ZIP code
93531
in Keene, CaliforniaPopulation 515
59.29/ 100
Ranked #5,377 of 32,066 US ZIPs (top 17%)
Ranked #545 of 1,719 California ZIPs (top 32%)
Ranked #1 of 48 Bakersfield-Delano, CA ZIPs (top 2.1%)
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.
Pharmacy access
1.9 per 1,000 residents
in the top 0.2% nationally
Higher is healthier
ST99thUS99thDefinition & source ›
The number of pharmacies 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 ›Median household income
$164,318
in the top 2.6% nationally
Higher is healthier
ST91stUS97thDefinition & source ›
The middle household income in this ZIP — half of households earn more, half earn less — in dollars per year.
Full methodology ›Civic-institution access
1.9 per 1,000 residents
in the top 1.2% nationally
Higher is healthier
ST97thUS99thDefinition & source ›
The number of civic and social organizations 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 ›Housing-cost burden
0.00%
at the national minimum
Lower is healthier
ST1stUS1stDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Poverty rate
0.00%
at the national minimum
Lower is healthier
ST1stUS1stDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
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 ›Slow internet speeds
4.4%
in the top 2.8% nationally
Lower is healthier
ST94thUS97thDefinition & source ›
The share of homes whose fastest available download speed is under 10 Mbps.
Full methodology ›Distance to an emergency room
19.3 mi
in the top 6.0% nationally
Lower is healthier
ST95thUS94thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›PFOA in drinking water
92.1%
in the top 7.8% nationally
Lower is healthier
ST92ndUS92ndDefinition & source ›
The share of residents served by public water systems where PFOA, one of the man-made “forever chemicals,” was 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 ›Floodplain exposure
0.30%
in the bottom 8.7% nationally
Lower is healthier
ST20thUS9thDefinition & source ›
The share of this ZIP’s land area inside FEMA’s 1%-annual-chance floodplain — the “100-year” flood zone, where flooding has about a 1-in-100 chance in any given year.
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 ›The read
Overall, Keene, California (ZIP 93531) lands in the top 17% healthiest ZIPs nationally (5,377th) and the top 32% of California (545th).
A number of measures pull each way for this area: pharmacy rests in the top 0.2% nationally, and household income stands in the top 2.6% nationally. Civic lies in the top 1.2% nationally, and housing-cost burden lands at the national minimum. Poverty sits at the national minimum, and homeownership is at the national maximum. Households without a vehicle settles at the national minimum, shared with about 16% of ZIPs. Set against that, slow internet speeds resides in the top 2.8% nationally, distance to an emergency room registers in the top 6.0% nationally, and PFOA in drinking water rests in the top 7.8% nationally.
Set beside the nearby areas, pharmacy runs far higher than the surrounding ZIPs on this measure. A note on the terms: PFOA in drinking water is one of the man-made "forever chemicals" that build up in the body and environment instead of breaking down. For a healthier nearby comparison, ZIP 91390, about 37 miles away, ranks better 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. Compare it against the US, this state and the Bakersfield-Delano, CA metro area.
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%
Social Need / SDOH
healthier than 93%
16%
Preventive Care
healthier than 78%
13%
Risk Behavior
healthier than 83%
11%
Mental Health
healthier than 66%
8%
Disability
healthier than 74%
7%
Climate / Disaster Risk
healthier than 78%
5%
Holding it back
Environmental Hazard
healthier than 28%
14%
Healthcare Access
healthier than 16%
5%
Lifting this score
Social Need / SDOH
healthier than 89%
16%
Preventive Care
healthier than 89%
13%
Risk Behavior
healthier than 66%
11%
Mental Health
healthier than 62%
8%
Disability
healthier than 69%
7%
About typical
Environmental Hazard
healthier than 60%
14%
Climate / Disaster Risk
healthier than 57%
5%
Holding it back
Chronic Disease Burden
healthier than 34%
21%
Healthcare Access
healthier than 10%
5%
Lifting this score
Chronic Disease Burden
healthier than 63%
21%
Social Need / SDOH
in the top 0.00%
16%
Preventive Care
healthier than 98%
13%
Risk Behavior
in the top 0.00%
11%
Mental Health
in the top 0.00%
8%
Disability
healthier than 91%
7%
Climate / Disaster Risk
healthier than 91%
5%
About typical
Environmental Hazard
healthier than 54%
14%
Holding it back
Healthcare Access
healthier than 26%
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
93518
Californiashares a border
Score 44.70
Closest healthier
91390
Californiaabout 37 mi away
