ZIP code
78377
in Refugio, TexasPopulation 3,421
39.08/ 100
Ranked #27,336 of 32,066 US ZIPs (bottom 14.8%)
Ranked #1,535 of 1,868 Texas ZIPs (bottom 18%)
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)
25.3%
in the top 2.2% nationally
Lower is healthier
ST80thUS98thDefinition & source ›
The estimated share of adults aged 18–64 with no current health-insurance coverage.
Full methodology ›Grocery access
0.56 per 1,000 residents
in the top 1.2% nationally
Higher is healthier
ST99thUS99thDefinition & source ›
The number of full supermarkets 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. ZipVitals’s food-access signal is derived from these in-ZIP densities — it is not USDA’s food-desert designation, which measures distance to the nearest supermarket. Where a leg is missing, a ZIP reads “not determinable,” never “not a food desert.”
Full methodology ›Humid extreme heat
159.5 days/year
in the top 2.8% nationally
Lower is healthier
ST92ndUS97thDefinition & 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 ›Transportation noise
18.9%
in the top 2.8% nationally
Lower is healthier
ST97thUS97thDefinition & source ›
The modeled share of residents exposed to average road, rail, and aviation noise at or above 55 decibels — a noticeable background presence.
Full methodology ›Fatal road crashes
52.6 per 100,000 residents per year
in the top 3.3% nationally
Lower is healthier
ST93rdUS97thDefinition & source ›
The annual rate of fatal road crashes per 100,000 residents, pooled over a ten-year window.
A rate per resident population. Where a ZIP has too few residents for the rate to be reliable — about 30% of US ZIPs — no value is published rather than an unstable one; those ZIPs are absent from this comparison, not counted as crash-free.
Full methodology ›Vision disability
9.6%
in the top 5.8% nationally
Lower is healthier
ST86thUS94thDefinition & source ›
The estimated share of adults who are blind or have serious difficulty seeing even with glasses.
Full methodology ›Walkability
1.3 intersections/sq mi
in the bottom 3.6% nationally
Higher is healthier
ST2ndUS4thDefinition & source ›
The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.
Full methodology ›Diabetes
19.2%
in the top 5.2% nationally
Lower is healthier
ST92ndUS95thDefinition & source ›
The estimated share of adults who have been diagnosed with diabetes.
Full methodology ›Fair or poor health
31.5%
in the top 5.9% nationally
Lower is healthier
ST88thUS94thDefinition & source ›
The estimated share of adults who rate their own general health as fair or poor.
Full methodology ›Colon-cancer screening
55.3%
in the bottom 5.2% nationally
Higher is healthier
ST18thUS5thDefinition & source ›
The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.
Full methodology ›The read
Refugio, Texas (ZIP 78377), by its composite score, sits in the bottom 14.8% nationally (27,336th) and the bottom 18% of Texas (1,535th).
The measures that define this area's challenges come through directly: modeled uninsured is in the top 2.2% nationally, and humid heat lands in the top 2.8% nationally. Modeled transportation noise stands in the top 2.8% nationally, and fatal road crashes registers in the top 3.3% nationally. Modeled vision disability settles in the top 5.8% nationally, walkability sits in the bottom 3.6% nationally, and modeled diabetes lies in the top 5.2% nationally. Modeled fair or poor health rests in the top 5.9% nationally, and colon screening resides in the bottom 5.2% nationally. On the stronger side, grocery is in the top 1.2% nationally.
Next to the surrounding area, grocery 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. Transportation noise is the modeled share of an area exposed to average road, rail, and air noise at or above 55 decibels. For a healthier comparison close by, see ZIP 77950, 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 75%
14%
About typical
Social Need / SDOH
healthier than 53%
16%
Mental Health
healthier than 54%
8%
Holding it back
Chronic Disease Burden
healthier than 23%
21%
Preventive Care
healthier than 7%
13%
Risk Behavior
healthier than 14%
11%
Disability
healthier than 9%
7%
Climate / Disaster Risk
healthier than 12%
5%
Healthcare Access
healthier than 22%
5%
Lifting this score
Climate / Disaster Risk
healthier than 64%
5%
About typical
Social Need / SDOH
healthier than 51%
16%
Environmental Hazard
healthier than 57%
14%
Mental Health
healthier than 57%
8%
Holding it back
Chronic Disease Burden
healthier than 11%
21%
Preventive Care
healthier than 26%
13%
Risk Behavior
healthier than 21%
11%
Disability
healthier than 10%
7%
Healthcare Access
healthier than 23%
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 75.0; chronic-disease standing 23.0 — 52 points apart, cleaner on the environment than it is on chronic illness.
Ranked #2,337 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.
