ZIP code
64040
in Holden, MissouriPopulation 6,379
47.49/ 100
Ranked #19,559 of 32,066 US ZIPs (bottom 39%)
Ranked #293 of 993 Missouri ZIPs (top 30%)
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.
Elder-services access
0.3 per 1,000 residents
in the top 4.5% nationally
Higher is healthier
ST94thUS96thDefinition & 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 ›Grocery access
0.15 per 1,000 residents
in the top 11.6% nationally
Higher is healthier
ST91stUS88thDefinition & 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 ›The read
By the composite health measure, Holden, Missouri (ZIP 64040) ranks in the bottom 39% nationally (19,559th) and the top 30% of Missouri (293rd).
The picture here is genuinely mixed, with readings on both sides: elder services rests in the top 4.5% nationally, and modeled pfas stands in the bottom 10.3% nationally. Grocery lies in the top 11.6% nationally. Distance to a nursing home lands at the national minimum, shared with about 27% of ZIPs. Pharmacy sits in the top 13.8% nationally, modeled arsenic is in the bottom 14.6% nationally, and modeled industrial-pollution burden settles in the bottom 17% nationally. Outer-floodplain exposure resides at the national minimum, shared with about 36% of ZIPs. On the other side, crowded housing registers in the top 14.0% nationally. Distance to a hazardous-chemical facility rests at the national minimum, shared with about 31% of ZIPs.
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. Arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. Distance to a hazardous-chemical facility is a plant handling large amounts of hazardous chemicals that must file an EPA risk-management plan for accidental releases. Close by, ZIP 64019, 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.
Nothing measured is lifting this score.
About typical
Chronic Disease Burden
healthier than 46%
21%
Social Need / SDOH
healthier than 57%
16%
Environmental Hazard
healthier than 60%
14%
Preventive Care
healthier than 42%
13%
Holding it back
Risk Behavior
healthier than 24%
11%
Mental Health
healthier than 23%
8%
Disability
healthier than 37%
7%
Climate / Disaster Risk
healthier than 35%
5%
Healthcare Access
healthier than 37%
5%
Lifting this score
Chronic Disease Burden
healthier than 69%
21%
Social Need / SDOH
healthier than 64%
16%
Disability
healthier than 68%
7%
About typical
Environmental Hazard
healthier than 51%
14%
Preventive Care
healthier than 58%
13%
Risk Behavior
healthier than 55%
11%
Climate / Disaster Risk
healthier than 45%
5%
Holding it back
Mental Health
healthier than 33%
8%
Healthcare Access
healthier than 39%
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.
Below what income predicts
The ZIP codes that outlive their incomes
Estimated life expectancy is 77.2 ± 1.4 years. A median household income of $71,886 predicts 78.8 years — 1.6 years below.
Ranked #1,974 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
64011
Missourishares a border
Score 47.09
Closest healthier
64019
Missourishares a border
Score 51.11
Similar health profile
65074
Missouri98% similar profile
Score 48.47
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 | 30.9% | 27.7–34.3 |
| High blood pressure among adults | 36.7% | 32.8–40.7 |
| Cancer (non-skin) or melanoma among adults | 9.3% | 8.5–10.3 |
| Current asthma among adults | 10.6% | 9.5–12.0 |
| Coronary heart disease among adults | 7.3% | 6.6–8.2 |
| Chronic obstructive pulmonary disease among adults | 8.9% | 7.9–10.1 |
| Depression among adults | 26.0% | 22.7–29.7 |
| Diagnosed diabetes among adults | 12.3% | 10.7–14.1 |
| High cholesterol among adults who have ever been screened | 38.9% | 34.9–43.0 |
| Obesity among adults | 37.4% | 31.3–43.8 |
| Stroke among adults | 3.8% | 3.4–4.1 |
| All teeth lost among adults aged >=65 years | 14.3% | 11.7–17.2 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.2% | 6.8–9.8 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 77.3% | 74.3–80.3 |
| Visits to doctor for routine checkup within the past year among adults | 79.2% | 76.1–82.4 |
| Cholesterol screening among adults | 84.5% | 82.6–86.4 |
| Colorectal cancer screening among adults aged 45–75 years | 66.6% | 61.8–71.3 |
| Visited dentist or dental clinic in the past year among adults | 59.8% | 56.3–63.4 |
| Mammography use among women aged 50-74 years | 72.8% | 65.1–79.5 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.1% | 13.5–19.2 |
| Current cigarette smoking among adults | 17.7% | 15.3–20.4 |
| No leisure-time physical activity among adults | 28.8% | 24.6–33.2 |
| Short sleep duration among adults | 38.6% | 33.0–44.4 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 20.6% | 18.0–23.3 |
| Frequent mental distress among adults | 18.1% | 16.2–20.4 |
| Frequent physical distress among adults | 15.3% | 13.6–17.3 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 17.9% | 16.0–20.2 |
| Any disability among adults | 36.5% | 32.4–40.8 |
| Hearing disability among adults | 8.9% | 8.0–10.1 |
| Independent living disability among adults | 9.2% | 8.2–10.3 |
| Mobility disability among adults | 16.2% | 14.2–18.4 |
| Self-care disability among adults | 4.0% | 3.6–4.5 |
| Vision disability among adults | 5.0% | 4.5–5.5 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 20.2% | 17.1–23.5 |
| Food insecurity in the past 12 months among adults | 12.5% | 10.4–14.7 |
| Received food stamps in the past 12 months among adults | 9.6% | 8.0–11.4 |
| Housing insecurity in the past 12 months among adults | 10.9% | 9.2–12.7 |
| Lack of reliable transportation in the past 12 months among adults | 7.8% | 6.8–8.9 |
| Loneliness among adults | 30.4% | 25.9–34.9 |
| Utility services shut-off threat in the past 12 months among adults | 8.0% | 6.9–9.3 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 10.6% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 25.8% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 8.0% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 17.7% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 5.3% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 5.9% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 88.6% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 22.9% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 82.5% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 5.0% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 1.7% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 56.7% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 17.3% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 41.4 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $71,886 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $228,400 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $761 | $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 | 77.2 yr ± 0.70 | 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 0.70 years of 77.2, 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