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ZipVitals

ZIP code

75431

in Como, TexasPopulation 2,069

38.43/ 100

Ranked #27,766 of 32,066 US ZIPs (bottom 13.5%)

Ranked #1,578 of 1,868 Texas ZIPs (bottom 16%)

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.

Uninsured (under 65)

21.4%

in the top 3.7% nationally

Lower is healthier

ST72nd
US96th
Definition & source ›

The estimated share of adults aged 18–64 with no current health-insurance coverage.

Full methodology ›

PFAS in drinking water

8.1%

in the bottom 5.0% nationally

Lower is healthier

ST6th
US5th
Definition & 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 ›

Mammography

67.5%

in the bottom 6.5% nationally

Higher is healthier

ST8th
US6th
Definition & source ›

The estimated share of women aged 50–74 who had a mammogram within the past two years.

Full methodology ›

Dry extreme heat

67.4 days/year

in the top 6.2% nationally

Lower is healthier

ST39th
US94th
Definition & source ›

The average number of days per year with a modeled daily high of at least 95 °F.

Full methodology ›

Crowded housing

7.0%

in the top 8.4% nationally

Lower is healthier

ST82nd
US92nd
Definition & source ›

The share of occupied homes with more than one person per room, the Census definition of crowded housing.

Full methodology ›

Households without a vehicle

12.7%

in the top 9.8% nationally

Lower is healthier

ST93rd
US90th
Definition & source ›

The share of households with no vehicle available.

Full methodology ›

Radon

0.7 pCi/L

in the bottom 2.7% nationally

Lower is healthier

ST19th
US3rd
Definition & 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 ›

Median household income

$43,242

in the bottom 7.7% nationally

Higher is healthier

ST7th
US8th
Definition & source ›

The middle household income in this ZIP — half of households earn more, half earn less — in dollars per year.

Full methodology ›

The read

In overall standing, Como, Texas (ZIP 75431) comes out in the bottom 13.5% nationally (27,766th) and the bottom 16% of Texas (1,578th).

continue reading

The measures fall on both sides of the ledger for this area: modeled pfas resides in the bottom 5.0% nationally, and radon rests in the bottom 2.7% nationally. Set against that, modeled uninsured lies in the top 3.7% nationally, mammography sits in the bottom 6.5% nationally, and extreme heat settles in the top 6.2% nationally. Crowded housing registers in the top 8.4% nationally, and households without a vehicle stands in the top 9.8% nationally. Modeled humid heat lands in the top 10.5% nationally, and fair or poor health is in the top 11.6% nationally. Modeled colon screening resides in the bottom 10.1% nationally.

In plain terms, pfas is the man-made "forever chemicals" that build up in the body and environment instead of breaking down; here a modeled estimate of the chance a private well contains them. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Extreme heat is a modeled count of days a year reaching a dangerously high temperature, a leading weather hazard. The nearest healthier ZIP overall is ZIP 75471, 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 91%

14%

Holding it back

Chronic Disease Burden

healthier than 28%

21%

Social Need / SDOH

healthier than 20%

16%

Preventive Care

healthier than 7%

13%

Risk Behavior

healthier than 15%

11%

Mental Health

healthier than 23%

8%

Disability

healthier than 14%

7%

Climate / Disaster Risk

healthier than 14%

5%

Healthcare Access

healthier than 29%

5%

Lifting this score

Environmental Hazard

healthier than 86%

14%

Climate / Disaster Risk

healthier than 79%

5%

Holding it back

Chronic Disease Burden

healthier than 15%

21%

Social Need / SDOH

healthier than 12%

16%

Preventive Care

healthier than 26%

13%

Risk Behavior

healthier than 23%

11%

Mental Health

healthier than 13%

8%

Disability

healthier than 16%

7%

Healthcare Access

healthier than 29%

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 ›

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 93.8 (top 10%); chronic-disease standing 28.3 — 66 points apart, cleaner on the environment than it is on chronic illness.

