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1<!DOCTYPE html><html lang="en" class="fraunces_96e221a7-module__iggtkW__variable archivo_bef538ac-module__ZUHYQq__variable ibm_plex_mono_833724ce-module__0bTxUW__variable"><head><meta charSet="utf-8"/><meta name="viewport" content="width=device-width, initial-scale=1"/><link rel="preload" href="/apps/health-of-americas-zip-codes/_next/static/media/23b7a97ae3b5c134-s.p.226pwps5o-gq_.woff2" as="font" crossorigin="" type="font/woff2"/><link rel="preload" href="/apps/health-of-americas-zip-codes/_next/static/media/54fc36028e2bb174-s.p.20jfceqj9zyw9.woff2" as="font" crossorigin="" type="font/woff2"/><link rel="preload" href="/apps/health-of-americas-zip-codes/_next/static/media/75affa71d1e2f6a7-s.p.17-aodiw50953.woff2" as="font" crossorigin="" type="font/woff2"/><link rel="preload" href="/apps/health-of-americas-zip-codes/_next/static/media/99e609270109b47d-s.p.40sczeszzbjw1.woff2" as="font" crossorigin="" type="font/woff2"/><link rel="preload" href="/apps/health-of-americas-zip-codes/_next/static/media/effe91970fc4db64-s.p.0oace-s_gkfks.woff2" as="font" crossorigin="" type="font/woff2"/><link rel="stylesheet" href="/apps/health-of-americas-zip-codes/_next/static/chunks/3qib0lvmoemg_.css" data-precedence="next"/><link rel="preload" as="script" fetchPriority="low" href="/apps/health-of-americas-zip-codes/_next/static/chunks/2gwhic-cw3-gb.js"/>
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1<meta name="next-size-adjust" content=""/><meta name="theme-color" content="#080b12"/><meta name="color-scheme" content="dark"/><title>Health of America&#x27;s ZIP Codes — a map-first atlas of U.S. health outcomes</title><meta name="description" content="An interactive one-page atlas of 26 burden-oriented health and social-need measures plus 2016/2020 presidential margins across 32,409 U.S. ZIP/ZCTA areas, with ACS demographics, ADI context, state comparisons, and modeled CDC PLACES-style estimates."/><meta name="application-name" content="Health of America&#x27;s ZIP Codes"/><meta name="keywords" content="ZIP code health,ZCTA,public health,CDC PLACES,health atlas,choropleth map,area deprivation index,chronic disease prevalence,United States"/><meta name="robots" content="index, follow"/><meta name="category" content="health"/><link rel="canonical" href="https://www.ctzn.pub/apps/health-of-americas-zip-codes/"/><meta property="og:title" content="Health of America&#x27;s ZIP Codes — U.S. health outcomes by ZIP/ZCTA"/><meta property="og:description" content="An interactive one-page atlas of 26 burden-oriented health and social-need measures plus 2016/2020 presidential margins across 32,409 U.S. ZIP/ZCTA areas, with ACS demographics, ADI context, state comparisons, and modeled CDC PLACES-style estimates."/><meta property="og:url" content="https://www.ctzn.pub/apps/health-of-americas-zip-codes/"/><meta property="og:site_name" content="Health of America&#x27;s ZIP Codes"/><meta property="og:locale" content="en_US"/><meta property="og:image" content="https://www.ctzn.pub/apps/health-of-americas-zip-codes/opengraph-image?78f8d5a3519116e4"/><meta property="og:image:type" content="image/png"/><meta property="og:image:width" content="1200"/><meta property="og:image:height" content="630"/><meta property="og:image:alt" content="Health of America&#x27;s ZIP Codes — a map-first atlas of U.S. ZIP/ZCTA health and social context"/><meta property="og:type" content="website"/><meta name="twitter:card" content="summary_large_image"/><meta name="twitter:title" content="Health of America&#x27;s ZIP Codes"/><meta name="twitter:description" content="A map-first atlas of ZIP/ZCTA health, social needs, demographics, neighborhood deprivation, and presidential politics."/><meta name="twitter:image" content="https://www.ctzn.pub/apps/health-of-americas-zip-codes/opengraph-image?78f8d5a3519116e4"/><meta name="twitter:image:alt" content="Health of America&#x27;s ZIP Codes — a map-first atlas of U.S. ZIP/ZCTA health and social context"/><meta name="twitter:image:type" content="image/png"/><meta name="twitter:image:width" content="1200"/><meta name="twitter:image:height" content="630"/>
