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ZipVitals

ZIP code

57428

in Bowdle, South DakotaPopulation 567

51.70/ 100

Ranked #13,827 of 32,066 US ZIPs (top 43%)

Ranked #234 of 360 South Dakota ZIPs (bottom 35%)

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.

Energy-cost burden

7.8%

in the top 0.8% nationally

Lower is healthier

ST97th
US99th
Definition & source ›

The modeled share of household income spent on home energy bills — electricity, gas, and heating fuels.

A modeled share of household income spent on home energy. Estimates that hit the model’s 100% ceiling are suppressed rather than published, because at that point the figure reflects the model’s limit rather than a measured burden.

Full methodology ›

Pharmacy access

1.5 per 1,000 residents

in the top 0.3% nationally

Higher is healthier

ST99th
US99th
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 ›

Recreation access

3 per 1,000 residents

in the top 0.6% nationally

Higher is healthier

ST99th
US99th
Definition & source ›

The number of places for physical recreation — gyms, sports, and fitness venues — 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 ›

Outpatient-care access

1.5 per 1,000 residents

in the top 0.8% nationally

Higher is healthier

ST99th
US99th
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 ›

Physician access

6 per 1,000 residents

in the top 0.8% nationally

Higher is healthier

ST99th
US99th
Definition & source ›

The number of physicians’ offices 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

180 mi

in the top 1.3% nationally

Higher is healthier

ST98th
US99th
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 ›

Civic-institution access

1.5 per 1,000 residents

in the top 1.9% nationally

Higher is healthier

ST96th
US98th
Definition & source ›

The number of civic and social organizations 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 community health center

41.2 mi

in the top 2.0% nationally

Lower is healthier

ST91st
US98th
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 ›

Walkability

1.5 intersections/sq mi

in the bottom 4.5% nationally

Higher is healthier

ST41st
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 ›

Short sleep

28.7%

in the bottom 4.9% nationally

Lower is healthier

ST30th
US5th
Definition & source ›

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

Full methodology ›

The read

Bowdle, South Dakota (ZIP 57428), by its overall standing, sits in the top 43% healthiest ZIPs nationally (13,827th) and the bottom 35% of South Dakota (234th), based on limited data; treat as directional.

continue reading

The profile opens balanced, with readings on either hand: pharmacy registers in the top 0.3% nationally, recreation stands in the top 0.6% nationally, and outpatient lands in the top 0.8% nationally. Physicians is in the top 0.8% nationally, distance to a Superfund site resides in the top 1.3% nationally, and civic rests in the top 1.9% nationally. Distance to an emergency room lies at the national minimum, shared with about 11% of ZIPs. By contrast, modeled energy burden sits in the top 0.8% nationally, and distance to a community health center settles in the top 2.0% nationally. Walkability registers in the bottom 4.5% nationally.

Held up against its neighbors, pharmacy runs far higher than the surrounding ZIPs on this measure. Defined in plain terms, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Energy burden is the share of household income that goes to home energy bills. Distance to a community health center is a federally funded (HRSA) community health center serving everyone regardless of ability to pay. The nearest ZIP ranking healthier overall is ZIP 57450, 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

Environmental Hazard

healthier than 82%

14%

Preventive Care

healthier than 82%

13%

Risk Behavior

healthier than 79%

11%

Mental Health

healthier than 91%

8%

Climate / Disaster RiskPartial

healthier than 71%

5%

About typical

Disability

healthier than 41%

7%

Holding it back

Chronic Disease Burden

healthier than 33%

21%

Social Need / SDOH

healthier than 5%

16%

Healthcare Access

healthier than 3%

5%

Lifting this score

Environmental Hazard

healthier than 90%

14%

Preventive Care

healthier than 86%

13%

Risk Behavior

healthier than 88%

11%

Mental Health

healthier than 93%

8%

Climate / Disaster RiskPartial

healthier than 64%

5%

Holding it back

Chronic Disease Burden

healthier than 18%

21%

Social Need / SDOH

healthier than 5%

16%

Disability

healthier than 20%

7%

Healthcare Access

healthier than 20%

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 adults33.0%29.4–36.8
High blood pressure among adults39.6%35.2–44.0
Cancer (non-skin) or melanoma among adults12.6%11.4–13.9
Current asthma among adults9.8%8.7–11.1
Coronary heart disease among adults9.5%8.2–10.7
Chronic obstructive pulmonary disease among adults8.6%7.2–10.2
Depression among adults19.0%16.2–22.4
Diagnosed diabetes among adults13.8%11.8–15.9
High cholesterol among adults who have ever been screened39.0%34.7–43.7
Obesity among adults33.4%26.5–41.4
Stroke among adults4.7%4.1–5.3
All teeth lost among adults aged >=65 years11.6%9.4–14.2
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years8.0%6.3–10.0
Taking medicine to control high blood pressure among adults with high blood pressure82.0%79.2–84.5
Visits to doctor for routine checkup within the past year among adults79.9%76.6–83.0
Cholesterol screening among adults88.0%86.3–89.7
Colorectal cancer screening among adults aged 45–75 years69.3%64.5–73.9
Visited dentist or dental clinic in the past year among adults67.2%64.0–70.5
Mammography use among women aged 50-74 years78.3%71.4–84.1
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults15.6%13.0–18.6
Current cigarette smoking among adults14.7%12.0–17.5
No leisure-time physical activity among adults25.5%20.8–30.5
Short sleep duration among adults28.7%23.1–34.8
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults18.6%15.6–21.8
Frequent mental distress among adults13.5%11.8–15.4
Frequent physical distress among adults13.7%11.8–15.7
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults12.7%10.9–14.7
Any disability among adults33.8%29.1–38.4
Hearing disability among adults11.3%9.8–12.8
Independent living disability among adults8.4%7.1–9.8
Mobility disability among adults16.4%13.7–19.2
Self-care disability among adults4.1%3.5–4.8
Vision disability among adults5.2%4.5–6.1
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate6.9%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–647.7%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)7.8%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)24.7%23.3% (9.2–53.6%) n=32,50524.6% (10.3–40.7%) n=366
Unemployment rate (16+)0.0%3.9% (0.0–9.8%) n=32,2741.1% (0.0–8.0%) n=365
Households without a vehicle3.9%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription89.1%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)19.7%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate64.2%78.7% (51.7–94.0%) n=32,32279.9% (57.2–94.8%) n=364
Crowded housing (>1 per room)1.3%1.3% (0.0–6.3%) n=32,3220.6% (0.0–10.2%) n=364
Foreign-born population0.4%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households51.2%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+29.1%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age40.9 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$64,375$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$143,800$222,200 ($100,300–$579,820) n=30,049$177,400 ($79,000–$321,400) n=311
Median gross rent$783$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 birth80.2 yr ± 0.8078.9 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 0.80 years of 80.2, 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