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ZipVitals

ZIP code

63468

in Shelbina, MissouriPopulation 2,314

38.58/ 100

Ranked #27,680 of 32,066 US ZIPs (bottom 13.7%)

Ranked #747 of 993 Missouri 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.

Grocery access

0.39 per 1,000 residents

in the top 2.5% nationally

Higher is healthier

ST98th
US98th
Definition & source ›

The number of full supermarkets inside this ZIP’s boundary, per 1,000 residents.

Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one. ZipVitals’s food-access signal is derived from these in-ZIP densities — it is not USDA’s food-desert designation, which measures distance to the nearest supermarket. Where a leg is missing, a ZIP reads “not determinable,” never “not a food desert.”

Full methodology ›

Elder-services access

0.39 per 1,000 residents

in the top 3.3% nationally

Higher is healthier

ST97th
US97th
Definition & source ›

The number of services for older adults and people with disabilities inside this ZIP’s boundary, per 1,000 residents.

Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.

Full methodology ›

Hearing disability

12.0%

in the top 4.5% nationally

Lower is healthier

ST88th
US96th
Definition & source ›

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

Full methodology ›

Child-care access

0.78 per 1,000 residents

in the top 4.1% nationally

Higher is healthier

ST94th
US96th
Definition & source ›

The number of child day-care services inside this ZIP’s boundary, per 1,000 residents.

Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.

Full methodology ›

Mammography

67.9%

in the bottom 7.4% nationally

Higher is healthier

ST6th
US7th
Definition & source ›

The estimated share of women aged 50–74 who had a mammogram within the past two years.

Full methodology ›

Tooth loss

24.3%

in the top 8.3% nationally

Lower is healthier

ST87th
US92nd
Definition & source ›

The estimated share of adults aged 65 and older who have lost all of their natural teeth.

Full methodology ›

Energy-cost burden

5.3%

in the top 6.5% nationally

Lower is healthier

ST93rd
US94th
Definition & 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 ›

Distance to an emergency room

17.1 mi

in the top 8.2% nationally

Lower is healthier

ST86th
US92nd
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.

Full methodology ›

Mobility disability

22.2%

in the top 9.0% nationally

Lower is healthier

ST82nd
US91st
Definition & source ›

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

Full methodology ›

Pharmacy access

0.39 per 1,000 residents

in the top 8.6% nationally

Higher is healthier

ST92nd
US91st
Definition & source ›

The number of pharmacies located inside this ZIP’s boundary, per 1,000 residents.

Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.

Full methodology ›

The read

Shelbina, Missouri (ZIP 63468), on the composite measure, lands in the bottom 13.7% nationally (27,680th) and the bottom 25% of Missouri (747th).

continue reading

The profile cuts both ways, and the readings bear that out: grocery resides in the top 2.5% nationally, elder services lies in the top 3.3% nationally, and childcare settles in the top 4.1% nationally. Pharmacy stands in the top 8.6% nationally. Working the other way, modeled hearing disability is in the top 4.5% nationally, and mammography rests in the bottom 7.4% nationally. Modeled tooth loss sits in the top 8.3% nationally, and energy burden registers in the top 6.5% nationally. Distance to an emergency room lands in the top 8.2% nationally, and modeled mobility disability resides in the top 9.0% nationally.

In everyday language, energy burden is the share of household income that goes to home energy bills. A healthier neighbor overall sits at ZIP 63437, 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.

Compare within

Lifting this score

Environmental Hazard

healthier than 79%

14%

Holding it back

Chronic Disease Burden

healthier than 10%

21%

Social Need / SDOH

healthier than 26%

16%

Preventive Care

healthier than 27%

13%

Risk Behavior

healthier than 18%

11%

Mental Health

healthier than 25%

8%

Disability

healthier than 9%

7%

Climate / Disaster Risk

healthier than 34%

5%

Healthcare Access

healthier than 33%

5%

Lifting this score

Environmental Hazard

healthier than 80%

14%

About typical

Risk Behavior

healthier than 41%

11%

Climate / Disaster Risk

healthier than 41%

5%

Holding it back

Chronic Disease Burden

healthier than 10%

21%

Social Need / SDOH

healthier than 26%

16%

Preventive Care

healthier than 29%

13%

Mental Health

healthier than 39%

8%

Disability

healthier than 14%

7%

Healthcare Access

healthier than 32%

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 79.3; chronic-disease standing 9.6 (bottom 10%) — 70 points apart, cleaner on the environment than it is on chronic illness.

    Ranked #1,090 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.

