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ZIP code

65263

in Madison, MissouriPopulation 1,705

ZipVitals Score
How is the ZipVitals Score calculated? →

35.33/ 100

Ranked #29,267 of 32,066 US ZIPs (bottom 8.8%)

Ranked #858 of 993 Missouri ZIPs (bottom 13.6%)

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.

PFAS in drinking water

5.8%

in the bottom 1.9% nationally

Lower is healthier

ST4th
US2nd
Definition & source ›

The modeled probability that PFAS “forever chemicals” would be detected in untreated groundwater in this area, the source private wells draw on.

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 ›

Cognitive disability

22%

in the top 3.9% nationally

Lower is healthier

ST90th
US96th
Definition & source ›

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

Full methodology ›

Hearing disability

12.1%

in the top 4.2% nationally

Lower is healthier

ST89th
US96th
Definition & source ›

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

Full methodology ›

Independent-living disability

13.4%

in the top 5.5% nationally

Lower is healthier

ST92nd
US95th
Definition & source ›

The estimated share of adults who have difficulty doing errands alone, such as visiting a doctor’s office, because of a physical, mental, or emotional condition.

Full methodology ›

Mobility disability

23.2%

in the top 6.4% nationally

Lower is healthier

ST87th
US94th
Definition & source ›

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

Full methodology ›

Coronary heart disease

10.3%

in the top 7.7% nationally

Lower is healthier

ST89th
US92nd
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 ›

Tooth loss

23.4%

in the top 9.7% nationally

Lower is healthier

ST84th
US90th
Definition & source ›

The estimated share of adults aged 65 and older who have lost all of their natural teeth.

Full methodology ›

Vision disability

7.9%

in the top 12.8% nationally

Lower is healthier

ST91st
US87th
Definition & source ›

The estimated share of adults who are blind or have serious difficulty seeing even with glasses.

Full methodology ›

The read

Madison, Missouri (ZIP 65263), in overall standing, comes out in the bottom 8.8% nationally (29,267th) and the bottom 13.6% of Missouri (858th).

continue reading

A few readings each way define this mixed profile: modeled pfas is in the bottom 1.9% nationally, and distance to a Superfund site lies in the top 10.5% nationally. Pulling the other way, modeled cognitive disability registers in the top 3.9% nationally, hearing disability is in the top 4.2% nationally, and independent living disability lies in the top 5.5% nationally. Modeled mobility disability registers in the top 6.4% nationally, and coronary heart disease is in the top 7.7% nationally. Modeled tooth loss lies in the top 9.7% nationally, and fair or poor health registers in the top 10.4% nationally. Poverty is in the top 10.9% nationally.

Defined simply, for reference, 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. Distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. The closest healthier ZIP overall is ZIP 63437, 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 84%

14%

About typical

Healthcare Access

healthier than 56%

5%

Holding it back

Chronic Disease Burden

healthier than 9%

21%

Social Need / SDOH

healthier than 14%

16%

Preventive Care

healthier than 24%

13%

Risk Behavior

healthier than 9%

11%

Mental Health

healthier than 10%

8%

Disability

healthier than 5%

7%

Climate / Disaster Risk

healthier than 36%

5%

Lifting this score

Environmental Hazard

healthier than 86%

14%

Healthcare Access

healthier than 62%

5%

About typical

Climate / Disaster Risk

healthier than 48%

5%

Holding it back

Chronic Disease Burden

healthier than 10%

21%

Social Need / SDOH

healthier than 12%

16%

Preventive Care

healthier than 24%

13%

Risk Behavior

healthier than 18%

11%

Mental Health

healthier than 7%

8%

Disability

healthier than 6%

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 ›

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.

  • Clean environment, heavy chronic burden

    Where the environment and chronic illness point in opposite directions

    Environmental-hazard standing 84.3; chronic-disease standing 9.4 (bottom 10%) — 75 points apart, cleaner on the environment than it is on chronic illness.

    Ranked #768 of the 18,187 ZIP codes this finding names, ordered by the gap from cleanest environment to heaviest chronic burden, highest first.

