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ZipVitals

ZIP code

69361

in Scottsbluff, NebraskaPopulation 17,187

51.24/ 100

Ranked #14,495 of 32,066 US ZIPs (top 45%)

Ranked #430 of 566 Nebraska ZIPs (bottom 24%)

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.

Natural-disaster risk

in the top 1.5% nationally

Lower is healthier

ST99th
US99th
Definition & 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 ›

Industrial-pollution burden

in the top 2.4% nationally

Lower is healthier

ST99th
US98th
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 ›

Nitrate in drinking water

15.5%

in the top 2.5% nationally

Lower is healthier

ST96th
US98th
Definition & source ›

The modeled share of this area’s domestic-well groundwater at or above the federal nitrate limit of 10 milligrams 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 ›

Distance to a Superfund site

76.8 mi

in the top 5.5% nationally

Higher is healthier

ST93rd
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 ›

Child-care access

0.63 per 1,000 residents

in the top 6.5% nationally

Higher is healthier

ST78th
US94th
Definition & source ›

The number of child day-care services 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 ›

Expected annual disaster loss

$0

in the top 7.3% nationally

Lower is healthier

ST97th
US93rd
Definition & 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 ›

Outpatient-care access

0.51 per 1,000 residents

in the top 7.4% nationally

Higher is healthier

ST92nd
US93rd
Definition & source ›

The number of outpatient 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 ›

Air-toxics cancer risk

20 per million

in the bottom 8.1% nationally

Lower is healthier

ST11th
US8th
Definition & source ›

The EPA’s modeled estimate of added lifetime cancer risk from breathing outdoor air toxics, in cases per million people exposed over a lifetime.

Full methodology ›

Elder-services access

0.17 per 1,000 residents

in the top 8.6% nationally

Higher is healthier

ST79th
US91st
Definition & 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 ›

Mental-health provider access

0.11 per 1,000 residents

in the top 9.3% nationally

Higher is healthier

ST93rd
US91st
Definition & 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 ›

The read

On balance, and by the composite measure, Scottsbluff, Nebraska (ZIP 69361) ranks in the top 45% healthiest ZIPs nationally (14,495th) and the bottom 24% of Nebraska (430th), based on limited data; treat as directional.

continue reading

Neither strongly one way nor the other, the measures sit mixed: distance to an emergency room lies at the national minimum, shared with about 11% of ZIPs. Distance to a Superfund site resides in the top 5.5% nationally, and childcare lands in the top 6.5% nationally. Outpatient registers in the top 7.4% nationally, modeled air-toxics cancer risk sits in the bottom 8.1% nationally, and elder services rests in the top 8.6% nationally. Against that, modeled disaster risk is in the top 1.5% nationally, industrial-pollution burden stands in the top 2.4% nationally, and nitrate settles in the top 2.5% nationally. Modeled expected annual loss lies in the top 7.3% nationally.

Compared with the ZIPs it borders, industrial-pollution burden runs far higher than the surrounding ZIPs on this measure. In plainer terms, disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. Industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. Nitrate is a groundwater compound from fertilizer, manure, and sewage, here a modeled estimate of the chance private-well levels exceed a benchmark. For a healthier nearby ZIP overall, look to ZIP 69301, 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

Mental Health

healthier than 91%

8%

Healthcare Access

healthier than 85%

5%

About typical

Chronic Disease Burden

healthier than 56%

21%

Risk Behavior

healthier than 45%

11%

Climate / Disaster RiskPartial

healthier than 49%

5%

Holding it back

Social Need / SDOH

healthier than 31%

16%

Environmental Hazard

healthier than 27%

14%

Preventive Care

healthier than 23%

13%

Disability

healthier than 39%

7%

Lifting this score

Climate / Disaster RiskPartial

healthier than 80%

5%

Healthcare Access

healthier than 95%

5%

About typical

Chronic Disease Burden

healthier than 42%

21%

Environmental Hazard

healthier than 51%

14%

Holding it back

Social Need / SDOH

healthier than 19%

16%

Preventive Care

healthier than 10%

13%

Risk Behavior

healthier than 25%

11%

Mental Health

healthier than 21%

8%

Disability

healthier than 8%

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.

  • Below its nearby ZIPs

    The ZIP codes that outlive their neighbors

    Estimated life expectancy is 77.9 ± 1.4 years. The 49 nearest ZIP codes with estimates average 80.4 years — 2.5 years below them.

