ZIP code
57748
in Howes, South DakotaPopulation 369
39.73/ 100
Ranked #26,931 of 32,066 US ZIPs (bottom 16%)
Ranked #312 of 360 South Dakota ZIPs (bottom 13.4%)
Ranked #27 of 27 Rapid City, SD ZIPs (bottom 3.8%)
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.
Walkability
0.11 intersections/sq mi
in the bottom 0.5% nationally
Higher is healthier
ST1stUS1stDefinition & source ›
The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.
Full methodology ›Crowded housing
31.1%
in the top 0.5% nationally
Lower is healthier
ST98thUS99thDefinition & source ›
The share of occupied homes with more than one person per room, the Census definition of crowded housing.
Full methodology ›Distance to an emergency room
34.1 mi
in the top 1.5% nationally
Lower is healthier
ST98thUS99thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›Distance to a nursing home
29.2 mi
in the top 1.7% nationally
Lower is healthier
ST97thUS98thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Distance to a hazardous-chemical facility
30 mi
in the top 2.0% nationally
Higher is healthier
ST97thUS98thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest facility that handles enough hazardous chemicals to require an EPA risk-management plan for accidental releases.
Full methodology ›Unemployment rate
17.3%
in the top 2.8% nationally
Lower is healthier
ST94thUS97thDefinition & source ›
The share of the civilian labor force that is unemployed.
Full methodology ›Air-toxics cancer risk
10 per million
in the bottom 2.8% nationally
Lower is healthier
ST1stUS3rdDefinition & source ›
The EPA’s modeled estimate of added lifetime cancer risk from breathing outdoor air toxics, in cases per million people exposed over a lifetime.
Full methodology ›Poverty rate
34.4%
in the top 4.7% nationally
Lower is healthier
ST91stUS95thDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
Full methodology ›Distance to a community health center
21.9 mi
in the top 7.2% nationally
Lower is healthier
ST66thUS93rdDefinition & 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
0.09%
in the bottom 8.1% nationally
Lower is healthier
ST13thUS8thDefinition & 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 ›The read
Judged by its overall standing, Howes, South Dakota (ZIP 57748) sits in the bottom 16% nationally (26,931st) and the bottom 13.4% of South Dakota (312th).
A few readings account for most of this area's strain: walkability rests in the bottom 0.5% nationally, crowded housing settles in the top 0.5% nationally, and distance to an emergency room lands in the top 1.5% nationally. Distance to a nursing home rests in the top 1.7% nationally, unemployment settles in the top 2.8% nationally, and poverty lands in the top 4.7% nationally. Distance to a community health center rests in the top 7.2% nationally. On the better side, distance to a hazardous-chemical facility settles in the top 2.0% nationally, and modeled air-toxics cancer risk lands in the bottom 2.8% nationally. Modeled transportation noise rests in the bottom 8.1% nationally.
Placed beside its immediate neighbors, crowded housing runs far higher than the surrounding ZIPs on this measure. Put plainly, distance to a hazardous-chemical facility is a plant handling large amounts of hazardous chemicals that must file an EPA risk-management plan for accidental releases. Air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. Distance to a community health center is a federally funded (HRSA) community health center serving everyone regardless of ability to pay. A healthier nearby ZIP overall is ZIP 57553, 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. Compare it against the US, this state and the Rapid City, SD metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Environmental Hazard
healthier than 96%
14%
Climate / Disaster Risk
healthier than 77%
5%
Holding it back
Chronic Disease Burden
healthier than 28%
21%
Social Need / SDOH
healthier than 8%
16%
Preventive Care
healthier than 15%
13%
Risk Behavior
healthier than 13%
11%
Mental Health
healthier than 30%
8%
Disability
healthier than 14%
7%
Healthcare Access
healthier than 1%
5%
Lifting this score
Environmental Hazard
healthier than 97%
14%
Climate / Disaster Risk
healthier than 72%
5%
Holding it back
Chronic Disease Burden
healthier than 16%
21%
Social Need / SDOH
healthier than 7%
16%
Preventive Care
healthier than 8%
13%
Risk Behavior
healthier than 8%
11%
Mental Health
healthier than 6%
8%
Disability
healthier than 10%
