{"id":2562,"date":"2020-09-09T12:52:25","date_gmt":"2020-09-09T16:52:25","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=2562"},"modified":"2024-03-26T13:55:38","modified_gmt":"2024-03-26T17:55:38","slug":"your-zip-code-could-be-an-indicator-of-health","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/news\/your-zip-code-could-be-an-indicator-of-health\/","title":{"rendered":"See what makes these 10 cities the healthiest in America\u2014and how you can replicate it wherever you are"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Where you live can say a lot about your health and lifestyle. In other words, just knowing a home\u2019s <\/span><a href=\"https:\/\/ephtracking.cdc.gov\/\"><span style=\"font-weight: 400;\">zip code<\/span><\/a><span style=\"font-weight: 400;\"> can give insight into a population\u2019s overall well-being. But that doesn\u2019t mean you should let your community\u2019s focus on health (or lack thereof) impact your own.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Whether a community is designed to provide access to public transportation, healthy food, safe housing, and public spaces that encourage wellness can have a big impact on health, according to the <\/span><a href=\"https:\/\/ephtracking.cdc.gov\/showCommunityDesignAndHealth\"><span style=\"font-weight: 400;\">U.S. Centers for Disease Control and Prevention<\/span><\/a><span style=\"font-weight: 400;\"> (CDC). For example, if you live close to work or school, you\u2019re likely to walk there. Or, if there are parks close by, you may be active there.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">On the flip side, when your community <\/span><i><span style=\"font-weight: 400;\">doesn\u2019t<\/span><\/i><span style=\"font-weight: 400;\"> prioritize these things, it can have a negative impact on your physical fitness. Just living near a highway away from green spaces can mean lower quality air\u2014which contributes to health problems like asthma or cardiovascular disease. Physical fitness and risk for chronic disease impact how long you will live, or your life expectancy. If the community you live in doesn\u2019t prioritize your health, that could shorten your life span\u2014but it doesn\u2019t have to.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/news\/american-health-ranking\/\"><b>How healthy is your state?<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">Healthiest cities in America<\/span><\/h2>\n<p><a href=\"https:\/\/wallethub.com\/edu\/healthiest-cities\/31072\/\"><span style=\"font-weight: 400;\">Wallethub<\/span><\/a><span style=\"font-weight: 400;\"> analyzed how location affects health by examining which places promote wellness\u2014by providing access to healthy food, low-cost health care, or well-maintained recreational areas. These are the top 10 healthiest U.S. cities, according to their research<\/span><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">San Francisco, California<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Seattle, Washington<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">San Diego, California<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Portland, Oregon<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Washington, D.C.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">New York, New York<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Denver, Colorado<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Irvine, California<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Scottsdale, Arizona<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Chicago, Illinois<\/span><\/li>\n<\/ol>\n<h2><span style=\"font-weight: 400;\">Unhealthiest cities in America<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The qualities of the healthiest cities fell in stark contrast to the cities that ranked the lowest on the list.\u00a0<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Detroit, Michigan<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Fort Smith, Arkansas<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Augusta, Georgia<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Huntington, West Virginia<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Montgomery, Alabama<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Memphis, Tennessee<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Shreveport, Louisiana<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Gulfport, Mississippi<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Laredo, Texas<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Brownsville, Texas\u00a0<\/span><\/li>\n<\/ol>\n<h2><span style=\"font-weight: 400;\">Factors for health by zip code<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The healthiest cities in the Wallethub analysis have some things in common: cost of living, exercise spaces, access to healthy food, and low-cost health care. Alternatively, the unhealthiest locations tended to have higher poverty rates, less access to places to exercise and healthy food, and more barriers to healthcare. Here are the factors that determine a healthy city versus an unhealthy one.