Health Indicators (Key)

Favorable Similar Unfavorable
Favorable Similar Unfavorable
 
Click on each indicator to see more. For complete information, download the full report.
 
Note: Healthy People 2020 (HP2020) is a widely accepted set of health promotion and disease prevention goals for all Americans.
 
Empty cells represent areas with no comparison data.
 
Access to Health Services Service Area vs. SD vs. US vs. HP2020
% [Age 18-64] Lack Health Insurance 14.7
similar
15.4
similar
14.9
unfavorable
0.0
% [65+] With Medicare Supplement Insurance 75.5
similar
75.5
% [Insured] Insurance Covers Prescriptions 94.0
similar
93.9
% [Insured] Went Without Coverage in Past Year 9.7
unfavorable
4.8
% Difficulty Accessing Healthcare in Past Year (Composite) 39.8
similar
37.3
% Inconvenient Hrs Prevented Dr Visit in Past Year 13.6
similar
14.3
% Cost Prevented Getting Prescription in Past Year 11.1
favorable
15.0
% Cost Prevented Physician Visit in Past Year 16.8
similar
14.0
% Difficulty Getting Appointment in Past Year 17.9
similar
16.5
% Difficulty Finding Physician in Past Year 8.6
similar
10.7
% Transportation Hindered Dr Visit in Past Year 9.4
similar
7.7
% Skipped Prescription Doses to Save Costs 14.3
similar
14.8
% Difficulty Getting Child's Healthcare in Past Year 3.9
similar
1.9
% [Age 18+] Have a Specific Source of Ongoing Care 75.4
similar
76.3
unfavorable
95.0
% [Age 18-64] Have a Specific Source of Ongoing Care 74.5
similar
75.1
unfavorable
89.4
% [Age 65+] Have a Specific Source of Ongoing Care 79.0
similar
82.6
unfavorable
100.0
% Have Had Routine Checkup in Past Year 59.8
unfavorable
67.3
% Child Has Had Checkup in Past Year 77.8
unfavorable
87.0
% Two or More ER Visits in Past Year 10.1
unfavorable
6.5
% Rate Local Healthcare "Fair/Poor" 17.0
similar
15.3
 
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Arthritis, Osteoporosis & Chronic Back Conditions Service Area vs. SD vs. US vs. HP2020
% [50+] Arthritis/Rheumatism 38.4
similar
35.4
% [50+] Osteoporosis 9.6
similar
11.4
unfavorable
5.3
% Sciatica/Chronic Back Pain 22.5
similar
21.5
% Migraine/Severe Headaches 12.5
favorable
16.9
% Chronic Neck Pain 11.6
unfavorable
8.3
 
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Cancer Service Area vs. SD vs. US vs. HP2020
Cancer (Age-Adjusted Death Rate) 175.4
similar
168.9
similar
176.7
unfavorable
160.6
Lung Cancer (Age-Adjusted Death Rate) 48.1
similar
45.9
similar
49.5
unfavorable
45.5
Prostate Cancer (Age-Adjusted Death Rate) 25.5
unfavorable
23.6
unfavorable
23.0
unfavorable
21.2
Female Breast Cancer (Age-Adjusted Death Rate) 24.0
unfavorable
20.4
unfavorable
22.7
unfavorable
20.6
Colorectal Cancer (Age-Adjusted Death Rate) 15.1
favorable
16.8
favorable
16.6
similar
14.5
% Skin Cancer 6.3
similar
5.9
similar
8.1
% Cancer (Other Than Skin) 5.0
favorable
7.1
similar
5.5
% [Men 50+] Prostate Exam in Past 2 Years 72.6
similar
70.5
% [Women 50-74] Mammogram in Past 2 Years 75.4
similar
78.7
similar
79.9
similar
81.1
% [Women 21-65] Pap Smear in Past 3 Years 75.8
similar
80.9
unfavorable
84.7
unfavorable
93.0
% [Age 50+] Sigmoid/Colonoscopy Ever 66.6
similar
67.1
similar
72.0
% [Age 50+] Blood Stool Test in Past 2 Years 20.5
similar
16.8
unfavorable
28.3
% [Age 50-75] Colorectal Cancer Screening 62.9
unfavorable
70.5
 
