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ZipVitals

ZIP code

57249

in Lake Preston, South DakotaPopulation 1,023

53.31/ 100

Ranked #11,619 of 32,066 US ZIPs (top 36%)

Ranked #179 of 360 South Dakota ZIPs (top 50%)

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

3.9 pCi/L

in the top 2.3% nationally

Lower is healthier

ST80th
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 ›

Outpatient-care access

1 per 1,000 residents

in the top 1.9% nationally

Higher is healthier

ST95th
US98th
Definition & source ›

The number of outpatient clinics located 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

107.4 mi

in the top 3.3% nationally

Higher is healthier

ST58th
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 ›

Short sleep

27.9%

in the bottom 2.9% nationally

Lower is healthier

ST13th
US3rd
Definition & source ›

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

Full methodology ›

Walkability

1.4 intersections/sq mi

in the bottom 4.2% nationally

Higher is healthier

ST37th
US4th
Definition & source ›

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

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 ›

Fatal road crashes

39.1 per 100,000 residents per year

in the top 7.3% nationally

Lower is healthier

ST90th
US93rd
Definition & source ›

The annual rate of fatal road crashes per 100,000 residents, pooled over a ten-year window.

A rate per resident population. Where a ZIP has too few residents for the rate to be reliable — about 30% of US ZIPs — no value is published rather than an unstable one; those ZIPs are absent from this comparison, not counted as crash-free.

Full methodology ›

Fiber broadband

96.5%

in the top 8.8% nationally

Higher is healthier

ST45th
US91st
Definition & source ›

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

Full methodology ›

Households without a vehicle

9.8%

in the top 15% nationally

Lower is healthier

ST91st
US85th
Definition & source ›

The share of households with no vehicle available.

Full methodology ›

Housing-cost burden

31.4%

in the top 25% nationally

Lower is healthier

ST91st
US75th
Definition & source ›

The share of households spending 30% or more of their income on housing.

Full methodology ›

The read

Overall, Lake Preston, South Dakota (ZIP 57249) places in the top 36% healthiest ZIPs nationally (11,619th) and the top 50% of South Dakota (179th).

continue reading

The measures land in both directions, and neither dominates: outpatient settles in the top 1.9% nationally, and distance to a Superfund site sits in the top 3.3% nationally. Modeled short sleep lies in the bottom 2.9% nationally, and fiber broadband rests in the top 8.8% nationally. Modeled industrial-pollution burden resides in the bottom 11.1% nationally. Distance to a community health center is at the national minimum, shared with about 23% of ZIPs. Pulling the other way, modeled radon lands in the top 2.3% nationally, walkability stands in the bottom 4.2% nationally, and modeled fine-particle registers in the top 6.9% nationally. Fatal road crashes settles in the top 7.3% 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. 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. Among nearby ZIPs, the nearest healthier one overall is ZIP 57051, 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

Preventive Care

healthier than 74%

13%

Risk Behavior

healthier than 73%

11%

Mental Health

healthier than 86%

8%

Healthcare Access

healthier than 63%

5%

About typical

Chronic Disease Burden

healthier than 46%

21%

Disability

healthier than 53%

7%

Climate / Disaster Risk

healthier than 48%

5%

Holding it back

Social Need / SDOH

healthier than 17%

16%

Environmental Hazard

healthier than 26%

14%

Lifting this score

Preventive Care

healthier than 67%

13%

Risk Behavior

healthier than 71%

11%

Mental Health

healthier than 73%

8%

Healthcare Access

healthier than 92%

5%

Holding it back

Chronic Disease Burden

healthier than 33%

21%

Social Need / SDOH

healthier than 17%

16%

Environmental Hazard

healthier than 17%

14%

Disability

healthier than 34%

7%

Climate / Disaster Risk

healthier than 28%

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.

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 adults30.3%26.7–34.2
High blood pressure among adults37.1%32.7–41.9
Cancer (non-skin) or melanoma among adults11.2%10.1–12.4
Current asthma among adults9.9%8.7–11.2
Coronary heart disease among adults8.3%7.3–9.4
Chronic obstructive pulmonary disease among adults7.9%6.7–9.3
Depression among adults19.9%16.7–23.6
Diagnosed diabetes among adults12.9%10.9–15.0
High cholesterol among adults who have ever been screened37.7%33.2–42.7
Obesity among adults36.6%28.6–45.8
Stroke among adults4.1%3.6–4.6
All teeth lost among adults aged >=65 years12.6%10.1–15.6
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years8.3%6.7–10.1
Taking medicine to control high blood pressure among adults with high blood pressure79.9%76.9–82.8
Visits to doctor for routine checkup within the past year among adults77.8%74.1–81.5
Cholesterol screening among adults87.2%85.3–88.8
Colorectal cancer screening among adults aged 45–75 years69.5%64.3–74.5
Visited dentist or dental clinic in the past year among adults69.2%65.8–72.6
Mammography use among women aged 50-74 years77.9%70.2–84.3
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults17.0%14.1–20.6
Current cigarette smoking among adults15.4%12.8–18.4
No leisure-time physical activity among adults25.4%20.8–30.5
Short sleep duration among adults27.9%22.0–34.7
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults18.0%15.2–21.3
Frequent mental distress among adults14.2%12.4–16.2
Frequent physical distress among adults13.5%11.7–15.5
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults13.1%11.3–15.1
Any disability among adults31.6%27.1–36.4
Hearing disability among adults9.8%8.6–11.0
Independent living disability among adults7.9%6.8–9.1
Mobility disability among adults14.8%12.4–17.3
Self-care disability among adults3.8%3.3–4.5
Vision disability among adults4.7%4.2–5.5
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate14.5%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–646.6%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)8.9%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)18.8%23.3% (9.2–53.6%) n=32,50524.6% (10.3–40.7%) n=366
Unemployment rate (16+)1.4%3.9% (0.0–9.8%) n=32,2741.1% (0.0–8.0%) n=365
Households without a vehicle9.8%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription86.1%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)31.4%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate75.9%78.7% (51.7–94.0%) n=32,32279.9% (57.2–94.8%) n=364
Crowded housing (>1 per room)1.4%1.3% (0.0–6.3%) n=32,3220.6% (0.0–10.2%) n=364
Foreign-born population0.6%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households72.0%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+26.8%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age50.6 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$63,182$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$193,300$222,200 ($100,300–$579,820) n=30,049$177,400 ($79,000–$321,400) n=311
Median gross rent$618$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