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ZipVitals

ZIP code

65439

in Bixby, MissouriPopulation 55

36.60/ 100

Ranked #28,710 of 32,066 US ZIPs (bottom 10.5%)

Ranked #814 of 993 Missouri ZIPs (bottom 18%)

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.

Households without a vehicle

40.5%

in the top 1.5% nationally

Lower is healthier

ST99th
US99th
Definition & source ›

The share of households with no vehicle available.

Full methodology ›

Park land

51.1%

in the top 2.4% nationally

Higher is healthier

ST99th
US98th
Definition & source ›

The share of this ZIP’s land area that is public parkland.

Full methodology ›

Home broadband subscription

100%

at the national maximum

Higher is healthier

ST99th
US99th
Definition & source ›

The share of households with a broadband internet subscription.

Full methodology ›

Tree cover

85%

in the top 3.1% nationally

Higher is healthier

ST98th
US97th
Definition & source ›

The share of this ZIP’s land area covered by forest.

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 ›

Distance to an emergency room

22.6 mi

in the top 4.1% nationally

Lower is healthier

ST95th
US96th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.

Full methodology ›

Arsenic in groundwater

1.1%

in the bottom 4.3% nationally

Lower is healthier

ST9th
US4th
Definition & source ›

The modeled probability that untreated groundwater in this area — the source private wells draw on — exceeds the federal arsenic limit of 10 micrograms per liter.

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 ›

Median household income

$21,492

in the bottom 0.6% nationally

Higher is healthier

ST1st
US1st
Definition & source ›

The middle household income in this ZIP — half of households earn more, half earn less — in dollars per year.

Full methodology ›

Poverty rate

34.5%

in the top 4.6% nationally

Lower is healthier

ST96th
US95th
Definition & source ›

The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.

Full methodology ›

Industrial-pollution burden

in the top 5.0% nationally

Lower is healthier

ST95th
US95th
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 ›

The read

By the composite measure, Bixby, Missouri (ZIP 65439) sits in the bottom 10.5% nationally (28,710th) and the bottom 18% of Missouri (814th).

continue reading

Where this area is stretched, the data is unambiguous: households without a vehicle resides in the top 1.5% nationally, modeled hearing disability lies in the top 4.2% nationally, and distance to an emergency room settles in the top 4.1% nationally. Household income stands in the bottom 0.6% nationally, poverty is in the top 4.6% nationally, and modeled industrial-pollution burden rests in the top 5.0% nationally. Better still, park land sits in the top 2.4% nationally, and home broadband subscription registers at the national maximum. Modeled tree cover lands in the top 3.1% nationally, and arsenic resides in the bottom 4.3% nationally.

Compared with the ZIPs that surround it, households without a vehicle runs far higher than the surrounding ZIPs on this measure. In plain language, arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. Industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. ZIP 63623, 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.

Compare within

Nothing measured is lifting this score.

About typical

Social Need / SDOH

healthier than 41%

16%

Climate / Disaster Risk

healthier than 55%

5%

Healthcare Access

healthier than 54%

5%

Holding it back

Chronic Disease Burden

healthier than 9%

21%

Environmental Hazard

healthier than 20%

14%

Preventive Care

healthier than 29%

13%

Risk Behavior

healthier than 11%

11%

Mental Health

healthier than 14%

8%

Disability

healthier than 7%

7%

Lifting this score

Climate / Disaster Risk

healthier than 98%

5%

About typical

Social Need / SDOH

healthier than 46%

16%

Healthcare Access

healthier than 60%

5%

Holding it back

Chronic Disease Burden

healthier than 10%

21%

Environmental Hazard

healthier than 17%

14%

Preventive Care

healthier than 32%

13%

Risk Behavior

healthier than 23%

11%

Mental Health

healthier than 15%

8%

Disability

healthier than 10%

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 ›

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 adults37.1%33.2–41.4
High blood pressure among adults44.3%39.7–49.2
Cancer (non-skin) or melanoma among adults10.6%9.4–11.7
Current asthma among adults11.3%9.9–12.8
Coronary heart disease among adults10.2%8.9–11.7
Chronic obstructive pulmonary disease among adults12.9%10.5–15.3
Depression among adults27.1%23.3–31.7
Diagnosed diabetes among adults16.1%13.8–18.6
High cholesterol among adults who have ever been screened42.0%37.4–46.9
Obesity among adults43.5%34.9–52.9
Stroke among adults5.3%4.6–6.1
All teeth lost among adults aged >=65 years18.5%15.1–22.4
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years10.5%7.7–13.9
Taking medicine to control high blood pressure among adults with high blood pressure80.3%77.6–83.0
Visits to doctor for routine checkup within the past year among adults79.9%76.4–83.2
Cholesterol screening among adults84.3%81.7–86.8
Colorectal cancer screening among adults aged 45–75 years60.1%54.4–65.4
Visited dentist or dental clinic in the past year among adults56.0%52.2–59.9
Mammography use among women aged 50-74 years71.8%63.1–79.4
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults13.8%11.2–16.8
Current cigarette smoking among adults22.0%17.9–26.5
No leisure-time physical activity among adults37.7%31.6–44.4
Short sleep duration among adults37.5%30.6–44.8
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults28.1%23.5–33.0
Frequent mental distress among adults19.0%16.5–21.6
Frequent physical distress among adults19.0%16.3–21.9
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults20.6%17.6–24.0
Any disability among adults44.9%39.2–50.9
Hearing disability among adults12.1%10.6–13.6
Independent living disability among adults12.5%10.5–14.8
Mobility disability among adults23.0%19.4–26.9
Self-care disability among adults5.9%4.9–7.1
Vision disability among adults7.3%6.2–8.6
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults19.8%16.4–23.9
Food insecurity in the past 12 months among adults17.7%13.6–22.1
Received food stamps in the past 12 months among adults16.1%12.2–20.2
Housing insecurity in the past 12 months among adults13.5%10.8–16.6
Lack of reliable transportation in the past 12 months among adults9.9%8.1–11.9
Loneliness among adults31.4%26.8–37.4
Utility services shut-off threat in the past 12 months among adults10.5%8.7–12.7
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)MO median (p10–p90)
Poverty rate34.5%10.6% (3.1–25.8%) n=32,36412.3% (3.2–26.0%) n=1,009
Uninsured 18–6445.7%9.0% (1.5–24.3%) n=32,28613.2% (3.5–28.4%) n=1,006
No HS diploma (25+)8.3%7.9% (1.8–20.7%) n=32,5059.5% (2.5–20.5%) n=1,009
Bachelor's or higher (25+)0.0%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 vehicle40.5%3.9% (0.0–12.5%) n=32,3224.1% (0.0–11.9%) n=1,009
Broadband subscription100.0%89.3% (75.1–97.1%) n=32,32286.3% (72.7–95.2%) n=1,009
Housing cost burden (≥30% income)16.2%23.7% (10.6–40.0%) n=32,32220.7% (8.4–33.9%) n=1,009
Homeownership rate59.5%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 households100.0%53.6% (37.3–74.1%) n=32,08755.0% (39.5–75.6%) n=1,005
Population 65+23.6%19.4% (10.8–33.6%) n=32,55319.2% (11.7–31.1%) n=1,010
Median age57.0 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (33.3–55.9) n=1,005
Median household income$21,492$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 birth79.7 yr ± 2.5778.9 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 2.57 years of 79.7, 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