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ZipVitals

ZIP code

57641

in McIntosh, South DakotaPopulation 215

31.82/ 100

Ranked #30,362 of 32,066 US ZIPs (bottom 5.4%)

Ranked #330 of 360 South Dakota ZIPs (bottom 8.4%)

Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.

Robust across all 9 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.

Hearing disability

14.7%

in the top 0.5% nationally

Lower is healthier

ST99th
US99th
Definition & source ›

The estimated share of adults who are deaf or have serious difficulty hearing.

Full methodology ›

Stroke

7.1%

in the top 1.1% nationally

Lower is healthier

ST98th
US99th
Definition & source ›

The estimated share of adults who have been told by a health professional that they have had a stroke.

Full methodology ›

Coronary heart disease

13.2%

in the top 0.7% nationally

Lower is healthier

ST99th
US99th
Definition & source ›

The estimated share of adults who have been told by a health professional that they have coronary heart disease or angina.

Full methodology ›

Diabetes

22%

in the top 1.7% nationally

Lower is healthier

ST97th
US98th
Definition & source ›

The estimated share of adults who have been diagnosed with diabetes.

Full methodology ›

Self-care disability

8.1%

in the top 2.6% nationally

Lower is healthier

ST95th
US97th
Definition & source ›

The estimated share of adults with difficulty dressing or bathing.

Full methodology ›

Vision disability

10.7%

in the top 3.5% nationally

Lower is healthier

ST92nd
US97th
Definition & source ›

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

Full methodology ›

Walkability

0.58 intersections/sq mi

in the bottom 1.3% nationally

Higher is healthier

ST12th
US1st
Definition & source ›

The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.

Full methodology ›

Mobility disability

26%

in the top 2.4% nationally

Lower is healthier

ST97th
US98th
Definition & source ›

The estimated share of adults with serious difficulty walking or climbing stairs.

Full methodology ›

Distance to a nursing home

29.3 mi

in the top 1.7% nationally

Lower is healthier

ST98th
US98th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.

Full methodology ›

Energy-cost burden

6.2%

in the top 2.3% 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 ›

The read

In overall standing, McIntosh, South Dakota (ZIP 57641) comes out in the bottom 5.4% nationally (30,362nd) and the bottom 8.4% of South Dakota (330th).

continue reading

The data points to real strain across a number of measures here: modeled hearing disability resides in the top 0.5% nationally, stroke rests in the top 1.1% nationally, and coronary heart disease lies in the top 0.7% nationally. Modeled diabetes sits in the top 1.7% nationally, self-care disability settles in the top 2.6% nationally, and vision disability registers in the top 3.5% nationally. Walkability stands in the bottom 1.3% nationally, and modeled mobility disability lands in the top 2.4% nationally. Distance to a nursing home is in the top 1.7% nationally, and modeled energy burden resides in the top 2.3% nationally.

In plain terms, energy burden is the share of household income that goes to home energy bills. The nearest healthier ZIP overall is ZIP 57633, 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 64%

14%

Climate / Disaster Risk

healthier than 83%

5%

About typical

Mental Health

healthier than 55%

8%

Holding it back

Chronic Disease Burden

healthier than 2%

21%

Social Need / SDOH

healthier than 9%

16%

Preventive Care

healthier than 22%

13%

Risk Behavior

healthier than 12%

11%

Disability

healthier than 2%

7%

Healthcare Access

healthier than 3%

5%

Lifting this score

Environmental Hazard

healthier than 84%

14%

Climate / Disaster Risk

healthier than 84%

5%

Holding it back

Chronic Disease Burden

in the bottom 0.5%

21%

Social Need / SDOH

healthier than 9%

16%

Preventive Care

healthier than 11%

13%

Risk Behavior

healthier than 8%

11%

Mental Health

healthier than 13%

8%

Disability

healthier than 2%

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 adults38.3%34.8–41.8
High blood pressure among adults47.2%43.1–51.2
Cancer (non-skin) or melanoma among adults11.0%10.1–12.0
Current asthma among adults11.8%10.5–13.2
Coronary heart disease among adults13.2%11.8–14.6
Chronic obstructive pulmonary disease among adults14.9%13.0–16.7
Depression among adults22.1%19.0–25.4
Diagnosed diabetes among adults22.0%19.4–24.5
High cholesterol among adults who have ever been screened41.5%37.6–45.7
Obesity among adults41.9%35.2–48.9
Stroke among adults7.1%6.4–7.9
All teeth lost among adults aged >=65 years26.6%23.0–30.4
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years12.4%10.1–14.8
Taking medicine to control high blood pressure among adults with high blood pressure82.5%80.1–84.8
Visits to doctor for routine checkup within the past year among adults79.1%76.0–82.1
Cholesterol screening among adults84.5%82.6–86.4
Colorectal cancer screening among adults aged 45–75 years56.6%52.4–60.8
Visited dentist or dental clinic in the past year among adults52.7%49.6–56.1
Mammography use among women aged 50-74 years72.4%66.1–77.8
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults13.4%11.2–15.9
Current cigarette smoking among adults26.0%22.5–29.3
No leisure-time physical activity among adults38.2%33.0–43.2
Short sleep duration among adults33.0%28.3–37.9
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults31.5%27.8–35.2
Frequent mental distress among adults17.0%15.0–18.9
Frequent physical distress among adults20.1%17.9–22.3
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults18.5%16.2–20.7
Any disability among adults44.3%39.7–48.8
Hearing disability among adults14.7%13.2–16.3
Independent living disability among adults14.0%12.4–15.7
Mobility disability among adults26.0%23.1–29.0
Self-care disability among adults8.1%7.1–9.1
Vision disability among adults10.7%9.5–11.9
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults20.8%17.5–24.1
Food insecurity in the past 12 months among adults18.4%14.0–23.1
Received food stamps in the past 12 months among adults15.9%11.8–20.5
Housing insecurity in the past 12 months among adults11.1%9.0–13.4
Lack of reliable transportation in the past 12 months among adults9.3%7.7–11.2
Loneliness among adults28.2%24.1–32.2
Utility services shut-off threat in the past 12 months among adults8.6%7.2–10.1
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate8.8%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–6413.6%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)5.5%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)24.8%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 vehicle1.0%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription77.9%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)19.2%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate81.7%78.7% (51.7–94.0%) n=32,32279.9% (57.2–94.8%) n=364
Crowded housing (>1 per room)2.9%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 households62.3%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+25.1%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age53.8 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$83,750$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$77,500$222,200 ($100,300–$579,820) n=30,049$177,400 ($79,000–$321,400) n=311
Median gross rent$608$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 birth78.8 yr ± 1.7978.9 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 1.79 years of 78.8, 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