than 4%

7%

“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.

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 adults36.9%33.2–40.8
High blood pressure among adults44.0%39.6–48.4
Cancer (non-skin) or melanoma among adults10.3%9.4–11.5
Current asthma among adults11.9%10.5–13.3
Coronary heart disease among adults10.7%9.5–12.1
Chronic obstructive pulmonary disease among adults14.7%12.7–16.9
Depression among adults26.1%22.4–30.0
Diagnosed diabetes among adults16.5%14.3–18.9
High cholesterol among adults who have ever been screened42.7%38.1–47.2
Obesity among adults40.1%32.3–48.5
Stroke among adults5.6%5.0–6.3
All teeth lost among adults aged >=65 years23.1%19.3–27.3
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years12.0%9.5–14.8
Taking medicine to control high blood pressure among adults with high blood pressure81.0%78.4–83.6
Visits to doctor for routine checkup within the past year among adults79.0%75.7–82.3
Cholesterol screening among adults82.8%80.3–85.2
Colorectal cancer screening among adults aged 45–75 years59.8%54.0–65.3
Visited dentist or dental clinic in the past year among adults52.0%48.3–55.7
Mammography use among women aged 50-74 years69.8%61.0–77.8
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults13.3%11.0–16.0
Current cigarette smoking among adults24.2%20.6–28.0
No leisure-time physical activity among adults38.9%33.1–44.9
Short sleep duration among adults36.7%30.2–43.8
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults31.0%26.8–35.4
Frequent mental distress among adults19.7%17.4–22.1
Frequent physical distress among adults20.4%17.8–23.1
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults22.7%19.9–25.9
Any disability among adults46.9%41.4–52.3
Hearing disability among adults12.4%11.0–13.9
Independent living disability among adults14.2%12.3–16.2
Mobility disability among adults25.0%21.7–28.6
Self-care disability among adults6.7%5.8–7.8
Vision disability among adults8.2%7.2–9.3
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults21.4%18.0–25.2
Food insecurity in the past 12 months among adults20.1%16.3–24.1
Received food stamps in the past 12 months among adults17.8%14.6–21.5
Housing insecurity in the past 12 months among adults14.2%11.8–16.8
Lack of reliable transportation in the past 12 months among adults10.9%9.2–12.7
Loneliness among adults32.2%27.2–37.7
Utility services shut-off threat in the past 12 months among adults10.6%9.0–12.3
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)MO median (p10–p90)
Poverty rate8.3%10.6% (3.1–25.8%) n=32,36412.3% (3.2–26.0%) n=1,009
Uninsured 18–6462.3%9.0% (1.5–24.3%) n=32,28613.2% (3.5–28.4%) n=1,006
No HS diploma (25+)35.3%7.9% (1.8–20.7%) n=32,5059.5% (2.5–20.5%) n=1,009
Bachelor's or higher (25+)10.8%23.3% (9.2–53.6%) n=32,50518.1% (7.2–40.2%) n=1,009
Unemployment rate (16+)0.0%3.9% (0.0–9.8%) n=32,2742.9% (0.0–8.5%) n=1,003
Households without a vehicle0.7%3.9% (0.0–12.5%) n=32,3224.1% (0.0–11.9%) n=1,009
Broadband subscription62.9%89.3% (75.1–97.1%) n=32,32286.3% (72.7–95.2%) n=1,009
Housing cost burden (≥30% income)14.6%23.7% (10.6–40.0%) n=32,32220.7% (8.4–33.9%) n=1,009
Homeownership rate88.7%78.7% (51.7–94.0%) n=32,32279.4% (56.0–94.3%) n=1,009
Crowded housing (>1 per room)4.6%1.3% (0.0–6.3%) n=32,3221.1% (0.0–5.1%) n=1,009
Foreign-born population0.0%2.6% (0.0–18.6%) n=32,5530.8% (0.0–6.4%) n=1,010
Single-parent households55.1%53.6% (37.3–74.1%) n=32,08755.0% (39.5–75.6%) n=1,005
Population 65+26.6%19.4% (10.8–33.6%) n=32,55319.2% (11.7–31.1%) n=1,010
Median age40.8 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (33.3–55.9) n=1,005
Median household income$60,982$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$656$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 birth77.3 yr ± 0.9078.9 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 0.90 years of 77.3, 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