ZIP code
57566
in Parmelee, South DakotaPopulation 1,184
21.17/ 100
Ranked #31,798 of 32,066 US ZIPs (bottom 0.9%)
Ranked #352 of 360 South Dakota ZIPs (bottom 2.3%)
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.
Tooth loss
45.8%
in the top 0.2% nationally
Lower is healthier
ST98thUS99thDefinition & source ›
The estimated share of adults aged 65 and older who have lost all of their natural teeth.
Full methodology ›Vision disability
14.6%
in the top 0.6% nationally
Lower is healthier
ST97thUS99thDefinition & source ›
The estimated share of adults who are blind or have serious difficulty seeing even with glasses.
Full methodology ›Independent-living disability
18.3%
in the top 0.5% nationally
Lower is healthier
ST97thUS99thDefinition & 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 ›Colon-cancer screening
45.4%
in the bottom 0.8% nationally
Higher is healthier
ST3rdUS1stDefinition & source ›
The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.
Full methodology ›Cognitive disability
26.2%
in the top 0.7% nationally
Lower is healthier
ST97thUS99thDefinition & source ›
The estimated share of adults with serious difficulty concentrating, remembering, or making decisions.
Full methodology ›Crowded housing
54.6%
in the top 0.2% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The share of occupied homes with more than one person per room, the Census definition of crowded housing.
Full methodology ›Self-care disability
8.3%
in the top 2.3% nationally
Lower is healthier
ST96thUS98thDefinition & source ›
The estimated share of adults with difficulty dressing or bathing.
Full methodology ›Poverty rate
75.7%
in the top 0.5% nationally
Lower is healthier
ST99thUS99thDefinition & 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
6.8%
in the top 1.4% nationally
Lower is healthier
ST93rdUS99thDefinition & 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 ›Unemployment rate
31.6%
in the top 0.7% nationally
Lower is healthier
ST98thUS99thDefinition & source ›
The share of the civilian labor force that is unemployed.
Full methodology ›Cross-source signals
Health need and barriers to care documented here
On our reading, this ZIP code carries the overlap at its severe level: severe means at least four of the six health-need readings and at least four of the six access barriers apply to the same place.
These are two separate readings of public data that both apply to this place — never a claim that one causes the other, never a severity score, and never a statement about any person who lives here.
Health need documented here
- People without health insurance
- People living in poverty
- Adults reporting fair or poor health
- Chronic conditions
Barriers to reaching care
- Distance to the nearest emergency room
- Thin local supply of doctors
- Thin local supply of pharmacies
- Households with no vehicle
A reading appears below only where this ZIP code is among the most-affected 10% of US ZIP codes on it — one national bar, the same for every ZIP in the country.
See the full care-deserts analysis →The read
Overall, Parmelee, South Dakota (ZIP 57566) lands in the bottom 0.9% nationally (31,798th) and the bottom 2.3% of South Dakota (352nd), based on limited data; treat as directional.
On the ground, a handful of readings define this area: modeled tooth loss sits in the top 0.2% nationally, and vision disability is in the top 0.6% nationally. Modeled independent living disability settles in the top 0.5% nationally, and colon screening resides in the bottom 0.8% nationally. Modeled cognitive disability registers in the top 0.7% nationally, crowded housing rests in the top 0.2% nationally, and modeled self-care disability stands in the top 2.3% nationally. Poverty lies in the top 0.5% nationally, modeled energy burden lands in the top 1.4% nationally, and unemployment sits in the top 0.7% nationally.
Set beside the nearby areas, crowded housing runs far higher than the surrounding ZIPs on this measure. A note on the terms: energy burden is the share of household income that goes to home energy bills. For a healthier nearby comparison, ZIP 57555, just across the boundary, ranks better overall. The ZIP also shows documented health need overlapping with barriers to reaching care, sitting in the most-affected 10% of US ZIP codes on several need measures and several access barriers.
