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ZipVitals

ZIP code

95621

in Citrus Heights, CaliforniaPopulation 42,442

49.16/ 100

Ranked #17,425 of 32,066 US ZIPs (bottom 46%)

Ranked #1,127 of 1,719 California ZIPs (bottom 34%)

Ranked #92 of 122 Sacramento-Roseville-Folsom, CA ZIPs (bottom 25%)

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.

Air-toxics cancer risk

51.5 per million

in the top 0.6% nationally

Lower is healthier

ST98th
US99th
Definition & source ›

The EPA’s modeled estimate of added lifetime cancer risk from breathing outdoor air toxics, in cases per million people exposed over a lifetime.

Full methodology ›

Fine-particle (PM2.5) exceedance

2.3%

in the top 3.7% nationally

Lower is healthier

ST69th
US96th
Definition & source ›

The share of days in the year when modeled fine-particle (PM2.5) pollution was above the EPA’s daily limit of 35 micrograms per cubic meter.

Full methodology ›

Dry extreme heat

85.7 days/year

in the top 4.1% nationally

Lower is healthier

ST86th
US96th
Definition & source ›

The average number of days per year with a modeled daily high of at least 95 °F.

Full methodology ›

Walkability

170 intersections/sq mi

in the top 4.1% nationally

Higher is healthier

ST90th
US96th
Definition & source ›

The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.

Full methodology ›

Loud transportation noise

2.9%

in the top 4.1% nationally

Lower is healthier

ST75th
US96th
Definition & source ›

The modeled share of residents exposed to average road, rail, and aviation noise at or above 65 decibels — around the volume of normal conversation.

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 ›

Loneliness

38.5%

in the top 7.3% nationally

Lower is healthier

ST73rd
US93rd
Definition & source ›

The estimated share of adults who report feeling lonely.

Full methodology ›

Housing-cost burden

40.1%

in the top 10.0% nationally

Lower is healthier

ST59th
US90th
Definition & source ›

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

Full methodology ›

The read

By its overall health score, ZIP 95621, one of several in Citrus Heights, California lands in the bottom 46% nationally (17,425th) and the bottom 34% of California (1,127th).

continue reading

Neither strongly one way nor the other, the measures sit mixed: walkability rests in the top 4.1% nationally, and subsidized affordable housing is in the top 10.3% nationally. Distance to a community health center stands at the national minimum, shared with about 23% of ZIPs. Against that, modeled air-toxics cancer risk settles in the top 0.6% nationally, fine-particle lies in the top 3.7% nationally, and extreme heat resides in the top 4.1% nationally. Modeled loud transportation noise lands in the top 4.1% nationally, tree cover registers at the national minimum, and loneliness sits in the top 7.3% nationally. Housing-cost burden rests in the top 10.0% nationally.

Weighed against the ZIPs nearby, park land runs far lower than the surrounding ZIPs on this measure. To translate a couple of terms, air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. Fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. Extreme heat is a modeled count of days a year reaching a dangerously high temperature, a leading weather hazard. Overall, the nearest healthier neighbor is ZIP 95608, 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 Sacramento-Roseville-Folsom, 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%

Risk Behavior

healthier than 72%

11%

Healthcare Access

healthier than 86%

5%

About typical

Social Need / SDOH

healthier than 52%

16%

Disability

healthier than 51%

7%

Holding it back

Environmental Hazard

healthier than 5%

14%

Preventive Care

healthier than 22%

13%

Mental Health

healthier than 20%

8%

Climate / Disaster Risk

healthier than 21%

5%

Lifting this score

Healthcare Access

healthier than 70%

5%

About typical

Social Need / SDOH

healthier than 52%

16%

Preventive Care

healthier than 45%

13%

Risk Behavior

healthier than 49%

11%

Disability

healthier than 49%

7%

Holding it back

Chronic Disease Burden

healthier than 39%

21%

Environmental Hazard

healthier than 20%

14%

Mental Health

healthier than 11%

8%

Climate / Disaster Risk

healthier than 19%

5%

Lifting this score

Healthcare Access

healthier than 74%

5%

About typical

Chronic Disease Burden

healthier than 43%

21%

Climate / Disaster Risk

healthier than 41%

5%

Holding it back

Social Need / SDOH

healthier than 32%

16%

Environmental Hazard

healthier than 19%

14%

Preventive Care

healthier than 37%

13%

Risk Behavior

healthier than 28%

11%

Mental Health

healthier than 11%

8%

Disability

healthier than 40%

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

3 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 77.7 ± 1.2 years. A median household income of $80,901 predicts 79.2 years — 1.6 years below.

    Ranked #1,944 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.

  • Heavy environment, light chronic burden

    Where the environment and chronic illness point in opposite directions

    Environmental-hazard standing 4.7 (bottom 10%); chronic-disease standing 73.5 — 69 points apart, heavier on the environment than it is on chronic illness.

    Ranked #16,286 of the 18,187 ZIP codes this finding names, ordered by the gap from cleanest environment to heaviest chronic burden, highest first.

