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ZipVitals

ZIP code

57563

in Okreek, South DakotaPopulation 195

26.51/ 100

Ranked #31,300 of 32,066 US ZIPs (bottom 2.4%)

Ranked #337 of 360 South Dakota ZIPs (bottom 6.4%)

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.

Independent-living disability

18.6%

in the top 0.4% nationally

Lower is healthier

ST97th
US99th
Definition & source ›

The estimated share of adults who have difficulty doing errands alone, such as visiting a doctor’s office, because of a physical, mental, or emotional condition.

Full methodology ›

Vision disability

13.5%

in the top 1.0% nationally

Lower is healthier

ST96th
US99th
Definition & source ›

The estimated share of adults who are blind or have serious difficulty seeing even with glasses.

Full methodology ›

Tooth loss

36%

in the top 1.0% nationally

Lower is healthier

ST96th
US99th
Definition & source ›

The estimated share of adults aged 65 and older who have lost all of their natural teeth.

Full methodology ›

Cognitive disability

26.3%

in the top 0.7% nationally

Lower is healthier

ST97th
US99th
Definition & source ›

The estimated share of adults with serious difficulty concentrating, remembering, or making decisions.

Full methodology ›

Poverty rate

66.2%

in the top 0.8% nationally

Lower is healthier

ST97th
US99th
Definition & source ›

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

Full methodology ›

Energy-cost burden

6.4%

in the top 2.0% nationally

Lower is healthier

ST92nd
US98th
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 ›

Fair or poor health

33.7%

in the top 3.6% nationally

Lower is healthier

ST95th
US96th
Definition & source ›

The estimated share of adults who rate their own general health as fair or poor.

Full methodology ›

Housing-cost burden

0.00%

at the national minimum

Lower is healthier

ST1st
US1st
Definition & source ›

The share of households spending 30% or more of their income on housing.

Full methodology ›

Self-care disability

7.5%

in the top 4.1% nationally

Lower is healthier

ST93rd
US96th
Definition & source ›

The estimated share of adults with difficulty dressing or bathing.

Full methodology ›

Distance to a Superfund site

141.3 mi

in the top 2.0% nationally

Higher is healthier

ST81st
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 ›

The read

On the composite measure, Okreek, South Dakota (ZIP 57563) stands in the bottom 2.4% nationally (31,300th) and the bottom 6.4% of South Dakota (337th), based on limited data; treat as directional.

continue reading

A number of readings press hard on the profile and set its tone: modeled independent living disability stands in the top 0.4% nationally, and vision disability sits in the top 1.0% nationally. Modeled tooth loss resides in the top 1.0% nationally, and cognitive disability stands in the top 0.7% nationally. Poverty sits in the top 0.8% nationally, modeled energy burden resides in the top 2.0% nationally, and modeled fair or poor health stands in the top 3.6% nationally. Modeled self-care disability sits in the top 4.1% nationally. On the brighter side, housing-cost burden resides at the national minimum, and distance to a Superfund site stands in the top 2.0% nationally.

For clarity, 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. ZIP 57580, just across the boundary, ranks better overall among the ZIPs nearby.

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 64%

14%

About typical

Climate / Disaster RiskPartial

healthier than 55%

5%

Holding it back

Chronic Disease Burden

healthier than 16%

21%

Social Need / SDOH

healthier than 3%

16%

Preventive Care

healthier than 4%

13%

Risk Behavior

healthier than 2%

11%

Mental Health

healthier than 3%

8%

Disability

healthier than 1%

7%

Healthcare Access

healthier than 8%

5%

Lifting this score

Environmental Hazard

healthier than 84%

14%

About typical

Climate / Disaster RiskPartial

healthier than 42%

5%

Healthcare Access

healthier than 42%

5%

Holding it back

Chronic Disease Burden

healthier than 8%

21%

Social Need / SDOH

healthier than 3%

16%

Preventive Care

healthier than 2%

13%

Risk Behavior

healthier than 5%

11%

Mental Health

in the bottom 0.00%

8%

Disability

in the bottom 0.8%

7%

“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 adults25.9%22.9–28.9
High blood pressure among adults34.9%31.0–38.6
Cancer (non-skin) or melanoma among adults5.6%4.9–6.3
Current asthma among adults16.2%14.1–18.4
Coronary heart disease among adults8.2%6.9–9.5
Chronic obstructive pulmonary disease among adults11.4%9.1–13.9
Depression among adults25.8%21.6–29.9
Diagnosed diabetes among adults18.1%15.6–20.5
High cholesterol among adults who have ever been screened29.1%25.5–32.6
Obesity among adults46.7%39.4–53.6
Stroke among adults5.4%4.4–6.4
All teeth lost among adults aged >=65 years36.0%31.7–40.3
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years14.3%9.9–20.0
Taking medicine to control high blood pressure among adults with high blood pressure69.4%66.5–72.5
Visits to doctor for routine checkup within the past year among adults74.6%70.3–78.9
Cholesterol screening among adults73.5%68.1–78.3
Colorectal cancer screening among adults aged 45–75 years54.5%49.4–59.3
Visited dentist or dental clinic in the past year among adults49.0%45.3–52.5
Mammography use among women aged 50-74 years68.8%61.0–75.6
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults14.7%11.9–17.9
Current cigarette smoking among adults31.9%25.6–38.0
No leisure-time physical activity among adults37.0%30.0–44.0
Short sleep duration among adults38.9%33.7–43.9
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults33.7%27.6–40.5
Frequent mental distress among adults25.5%21.3–29.2
Frequent physical distress among adults20.0%16.8–23.3
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults26.3%20.9–31.8
Any disability among adults47.2%40.1–54.0
Hearing disability among adults11.1%9.6–12.6
Independent living disability among adults18.6%14.6–23.0
Mobility disability among adults21.8%18.1–25.6
Self-care disability among adults7.5%6.1–9.2
Vision disability among adults13.5%11.0–16.5
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate66.2%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–6425.9%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)0.0%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)22.6%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 vehicle0.0%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription100.0%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)0.0%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate30.8%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 population0.0%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households69.2%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+6.2%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age18.9 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$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 birth76.1 yr ± 0.9678.9 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 0.96 years of 76.1, 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