ZIP code
64689
in Winston, MissouriPopulation 422
40.24/ 100
Ranked #26,590 of 32,066 US ZIPs (bottom 17%)
Ranked #685 of 993 Missouri ZIPs (bottom 31%)
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.
Distance to an emergency room
21.8 mi
in the top 4.4% nationally
Lower is healthier
ST94thUS96thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›Slow internet speeds
1.8%
in the top 6.4% nationally
Lower is healthier
ST94thUS94thDefinition & source ›
The share of homes whose fastest available download speed is under 10 Mbps.
Full methodology ›Industrial-pollution burden
in the bottom 6.7% nationally
Lower is healthier
ST8thUS7thDefinition & 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 ›Hearing disability
11.3%
in the top 7.5% nationally
Lower is healthier
ST80thUS93rdDefinition & source ›
The estimated share of adults who are deaf or have serious difficulty hearing.
Full methodology ›High cholesterol
43.2%
in the top 9.8% nationally
Lower is healthier
ST90thUS90thDefinition & source ›
The estimated share of adults with high cholesterol, among those who have ever been screened for it.
Full methodology ›Floodplain exposure
2.9%
in the bottom 24% nationally
Lower is healthier
ST9thUS24thDefinition & source ›
The share of this ZIP’s land area inside FEMA’s 1%-annual-chance floodplain — the “100-year” flood zone, where flooding has about a 1-in-100 chance in any given year.
Measured from FEMA’s mapped flood panels. Where a panel has not been mapped, no value is published for that ZIP — those ZIPs are absent from this comparison rather than counted as unexposed.
Full methodology ›The read
By the composite health measure, Winston, Missouri (ZIP 64689) ranks in the bottom 17% nationally (26,590th) and the bottom 31% of Missouri (685th).
The picture here is genuinely mixed, with readings on both sides: modeled industrial-pollution burden lies in the bottom 6.7% nationally, and housing-cost burden lands in the bottom 11.8% nationally. On the other side, distance to an emergency room sits in the top 4.4% nationally, and slow internet speeds is in the top 6.4% nationally. Modeled hearing disability settles in the top 7.5% nationally. Fiber broadband resides at the national minimum, shared with about 19% of ZIPs. Modeled cognitive disability registers in the top 11.1% nationally, high cholesterol rests in the top 9.8% nationally, and mobility disability stands in the top 13.6% nationally. Crowded housing lies in the top 15% nationally.
To spell things out, industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. Close by, ZIP 64429, 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.
Lifting this score
Environmental Hazard
healthier than 84%
14%
About typical
Climate / Disaster Risk
healthier than 53%
5%
Holding it back
Chronic Disease Burden
healthier than 14%
21%
Social Need / SDOH
healthier than 26%
16%
Preventive Care
healthier than 29%
13%
Risk Behavior
healthier than 14%
11%
Mental Health
healthier than 24%
8%
Disability
healthier than 13%
7%
Healthcare Access
healthier than 22%
5%
Lifting this score
Environmental Hazard
healthier than 86%
14%
Climate / Disaster Risk
healthier than 96%
5%
Holding it back
Chronic Disease Burden
healthier than 17%
21%
Social Need / SDOH
healthier than 26%
16%
Preventive Care
healthier than 34%
13%
Risk Behavior
healthier than 32%
11%
Mental Health
healthier than 35%
8%
Disability
healthier than 22%
7%
Healthcare Access
healthier than 16%
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.
Nearby
64429
Missourishares a border
Score 44.64
Closest healthier
64497
Missourishares a border
Score 42.67
Similar health profile
40145
Kentucky99% similar profile
Score 36.98
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 | 35.1% | 31.2–38.8 |
| High blood pressure among adults | 42.6% | 37.9–47.1 |
| Cancer (non-skin) or melanoma among adults | 10.4% | 9.4–11.5 |
| Current asthma among adults | 11.1% | 9.7–12.4 |
| Coronary heart disease among adults | 9.5% | 8.5–10.7 |
| Chronic obstructive pulmonary disease among adults | 11.8% | 10.3–13.6 |
| Depression among adults | 25.7% | 21.7–29.6 |
| Diagnosed diabetes among adults | 14.9% | 12.9–17.1 |
| High cholesterol among adults who have ever been screened | 43.2% | 38.5–47.8 |
| Obesity among adults | 39.3% | 31.1–47.7 |
| Stroke among adults | 4.8% | 4.3–5.3 |
| All teeth lost among adults aged >=65 years | 19.6% | 16.3–23.0 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 9.8% | 7.9–12.0 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 79.9% | 77.1–82.5 |
| Visits to doctor for routine checkup within the past year among adults | 79.0% | 75.5–82.3 |
| Cholesterol screening among adults | 84.3% | 82.3–86.3 |
| Colorectal cancer screening among adults aged 45–75 years | 61.8% | 56.4–66.9 |
| Visited dentist or dental clinic in the past year among adults | 54.5% | 50.8–58.1 |
| Mammography use among women aged 50-74 years | 72.3% | 64.2–79.5 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.8% | 12.0–17.8 |
| Current cigarette smoking among adults | 20.7% | 17.4–24.0 |
| No leisure-time physical activity among adults | 34.4% | 29.0–40.0 |
| Short sleep duration among adults | 37.6% | 31.1–44.6 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 25.6% | 22.0–29.3 |
| Frequent mental distress among adults | 18.2% | 15.9–20.4 |
| Frequent physical distress among adults | 17.7% | 15.5–20.0 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 19.6% | 17.0–22.1 |
| Any disability among adults | 42.6% | 37.3–48.0 |
| Hearing disability among adults | 11.3% | 10.0–12.7 |
| Independent living disability among adults | 11.4% | 9.9–13.0 |
| Mobility disability among adults | 20.9% | 18.1–24.0 |
| Self-care disability among adults | 5.3% | 4.7–6.0 |
| Vision disability among adults | 6.5% | 5.7–7.4 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 19.4% | 16.4–22.9 |
| Food insecurity in the past 12 months among adults | 15.4% | 12.7–18.5 |
| Received food stamps in the past 12 months among adults | 13.1% | 10.8–15.9 |
| Housing insecurity in the past 12 months among adults | 12.0% | 10.1–14.1 |
| Lack of reliable transportation in the past 12 months among adults | 9.0% | 7.7–10.4 |
| Loneliness among adults | 31.1% | 26.4–36.6 |
| Utility services shut-off threat in the past 12 months among adults | 9.2% | 7.9–10.7 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 8.5% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 10.0% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 3.9% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 11.6% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 1.5% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 2.9% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 87.2% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 11.6% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 89.5% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 4.7% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 0.0% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 46.1% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 21.8% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 40.6 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $62,206 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $121,400 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $714 | $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 | 75.7 yr ± 0.88 | 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 0.88 years of 75.7, 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