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ZipVitals

ZIP code

65692

in Koshkonong, MissouriPopulation 1,068

36.45/ 100

Ranked #28,785 of 32,066 US ZIPs (bottom 10.3%)

Ranked #818 of 993 Missouri ZIPs (bottom 18%)

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

Robust across all 9 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.

Arsenic in groundwater

1.0%

in the bottom 2.7% nationally

Lower is healthier

ST4th
US3rd
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 ›

Hearing disability

12.3%

in the top 3.5% nationally

Lower is healthier

ST91st
US97th
Definition & source ›

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

Full methodology ›

Industrial-pollution burden

in the bottom 3.2% nationally

Lower is healthier

ST2nd
US3rd
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 ›

Distance to a hazardous-chemical facility

22.8 mi

in the top 3.7% nationally

Higher is healthier

ST99th
US96th
Definition & 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 ›

Fatal road crashes

46.8 per 100,000 residents per year

in the top 4.8% nationally

Lower is healthier

ST94th
US95th
Definition & source ›

The annual rate of fatal road crashes per 100,000 residents, pooled over a ten-year window.

A rate per resident population. Where a ZIP has too few residents for the rate to be reliable — about 30% of US ZIPs — no value is published rather than an unstable one; those ZIPs are absent from this comparison, not counted as crash-free.

Full methodology ›

Distance to a Superfund site

78 mi

in the top 5.4% nationally

Higher is healthier

ST99th
US95th
Definition & 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 ›

Transportation noise

12.9%

in the top 5.6% nationally

Lower is healthier

ST96th
US94th
Definition & 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 ›

Coronary heart disease

10.7%

in the top 5.6% nationally

Lower is healthier

ST91st
US94th
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

23%

in the top 6.8% nationally

Lower is healthier

ST87th
US93rd
Definition & source ›

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

Full methodology ›

Cognitive disability

20%

in the top 9.4% nationally

Lower is healthier

ST72nd
US91st
Definition & source ›

The estimated share of adults with serious difficulty concentrating, remembering, or making decisions.

Full methodology ›

The read

On balance, and by the composite measure, Koshkonong, Missouri (ZIP 65692) ranks in the bottom 10.3% nationally (28,785th) and the bottom 18% of Missouri (818th).

continue reading

The measures split the difference for this area: modeled arsenic sits in the bottom 2.7% nationally, and industrial-pollution burden rests in the bottom 3.2% nationally. Distance to a hazardous-chemical facility is in the top 3.7% nationally, and distance to a Superfund site stands in the top 5.4% nationally. Against that, modeled hearing disability settles in the top 3.5% nationally, fatal road crashes lies in the top 4.8% nationally, and modeled transportation noise resides in the top 5.6% nationally. Modeled coronary heart disease lands in the top 5.6% nationally, mobility disability registers in the top 6.8% nationally, and cognitive disability sits in the top 9.4% nationally.

In plainer 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. 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. For a healthier nearby ZIP overall, look to ZIP 65438, 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 63%

14%

About typical

Healthcare Access

healthier than 46%

5%

Holding it back

Chronic Disease Burden

healthier than 8%

21%

Social Need / SDOH

healthier than 10%

16%

Preventive Care

healthier than 24%

13%

Risk Behavior

healthier than 16%

11%

Mental Health

healthier than 26%

8%

Disability

healthier than 7%

7%

Climate / Disaster Risk

healthier than 39%

5%

Nothing measured is lifting this score.

About typical

Environmental Hazard

healthier than 56%

14%

Climate / Disaster Risk

healthier than 56%

5%

Healthcare Access

healthier than 52%

5%

Holding it back

Chronic Disease Burden

healthier than 9%

21%

Social Need / SDOH

healthier than 6%

16%

Preventive Care

healthier than 24%

13%

Risk Behavior

healthier than 37%

11%

Mental Health

healthier than 39%

8%

Disability

healthier than 10%

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 63.7; chronic-disease standing 7.6 (bottom 10%) — 56 points apart, cleaner on the environment than it is on chronic illness.

    Ranked #2,029 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.

