ZIP code
78589
in San Juan, TexasPopulation 40,231
37.71/ 100
Ranked #28,188 of 32,066 US ZIPs (bottom 12.1%)
Ranked #1,620 of 1,868 Texas ZIPs (bottom 13.3%)
Ranked #14 of 27 McAllen-Edinburg-Mission, TX ZIPs (bottom 48%)
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)
40.2%
in the top 0.2% nationally
Lower is healthier
ST97thUS99thDefinition & source ›
The estimated share of adults aged 18–64 with no current health-insurance coverage.
Full methodology ›Vision disability
12.4%
in the top 1.8% nationally
Lower is healthier
ST95thUS98thDefinition & source ›
The estimated share of adults who are blind or have serious difficulty seeing even with glasses.
Full methodology ›Colon-cancer screening
50%
in the bottom 2.0% nationally
Higher is healthier
ST6thUS2ndDefinition & source ›
The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.
Full methodology ›Fair or poor health
36%
in the top 2.1% nationally
Lower is healthier
ST95thUS98thDefinition & source ›
The estimated share of adults who rate their own general health as fair or poor.
Full methodology ›Humid extreme heat
188.9 days/year
in the top 1.1% nationally
Lower is healthier
ST99thUS99thDefinition & 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
108.8 days/year
in the top 1.2% nationally
Lower is healthier
ST96thUS99thDefinition & source ›
The average number of days per year with a modeled daily high of at least 95 °F.
Full methodology ›Self-care disability
7.1%
in the top 5.4% nationally
Lower is healthier
ST92ndUS95thDefinition & source ›
The estimated share of adults with difficulty dressing or bathing.
Full methodology ›Crowded housing
9.9%
in the top 4.7% nationally
Lower is healthier
ST92ndUS95thDefinition & source ›
The share of occupied homes with more than one person per room, the Census definition of crowded housing.
Full methodology ›PFAS in drinking water
100%
at the national maximum
Lower is healthier
ST99thUS99thDefinition & source ›
The share of residents served by public water systems where PFAS — man-made “forever chemicals” that build up in the body and environment instead of breaking down — were detected in EPA testing.
Measured from EPA records for the public water systems that serve this ZIP. Households on private wells — roughly 30% of the US population — are not covered by this measure, and this figure says nothing about their water.
Full methodology ›Expected annual disaster loss
$0
in the top 5.5% nationally
Lower is healthier
ST89thUS95thDefinition & 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 ›The read
San Juan, Texas (ZIP 78589), by its composite score, sits in the bottom 12.1% nationally (28,188th) and the bottom 13.3% of Texas (1,620th), based on limited data; treat as directional.
The measures that matter most for this area lead the way: modeled uninsured lies in the top 0.2% nationally, and vision disability rests in the top 1.8% nationally. Modeled colon screening resides in the bottom 2.0% nationally, and fair or poor health is in the top 2.1% nationally. Modeled humid heat lands in the top 1.1% nationally, extreme heat stands in the top 1.2% nationally, and self-care disability registers in the top 5.4% nationally. Crowded housing settles in the top 4.7% nationally, PFAS in drinking water sits at the national maximum, and modeled expected annual loss lies in the top 5.5% nationally.
For anyone unfamiliar, PFAS in drinking water is the family of man-made "forever chemicals" that build up in the body and environment instead of breaking down. Expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. Humid heat is a modeled heat-stress measure combining temperature, humidity, sun, and wind to gauge heat on the body outdoors. For a healthier comparison close by, see ZIP 78577, 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
Chronic Disease Burden
healthier than 68%
21%
Environmental Hazard
healthier than 69%
14%
Healthcare Access
healthier than 87%
5%
About typical
Mental Health
healthier than 51%
8%
Holding it back
Social Need / SDOH
healthier than 27%
16%
Preventive Care
healthier than 2%
13%
Risk Behavior
healthier than 10%
11%
Disability
healthier than 6%
7%
Climate / Disaster RiskPartial
in the bottom 0.01%
5%
Lifting this score
Healthcare Access
healthier than 87%
5%
About typical
Chronic Disease Burden
healthier than 57%
21%
Environmental Hazard
healthier than 50%
14%
Mental Health
healthier than 52%
8%
Holding it back
Social Need / SDOH
healthier than 18%
16%
Preventive Care
healthier than 6%
13%
Risk Behavior
healthier than 13%
11%
Disability
healthier than 7%
7%
Climate / Disaster RiskPartial
in the bottom 0.03%
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.
Above what income predicts
The ZIP codes that outlive their incomes
Estimated life expectancy is 80.1 ± 1.3 years. A median household income of $54,285 predicts 77.7 years — 2.4 years above.
