ZIP code
78159
in Smiley, TexasPopulation 623
40.27/ 100
Ranked #26,568 of 32,066 US ZIPs (bottom 17%)
Ranked #1,434 of 1,868 Texas ZIPs (bottom 23%)
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)
26.1%
in the top 2.0% nationally
Lower is healthier
ST82ndUS98thDefinition & source ›
The estimated share of adults aged 18–64 with no current health-insurance coverage.
Full methodology ›Mental-health provider access
1.3 per 1,000 residents
in the top 0.2% nationally
Higher is healthier
ST99thUS99thDefinition & 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 ›Outpatient-care access
1.3 per 1,000 residents
in the top 1.2% nationally
Higher is healthier
ST98thUS99thDefinition & 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 ›Humid extreme heat
155.8 days/year
in the top 3.2% nationally
Lower is healthier
ST87thUS97thDefinition & 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 ›Dry extreme heat
87 days/year
in the top 3.8% nationally
Lower is healthier
ST61stUS96thDefinition & source ›
The average number of days per year with a modeled daily high of at least 95 °F.
Full methodology ›Fair or poor health
29.8%
in the top 8.7% nationally
Lower is healthier
ST83rdUS91stDefinition & source ›
The estimated share of adults who rate their own general health as fair or poor.
Full methodology ›Mammography
68%
in the bottom 7.6% nationally
Higher is healthier
ST11thUS8thDefinition & source ›
The estimated share of women aged 50–74 who had a mammogram within the past two years.
Full methodology ›Vision disability
8.7%
in the top 8.7% nationally
Lower is healthier
ST81stUS91stDefinition & source ›
The estimated share of adults who are blind or have serious difficulty seeing even with glasses.
Full methodology ›Loud transportation noise
1.7%
in the top 9.2% nationally
Lower is healthier
ST92ndUS91stDefinition & source ›
The modeled share of residents exposed to average road, rail, and aviation noise at or above 65 decibels — around the volume of normal conversation.
Full methodology ›Distance to a nursing home
10.9 mi
in the top 9.5% nationally
Lower is healthier
ST92ndUS91stDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›The read
Smiley, Texas (ZIP 78159), by its composite score, sits in the bottom 17% nationally (26,568th) and the bottom 23% of Texas (1,434th).
The data opens on real and measurable burdens: modeled uninsured registers in the top 2.0% nationally, and humid heat settles in the top 3.2% nationally. Modeled extreme heat sits in the top 3.8% nationally, and fair or poor health lies in the top 8.7% nationally. Modeled mammography rests in the bottom 7.6% nationally, vision disability resides in the top 8.7% nationally, and loud transportation noise is in the top 9.2% nationally. Distance to a nursing home lands in the top 9.5% nationally. More encouragingly, mental-health providers stands in the top 0.2% nationally, and outpatient registers in the top 1.2% nationally.
Next to the surrounding area, mental-health providers runs far higher than the surrounding ZIPs on this measure. For anyone unfamiliar, humid heat is a modeled heat-stress measure combining temperature, humidity, sun, and wind to gauge heat on the body outdoors. Extreme heat is a modeled count of days a year reaching a dangerously high temperature, a leading weather hazard. Loud transportation noise is the modeled share of an area exposed to road, rail, and air noise at or above 65 decibels, near conversation volume. For a healthier comparison close by, see ZIP 77954, 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.
