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ZipVitals

ZIP code

63853

in Holland, MissouriPopulation 141

39.84/ 100

Ranked #26,862 of 32,066 US ZIPs (bottom 16%)

Ranked #707 of 993 Missouri ZIPs (bottom 29%)

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.

Fiber broadband

100%

at the national maximum

Higher is healthier

ST99th
US99th
Definition & source ›

The share of homes where fiber-optic internet service is available.

Full methodology ›

Housing-cost burden

0.00%

at the national minimum

Lower is healthier

ST1st
US1st
Definition & source ›

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

Full methodology ›

Expected annual disaster loss

$0

in the bottom 4.0% nationally

Lower is healthier

ST2nd
US4th
Definition & 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 ›

Natural-disaster risk

in the bottom 4.6% nationally

Lower is healthier

ST4th
US5th
Definition & 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 ›

Tree cover

0.00%

at the national minimum

Higher is healthier

ST1st
US1st
Definition & source ›

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

Full methodology ›

Home broadband subscription

68.4%

in the bottom 5.4% nationally

Higher is healthier

ST7th
US5th
Definition & source ›

The share of households with a broadband internet subscription.

Full methodology ›

Energy-cost burden

5.5%

in the top 4.8% nationally

Lower is healthier

ST96th
US95th
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 ›

Colon-cancer screening

56.6%

in the bottom 6.8% nationally

Higher is healthier

ST4th
US7th
Definition & source ›

The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.

Full methodology ›

Industrial-pollution burden

in the top 6.7% nationally

Lower is healthier

ST93rd
US93rd
Definition & source ›

The EPA’s modeled screening score for industrial chemical releases, weighting the amounts released by their toxicity and how many people live nearby — a relative comparison score, not a measured exposure.

Full methodology ›

Cognitive disability

20.1%

in the top 9.0% nationally

Lower is healthier

ST73rd
US91st
Definition & source ›

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

Full methodology ›

The read

Holland, Missouri (ZIP 63853), on the composite measure, lands in the bottom 16% nationally (26,862nd) and the bottom 29% of Missouri (707th), based on limited data; treat as directional.

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The main burdens in the data show plainly and lead the picture: modeled tree cover lands at the national minimum, home broadband subscription resides in the bottom 5.4% nationally, and modeled energy burden lies in the top 4.8% nationally. Modeled colon screening settles in the bottom 6.8% nationally, industrial-pollution burden stands in the top 6.7% nationally, and cognitive disability is in the top 9.0% nationally. More positively, fiber broadband rests at the national maximum, and housing-cost burden sits at the national minimum. Modeled expected annual loss registers in the bottom 4.0% nationally, and disaster risk lands in the bottom 4.6% nationally.

Set against the neighboring ZIPs, industrial-pollution burden runs far higher than the surrounding ZIPs on this measure. In everyday language, expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. Disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. Industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. A healthier neighbor overall sits at ZIP 63826, about 7.0 miles away.

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

Nothing measured is lifting this score.

Holding it back

Chronic Disease Burden

healthier than 29%

21%

Social Need / SDOH

healthier than 15%

16%

Environmental Hazard

healthier than 32%

14%

Preventive Care

healthier than 25%

13%

Risk Behavior

healthier than 14%

11%

Mental Health

healthier than 23%

8%

Disability

healthier than 17%

7%

Climate / Disaster RiskPartial

healthier than 18%

5%

Healthcare Access

healthier than 27%

5%

Nothing measured is lifting this score.

About typical

Chronic Disease Burden

healthier than 44%

21%

Holding it back

Social Need / SDOH

healthier than 14%

16%

Environmental Hazard

healthier than 24%

14%

Preventive Care

healthier than 26%

13%

Risk Behavior

healthier than 32%

11%

Mental Health

healthier than 35%

8%

Disability

healthier than 28%

7%

Climate / Disaster RiskPartial

healthier than 10%

5%

Healthcare Access

healthier than 24%

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.

