ZIP code
78590
in San Perlita, TexasPopulation 428
40.80/ 100
Ranked #26,188 of 32,066 US ZIPs (bottom 18%)
Ranked #1,395 of 1,868 Texas ZIPs (bottom 25%)
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)
38.8%
in the top 0.3% nationally
Lower is healthier
ST96thUS99thDefinition & source ›
The estimated share of adults aged 18–64 with no current health-insurance coverage.
Full methodology ›Vision disability
11.8%
in the top 2.3% nationally
Lower is healthier
ST93rdUS98thDefinition & source ›
The estimated share of adults who are blind or have serious difficulty seeing even with glasses.
Full methodology ›Fair or poor health
35.3%
in the top 2.5% nationally
Lower is healthier
ST94thUS98thDefinition & source ›
The estimated share of adults who rate their own general health as fair or poor.
Full methodology ›Colon-cancer screening
52.4%
in the bottom 3.1% nationally
Higher is healthier
ST10thUS3rdDefinition & source ›
The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.
Full methodology ›Humid extreme heat
181.2 days/year
in the top 1.7% nationally
Lower is healthier
ST97thUS98thDefinition & 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
0.00%
at the national minimum
Lower is healthier
ST1stUS1stDefinition & 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 ›Homeownership rate
100%
at the national maximum
Higher is healthier
ST99thUS99thDefinition & source ›
The share of occupied homes that are owned, rather than rented, by the people living in them.
Full methodology ›Diabetes
19.9%
in the top 3.9% nationally
Lower is healthier
ST94thUS96thDefinition & source ›
The estimated share of adults who have been diagnosed with diabetes.
Full methodology ›Fiber broadband
99.7%
in the top 2.9% nationally
Higher is healthier
ST99thUS97thDefinition & source ›
The share of homes where fiber-optic internet service is available.
Full methodology ›Industrial-pollution burden
in the bottom 3.7% nationally
Lower is healthier
ST4thUS4thDefinition & 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 ›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 health measure, San Perlita, Texas (ZIP 78590) ranks in the bottom 18% nationally (26,188th) and the bottom 25% of Texas (1,395th).
A number of measures mark where this area is under strain: modeled uninsured lands in the top 0.3% nationally, and vision disability sits in the top 2.3% nationally. Modeled fair or poor health is in the top 2.5% nationally, and colon screening settles in the bottom 3.1% nationally. Modeled humid heat resides in the top 1.7% nationally, and diabetes registers in the top 3.9% nationally. On the brighter side, modeled transportation noise rests at the national minimum, homeownership stands at the national maximum, and fiber broadband lies in the top 2.9% nationally. Modeled industrial-pollution burden lands in the bottom 3.7% nationally.
Read against the ZIPs closest to it, outer-floodplain exposure runs far lower than the surrounding ZIPs on this measure. To spell things out, industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. 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. Close by, ZIP 78550, about 12 miles away, 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
Environmental Hazard
healthier than 99%
14%
Mental Health
healthier than 82%
8%
About typical
Chronic Disease Burden
healthier than 56%
21%
Holding it back
Social Need / SDOH
healthier than 30%
16%
Preventive Care
healthier than 2%
13%
Risk Behavior
healthier than 11%
11%
Disability
healthier than 7%
7%
Climate / Disaster Risk
healthier than 3%
5%
Healthcare Access
healthier than 15%
5%
Lifting this score
Environmental Hazard
in the top 0.8%
14%
Mental Health
healthier than 89%
8%
About typical
Chronic Disease Burden
healthier than 44%
21%
Holding it back
Social Need / SDOH
healthier than 22%
16%
Preventive Care
healthier than 7%
13%
Risk Behavior
healthier than 16%
11%
Disability
healthier than 8%
7%
Climate / Disaster Risk
healthier than 10%
5%
Healthcare Access
healthier than 17%
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
78580
Texasshares a border