Lifting this score
Environmental Hazard
healthier than 86%
14%
About typical
Mental Health
healthier than 57%
8%
Holding it back
Chronic Disease Burden
healthier than 30%
21%
Social Need / SDOH
healthier than 37%
16%
Preventive Care
healthier than 7%
13%
Risk Behavior
healthier than 28%
11%
Disability
healthier than 14%
7%
Climate / Disaster Risk
healthier than 4%
5%
Healthcare Access
healthier than 10%
5%
Lifting this score
Environmental Hazard
healthier than 75%
14%
Mental Health
healthier than 62%
8%
About typical
Risk Behavior
healthier than 43%
11%
Holding it back
Chronic Disease Burden
healthier than 18%
21%
Social Need / SDOH
healthier than 30%
16%
Preventive Care
healthier than 26%
13%
Disability
healthier than 17%
7%
Climate / Disaster Risk
healthier than 15%
5%
Healthcare Access
healthier than 10%
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
77954
Texasshares a border
Score 43.20
Closest healthier
77994
Texasshares a border
Score 40.82
Similar health profile
79567
Texas98% similar profile
Score 37.14
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 | 28.5% | 25.1–32.0 |
| High blood pressure among adults | 40.4% | 35.9–44.8 |
| Cancer (non-skin) or melanoma among adults | 8.0% | 7.3–8.9 |
| Current asthma among adults | 9.8% | 8.6–11.1 |
| Coronary heart disease among adults | 8.6% | 7.5–9.6 |
| Chronic obstructive pulmonary disease among adults | 8.7% | 7.5–10.2 |
| Depression among adults | 21.7% | 18.3–25.3 |
| Diagnosed diabetes among adults | 17.4% | 15.2–19.8 |
| High cholesterol among adults who have ever been screened | 40.9% | 36.3–45.6 |
| Obesity among adults | 39.4% | 30.8–48.2 |
| Stroke among adults | 4.6% | 4.1–5.1 |
| All teeth lost among adults aged >=65 years | 20.0% | 16.4–23.9 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 26.1% | 21.9–30.6 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 79.4% | 76.6–82.0 |
| Visits to doctor for routine checkup within the past year among adults | 75.6% | 71.7–79.3 |
| Cholesterol screening among adults | 85.3% | 83.2–87.1 |
| Colorectal cancer screening among adults aged 45–75 years | 58.9% | 53.4–64.3 |
| Visited dentist or dental clinic in the past year among adults | 46.0% | 42.2–49.8 |
| Mammography use among women aged 50-74 years | 68.0% | 59.0–76.3 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.5% | 11.8–17.5 |
| Current cigarette smoking among adults | 15.0% | 12.5–17.6 |
| No leisure-time physical activity among adults | 36.6% | 30.9–42.3 |
| Short sleep duration among adults | 37.3% | 30.1–45.1 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 29.8% | 25.9–33.7 |
| Frequent mental distress among adults | 17.0% | 14.9–19.1 |
| Frequent physical distress among adults | 17.4% | 15.1–19.7 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 17.3% | 15.1–19.6 |
| Any disability among adults | 39.7% | 34.7–44.7 |
| Hearing disability among adults | 9.5% | 8.4–10.7 |
| Independent living disability among adults | 10.6% | 9.2–12.1 |
| Mobility disability among adults | 21.1% | 18.3–24.1 |
| Self-care disability among adults | 5.8% | 5.1–6.6 |
| Vision disability among adults | 8.7% | 7.7–9.8 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | TX median (p10–p90) |
|---|---|---|---|
| Poverty rate | 22.0% | 10.6% (3.1–25.8%) n=32,364 | 12.4% (3.5–26.4%) n=1,869 |
| Uninsured 18–64 | 24.5% | 9.0% (1.5–24.3%) n=32,286 | 22.3% (8.2–41.5%) n=1,862 |
| No HS diploma (25+) | 11.3% | 7.9% (1.8–20.7%) n=32,505 | 12.2% (2.5–30.0%) n=1,881 |
| Bachelor's or higher (25+) | 7.6% | 23.3% (9.2–53.6%) n=32,505 | 21.9% (9.0–51.4%) n=1,881 |
| Unemployment rate (16+) | 7.9% | 3.9% (0.0–9.8%) n=32,274 | 4.2% (0.0–9.4%) n=1,865 |
| Households without a vehicle | 3.9% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.8%) n=1,868 |
| Broadband subscription | 77.4% | 89.3% (75.1–97.1%) n=32,322 | 89.2% (75.0–97.3%) n=1,868 |
| Housing cost burden (≥30% income) | 35.0% | 23.7% (10.6–40.0%) n=32,322 | 26.2% (8.8–40.3%) n=1,868 |
| Homeownership rate | 68.9% | 78.7% (51.7–94.0%) n=32,322 | 75.0% (46.4–92.3%) n=1,868 |
| Crowded housing (>1 per room) | 1.9% | 1.3% (0.0–6.3%) n=32,322 | 3.1% (0.0–9.0%) n=1,868 |
| Foreign-born population | 5.1% | 2.6% (0.0–18.6%) n=32,553 | 8.1% (0.1–26.4%) n=1,886 |
| Single-parent households | 60.1% | 53.6% (37.3–74.1%) n=32,087 | 48.5% (34.3–70.6%) n=1,861 |
| Population 65+ | 23.1% | 19.4% (10.8–33.6%) n=32,553 | 16.1% (8.6–30.1%) n=1,886 |
| Median age | 41.6 yr | 42.2 yr (33.0–56.3) n=32,292 | 38.3 yr (30.9–52.3) n=1,866 |
| Median household income | $35,083 | $72,070 ($46,039–$118,707) n=30,318 | $69,983 ($46,006–$112,413) n=1,737 |
| Median home value | $132,600 | $222,200 ($100,300–$579,820) n=30,049 | $210,500 ($97,060–$429,760) n=1,693 |
| Median gross rent | $921 | $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 | 81.4 yr ± 2.29 | 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 2.29 years of 81.4, 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