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ZipVitals

ZIP code

57365

in Oacoma, South DakotaPopulation 599

57.16/ 100

Ranked #7,120 of 32,066 US ZIPs (top 22%)

Ranked #68 of 360 South Dakota ZIPs (top 19%)

Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.

Broad coverage across 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

3.7 pCi/L

in the top 3.4% 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 ›

Distance to a Superfund site

153.4 mi

in the top 1.8% nationally

Higher is healthier

ST88th
US98th
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

26.7%

in the bottom 1.3% nationally

Lower is healthier

ST3rd
US1st
Definition & source ›

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

Full methodology ›

Walkability

1.1 intersections/sq mi

in the bottom 3.0% nationally

Higher is healthier

ST24th
US3rd
Definition & source ›

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

Full methodology ›

Fiber broadband

98.9%

in the top 5.1% nationally

Higher is healthier

ST65th
US95th
Definition & source ›

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

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 ›

Natural-disaster risk

in the bottom 8.7% nationally

Lower is healthier

ST6th
US9th
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 ›

Mammography

80%

in the top 11.1% nationally

Higher is healthier

ST91st
US89th
Definition & source ›

The estimated share of women aged 50–74 who had a mammogram within the past two years.

Full methodology ›

Dry extreme heat

32.8 days/year

in the top 14.0% nationally

Lower is healthier

ST99th
US86th
Definition & source ›

The average number of days per year with a modeled daily high of at least 95 °F.

Full methodology ›

PFAS in drinking water

48.1%

in the top 14.8% nationally

Lower is healthier

ST97th
US85th
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 ›

The read

By the composite health measure, Oacoma, South Dakota (ZIP 57365) ranks in the top 22% healthiest ZIPs nationally (7,120th) and the top 19% of South Dakota (68th), based on limited data; treat as directional.

continue reading

The picture here is genuinely mixed, with readings on both sides: distance to a Superfund site stands in the top 1.8% nationally, and modeled short sleep lies in the bottom 1.3% nationally. Fiber broadband lands in the top 5.1% nationally, and modeled disaster risk sits in the bottom 8.7% nationally. Modeled mammography is in the top 11.1% nationally. Crowded housing settles at the national minimum, shared with about 29% of ZIPs. On the other side, modeled radon resides in the top 3.4% nationally, walkability registers in the bottom 3.0% nationally, and modeled fine-particle rests in the top 8.6% nationally. Modeled extreme heat stands in the top 14.0% nationally.

To spell things out, 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. Close by, ZIP 57371, about 20 miles away, ranks 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.

Compare within

Lifting this score

Preventive Care

healthier than 90%

13%

Risk Behavior

healthier than 82%

11%

Mental Health

healthier than 92%

8%

Disability

healthier than 69%

7%

Healthcare Access

healthier than 68%

5%

About typical

Chronic Disease Burden

healthier than 51%

21%

Holding it back

Social Need / SDOH

healthier than 35%

16%

Environmental Hazard

healthier than 23%

14%

Climate / Disaster RiskPartial

healthier than 38%

5%

Lifting this score

Preventive Care

healthier than 96%

13%

Risk Behavior

healthier than 95%

11%

Mental Health

healthier than 94%

8%

Disability

healthier than 69%

7%

Healthcare Access

healthier than 93%

5%

About typical

Social Need / SDOH

healthier than 46%

16%

Holding it back

Chronic Disease Burden

healthier than 40%

21%

Environmental Hazard

healthier than 11%

14%

Climate / Disaster RiskPartial

healthier than 14%

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 adults30.5%26.9–34.7
High blood pressure among adults37.5%33.1–42.7
Cancer (non-skin) or melanoma among adults11.6%10.4–12.8
Current asthma among adults9.9%8.7–11.3
Coronary heart disease among adults7.7%6.7–8.8
Chronic obstructive pulmonary disease among adults7.1%5.9–8.5
Depression among adults19.1%16.1–22.8
Diagnosed diabetes among adults12.8%10.9–15.0
High cholesterol among adults who have ever been screened38.2%33.5–43.4
Obesity among adults35.5%27.4–44.6
Stroke among adults3.9%3.4–4.4
All teeth lost among adults aged >=65 years10.0%8.0–12.3
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years6.7%5.2–8.6
Taking medicine to control high blood pressure among adults with high blood pressure80.1%76.9–83.2
Visits to doctor for routine checkup within the past year among adults79.4%75.8–82.9
Cholesterol screening among adults89.2%87.5–90.9
Colorectal cancer screening among adults aged 45–75 years69.1%64.0–73.8
Visited dentist or dental clinic in the past year among adults75.2%72.1–78.1
Mammography use among women aged 50-74 years80.0%73.1–85.9
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults17.2%14.1–20.9
Current cigarette smoking among adults14.1%11.3–17.2
No leisure-time physical activity among adults23.0%18.4–28.2
Short sleep duration among adults26.7%21.1–33.0
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults16.4%13.6–19.7
Frequent mental distress among adults13.2%11.4–15.2
Frequent physical distress among adults12.6%10.8–14.8
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults11.5%9.8–13.5
Any disability among adults29.3%24.7–34.6
Hearing disability among adults9.0%7.9–10.4
Independent living disability among adults6.9%5.8–8.1
Mobility disability among adults13.7%11.3–16.4
Self-care disability among adults3.4%2.9–4.0
Vision disability among adults4.3%3.7–4.9
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate7.0%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–6419.4%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)6.0%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)23.6%23.3% (9.2–53.6%) n=32,50524.6% (10.3–40.7%) n=366
Unemployment rate (16+)5.8%3.9% (0.0–9.8%) n=32,2741.1% (0.0–8.0%) n=365
Households without a vehicle0.8%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription89.8%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)19.3%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate79.5%78.7% (51.7–94.0%) n=32,32279.9% (57.2–94.8%) n=364
Crowded housing (>1 per room)0.0%1.3% (0.0–6.3%) n=32,3220.6% (0.0–10.2%) n=364
Foreign-born population1.7%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households56.6%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+26.4%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age41.2 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$76,000$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$218,400$222,200 ($100,300–$579,820) n=30,049$177,400 ($79,000–$321,400) n=311
Median gross rent$883$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 birth89.9 yr ± 3.4578.9 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 3.45 years of 89.9, 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