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 adults32.1%28.8–35.6
High blood pressure among adults39.1%35.1–43.3
Cancer (non-skin) or melanoma among adults8.9%8.0–9.9
Current asthma among adults11.0%9.7–12.4
Coronary heart disease among adults8.3%7.2–9.4
Chronic obstructive pulmonary disease among adults9.9%8.3–11.6
Depression among adults25.2%21.6–29.1
Diagnosed diabetes among adults14.1%12.2–16.2
High cholesterol among adults who have ever been screened40.5%36.1–44.9
Obesity among adults38.6%31.3–46.4
Stroke among adults4.4%3.9–5.0
All teeth lost among adults aged >=65 years17.1%13.9–20.6
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years11.5%9.1–14.7
Taking medicine to control high blood pressure among adults with high blood pressure79.1%76.4–81.6
Visits to doctor for routine checkup within the past year among adults79.1%75.6–82.4
Cholesterol screening among adults82.9%80.1–85.5
Colorectal cancer screening among adults aged 45–75 years56.6%51.1–61.8
Visited dentist or dental clinic in the past year among adults55.7%52.0–59.5
Mammography use among women aged 50-74 years76.5%69.2–83.0
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults14.8%12.2–17.7
Current cigarette smoking among adults19.1%15.8–22.7
No leisure-time physical activity among adults35.4%29.7–41.3
Short sleep duration among adults38.4%32.1–45.1
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults25.4%21.7–29.4
Frequent mental distress among adults18.6%16.3–21.0
Frequent physical distress among adults16.7%14.5–19.0
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults20.1%17.3–23.1
Any disability among adults42.2%36.8–47.6
Hearing disability among adults10.2%9.0–11.4
Independent living disability among adults11.2%9.5–13.0
Mobility disability among adults19.5%16.7–22.4
Self-care disability among adults4.9%4.2–5.7
Vision disability among adults6.5%5.6–7.4
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults21.2%17.7–24.9
Food insecurity in the past 12 months among adults17.0%13.6–20.8
Received food stamps in the past 12 months among adults13.7%10.8–17.0
Housing insecurity in the past 12 months among adults13.4%11.1–16.0
Lack of reliable transportation in the past 12 months among adults9.5%8.0–11.3
Loneliness among adults33.6%28.3–38.8
Utility services shut-off threat in the past 12 months among adults9.8%8.2–11.5
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)MO median (p10–p90)
Poverty rate14.2%10.6% (3.1–25.8%) n=32,36412.3% (3.2–26.0%) n=1,009
Uninsured 18–640.0%9.0% (1.5–24.3%) n=32,28613.2% (3.5–28.4%) n=1,006
No HS diploma (25+)23.0%7.9% (1.8–20.7%) n=32,5059.5% (2.5–20.5%) n=1,009
Bachelor's or higher (25+)4.4%23.3% (9.2–53.6%) n=32,50518.1% (7.2–40.2%) n=1,009
Unemployment rate (16+)2.0%3.9% (0.0–9.8%) n=32,2742.9% (0.0–8.5%) n=1,003
Households without a vehicle6.3%3.9% (0.0–12.5%) n=32,3224.1% (0.0–11.9%) n=1,009
Broadband subscription68.4%89.3% (75.1–97.1%) n=32,32286.3% (72.7–95.2%) n=1,009
Housing cost burden (≥30% income)0.0%23.7% (10.6–40.0%) n=32,32220.7% (8.4–33.9%) n=1,009
Homeownership rate92.4%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 households72.1%53.6% (37.3–74.1%) n=32,08755.0% (39.5–75.6%) n=1,005
Population 65+33.3%19.4% (10.8–33.6%) n=32,55319.2% (11.7–31.1%) n=1,010
Median age60.4 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (33.3–55.9) n=1,005
Median household income$37,375$72,070 ($46,039–$118,707) n=30,318$61,740 ($42,457–$95,231) n=948
Median home value$59,300$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
MeasureValueUS median (p10–p90)MO median (p10–p90)
Life expectancy at birth77.4 yr ± 1.7478.9 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 1.74 years of 77.4, 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