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ZipVitals

ZIP code

57761

in New Underwood, South DakotaPopulation 1,180

54.04/ 100

Ranked #10,644 of 32,066 US ZIPs (top 33%)

Ranked #156 of 360 South Dakota ZIPs (top 43%)

Ranked #16 of 27 Rapid City, SD ZIPs (bottom 41%)

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.

Walkability

0.51 intersections/sq mi

in the bottom 1.1% nationally

Higher is healthier

ST11th
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 ›

Binge drinking

20.3%

in the top 5.2% nationally

Lower is healthier

ST93rd
US95th
Definition & source ›

The estimated share of adults who report binge drinking — five or more drinks on one occasion for men, four or more for women.

Full methodology ›

Air-toxics cancer risk

10.4 per million

in the bottom 5.3% nationally

Lower is healthier

ST14th
US5th
Definition & 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 ›

Fiber broadband

97.7%

in the top 7.2% nationally

Higher is healthier

ST52nd
US93rd
Definition & source ›

The share of homes where fiber-optic internet service is available.

Full methodology ›

Tree cover

0.03%

in the bottom 12.6% nationally

Higher is healthier

ST8th
US13th
Definition & source ›

The share of this ZIP’s land area covered by forest.

Full methodology ›

Distance to a Superfund site

6.1 mi

in the bottom 26% nationally

Higher is healthier

ST3rd
US26th
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, New Underwood, South Dakota (ZIP 57761) stands in the top 33% healthiest ZIPs nationally (10,644th) and the top 43% of South Dakota (156th).

continue reading

Several signals sit on each side of the ledger here: modeled air-toxics cancer risk sits in the bottom 5.3% nationally, and fiber broadband resides in the top 7.2% nationally. Distance to a nursing home stands at the national minimum, shared with about 27% of ZIPs. Modeled transportation noise sits in the bottom 14.8% nationally. Working the other way, walkability resides in the bottom 1.1% nationally, modeled binge drinking stands in the top 5.2% nationally, and fatal road crashes sits in the top 10.4% nationally. Modeled tree cover resides in the bottom 12.6% nationally, modeled fine-particle stands in the top 13.6% nationally, and distance to an emergency room sits in the top 14.6% nationally.

For clarity, air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. Fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. Transportation noise is the modeled share of an area exposed to average road, rail, and air noise at or above 55 decibels. ZIP 57719, 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. 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.

Compare within

Lifting this score

Chronic Disease Burden

healthier than 64%

21%

Environmental Hazard

healthier than 76%

14%

Mental Health

healthier than 70%

8%

Disability

healthier than 62%

7%

Climate / Disaster Risk

healthier than 77%

5%

About typical

Preventive Care

healthier than 45%

13%

Risk Behavior

healthier than 45%

11%

Holding it back

Social Need / SDOH

healthier than 40%

16%

Healthcare Access

healthier than 20%

5%

Lifting this score

Chronic Disease Burden

healthier than 63%

21%

Environmental Hazard

healthier than 86%

14%

Climate / Disaster Risk

healthier than 72%

5%

Healthcare Access

healthier than 62%

5%

About typical

Social Need / SDOH

healthier than 52%

16%

Disability

healthier than 56%

7%

Holding it back

Preventive Care

healthier than 23%

13%

Risk Behavior

healthier than 18%

11%

Mental Health

healthier than 26%

8%

Lifting this score

Chronic Disease Burden

healthier than 68%

21%

Environmental Hazard

healthier than 64%

14%

Healthcare Access

healthier than 64%

5%

About typical

Disability

healthier than 50%

7%

Holding it back

Social Need / SDOH

healthier than 14%

16%

Preventive Care

healthier than 27%

13%

Risk Behavior

healthier than 23%

11%

Mental Health

healthier than 36%

8%

Climate / Disaster Risk

healthier than 36%

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 adults27.3%24.9–29.7
High blood pressure among adults34.6%31.8–37.3
Cancer (non-skin) or melanoma among adults9.6%8.8–10.5
Current asthma among adults10.3%9.3–11.5
Coronary heart disease among adults7.1%6.4–7.9
Chronic obstructive pulmonary disease among adults6.9%6.1–7.9
Depression among adults22.0%19.5–24.6
Diagnosed diabetes among adults11.6%10.3–13.0
High cholesterol among adults who have ever been screened34.4%31.7–37.3
Obesity among adults33.6%29.6–37.6
Stroke among adults3.5%3.2–3.9
All teeth lost among adults aged >=65 years15.4%13.0–18.2
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years8.0%6.6–9.6
Taking medicine to control high blood pressure among adults with high blood pressure76.8%74.3–79.3
Visits to doctor for routine checkup within the past year among adults76.1%73.3–78.6
Cholesterol screening among adults85.9%84.1–87.5
Colorectal cancer screening among adults aged 45–75 years65.2%61.7–68.9
Visited dentist or dental clinic in the past year among adults67.1%64.3–69.8
Mammography use among women aged 50-74 years74.1%68.8–79.5
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults20.3%17.9–22.8
Current cigarette smoking among adults15.6%13.5–18.0
No leisure-time physical activity among adults23.5%20.7–26.7
Short sleep duration among adults31.5%28.2–35.4
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults17.0%15.2–19.2
Frequent mental distress among adults15.3%13.7–17.1
Frequent physical distress among adults12.7%11.3–14.1
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults13.3%11.8–14.9
Any disability among adults31.5%28.5–34.7
Hearing disability among adults8.7%7.8–9.6
Independent living disability among adults7.7%6.8–8.6
Mobility disability among adults13.5%11.9–15.2
Self-care disability among adults3.5%3.2–3.9
Vision disability among adults4.5%4.0–5.0
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate11.3%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–6426.1%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)3.6%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)29.4%23.3% (9.2–53.6%) n=32,50524.6% (10.3–40.7%) n=366
Unemployment rate (16+)2.7%3.9% (0.0–9.8%) n=32,2741.1% (0.0–8.0%) n=365
Households without a vehicle6.0%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription84.2%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)27.8%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate82.6%78.7% (51.7–94.0%) n=32,32279.9% (57.2–94.8%) n=364
Crowded housing (>1 per room)0.8%1.3% (0.0–6.3%) n=32,3220.6% (0.0–10.2%) n=364
Foreign-born population0.7%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households55.9%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+22.3%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age42.6 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$97,734$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$253,100$222,200 ($100,300–$579,820) n=30,049$177,400 ($79,000–$321,400) n=311
Median gross rent$847$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 birth81.5 yr ± 0.9078.9 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 0.90 years of 81.5, 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