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Cost of living<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Less expensive neighborhoods often have the elements\u2014or lack thereof\u2014that contribute to poor health. Meaning, community design is linked to income (how much you can afford to pay for housing), and cost of living (the expense associated with living in a certain area and getting healthcare there).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Notably, all of the top cities are high cost-of-living areas. For instance, in the No. 1 spot is San Francisco, where the average cost of a one bedroom apartment is $3,629. Only 9% of residents are considered low-income, and the median household income is $87,701, which is high, considering the overwhelming number of homeless individuals.<\/span> <span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The cities farther down the list\u2014those considered the most unhealthy\u2014have much lower costs of living. For instance, Detroit is 165th on the list of 175 cities. The average cost of a one-bedroom apartment in Detroit is $1,100, and 33.4% of their population is living in poverty.\u00a0<\/span><\/p>\n<p><strong>RELATED: <a href=\"https:\/\/www.singlecare.com\/blog\/guide-to-health-care-for-unhoused-people\/\">Guide to health care for unhoused people<\/a><\/strong><\/p>\n<h3><span style=\"font-weight: 400;\">Exercise spaces<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The<\/span><a href=\"https:\/\/globalwellnessinstitute.org\/what-is-wellness\/\"> <span style=\"font-weight: 400;\">Global Wellness Institute<\/span><\/a> <span style=\"font-weight: 400;\">defines wellness as \u201cthe active pursuit of activities, choices, and lifestyles that lead to a state of holistic health.\u201d The pursuit of wellness can be complicated by factors including environmental or geographic barriers (think-extreme weather or crime), cost, social stigma, and time constraints. Or, it can be helped with a variety of places to be active. The healthiest cities provide some of the most access to exercise spaces. The unhealthiest cities have among the least.<\/span><\/p>\n<h4><span style=\"font-weight: 400;\">Fitness centers<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">With residents having easy access to <\/span><a href=\"https:\/\/www.businessinsider.com\/san-francisco-gyms-fitness-millennials-wellness-2020-1#:~:text=San%20Francisco%20has%2016%20gyms,than%20any%20other%20US%20city\"><span style=\"font-weight: 400;\">16 fitness centers per square mile<\/span><\/a><span style=\"font-weight: 400;\"> it\u2019s no wonder San Francisco tops the list.<\/span><a href=\"https:\/\/www.bls.gov\/spotlight\/2017\/sports-and-exercise\/pdf\/sports-and-exercise.pdf\"> <span style=\"font-weight: 400;\">A five-year study<\/span><\/a><span style=\"font-weight: 400;\"> showed that 21% to 23% of Californians get exercise daily, which is higher than most states, while Mississippi statistics show that <\/span><a href=\"https:\/\/www.americashealthrankings.org\/health-topics\/tag-8?topics=category-3\"><span style=\"font-weight: 400;\">32%<\/span><\/a><span style=\"font-weight: 400;\"> of the state&#8217;s population are physically inactive.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The same study connects exercise to your level of income, showing an increase with your education, (which often leads to higher income). This helps to explain why these cities with a higher cost of living are more readily pursuing good health.\u00a0<\/span><\/p>\n<h4><span style=\"font-weight: 400;\">Green spaces<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">This factor is made up of walkable space, greenspace, and air quality. Air and noise pollution tend to be more profound in major cities, but the addition of green space is said to have a positive impact. A<\/span><a href=\"https:\/\/www.nature.com\/articles\/s41598-019-46099-7\"> <span style=\"font-weight: 400;\">2019 study<\/span><\/a><span style=\"font-weight: 400;\"> revealed that having access to a green space, even just viewing it, reduces physiological stress, which is a major factor in many cardiometabolic<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4163075\/\"> <span style=\"font-weight: 400;\">health<\/span><\/a><span style=\"font-weight: 400;\"> concerns. The multisensory experience of being in a grassy park is excellent for promoting a sense of well-being and encouraging movement.