Score 62.35
Similar health profile
59633
Montana98% similar profile
Score 60.30
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 | 27.8% | 24.7–30.9 |
| High blood pressure among adults | 35.5% | 31.8–39.2 |
| Cancer (non-skin) or melanoma among adults | 10.7% | 9.7–11.9 |
| Current asthma among adults | 10.2% | 9.0–11.4 |
| Coronary heart disease among adults | 6.9% | 6.1–7.8 |
| Chronic obstructive pulmonary disease among adults | 6.2% | 5.2–7.2 |
| Depression among adults | 22.5% | 19.4–25.7 |
| Diagnosed diabetes among adults | 11.3% | 9.7–12.9 |
| High cholesterol among adults who have ever been screened | 38.2% | 34.4–42.2 |
| Obesity among adults | 30.0% | 25.0–35.4 |
| Stroke among adults | 3.5% | 3.1–3.9 |
| All teeth lost among adults aged >=65 years | 6.4% | 5.1–7.9 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 5.9% | 4.7–7.3 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 75.5% | 72.0–78.6 |
| Visits to doctor for routine checkup within the past year among adults | 77.4% | 74.3–80.5 |
| Cholesterol screening among adults | 90.4% | 88.9–91.8 |
| Colorectal cancer screening among adults aged 45–75 years | 68.0% | 63.3–72.5 |
| Visited dentist or dental clinic in the past year among adults | 70.3% | 67.2–73.3 |
| Mammography use among women aged 50-74 years | 78.3% | 71.8–84.1 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.6% | 13.9–19.5 |
| Current cigarette smoking among adults | 10.3% | 8.3–12.5 |
| No leisure-time physical activity among adults | 20.2% | 16.8–23.9 |
| Short sleep duration among adults | 33.2% | 28.5–38.3 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 17.5% | 15.0–20.3 |
| Frequent mental distress among adults | 15.4% | 13.5–17.4 |
| Frequent physical distress among adults | 13.2% | 11.5–15.0 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 12.1% | 10.5–13.9 |
| Any disability among adults | 29.5% | 25.7–33.5 |
| Hearing disability among adults | 7.0% | 6.2–7.9 |
| Independent living disability among adults | 6.9% | 5.9–7.9 |
| Mobility disability among adults | 14.3% | 12.2–16.5 |
| Self-care disability among adults | 3.4% | 2.9–3.9 |
| Vision disability among adults | 4.2% | 3.7–4.7 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 22.6% | 19.4–26.0 |
| Food insecurity in the past 12 months among adults | 9.5% | 7.7–11.6 |
| Received food stamps in the past 12 months among adults | 9.0% | 7.2–10.9 |
| Housing insecurity in the past 12 months among adults | 8.7% | 7.2–10.3 |
| Lack of reliable transportation in the past 12 months among adults | 5.8% | 4.9–6.7 |
| Loneliness among adults | 30.6% | 26.5–34.9 |
| Utility services shut-off threat in the past 12 months among adults | 4.8% | 4.0–5.6 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | CA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 0.0% | 10.6% (3.1–25.8%) n=32,364 | 10.6% (4.1–24.9%) n=1,714 |
| Uninsured 18–64 | 0.0% | 9.0% (1.5–24.3%) n=32,286 | 7.7% (1.7–17.9%) n=1,704 |
| No HS diploma (25+) | 1.7% | 7.9% (1.8–20.7%) n=32,505 | 9.8% (1.4–30.9%) n=1,729 |
| Bachelor's or higher (25+) | 41.3% | 23.3% (9.2–53.6%) n=32,505 | 31.3% (9.9–68.2%) n=1,729 |
| Unemployment rate (16+) | 2.3% | 3.9% (0.0–9.8%) n=32,274 | 6.1% (0.8–12.0%) n=1,714 |
| Households without a vehicle | 0.0% | 3.9% (0.0–12.5%) n=32,322 | 4.5% (0.0–12.2%) n=1,708 |
| Broadband subscription | 86.7% | 89.3% (75.1–97.1%) n=32,322 | 93.4% (82.1–98.4%) n=1,708 |
| Housing cost burden (≥30% income) | 0.0% | 23.7% (10.6–40.0%) n=32,322 | 38.6% (24.4–50.5%) n=1,708 |
| Homeownership rate | 100.0% | 78.7% (51.7–94.0%) n=32,322 | 64.1% (31.9–86.4%) n=1,708 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 4.8% (0.0–15.9%) n=1,708 |
| Foreign-born population | 5.6% | 2.6% (0.0–18.6%) n=32,553 | 18.9% (3.0–40.4%) n=1,730 |
| Single-parent households | 93.4% | 53.6% (37.3–74.1%) n=32,087 | 48.4% (35.1–72.3%) n=1,692 |
| Population 65+ | 34.4% | 19.4% (10.8–33.6%) n=32,553 | 17.0% (9.7–35.7%) n=1,730 |
| Median age | 59.4 yr | 42.2 yr (33.0–56.3) n=32,292 | 40.1 yr (31.8–57.0) n=1,712 |
| Median household income | $164,318 | $72,070 ($46,039–$118,707) n=30,318 | $93,448 ($54,188–$159,562) n=1,584 |
| Median home value | $518,500 | $222,200 ($100,300–$579,820) n=30,049 | $659,800 ($300,520–$1,493,340) n=1,593 |
| Median gross rent | — | $1,021 ($677–$1,912) n=25,670 | $1,912 ($1,113–$2,923) n=1,461 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | CA median (p10–p90) |
|---|---|---|---|
| Life expectancy unavailable for this ZIP — fewer than 80% of the census tracts that make it up could be matched across the 2010→2020 tract-boundary revision, so no value is published rather than an unreliable one. See how coverage gaps are handled. | |||
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