Nearby
77950
Texasshares a border
Score 42.41
Closest healthier
77963
Texasshares a border
Score 46.85
Similar health profile
79343
Texas98% similar profile
Score 38.95
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 | 29.2% | 25.8–32.6 |
| High blood pressure among adults | 42.7% | 38.2–47.1 |
| Cancer (non-skin) or melanoma among adults | 7.6% | 6.8–8.3 |
| Current asthma among adults | 10.0% | 8.8–11.2 |
| Coronary heart disease among adults | 9.1% | 8.1–10.1 |
| Chronic obstructive pulmonary disease among adults | 9.1% | 8.0–10.3 |
| Depression among adults | 21.3% | 17.9–24.7 |
| Diagnosed diabetes among adults | 19.2% | 16.8–21.6 |
| High cholesterol among adults who have ever been screened | 40.6% | 35.9–45.2 |
| Obesity among adults | 41.9% | 33.1–50.9 |
| Stroke among adults | 5.0% | 4.6–5.5 |
| All teeth lost among adults aged >=65 years | 19.0% | 15.7–22.8 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 25.3% | 21.7–29.4 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 79.7% | 77.0–82.1 |
| Visits to doctor for routine checkup within the past year among adults | 75.9% | 72.0–79.6 |
| Cholesterol screening among adults | 84.9% | 83.0–86.8 |
| Colorectal cancer screening among adults aged 45–75 years | 55.3% | 49.8–60.6 |
| Visited dentist or dental clinic in the past year among adults | 46.2% | 42.3–50.1 |
| Mammography use among women aged 50-74 years | 69.8% | 65.5–73.8 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.2% | 11.6–17.2 |
| Current cigarette smoking among adults | 16.3% | 13.9–18.8 |
| No leisure-time physical activity among adults | 38.4% | 32.7–43.9 |
| Short sleep duration among adults | 40.5% | 33.1–48.1 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 31.5% | 27.7–35.2 |
| Frequent mental distress among adults | 17.6% | 15.6–19.7 |
| Frequent physical distress among adults | 18.0% | 15.8–20.2 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 18.0% | 15.8–20.1 |
| Any disability among adults | 41.2% | 36.0–46.0 |
| Hearing disability among adults | 9.8% | 8.7–10.8 |
| Independent living disability among adults | 11.5% | 10.1–12.9 |
| Mobility disability among adults | 22.6% | 19.8–25.3 |
| Self-care disability among adults | 6.6% | 5.9–7.3 |
| Vision disability among adults | 9.6% | 8.6–10.6 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | TX median (p10–p90) |
|---|---|---|---|
| Poverty rate | 22.2% | 10.6% (3.1–25.8%) n=32,364 | 12.4% (3.5–26.4%) n=1,869 |
| Uninsured 18–64 | 23.7% | 9.0% (1.5–24.3%) n=32,286 | 22.3% (8.2–41.5%) n=1,862 |
| No HS diploma (25+) | 16.0% | 7.9% (1.8–20.7%) n=32,505 | 12.2% (2.5–30.0%) n=1,881 |
| Bachelor's or higher (25+) | 10.8% | 23.3% (9.2–53.6%) n=32,505 | 21.9% (9.0–51.4%) n=1,881 |
| Unemployment rate (16+) | 2.5% | 3.9% (0.0–9.8%) n=32,274 | 4.2% (0.0–9.4%) n=1,865 |
| Households without a vehicle | 16.4% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.8%) n=1,868 |
| Broadband subscription | 86.5% | 89.3% (75.1–97.1%) n=32,322 | 89.2% (75.0–97.3%) n=1,868 |
| Housing cost burden (≥30% income) | 36.8% | 23.7% (10.6–40.0%) n=32,322 | 26.2% (8.8–40.3%) n=1,868 |
| Homeownership rate | 67.7% | 78.7% (51.7–94.0%) n=32,322 | 75.0% (46.4–92.3%) n=1,868 |
| Crowded housing (>1 per room) | 1.6% | 1.3% (0.0–6.3%) n=32,322 | 3.1% (0.0–9.0%) n=1,868 |
| Foreign-born population | 3.8% | 2.6% (0.0–18.6%) n=32,553 | 8.1% (0.1–26.4%) n=1,886 |
| Single-parent households | 45.7% | 53.6% (37.3–74.1%) n=32,087 | 48.5% (34.3–70.6%) n=1,861 |
| Population 65+ | 22.0% | 19.4% (10.8–33.6%) n=32,553 | 16.1% (8.6–30.1%) n=1,886 |
| Median age | 41.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 38.3 yr (30.9–52.3) n=1,866 |
| Median household income | $49,974 | $72,070 ($46,039–$118,707) n=30,318 | $69,983 ($46,006–$112,413) n=1,737 |
| Median home value | $97,000 | $222,200 ($100,300–$579,820) n=30,049 | $210,500 ($97,060–$429,760) n=1,693 |
| Median gross rent | $755 | $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 | 75.6 yr ± 0.94 | 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 0.94 years of 75.6, 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