Ranked #684 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
78516
Texasshares a border
Score 36.34
Closest healthier
78577
Texasshares a border
Score 38.92
Similar health profile
78061
Texas99% similar profile
Score 39.40
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 | 20.2% | 18.3–22.3 |
| High blood pressure among adults | 33.5% | 30.8–36.4 |
| Cancer (non-skin) or melanoma among adults | 4.0% | 3.7–4.4 |
| Current asthma among adults | 8.9% | 7.9–9.9 |
| Coronary heart disease among adults | 6.6% | 6.0–7.2 |
| Chronic obstructive pulmonary disease among adults | 6.0% | 5.4–6.7 |
| Depression among adults | 20.3% | 17.9–22.9 |
| Diagnosed diabetes among adults | 18.3% | 16.5–20.0 |
| High cholesterol among adults who have ever been screened | 35.6% | 32.7–38.6 |
| Obesity among adults | 45.2% | 40.7–49.8 |
| Stroke among adults | 3.7% | 3.4–4.0 |
| All teeth lost among adults aged >=65 years | 17.6% | 14.9–20.6 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 40.2% | 36.8–43.3 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 73.6% | 71.0–76.0 |
| Visits to doctor for routine checkup within the past year among adults | 71.2% | 68.1–74.2 |
| Cholesterol screening among adults | 79.7% | 77.6–81.6 |
| Colorectal cancer screening among adults aged 45–75 years | 50.0% | 45.6–54.3 |
| Visited dentist or dental clinic in the past year among adults | 41.9% | 38.9–45.1 |
| Mammography use among women aged 50-74 years | 69.0% | 62.3–75.1 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.5% | 14.2–18.9 |
| Current cigarette smoking among adults | 14.1% | 12.5–16.0 |
| No leisure-time physical activity among adults | 39.8% | 36.0–43.5 |
| Short sleep duration among adults | 40.2% | 36.0–44.5 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 36.0% | 33.1–39.1 |
| Frequent mental distress among adults | 18.7% | 16.9–20.6 |
| Frequent physical distress among adults | 17.6% | 15.9–19.3 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 20.8% | 18.9–22.9 |
| Any disability among adults | 40.9% | 37.5–44.4 |
| Hearing disability among adults | 7.9% | 7.1–8.7 |
| Independent living disability among adults | 12.2% | 11.1–13.4 |
| Mobility disability among adults | 20.5% | 18.6–22.4 |
| Self-care disability among adults | 7.1% | 6.6–7.7 |
| Vision disability among adults | 12.4% | 11.4–13.4 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | TX median (p10–p90) |
|---|---|---|---|
| Poverty rate | 24.3% | 10.6% (3.1–25.8%) n=32,364 | 12.4% (3.5–26.4%) n=1,869 |
| Uninsured 18–64 | 41.5% | 9.0% (1.5–24.3%) n=32,286 | 22.3% (8.2–41.5%) n=1,862 |
| No HS diploma (25+) | 37.4% | 7.9% (1.8–20.7%) n=32,505 | 12.2% (2.5–30.0%) n=1,881 |
| Bachelor's or higher (25+) | 13.8% | 23.3% (9.2–53.6%) n=32,505 | 21.9% (9.0–51.4%) n=1,881 |
| Unemployment rate (16+) | 7.1% | 3.9% (0.0–9.8%) n=32,274 | 4.2% (0.0–9.4%) n=1,865 |
| Households without a vehicle | 4.4% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.8%) n=1,868 |
| Broadband subscription | 89.6% | 89.3% (75.1–97.1%) n=32,322 | 89.2% (75.0–97.3%) n=1,868 |
| Housing cost burden (≥30% income) | 26.5% | 23.7% (10.6–40.0%) n=32,322 | 26.2% (8.8–40.3%) n=1,868 |
| Homeownership rate | 79.3% | 78.7% (51.7–94.0%) n=32,322 | 75.0% (46.4–92.3%) n=1,868 |
| Crowded housing (>1 per room) | 9.9% | 1.3% (0.0–6.3%) n=32,322 | 3.1% (0.0–9.0%) n=1,868 |
| Foreign-born population | 26.7% | 2.6% (0.0–18.6%) n=32,553 | 8.1% (0.1–26.4%) n=1,886 |
| Single-parent households | 40.2% | 53.6% (37.3–74.1%) n=32,087 | 48.5% (34.3–70.6%) n=1,861 |
| Population 65+ | 12.5% | 19.4% (10.8–33.6%) n=32,553 | 16.1% (8.6–30.1%) n=1,886 |
| Median age | 31.2 yr | 42.2 yr (33.0–56.3) n=32,292 | 38.3 yr (30.9–52.3) n=1,866 |
| Median household income | $54,285 | $72,070 ($46,039–$118,707) n=30,318 | $69,983 ($46,006–$112,413) n=1,737 |
| Median home value | $120,400 | $222,200 ($100,300–$579,820) n=30,049 | $210,500 ($97,060–$429,760) n=1,693 |
| Median gross rent | $937 | $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 | 80.1 yr ± 0.68 | 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 0.68 years of 80.1, 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