ZIP code
57269
in Twin Brooks, South DakotaPopulation 186
53.29/ 100
Ranked #11,651 of 32,066 US ZIPs (top 36%)
Ranked #180 of 360 South Dakota ZIPs (top 50%)
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.
Distance to a community health center
57.1 mi
in the top 0.7% nationally
Lower is healthier
ST98thUS99thDefinition & 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 ›Radon
3.6 pCi/L
in the top 4.3% nationally
Lower is healthier
ST57thUS96thDefinition & 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 Superfund site
101.7 mi
in the top 3.6% nationally
Higher is healthier
ST53rdUS96thDefinition & 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 ›Housing-cost burden
48.7%
in the top 3.6% nationally
Lower is healthier
ST98thUS96thDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Walkability
1.4 intersections/sq mi
in the bottom 4.4% nationally
Higher is healthier
ST39thUS4thDefinition & source ›
The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.
Full methodology ›Short sleep
28.3%
in the bottom 3.8% nationally
Lower is healthier
ST18thUS4thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Distance to an emergency room
19.3 mi
in the top 6.0% nationally
Lower is healthier
ST86thUS94thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›Outer-floodplain exposure
6.1%
in the top 6.2% nationally
Lower is healthier
ST83rdUS94thDefinition & source ›
The share of this ZIP’s land area inside FEMA’s 0.2%-annual-chance flood band — the “500-year” zone, a lower but real 1-in-500 yearly chance.
Measured from FEMA’s mapped flood panels. Where a panel has not been mapped, no value is published for that ZIP — those ZIPs are absent from this comparison rather than counted as unexposed.
Full methodology ›Fine-particle (PM2.5) exceedance
1.4%
in the top 7.3% nationally
Lower is healthier
ST82ndUS93rdDefinition & 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 ›Homeownership rate
96.1%
in the top 7.4% nationally
Higher is healthier
ST92ndUS93rdDefinition & source ›
The share of occupied homes that are owned, rather than rented, by the people living in them.
Full methodology ›The read
Twin Brooks, South Dakota (ZIP 57269), overall, ranks in the top 36% healthiest ZIPs nationally (11,651st) and the top 50% of South Dakota (180th).
Taken together, the data gives a genuinely mixed reading: distance to a Superfund site resides in the top 3.6% nationally, modeled short sleep settles in the bottom 3.8% nationally, and homeownership is in the top 7.4% nationally. On the other side, distance to a community health center sits in the top 0.7% nationally, modeled radon lands in the top 4.3% nationally, and housing-cost burden lies in the top 3.6% nationally. Walkability stands in the bottom 4.4% nationally, and distance to an emergency room rests in the top 6.0% nationally. Outer-floodplain exposure registers in the top 6.2% nationally, and modeled fine-particle resides in the top 7.3% nationally.
Measured against the nearby ZIPs, outer-floodplain exposure runs far higher than the surrounding ZIPs on this measure. Defined simply, 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. ZIP 57263, just across the boundary, comes out healthier 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
Chronic Disease Burden
healthier than 61%
21%
Preventive Care
healthier than 60%
13%
Risk Behavior
healthier than 63%
11%
Mental Health
healthier than 81%
8%
Climate / Disaster Risk
healthier than 62%
5%
About typical
Disability
healthier than 60%
7%
Holding it back
Social Need / SDOH
healthier than 39%
16%
Environmental Hazard
healthier than 35%
14%
Healthcare Access
healthier than 1%
5%
Nothing measured is lifting this score.