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 adults37.8%34.8–40.8
High blood pressure among adults44.5%41.0–47.8
Cancer (non-skin) or melanoma among adults10.9%10.0–11.7
Current asthma among adults11.1%10.0–12.2
Coronary heart disease among adults10.7%9.6–11.7
Chronic obstructive pulmonary disease among adults13.1%11.6–14.8
Depression among adults25.3%22.3–28.2
Diagnosed diabetes among adults16.8%14.9–18.7
High cholesterol among adults who have ever been screened42.6%39.0–46.0
Obesity among adults39.3%32.9–45.4
Stroke among adults5.4%4.9–5.9
All teeth lost among adults aged >=65 years20.9%18.1–23.9
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years10.5%8.7–12.4
Taking medicine to control high blood pressure among adults with high blood pressure81.3%79.1–83.1
Visits to doctor for routine checkup within the past year among adults80.0%77.5–82.4
Cholesterol screening among adults84.3%82.5–85.9
Colorectal cancer screening among adults aged 45–75 years60.2%56.2–64.0
Visited dentist or dental clinic in the past year among adults51.4%48.3–54.4
Mammography use among women aged 50-74 years69.8%62.9–75.9
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults13.7%11.7–15.6
Current cigarette smoking among adults21.4%18.6–24.3
No leisure-time physical activity among adults35.0%30.7–39.7
Short sleep duration among adults37.4%32.6–42.4
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults27.9%24.8–31.1
Frequent mental distress among adults18.2%16.3–20.1
Frequent physical distress among adults18.6%16.6–20.6
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults20.0%18.0–22.3
Any disability among adults44.3%40.1–48.6
Hearing disability among adults12.3%11.1–13.5
Independent living disability among adults12.1%10.9–13.5
Mobility disability among adults23.0%20.4–25.6
Self-care disability among adults5.9%5.3–6.6
Vision disability among adults7.4%6.6–8.2
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults20.2%17.6–22.7
Food insecurity in the past 12 months among adults17.4%14.8–20.0
Received food stamps in the past 12 months among adults15.6%13.1–18.1
Housing insecurity in the past 12 months among adults13.0%11.3–14.9
Lack of reliable transportation in the past 12 months among adults10.0%8.8–11.2
Loneliness among adults30.9%27.1–34.9
Utility services shut-off threat in the past 12 months among adults10.2%8.9–11.5
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)MO median (p10–p90)
Poverty rate18.4%10.6% (3.1–25.8%) n=32,36412.3% (3.2–26.0%) n=1,009
Uninsured 18–6419.5%9.0% (1.5–24.3%) n=32,28613.2% (3.5–28.4%) n=1,006
No HS diploma (25+)11.5%7.9% (1.8–20.7%) n=32,5059.5% (2.5–20.5%) n=1,009
Bachelor's or higher (25+)12.9%23.3% (9.2–53.6%) n=32,50518.1% (7.2–40.2%) n=1,009
Unemployment rate (16+)7.6%3.9% (0.0–9.8%) n=32,2742.9% (0.0–8.5%) n=1,003
Households without a vehicle3.3%3.9% (0.0–12.5%) n=32,3224.1% (0.0–11.9%) n=1,009
Broadband subscription90.4%89.3% (75.1–97.1%) n=32,32286.3% (72.7–95.2%) n=1,009
Housing cost burden (≥30% income)26.8%23.7% (10.6–40.0%) n=32,32220.7% (8.4–33.9%) n=1,009
Homeownership rate68.9%78.7% (51.7–94.0%) n=32,32279.4% (56.0–94.3%) n=1,009
Crowded housing (>1 per room)6.1%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 households57.4%53.6% (37.3–74.1%) n=32,08755.0% (39.5–75.6%) n=1,005
Population 65+21.5%19.4% (10.8–33.6%) n=32,55319.2% (11.7–31.1%) n=1,010
Median age46.3 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (33.3–55.9) n=1,005
Median household income$40,357$72,070 ($46,039–$118,707) n=30,318$61,740 ($42,457–$95,231) n=948
Median home value$143,800$222,200 ($100,300–$579,820) n=30,049$174,150 ($91,880–$309,500) n=930
Median gross rent$736$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 birth76.6 yr ± 0.9778.9 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 0.97 years of 76.6, 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