Score 33.82
Closest healthier
78550
Texasabout 12 mi away
Score 44.28
Similar health profile
78877
Texas99% similar profile
Score 40.94
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 | 23.0% | 20.1–26.3 |
| High blood pressure among adults | 37.1% | 32.9–41.8 |
| Cancer (non-skin) or melanoma among adults | 4.9% | 4.4–5.5 |
| Current asthma among adults | 8.5% | 7.4–9.7 |
| Coronary heart disease among adults | 7.9% | 6.8–9.1 |
| Chronic obstructive pulmonary disease among adults | 6.2% | 5.0–7.5 |
| Depression among adults | 18.0% | 15.0–21.4 |
| Diagnosed diabetes among adults | 19.9% | 17.2–22.6 |
| High cholesterol among adults who have ever been screened | 38.4% | 34.0–43.2 |
| Obesity among adults | 41.9% | 33.4–51.2 |
| Stroke among adults | 4.1% | 3.6–4.8 |
| All teeth lost among adults aged >=65 years | 17.1% | 14.8–19.4 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 38.8% | 31.0–46.7 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 76.0% | 73.2–78.7 |
| Visits to doctor for routine checkup within the past year among adults | 71.9% | 67.7–76.0 |
| Cholesterol screening among adults | 81.8% | 78.7–84.9 |
| Colorectal cancer screening among adults aged 45–75 years | 52.4% | 48.9–55.8 |
| Visited dentist or dental clinic in the past year among adults | 35.7% | 33.3–38.0 |
| Mammography use among women aged 50-74 years | 67.1% | 61.1–72.2 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.8% | 12.0–17.8 |
| Current cigarette smoking among adults | 13.8% | 10.7–16.9 |
| No leisure-time physical activity among adults | 42.4% | 35.5–49.8 |
| Short sleep duration among adults | 40.7% | 37.4–44.1 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 35.3% | 29.6–41.0 |
| Frequent mental distress among adults | 16.4% | 14.0–19.0 |
| Frequent physical distress among adults | 18.0% | 15.2–20.8 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 19.0% | 15.6–22.5 |
| Any disability among adults | 41.4% | 35.3–47.7 |
| Hearing disability among adults | 9.0% | 7.8–10.3 |
| Independent living disability among adults | 10.9% | 8.9–12.9 |
| Mobility disability among adults | 21.6% | 18.0–25.3 |
| Self-care disability among adults | 6.9% | 5.6–8.1 |
| Vision disability among adults | 11.8% | 9.8–13.8 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | TX median (p10–p90) |
|---|---|---|---|
| Poverty rate | 20.6% | 10.6% (3.1–25.8%) n=32,364 | 12.4% (3.5–26.4%) n=1,869 |
| Uninsured 18–64 | 21.6% | 9.0% (1.5–24.3%) n=32,286 | 22.3% (8.2–41.5%) n=1,862 |
| No HS diploma (25+) | 22.8% | 7.9% (1.8–20.7%) n=32,505 | 12.2% (2.5–30.0%) n=1,881 |
| Bachelor's or higher (25+) | 12.7% | 23.3% (9.2–53.6%) n=32,505 | 21.9% (9.0–51.4%) n=1,881 |
| Unemployment rate (16+) | 0.0% | 3.9% (0.0–9.8%) n=32,274 | 4.2% (0.0–9.4%) n=1,865 |
| Households without a vehicle | 0.0% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.8%) n=1,868 |
| Broadband subscription | 93.8% | 89.3% (75.1–97.1%) n=32,322 | 89.2% (75.0–97.3%) n=1,868 |
| Housing cost burden (≥30% income) | 7.2% | 23.7% (10.6–40.0%) n=32,322 | 26.2% (8.8–40.3%) n=1,868 |
| Homeownership rate | 100.0% | 78.7% (51.7–94.0%) n=32,322 | 75.0% (46.4–92.3%) n=1,868 |
| Crowded housing (>1 per room) | 5.2% | 1.3% (0.0–6.3%) n=32,322 | 3.1% (0.0–9.0%) n=1,868 |
| Foreign-born population | 15.0% | 2.6% (0.0–18.6%) n=32,553 | 8.1% (0.1–26.4%) n=1,886 |
| Single-parent households | 55.7% | 53.6% (37.3–74.1%) n=32,087 | 48.5% (34.3–70.6%) n=1,861 |
| Population 65+ | 8.9% | 19.4% (10.8–33.6%) n=32,553 | 16.1% (8.6–30.1%) n=1,886 |
| Median age | 30.4 yr | 42.2 yr (33.0–56.3) n=32,292 | 38.3 yr (30.9–52.3) n=1,866 |
| Median household income | $82,292 | $72,070 ($46,039–$118,707) n=30,318 | $69,983 ($46,006–$112,413) n=1,737 |
| Median home value | $57,400 | $222,200 ($100,300–$579,820) n=30,049 | $210,500 ($97,060–$429,760) n=1,693 |
| Median gross rent | — | $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 | 77.2 yr ± 0.84 | 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 0.84 years of 77.2, 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