ZIP code
57420
in Akaska, South DakotaPopulation 260
50.02/ 100
Ranked #16,223 of 32,066 US ZIPs (bottom 49%)
Ranked #272 of 360 South Dakota ZIPs (bottom 24%)
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.
Hearing disability
13.4%
in the top 1.4% nationally
Lower is healthier
ST95thUS99thDefinition & source ›
The estimated share of adults who are deaf or have serious difficulty hearing.
Full methodology ›Fiber broadband
100%
at the national maximum
Higher is healthier
ST99thUS99thDefinition & source ›
The share of homes where fiber-optic internet service is available.
Full methodology ›Distance to a Superfund site
160 mi
in the top 1.6% nationally
Higher is healthier
ST91stUS98thDefinition & 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 ›Coronary heart disease
11.8%
in the top 2.1% nationally
Lower is healthier
ST97thUS98thDefinition & source ›
The estimated share of adults who have been told by a health professional that they have coronary heart disease or angina.
Full methodology ›Poverty rate
45%
in the top 2.2% nationally
Lower is healthier
ST94thUS98thDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
Full methodology ›Crowded housing
15.0%
in the top 2.2% nationally
Lower is healthier
ST94thUS98thDefinition & source ›
The share of occupied homes with more than one person per room, the Census definition of crowded housing.
Full methodology ›Colon-cancer screening
75.6%
in the top 2.3% nationally
Higher is healthier
ST99thUS98thDefinition & source ›
The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.
Full methodology ›Walkability
1.5 intersections/sq mi
in the bottom 4.8% nationally
Higher is healthier
ST44thUS5thDefinition & 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
28.4%
in the bottom 4.0% nationally
Lower is healthier
ST21stUS4thDefinition & source ›
The estimated share of adults who usually sleep less than seven hours in a 24-hour period.
Full methodology ›Transportation noise
0.00%
in the bottom 5.1% nationally
Lower is healthier
ST8thUS5thDefinition & 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 ›The read
In its overall standing, Akaska, South Dakota (ZIP 57420) lands in the bottom 49% nationally (16,223rd) and the bottom 24% of South Dakota (272nd), based on limited data; treat as directional.
Reading across the data, the real pressures come first: modeled hearing disability lies in the top 1.4% nationally, modeled coronary heart disease stands in the top 2.1% nationally, and poverty rests in the top 2.2% nationally. Crowded housing registers in the top 2.2% nationally, and walkability resides in the bottom 4.8% nationally. More encouragingly, fiber broadband settles at the national maximum, and distance to a Superfund site is in the top 1.6% nationally. Modeled colon screening sits in the top 2.3% nationally, and short sleep lands in the bottom 4.0% nationally. Modeled transportation noise lies in the bottom 5.1% nationally.
Put simply, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Transportation noise is the modeled share of an area exposed to average road, rail, and air noise at or above 55 decibels. On the overall standing, ZIP 57442, just across the boundary, ranks healthier.
