ZIP code
65656
in Galena, MissouriPopulation 5,031
40.53/ 100
Ranked #26,377 of 32,066 US ZIPs (bottom 18%)
Ranked #670 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.
Natural-disaster risk
in the top 2.6% 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 ›Hearing disability
11.8%
in the top 5.2% nationally
Lower is healthier
ST86thUS95thDefinition & source ›
The estimated share of adults who are deaf or have serious difficulty hearing.
Full methodology ›Arsenic in groundwater
1.2%
in the bottom 5.8% nationally
Lower is healthier
ST16thUS6thDefinition & 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 ›Coronary heart disease
10.1%
in the top 9.0% nationally
Lower is healthier
ST87thUS91stDefinition & source ›
The estimated share of adults who have been told by a health professional that they have coronary heart disease or angina.
Full methodology ›High cholesterol
43.5%
in the top 8.6% nationally
Lower is healthier
ST92ndUS91stDefinition & source ›
The estimated share of adults with high cholesterol, among those who have ever been screened for it.
Full methodology ›Obesity
42.9%
in the top 9.4% nationally
Lower is healthier
ST92ndUS91stDefinition & source ›
The estimated share of adults with obesity, defined as a body-mass index of 30 or higher.
Full methodology ›Distance to a nursing home
9.2 mi
in the top 13.0% nationally
Lower is healthier
ST94thUS87thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›The read
By the composite measure, Galena, Missouri (ZIP 65656) sits in the bottom 18% nationally (26,377th) and the bottom 33% of Missouri (670th).
Where the data leans one way, another reading answers it: modeled arsenic sits in the bottom 5.8% nationally. On the other hand, modeled disaster risk registers in the top 2.6% nationally, and hearing disability lands in the top 5.2% nationally. Fiber broadband resides at the national minimum, shared with about 19% of ZIPs. Modeled coronary heart disease lies in the top 9.0% nationally, and mobility disability settles in the top 11.0% nationally. Modeled expected annual loss stands in the top 11.8% nationally, and high cholesterol is in the top 8.6% nationally. Modeled obesity rests in the top 9.4% nationally, and distance to a nursing home sits in the top 13.0% nationally.
Compared with the ZIPs that surround it, park land runs far higher than the surrounding ZIPs on this measure. In plain language, disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. Arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. Expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. ZIP 65633, 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 64%
14%
About typical
Preventive Care
healthier than 41%
13%
Healthcare Access
healthier than 44%
5%
Holding it back
Chronic Disease Burden
healthier than 10%
21%
Social Need / SDOH
healthier than 39%
16%
Risk Behavior
healthier than 20%
11%
Mental Health
healthier than 31%
8%
Disability
healthier than 12%
7%
Climate / Disaster Risk
healthier than 36%
5%
Nothing measured is lifting this score.
About typical
Social Need / SDOH
healthier than 44%
16%
Environmental Hazard
healthier than 56%
14%
Preventive Care
healthier than 57%
13%
Risk Behavior
healthier than 47%
11%
Mental Health
healthier than 55%
8%
Climate / Disaster Risk
healthier than 46%
5%
Healthcare Access
healthier than 49%
5%
Holding it back
Chronic Disease Burden
healthier than 11%
21%
Disability
healthier than 20%
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.
Clean environment, heavy chronic burden
Where the environment and chronic illness point in opposite directions
Environmental-hazard standing 63.8; chronic-disease standing 9.8 (bottom 10%) — 54 points apart, cleaner on the environment than it is on chronic illness.
Ranked #2,180 of the 18,187 ZIP codes this finding names, ordered by the gap from cleanest environment to heaviest chronic burden, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
65605
Missourishares a border
Score 37.38
Closest healthier
65633
Missourishares a border
Score 41.44
Similar health profile
65440
Missouri100% similar profile
Score 39.34
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 | 37.1% | 33.6–41.0 |
| High blood pressure among adults | 44.6% | 40.4–49.3 |
| Cancer (non-skin) or melanoma among adults | 11.0% | 10.0–12.0 |
| Current asthma among adults | 10.9% | 9.7–12.3 |
| Coronary heart disease among adults | 10.1% | 9.1–11.2 |
| Chronic obstructive pulmonary disease among adults | 12.1% | 10.8–13.6 |
| Depression among adults | 25.0% | 21.5–28.9 |
| Diagnosed diabetes among adults | 15.9% | 13.9–18.3 |
| High cholesterol among adults who have ever been screened | 43.5% | 39.0–48.3 |
| Obesity among adults | 42.9% | 35.0–51.5 |
| Stroke among adults | 5.1% | 4.7–5.6 |
| All teeth lost among adults aged >=65 years | 17.6% | 14.2–20.8 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 9.0% | 7.7–10.7 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 81.8% | 79.3–84.2 |
| Visits to doctor for routine checkup within the past year among adults | 80.4% | 77.3–83.6 |
| Cholesterol screening among adults | 85.5% | 83.8–87.1 |
| Colorectal cancer screening among adults aged 45–75 years | 64.2% | 58.4–68.8 |
| Visited dentist or dental clinic in the past year among adults | 55.0% | 51.1–58.6 |
| Mammography use among women aged 50-74 years | 71.5% | 62.4–78.6 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 13.5% | 11.1–16.4 |
| Current cigarette smoking among adults | 20.1% | 17.4–23.0 |
| No leisure-time physical activity among adults | 34.6% | 29.6–40.4 |
| Short sleep duration among adults | 37.8% | 30.6–44.5 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 26.0% | 23.0–29.4 |
| Frequent mental distress among adults | 17.7% | 15.8–19.9 |
| Frequent physical distress among adults | 17.9% | 15.9–20.2 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 18.8% | 16.9–21.1 |
| Any disability among adults | 42.4% | 37.7–47.4 |
| Hearing disability among adults | 11.8% | 10.6–13.2 |
| Independent living disability among adults | 11.3% | 10.1–12.6 |
| Mobility disability among adults | 21.6% | 19.1–24.4 |
| Self-care disability among adults | 5.4% | 4.9–6.0 |
| Vision disability among adults | 6.7% | 6.0–7.4 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 19.2% | 16.2–22.6 |
| Food insecurity in the past 12 months among adults | 15.0% | 12.8–17.5 |
| Received food stamps in the past 12 months among adults | 13.0% | 11.2–15.2 |
| Housing insecurity in the past 12 months among adults | 11.6% | 10.0–13.5 |
| Lack of reliable transportation in the past 12 months among adults | 8.9% | 7.9–10.1 |
| Loneliness among adults | 30.7% | 25.9–36.1 |
| Utility services shut-off threat in the past 12 months among adults | 9.1% | 7.9–10.4 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 16.4% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 15.8% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 8.5% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 21.5% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 4.3% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 5.0% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 87.2% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 22.6% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 81.7% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 3.7% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 0.3% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 64.1% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 24.5% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 44.7 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $67,239 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $232,900 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $847 | $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 | 76.7 yr ± 1.10 | 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 1.10 years of 76.7, 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