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ZipVitals

ZIP code

57356

in Lake Andes, South DakotaPopulation 1,959

38.95/ 100

Ranked #27,433 of 32,066 US ZIPs (bottom 14.5%)

Ranked #315 of 360 South Dakota ZIPs (bottom 12.5%)

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.

PFAS in drinking water

7.2%

in the bottom 3.7% nationally

Lower is healthier

ST3rd
US4th
Definition & source ›

The modeled probability that PFAS “forever chemicals” would be detected in untreated groundwater in this area, the source private wells draw on.

A modeled likelihood for untreated groundwater, the source drawn on by private wells, which are federally unregulated. It is not a measurement of treated water delivered by a public system, and it is not a test of any individual well.

Full methodology ›

Distance to a community health center

30.6 mi

in the top 3.9% nationally

Lower is healthier

ST81st
US96th
Definition & 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 ›

Distance to a Superfund site

83.5 mi

in the top 4.8% nationally

Higher is healthier

ST40th
US95th
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 ›

Poverty rate

33.5%

in the top 5.1% nationally

Lower is healthier

ST90th
US95th
Definition & source ›

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

Full methodology ›

Pharmacy access

0.48 per 1,000 residents

in the top 5.5% nationally

Higher is healthier

ST86th
US95th
Definition & source ›

The number of pharmacies 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 ›

Walkability

1.7 intersections/sq mi

in the bottom 5.6% nationally

Higher is healthier

ST48th
US6th
Definition & source ›

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

Full methodology ›

Radon

3.1 pCi/L

in the top 8.9% nationally

Lower is healthier

ST32nd
US91st
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 ›

Fine-particle (PM2.5) exceedance

1.1%

in the top 8.6% nationally

Lower is healthier

ST72nd
US91st
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 ›

Colon-cancer screening

57.7%

in the bottom 8.6% nationally

Higher is healthier

ST9th
US9th
Definition & source ›

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

Full methodology ›

Hearing disability

11.0%

in the top 9.4% nationally

Lower is healthier

ST76th
US91st
Definition & source ›

The estimated share of adults who are deaf or have serious difficulty hearing.

Full methodology ›

The read

Overall, Lake Andes, South Dakota (ZIP 57356) lands in the bottom 14.5% nationally (27,433rd) and the bottom 12.5% of South Dakota (315th).

continue reading

A number of measures pull each way for this area: modeled pfas registers in the bottom 3.7% nationally, and distance to a Superfund site rests in the top 4.8% nationally. Pharmacy stands in the top 5.5% nationally. Set against that, distance to a community health center lies in the top 3.9% nationally, poverty lands in the top 5.1% nationally, and walkability sits in the bottom 5.6% nationally. Modeled radon is in the top 8.9% nationally, fine-particle settles in the top 8.6% nationally, and colon screening resides in the bottom 8.6% nationally. Modeled hearing disability registers in the top 9.4% nationally.

A note on the terms: pfas is the man-made "forever chemicals" that build up in the body and environment instead of breaking down; here a modeled estimate of the chance a private well contains them. 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. For a healthier nearby comparison, ZIP 57313, 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.

Compare within

Nothing measured is lifting this score.

About typical

Environmental Hazard

healthier than 56%

14%

Climate / Disaster Risk

healthier than 53%

5%

Holding it back

Chronic Disease Burden

healthier than 27%

21%

Social Need / SDOH

healthier than 16%

16%

Preventive Care

healthier than 11%

13%

Risk Behavior

healthier than 9%

11%

Mental Health

healthier than 40%

8%

Disability

healthier than 12%

7%

Healthcare Access

healthier than 4%

5%

Lifting this score

Environmental Hazard

healthier than 81%

14%

Holding it back

Chronic Disease Burden

healthier than 15%

21%

Social Need / SDOH

healthier than 16%

16%

Preventive Care

healthier than 7%

13%

Risk Behavior

healthier than 7%

11%

Mental Health

healthier than 8%

8%

Disability

healthier than 10%

7%

Climate / Disaster Risk

healthier than 37%

5%

Healthcare Access

healthier than 30%

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 adults28.4%25.0–31.9
High blood pressure among adults37.4%33.1–41.8
Cancer (non-skin) or melanoma among adults8.3%7.5–9.2
Current asthma among adults12.1%10.7–13.7
Coronary heart disease among adults8.9%7.9–9.9
Chronic obstructive pulmonary disease among adults9.7%8.5–11.1
Depression among adults21.9%18.4–25.8
Diagnosed diabetes among adults16.1%14.0–18.3
High cholesterol among adults who have ever been screened34.0%29.9–38.5
Obesity among adults42.4%33.6–51.7
Stroke among adults4.9%4.4–5.4
All teeth lost among adults aged >=65 years19.1%15.9–22.6
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years11.8%9.7–14.4
Taking medicine to control high blood pressure among adults with high blood pressure76.0%72.9–78.7
Visits to doctor for routine checkup within the past year among adults75.7%71.7–79.5
Cholesterol screening among adults80.9%78.4–83.1
Colorectal cancer screening among adults aged 45–75 years57.7%52.0–63.0
Visited dentist or dental clinic in the past year among adults54.4%50.5–58.2
Mammography use among women aged 50-74 years70.6%61.4–78.4
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults17.2%14.1–20.7
Current cigarette smoking among adults23.6%20.4–27.0
No leisure-time physical activity among adults32.3%27.2–37.8
Short sleep duration among adults35.3%28.3–42.5
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults25.9%22.5–29.7
Frequent mental distress among adults18.8%16.6–21.2
Frequent physical distress among adults16.7%14.7–19.0
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults18.6%16.3–21.1
Any disability among adults39.4%34.5–44.7
Hearing disability among adults11.0%9.8–12.3
Independent living disability among adults12.0%10.5–13.5
Mobility disability among adults18.9%16.4–21.5
Self-care disability among adults5.6%5.0–6.3
Vision disability among adults8.3%7.4–9.3
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate33.5%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–6433.4%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+)23.8%23.3% (9.2–53.6%) n=32,50524.6% (10.3–40.7%) n=366
Unemployment rate (16+)8.0%3.9% (0.0–9.8%) n=32,2741.1% (0.0–8.0%) n=365
Households without a vehicle6.3%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription81.0%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)18.0%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate75.8%78.7% (51.7–94.0%) n=32,32279.9% (57.2–94.8%) n=364
Crowded housing (>1 per room)4.6%1.3% (0.0–6.3%) n=32,3220.6% (0.0–10.2%) n=364
Foreign-born population0.3%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households56.0%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+20.3%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age37.3 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$54,107$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$113,900$222,200 ($100,300–$579,820) n=30,049$177,400 ($79,000–$321,400) n=311
Median gross rent$742$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 birth81.5 yr ± 2.2778.9 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 2.27 years of 81.5, 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