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 adults36.5%33.1–40.1
High blood pressure among adults44.0%39.9–48.2
Cancer (non-skin) or melanoma among adults11.0%10.0–12.0
Current asthma among adults11.0%9.8–12.3
Coronary heart disease among adults10.0%8.9–11.1
Chronic obstructive pulmonary disease among adults12.4%10.9–14.2
Depression among adults25.4%22.0–28.9
Diagnosed diabetes among adults15.6%13.6–17.7
High cholesterol among adults who have ever been screened42.0%37.9–46.2
Obesity among adults40.2%32.8–48.2
Stroke among adults5.1%4.6–5.7
All teeth lost among adults aged >=65 years24.3%20.4–28.5
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years9.5%7.8–11.6
Taking medicine to control high blood pressure among adults with high blood pressure81.0%78.5–83.2
Visits to doctor for routine checkup within the past year among adults79.5%76.3–82.6
Cholesterol screening among adults84.4%82.4–86.3
Colorectal cancer screening among adults aged 45–75 years62.3%57.2–66.9
Visited dentist or dental clinic in the past year among adults55.6%51.9–59.2
Mammography use among women aged 50-74 years67.9%59.5–75.2
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults14.1%11.8–16.8
Current cigarette smoking among adults20.4%17.7–23.4
No leisure-time physical activity among adults35.4%30.4–40.7
Short sleep duration among adults36.8%30.4–43.3
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults26.2%23.0–29.8
Frequent mental distress among adults18.2%16.2–20.2
Frequent physical distress among adults18.2%16.1–20.4
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults19.7%17.5–22.1
Any disability among adults44.2%39.4–48.9
Hearing disability among adults12.0%10.7–13.3
Independent living disability among adults12.0%10.6–13.6
Mobility disability among adults22.2%19.6–25.1
Self-care disability among adults5.5%4.9–6.2
Vision disability among adults6.9%6.1–7.8
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults19.4%16.5–22.5
Food insecurity in the past 12 months among adults15.7%13.3–18.4
Received food stamps in the past 12 months among adults14.1%11.9–16.5
Housing insecurity in the past 12 months among adults12.0%10.4–13.9
Lack of reliable transportation in the past 12 months among adults9.2%8.1–10.5
Loneliness among adults30.5%26.1–35.2
Utility services shut-off threat in the past 12 months among adults9.5%8.3–10.9
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)MO median (p10–p90)
Poverty rate17.4%10.6% (3.1–25.8%) n=32,36412.3% (3.2–26.0%) n=1,009
Uninsured 18–6422.9%9.0% (1.5–24.3%) n=32,28613.2% (3.5–28.4%) n=1,006
No HS diploma (25+)6.0%7.9% (1.8–20.7%) n=32,5059.5% (2.5–20.5%) n=1,009
Bachelor's or higher (25+)20.8%23.3% (9.2–53.6%) n=32,50518.1% (7.2–40.2%) n=1,009
Unemployment rate (16+)0.4%3.9% (0.0–9.8%) n=32,2742.9% (0.0–8.5%) n=1,003
Households without a vehicle4.9%3.9% (0.0–12.5%) n=32,3224.1% (0.0–11.9%) n=1,009
Broadband subscription80.7%89.3% (75.1–97.1%) n=32,32286.3% (72.7–95.2%) n=1,009
Housing cost burden (≥30% income)26.7%23.7% (10.6–40.0%) n=32,32220.7% (8.4–33.9%) n=1,009
Homeownership rate81.0%78.7% (51.7–94.0%) n=32,32279.4% (56.0–94.3%) n=1,009
Crowded housing (>1 per room)1.5%1.3% (0.0–6.3%) n=32,3221.1% (0.0–5.1%) n=1,009
Foreign-born population2.8%2.6% (0.0–18.6%) n=32,5530.8% (0.0–6.4%) n=1,010
Single-parent households51.1%53.6% (37.3–74.1%) n=32,08755.0% (39.5–75.6%) n=1,005
Population 65+25.8%19.4% (10.8–33.6%) n=32,55319.2% (11.7–31.1%) n=1,010
Median age44.9 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (33.3–55.9) n=1,005
Median household income$45,882$72,070 ($46,039–$118,707) n=30,318$61,740 ($42,457–$95,231) n=948
Median home value$100,600$222,200 ($100,300–$579,820) n=30,049$174,150 ($91,880–$309,500) n=930
Median gross rent$729$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 birth73.7 yr ± 1.3178.9 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 1.31 years of 73.7, 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