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ZIP code

65464

in Elk Creek, MissouriPopulation 285

ZipVitals Score
How is the ZipVitals Score calculated? →

33.72/ 100

Ranked #29,832 of 32,066 US ZIPs (bottom 7.0%)

Ranked #894 of 993 Missouri ZIPs (bottom 10.0%)

Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.

Broad coverage across 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.

Hearing disability

15.6%

in the top 0.3% nationally

Lower is healthier

ST99th
US99th
Definition & source ›

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

Full methodology ›

Coronary heart disease

13.5%

in the top 0.6% nationally

Lower is healthier

ST99th
US99th
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 ›

Mobility disability

28%

in the top 1.2% nationally

Lower is healthier

ST98th
US99th
Definition & source ›

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

Full methodology ›

Stroke

6.7%

in the top 1.8% nationally

Lower is healthier

ST98th
US98th
Definition & source ›

The estimated share of adults who have been told by a health professional that they have had a stroke.

Full methodology ›

High blood pressure

52.1%

in the top 1.9% nationally

Lower is healthier

ST99th
US98th
Definition & source ›

The estimated share of adults who have been told by a health professional that they have high blood pressure.

Full methodology ›

Diabetes

20.2%

in the top 3.5% nationally

Lower is healthier

ST98th
US97th
Definition & source ›

The estimated share of adults who have been diagnosed with diabetes.

Full methodology ›

High cholesterol

47.3%

in the top 1.3% nationally

Lower is healthier

ST98th
US99th
Definition & source ›

The estimated share of adults with high cholesterol, among those who have ever been screened for it.

Full methodology ›

Arsenic in groundwater

1.0%

in the bottom 2.5% nationally

Lower is healthier

ST4th
US2nd
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 ›

Binge drinking

11.0%

in the bottom 3.1% nationally

Lower is healthier

ST1st
US3rd
Definition & source ›

The estimated share of adults who report binge drinking — five or more drinks on one occasion for men, four or more for women.

Full methodology ›

Industrial-pollution burden

in the bottom 4.1% nationally

Lower is healthier

ST4th
US4th
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

Elk Creek, Missouri (ZIP 65464), by its overall standing, sits in the bottom 7.0% nationally (29,832nd) and the bottom 10.0% of Missouri (894th), based on limited data; treat as directional.

continue reading

The data points to real strain across a number of measures here: modeled hearing disability settles in the top 0.3% nationally, coronary heart disease registers in the top 0.6% nationally, and mobility disability stands in the top 1.2% nationally. Modeled stroke lands in the top 1.8% nationally, high blood pressure is in the top 1.9% nationally, and diabetes resides in the top 3.5% nationally. Modeled high cholesterol rests in the top 1.3% nationally. On the brighter side, modeled arsenic lies in the bottom 2.5% nationally, and binge drinking sits in the bottom 3.1% nationally. Modeled industrial-pollution burden settles in the bottom 4.1% nationally.

Defined in plain terms, 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. The nearest ZIP ranking healthier overall is ZIP 65483, 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 69%

14%

About typical

Preventive Care

healthier than 49%

13%

Mental Health

healthier than 46%

8%

Holding it back

Chronic Disease Burden

in the bottom 0.8%

21%

Social Need / SDOH

healthier than 11%

16%

Risk Behavior

healthier than 21%

11%

Disability

healthier than 3%

7%

Climate / Disaster RiskPartial

healthier than 38%

5%

Healthcare Access

healthier than 39%

5%

Lifting this score

Environmental Hazard

healthier than 65%

14%

Preventive Care

healthier than 70%

13%

Mental Health

healthier than 81%

8%

About typical

Risk Behavior

healthier than 51%

11%

Climate / Disaster RiskPartial

healthier than 55%

5%

Healthcare Access

healthier than 42%

5%

Holding it back

Chronic Disease Burden

in the bottom 0.3%

21%

Social Need / SDOH

healthier than 8%

16%

Disability

healthier than 4%

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 adults44.2%40.1–48.3
High blood pressure among adults52.1%47.7–56.7
Cancer (non-skin) or melanoma among adults13.9%12.6–15.4
Current asthma among adults11.0%9.7–12.4
Coronary heart disease among adults13.5%12.0–15.1
Chronic obstructive pulmonary disease among adults15.7%13.5–17.8
Depression among adults24.1%20.7–27.8
Diagnosed diabetes among adults20.2%17.6–22.9
High cholesterol among adults who have ever been screened47.3%42.6–52.2
Obesity among adults41.1%33.5–49.3
Stroke among adults6.7%6.0–7.6
All teeth lost among adults aged >=65 years24.4%20.5–28.6
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years9.6%7.6–11.8
Taking medicine to control high blood pressure among adults with high blood pressure85.6%83.4–87.7
Visits to doctor for routine checkup within the past year among adults83.8%81.0–86.4
Cholesterol screening among adults88.3%86.5–89.8
Colorectal cancer screening among adults aged 45–75 years64.7%59.4–69.7
Visited dentist or dental clinic in the past year among adults51.5%47.5–55.4
Mammography use among women aged 50-74 years67.5%58.2–75.3
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults11.0%9.1–13.4
Current cigarette smoking among adults20.0%17.0–23.4
No leisure-time physical activity among adults39.3%33.7–45.2
Short sleep duration among adults38.3%31.5–45.4
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults30.0%26.2–34.2
Frequent mental distress among adults16.5%14.6–18.6
Frequent physical distress among adults20.2%17.8–22.8
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults18.7%16.5–21.3
Any disability among adults49.0%43.9–54.2
Hearing disability among adults15.6%14.0–17.4
Independent living disability among adults12.8%11.2–14.6
Mobility disability among adults28.0%24.5–31.6
Self-care disability among adults6.5%5.7–7.5
Vision disability among adults8.1%7.1–9.3
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults18.5%15.6–21.7
Food insecurity in the past 12 months among adults15.5%12.8–18.4
Received food stamps in the past 12 months among adults14.2%11.7–16.9
Housing insecurity in the past 12 months among adults10.8%9.2–12.6
Lack of reliable transportation in the past 12 months among adults8.8%7.6–10.1
Loneliness among adults28.3%23.8–33.0
Utility services shut-off threat in the past 12 months among adults8.6%7.5–9.9
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)MO median (p10–p90)
Poverty rate30.5%10.6% (3.1–25.8%) n=32,36412.3% (3.2–26.0%) n=1,009
Uninsured 18–6417.3%9.0% (1.5–24.3%) n=32,28613.2% (3.5–28.4%) n=1,006
No HS diploma (25+)14.9%7.9% (1.8–20.7%) n=32,5059.5% (2.5–20.5%) n=1,009
Bachelor's or higher (25+)5.0%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 vehicle4.5%3.9% (0.0–12.5%) n=32,3224.1% (0.0–11.9%) n=1,009
Broadband subscription74.3%89.3% (75.1–97.1%) n=32,32286.3% (72.7–95.2%) n=1,009
Housing cost burden (≥30% income)43.1%23.7% (10.6–40.0%) n=32,32220.7% (8.4–33.9%) n=1,009
Homeownership rate84.7%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 households88.8%53.6% (37.3–74.1%) n=32,08755.0% (39.5–75.6%) n=1,005
Population 65+36.1%19.4% (10.8–33.6%) n=32,55319.2% (11.7–31.1%) n=1,010
Median age59.8 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (33.3–55.9) n=1,005
Median household income—$72,070 ($46,039–$118,707) n=30,318$61,740 ($42,457–$95,231) n=948
Median home value$150,200$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 birth76.4 yr ± 0.8878.9 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 0.88 years of 76.4, 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