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
Environmental Hazard
healthier than 99%
14%
Preventive Care
healthier than 96%
13%
Risk Behavior
healthier than 81%
11%
Mental Health
healthier than 96%
8%
Climate / Disaster RiskPartial
healthier than 69%
5%
Holding it back
Chronic Disease Burden
healthier than 8%
21%
Social Need / SDOH
healthier than 5%
16%
Disability
healthier than 26%
7%
Healthcare Access
healthier than 5%
5%
Lifting this score
Environmental Hazard
healthier than 98%
14%
Preventive Care
in the top 0.4%
13%
Risk Behavior
healthier than 94%
11%
Mental Health
in the top 0.8%
8%
Climate / Disaster RiskPartial
healthier than 62%
5%
Holding it back
Chronic Disease Burden
healthier than 3%
21%
Social Need / SDOH
healthier than 4%
16%
Disability
healthier than 13%
7%
Healthcare Access
healthier than 31%
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
57442
South Dakotashares a border
Score 55.34
Closest healthier
57450
South Dakotashares a border
Score 55.47
Similar health profile
57328
South Dakota95% similar profile
Score 49.87
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 | 39.6% | 35.0–44.3 |
| High blood pressure among adults | 46.1% | 41.0–51.4 |
| Cancer (non-skin) or melanoma among adults | 15.0% | 13.3–16.7 |
| Current asthma among adults | 9.8% | 8.6–11.1 |
| Coronary heart disease among adults | 11.8% | 10.0–13.6 |
| Chronic obstructive pulmonary disease among adults | 10.9% | 8.7–13.2 |
| Depression among adults | 18.3% | 15.3–21.8 |
| Diagnosed diabetes among adults | 17.1% | 14.4–20.1 |
| High cholesterol among adults who have ever been screened | 44.5% | 39.4–49.8 |
| Obesity among adults | 34.9% | 26.7–43.5 |
| Stroke among adults | 5.7% | 4.8–6.7 |
| All teeth lost among adults aged >=65 years | 14.8% | 12.0–17.9 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 7.6% | 5.3–10.5 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 85.0% | 82.2–87.6 |
| Visits to doctor for routine checkup within the past year among adults | 83.0% | 79.7–85.9 |
| Cholesterol screening among adults | 91.3% | 89.6–92.9 |
| Colorectal cancer screening among adults aged 45–75 years | 75.6% | 70.3–80.2 |
| Visited dentist or dental clinic in the past year among adults | 67.0% | 63.2–70.5 |
| Mammography use among women aged 50-74 years | 78.6% | 71.0–84.9 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 13.0% | 10.5–15.8 |
| Current cigarette smoking among adults | 16.3% | 12.8–20.1 |
| No leisure-time physical activity among adults | 28.3% | 22.7–34.7 |
| Short sleep duration among adults | 28.4% | 22.1–35.1 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 21.3% | 17.3–25.8 |
| Frequent mental distress among adults | 12.2% | 10.4–14.1 |
| Frequent physical distress among adults | 15.7% | 13.2–18.4 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 12.0% | 10.0–14.5 |
| Any disability among adults | 37.0% | 31.2–43.0 |
| Hearing disability among adults | 13.4% | 11.6–15.4 |
| Independent living disability among adults | 8.6% | 7.0–10.3 |
| Mobility disability among adults | 19.9% | 16.1–23.9 |
| Self-care disability among adults | 4.9% | 4.0–5.9 |
| Vision disability among adults | 5.7% | 4.7–6.9 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Poverty rate | 45.0% | 10.6% (3.1–25.8%) n=32,364 | 8.8% (1.1–33.5%) n=364 |
| Uninsured 18–64 | 59.3% | 9.0% (1.5–24.3%) n=32,286 | 9.6% (0.0–33.2%) n=365 |
| No HS diploma (25+) | 2.5% | 7.9% (1.8–20.7%) n=32,505 | 6.0% (0.8–15.3%) n=366 |
| Bachelor's or higher (25+) | 36.9% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (10.3–40.7%) n=366 |
| Unemployment rate (16+) | 0.0% | 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 | 98.1% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (73.7–96.3%) n=364 |
| Housing cost burden (≥30% income) | 43.9% | 23.7% (10.6–40.0%) n=32,322 | 17.5% (5.2–30.6%) n=364 |
| Homeownership rate | 65.4% | 78.7% (51.7–94.0%) n=32,322 | 79.9% (57.2–94.8%) n=364 |
| Crowded housing (>1 per room) | 15.0% | 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 | 45.3% | 53.6% (37.3–74.1%) n=32,087 | 56.7% (32.7–81.4%) n=362 |
| Population 65+ | 21.2% | 19.4% (10.8–33.6%) n=32,553 | 20.3% (8.4–33.0%) n=367 |
| Median age | 21.6 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (27.6–56.7) n=365 |
| Median household income | $40,469 | $72,070 ($46,039–$118,707) n=30,318 | $74,865 ($51,211–$102,582) n=336 |
| Median home value | $79,000 | $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 | 82.4 yr ± 1.77 | 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 1.77 years of 82.4, 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