7%
Healthcare Access
healthier than 12%
5%
Lifting this score
Environmental Hazard
in the top 0.00%
14%
Holding it back
Chronic Disease Burden
healthier than 5%
21%
Social Need / SDOH
in the bottom 0.00%
16%
Preventive Care
healthier than 5%
13%
Risk Behavior
in the bottom 0.00%
11%
Mental Health
healthier than 5%
8%
Disability
in the bottom 0.00%
7%
Climate / Disaster Risk
healthier than 32%
5%
Healthcare Access
healthier than 14%
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
57553
South Dakotashares a border
Score 52.24
Closest healthier
57567
South Dakotashares a border
Score 50.98
Similar health profile
89832
Nevada98% similar profile
Score 29.67
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 | 29.0% | 26.4–31.3 |
| High blood pressure among adults | 36.8% | 33.7–39.9 |
| Cancer (non-skin) or melanoma among adults | 8.2% | 7.6–8.9 |
| Current asthma among adults | 12.9% | 11.6–14.3 |
| Coronary heart disease among adults | 7.7% | 6.9–8.5 |
| Chronic obstructive pulmonary disease among adults | 9.6% | 8.2–11.1 |
| Depression among adults | 23.1% | 20.3–26.0 |
| Diagnosed diabetes among adults | 15.6% | 13.8–17.3 |
| High cholesterol among adults who have ever been screened | 35.4% | 32.5–38.4 |
| Obesity among adults | 40.4% | 34.9–45.8 |
| Stroke among adults | 4.6% | 4.1–5.1 |
| All teeth lost among adults aged >=65 years | 20.3% | 17.5–23.1 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 11.5% | 9.3–14.3 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 74.8% | 72.4–77.0 |
| Visits to doctor for routine checkup within the past year among adults | 75.7% | 72.8–78.5 |
| Cholesterol screening among adults | 80.9% | 78.4–83.2 |
| Colorectal cancer screening among adults aged 45–75 years | 62.6% | 58.5–66.5 |
| Visited dentist or dental clinic in the past year among adults | 57.0% | 54.0–59.9 |
| Mammography use among women aged 50-74 years | 70.7% | 62.9–77.7 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 17.0% | 14.8–19.3 |
| Current cigarette smoking among adults | 23.5% | 20.3–26.8 |
| No leisure-time physical activity among adults | 31.3% | 27.1–35.5 |
| Short sleep duration among adults | 34.0% | 29.4–38.7 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 25.4% | 22.2–28.6 |
| Frequent mental distress among adults | 19.2% | 17.1–21.3 |
| Frequent physical distress among adults | 16.6% | 14.7–18.6 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 18.5% | 16.3–20.9 |
| Any disability among adults | 38.8% | 34.6–42.8 |
| Hearing disability among adults | 9.8% | 8.8–10.8 |
| Independent living disability among adults | 12.1% | 10.5–13.8 |
| Mobility disability among adults | 18.7% | 16.3–21.0 |
| Self-care disability among adults | 5.5% | 4.8–6.4 |
| Vision disability among adults | 8.5% | 7.4–9.7 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Poverty rate | 34.4% | 10.6% (3.1–25.8%) n=32,364 | 8.8% (1.1–33.5%) n=364 |
| Uninsured 18–64 | 16.6% | 9.0% (1.5–24.3%) n=32,286 | 9.6% (0.0–33.2%) n=365 |
| No HS diploma (25+) | 22.0% | 7.9% (1.8–20.7%) n=32,505 | 6.0% (0.8–15.3%) n=366 |
| Bachelor's or higher (25+) | 19.0% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (10.3–40.7%) n=366 |
| Unemployment rate (16+) | 17.3% | 3.9% (0.0–9.8%) n=32,274 | 1.1% (0.0–8.0%) n=365 |
| Households without a vehicle | 6.8% | 3.9% (0.0–12.5%) n=32,322 | 1.9% (0.0–9.6%) n=364 |
| Broadband subscription | 77.7% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (73.7–96.3%) n=364 |
| Housing cost burden (≥30% income) | 35.0% | 23.7% (10.6–40.0%) n=32,322 | 17.5% (5.2–30.6%) n=364 |
| Homeownership rate | 68.0% | 78.7% (51.7–94.0%) n=32,322 | 79.9% (57.2–94.8%) n=364 |
| Crowded housing (>1 per room) | 31.1% | 1.3% (0.0–6.3%) n=32,322 | 0.6% (0.0–10.2%) n=364 |
| Foreign-born population | 0.3% | 2.6% (0.0–18.6%) n=32,553 | 0.6% (0.0–5.3%) n=367 |
| Single-parent households | 28.0% | 53.6% (37.3–74.1%) n=32,087 | 56.7% (32.7–81.4%) n=362 |
| Population 65+ | 10.3% | 19.4% (10.8–33.6%) n=32,553 | 20.3% (8.4–33.0%) n=367 |
| Median age | 28.4 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 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 | $241,200 | $222,200 ($100,300–$579,820) n=30,049 | $177,400 ($79,000–$321,400) n=311 |
| Median gross rent | $763 | $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 | 79.9 yr ± 1.22 | 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 1.22 years of 79.9, 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