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1</head><body><div hidden=""><!--$--><!--/$--></div><a href="#main" class="skip-link">Skip to content</a><header class="site-header"><div class="site-header-inner"><a class="brand" aria-label="Health of America&#x27;s ZIP Codes — home" href="/apps/health-of-americas-zip-codes/"><span class="brand-mark" aria-hidden="true"></span><span class="brand-name">Health of America&#x27;s <span class="dim">ZIP Codes</span></span></a><!--$!--><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template><nav class="site-nav" aria-label="Primary"><a href="/apps/health-of-americas-zip-codes/">Pick a ZIP</a><a href="/apps/health-of-americas-zip-codes/?view=measure">By measure</a><a href="/apps/health-of-americas-zip-codes/?view=stories">Stories</a><a href="/apps/health-of-americas-zip-codes/?view=about">About</a></nav><!--/$--></div></header><!--$!--><template data-dgst="BAILOUT_TO_CLIENT_SIDE_RENDERING"></template><main id="main" class="app"><p class="muted" style="padding:40px">Loading the atlas…</p></main><!--/$--><!--$--><!--/$--><footer class="site-footer"><div class="site-footer-inner"><div style="max-width:34ch"><h4>Health of America&#x27;s ZIP Codes</h4><p class="foot-note">Area-level health estimates for U.S. ZIP/ZCTA areas. This is not individual medical guidance. ZCTAs approximate USPS ZIP Code service areas and are not official mailing boundaries.</p></div><div><h4>Explore</h4><div class="foot-links"><a href="/apps/health-of-americas-zip-codes/">Interactive atlas</a><a href="/apps/health-of-americas-zip-codes/?view=stories">Stories — what the data teaches</a><a href="/?view=about#about-methods">Methods &amp; limitations</a><a href="/?view=about#about-sources">Sources &amp; provenance</a></div></div><div><h4>Data</h4><div class="foot-links"><a href="https://www.cdc.gov/places/" target="_blank" rel="noopener noreferrer">CDC PLACES</a><a href="https://www.census.gov/programs-surveys/geography/guidance/geo-areas/zctas.html" target="_blank" rel="noopener noreferrer">Census ZCTAs</a><span class="muted">Cross-sectional · estimates modeled</span></div></div></div></footer>
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1<script>self.__next_f.push([1,"a:[\"$\",\"div\",null,{\"children\":[\"$\",\"div\",null,{\"className\":\"prose-wrap\",\"children\":[[\"$\",\"header\",null,{\"className\":\"page-head\",\"children\":[[\"$\",\"span\",null,{\"className\":\"eyebrow\",\"children\":\"Methods\"}],[\"$\",\"h1\",null,{\"children\":\"How this atlas is built\"}],[\"$\",\"p\",null,{\"className\":\"page-lede\",\"children\":[\"What the numbers are, where they come from, and how to read them honestly. Everything here is derived from a single cross-section of \",\"32,409\",\" joined ZIP/ZCTA areas, of which \",\"32,263\",\" are present in the current PMTiles geometry.\"]}]]}],[\"$\",\"article\",null,{\"className\":\"prose\",\"children\":[[\"$\",\"h2\",null,{\"children\":\"What the numbers are\"}],[\"$\",\"p\",null,{\"children\":[\"Health outcomes are \",[\"$\",\"strong\",null,{\"children\":\"model-based small-area estimates\"}],\" from the CDC's\",\" \",[\"$\",\"a\",null,{\"href\":\"https://www.cdc.gov/places/\",\"target\":\"_blank\",\"rel\":\"noopener noreferrer\",\"children\":\"PLACES\"}],\" \",\"ZCTA release, prepared in the local \",[\"$\",\"code\",null,{\"children\":\"zcta_atlas.parquet\"}],\" file with ACS demographics and ADI context. A value is estimated prevalence for an area, not a direct count of diagnosed people.\"]}],[\"$\",\"div\",null,{\"className\":\"callout\",\"children\":[[\"$\",\"strong\",null,{\"children\":\"This is area-level data, not individual medical guidance.