  • Highest-risk tenth

    Air toxics and the years between the two ends of the risk scale

    Modeled air-toxics cancer risk is 51.5 cases per million — among the tenth of compared ZIP codes with the most. Estimated life expectancy is 77.7 ± 1.2 years.

    Ranked #98 of the 4,173 ZIP codes this finding names, ordered by modeled air-toxics risk, 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 adults26.4%23.8–29.2
High blood pressure among adults31.8%28.7–35.1
Cancer (non-skin) or melanoma among adults8.3%7.6–9.1
Current asthma among adults11.0%9.7–12.3
Coronary heart disease among adults6.4%5.8–7.0
Chronic obstructive pulmonary disease among adults6.6%5.9–7.4
Depression among adults25.6%22.4–28.8
Diagnosed diabetes among adults10.6%9.2–12.0
High cholesterol among adults who have ever been screened34.5%31.0–37.9
Obesity among adults30.6%25.9–35.4
Stroke among adults3.5%3.2–3.8
All teeth lost among adults aged >=65 years11.6%9.3–14.0
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years8.0%6.9–9.2
Taking medicine to control high blood pressure among adults with high blood pressure72.6%69.5–75.5
Visits to doctor for routine checkup within the past year among adults70.5%67.0–73.8
Cholesterol screening among adults85.5%83.8–87.0
Colorectal cancer screening among adults aged 45–75 years63.9%59.4–67.9
Visited dentist or dental clinic in the past year among adults64.0%60.8–67.0
Mammography use among women aged 50-74 years72.9%65.9–78.8
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults15.5%13.1–18.1
Current cigarette smoking among adults12.7%11.1–14.5
No leisure-time physical activity among adults20.6%17.7–23.9
Short sleep duration among adults36.8%32.6–41.0
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults21.8%19.4–24.3
Frequent mental distress among adults18.8%16.9–20.8
Frequent physical distress among adults14.6%13.1–16.3
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults15.7%14.1–17.4
Any disability among adults32.6%29.3–36.3
Hearing disability among adults6.9%6.1–7.7
Independent living disability among adults9.1%8.1–10.0
Mobility disability among adults15.1%13.4–17.0
Self-care disability among adults3.9%3.6–4.3
Vision disability among adults5.1%4.7–5.6
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults26.7%23.4–30.0
Food insecurity in the past 12 months among adults14.0%12.2–15.9
Received food stamps in the past 12 months among adults14.3%12.6–16.2
Housing insecurity in the past 12 months among adults12.8%11.2–14.5
Lack of reliable transportation in the past 12 months among adults8.5%7.6–9.6
Loneliness among adults38.5%34.2–42.7
Utility services shut-off threat in the past 12 months among adults7.1%6.1–8.0
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)CA median (p10–p90)
Poverty rate9.9%10.6% (3.1–25.8%) n=32,36410.6% (4.1–24.9%) n=1,714
Uninsured 18–6410.1%9.0% (1.5–24.3%) n=32,2867.7% (1.7–17.9%) n=1,704
No HS diploma (25+)9.3%7.9% (1.8–20.7%) n=32,5059.8% (1.4–30.9%) n=1,729
Bachelor's or higher (25+)22.1%23.3% (9.2–53.6%) n=32,50531.3% (9.9–68.2%) n=1,729
Unemployment rate (16+)6.5%3.9% (0.0–9.8%) n=32,2746.1% (0.8–12.0%) n=1,714
Households without a vehicle4.0%3.9% (0.0–12.5%) n=32,3224.5% (0.0–12.2%) n=1,708
Broadband subscription92.8%89.3% (75.1–97.1%) n=32,32293.4% (82.1–98.4%) n=1,708
Housing cost burden (≥30% income)40.1%23.7% (10.6–40.0%) n=32,32238.6% (24.4–50.5%) n=1,708
Homeownership rate68.1%78.7% (51.7–94.0%) n=32,32264.1% (31.9–86.4%) n=1,708
Crowded housing (>1 per room)2.5%1.3% (0.0–6.3%) n=32,3224.8% (0.0–15.9%) n=1,708
Foreign-born population17.2%2.6% (0.0–18.6%) n=32,55318.9% (3.0–40.4%) n=1,730
Single-parent households46.8%53.6% (37.3–74.1%) n=32,08748.4% (35.1–72.3%) n=1,692
Population 65+18.9%19.4% (10.8–33.6%) n=32,55317.0% (9.7–35.7%) n=1,730
Median age40.1 yr42.2 yr (33.0–56.3) n=32,29240.1 yr (31.8–57.0) n=1,712
Median household income$80,901$72,070 ($46,039–$118,707) n=30,318$93,448 ($54,188–$159,562) n=1,584
Median home value$432,500$222,200 ($100,300–$579,820) n=30,049$659,800 ($300,520–$1,493,340) n=1,593
Median gross rent$1,858$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 birth77.7 yr ± 0.5978.9 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 0.59 years of 77.7, 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