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ZipVitals

ZIP code

63656

in Middle Brook, MissouriPopulation 576

38.87/ 100

Ranked #27,487 of 32,066 US ZIPs (bottom 14.3%)

Ranked #733 of 993 Missouri ZIPs (bottom 26%)

Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.

Broad coverage across 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.

Tree cover

90.2%

in the top 1.3% nationally

Higher is healthier

ST99th
US99th
Definition & source ›

The share of this ZIP’s land area covered by forest.

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 ›

Slow internet speeds

2.4%

in the top 4.9% nationally

Lower is healthier

ST96th
US95th
Definition & source ›

The share of homes whose fastest available download speed is under 10 Mbps.

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 ›

Mobility disability

22.8%

in the top 7.3% nationally

Lower is healthier

ST85th
US93rd
Definition & source ›

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

Full methodology ›

Park land

17.6%

in the top 7.8% nationally

Higher is healthier

ST94th
US92nd
Definition & source ›

The share of this ZIP’s land area that is public parkland.

Full methodology ›

Housing-cost burden

8.5%

in the bottom 7.8% nationally

Lower is healthier

ST10th
US8th
Definition & source ›

The share of households spending 30% or more of their income on housing.

Full methodology ›

Arsenic in groundwater

1.3%

in the bottom 8.4% nationally

Lower is healthier

ST24th
US8th
Definition & source ›

The modeled probability that untreated groundwater in this area — the source private wells draw on — exceeds the federal arsenic limit of 10 micrograms per liter.

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 ›

Poverty rate

2.6%

in the bottom 8.4% nationally

Lower is healthier

ST8th
US8th
Definition & source ›

The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.

Full methodology ›

Cognitive disability

19.9%

in the top 9.8% nationally

Lower is healthier

ST71st
US90th
Definition & source ›

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

Full methodology ›

The read

Middle Brook, Missouri (ZIP 63656) ranks in the bottom 14.3% nationally (27,487th) and the bottom 26% of Missouri (733rd), based on limited data; treat as directional.

continue reading

A balanced set of signals defines this area, not any single one: modeled tree cover resides in the top 1.3% nationally. Unemployment stands at the national minimum, shared with about 15% of ZIPs. Park land sits in the top 7.8% nationally, housing-cost burden resides in the bottom 7.8% nationally, and modeled arsenic stands in the bottom 8.4% nationally. Poverty sits in the bottom 8.4% nationally. By contrast, modeled hearing disability resides in the top 3.3% nationally, slow internet speeds stands in the top 4.9% nationally, and modeled coronary heart disease sits in the top 5.6% nationally. Modeled mobility disability resides in the top 7.3% nationally.

Against its neighbors, park land runs far higher than the surrounding ZIPs on this measure. For context, arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. The closest ZIP that ranks healthier overall is ZIP 63650, 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 78%

