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ZipVitals

ZIP code

92020

in El Cajon, CaliforniaPopulation 57,842

49.33/ 100

Ranked #17,195 of 32,066 US ZIPs (bottom 46%)

Ranked #1,115 of 1,719 California ZIPs (bottom 35%)

Ranked #99 of 106 San Diego-Chula Vista-Carlsbad, CA ZIPs (bottom 6.7%)

Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.

Robust across all 9 health domains

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.

Housing-cost burden

51.6%

in the top 2.6% nationally

Lower is healthier

ST92nd
US97th
Definition & source ›

The share of households spending 30% or more of their income on housing.

Full methodology ›

Outer-floodplain exposure

10.7%

in the top 3.6% nationally

Lower is healthier

ST90th
US96th
Definition & source ›

The share of this ZIP’s land area inside FEMA’s 0.2%-annual-chance flood band — the “500-year” zone, a lower but real 1-in-500 yearly chance.

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 ›

Crowded housing

11.5%

in the top 3.7% nationally

Lower is healthier

ST81st
US96th
Definition & source ›

The share of occupied homes with more than one person per room, the Census definition of crowded housing.

Full methodology ›

Tree cover

0.00%

at the national minimum

Higher is healthier

ST1st
US1st
Definition & source ›

The share of this ZIP’s land area covered by forest.

Full methodology ›

Homeownership rate

44.4%

in the bottom 6.6% nationally

Higher is healthier

ST20th
US7th
Definition & source ›

The share of occupied homes that are owned, rather than rented, by the people living in them.

Full methodology ›

Dental provider access

0.93 per 1,000 residents

in the top 8.0% nationally

Higher is healthier

ST82nd
US92nd
Definition & source ›

The number of dental offices 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 ›

Transportation noise

9.4%

in the top 9.4% nationally

Lower is healthier

ST72nd
US91st
Definition & 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 ›

Radon

0.8 pCi/L

in the bottom 7.8% nationally

Lower is healthier

ST15th
US8th
Definition & source ›

The modeled typical indoor radon level for this area, in picocuries per liter — the EPA recommends fixing a home at 4 pCi/L or above.

Modeled from indoor-radon measurements. In Alaska and Hawaii, where those measurements are not published, a US Geological Survey geologic radon-potential category stands in — a coarser input, disclosed rather than hidden.

Full methodology ›

The read

ZIP 92020, one of several in El Cajon, California, by its composite score, sits in the bottom 46% nationally (17,195th) and the bottom 35% of California (1,115th).

continue reading

The measures land in both directions, and neither dominates: dental providers resides in the top 8.0% nationally. Distance to a community health center is at the national minimum, shared with about 23% of ZIPs. Subsidized affordable housing lands in the top 11.6% nationally. Pulling the other way, housing-cost burden stands in the top 2.6% nationally, outer-floodplain exposure registers in the top 3.6% nationally, and crowded housing settles in the top 3.7% nationally. Modeled tree cover sits at the national minimum, homeownership lies in the bottom 6.6% nationally, and modeled transportation noise rests in the top 9.4% nationally. Modeled loneliness resides in the top 10.9% nationally.

Next to the surrounding area, outer-floodplain exposure runs far higher than the surrounding ZIPs on this measure. For anyone unfamiliar, outer-floodplain exposure is land with a lower but real 1-in-500 chance of flooding each year, nicknamed the "500-year floodplain". Transportation noise is the modeled share of an area exposed to average road, rail, and air noise at or above 55 decibels. Distance to a community health center is a federally funded (HRSA) community health center serving everyone regardless of ability to pay. For a healthier comparison close by, see ZIP 91941, 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. Compare it against the US, this state and the San Diego-Chula Vista-Carlsbad, CA metro area.

Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.

Compare within

Lifting this score

Chronic Disease Burden

healthier than 74%

21%

Climate / Disaster Risk

healthier than 83%

5%

Healthcare Access

healthier than 90%

5%

About typical

Environmental Hazard

healthier than 54%

14%

Risk Behavior

healthier than 52%

11%

Holding it back

Social Need / SDOH

healthier than 26%

16%

Preventive Care

healthier than 13%

13%

Mental Health

healthier than 21%

8%

Disability

healthier than 31%

7%

Lifting this score

Environmental Hazard

healthier than 76%

14%

Climate / Disaster Risk

healthier than 65%

5%

Healthcare Access

healthier than 80%

5%

Holding it back

Chronic Disease Burden

healthier than 40%

21%

Social Need / SDOH

healthier than 31%

16%

Preventive Care

healthier than 34%

13%

Risk Behavior

healthier than 29%

11%

Mental Health

healthier than 11%

8%

Disability

healthier than 29%

7%

Lifting this score

Healthcare Access

healthier than 82%

5%

About typical

Environmental Hazard

healthier than 45%

14%

Climate / Disaster Risk

healthier than 48%

5%

Holding it back

Chronic Disease Burden

healthier than 14%

21%

Social Need / SDOH

healthier than 14%

16%

Preventive Care

healthier than 23%

13%

Risk Behavior

healthier than 8%

11%

Mental Health

healthier than 5%

8%

Disability

healthier than 8%

7%

“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

2 of our published findings list 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.

  • Below what income predicts

    The ZIP codes that outlive their incomes

    Estimated life expectancy is 77.8 ± 1.0 years. A median household income of $76,032 predicts 79.0 years — 1.2 years below.