    Ranked #1,921 of the 3,687 ZIP codes this finding names, ordered by years above the nearby-ZIP average, 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 adults28.2%25.4–31.1
High blood pressure among adults37.9%34.3–41.5
Cancer (non-skin) or melanoma among adults9.0%8.2–9.9
Current asthma among adults9.3%8.2–10.4
Coronary heart disease among adults7.6%6.9–8.4
Chronic obstructive pulmonary disease among adults7.7%6.9–8.6
Depression among adults17.6%15.0–20.4
Diagnosed diabetes among adults13.5%11.9–15.3
High cholesterol among adults who have ever been screened34.3%30.6–38.0
Obesity among adults39.8%34.1–45.7
Stroke among adults3.9%3.6–4.2
All teeth lost among adults aged >=65 years13.9%11.4–16.6
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years13.7%11.9–15.6
Taking medicine to control high blood pressure among adults with high blood pressure79.9%77.4–82.1
Visits to doctor for routine checkup within the past year among adults77.1%73.7–80.1
Cholesterol screening among adults83.2%81.3–84.9
Colorectal cancer screening among adults aged 45–75 years61.3%56.4–66.0
Visited dentist or dental clinic in the past year among adults59.7%56.2–63.0
Mammography use among women aged 50-74 years72.6%65.1–79.1
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults17.3%14.6–20.2
Current cigarette smoking among adults14.4%12.5–16.4
No leisure-time physical activity among adults30.8%26.8–34.9
Short sleep duration among adults32.8%27.7–38.2
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults21.0%18.5–23.5
Frequent mental distress among adults14.5%12.9–16.2
Frequent physical distress among adults14.1%12.5–15.8
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults13.8%12.3–15.4
Any disability among adults35.2%31.4–39.1
Hearing disability among adults9.5%8.5–10.5
Independent living disability among adults8.6%7.7–9.7
Mobility disability among adults16.5%14.5–18.5
Self-care disability among adults4.4%4.0–4.8
Vision disability among adults6.3%5.8–6.9
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults20.8%17.7–23.9
Food insecurity in the past 12 months among adults17.9%15.5–20.4
Received food stamps in the past 12 months among adults12.9%11.1–14.8
Housing insecurity in the past 12 months among adults12.4%10.7–14.2
Lack of reliable transportation in the past 12 months among adults8.7%7.6–9.8
Loneliness among adults31.1%26.6–35.8
Utility services shut-off threat in the past 12 months among adults8.3%7.2–9.4
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)NE median (p10–p90)
Poverty rate14.0%10.6% (3.1–25.8%) n=32,3648.0% (2.6–16.7%) n=578
Uninsured 18–6414.2%9.0% (1.5–24.3%) n=32,2868.4% (1.6–20.4%) n=579
No HS diploma (25+)8.6%7.9% (1.8–20.7%) n=32,5055.2% (1.5–11.9%) n=578
Bachelor's or higher (25+)26.8%23.3% (9.2–53.6%) n=32,50524.4% (12.1–39.7%) n=578
Unemployment rate (16+)3.4%3.9% (0.0–9.8%) n=32,2741.4% (0.0–5.8%) n=579
Households without a vehicle6.8%3.9% (0.0–12.5%) n=32,3222.1% (0.0–7.6%) n=578
Broadband subscription84.8%89.3% (75.1–97.1%) n=32,32287.6% (75.9–96.3%) n=578
Housing cost burden (≥30% income)34.7%23.7% (10.6–40.0%) n=32,32218.5% (7.6–30.4%) n=578
Homeownership rate63.4%78.7% (51.7–94.0%) n=32,32280.5% (61.0–93.2%) n=578
Crowded housing (>1 per room)1.8%1.3% (0.0–6.3%) n=32,3220.7% (0.0–4.6%) n=578
Foreign-born population4.3%2.6% (0.0–18.6%) n=32,5531.1% (0.0–8.3%) n=579
Single-parent households51.8%53.6% (37.3–74.1%) n=32,08757.2% (42.6–77.1%) n=577
Population 65+21.2%19.4% (10.8–33.6%) n=32,55321.2% (11.4–34.7%) n=579
Median age39.6 yr42.2 yr (33.0–56.3) n=32,29242.3 yr (33.0–56.3) n=577
Median household income$58,623$72,070 ($46,039–$118,707) n=30,318$73,386 ($53,469–$103,625) n=556
Median home value$155,100$222,200 ($100,300–$579,820) n=30,049$168,400 ($90,000–$306,740) n=533
Median gross rent$952$1,021 ($677–$1,912) n=25,670$850 ($610–$1,250) n=442
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)NE median (p10–p90)
Life expectancy at birth77.9 yr ± 0.7178.9 yr (74.7–82.8) n=31,30880.1 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 0.71 years of 77.9, 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