14%

About typical

Preventive Care

healthier than 43%

13%

Healthcare Access

healthier than 52%

5%

Holding it back

Chronic Disease Burden

healthier than 7%

21%

Social Need / SDOH

healthier than 36%

16%

Risk Behavior

healthier than 21%

11%

Mental Health

healthier than 18%

8%

Disability

healthier than 8%

7%

Climate / Disaster RiskPartial

healthier than 36%

5%

Lifting this score

Environmental Hazard

healthier than 79%

14%

Preventive Care

healthier than 62%

13%

About typical

Risk Behavior

healthier than 48%

11%

Climate / Disaster RiskPartial

healthier than 47%

5%

Healthcare Access

healthier than 57%

5%

Holding it back

Chronic Disease Burden

healthier than 8%

21%

Social Need / SDOH

healthier than 38%

16%

Mental Health

healthier than 22%

8%

Disability

healthier than 11%

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 adults37.6%34.2–41.1
High blood pressure among adults44.6%40.7–48.6
Cancer (non-skin) or melanoma among adults11.1%10.1–12.1
Current asthma among adults11.4%10.1–12.7
Coronary heart disease among adults10.7%9.6–12.0
Chronic obstructive pulmonary disease among adults12.8%11.1–14.7
Depression among adults26.6%23.1–30.3
Diagnosed diabetes among adults16.4%14.3–18.6
High cholesterol among adults who have ever been screened42.7%38.5–46.8
Obesity among adults42.0%34.5–50.1
Stroke among adults5.4%4.8–6.0
All teeth lost among adults aged >=65 years20.0%17.0–23.2
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years9.6%7.5–11.8
Taking medicine to control high blood pressure among adults with high blood pressure81.4%79.0–83.6
Visits to doctor for routine checkup within the past year among adults80.7%77.7–83.7
Cholesterol screening among adults85.2%83.1–87.2
Colorectal cancer screening among adults aged 45–75 years64.3%59.6–68.8
Visited dentist or dental clinic in the past year among adults56.6%53.2–60.0
Mammography use among women aged 50-74 years72.9%65.0–79.6
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults13.2%10.9–15.8
Current cigarette smoking among adults20.6%17.3–24.0
No leisure-time physical activity among adults36.2%30.9–41.8
Short sleep duration among adults36.5%30.3–42.9
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults27.2%23.5–31.0
Frequent mental distress among adults18.5%16.3–20.7
Frequent physical distress among adults18.6%16.4–21.1
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults19.9%17.3–22.5
Any disability among adults44.5%39.5–49.6
Hearing disability among adults12.4%11.1–13.9
Independent living disability among adults12.1%10.6–13.8
Mobility disability among adults22.8%19.9–25.9
Self-care disability among adults5.7%5.0–6.5
Vision disability among adults7.1%6.2–8.0
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults19.5%16.9–22.9
Food insecurity in the past 12 months among adults16.6%13.7–19.7
Received food stamps in the past 12 months among adults14.8%12.2–17.7
Housing insecurity in the past 12 months among adults12.5%10.6–14.6
Lack of reliable transportation in the past 12 months among adults9.5%8.2–11.0
Loneliness among adults31.1%27.2–36.4
Utility services shut-off threat in the past 12 months among adults9.7%8.4–11.2
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)MO median (p10–p90)
Poverty rate2.6%10.6% (3.1–25.8%) n=32,36412.3% (3.2–26.0%) n=1,009
Uninsured 18–647.8%9.0% (1.5–24.3%) n=32,28613.2% (3.5–28.4%) n=1,006
No HS diploma (25+)14.1%7.9% (1.8–20.7%) n=32,5059.5% (2.5–20.5%) n=1,009
Bachelor's or higher (25+)13.6%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 vehicle5.2%3.9% (0.0–12.5%) n=32,3224.1% (0.0–11.9%) n=1,009
Broadband subscription78.6%89.3% (75.1–97.1%) n=32,32286.3% (72.7–95.2%) n=1,009
Housing cost burden (≥30% income)8.5%23.7% (10.6–40.0%) n=32,32220.7% (8.4–33.9%) n=1,009
Homeownership rate84.1%78.7% (51.7–94.0%) n=32,32279.4% (56.0–94.3%) n=1,009
Crowded housing (>1 per room)0.0%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 households79.8%53.6% (37.3–74.1%) n=32,08755.0% (39.5–75.6%) n=1,005
Population 65+25.0%19.4% (10.8–33.6%) n=32,55319.2% (11.7–31.1%) n=1,010
Median age54.3 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (33.3–55.9) n=1,005
Median household income$47,181$72,070 ($46,039–$118,707) n=30,318$61,740 ($42,457–$95,231) n=948
Median home value$101,900$222,200 ($100,300–$579,820) n=30,049$174,150 ($91,880–$309,500) n=930
Median gross rent$525$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 birth78.1 yr ± 1.3078.9 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 1.30 years of 78.1, 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