    Ranked #1,579 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.

  • Below its nearby ZIPs

    The ZIP codes that outlive their neighbors

    Estimated life expectancy is 77.8 ± 1.0 years. The 46 nearest ZIP codes with estimates average 80.8 years — 3.1 years below them.

    Ranked #2,419 of the 3,687 ZIP codes this finding names, ordered by years above the nearby-ZIP average, highest first.

Nearby & similar ZIPs

Editorially selected — see how this ZIP compares to nearby and similar places.

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
MeasureCrude prevalence95% CI
Arthritis among adults23.3%21.4–25.6
High blood pressure among adults32.6%30.2–35.3
Cancer (non-skin) or melanoma among adults7.6%7.0–8.3
Current asthma among adults10.3%9.2–11.5
Coronary heart disease among adults6.5%5.9–7.2
Chronic obstructive pulmonary disease among adults7.3%6.6–8.1
Depression among adults24.4%22.0–27.2
Diagnosed diabetes among adults11.7%10.5–13.1
High cholesterol among adults who have ever been screened34.7%32.2–37.6
Obesity among adults29.4%26.1–33.3
Stroke among adults3.7%3.4–4.0
All teeth lost among adults aged >=65 years13.9%11.6–16.4
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years10.9%9.6–12.4
Taking medicine to control high blood pressure among adults with high blood pressure68.8%66.0–71.7
Visits to doctor for routine checkup within the past year among adults72.4%69.8–75.3
Cholesterol screening among adults83.3%81.7–85.0
Colorectal cancer screening among adults aged 45–75 years60.6%56.5–64.4
Visited dentist or dental clinic in the past year among adults58.5%55.6–61.3
Mammography use among women aged 50-74 years74.3%68.1–79.8
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults16.2%14.2–18.6
Current cigarette smoking among adults14.7%13.1–16.6
No leisure-time physical activity among adults25.4%22.8–28.3
Short sleep duration among adults36.1%32.6–39.6
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults24.7%22.6–27.0
Frequent mental distress among adults19.6%17.8–21.5
Frequent physical distress among adults15.2%13.8–16.8
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults17.9%16.4–19.7
Any disability among adults33.3%30.6–36.3
Hearing disability among adults6.7%6.1–7.5
Independent living disability among adults10.6%9.6–11.7
Mobility disability among adults16.0%14.5–17.7
Self-care disability among adults5.0%4.7–5.5
Vision disability among adults6.9%6.3–7.4
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults29.5%26.8–32.4
Food insecurity in the past 12 months among adults22.0%19.9–24.4
Received food stamps in the past 12 months among adults23.7%21.5–26.1
Housing insecurity in the past 12 months among adults18.0%16.2–20.0
Lack of reliable transportation in the past 12 months among adults11.8%10.7–13.0
Loneliness among adults37.4%34.3–40.8
Utility services shut-off threat in the past 12 months among adults9.7%8.6–10.9
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)CA median (p10–p90)
Poverty rate15.8%10.6% (3.1–25.8%) n=32,36410.6% (4.1–24.9%) n=1,714
Uninsured 18–649.6%9.0% (1.5–24.3%) n=32,2867.7% (1.7–17.9%) n=1,704
No HS diploma (25+)14.3%7.9% (1.8–20.7%) n=32,5059.8% (1.4–30.9%) n=1,729
Bachelor's or higher (25+)27.0%23.3% (9.2–53.6%) n=32,50531.3% (9.9–68.2%) n=1,729
Unemployment rate (16+)8.9%3.9% (0.0–9.8%) n=32,2746.1% (0.8–12.0%) n=1,714
Households without a vehicle8.4%3.9% (0.0–12.5%) n=32,3224.5% (0.0–12.2%) n=1,708
Broadband subscription93.4%89.3% (75.1–97.1%) n=32,32293.4% (82.1–98.4%) n=1,708
Housing cost burden (≥30% income)51.6%23.7% (10.6–40.0%) n=32,32238.6% (24.4–50.5%) n=1,708
Homeownership rate44.4%78.7% (51.7–94.0%) n=32,32264.1% (31.9–86.4%) n=1,708
Crowded housing (>1 per room)11.5%1.3% (0.0–6.3%) n=32,3224.8% (0.0–15.9%) n=1,708
Foreign-born population26.1%2.6% (0.0–18.6%) n=32,55318.9% (3.0–40.4%) n=1,730
Single-parent households37.2%53.6% (37.3–74.1%) n=32,08748.4% (35.1–72.3%) n=1,692
Population 65+15.8%19.4% (10.8–33.6%) n=32,55317.0% (9.7–35.7%) n=1,730
Median age37.0 yr42.2 yr (33.0–56.3) n=32,29240.1 yr (31.8–57.0) n=1,712
Median household income$76,032$72,070 ($46,039–$118,707) n=30,318$93,448 ($54,188–$159,562) n=1,584
Median home value$813,100$222,200 ($100,300–$579,820) n=30,049$659,800 ($300,520–$1,493,340) n=1,593
Median gross rent$1,865$1,021 ($677–$1,912) n=25,670$1,912 ($1,113–$2,923) n=1,461
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)CA median (p10–p90)
Life expectancy at birth77.8 yr ± 0.5078.9 yr (74.7–82.8) n=31,30880.5 yr (76.7–83.8) n=1,665

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 0.50 years of 77.8, and it’s very unlikely to be off by more than twice that.

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