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ZipVitals

ZIP code

57788

in Vale, South DakotaPopulation 598

52.27/ 100

Ranked #13,090 of 32,066 US ZIPs (top 41%)

Ranked #224 of 360 South Dakota ZIPs (bottom 38%)

Ranked #22 of 27 Rapid City, SD ZIPs (bottom 19%)

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

0.44 intersections/sq mi

in the bottom 1.0% 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 ›

Poverty rate

35.3%

in the top 4.3% nationally

Lower is healthier

ST91st
US96th
Definition & 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

28.8 mi

in the top 4.4% nationally

Lower is healthier

ST78th
US96th
Definition & 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 ›

Air-toxics cancer risk

11.8 per million

in the bottom 5.7% nationally

Lower is healthier

ST17th
US6th
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 ›

Housing-cost burden

6.5%

in the bottom 6.1% nationally

Lower is healthier

ST13th
US6th
Definition & source ›

The share of households spending 30% or more of their income on housing.

Full methodology ›

Distance to a hazardous-chemical facility

17.3 mi

in the top 6.3% nationally

Higher is healthier

ST87th
US94th
Definition & 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 ›

Industrial-pollution burden

in the bottom 7.2% nationally

Lower is healthier

ST9th
US7th
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 ›

Short sleep

29.5%

in the bottom 7.5% nationally

Lower is healthier

ST49th
US7th
Definition & source ›

The estimated share of adults who usually sleep less than seven hours in a 24-hour period.

Full methodology ›

Humid extreme heat

16.1 days/year

in the bottom 12.8% nationally

Lower is healthier

ST8th
US13th
Definition & source ›

The average number of days per year when modeled heat stress — temperature, humidity, sun, and wind combined — reaches levels hard on the body outdoors.

Full methodology ›

Energy-cost burden

2.6%

in the bottom 28% nationally

Lower is healthier

ST10th
US28th
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

Vale, South Dakota (ZIP 57788), overall, ranks in the top 41% healthiest ZIPs nationally (13,090th) and the bottom 38% of South Dakota (224th).

continue reading

Reading the numbers as a whole, the picture lands somewhere in between: modeled air-toxics cancer risk rests in the bottom 5.7% nationally, housing-cost burden registers in the bottom 6.1% nationally, and distance to a hazardous-chemical facility resides in the top 6.3% nationally. Modeled industrial-pollution burden settles in the bottom 7.2% nationally. Households without a vehicle is at the national minimum, shared with about 16% of ZIPs. Modeled short sleep sits in the bottom 7.5% nationally. On the other side, walkability lands in the bottom 1.0% nationally, and poverty lies in the top 4.3% nationally. Distance to a community health center stands in the top 4.4% nationally, and modeled fine-particle rests in the top 10.5% nationally.

Defined simply, air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. 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. Industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. ZIP 57785, just across the boundary, comes out healthier overall.

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

Environmental Hazard

healthier than 86%

14%

Mental Health

healthier than 76%

8%

Climate / Disaster Risk

healthier than 78%

5%

About typical

Chronic Disease Burden

healthier than 43%

21%

Social Need / SDOH

healthier than 49%

16%

Preventive Care

healthier than 58%

13%

Risk Behavior

healthier than 58%

11%

Disability

healthier than 44%

7%

Holding it back

Healthcare Access

healthier than 4%

5%

Lifting this score

Social Need / SDOH

healthier than 62%

16%

Environmental Hazard

healthier than 91%

14%

Climate / Disaster Risk

healthier than 74%

5%

Holding it back

Chronic Disease Burden

healthier than 30%

21%

Preventive Care

healthier than 36%

13%

Risk Behavior

healthier than 32%

11%

Mental Health

healthier than 37%

8%

Disability

healthier than 23%

7%

Healthcare Access

healthier than 28%

5%

Lifting this score

Environmental Hazard

healthier than 73%

14%

About typical

Mental Health

healthier than 55%

8%

Climate / Disaster Risk

healthier than 41%

5%

Holding it back

Chronic Disease Burden

healthier than 23%

21%

Social Need / SDOH

healthier than 27%

16%

Preventive Care

healthier than 36%

13%

Risk Behavior

healthier than 32%

11%

Disability

healthier than 9%

7%

Healthcare Access

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 adults30.6%27.9–33.4
High blood pressure among adults38.1%35.0–41.4
Cancer (non-skin) or melanoma among adults10.7%9.8–11.5
Current asthma among adults10.2%9.2–11.2
Coronary heart disease among adults8.6%7.7–9.6
Chronic obstructive pulmonary disease among adults8.5%7.4–9.8
Depression among adults21.2%18.8–23.8
Diagnosed diabetes among adults13.2%11.7–14.8
High cholesterol among adults who have ever been screened37.4%34.2–40.8
Obesity among adults35.0%29.9–40.5
Stroke among adults4.2%3.8–4.7
All teeth lost among adults aged >=65 years13.5%11.4–15.9
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years9.0%7.5–10.8
Taking medicine to control high blood pressure among adults with high blood pressure78.7%76.2–81.0
Visits to doctor for routine checkup within the past year among adults77.3%74.4–80.1
Cholesterol screening among adults86.3%84.7–88.0
Colorectal cancer screening among adults aged 45–75 years67.4%63.2–71.6
Visited dentist or dental clinic in the past year among adults65.7%62.9–68.7
Mammography use among women aged 50-74 years76.6%70.7–82.1
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults17.2%15.0–19.7
Current cigarette smoking among adults17.0%14.8–19.8
No leisure-time physical activity among adults27.1%23.4–31.3
Short sleep duration among adults29.5%24.9–34.8
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults19.3%16.8–22.0
Frequent mental distress among adults15.1%13.6–16.7
Frequent physical distress among adults13.9%12.4–15.6
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults13.9%12.3–15.7
Any disability among adults32.6%29.1–36.5
Hearing disability among adults9.9%8.9–11.0
Independent living disability among adults8.4%7.4–9.5
Mobility disability among adults15.3%13.5–17.5
Self-care disability among adults4.2%3.7–4.8
Vision disability among adults5.2%4.6–5.8
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate35.3%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–6468.3%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)0.8%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)7.2%23.3% (9.2–53.6%) n=32,50524.6% (10.3–40.7%) n=366
Unemployment rate (16+)6.5%3.9% (0.0–9.8%) n=32,2741.1% (0.0–8.0%) n=365
Households without a vehicle0.0%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription86.9%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)6.5%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate90.8%78.7% (51.7–94.0%) n=32,32279.9% (57.2–94.8%) n=364
Crowded housing (>1 per room)2.6%1.3% (0.0–6.3%) n=32,3220.6% (0.0–10.2%) n=364
Foreign-born population1.7%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households85.2%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+27.1%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age39.1 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$85,380$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$259,800$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 birth83.1 yr ± 1.9578.9 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 1.95 years of 83.1, 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