ZIP code
68431
in Rulo, NebraskaPopulation 269
53.05/ 100
Ranked #12,009 of 32,066 US ZIPs (top 37%)
Ranked #340 of 566 Nebraska ZIPs (bottom 40%)
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.
Fiber broadband
100%
at the national maximum
Higher is healthier
ST99thUS99thDefinition & source ›
The share of homes where fiber-optic internet service is available.
Full methodology ›Radon
3.3 pCi/L
in the top 6.9% nationally
Lower is healthier
ST41stUS93rdDefinition & source ›
The modeled typical indoor radon level for this area, in picocuries per liter — the EPA recommends fixing a home at 4 pCi/L or above.
Modeled from indoor-radon measurements. In Alaska and Hawaii, where those measurements are not published, a US Geological Survey geologic radon-potential category stands in — a coarser input, disclosed rather than hidden.
Full methodology ›Obesity
45.1%
in the top 4.3% nationally
Lower is healthier
ST98thUS96thDefinition & source ›
The estimated share of adults with obesity, defined as a body-mass index of 30 or higher.
Full methodology ›Distance to a Superfund site
69.9 mi
in the top 6.6% nationally
Higher is healthier
ST91stUS93rdDefinition & 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 ›Short sleep
29.4%
in the bottom 7.1% nationally
Lower is healthier
ST36thUS7thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Homeownership rate
93.5%
in the top 10.9% nationally
Higher is healthier
ST90thUS89thDefinition & source ›
The share of occupied homes that are owned, rather than rented, by the people living in them.
Full methodology ›Colon-cancer screening
69.3%
in the top 25% nationally
Higher is healthier
ST93rdUS75thDefinition & source ›
The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.
Full methodology ›The read
Rulo, Nebraska (ZIP 68431), overall, ranks in the top 37% healthiest ZIPs nationally (12,009th) and the bottom 40% of Nebraska (340th).
Reading the numbers as a whole, the picture lands somewhere in between: fiber broadband rests at the national maximum, distance to a Superfund site registers in the top 6.6% nationally, and modeled short sleep resides in the bottom 7.1% nationally. Homeownership settles in the top 10.9% nationally. On the other side, modeled radon is in the top 6.9% nationally, and obesity sits in the top 4.3% nationally. Modeled extreme heat lands in the top 15% nationally. Distance to a hazardous-chemical facility lies at the national minimum, shared with about 31% of ZIPs. Floodplain exposure stands in the top 16% nationally, and modeled transportation noise rests in the top 18% nationally.
Defined simply, radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. 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. ZIP 66035, about 4.7 miles away, comes out 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
Social Need / SDOH
healthier than 67%
16%
Mental Health
healthier than 93%
8%
About typical
Preventive Care
healthier than 57%
13%
Risk Behavior
healthier than 54%
11%
Disability
healthier than 57%
7%
Holding it back
Chronic Disease Burden
healthier than 40%
21%
Environmental Hazard
healthier than 37%
14%
Climate / Disaster Risk
healthier than 23%
5%
Healthcare Access
healthier than 25%
5%
Lifting this score
Social Need / SDOH
healthier than 62%
16%
Environmental Hazard
healthier than 73%
14%
Preventive Care
healthier than 63%
13%
Healthcare Access
healthier than 65%
5%
About typical
Risk Behavior
healthier than 43%
11%
Mental Health
healthier than 41%
8%
Holding it back
Chronic Disease Burden
healthier than 17%
21%
Disability
healthier than 30%
7%
Climate / Disaster Risk
healthier than 12%
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
64437
Missourishares a border
Score 43.27
Closest healthier
66035
Kansasabout 4.7 mi away
Score 54.26
Similar health profile
69026
Nebraska98% similar profile
Score 52.63
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 | 30.8% | 27.7–34.1 |
| High blood pressure among adults | 40.6% | 36.8–44.6 |
| Cancer (non-skin) or melanoma among adults | 10.3% | 9.3–11.3 |
| Current asthma among adults | 9.7% | 8.6–10.9 |
| Coronary heart disease among adults | 8.0% | 7.1–9.0 |
| Chronic obstructive pulmonary disease among adults | 7.9% | 6.7–9.3 |