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 adults35.4%31.7–39.1
High blood pressure among adults42.5%38.1–46.8
Cancer (non-skin) or melanoma among adults10.1%9.1–11.1
Current asthma among adults11.4%10.0–12.8
Coronary heart disease among adults10.3%9.2–11.5
Chronic obstructive pulmonary disease among adults13.6%11.8–15.5
Depression among adults27.4%23.6–31.5
Diagnosed diabetes among adults16.2%14.0–18.4
High cholesterol among adults who have ever been screened41.2%36.7–45.6
Obesity among adults39.7%31.5–48.3
Stroke among adults5.3%4.7–6.0
All teeth lost among adults aged >=65 years23.4%19.6–27.8
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years11.1%8.9–13.3
Taking medicine to control high blood pressure among adults with high blood pressure80.3%77.4–82.6
Visits to doctor for routine checkup within the past year among adults79.1%75.4–82.2
Cholesterol screening among adults81.9%79.5–84.2
Colorectal cancer screening among adults aged 45–75 years60.3%54.9–65.9
Visited dentist or dental clinic in the past year among adults54.8%50.7–58.8
Mammography use among women aged 50-74 years73.2%64.9–80.9
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults14.0%11.5–16.7
Current cigarette smoking among adults22.8%19.5–26.6
No leisure-time physical activity among adults37.5%32.2–43.4
Short sleep duration among adults37.8%31.0–45.1
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults29.0%25.1–33.0
Frequent mental distress among adults19.9%17.6–22.3
Frequent physical distress among adults19.1%16.7–21.6
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults22.0%19.3–24.8
Any disability among adults45.3%40.1–50.8
Hearing disability among adults12.1%10.7–13.5
Independent living disability among adults13.4%11.6–15.2
Mobility disability among adults23.2%20.1–26.3
Self-care disability among adults6.2%5.4–7.1
Vision disability among adults7.9%6.9–8.8
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults20.1%16.9–23.5
Food insecurity in the past 12 months among adults19.3%16.0–22.8
Received food stamps in the past 12 months among adults17.9%14.8–21.0
Housing insecurity in the past 12 months among adults13.9%11.6–16.3
Lack of reliable transportation in the past 12 months among adults11.0%9.5–12.6
Loneliness among adults31.1%26.2–36.3
Utility services shut-off threat in the past 12 months among adults11.1%9.5–12.8
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)MO median (p10–p90)
Poverty rate25.0%10.6% (3.1–25.8%) n=32,36412.3% (3.2–26.0%) n=1,009
Uninsured 18–6418.2%9.0% (1.5–24.3%) n=32,28613.2% (3.5–28.4%) n=1,006
No HS diploma (25+)15.5%7.9% (1.8–20.7%) n=32,5059.5% (2.5–20.5%) n=1,009
Bachelor's or higher (25+)12.2%23.3% (9.2–53.6%) n=32,50518.1% (7.2–40.2%) n=1,009
Unemployment rate (16+)0.6%3.9% (0.0–9.8%) n=32,2742.9% (0.0–8.5%) n=1,003
Households without a vehicle7.9%3.9% (0.0–12.5%) n=32,3224.1% (0.0–11.9%) n=1,009
Broadband subscription77.2%89.3% (75.1–97.1%) n=32,32286.3% (72.7–95.2%) n=1,009
Housing cost burden (≥30% income)15.1%23.7% (10.6–40.0%) n=32,32220.7% (8.4–33.9%) n=1,009
Homeownership rate81.0%78.7% (51.7–94.0%) n=32,32279.4% (56.0–94.3%) n=1,009
Crowded housing (>1 per room)4.2%1.3% (0.0–6.3%) n=32,3221.1% (0.0–5.1%) n=1,009
Foreign-born population1.1%2.6% (0.0–18.6%) n=32,5530.8% (0.0–6.4%) n=1,010
Single-parent households51.3%53.6% (37.3–74.1%) n=32,08755.0% (39.5–75.6%) n=1,005
Population 65+17.9%19.4% (10.8–33.6%) n=32,55319.2% (11.7–31.1%) n=1,010
Median age35.7 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (33.3–55.9) n=1,005
Median household income$56,211$72,070 ($46,039–$118,707) n=30,318$61,740 ($42,457–$95,231) n=948
Median home value$121,000$222,200 ($100,300–$579,820) n=30,049$174,150 ($91,880–$309,500) n=930
Median gross rent$683$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 birth79.6 yr ± 1.4378.9 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 1.43 years of 79.6, 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