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The top five cities are ranked in the top 10 for green space, rightfully so, since they all offer hiking trails, biking lanes, waterfront views and walks, and preserved parks. The very bottom of the list, Brownsville, Texas is a border city with an underdeveloped waterfront, an area which typically provides walking paths, greenspace and recreation. A developed waterfront also drives sustainability efforts. Fortunately for residents, the city is undergoing a massive revitalization project<\/span><a href=\"https:\/\/www.epa.gov\/sites\/production\/files\/2018-04\/documents\/17_12_11_epa_final_report_brownsville.pdf\"><span style=\"font-weight: 400;\">.<\/span><\/a><\/p>\n<h3><span style=\"font-weight: 400;\">Access to healthy food<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">It is more difficult to eat healthy if you don\u2019t have access to a variety of foods in your neighborhood, or reliable transportation to go get it. Most cities have food deserts\u2014areas where it\u2019s difficult to buy healthy, affordable food\u2014which typically is where you\u2019d find low-income families, yet some have created initiatives to close the gap. For instance, San Francisco\u2019s\u00a0 <\/span><a href=\"https:\/\/www.sfdph.org\/dph\/comupg\/knowlcol\/FSTF\/default.asp\"><span style=\"font-weight: 400;\">Food Security Task Force<\/span><\/a><span style=\"font-weight: 400;\"> has made its mission ensuring that low-income families or those in food deserts have access to quality choices. The cities with a higher cost of living typically have better systems in place to remedy food insecurity for the majority of the population, with the help of good transportation systems, food pantries, and more food markets.\u00a0<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Jen Tang, MD, internist in Lawrenceville, New Jersey has practiced in upper middle class areas, then impoverished areas only a half hour away, and she has seen how your zip code can change your access. \u201cIt\u2019s very easy to see in your office [patients who are] <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/10-reasons-why-patients-dont-follow-doctor-orders\/\"><span style=\"font-weight: 400;\">not taking their meds<\/span><\/a><span style=\"font-weight: 400;\"> or eating the diet I prescribed,\u201d she explains. \u201cWe\u2019re all guilty of doing that, but with many patients, it&#8217;s easy to overlook the complex issues of what can get in their way.\u201d One major factor for her patients was transportation.\u00a0 Without a car or access to a reliable bus or train route, patients struggle meeting basic needs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When transportation is an issue, convenience is prioritized. For someone struggling with food security in a rural area,\u00a0 fresh food may be even farther away. Without a car or consistent bus route, a gas station convenience store may be the only option for groceries. Sometimes these smaller stores sell their items at a higher price point. They may not offer fresh produce, and instead provide highly processed, high sugar, high sodium packaged items. Families living in these areas are more likely to be obese, because unhealthy food is the only food available. Lower cost of living locations are less likely to have aid available for families who cannot afford healthy food. In Detroit, for instance, <\/span><a href=\"https:\/\/www.ers.usda.gov\/webdocs\/publications\/94849\/err-270.pdf\"><span style=\"font-weight: 400;\">48% of residents<\/span><\/a><span style=\"font-weight: 400;\"> are considered food insecure, and 30,000 don\u2019t have access to a full-line grocer.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Health care<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">It is not a coincidence that residents of the unhealthiest cities face barriers to quality health care. Cost is a major factor in many places, with many places at the bottom in states that did not participate in the <\/span><a href=\"https:\/\/www.kff.org\/medicaid\/issue-brief\/status-of-state-medicaid-expansion-decisions-interactive-map\/\"><span style=\"font-weight: 400;\">Medicaid expansion<\/span><\/a><span style=\"font-weight: 400;\">, which would control cost of care for lower-income individuals. Being uninsured or underinsured can directly affect one\u2019s ability to have early interventions for serious conditions such as diabetes and hypertension, which are tied to obesity.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/news\/guide-to-medicaid-changes\/\"><b>What you need to know about this year\u2019s Medicaid changes<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">Life expectancy by zip code\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">According to the<\/span><a href=\"https:\/\/www.rwjf.org\/en\/library\/interactives\/whereyouliveaffectshowlongyoulive.html\"> <span style=\"font-weight: 400;\">Robert Wood Johnson Foundation<\/span><\/a><span style=\"font-weight: 400;\">, the top healthiest cities also boast the best life expectancies. In San Francisco, the average life expectancy is 85, which is well above the national average. Gulfport, Mississippi which is one of the most unhealthy metros in the country, has a life expectancy of just 75.19 years.