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Chronic Kidney Disease Service Area vs. SD vs. US vs. HP2020
Kidney Disease (Age-Adjusted Death Rate) 10.2
unfavorable
8.1
favorable
15.0
 
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Diabetes Service Area vs. SD vs. US vs. HP2020
Diabetes Mellitus (Age-Adjusted Death Rate) 22.4
favorable
24.3
similar
22.0
unfavorable
19.6
% Diabetes/High Blood Sugar 11.6
similar
9.5
similar
10.1
 
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Dementias, Including Alzheimer's Disease Service Area vs. SD vs. US vs. HP2020
Alzheimer's Disease (Age-Adjusted Death Rate) 30.2
favorable
34.7
unfavorable
24.5
 
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Educational & Community-Based Programs Service Area vs. SD vs. US vs. HP2020
% Attended Health Event in Past Year 21.1
similar
22.2
 
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General Health Status Service Area vs. SD vs. US vs. HP2020
% "Fair/Poor" Physical Health 14.7
similar
14.6
similar
16.8
% Activity Limitations 22.6
similar
24.4
unfavorable
17.0
 
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Hearing & Other Sensory or Communication Disorders Service Area vs. SD vs. US vs. HP2020
% Deafness/Trouble Hearing 16.5
unfavorable
9.6
 
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Heart Disease & Stroke Service Area vs. SD vs. US vs. HP2020
Diseases of the Heart (Age-Adjusted Death Rate) 163.1
similar
168.2
favorable
190.9
unfavorable
152.7
Stroke (Age-Adjusted Death Rate) 33.5
favorable
40.7
favorable
41.8
similar
33.8
% Heart Disease (Heart Attack, Angina, Coronary Disease) 8.0
similar
6.1
% Stroke 4.0
similar
2.6
similar
2.7
% Blood Pressure Checked in Past 2 Years 96.8
favorable
94.7
favorable
94.9
% Told Have High Blood Pressure (Ever) 36.1
unfavorable
31.0
similar
34.3
unfavorable
26.9
% [HBP] Taking Action to Control High Blood Pressure 84.3
similar
89.1
% Cholesterol Checked in Past 5 Years 87.8
favorable
72.3
similar
90.7
favorable
82.1
% Told Have High Cholesterol (Ever) 31.4
favorable
36.6
similar
31.4
unfavorable
13.5
% [HBC] Taking Action to Control High Blood Cholesterol 85.3
similar
89.1
% 1+ Cardiovascular Risk Factor 84.9
similar
86.3
 
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HIV Service Area vs. SD vs. US vs. HP2020
HIV/AIDS (Age-Adjusted Death Rate) 1.4
unfavorable
0.9
favorable
3.3
favorable
3.3
% [Age 18-44] HIV Test in the Past Year 18.6
similar
19.9
similar
16.9
 
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Immunization & Infectious Diseases Service Area vs. SD vs. US vs. HP2020
% [Age 65+] Flu Shot in Past Year 74.4
similar
68.3
similar
71.6
unfavorable
90.0
% [High-Risk 18-64] Flu Shot in Past Year 45.1
similar
52.5
unfavorable
90.0
% [Age 65+] Pneumonia Vaccine Ever 67.7
similar
67.1
similar
68.1
unfavorable
90.0
% [High-Risk 18-64] Pneumonia Vaccine Ever 32.2
similar
32.0
unfavorable
60.0
% Ever Vaccinated for Hepatitis B 40.1
similar
38.4
 