About typical
Chronic Disease Burden
healthier than 56%
21%
Social Need / SDOH
healthier than 51%
16%
Risk Behavior
healthier than 42%
11%
Mental Health
healthier than 50%
8%
Disability
healthier than 52%
7%
Climate / Disaster Risk
healthier than 52%
5%
Holding it back
Environmental Hazard
healthier than 38%
14%
Preventive Care
healthier than 39%
13%
Healthcare Access
healthier than 10%
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
57227
South Dakotashares a border
Score 51.20
Closest healthier
57263
South Dakotashares a border
Score 54.70
Similar health profile
69142
Nebraska98% similar profile
Score 55.96
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 | 27.8% | 24.5–31.3 |
| High blood pressure among adults | 34.8% | 30.7–38.9 |
| Cancer (non-skin) or melanoma among adults | 10.4% | 9.4–11.4 |
| Current asthma among adults | 9.8% | 8.6–11.1 |
| Coronary heart disease among adults | 7.8% | 6.9–8.8 |
| Chronic obstructive pulmonary disease among adults | 7.4% | 6.3–8.6 |
| Depression among adults | 20.4% | 17.2–23.8 |
| Diagnosed diabetes among adults | 11.8% | 10.2–13.5 |
| High cholesterol among adults who have ever been screened | 35.5% | 31.2–39.9 |
| Obesity among adults | 37.2% | 29.3–45.5 |
| Stroke among adults | 3.8% | 3.4–4.3 |
| All teeth lost among adults aged >=65 years | 9.0% | 7.2–11.1 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 8.3% | 6.5–10.3 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 78.2% | 75.3–81.1 |
| Visits to doctor for routine checkup within the past year among adults | 76.7% | 72.9–80.4 |
| Cholesterol screening among adults | 85.6% | 83.6–87.7 |
| Colorectal cancer screening among adults aged 45–75 years | 69.2% | 64.1–73.9 |
| Visited dentist or dental clinic in the past year among adults | 70.1% | 66.5–73.4 |
| Mammography use among women aged 50-74 years | 75.5% | 67.6–82.4 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 18.7% | 15.5–22.4 |
| Current cigarette smoking among adults | 15.6% | 12.9–18.4 |
| No leisure-time physical activity among adults | 25.3% | 20.7–30.0 |
| Short sleep duration among adults | 28.3% | 22.4–34.9 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 17.1% | 14.5–19.8 |
| Frequent mental distress among adults | 14.8% | 12.9–16.8 |
| Frequent physical distress among adults | 12.9% | 11.2–14.7 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 13.4% | 11.5–15.4 |
| Any disability among adults | 30.4% | 25.9–34.8 |
| Hearing disability among adults | 9.3% | 8.2–10.4 |
| Independent living disability among adults | 7.6% | 6.6–8.7 |
| Mobility disability among adults | 13.3% | 11.3–15.4 |
| Self-care disability among adults | 3.6% | 3.1–4.1 |
| Vision disability among adults | 4.4% | 3.9–5.0 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Poverty rate | 8.6% | 10.6% (3.1–25.8%) n=32,364 | 8.8% (1.1–33.5%) n=364 |
| Uninsured 18–64 | 7.4% | 9.0% (1.5–24.3%) n=32,286 | 9.6% (0.0–33.2%) n=365 |
| No HS diploma (25+) | 8.0% | 7.9% (1.8–20.7%) n=32,505 | 6.0% (0.8–15.3%) n=366 |
| Bachelor's or higher (25+) | 54.7% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (10.3–40.7%) n=366 |
| Unemployment rate (16+) | 3.8% | 3.9% (0.0–9.8%) n=32,274 | 1.1% (0.0–8.0%) n=365 |
| Households without a vehicle | 0.0% | 3.9% (0.0–12.5%) n=32,322 | 1.9% (0.0–9.6%) n=364 |
| Broadband subscription | 92.1% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (73.7–96.3%) n=364 |
| Housing cost burden (≥30% income) | 48.7% | 23.7% (10.6–40.0%) n=32,322 | 17.5% (5.2–30.6%) n=364 |
| Homeownership rate | 96.1% | 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 | 0.0% | 2.6% (0.0–18.6%) n=32,553 | 0.6% (0.0–5.3%) n=367 |
| Single-parent households | 83.9% | 53.6% (37.3–74.1%) n=32,087 | 56.7% (32.7–81.4%) n=362 |
| Population 65+ | 18.3% | 19.4% (10.8–33.6%) n=32,553 | 20.3% (8.4–33.0%) n=367 |
| Median age | 32.6 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (27.6–56.7) n=365 |
| Median household income | $98,333 | $72,070 ($46,039–$118,707) n=30,318 | $74,865 ($51,211–$102,582) n=336 |
| Median home value | $410,600 | $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
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 80.0 yr ± 0.84 | 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 0.84 years of 80.0, 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