ZIP code
57219
in Bristol, South DakotaPopulation 552
51.06/ 100
Ranked #14,762 of 32,066 US ZIPs (top 46%)
Ranked #250 of 360 South Dakota ZIPs (bottom 31%)
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.
Elder-services access
2 per 1,000 residents
in the top 0.2% nationally
Higher is healthier
ST99thUS99thDefinition & source ›
The number of services for older adults and people with disabilities 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 ›Distance to a Superfund site
129.2 mi
in the top 2.4% nationally
Higher is healthier
ST73rdUS98thDefinition & 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 ›Radon
3.4 pCi/L
in the top 5.6% nationally
Lower is healthier
ST46thUS94thDefinition & 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 ›Distance to a community health center
27.3 mi
in the top 4.9% nationally
Lower is healthier
ST76thUS95thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest federally funded community health center, which serves patients regardless of ability to pay.
Full methodology ›Short sleep
29.1%
in the bottom 6.2% nationally
Lower is healthier
ST39thUS6thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Fine-particle (PM2.5) exceedance
1.4%
in the top 6.9% nationally
Lower is healthier
ST89thUS93rdDefinition & 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 ›Lithium in drinking water
65 µg/L
in the top 7.4% nationally
Lower is healthier
ST80thUS93rdDefinition & source ›
The average detected level of lithium — a natural trace metal with no federal drinking-water limit yet — across the public water systems serving this ZIP, in micrograms per liter.
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 ›Fiber broadband
95.5%
in the top 10.0% nationally
Higher is healthier
ST40thUS90thDefinition & source ›
The share of homes where fiber-optic internet service is available.
Full methodology ›Energy-cost burden
5.0%
in the top 9.6% nationally
Lower is healthier
ST81stUS90thDefinition & source ›
The modeled share of household income spent on home energy bills — electricity, gas, and heating fuels.
A modeled share of household income spent on home energy. Estimates that hit the model’s 100% ceiling are suppressed rather than published, because at that point the figure reflects the model’s limit rather than a measured burden.
Full methodology ›Households without a vehicle
10.6%
in the top 13.6% nationally
Lower is healthier
ST92ndUS86thDefinition & source ›
The share of households with no vehicle available.
Full methodology ›The read
Overall, Bristol, South Dakota (ZIP 57219) lands in the top 46% healthiest ZIPs nationally (14,762nd) and the bottom 31% of South Dakota (250th).
A number of measures pull each way for this area: elder services registers in the top 0.2% nationally, and distance to a Superfund site rests in the top 2.4% nationally. Modeled short sleep stands in the bottom 6.2% nationally, and fiber broadband lies in the top 10.0% nationally. Set against that, modeled radon lands in the top 5.6% nationally, distance to a community health center sits in the top 4.9% nationally, and modeled fine-particle is in the top 6.9% nationally. Lithium in drinking water settles in the top 7.4% nationally, modeled hearing disability resides in the top 10.9% nationally, and modeled energy burden registers in the top 9.6% nationally.
Set beside the nearby areas, elder services runs far higher than the surrounding ZIPs on this measure. A note on the terms: distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. For a healthier nearby comparison, ZIP 57422, just across the boundary, 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.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Preventive Care
healthier than 75%
13%
Risk Behavior
healthier than 73%
11%
Mental Health
healthier than 86%
8%
Climate / Disaster Risk
healthier than 83%
5%
About typical
Environmental Hazard
healthier than 43%
14%
Disability
healthier than 40%
7%
Holding it back
Chronic Disease Burden
healthier than 33%
21%
Social Need / SDOH
healthier than 11%
16%
Healthcare Access
healthier than 5%
5%
Lifting this score
Environmental Hazard
healthier than 68%
14%
Preventive Care
healthier than 69%
13%
Risk Behavior
healthier than 68%
11%
Mental Health
healthier than 75%
8%
Climate / Disaster Risk
healthier than 83%
5%
Holding it back
Chronic Disease Burden
healthier than 18%
21%
