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ZipVitals

ZIP code

57657

in Trail City, South DakotaPopulation 247

32.08/ 100

Ranked #30,294 of 32,066 US ZIPs (bottom 5.6%)

Ranked #329 of 360 South Dakota ZIPs (bottom 8.7%)

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.

Industrial-pollution burden

in the bottom 0.2% nationally

Lower is healthier

ST1st
US1st
Definition & source ›

The EPA’s modeled screening score for industrial chemical releases, weighting the amounts released by their toxicity and how many people live nearby — a relative comparison score, not a measured exposure.

Full methodology ›

Walkability

0.42 intersections/sq mi

in the bottom 0.9% nationally

Higher is healthier

ST8th
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 ›

Unemployment rate

24.7%

in the top 1.3% nationally

Lower is healthier

ST96th
US99th
Definition & source ›

The share of the civilian labor force that is unemployed.

Full methodology ›

Slow internet speeds

7.9%

in the top 1.7% nationally

Lower is healthier

ST97th
US98th
Definition & source ›

The share of homes whose fastest available download speed is under 10 Mbps.

Full methodology ›

Distance to a Superfund site

138.3 mi

in the top 2.1% nationally

Higher is healthier

ST79th
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 ›

Distance to a nursing home

26.1 mi

in the top 2.1% nationally

Lower is healthier

ST96th
US98th
Definition & source ›

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

Full methodology ›

Independent-living disability

14.1%

in the top 3.9% nationally

Lower is healthier

ST92nd
US96th
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 ›

Crowded housing

14.7%

in the top 2.3% nationally

Lower is healthier

ST94th
US98th
Definition & source ›

The share of occupied homes with more than one person per room, the Census definition of crowded housing.

Full methodology ›

Households without a vehicle

26.7%

in the top 2.9% nationally

Lower is healthier

ST99th
US97th
Definition & source ›

The share of households with no vehicle available.

Full methodology ›

Vision disability

9.8%

in the top 5.3% nationally

Lower is healthier

ST90th
US95th
Definition & source ›

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

Full methodology ›

The read

On the composite measure, Trail City, South Dakota (ZIP 57657) stands in the bottom 5.6% nationally (30,294th) and the bottom 8.7% of South Dakota (329th).

continue reading

Plainly, the numbers point to a handful of defining readings: walkability registers in the bottom 0.9% nationally, and unemployment lies in the top 1.3% nationally. Slow internet speeds is in the top 1.7% nationally, and distance to a nursing home registers in the top 2.1% nationally. Modeled independent living disability lies in the top 3.9% nationally, crowded housing is in the top 2.3% nationally, and households without a vehicle registers in the top 2.9% nationally. Modeled vision disability lies in the top 5.3% nationally. On the brighter side, modeled industrial-pollution burden is in the bottom 0.2% nationally, and distance to a Superfund site registers in the top 2.1% nationally.

Set beside the wider area around it, slow internet speeds runs far higher than the surrounding ZIPs on this measure. For clarity, industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. Distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. ZIP 57601, 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 77%

14%

Climate / Disaster Risk

healthier than 83%

5%

Holding it back

Chronic Disease Burden

healthier than 11%

21%

Social Need / SDOH

healthier than 3%

16%

Preventive Care

healthier than 9%

13%

Risk Behavior

healthier than 5%

11%

Mental Health

healthier than 19%

8%

Disability

healthier than 4%

7%

Healthcare Access

healthier than 4%

5%

Lifting this score

Environmental Hazard

healthier than 87%

14%

Climate / Disaster Risk

healthier than 85%

5%

Holding it back

Chronic Disease Burden

healthier than 5%

21%

Social Need / SDOH

healthier than 3%

16%

Preventive Care

healthier than 6%

13%

Risk Behavior

healthier than 5%

11%

Mental Health

healthier than 3%

8%

Disability

healthier than 4%

7%

Healthcare Access

healthier than 30%

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 adults30.9%27.9–33.9
High blood pressure among adults39.7%36.0–43.3
Cancer (non-skin) or melanoma among adults8.6%7.8–9.4
Current asthma among adults12.5%11.2–14.0
Coronary heart disease among adults10.0%8.9–11.1
Chronic obstructive pulmonary disease among adults12.2%10.5–14.0
Depression among adults24.0%20.9–27.3
Diagnosed diabetes among adults17.6%15.5–19.7
High cholesterol among adults who have ever been screened36.0%32.6–39.7
Obesity among adults41.9%35.7–48.4
Stroke among adults5.6%5.0–6.2
All teeth lost among adults aged >=65 years26.8%23.0–31.0
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years12.8%10.3–15.6
Taking medicine to control high blood pressure among adults with high blood pressure75.9%73.3–78.3
Visits to doctor for routine checkup within the past year among adults74.7%71.3–77.9
Cholesterol screening among adults79.5%77.0–81.8
Colorectal cancer screening among adults aged 45–75 years60.7%56.3–65.0
Visited dentist or dental clinic in the past year among adults53.5%50.5–56.8
Mammography use among women aged 50-74 years68.3%60.9–75.6
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults16.5%14.1–19.1
Current cigarette smoking among adults27.3%23.4–31.0
No leisure-time physical activity among adults35.5%30.5–40.6
Short sleep duration among adults33.7%29.3–38.5
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults29.3%25.6–33.1
Frequent mental distress among adults20.1%17.9–22.5
Frequent physical distress among adults18.6%16.4–20.9
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults21.0%18.4–23.8
Any disability among adults42.2%37.6–47.1
Hearing disability among adults12.0%10.7–13.3
Independent living disability among adults14.1%12.4–16.0
Mobility disability among adults21.2%18.5–24.0
Self-care disability among adults7.0%6.1–7.9
Vision disability among adults9.8%8.7–11.0
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate30.0%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–647.5%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)11.0%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)14.4%23.3% (9.2–53.6%) n=32,50524.6% (10.3–40.7%) n=366
Unemployment rate (16+)24.7%3.9% (0.0–9.8%) n=32,2741.1% (0.0–8.0%) n=365
Households without a vehicle26.7%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription88.0%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)30.7%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate88.0%78.7% (51.7–94.0%) n=32,32279.9% (57.2–94.8%) n=364
Crowded housing (>1 per room)14.7%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 households50.9%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 age38.9 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$57,100$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 birth83.8 yr ± 2.4178.9 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 2.41 years of 83.8, 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