ZIP code
77990
in Tivoli, TexasPopulation 590
42.60/ 100
Ranked #24,733 of 32,066 US ZIPs (bottom 23%)
Ranked #1,239 of 1,868 Texas ZIPs (bottom 34%)
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.
Uninsured (under 65)
22.9%
in the top 3.0% nationally
Lower is healthier
ST75thUS97thDefinition & source ›
The estimated share of adults aged 18–64 with no current health-insurance coverage.
Full methodology ›Industrial-pollution burden
in the top 2.1% nationally
Lower is healthier
ST92ndUS98thDefinition & 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 ›Slow internet speeds
5.3%
in the top 2.3% nationally
Lower is healthier
ST97thUS98thDefinition & source ›
The share of homes whose fastest available download speed is under 10 Mbps.
Full methodology ›Walkability
1 intersections/sq mi
in the bottom 2.7% nationally
Higher is healthier
ST1stUS3rdDefinition & source ›
The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.
Full methodology ›Humid extreme heat
158.3 days/year
in the top 2.9% nationally
Lower is healthier
ST91stUS97thDefinition & source ›
The average number of days per year when modeled heat stress — temperature, humidity, sun, and wind combined — reaches levels hard on the body outdoors.
Full methodology ›Home broadband subscription
61.2%
in the bottom 3.1% nationally
Higher is healthier
ST3rdUS3rdDefinition & source ›
The share of households with a broadband internet subscription.
Full methodology ›Recreation access
1.5 per 1,000 residents
in the top 3.4% nationally
Higher is healthier
ST98thUS97thDefinition & source ›
The number of places for physical recreation — gyms, sports, and fitness venues — 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 ›Floodplain exposure
49.8%
in the top 4.0% nationally
Lower is healthier
ST95thUS96thDefinition & source ›
The share of this ZIP’s land area inside FEMA’s 1%-annual-chance floodplain — the “100-year” flood zone, where flooding has about a 1-in-100 chance in any given year.
Measured from FEMA’s mapped flood panels. Where a panel has not been mapped, no value is published for that ZIP — those ZIPs are absent from this comparison rather than counted as unexposed.
Full methodology ›Housing-cost burden
6.7%
in the bottom 6.2% nationally
Lower is healthier
ST8thUS6thDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Air-toxics cancer risk
38.6 per million
in the top 7.6% nationally
Lower is healthier
ST87thUS92ndDefinition & 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 ›Cross-source signals
Combined exposures in this ZIP
More than one environmental exposure stands out in this ZIP. Each is established independently and shown on its own above; they are grouped here for context — not because one causes the other.
This area ranks among the highest 10% of US ZIP codes for both humid-heat days and flood exposure.
See the full flooding, evacuation & humid-heat analysis →
The read
By the composite measure, Tivoli, Texas (ZIP 77990) sits in the bottom 23% nationally (24,733rd) and the bottom 34% of Texas (1,239th).
Where this area is stretched, the data is unambiguous: modeled uninsured lies in the top 3.0% nationally, modeled industrial-pollution burden settles in the top 2.1% nationally, and slow internet speeds stands in the top 2.3% nationally. Walkability is in the bottom 2.7% nationally, modeled humid heat rests in the top 2.9% nationally, and home broadband subscription sits in the bottom 3.1% nationally. Floodplain exposure registers in the top 4.0% nationally, and modeled air-toxics cancer risk lands in the top 7.6% nationally. Better still, recreation resides in the top 3.4% nationally, and housing-cost burden lies in the bottom 6.2% nationally.
