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ZipVitals

ZIP code

57790

in Wall, South DakotaPopulation 1,147

53.44/ 100

Ranked #11,458 of 32,066 US ZIPs (top 36%)

Ranked #173 of 360 South Dakota ZIPs (top 48%)

Ranked #21 of 27 Rapid City, SD ZIPs (bottom 22%)

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.

Elder-services access

0.95 per 1,000 residents

in the top 0.9% nationally

Higher is healthier

ST94th
US99th
Definition & source ›

The number of services for older adults and people with disabilities inside this ZIP’s boundary, per 1,000 residents.

Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.

Full methodology ›

Fatal road crashes

78.5 per 100,000 residents per year

in the top 1.0% nationally

Lower is healthier

ST99th
US99th
Definition & source ›

The annual rate of fatal road crashes per 100,000 residents, pooled over a ten-year window.

A rate per resident population. Where a ZIP has too few residents for the rate to be reliable — about 30% of US ZIPs — no value is published rather than an unstable one; those ZIPs are absent from this comparison, not counted as crash-free.

Full methodology ›

Walkability

0.8 intersections/sq mi

in the bottom 1.9% nationally

Higher is healthier

ST17th
US2nd
Definition & source ›

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

Full methodology ›

Distance to a hazardous-chemical facility

30.2 mi

in the top 2.0% nationally

Higher is healthier

ST97th
US98th
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 ›

Child-care access

0.95 per 1,000 residents

in the top 2.6% nationally

Higher is healthier

ST89th
US97th
Definition & source ›

The number of child day-care services inside this ZIP’s boundary, per 1,000 residents.

Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.

Full methodology ›

Air-toxics cancer risk

10 per million

in the bottom 2.8% nationally

Lower is healthier

ST1st
US3rd
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 ›

Distance to a community health center

35.5 mi

in the top 2.9% nationally

Lower is healthier

ST85th
US97th
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 ›

Fiber broadband

99.5%

in the top 3.6% nationally

Higher is healthier

ST77th
US96th
Definition & source ›

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

Full methodology ›

Distance to a nursing home

18.6 mi

in the top 3.8% nationally

Lower is healthier

ST91st
US96th
Definition & source ›

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

Full methodology ›

Civic-institution access

0.95 per 1,000 residents

in the top 4.6% nationally

Higher is healthier

ST92nd
US95th
Definition & source ›

The number of civic and social organizations inside this ZIP’s boundary, per 1,000 residents.

Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.

Full methodology ›

The read

By the composite measure, Wall, South Dakota (ZIP 57790) sits in the top 36% healthiest ZIPs nationally (11,458th) and the top 48% of South Dakota (173rd).

continue reading

The readings split fairly evenly between strengths and concerns: elder services is in the top 0.9% nationally, distance to a hazardous-chemical facility rests in the top 2.0% nationally, and childcare sits in the top 2.6% nationally. Modeled air-toxics cancer risk registers in the bottom 2.8% nationally, fiber broadband lands in the top 3.6% nationally, and civic resides in the top 4.6% nationally. Working the other way, fatal road crashes lies in the top 1.0% nationally, and walkability settles in the bottom 1.9% nationally. Distance to a community health center stands in the top 2.9% nationally, and distance to a nursing home is in the top 3.8% nationally.

In plain language, 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. ZIP 57791, just across the boundary, ranks 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 94%

14%

Preventive Care

healthier than 67%

13%

Mental Health

healthier than 82%

8%

Climate / Disaster Risk

healthier than 76%

5%

About typical

Chronic Disease Burden

healthier than 48%

21%

Social Need / SDOH

healthier than 53%

16%

Risk Behavior

healthier than 54%

11%

Disability

healthier than 53%

7%

Holding it back

Healthcare Access

in the bottom 0.6%

5%

Lifting this score

Social Need / SDOH

healthier than 65%

16%

Environmental Hazard

healthier than 96%

14%

Climate / Disaster Risk

healthier than 71%

5%

About typical

Preventive Care

healthier than 52%

13%

Mental Health

healthier than 51%

8%

Holding it back

Chronic Disease Burden

healthier than 37%

21%

Risk Behavior

healthier than 26%

11%

Disability

healthier than 35%

7%

Healthcare Access

healthier than 2%

5%

Lifting this score

Environmental Hazard

healthier than 95%

14%

Mental Health

healthier than 64%

8%

About typical

Preventive Care

healthier than 50%

13%

Holding it back

Chronic Disease Burden

healthier than 36%

21%

Social Need / SDOH

healthier than 32%

16%

Risk Behavior

healthier than 27%

11%

Disability

healthier than 32%

7%

Climate / Disaster Risk

healthier than 23%

5%

Healthcare Access

healthier than 5%

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 adults29.8%27.0–32.5
High blood pressure among adults37.8%34.6–41.1
Cancer (non-skin) or melanoma among adults10.6%9.6–11.7
Current asthma among adults10.3%9.1–11.5
Coronary heart disease among adults8.1%7.2–9.1
Chronic obstructive pulmonary disease among adults7.7%6.5–9.0
Depression among adults20.9%18.2–23.7
Diagnosed diabetes among adults13.4%11.6–15.2
High cholesterol among adults who have ever been screened36.3%33.0–39.6
Obesity among adults34.3%29.9–38.7
Stroke among adults4.0%3.6–4.5
All teeth lost among adults aged >=65 years14.3%11.8–17.1
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years7.9%6.4–9.6
Taking medicine to control high blood pressure among adults with high blood pressure79.4%76.6–81.8
Visits to doctor for routine checkup within the past year among adults77.9%75.0–80.6
Cholesterol screening among adults87.4%85.7–89.0
Colorectal cancer screening among adults aged 45–75 years68.4%64.7–72.1
Visited dentist or dental clinic in the past year among adults69.3%66.4–72.1
Mammography use among women aged 50-74 years74.9%68.6–80.4
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults18.9%16.4–21.6
Current cigarette smoking among adults15.8%13.1–18.6
No leisure-time physical activity among adults24.5%21.0–28.4
Short sleep duration among adults30.6%26.9–34.5
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults18.0%15.5–20.8
Frequent mental distress among adults14.4%12.7–16.3
Frequent physical distress among adults13.3%11.6–15.1
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults12.8%11.1–14.7
Any disability among adults32.8%29.2–36.8
Hearing disability among adults9.7%8.5–10.9
Independent living disability among adults7.8%6.8–8.9
Mobility disability among adults15.0%12.9–17.3
Self-care disability among adults3.8%3.3–4.4
Vision disability among adults4.8%4.3–5.5
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate7.0%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–6421.9%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)1.0%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)29.8%23.3% (9.2–53.6%) n=32,50524.6% (10.3–40.7%) n=366
Unemployment rate (16+)1.1%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 subscription93.7%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)17.1%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate81.2%78.7% (51.7–94.0%) n=32,32279.9% (57.2–94.8%) n=364
Crowded housing (>1 per room)5.3%1.3% (0.0–6.3%) n=32,3220.6% (0.0–10.2%) n=364
Foreign-born population11.0%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households56.2%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+22.0%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age41.0 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$75,096$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$187,500$222,200 ($100,300–$579,820) n=30,049$177,400 ($79,000–$321,400) n=311
Median gross rent$843$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 birth81.1 yr ± 1.1178.9 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 1.11 years of 81.1, 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