ZIP code
65441
in Bourbon, MissouriPopulation 5,028
42.33/ 100
Ranked #24,953 of 32,066 US ZIPs (bottom 22%)
Ranked #577 of 993 Missouri ZIPs (bottom 42%)
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.
Arsenic in groundwater
1.2%
in the bottom 6.2% nationally
Lower is healthier
ST18thUS6thDefinition & 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 ›Elder-services access
0.21 per 1,000 residents
in the top 6.7% nationally
Higher is healthier
ST91stUS93rdDefinition & 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 ›Pharmacy access
0.42 per 1,000 residents
in the top 7.4% nationally
Higher is healthier
ST93rdUS93rdDefinition & source ›
The number of pharmacies located 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 ›Loud transportation noise
2.0%
in the top 7.7% nationally
Lower is healthier
ST95thUS92ndDefinition & source ›
The modeled share of residents exposed to average road, rail, and aviation noise at or above 65 decibels — around the volume of normal conversation.
Full methodology ›Tree cover
71.2%
in the top 8.6% nationally
Higher is healthier
ST93rdUS91stDefinition & source ›
The share of this ZIP’s land area covered by forest.
Full methodology ›Distance to a Superfund site
1.7 mi
in the bottom 9.9% nationally
Higher is healthier
ST7thUS10thDefinition & 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 ›The read
Bourbon, Missouri (ZIP 65441), on the composite measure, lands in the bottom 22% nationally (24,953rd) and the bottom 42% of Missouri (577th).
Where the data leans one way, another reading answers it: modeled arsenic lands in the bottom 6.2% nationally, elder services resides in the top 6.7% nationally, and pharmacy lies in the top 7.4% nationally. Modeled tree cover settles in the top 8.6% nationally. Distance to a community health center stands at the national minimum, shared with about 23% of ZIPs. On the other hand, modeled loud transportation noise is in the top 7.7% nationally. Fiber broadband rests at the national minimum, shared with about 19% of ZIPs. Distance to a Superfund site sits in the bottom 9.9% nationally, and modeled cognitive disability registers in the top 12.1% nationally. Modeled expected annual loss lands in the top 11.9% nationally.
Set against the neighboring ZIPs, park land runs far higher than the surrounding ZIPs on this measure. In everyday language, arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. Distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. A healthier neighbor overall sits at ZIP 63080, 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.
Lifting this score
Healthcare Access
healthier than 84%
5%
About typical
Climate / Disaster Risk
healthier than 46%
5%
Holding it back
Chronic Disease Burden
healthier than 29%
21%
Social Need / SDOH
healthier than 34%
16%
Environmental Hazard
healthier than 33%
14%
Preventive Care
healthier than 30%
13%
Risk Behavior
healthier than 11%
11%
Mental Health
healthier than 20%
8%
Disability
healthier than 22%
7%
Lifting this score
Climate / Disaster Risk
healthier than 80%
5%
Healthcare Access
healthier than 88%
5%
About typical
Chronic Disease Burden
healthier than 43%
21%
Holding it back
Social Need / SDOH
healthier than 36%
16%
Environmental Hazard
healthier than 24%
14%
Preventive Care
healthier than 35%
13%
Risk Behavior
healthier than 25%
11%
Mental Health
healthier than 26%
8%
Disability
healthier than 39%
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.
Below what income predicts
The ZIP codes that outlive their incomes
Estimated life expectancy is 75.4 ± 1.2 years. A median household income of $65,050 predicts 78.4 years — 3.0 years below.
Ranked #4,113 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
63080
Missourishares a border
Score 45.01
Closest healthier
63091
Missouriabout 2.3 mi away
Score 46.19
Similar health profile
29702
South Carolina99% similar profile
Score 43.67
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 | 31.7% | 28.2–35.4 |
| High blood pressure among adults | 37.9% | 33.6–42.4 |
| Cancer (non-skin) or melanoma among adults | 9.4% | 8.5–10.4 |
| Current asthma among adults | 11.0% | 9.7–12.4 |
| Coronary heart disease among adults | 8.2% | 7.4–9.1 |
| Chronic obstructive pulmonary disease among adults | 10.4% | 9.3–11.6 |
| Depression among adults | 25.9% | 22.1–30.0 |
| Diagnosed diabetes among adults | 13.4% | 11.6–15.4 |
| High cholesterol among adults who have ever been screened | 39.4% | 34.8–44.1 |
| Obesity among adults | 41.2% | 33.1–49.9 |
| Stroke among adults | 4.2% | 3.9–4.6 |
| All teeth lost among adults aged >=65 years | 18.8% | 15.7–22.4 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 9.7% | 8.1–11.5 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 78.3% | 75.4–81.1 |
| Visits to doctor for routine checkup within the past year among adults | 78.1% | 74.4–81.5 |
| Cholesterol screening among adults | 83.2% | 81.1–85.1 |
| Colorectal cancer screening among adults aged 45–75 years | 63.2% | 58.3–67.9 |
| Visited dentist or dental clinic in the past year among adults | 57.2% | 53.6–60.8 |
| Mammography use among women aged 50-74 years | 73.4% | 66.0–80.0 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.2% | 13.3–19.6 |
| Current cigarette smoking among adults | 19.8% | 17.3–22.7 |
| No leisure-time physical activity among adults | 32.2% | 27.4–37.3 |
| Short sleep duration among adults | 39.1% | 33.0–45.7 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 23.8% | 21.0–27.0 |
| Frequent mental distress among adults | 18.7% | 16.5–20.9 |
| Frequent physical distress among adults | 16.6% | 14.7–18.7 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 19.4% | 17.4–21.6 |
| Any disability among adults | 41.0% | 36.3–45.9 |
| Hearing disability among adults | 9.9% | 8.8–11.1 |
| Independent living disability among adults | 10.6% | 9.5–11.8 |
| Mobility disability among adults | 18.6% | 16.5–21.1 |
| Self-care disability among adults | 4.7% | 4.2–5.2 |
| Vision disability among adults | 5.8% | 5.3–6.4 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 20.6% | 17.6–23.9 |
| Food insecurity in the past 12 months among adults | 14.8% | 12.7–17.3 |
| Received food stamps in the past 12 months among adults | 12.0% | 10.2–14.1 |
| Housing insecurity in the past 12 months among adults | 12.1% | 10.5–14.0 |
| Lack of reliable transportation in the past 12 months among adults | 8.8% | 7.8–10.0 |
| Loneliness among adults | 32.5% | 27.5–37.5 |
| Utility services shut-off threat in the past 12 months among adults | 8.8% | 7.7–10.0 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 12.6% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 11.2% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 14.7% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 16.6% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 2.0% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 4.0% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 79.0% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 24.3% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 73.6% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 4.0% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 2.5% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 51.6% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 22.4% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 41.4 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $65,050 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $204,200 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $911 | $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 | 75.4 yr ± 0.62 | 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 0.62 years of 75.4, 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