| Depression among adults | 17.6% | 15.0–20.5 |
| Diagnosed diabetes among adults | 14.0% | 12.1–16.0 |
| High cholesterol among adults who have ever been screened | 36.7% | 33.0–40.7 |
| Obesity among adults | 45.1% | 39.0–51.6 |
| Stroke among adults | 4.0% | 3.6–4.5 |
| All teeth lost among adults aged >=65 years | 12.4% | 10.0–15.1 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 7.3% | 5.9–9.0 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 81.6% | 79.0–84.0 |
| Visits to doctor for routine checkup within the past year among adults | 76.8% | 73.3–80.1 |
| Cholesterol screening among adults | 86.2% | 84.2–88.0 |
| Colorectal cancer screening among adults aged 45–75 years | 69.3% | 64.4–74.0 |
| Visited dentist or dental clinic in the past year among adults | 63.2% | 59.6–66.7 |
| Mammography use among women aged 50-74 years | 73.3% | 65.4–80.0 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 17.8% | 15.0–21.0 |
| Current cigarette smoking among adults | 15.7% | 12.9–18.6 |
| No leisure-time physical activity among adults | 29.3% | 24.5–34.0 |
| Short sleep duration among adults | 29.4% | 24.0–35.1 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 17.9% | 15.0–21.1 |
| Frequent mental distress among adults | 13.7% | 12.0–15.5 |
| Frequent physical distress among adults | 13.7% | 11.8–15.7 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 12.1% | 10.4–13.9 |
| Any disability among adults | 30.6% | 26.3–34.8 |
| Hearing disability among adults | 9.4% | 8.3–10.6 |
| Independent living disability among adults | 7.5% | 6.4–8.7 |
| Mobility disability among adults | 14.9% | 12.6–17.5 |
| Self-care disability among adults | 3.8% | 3.2–4.3 |
| Vision disability among adults | 4.8% | 4.1–5.4 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 21.2% | 18.0–25.1 |
| Food insecurity in the past 12 months among adults | 11.1% | 9.1–13.4 |
| Received food stamps in the past 12 months among adults | 7.6% | 6.1–9.5 |
| Housing insecurity in the past 12 months among adults | 8.3% | 6.9–9.9 |
| Lack of reliable transportation in the past 12 months among adults | 6.3% | 5.4–7.3 |
| Loneliness among adults | 29.8% | 25.2–35.0 |
| Utility services shut-off threat in the past 12 months among adults | 5.7% | 4.8–6.7 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | NE median (p10–p90) |
|---|---|---|---|
| Poverty rate | 13.4% | 10.6% (3.1–25.8%) n=32,364 | 8.0% (2.6–16.7%) n=578 |
| Uninsured 18–64 | 15.3% | 9.0% (1.5–24.3%) n=32,286 | 8.4% (1.6–20.4%) n=579 |
| No HS diploma (25+) | 19.8% | 7.9% (1.8–20.7%) n=32,505 | 5.2% (1.5–11.9%) n=578 |
| Bachelor's or higher (25+) | 1.9% | 23.3% (9.2–53.6%) n=32,505 | 24.4% (12.1–39.7%) n=578 |
| Unemployment rate (16+) | 2.0% | 3.9% (0.0–9.8%) n=32,274 | 1.4% (0.0–5.8%) n=579 |
| Households without a vehicle | 5.1% | 3.9% (0.0–12.5%) n=32,322 | 2.1% (0.0–7.6%) n=578 |
| Broadband subscription | 87.7% | 89.3% (75.1–97.1%) n=32,322 | 87.6% (75.9–96.3%) n=578 |
| Housing cost burden (≥30% income) | 17.4% | 23.7% (10.6–40.0%) n=32,322 | 18.5% (7.6–30.4%) n=578 |
| Homeownership rate | 93.5% | 78.7% (51.7–94.0%) n=32,322 | 80.5% (61.0–93.2%) n=578 |
| Crowded housing (>1 per room) | 2.9% | 1.3% (0.0–6.3%) n=32,322 | 0.7% (0.0–4.6%) n=578 |
| Foreign-born population | 0.4% | 2.6% (0.0–18.6%) n=32,553 | 1.1% (0.0–8.3%) n=579 |
| Single-parent households | 76.9% | 53.6% (37.3–74.1%) n=32,087 | 57.2% (42.6–77.1%) n=577 |
| Population 65+ | 18.2% | 19.4% (10.8–33.6%) n=32,553 | 21.2% (11.4–34.7%) n=579 |
| Median age | 52.3 yr | 42.2 yr (33.0–56.3) n=32,292 | 42.3 yr (33.0–56.3) n=577 |
| Median household income | $75,000 | $72,070 ($46,039–$118,707) n=30,318 | $73,386 ($53,469–$103,625) n=556 |
| Median home value | $137,500 | $222,200 ($100,300–$579,820) n=30,049 | $168,400 ($90,000–$306,740) n=533 |
| Median gross rent | — | $1,021 ($677–$1,912) n=25,670 | $850 ($610–$1,250) n=442 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | NE median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 84.5 yr ± 3.02 | 78.9 yr (74.7–82.8) n=31,308 | 80.1 yr (77.4–83.0) n=553 |
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 3.02 years of 84.5, 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