Social Need / SDOH
healthier than 10%
16%
Disability
healthier than 19%
7%
Healthcare Access
healthier than 33%
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
57274
South Dakotashares a border
Score 50.52
Closest healthier
57422
South Dakotashares a border
Score 53.02
Similar health profile
57631
South Dakota98% similar profile
Score 50.31
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 | 32.2% | 28.5–36.0 |
| High blood pressure among adults | 38.8% | 34.3–43.4 |
| Cancer (non-skin) or melanoma among adults | 12.0% | 10.8–13.2 |
| Current asthma among adults | 10.1% | 8.8–11.4 |
| Coronary heart disease among adults | 9.3% | 8.2–10.5 |
| Chronic obstructive pulmonary disease among adults | 8.9% | 7.6–10.4 |
| Depression among adults | 19.7% | 16.4–23.1 |
| Diagnosed diabetes among adults | 14.1% | 12.1–16.3 |
| High cholesterol among adults who have ever been screened | 38.0% | 33.3–42.5 |
| Obesity among adults | 33.6% | 25.8–41.6 |
| Stroke among adults | 4.6% | 4.1–5.2 |
| All teeth lost among adults aged >=65 years | 14.4% | 11.6–17.5 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.4% | 6.6–10.4 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 81.4% | 78.4–84.0 |
| Visits to doctor for routine checkup within the past year among adults | 78.7% | 74.9–82.0 |
| Cholesterol screening among adults | 87.1% | 85.2–88.9 |
| Colorectal cancer screening among adults aged 45–75 years | 68.9% | 63.6–73.8 |
| Visited dentist or dental clinic in the past year among adults | 66.6% | 62.7–70.2 |
| Mammography use among women aged 50-74 years | 78.1% | 70.4–84.4 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.0% | 13.1–19.1 |
| Current cigarette smoking among adults | 15.7% | 12.9–18.6 |
| No leisure-time physical activity among adults | 25.9% | 21.3–31.0 |
| Short sleep duration among adults | 29.1% | 23.0–35.6 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 19.1% | 16.2–22.4 |
| Frequent mental distress among adults | 14.3% | 12.4–16.2 |
| Frequent physical distress among adults | 14.3% | 12.4–16.4 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 13.4% | 11.5–15.5 |
| Any disability among adults | 33.4% | 28.8–38.3 |
| Hearing disability among adults | 10.8% | 9.5–12.1 |
| Independent living disability among adults | 8.5% | 7.3–9.7 |
| Mobility disability among adults | 16.3% | 13.8–18.8 |
| Self-care disability among adults | 4.2% | 3.7–4.9 |
| Vision disability among adults | 5.2% | 4.5–5.9 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Poverty rate | 18.7% | 10.6% (3.1–25.8%) n=32,364 | 8.8% (1.1–33.5%) n=364 |
| Uninsured 18–64 | 20.2% | 9.0% (1.5–24.3%) n=32,286 | 9.6% (0.0–33.2%) n=365 |
| No HS diploma (25+) | 7.7% | 7.9% (1.8–20.7%) n=32,505 | 6.0% (0.8–15.3%) n=366 |
| Bachelor's or higher (25+) | 10.5% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (10.3–40.7%) n=366 |
| Unemployment rate (16+) | 4.7% | 3.9% (0.0–9.8%) n=32,274 | 1.1% (0.0–8.0%) n=365 |
| Households without a vehicle | 10.6% | 3.9% (0.0–12.5%) n=32,322 | 1.9% (0.0–9.6%) n=364 |
| Broadband subscription | 91.9% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (73.7–96.3%) n=364 |
| Housing cost burden (≥30% income) | 12.3% | 23.7% (10.6–40.0%) n=32,322 | 17.5% (5.2–30.6%) n=364 |
| Homeownership rate | 61.0% | 78.7% (51.7–94.0%) n=32,322 | 79.9% (57.2–94.8%) n=364 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 0.6% (0.0–10.2%) n=364 |
| Foreign-born population | 3.1% | 2.6% (0.0–18.6%) n=32,553 | 0.6% (0.0–5.3%) n=367 |
| Single-parent households | 46.3% | 53.6% (37.3–74.1%) n=32,087 | 56.7% (32.7–81.4%) n=362 |
| Population 65+ | 27.4% | 19.4% (10.8–33.6%) n=32,553 | 20.3% (8.4–33.0%) n=367 |
| Median age | 43.4 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (27.6–56.7) n=365 |
| Median household income | $51,900 | $72,070 ($46,039–$118,707) n=30,318 | $74,865 ($51,211–$102,582) n=336 |
| Median home value | $95,700 | $222,200 ($100,300–$579,820) n=30,049 | $177,400 ($79,000–$321,400) n=311 |
| Median gross rent | $1,043 | $1,021 ($677–$1,912) n=25,670 | $763 ($544–$1,089) n=243 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 76.4 yr ± 0.76 | 78.9 yr (74.7–82.8) n=31,308 | 80.7 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 0.76 years of 76.4, and it’s very unlikely to be off by more than twice that.
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