\"}],\"A ZIP's estimate describes a place, not any person who lives there. Nothing here is a diagnosis, a risk score, or health advice.\"]}],[\"$\",\"h2\",null,{\"children\":\"ZIP codes vs. ZCTAs\"}],[\"$\",\"p\",null,{\"children\":[\"The map's geography is the U.S. Census\",\" \",[\"$\",\"a\",null,{\"href\":\"https://www.census.gov/programs-surveys/geography/guidance/geo-areas/zctas.html\",\"target\":\"_blank\",\"rel\":\"noopener noreferrer\",\"children\":\"ZIP Code Tabulation Area (ZCTA)\"}],\". ZCTAs are \",[\"$\",\"strong\",null,{\"children\":\"generalized areal representations\"}],\" of USPS ZIP Code service areas — they are \",[\"$\",\"strong\",null,{\"children\":\"not\"}],\"official USPS delivery boundaries, and a mailing ZIP does not always have a one-to-one ZCTA. The interface says “ZIP/ZCTA” for readability; if you need official mailing geography, use USPS sources instead.\"]}],[\"$\",\"h2\",null,{\"children\":\"Backfill and provenance\"}],[\"$\",\"p\",null,{\"children\":\"The CDC ZCTA release has source-side gaps for Pennsylvania and Kentucky. Where a native ZCTA estimate is absent and tract-level PLACES data are available, the prep pipeline uses a population-weighted tract-to-ZCTA aggregate. Each ZIP profile carries its provenance: direct estimates, mixed direct-plus-backfill, aggregate-only, or no health source.\"}],[\"$\",\"p\",null,{\"children\":[\"Across the current file, \",\"113,571\",\" health cells are marked as backfilled. Backfilled values are useful for coverage, but they are not native CDC ZCTA estimates and do not carry native ZCTA confidence intervals.\"]}],[\"$\",\"h2\",null,{\"children\":\"The benchmark and the three view modes\"}],[\"$\",\"p\",null,{\"children\":[\"Every measure is compared against a single national benchmark: the\",\" \",[\"$\",\"strong\",null,{\"children\":\"population-weighted national mean\"}],\". The map offers three ways to read a value:\"]}],[\"$\",\"ul\",null,{\"children\":[[\"$\",\"li\",null,{\"children\":[[\"$\",\"strong\",null,{\"children\":\"Rate\"}],\" — the estimated prevalence itself, on a luminance-ordered sequential ramp.\"]}],[\"$\",\"li\",null,{\"children\":[[\"$\",\"strong\",null,{\"children\":\"Gap vs. U.S.\"}],\" — the difference from the national mean, on a diverging ramp whose neutral midpoint \",[\"$\",\"em\",null,{\"children\":\"is\"}],\" the benchmark (cooler = better than average, warmer = worse).\"]}],[\"$\",\"li\",null,{\"children\":[[\"$\",\"strong\",null,{\"children\":\"Percentile\"}],\" — the national percentile rank among ZIP/ZCTA areas with an estimate. Percentile rank is within available data only.\"]}]]}],[\"$\",\"p\",null,{\"children\":\"Switching mode swaps only the map's color expression; switching measure re-pushes values to the existing geometry. The same color scale drives the map, the legend, and the charts, so a color means the same thing everywhere.\"}],\"$L1b\",\"$L1c\",\"$L1d\",\"$L1e\",\"$L1f\",\"$L20\",\"$L21\",\"$L22\"]}],\"$L23\",\"$L24\"]}]}]\n"])</script>
1<script>self.__next_f.push([1,"14:[\"$\",\"div\",null,{\"children\":[\"$\",\"div\",null,{\"className\":\"prose-wrap\",\"children\":[[\"$\",\"header\",null,{\"className\":\"page-head\",\"children\":[[\"$\",\"span\",null,{\"className\":\"eyebrow\",\"children\":\"Sources\"}],[\"$\",\"h1\",null,{\"children\":\"Sources \u0026 provenance\"}],[\"$\",\"p\",null,{\"className\":\"page-lede\",\"children\":\"Every number traces to an audited source file. Health outcomes come from CDC PLACES 2025 ZCTA estimates, ACS demographics, and ADI 2023 context in the complete parquet; the public PMTiles archive supplies the runtime ZCTA geometry used by the map.\"}]]}],[\"$\",\"div\",null,{\"className\":\"prose-wrap\",\"style\":{\"padding\":0},\"children\":[\"$\",\"table\",null,{\"className\":\"data-table\",\"children\":[[\"$\",\"caption\",null,{\"children\":\"Underlying files and their role in the app.