    Ranked #1,350 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 adults29.6%26.7–32.8
High blood pressure among adults39.8%35.9–43.8
Cancer (non-skin) or melanoma among adults8.5%7.8–9.3
Current asthma among adults10.8%9.6–12.1
Coronary heart disease among adults8.6%7.8–9.5
Chronic obstructive pulmonary disease among adults10.3%9.1–11.7
Depression among adults24.5%21.3–28.2
Diagnosed diabetes among adults15.4%13.6–17.4
High cholesterol among adults who have ever been screened39.2%35.2–43.5
Obesity among adults38.9%31.5–47.3
Stroke among adults4.7%4.3–5.1
All teeth lost among adults aged >=65 years18.2%15.5–21.2
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years21.4%18.6–24.3
Taking medicine to control high blood pressure among adults with high blood pressure78.2%75.9–80.5
Visits to doctor for routine checkup within the past year among adults74.4%70.8–77.8
Cholesterol screening among adults83.4%81.4–85.3
Colorectal cancer screening among adults aged 45–75 years58.4%53.3–63.0
Visited dentist or dental clinic in the past year among adults49.5%45.9–52.8
Mammography use among women aged 50-74 years67.5%59.3–74.8
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults15.8%13.3–18.7
Current cigarette smoking among adults18.1%15.6–20.8
No leisure-time physical activity among adults34.6%29.7–39.5
Short sleep duration among adults38.1%31.7–44.5
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults28.5%25.2–31.9
Frequent mental distress among adults19.1%17.1–21.2
Frequent physical distress among adults17.5%15.5–19.6
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults18.8%16.7–21.0
Any disability among adults39.8%35.2–44.5
Hearing disability among adults9.4%8.4–10.4
Independent living disability among adults11.6%10.3–13.0
Mobility disability among adults20.5%18.1–23.0
Self-care disability among adults5.7%5.1–6.4
Vision disability among adults7.8%7.0–8.6
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)TX median (p10–p90)
Poverty rate24.1%10.6% (3.1–25.8%) n=32,36412.4% (3.5–26.4%) n=1,869
Uninsured 18–6448.2%9.0% (1.5–24.3%) n=32,28622.3% (8.2–41.5%) n=1,862
No HS diploma (25+)32.1%7.9% (1.8–20.7%) n=32,50512.2% (2.5–30.0%) n=1,881
Bachelor's or higher (25+)6.8%23.3% (9.2–53.6%) n=32,50521.9% (9.0–51.4%) n=1,881
Unemployment rate (16+)1.3%3.9% (0.0–9.8%) n=32,2744.2% (0.0–9.4%) n=1,865
Households without a vehicle12.7%3.9% (0.0–12.5%) n=32,3223.7% (0.0–10.8%) n=1,868
Broadband subscription85.8%89.3% (75.1–97.1%) n=32,32289.2% (75.0–97.3%) n=1,868
Housing cost burden (≥30% income)32.0%23.7% (10.6–40.0%) n=32,32226.2% (8.8–40.3%) n=1,868
Homeownership rate65.9%78.7% (51.7–94.0%) n=32,32275.0% (46.4–92.3%) n=1,868
Crowded housing (>1 per room)7.0%1.3% (0.0–6.3%) n=32,3223.1% (0.0–9.0%) n=1,868
Foreign-born population23.6%2.6% (0.0–18.6%) n=32,5538.1% (0.1–26.4%) n=1,886
Single-parent households47.3%53.6% (37.3–74.1%) n=32,08748.5% (34.3–70.6%) n=1,861
Population 65+17.2%19.4% (10.8–33.6%) n=32,55316.1% (8.6–30.1%) n=1,886
Median age44.5 yr42.2 yr (33.0–56.3) n=32,29238.3 yr (30.9–52.3) n=1,866
Median household income$43,242$72,070 ($46,039–$118,707) n=30,318$69,983 ($46,006–$112,413) n=1,737
Median home value$306,900$222,200 ($100,300–$579,820) n=30,049$210,500 ($97,060–$429,760) n=1,693
Median gross rent$850$1,021 ($677–$1,912) n=25,670$1,154 ($764–$1,815) n=1,508
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)TX median (p10–p90)
Life expectancy unavailable for this ZIP — fewer than 80% of the census tracts that make it up could be matched across the 2010→2020 tract-boundary revision, so no value is published rather than an unreliable one. See how coverage gaps are handled.
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