ZIP code
65461
in Duke, MissouriPopulation 97
48.10/ 100
Ranked #18,805 of 32,066 US ZIPs (bottom 41%)
Ranked #270 of 993 Missouri ZIPs (top 27%)
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.
Park land
58.7%
in the top 1.7% nationally
Higher is healthier
ST99thUS98thDefinition & source ›
The share of this ZIP’s land area that is public parkland.
Full methodology ›Tree cover
87.2%
in the top 2.2% nationally
Higher is healthier
ST99thUS98thDefinition & source ›
The share of this ZIP’s land area covered by forest.
Full methodology ›Transportation noise
0.00%
at the national minimum
Lower is healthier
ST1stUS1stDefinition & source ›
The modeled share of residents exposed to average road, rail, and aviation noise at or above 55 decibels — a noticeable background presence.
Full methodology ›Poverty rate
0.00%
at the national minimum
Lower is healthier
ST1stUS1stDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
Full methodology ›Homeownership rate
100%
at the national maximum
Higher is healthier
ST99thUS99thDefinition & source ›
The share of occupied homes that are owned, rather than rented, by the people living in them.
Full methodology ›Home broadband subscription
58.7%
in the bottom 2.7% nationally
Higher is healthier
ST3rdUS3rdDefinition & source ›
The share of households with a broadband internet subscription.
Full methodology ›Arsenic in groundwater
1.0%
in the bottom 2.8% nationally
Lower is healthier
ST4thUS3rdDefinition & 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 ›Distance to a hazardous-chemical facility
19.8 mi
in the top 4.9% nationally
Higher is healthier
ST97thUS95thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest facility that handles enough hazardous chemicals to require an EPA risk-management plan for accidental releases.
Full methodology ›Slow internet speeds
1.6%
in the top 7.3% nationally
Lower is healthier
ST94thUS93rdDefinition & source ›
The share of homes whose fastest available download speed is under 10 Mbps.
Full methodology ›Distance to an emergency room
17.4 mi
in the top 7.7% nationally
Lower is healthier
ST87thUS92ndDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›The read
Overall, Duke, Missouri (ZIP 65461) places in the bottom 41% nationally (18,805th) and the top 27% of Missouri (270th).
The measures that matter most for this area lead the way: home broadband subscription stands in the bottom 2.7% nationally, and slow internet speeds registers in the top 7.3% nationally. On the better side, park land settles in the top 1.7% nationally, and modeled tree cover sits in the top 2.2% nationally. Modeled transportation noise lies at the national minimum, poverty rests at the national minimum, and homeownership resides at the national maximum. Modeled arsenic is in the bottom 2.8% nationally, and distance to a hazardous-chemical facility lands in the top 4.9% nationally. Unemployment stands at the national minimum, shared with about 15% of ZIPs.
Beside the areas that surround it, park land runs far higher than the surrounding ZIPs on this measure. For readers new to these terms, arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. Distance to a hazardous-chemical facility is a plant handling large amounts of hazardous chemicals that must file an EPA risk-management plan for accidental releases. Transportation noise is the modeled share of an area exposed to average road, rail, and air noise at or above 55 decibels. Among nearby ZIPs, the nearest healthier one overall is ZIP 65473, 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
Social Need / SDOH
healthier than 78%
16%
Environmental Hazard
healthier than 92%
14%
About typical
Preventive Care
healthier than 59%
13%
Holding it back
Chronic Disease Burden
healthier than 33%
21%
Risk Behavior
healthier than 31%
11%
Mental Health
healthier than 26%
8%
Disability
healthier than 28%
7%
Climate / Disaster Risk
healthier than 35%
5%
Healthcare Access
healthier than 16%
5%
Lifting this score
Social Need / SDOH
healthier than 84%
16%
Environmental Hazard
healthier than 95%
14%
Preventive Care
healthier than 82%
13%
Risk Behavior
healthier than 70%
11%
About typical
Chronic Disease Burden
healthier than 49%
21%
Mental Health
healthier than 42%
8%
Disability
healthier than 52%
7%
Climate / Disaster Risk
healthier than 43%
5%
Holding it back
Healthcare Access
healthier than 7%
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
65436
Missourishares a border
Score 47.03
Closest healthier
65473
Missourishares a border
Score 57.08
Similar health profile
35677
Alabama92% similar profile
Score 45.05
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% | 32.0–37.9 |
| High blood pressure among adults | 38.6% | 35.1–42.0 |
| Cancer (non-skin) or melanoma among adults | 10.4% | 9.5–11.4 |
| Current asthma among adults | 11.6% | 10.3–12.8 |
| Coronary heart disease among adults | 7.2% | 6.3–8.2 |
| Chronic obstructive pulmonary disease among adults | 9.9% | 8.1–11.9 |
| Depression among adults | 26.0% | 22.8–29.1 |
| Diagnosed diabetes among adults | 13.0% | 11.3–14.7 |
| High cholesterol among adults who have ever been screened | 39.8% | 36.4–43.2 |
| Obesity among adults | 35.1% | 29.5–40.8 |
| Stroke among adults | 4.1% | 3.5–4.7 |
| All teeth lost among adults aged >=65 years | 13.5% | 11.4–15.9 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.6% | 6.6–11.0 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 79.9% | 77.6–81.9 |
| Visits to doctor for routine checkup within the past year among adults | 80.0% | 77.3–82.5 |
| Cholesterol screening among adults | 84.9% | 82.7–86.9 |
| Colorectal cancer screening among adults aged 45–75 years | 70.1% | 66.0–74.0 |
| Visited dentist or dental clinic in the past year among adults | 59.9% | 57.0–62.8 |
| Mammography use among women aged 50-74 years | 75.2% | 69.3–80.6 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.3% | 12.3–16.5 |
| Current cigarette smoking among adults | 16.2% | 13.0–19.3 |
| No leisure-time physical activity among adults | 30.4% | 25.4–35.2 |
| Short sleep duration among adults | 39.7% | 34.6–44.8 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 22.5% | 18.9–26.2 |
| Frequent mental distress among adults | 17.6% | 15.5–19.7 |
| Frequent physical distress among adults | 16.1% | 13.9–18.3 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 18.4% | 15.8–21.0 |
| Any disability among adults | 40.1% | 35.4–44.9 |
| Hearing disability among adults | 8.9% | 7.9–10.0 |
| Independent living disability among adults | 10.2% | 8.6–11.9 |
| Mobility disability among adults | 18.7% | 15.8–21.8 |
| Self-care disability among adults | 4.3% | 3.6–5.1 |
| Vision disability among adults | 5.6% | 4.7–6.5 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 19.5% | 16.7–22.5 |
| Food insecurity in the past 12 months among adults | 13.5% | 10.7–16.6 |
| Received food stamps in the past 12 months among adults | 10.6% | 8.2–13.4 |
| Housing insecurity in the past 12 months among adults | 10.9% | 9.0–12.9 |
| Lack of reliable transportation in the past 12 months among adults | 8.5% | 7.2–10.0 |
| Loneliness among adults | 31.9% | 27.9–36.1 |
| Utility services shut-off threat in the past 12 months among adults | 8.0% | 6.8–9.4 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 0.0% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 0.0% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 0.0% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 0.0% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 0.0% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 0.0% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 58.7% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 30.2% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 100.0% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 0.0% | 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 | 41.7% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 16.5% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 55.5 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $63,036 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $193,800 | $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
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 75.1 yr ± 1.56 | 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 1.56 years of 75.1, 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