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ZipVitals

ZIP code

57213

in Astoria, South DakotaPopulation 505

56.71/ 100

Ranked #7,539 of 32,066 US ZIPs (top 24%)

Ranked #83 of 360 South Dakota ZIPs (top 23%)

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.

Radon

4 pCi/L

in the top 2.0% nationally

Lower is healthier

ST84th
US98th
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 ›

Lead in tap water

10 ppb

in the top 2.3% nationally

Lower is healthier

US98th
Definition & source ›

The lead level at the 90th percentile of tap-water samples reported by the public water systems serving this ZIP, in parts per billion — the EPA requires action above 15 ppb.

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 ›

Distance to a Superfund site

110 mi

in the top 3.1% nationally

Higher is healthier

ST60th
US97th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Superfund site — an abandoned or uncontrolled hazardous-waste site the EPA has listed for cleanup.

Full methodology ›

Crowded housing

11.9%

in the top 3.4% nationally

Lower is healthier

ST91st
US97th
Definition & source ›

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

Full methodology ›

Fiber broadband

99%

in the top 4.8% nationally

Higher is healthier

ST67th
US95th
Definition & source ›

The share of homes where fiber-optic internet service is available.

Full methodology ›

Fine-particle (PM2.5) exceedance

1.4%

in the top 7.3% nationally

Lower is healthier

ST82nd
US93rd
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 ›

Binge drinking

19.4%

in the top 8.8% nationally

Lower is healthier

ST87th
US91st
Definition & source ›

The estimated share of adults who report binge drinking — five or more drinks on one occasion for men, four or more for women.

Full methodology ›

Mammography

80%

in the top 11.1% nationally

Higher is healthier

ST91st
US89th
Definition & source ›

The estimated share of women aged 50–74 who had a mammogram within the past two years.

Full methodology ›

Dry extreme heat

12.3 days/year

in the top 32% nationally

Lower is healthier

ST7th
US68th
Definition & source ›

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

Full methodology ›

The read

Overall, Astoria, South Dakota (ZIP 57213) places in the top 24% healthiest ZIPs nationally (7,539th) and the top 23% of South Dakota (83rd).

continue reading

The measures fall on both sides for this area, fairly evenly: distance to a Superfund site lands in the top 3.1% nationally, and fiber broadband stands in the top 4.8% nationally. Unemployment registers at the national minimum, shared with about 15% of ZIPs. Modeled loud transportation noise settles at the national minimum, shared with about 22% of ZIPs. Modeled transportation noise sits in the bottom 11.3% nationally. Pulling the other way, modeled radon lies in the top 2.0% nationally, lead in tap water rests in the top 2.3% nationally, and crowded housing resides in the top 3.4% nationally. Modeled fine-particle is in the top 7.3% nationally, and binge drinking lands in the top 8.8% nationally.

For readers new to these terms, radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Lead in tap water is the EPA trigger, 15 parts per billion in tap samples, above which a water system must act on lead. Distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Among nearby ZIPs, the nearest healthier one overall is ZIP 57218, 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.

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 73%

21%

Preventive Care

healthier than 69%

13%

Risk Behavior

healthier than 60%

11%

Mental Health

healthier than 85%

8%

Disability

healthier than 74%

7%

Climate / Disaster Risk

healthier than 86%

5%

Holding it back

Social Need / SDOH

healthier than 22%

16%

Environmental Hazard

healthier than 34%

14%

Healthcare Access

healthier than 14%

5%

Lifting this score

Chronic Disease Burden

healthier than 81%

21%

Mental Health

healthier than 68%

8%

Disability

healthier than 77%

7%

Climate / Disaster Risk

healthier than 90%

5%

About typical

Preventive Care

healthier than 54%

13%

Healthcare Access

healthier than 57%

5%

Holding it back

Social Need / SDOH

healthier than 24%

16%

Environmental Hazard

healthier than 35%

14%

Risk Behavior

healthier than 35%

11%

“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.

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 adults26.2%23.1–29.4
High blood pressure among adults32.8%28.9–36.7
Cancer (non-skin) or melanoma among adults9.7%8.8–10.7
Current asthma among adults9.6%8.5–10.9
Coronary heart disease among adults6.8%5.9–7.6
Chronic obstructive pulmonary disease among adults6.6%5.6–7.7
Depression among adults20.0%17.0–23.3
Diagnosed diabetes among adults11.3%9.7–13.0
High cholesterol among adults who have ever been screened34.7%30.8–38.9
Obesity among adults34.3%27.1–42.1
Stroke among adults3.4%3.0–3.8
All teeth lost among adults aged >=65 years9.2%7.6–11.1
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years8.8%7.2–11.0
Taking medicine to control high blood pressure among adults with high blood pressure76.7%73.8–79.4
Visits to doctor for routine checkup within the past year among adults76.0%72.2–79.5
Cholesterol screening among adults86.6%84.5–88.5
Colorectal cancer screening among adults aged 45–75 years71.0%66.7–75.0
Visited dentist or dental clinic in the past year among adults68.2%64.9–71.4
Mammography use among women aged 50-74 years80.0%74.0–85.2
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults19.4%16.2–22.9
Current cigarette smoking among adults14.9%12.3–17.6
No leisure-time physical activity among adults22.7%18.6–27.2
Short sleep duration among adults30.4%25.2–36.1
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults16.0%13.5–18.6
Frequent mental distress among adults14.3%12.4–16.2
Frequent physical distress among adults12.1%10.5–13.8
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults12.5%10.8–14.4
Any disability among adults28.6%24.6–33.1
Hearing disability among adults8.1%7.2–9.1
Independent living disability among adults6.8%5.9–7.8
Mobility disability among adults12.1%10.3–14.1
Self-care disability among adults3.3%2.8–3.7
Vision disability among adults4.1%3.6–4.6
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate5.5%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–6429.9%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)12.0%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)15.5%23.3% (9.2–53.6%) n=32,50524.6% (10.3–40.7%) n=366
Unemployment rate (16+)0.0%3.9% (0.0–9.8%) n=32,2741.1% (0.0–8.0%) n=365
Households without a vehicle4.0%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription82.8%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)15.9%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate84.1%78.7% (51.7–94.0%) n=32,32279.9% (57.2–94.8%) n=364
Crowded housing (>1 per room)11.9%1.3% (0.0–6.3%) n=32,3220.6% (0.0–10.2%) n=364
Foreign-born population6.3%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households42.5%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+16.2%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age24.6 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$81,932$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$207,500$222,200 ($100,300–$579,820) n=30,049$177,400 ($79,000–$321,400) n=311
Median gross rent$725$1,021 ($677–$1,912) n=25,670$763 ($544–$1,089) n=243
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)SD median (p10–p90)
Life expectancy at birth85.6 yr ± 2.1578.9 yr (74.7–82.8) n=31,30880.7 yr (77.4–84.2) n=357

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 2.15 years of 85.6, 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