Compared with the ZIPs that surround it, industrial-pollution burden runs far higher than the surrounding ZIPs on this measure. In plain language, industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. Air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. Humid heat is a modeled heat-stress measure combining temperature, humidity, sun, and wind to gauge heat on the body outdoors. ZIP 77905, 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
Mental Health
healthier than 72%
8%
About typical
Chronic Disease Burden
healthier than 42%
21%
Holding it back
Social Need / SDOH
healthier than 38%
16%
Environmental Hazard
healthier than 36%
14%
Preventive Care
healthier than 11%
13%
Risk Behavior
healthier than 34%
11%
Disability
healthier than 27%
7%
Climate / Disaster Risk
healthier than 1%
5%
Healthcare Access
healthier than 7%
5%
Lifting this score
Mental Health
healthier than 78%
8%
About typical
Risk Behavior
healthier than 50%
11%
Holding it back
Chronic Disease Burden
healthier than 28%
21%
Social Need / SDOH
healthier than 31%
16%
Environmental Hazard
healthier than 22%
14%
Preventive Care
healthier than 38%
13%
Disability
healthier than 32%
7%
Climate / Disaster Risk
healthier than 5%
5%
Healthcare Access
healthier than 6%
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
77905
Texasshares a border
Score 45.45
Closest healthier
77963
Texasshares a border
Score 46.85
Similar health profile
78146
Texas99% similar profile
Score 46.43
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 | 27.8% | 24.7–30.9 |
| High blood pressure among adults | 39.5% | 35.3–43.5 |
| Cancer (non-skin) or melanoma among adults | 7.9% | 7.2–8.6 |
| Current asthma among adults | 9.5% | 8.5–10.6 |
| Coronary heart disease among adults | 7.7% | 7.0–8.6 |
| Chronic obstructive pulmonary disease among adults | 7.5% | 6.5–8.5 |
| Depression among adults | 20.6% | 17.7–23.7 |
| Diagnosed diabetes among adults | 16.7% | 14.6–18.9 |
| High cholesterol among adults who have ever been screened | 41.0% | 36.6–45.2 |
| Obesity among adults | 38.4% | 30.4–46.3 |
| Stroke among adults | 4.1% | 3.7–4.5 |
| All teeth lost among adults aged >=65 years | 18.5% | 15.7–21.8 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 22.9% | 19.3–26.9 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 79.1% | 76.4–81.6 |
| Visits to doctor for routine checkup within the past year among adults | 75.9% | 72.4–79.1 |
| Cholesterol screening among adults | 87.3% | 85.6–88.9 |
| Colorectal cancer screening among adults aged 45–75 years | 58.5% | 53.8–63.1 |
| Visited dentist or dental clinic in the past year among adults | 52.9% | 49.6–56.3 |
| Mammography use among women aged 50-74 years | 70.2% | 66.3–74.1 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 15.0% | 12.5–17.6 |
| Current cigarette smoking among adults | 14.0% | 12.0–16.1 |
| No leisure-time physical activity among adults | 33.8% | 29.0–38.9 |
| Short sleep duration among adults | 37.7% | 31.4–44.3 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 26.9% | 23.7–30.5 |
| Frequent mental distress among adults | 16.1% | 14.4–17.9 |
| Frequent physical distress among adults | 16.3% | 14.5–18.3 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 15.6% | 13.7–17.6 |
| Any disability among adults | 36.4% | 32.1–40.9 |
| Hearing disability among adults | 8.6% | 7.7–9.6 |
| Independent living disability among adults | 9.2% | 8.1–10.4 |
| Mobility disability among adults | 19.0% | 16.6–21.6 |
| Self-care disability among adults | 5.1% | 4.5–5.8 |
| Vision disability among adults | 7.5% | 6.6–8.4 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | TX median (p10–p90) |
|---|---|---|---|
| Poverty rate | 5.1% | 10.6% (3.1–25.8%) n=32,364 | 12.4% (3.5–26.4%) n=1,869 |
| Uninsured 18–64 | 37.0% | 9.0% (1.5–24.3%) n=32,286 | 22.3% (8.2–41.5%) n=1,862 |
| No HS diploma (25+) | 15.3% | 7.9% (1.8–20.7%) n=32,505 | 12.2% (2.5–30.0%) n=1,881 |
| Bachelor's or higher (25+) | 15.5% | 23.3% (9.2–53.6%) n=32,505 | 21.9% (9.0–51.4%) n=1,881 |
| Unemployment rate (16+) | 2.8% | 3.9% (0.0–9.8%) n=32,274 | 4.2% (0.0–9.4%) n=1,865 |
| Households without a vehicle | 1.6% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.8%) n=1,868 |
| Broadband subscription | 61.2% | 89.3% (75.1–97.1%) n=32,322 | 89.2% (75.0–97.3%) n=1,868 |
| Housing cost burden (≥30% income) | 6.7% | 23.7% (10.6–40.0%) n=32,322 | 26.2% (8.8–40.3%) n=1,868 |
| Homeownership rate | 91.0% | 78.7% (51.7–94.0%) n=32,322 | 75.0% (46.4–92.3%) n=1,868 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 3.1% (0.0–9.0%) n=1,868 |
| Foreign-born population | 11.4% | 2.6% (0.0–18.6%) n=32,553 | 8.1% (0.1–26.4%) n=1,886 |
| Single-parent households | 54.1% | 53.6% (37.3–74.1%) n=32,087 | 48.5% (34.3–70.6%) n=1,861 |
| Population 65+ | 29.7% | 19.4% (10.8–33.6%) n=32,553 | 16.1% (8.6–30.1%) n=1,886 |
| Median age | 53.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 38.3 yr (30.9–52.3) n=1,866 |
| Median household income | $75,417 | $72,070 ($46,039–$118,707) n=30,318 | $69,983 ($46,006–$112,413) n=1,737 |
| Median home value | $54,200 | $222,200 ($100,300–$579,820) n=30,049 | $210,500 ($97,060–$429,760) n=1,693 |
| Median gross rent | $1,170 | $1,021 ($677–$1,912) n=25,670 | $1,154 ($764–$1,815) n=1,508 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | TX median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 78.2 yr ± 0.77 | 78.9 yr (74.7–82.8) n=31,308 | 78.2 yr (75.1–81.7) n=1,772 |
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 0.77 years of 78.2, 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