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ZipVitals

ZIP code

57435

in Cresbard, South DakotaPopulation 300

47.68/ 100

Ranked #19,351 of 32,066 US ZIPs (bottom 40%)

Ranked #289 of 360 South Dakota ZIPs (bottom 20%)

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

7.0%

in the top 1.2% nationally

Lower is healthier

ST94th
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 ›

Radon

3.8 pCi/L

in the top 3.1% nationally

Lower is healthier

ST70th
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

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 ›

Fiber broadband

99.1%

in the top 4.6% nationally

Higher is healthier

ST69th
US95th
Definition & source ›

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

Full methodology ›

Walkability

1.5 intersections/sq mi

in the bottom 5.0% nationally

Higher is healthier

ST46th
US5th
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

29.4%

in the bottom 7.1% nationally

Lower is healthier

ST46th
US7th
Definition & source ›

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

Full methodology ›

Distance to a community health center

20.6 mi

in the top 7.8% nationally

Lower is healthier

ST64th
US92nd
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 ›

Transportation noise

0.10%

in the bottom 8.3% nationally

Lower is healthier

ST14th
US8th
Definition & 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 ›

Fine-particle (PM2.5) exceedance

0.93%

in the top 9.8% nationally

Lower is healthier

ST63rd
US90th
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 ›

The read

Judged by its overall standing, Cresbard, South Dakota (ZIP 57435) sits in the bottom 40% nationally (19,351st) and the bottom 20% of South Dakota (289th), based on limited data; treat as directional.

continue reading

A demanding profile, and several measures drive it: modeled energy burden stands in the top 1.2% nationally, modeled radon resides in the top 3.1% nationally, and walkability sits in the bottom 5.0% nationally. Distance to a community health center stands in the top 7.8% nationally, and modeled fine-particle resides in the top 9.8% nationally. On the stronger side, distance to a Superfund site sits in the top 1.3% nationally, and fiber broadband stands in the top 4.6% nationally. Modeled short sleep resides in the bottom 7.1% nationally. Households without a vehicle sits at the national minimum, shared with about 16% of ZIPs. Modeled transportation noise stands in the bottom 8.3% nationally.

Put plainly, 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. A healthier nearby ZIP overall is ZIP 57451, 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

Preventive Care

healthier than 62%

13%

Mental Health

healthier than 76%

8%

About typical

Environmental Hazard

healthier than 53%

14%

Risk Behavior

healthier than 58%

11%

Climate / Disaster RiskPartial

healthier than 58%

5%

Holding it back

Chronic Disease Burden

healthier than 33%

21%

Social Need / SDOH

healthier than 4%

16%

Disability

healthier than 36%

7%

Healthcare Access

healthier than 6%

5%

Lifting this score

Environmental Hazard

healthier than 79%

14%

About typical

Preventive Care

healthier than 42%

13%

Climate / Disaster RiskPartial

healthier than 48%

5%

Holding it back

Chronic Disease Burden

healthier than 18%

21%

Social Need / SDOH

healthier than 4%

16%

Risk Behavior

healthier than 31%

11%

Mental Health

healthier than 37%

8%

Disability

healthier than 17%

7%

Healthcare Access

healthier than 38%

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 adults31.7%28.2–35.5
High blood pressure among adults39.1%34.9–43.5
Cancer (non-skin) or melanoma among adults10.8%9.8–11.9
Current asthma among adults10.3%9.1–11.6
Coronary heart disease among adults9.1%8.1–10.4
Chronic obstructive pulmonary disease among adults9.5%8.1–11.2
Depression among adults21.0%17.9–24.6
Diagnosed diabetes among adults14.8%12.8–17.0
High cholesterol among adults who have ever been screened38.8%34.6–43.4
Obesity among adults37.3%29.9–46.0
Stroke among adults4.5%4.0–5.1
All teeth lost among adults aged >=65 years10.8%8.9–12.7
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years8.8%6.9–11.1
Taking medicine to control high blood pressure among adults with high blood pressure80.2%77.3–82.7
Visits to doctor for routine checkup within the past year among adults77.7%74.2–81.0
Cholesterol screening among adults85.8%83.8–87.7
Colorectal cancer screening among adults aged 45–75 years67.7%62.4–72.1
Visited dentist or dental clinic in the past year among adults66.4%63.0–69.4
Mammography use among women aged 50-74 years76.7%68.9–82.8
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults16.9%14.1–20.1
Current cigarette smoking among adults17.9%15.0–21.2
No leisure-time physical activity among adults26.8%22.2–31.9
Short sleep duration among adults29.4%23.5–35.3
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults20.6%17.6–24.2
Frequent mental distress among adults15.2%13.3–17.3
Frequent physical distress among adults14.9%13.0–17.1
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults14.3%12.3–16.4
Any disability among adults33.9%29.5–39.0
Hearing disability among adults10.1%9.0–11.4
Independent living disability among adults8.9%7.7–10.3
Mobility disability among adults16.4%14.0–19.2
Self-care disability among adults4.7%4.1–5.5
Vision disability among adults5.6%4.9–6.4
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate14.0%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–647.9%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)0.5%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)19.1%23.3% (9.2–53.6%) n=32,50524.6% (10.3–40.7%) n=366
Unemployment rate (16+)5.4%3.9% (0.0–9.8%) n=32,2741.1% (0.0–8.0%) n=365
Households without a vehicle0.0%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription94.5%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)16.6%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate89.0%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 population2.3%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households83.9%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+19.0%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age52.5 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$97,750$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$207,400$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
MeasureValueUS median (p10–p90)SD median (p10–p90)
Life expectancy at birth82.5 yr ± 1.3678.9 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 1.36 years of 82.5, 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