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ZipVitals

ZIP code

57233

in Erwin, South DakotaPopulation 350

55.75/ 100

Ranked #8,568 of 32,066 US ZIPs (top 27%)

Ranked #106 of 360 South Dakota ZIPs (top 29%)

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.

Crowded housing

43.9%

in the top 0.3% nationally

Lower is healthier

ST99th
US99th
Definition & source ›

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

Full methodology ›

Radon

3.7 pCi/L

in the top 3.5% nationally

Lower is healthier

ST66th
US97th
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 ›

Short sleep

26.4%

in the bottom 1.0% nationally

Lower is healthier

ST2nd
US1st
Definition & source ›

The estimated share of adults who usually sleep less than seven hours in a 24-hour period.

Full methodology ›

Transportation noise

0.00%

at the national minimum

Lower is healthier

ST1st
US1st
Definition & source ›

The modeled share of residents exposed to average road, rail, and aviation noise at or above 55 decibels — a noticeable background presence.

Full methodology ›

Poverty rate

0.00%

at the national minimum

Lower is healthier

ST1st
US1st
Definition & source ›

The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.

Full methodology ›

Distance to a Superfund site

121.1 mi

in the top 2.7% nationally

Higher is healthier

ST68th
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 ›

Colon-cancer screening

74.3%

in the top 4.2% nationally

Higher is healthier

ST97th
US96th
Definition & source ›

The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.

Full methodology ›

Fine-particle (PM2.5) exceedance

1.4%

in the top 6.9% nationally

Lower is healthier

ST89th
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 ›

Walkability

2.3 intersections/sq mi

in the bottom 9.1% nationally

Higher is healthier

ST62nd
US9th
Definition & source ›

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

Full methodology ›

Natural-disaster risk

in the bottom 10.4% nationally

Lower is healthier

ST8th
US10th
Definition & source ›

This area’s national rank on its single highest non-flood natural hazard — such as wildfire, tornado, or earthquake — in FEMA’s modeled National Risk Index; flooding is shown separately.

Full methodology ›

The read

Judged by its overall standing, Erwin, South Dakota (ZIP 57233) sits in the top 27% healthiest ZIPs nationally (8,568th) and the top 29% of South Dakota (106th).

continue reading

An even profile, with readings pulling both ways: modeled short sleep lies in the bottom 1.0% nationally, modeled transportation noise registers at the national minimum, and poverty is at the national minimum. Distance to a Superfund site lies in the top 2.7% nationally, and modeled colon screening registers in the top 4.2% nationally. Unemployment is at the national minimum, shared with about 15% of ZIPs. Households without a vehicle lies at the national minimum, shared with about 16% of ZIPs. Against that, crowded housing registers in the top 0.3% nationally, and modeled radon is in the top 3.5% nationally. Modeled fine-particle lies in the top 6.9% nationally.

Placed beside its immediate neighbors, crowded housing runs far higher than the surrounding ZIPs on this measure. Put plainly, radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. A healthier nearby ZIP overall is ZIP 57212, about 1.0 miles away.

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

Preventive Care

healthier than 74%

13%

Risk Behavior

healthier than 81%

11%

Mental Health

healthier than 84%

8%

Climate / Disaster Risk

healthier than 81%

5%

About typical

Chronic Disease Burden

healthier than 57%

21%

Disability

healthier than 59%

7%

Holding it back

Social Need / SDOH

healthier than 24%

16%

Environmental Hazard

healthier than 33%

14%

Healthcare Access

healthier than 34%

5%

Lifting this score

Preventive Care

healthier than 66%

13%

Risk Behavior

healthier than 93%

11%

Mental Health

healthier than 62%

8%

Climate / Disaster Risk

healthier than 78%

5%

Healthcare Access

healthier than 81%

5%

About typical

Chronic Disease Burden

healthier than 49%

21%

Disability

healthier than 48%

7%

Holding it back

Social Need / SDOH

healthier than 27%

16%

Environmental Hazard

healthier than 34%

14%

“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 adults28.2%24.8–31.9
High blood pressure among adults35.4%31.4–39.7
Cancer (non-skin) or melanoma among adults11.1%9.9–12.3
Current asthma among adults9.5%8.3–10.9
Coronary heart disease among adults8.7%7.6–10.0
Chronic obstructive pulmonary disease among adults7.4%6.2–8.8
Depression among adults20.1%16.9–24.0
Diagnosed diabetes among adults12.0%10.2–14.0
High cholesterol among adults who have ever been screened36.5%32.2–41.1
Obesity among adults34.1%26.5–43.3
Stroke among adults4.0%3.5–4.5
All teeth lost among adults aged >=65 years11.2%9.0–13.8
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years8.1%6.1–10.6
Taking medicine to control high blood pressure among adults with high blood pressure79.9%77.3–82.3
Visits to doctor for routine checkup within the past year among adults76.8%73.0–80.5
Cholesterol screening among adults84.6%82.1–87.0
Colorectal cancer screening among adults aged 45–75 years74.3%69.4–78.7
Visited dentist or dental clinic in the past year among adults72.0%68.6–75.2
Mammography use among women aged 50-74 years76.7%68.8–83.5
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults17.7%14.6–21.3
Current cigarette smoking among adults13.7%11.1–16.6
No leisure-time physical activity among adults23.9%19.3–28.9
Short sleep duration among adults26.4%20.6–33.0
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults16.7%14.0–19.9
Frequent mental distress among adults14.6%12.5–16.8
Frequent physical distress among adults12.4%10.7–14.3
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults13.2%11.1–15.5
Any disability among adults31.1%26.5–36.3
Hearing disability among adults10.3%9.1–11.7
Independent living disability among adults7.5%6.4–8.7
Mobility disability among adults13.3%11.3–15.7
Self-care disability among adults3.3%2.8–3.8
Vision disability among adults4.3%3.7–5.0
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate0.0%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–6424.3%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)0.0%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)5.2%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 vehicle0.0%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription96.5%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)21.1%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate86.0%78.7% (51.7–94.0%) n=32,32279.9% (57.2–94.8%) n=364
Crowded housing (>1 per room)43.9%1.3% (0.0–6.3%) n=32,3220.6% (0.0–10.2%) n=364
Foreign-born population0.0%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households22.2%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+4.9%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age15.4 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$82,917$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$222,200 ($100,300–$579,820) n=30,049$177,400 ($79,000–$321,400) n=311
Median gross rent$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 birth78.8 yr ± 1.5578.9 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 1.55 years of 78.8, 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