ZIP code
65560
in Salem, MissouriPopulation 13,822
40.55/ 100
Ranked #26,367 of 32,066 US ZIPs (bottom 18%)
Ranked #667 of 993 Missouri ZIPs (bottom 33%)
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.
Expected annual disaster loss
$1
in the top 1.4% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
FEMA’s modeled estimate, in dollars per year, of the average harm to people expected from natural hazards — an annualized average, not a forecast for any single year.
Full methodology ›Arsenic in groundwater
1.00%
in the bottom 2.1% nationally
Lower is healthier
ST2ndUS2ndDefinition & 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 ›Natural-disaster risk
in the top 2.7% nationally
Lower is healthier
ST99thUS97thDefinition & source ›
This area’s national rank on its single highest non-flood natural hazard — such as wildfire, tornado, or earthquake — in FEMA’s modeled National Risk Index; flooding is shown separately.
Full methodology ›Mental-health provider access
0.23 per 1,000 residents
in the top 3.4% nationally
Higher is healthier
ST97thUS97thDefinition & source ›
The number of mental-health clinics 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 ›Elder-services access
0.23 per 1,000 residents
in the top 6.2% nationally
Higher is healthier
ST92ndUS94thDefinition & 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 ›PFAS in drinking water
9.0%
in the bottom 6.8% nationally
Lower is healthier
ST15thUS7thDefinition & source ›
The modeled probability that PFAS “forever chemicals” would be detected in untreated groundwater in this area, the source private wells draw on.
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 ›Tooth loss
24%
in the top 8.8% nationally
Lower is healthier
ST86thUS91stDefinition & source ›
The estimated share of adults aged 65 and older who have lost all of their natural teeth.
Full methodology ›Hearing disability
11.1%
in the top 8.7% nationally
Lower is healthier
ST76thUS91stDefinition & source ›
The estimated share of adults who are deaf or have serious difficulty hearing.
Full methodology ›Tree cover
68%
in the top 10.2% nationally
Higher is healthier
ST92ndUS90thDefinition & source ›
The share of this ZIP’s land area covered by forest.
Full methodology ›Dry extreme heat
9.3 days/year
in the top 37% nationally
Lower is healthier
ST1stUS63rdDefinition & source ›
The average number of days per year with a modeled daily high of at least 95 °F.
Full methodology ›The read
By the composite health measure, Salem, Missouri (ZIP 65560) ranks in the bottom 18% nationally (26,367th) and the bottom 33% of Missouri (667th), based on limited data; treat as directional.
Where the load on this area runs deepest, the data leads: modeled expected annual loss stands in the top 1.4% nationally, and disaster risk lies in the top 2.7% nationally. Modeled tooth loss lands in the top 8.8% nationally, and hearing disability sits in the top 8.7% nationally. Modeled cognitive disability is in the top 11.1% nationally. More encouragingly, modeled arsenic settles in the bottom 2.1% nationally, mental-health providers resides in the top 3.4% nationally, and elder services registers in the top 6.2% nationally. Modeled pfas rests in the bottom 6.8% nationally, and tree cover stands in the top 10.2% nationally.
Read against the ZIPs closest to it, expected annual loss runs far higher than the surrounding ZIPs on this measure. To spell things out, expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. Arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. Disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. Close by, ZIP 65401, 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.
Lifting this score
Environmental Hazard
healthier than 83%
14%
Healthcare Access
healthier than 69%
5%
Holding it back
Chronic Disease Burden
healthier than 15%
21%
Social Need / SDOH
healthier than 31%
16%
Preventive Care
healthier than 26%
13%
Risk Behavior
healthier than 14%
11%
Mental Health
healthier than 27%
8%
Disability
healthier than 13%
7%
Climate / Disaster RiskPartial
healthier than 34%
5%
Lifting this score
Environmental Hazard
healthier than 85%
14%
Healthcare Access
healthier than 76%
5%
About typical
Mental Health
healthier than 44%
8%
Climate / Disaster RiskPartial
healthier than 42%
5%
Holding it back
Chronic Disease Burden
healthier than 19%
21%
Social Need / SDOH
healthier than 33%
16%
Preventive Care
healthier than 27%
13%
Risk Behavior
healthier than 31%
11%
Disability
healthier than 22%
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.
Nearby
63629
Missourishares a border
Score 37.87
Closest healthier
65401
Missourishares a border
Score 46.35
Similar health profile
63445
Missouri99% similar profile
Score 36.92
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 | 34.7% | 31.1–38.2 |
| High blood pressure among adults | 41.8% | 37.5–46.1 |
| Cancer (non-skin) or melanoma among adults | 10.3% | 9.3–11.2 |
| Current asthma among adults | 11.1% | 9.9–12.5 |
| Coronary heart disease among adults | 9.3% | 8.3–10.3 |
| Chronic obstructive pulmonary disease among adults | 11.6% | 10.3–13.0 |
| Depression among adults | 24.9% | 21.3–28.6 |
| Diagnosed diabetes among adults | 14.7% | 12.9–16.7 |
| High cholesterol among adults who have ever been screened | 40.3% | 35.8–44.7 |
| Obesity among adults | 39.7% | 31.7–47.9 |
| Stroke among adults | 4.8% | 4.4–5.2 |
| All teeth lost among adults aged >=65 years | 24.0% | 20.3–28.2 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 9.8% | 8.3–11.6 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 79.9% | 77.1–82.4 |
| Visits to doctor for routine checkup within the past year among adults | 79.4% | 75.9–82.6 |
| Cholesterol screening among adults | 84.2% | 82.3–86.0 |
| Colorectal cancer screening among adults aged 45–75 years | 62.7% | 57.5–67.8 |
| Visited dentist or dental clinic in the past year among adults | 52.8% | 49.0–56.4 |
| Mammography use among women aged 50-74 years | 69.3% | 61.0–76.8 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.4% | 11.8–17.3 |
| Current cigarette smoking among adults | 20.3% | 17.6–23.2 |
| No leisure-time physical activity among adults | 34.3% | 29.5–39.4 |
| Short sleep duration among adults | 38.9% | 32.1–46.0 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 25.5% | 22.5–28.6 |
| Frequent mental distress among adults | 18.3% | 16.2–20.4 |
| Frequent physical distress among adults | 17.7% | 15.7–19.8 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 19.6% | 17.4–21.8 |
| Any disability among adults | 42.2% | 37.7–47.0 |
| Hearing disability among adults | 11.1% | 9.9–12.3 |
| Independent living disability among adults | 11.5% | 10.2–12.9 |
| Mobility disability among adults | 20.8% | 18.4–23.3 |
| Self-care disability among adults | 5.3% | 4.8–5.8 |
| Vision disability among adults | 6.5% | 5.9–7.2 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 19.7% | 16.8–23.1 |
| Food insecurity in the past 12 months among adults | 15.6% | 13.3–18.3 |
| Received food stamps in the past 12 months among adults | 13.5% | 11.5–15.8 |
| Housing insecurity in the past 12 months among adults | 12.3% | 10.6–14.4 |
| Lack of reliable transportation in the past 12 months among adults | 9.3% | 8.2–10.6 |
| Loneliness among adults | 29.7% | 25.1–34.7 |
| Utility services shut-off threat in the past 12 months among adults | 9.5% | 8.3–10.9 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 11.9% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 23.7% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 17.3% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 16.4% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 4.7% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 5.8% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 76.3% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 18.1% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 74.6% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 3.0% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 1.8% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 51.2% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 22.5% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 42.9 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $56,250 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $165,700 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $676 | $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 | 76.0 yr ± 0.95 | 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 0.95 years of 76.0, 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