\"}],[\"$\",\"thead\",null,{\"children\":[\"$\",\"tr\",null,{\"children\":[[\"$\",\"th\",null,{\"scope\":\"col\",\"children\":\"File\"}],[\"$\",\"th\",null,{\"scope\":\"col\",\"children\":\"Role\"}],[\"$\",\"th\",null,{\"scope\":\"col\",\"children\":\"Location\"}]]}]}],[\"$\",\"tbody\",null,{\"children\":[[\"$\",\"tr\",null,{\"children\":[[\"$\",\"td\",null,{\"children\":\"PMTiles\"}],[\"$\",\"td\",null,{\"children\":\"Runtime ZCTA geometry streamed by MapLibre\"}],[\"$\",\"td\",null,{\"children\":[\"$\",\"code\",null,{\"style\":{\"wordBreak\":\"break-all\"},\"children\":\"https://ontopic-public-data.t3.tigrisfiles.io/pmtiles/Health_Zip_converted.pmtiles\"}]}]]}],[\"$\",\"tr\",null,{\"children\":[[\"$\",\"td\",null,{\"children\":\"Parquet\"}],[\"$\",\"td\",null,{\"children\":\"Build-time analytical source: health, ACS demographics, ADI, centroids, provenance\"}],[\"$\",\"td\",null,{\"children\":[\"$\",\"code\",null,{\"style\":{\"wordBreak\":\"break-all\"},\"children\":\"raw_data/zcta_atlas.parquet\"}]}]]}],[\"$\",\"tr\",null,{\"children\":[[\"$\",\"td\",null,{\"children\":\"Metadata\"}],[\"$\",\"td\",null,{\"children\":\"Clean source metadata and limitations used by the prep pipeline\"}],[\"$\",\"td\",null,{\"children\":[\"$\",\"code\",null,{\"style\":{\"wordBreak\":\"break-all\"},\"children\":\"raw_data/zcta_atlas.parquet.meta.json\"}]}]]}],[\"$\",\"tr\",null,{\"children\":[[\"$\",\"td\",null,{\"children\":\"Politics parquet\"}],[\"$\",\"td\",null,{\"children\":\"Build-time political source: 2016/2020 precinct returns disaggregated to ZCTAs (Fekrazad 2025, RLCR) — presidential margins and swing\"}],[\"$\",\"td\",null,{\"children\":[\"$\",\"code\",null,{\"style\":{\"wordBreak\":\"break-all\"},\"children\":\"raw_data/zcta_swing_atlas.parquet\"}]}]]}]]}]]}]}],[\"$\",\"article\",null,{\"className\":\"prose\",\"children\":[[\"$\",\"h2\",null,{\"children\":\"Origin\"}],[\"$\",\"p\",null,{\"children\":[\"Health prevalence estimates come from the CDC's\",\" \",[\"$\",\"a\",null,{\"href\":\"https://www.cdc.gov/places/\",\"target\":\"_blank\",\"rel\":\"noopener noreferrer\",\"children\":\"PLACES\"}],\" \",\"project (model-based small-area estimates at the ZCTA level). ACS demographic variables are carried from the upstream ZIP atlas file, and ADI is from Neighborhood Atlas v4.0.1 area-aggregated to ZCTA. The geographic base is the Census\",\" \",[\"$\",\"a\",null,{\"href\":\"https://www.census.gov/geographies/mapping-files/time-series/geo/tiger-line-file.html\",\"target\":\"_blank\",\"rel\":\"noopener noreferrer\",\"children\":\"TIGER/Line\"}],\" \",\"/\",\" \",[\"$\",\"a\",null,{\"href\":\"https://www.census.gov/programs-surveys/geography/guidance/geo-areas/zctas.html\",\"target\":\"_blank\",\"rel\":\"noopener noreferrer\",\"children\":\"ZCTA\"}],\" \",\"geography, served through the existing PMTiles archive.\"]}],[\"$\",\"p\",null,{\"children\":[\"The political layers come from precinct-level 2016 and 2020 general-election returns disaggregated to ZCTAs by\",\" \",[\"$\",\"a\",null,{\"href\":\"https://doi.org/10.1038/s41597-025-05140-3\",\"target\":\"_blank\",\"rel\":\"noopener noreferrer\",\"children\":\"Fekrazad (2025)\"}],\" \",\"via Regionalized Land Cover Regression; vote counts are fractional estimates, coverage is the conterminous U.S., and ZCTA-years with fewer than 50 fractional two-party votes are masked.\"]}],[\"$\",\"div\",null,{\"className\":\"callout\",\"children\":[[\"$\",\"strong\",null,{\"children\":\"Vintage.\"}],\" Health measures use CDC PLACES 2025. ADI uses Neighborhood Atlas 2023 v4.0.1. Presidential returns are the 2016 and 2020 general elections. The health surface is a single cross-section; do not read it as a time series.\"]}],[\"$\",\"p\",null,{\"children\":[\"Coverage summary: \",\"32,409\",\" ZIP/ZCTA rows,\",\" \",\"32,263\",\" with current PMTiles geometry,\",\" \",\"146\",\" without geometry, and\",\" \",\"105\",\" without usable health measures after cleanup.\"]}]]}],\"$L25\",\"$L26\"]}]}]\n"])</script>
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