ZIP code
65348
in Otterville, MissouriPopulation 1,419
43.10/ 100
Ranked #24,289 of 32,066 US ZIPs (bottom 24%)
Ranked #538 of 993 Missouri ZIPs (bottom 46%)
Ranked #22 of 22 Columbia, MO ZIPs (bottom 4.6%)
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
0.79 per 1,000 residents
in the top 1.2% nationally
Higher is healthier
ST99thUS99thDefinition & 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 ›Fatal road crashes
42.3 per 100,000 residents per year
in the top 6.1% nationally
Lower is healthier
ST91stUS94thDefinition & source ›
The annual rate of fatal road crashes per 100,000 residents, pooled over a ten-year window.
A rate per resident population. Where a ZIP has too few residents for the rate to be reliable — about 30% of US ZIPs — no value is published rather than an unstable one; those ZIPs are absent from this comparison, not counted as crash-free.
Full methodology ›Distance to a Superfund site
60.7 mi
in the top 8.6% nationally
Higher is healthier
ST89thUS91stDefinition & 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 ›Industrial-pollution burden
in the bottom 9.0% nationally
Lower is healthier
ST10thUS9thDefinition & 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 ›The read
Otterville, Missouri (ZIP 65348), by its overall standing, sits in the bottom 24% nationally (24,289th) and the bottom 46% of Missouri (538th).
The data points to real strain across a number of measures here: fatal road crashes rests in the top 6.1% nationally, and modeled cognitive disability lies in the top 13.5% nationally. Recreation sits at the national minimum, shared with about 35% of ZIPs. Physicians settles at the national minimum, shared with about 38% of ZIPs. Slow internet speeds registers in the top 19% nationally. On the brighter side, elder services stands in the top 1.2% nationally, and distance to a Superfund site lands in the top 8.6% nationally. Modeled industrial-pollution burden is in the bottom 9.0% nationally, and fiber broadband resides in the top 14.0% nationally. Modeled pfas rests in the bottom 19% nationally.
Held up against its neighbors, elder services runs far higher than the surrounding ZIPs on this measure. Defined in plain terms, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. 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. The nearest ZIP ranking healthier overall is ZIP 65237, 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. Compare it against the US, this state and the Columbia, MO metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Environmental Hazard
healthier than 63%
14%
Holding it back
Chronic Disease Burden
healthier than 38%
21%
Social Need / SDOH
healthier than 31%
16%
Preventive Care
healthier than 26%
13%
Risk Behavior
healthier than 11%
11%
Mental Health
healthier than 20%
8%
Disability
healthier than 27%
7%
Climate / Disaster Risk
healthier than 27%
5%
Healthcare Access
healthier than 31%
5%
Nothing measured is lifting this score.
About typical
Chronic Disease Burden
healthier than 57%
21%
Environmental Hazard
healthier than 56%
14%
Disability
healthier than 51%
7%
Holding it back
Social Need / SDOH
healthier than 34%
16%
Preventive Care
healthier than 28%
13%
Risk Behavior
healthier than 24%
11%
Mental Health
healthier than 26%
8%
Climate / Disaster Risk
healthier than 24%
5%
Healthcare Access
healthier than 30%
5%
Nothing measured is lifting this score.
About typical
Healthcare Access
healthier than 52%
5%
Holding it back
Chronic Disease Burden
healthier than 19%
21%
Social Need / SDOH
healthier than 10%
16%
Environmental Hazard
healthier than 38%
14%
Preventive Care
healthier than 10%
13%
Risk Behavior
in the bottom 0.00%
11%
Mental Health
healthier than 14%
8%
Disability
in the bottom 0.00%
7%
Climate / Disaster Risk
healthier than 33%
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
65237
Missourishares a border
Score 48.13
Closest healthier
65276
Missourishares a border
Score 47.48
Similar health profile
64755
Missouri99% similar profile
Score 42.96
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 | 30.8% | 27.9–33.7 |
| High blood pressure among adults | 37.5% | 33.9–41.2 |
| Cancer (non-skin) or melanoma among adults | 9.0% | 8.3–9.8 |
| Current asthma among adults | 11.0% | 9.8–12.1 |
| Coronary heart disease among adults | 7.5% | 6.8–8.3 |
| Chronic obstructive pulmonary disease among adults | 9.8% | 8.7–11.0 |
| Depression among adults | 25.9% | 22.7–29.2 |
| Diagnosed diabetes among adults | 12.5% | 11.0–14.0 |
| High cholesterol among adults who have ever been screened | 38.5% | 34.7–42.2 |
| Obesity among adults | 38.4% | 31.7–45.4 |
| Stroke among adults | 3.9% | 3.6–4.3 |
| All teeth lost among adults aged >=65 years | 18.4% | 15.6–21.4 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 9.2% | 7.6–10.9 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 77.5% | 74.9–79.8 |
| Visits to doctor for routine checkup within the past year among adults | 77.3% | 74.1–80.1 |
| Cholesterol screening among adults | 83.6% | 81.5–85.4 |
| Colorectal cancer screening among adults aged 45–75 years | 61.7% | 57.3–66.0 |
| Visited dentist or dental clinic in the past year among adults | 57.2% | 54.0–60.4 |
| Mammography use among women aged 50-74 years | 72.7% | 66.0–78.7 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.7% | 14.1–19.4 |
| Current cigarette smoking among adults | 19.8% | 17.2–22.4 |
| No leisure-time physical activity among adults | 32.5% | 28.2–36.9 |
| Short sleep duration among adults | 38.3% | 33.0–44.3 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 22.9% | 20.2–25.7 |
| Frequent mental distress among adults | 18.7% | 16.9–20.6 |
| Frequent physical distress among adults | 16.2% | 14.5–18.0 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 19.1% | 17.1–21.3 |
| Any disability among adults | 38.4% | 34.5–42.5 |
| Hearing disability among adults | 9.2% | 8.2–10.1 |
| Independent living disability among adults | 10.3% | 9.2–11.5 |
| Mobility disability among adults | 17.5% | 15.4–19.6 |
| Self-care disability among adults | 4.4% | 4.0–5.0 |
| Vision disability among adults | 5.5% | 4.9–6.1 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 20.0% | 17.2–23.0 |
| Food insecurity in the past 12 months among adults | 14.2% | 12.0–16.5 |
| Received food stamps in the past 12 months among adults | 11.5% | 9.6–13.4 |
| Housing insecurity in the past 12 months among adults | 11.9% | 10.2–13.6 |
| Lack of reliable transportation in the past 12 months among adults | 8.4% | 7.4–9.5 |
| Loneliness among adults | 31.3% | 27.0–35.8 |
| Utility services shut-off threat in the past 12 months among adults | 8.8% | 7.6–9.9 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 15.8% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 15.6% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 10.5% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 12.3% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 4.3% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 2.6% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 86.7% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 27.5% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 83.2% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 1.7% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 3.5% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 58.4% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 15.4% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 40.7 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $52,125 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $207,400 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $878 | $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 | 78.3 yr ± 1.03 | 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 1.03 years of 78.3, 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