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ZIP code

64438

in Darlington, MissouriPopulation 77

ZipVitals Score
How is the ZipVitals Score calculated? →

41.22/ 100

Ranked #25,860 of 32,066 US ZIPs (bottom 19%)

Ranked #630 of 993 Missouri ZIPs (bottom 37%)

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.

Transportation noise

0.00%

at the national minimum

Lower is healthier

ST1st
US1st
Definition & source ›

The modeled share of residents exposed to average road, rail, and aviation noise at or above 55 decibels — a noticeable background presence.

Full methodology ›

Homeownership rate

100%

at the national maximum

Higher is healthier

ST99th
US99th
Definition & source ›

The share of occupied homes that are owned, rather than rented, by the people living in them.

Full methodology ›

Slow internet speeds

3.9%

in the top 3.1% nationally

Lower is healthier

ST98th
US97th
Definition & source ›

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

Full methodology ›

Home broadband subscription

66.7%

in the bottom 4.7% nationally

Higher is healthier

ST6th
US5th
Definition & source ›

The share of households with a broadband internet subscription.

Full methodology ›

Walkability

1.9 intersections/sq mi

in the bottom 6.8% nationally

Higher is healthier

ST1st
US7th
Definition & source ›

The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.

Full methodology ›

Industrial-pollution burden

in the bottom 8.2% nationally

Lower is healthier

ST10th
US8th
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 ›

Distance to a Superfund site

61.9 mi

in the top 8.3% nationally

Higher is healthier

ST90th
US92nd
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Superfund site — an abandoned or uncontrolled hazardous-waste site the EPA has listed for cleanup.

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 ›

Hearing disability

11.1%

in the top 8.7% nationally

Lower is healthier

ST76th
US91st
Definition & source ›

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

Full methodology ›

Colon-cancer screening

59.1%

in the bottom 11.7% nationally

Higher is healthier

ST10th
US12th
Definition & source ›

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

Full methodology ›

The read

Darlington, Missouri (ZIP 64438), overall, ranks in the bottom 19% nationally (25,860th) and the bottom 37% of Missouri (630th).

continue reading

Reading across the data, the real pressures come first: slow internet speeds is in the top 3.1% nationally, home broadband subscription sits in the bottom 4.7% nationally, and walkability lands in the bottom 6.8% nationally. More encouragingly, modeled transportation noise lies at the national minimum, and homeownership stands at the national maximum. Unemployment rests at the national minimum, shared with about 15% of ZIPs. Households without a vehicle registers at the national minimum, shared with about 16% of ZIPs. Modeled industrial-pollution burden resides in the bottom 8.2% nationally, and distance to a Superfund site settles in the top 8.3% nationally. Poverty is in the bottom 8.4% nationally.

Measured against the nearby ZIPs, slow internet speeds runs far higher than the surrounding ZIPs on this measure. Defined simply, industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. Distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Transportation noise is the modeled share of an area exposed to average road, rail, and air noise at or above 55 decibels. ZIP 64402, just across the boundary, comes out 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

Nothing measured is lifting this score.

Holding it back

Chronic Disease Burden

healthier than 19%

21%

Social Need / SDOH

healthier than 38%

16%

Environmental Hazard

healthier than 38%

14%

Preventive Care

healthier than 29%

13%

Risk Behavior

healthier than 18%

11%

Mental Health

healthier than 29%

8%

Disability

healthier than 16%

7%

Climate / Disaster Risk

healthier than 30%

5%

Healthcare Access

healthier than 37%

5%

Nothing measured is lifting this score.

About typical

Social Need / SDOH

healthier than 43%

16%

Risk Behavior

healthier than 42%

11%

Mental Health

healthier than 49%

8%

Holding it back

Chronic Disease Burden

healthier than 28%

21%

Environmental Hazard

healthier than 29%

14%

Preventive Care

healthier than 34%

13%

Disability

healthier than 27%

7%

Climate / Disaster Risk

healthier than 30%

5%

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 ›

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 adults34.3%30.5–38.1
High blood pressure among adults40.7%36.2–45.3
Cancer (non-skin) or melanoma among adults10.5%9.4–11.7
Current asthma among adults11.1%9.8–12.7
Coronary heart disease among adults8.9%7.8–10.0
Chronic obstructive pulmonary disease among adults10.9%9.2–12.7
Depression among adults25.1%21.2–29.1
Diagnosed diabetes among adults13.8%11.7–15.9
High cholesterol among adults who have ever been screened40.0%35.3–44.8
Obesity among adults41.4%32.8–50.2
Stroke among adults4.6%4.1–5.2
All teeth lost among adults aged >=65 years18.4%15.3–22.0
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years8.9%7.0–10.9
Taking medicine to control high blood pressure among adults with high blood pressure80.0%77.1–82.6
Visits to doctor for routine checkup within the past year among adults79.0%75.2–82.5
Cholesterol screening among adults85.2%83.0–87.4
Colorectal cancer screening among adults aged 45–75 years59.1%53.8–64.2
Visited dentist or dental clinic in the past year among adults54.7%51.0–58.4
Mammography use among women aged 50-74 years72.4%64.1–79.7
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults14.6%11.8–17.7
Current cigarette smoking among adults19.3%15.9–22.7
No leisure-time physical activity among adults34.1%28.4–40.1
Short sleep duration among adults37.8%31.2–44.6
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults24.2%20.3–28.0
Frequent mental distress among adults17.9%15.6–20.5
Frequent physical distress among adults17.0%14.7–19.4
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults18.7%16.2–21.5
Any disability among adults41.5%36.1–46.9
Hearing disability among adults11.1%9.7–12.4
Independent living disability among adults11.1%9.5–12.8
Mobility disability among adults20.7%17.6–23.9
Self-care disability among adults4.9%4.3–5.7
Vision disability among adults6.2%5.3–7.1
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults19.1%15.9–22.6
Food insecurity in the past 12 months among adults14.3%11.3–17.3
Received food stamps in the past 12 months among adults12.5%9.9–15.4
Housing insecurity in the past 12 months among adults11.7%9.5–14.0
Lack of reliable transportation in the past 12 months among adults8.3%7.0–9.7
Loneliness among adults30.4%25.4–35.9
Utility services shut-off threat in the past 12 months among adults9.0%7.5–10.6
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 18–6410.9%9.0% (1.5–24.3%) n=32,28613.2% (3.5–28.4%) n=1,006
No HS diploma (25+)7.5%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+)0.0%3.9% (0.0–9.8%) n=32,2742.9% (0.0–8.5%) n=1,003
Households without a vehicle0.0%3.9% (0.0–12.5%) n=32,3224.1% (0.0–11.9%) n=1,009
Broadband subscription66.7%89.3% (75.1–97.1%) n=32,32286.3% (72.7–95.2%) n=1,009
Housing cost burden (≥30% income)11.1%23.7% (10.6–40.0%) n=32,32220.7% (8.4–33.9%) n=1,009
Homeownership rate100.0%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 households35.7%53.6% (37.3–74.1%) n=32,08755.0% (39.5–75.6%) n=1,005
Population 65+14.3%19.4% (10.8–33.6%) n=32,55319.2% (11.7–31.1%) n=1,010
Median age39.2 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (33.3–55.9) n=1,005
Median household income—$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—$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 birth78.2 yr ± 0.5678.9 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 0.56 years of 78.2, 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