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 74%
14%
About typical
Climate / Disaster RiskPartial
healthier than 56%
5%
Holding it back
Chronic Disease Burden
healthier than 12%
21%
Social Need / SDOH
in the bottom 0.2%
16%
Preventive Care
healthier than 1%
13%
Risk Behavior
in the bottom 0.9%
11%
Mental Health
healthier than 5%
8%
Disability
in the bottom 0.6%
7%
Healthcare Access
healthier than 6%
5%
Lifting this score
Environmental Hazard
healthier than 86%
14%
About typical
Climate / Disaster RiskPartial
healthier than 43%
5%
Holding it back
Chronic Disease Burden
healthier than 7%
21%
Social Need / SDOH
in the bottom 0.00%
16%
Preventive Care
in the bottom 0.03%
13%
Risk Behavior
in the bottom 0.9%
11%
Mental Health
in the bottom 0.00%
8%
Disability
in the bottom 0.00%
7%
Healthcare Access
healthier than 37%
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
57555
South Dakotashares a border
Score 22.67
Closest healthier
57560
South Dakotashares a border
Score 23.00
Similar health profile
85542
Arizona100% similar profile
Score 17.99
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 | 25.5% | 22.9–28.3 |
| High blood pressure among adults | 36.7% | 33.1–40.5 |
| Cancer (non-skin) or melanoma among adults | 5.1% | 4.6–5.7 |
| Current asthma among adults | 15.4% | 13.7–17.2 |
| Coronary heart disease among adults | 8.8% | 7.9–9.8 |
| Chronic obstructive pulmonary disease among adults | 11.7% | 10.2–13.5 |
| Depression among adults | 23.9% | 20.5–27.4 |
| Diagnosed diabetes among adults | 19.7% | 17.5–21.9 |
| High cholesterol among adults who have ever been screened | 29.2% | 25.9–32.6 |
| Obesity among adults | 48.7% | 42.2–55.3 |
| Stroke among adults | 5.7% | 5.1–6.4 |
| All teeth lost among adults aged >=65 years | 45.8% | 40.8–50.7 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 16.5% | 13.2–20.4 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 68.1% | 65.1–70.9 |
| Visits to doctor for routine checkup within the past year among adults | 72.8% | 68.7–76.7 |
| Cholesterol screening among adults | 72.2% | 68.8–75.8 |
| Colorectal cancer screening among adults aged 45–75 years | 45.4% | 40.8–49.6 |
| Visited dentist or dental clinic in the past year among adults | 44.5% | 41.0–48.0 |
| Mammography use among women aged 50-74 years | 63.8% | 55.7–71.3 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.2% | 13.5–19.5 |
| Current cigarette smoking among adults | 35.3% | 31.0–39.8 |
| No leisure-time physical activity among adults | 38.1% | 33.1–43.4 |
| Short sleep duration among adults | 40.5% | 35.4–45.7 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 35.7% | 31.4–40.2 |
| Frequent mental distress among adults | 24.7% | 21.9–27.6 |
| Frequent physical distress among adults | 20.6% | 18.3–23.3 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 26.2% | 22.9–29.6 |
| Any disability among adults | 48.0% | 43.0–53.1 |
| Hearing disability among adults | 12.2% | 10.9–13.5 |
| Independent living disability among adults | 18.3% | 16.0–20.8 |
| Mobility disability among adults | 22.7% | 20.1–25.6 |
| Self-care disability among adults | 8.3% | 7.3–9.4 |
| Vision disability among adults | 14.6% | 13.0–16.5 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Poverty rate | 75.7% | 10.6% (3.1–25.8%) n=32,364 | 8.8% (1.1–33.5%) n=364 |
| Uninsured 18–64 | 55.2% | 9.0% (1.5–24.3%) n=32,286 | 9.6% (0.0–33.2%) n=365 |
| No HS diploma (25+) | 23.9% | 7.9% (1.8–20.7%) n=32,505 | 6.0% (0.8–15.3%) n=366 |
| Bachelor's or higher (25+) | 4.1% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (10.3–40.7%) n=366 |
| Unemployment rate (16+) | 31.6% | 3.9% (0.0–9.8%) n=32,274 | 1.1% (0.0–8.0%) n=365 |
| Households without a vehicle | 14.4% | 3.9% (0.0–12.5%) n=32,322 | 1.9% (0.0–9.6%) n=364 |
| Broadband subscription | 51.1% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (73.7–96.3%) n=364 |
| Housing cost burden (≥30% income) | 28.8% | 23.7% (10.6–40.0%) n=32,322 | 17.5% (5.2–30.6%) n=364 |
| Homeownership rate | 24.5% | 78.7% (51.7–94.0%) n=32,322 | 79.9% (57.2–94.8%) n=364 |
| Crowded housing (>1 per room) | 54.6% | 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 | 39.6% | 53.6% (37.3–74.1%) n=32,087 | 56.7% (32.7–81.4%) n=362 |
| Population 65+ | 0.9% | 19.4% (10.8–33.6%) n=32,553 | 20.3% (8.4–33.0%) n=367 |
| Median age | 18.2 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (27.6–56.7) n=365 |
| Median household income | $14,176 | $72,070 ($46,039–$118,707) n=30,318 | $74,865 ($51,211–$102,582) n=336 |
| Median home value | $12,200 | $222,200 ($100,300–$579,820) n=30,049 | $177,400 ($79,000–$321,400) n=311 |
| Median gross rent | $443 | $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 | 75.2 yr ± 1.03 | 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 1.03 years of 75.2, 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