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">How does your area rank? Enter your zip code<\/span><a href=\"https:\/\/www.rwjf.org\/en\/library\/interactives\/whereyouliveaffectshowlongyoulive.html\"> <span style=\"font-weight: 400;\">here<\/span><\/a> <span style=\"font-weight: 400;\">to determine how your area\u2019s life expectancy stacks up against the national average. Compare that to Wallethub\u2019s list,\u00a0 which ranks the 175 top cities in the United States.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/most-popular-prescription-drug-every-state-singlecare\/\"><b>The most popular prescription drug in every state<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">Steps to improve your health\u2014no matter where you live<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">No matter where your city is on the list, here are five steps you can take to cultivate a healthy lifestyle.<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\"><b>Calculate your weekly grocery budget<\/b><span style=\"font-weight: 400;\"> before you head to the store. Search for store sales and coupons to help reduce the cost of any more expensive items.<\/span><\/li>\n<li style=\"font-weight: 400;\"><b>Create a family menu for the week<\/b><span style=\"font-weight: 400;\">. \u201cRegardless of where you live, planning out your meals in advance can save you time, money, and help you maintain a healthy diet,\u201d says <\/span><a href=\"https:\/\/www.drjaimecoffino.com\/\"><span style=\"font-weight: 400;\">Jaime Coffino<\/span><\/a><span style=\"font-weight: 400;\">, Ph.D., MPH, a clinical psychologist in New York City.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><b>Make a list before grocery shopping\u2014and stick to it<\/b><span style=\"font-weight: 400;\">. That way you\u2019re not tempted to purchase extra snacks (which is good for your health, and your wallet). \u201cChoosing healthy food options can be difficult when you are surrounded by an abundance of unhealthy food options,\u201d Coffino says. \u201cIf you feel like you are constantly tempted by your food environment, it can be useful to set specific and attainable goals related to your health to hold yourself accountable.\u201d<\/span><\/li>\n<li style=\"font-weight: 400;\"><b>Determine if you are eligible to receive benefits<\/b><span style=\"font-weight: 400;\"> from the government through the <\/span><a href=\"https:\/\/www.fns.usda.gov\/snap\/supplemental-nutrition-assistance-program\"><span style=\"font-weight: 400;\">Supplemental Nutrition Assistance Program<\/span><\/a><span style=\"font-weight: 400;\"> (SNAP). This program can help provide you with financial assistance to purchase groceries. As an added benefit, 90% of SNAP participants are now allowed to use their benefits to purchase groceries online.<\/span><\/li>\n<li style=\"font-weight: 400;\"><b>Exercise at home.<\/b><span style=\"font-weight: 400;\"> It\u2019s possible to get physical activity with only an internet connection\u2014no fancy equipment or gym membership required.\u00a0 Virtual workouts are increasingly common during the COVID-19 pandemic, and many are possible from your living room, without a greenspace or gym. There are many free workouts available online that can help you stay active. Just be sure to choose an activity that you enjoy and search for free classes that are available online.\u00a0<\/span><\/li>\n<\/ol>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/tips-to-stay-healthy\/\"><b>15 quick tips for staying fit and healthy<\/b><\/a><\/p>\n<p><span style=\"font-weight: 400;\">With smart shopping and at-home exercise, Americans\u00a0 can help boost their own well-being even if their city doesn\u2019t have the ideal conditions for a healthy life.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Where you live can say a lot about your health and lifestyle. In other words, just knowing a home\u2019s zip code can give insight into a population\u2019s overall well-being. But that doesn\u2019t mean you should let your community\u2019s focus on health (or lack thereof) impact your own. Whether a community is designed to provide access [&hellip;]<\/p>\n","protected":false},"author":84,"featured_media":15442,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4114,11],"tags":[],"coauthors":[19002],"class_list":["post-2562","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-wellness","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Healthiest cities in America: How life expectancy varies by zip code<\/title>\n<meta name=\"description\" content=\"The healthiest cities in America have a lot in common\u2014from food to cost of living. Do you live in a healthy city? 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