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Injury & Violence Prevention Service Area vs. SD vs. US vs. HP2020
Unintentional Injury (Age-Adjusted Death Rate) 53.9
unfavorable
44.8
unfavorable
39.1
unfavorable
36.0
Motor Vehicle Crashes (Age-Adjusted Death Rate) 22.8
unfavorable
18.6
unfavorable
13.0
unfavorable
12.4
% "Always" Wear Seat Belt 69.6
unfavorable
82.1
unfavorable
85.3
unfavorable
92.4
% Child [Age 0-17] "Always" Uses Seat Belt/Car Seat 87.5
similar
91.6
% Child [Age 5-17] "Always" Wears Bicycle Helmet 38.1
similar
35.3
Firearm-Related Deaths (Age-Adjusted Death Rate) 11.0
unfavorable
9.0
unfavorable
10.2
unfavorable
9.2
% Firearm in Home 59.4
unfavorable
37.9
% [Homes With Children] Firearm in Home 63.1
unfavorable
34.4
% [Homes With Firearms] Weapon(s) Unlocked & Loaded 20.7
similar
16.9
Homicide (Age-Adjusted Death Rate) 3.7
unfavorable
2.7
favorable
5.8
favorable
5.5
% Victim of Violent Crime in Past 5 Years 3.0
similar
1.6
% Ever Threatened With Violence by Intimate Partner 10.1
similar
11.7
% Victim of Domestic Violence (Ever) 11.1
similar
13.5
 
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Maternal, Infant & Child Health Service Area vs. SD vs. US vs. HP2020
% No Prenatal Care in First Trimester 30.6
similar
32.1
unfavorable
22.1
% of Low Birthweight Births 6.9
favorable
9.2
favorable
8.2
favorable
7.8
Infant Death Rate 9.0
unfavorable
7.3
unfavorable
6.7
unfavorable
6.0
 
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Mental Health & Mental Disorders Service Area vs. SD vs. US vs. HP2020
% "Fair/Poor" Mental Health 6.7
favorable
11.7
% Major Depression 9.6
similar
11.7
% Symptoms of Chronic Depression (2+ Years) 21.2
favorable
26.5
Suicide (Age-Adjusted Death Rate) 19.7
unfavorable
15.6
unfavorable
11.6
unfavorable
10.2
% [Those With Major Depression] Seeking Help 93.4
favorable
82.0
favorable
75.1
% Typical Day Is "Extremely/Very" Stressful 7.8
favorable
11.5
% Child [Age 5-17] Takes Prescription for ADD/ADHD 3.9
similar
6.5
 
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Nutrition & Weight Status Service Area vs. SD vs. US vs. HP2020
% Eat 5+ Servings of Fruit or Vegetables per Day 45.4
similar
48.8
% Medical Advice on Nutrition in Past Year 32.7
unfavorable
41.9
% Healthy Weight (BMI 18.5-24.9) 28.2
similar
31.7
unfavorable
33.9
% Overweight 70.4
unfavorable
64.4
similar
66.9
% Obese 27.1
similar
28.1
similar
28.5
similar
30.6
% Medical Advice on Weight in Past Year 18.4
unfavorable
25.7
% [Overweights] Counseled About Weight in Past Year 22.1
unfavorable
30.9
% [Obese Adults] Counseled About Weight in Past Year 31.0
unfavorable
47.4
similar
31.8
% [Overweights] Trying to Lose Weight Both Diet/Exercise 30.6
unfavorable
38.6
% Children [Age 5-17] Overweight 32.3
similar
30.7
% Children [Age 5-17] Obese 11.9
similar
18.9
similar
14.6
 
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Oral Health Service Area vs. SD vs. US vs. HP2020
% [Age 18+] Dental Visit in Past Year 58.9
unfavorable
73.5
unfavorable
66.9
favorable
49.0
% Child [Age 2-17] Dental Visit in Past Year 76.7
similar
79.2
favorable
49.0
% Have Dental Insurance 57.8
similar
60.8
 
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Physical Activity Service Area vs. SD vs. US vs. HP2020
% [Employed] Job Entails Mostly Sitting/Standing 53.2
favorable
63.2
% No Leisure-Time Physical Activity 22.5
favorable
27.0
favorable
28.7
favorable
32.6
% Meeting Physical Activity Guidelines 48.3
favorable
42.7
% Moderate Physical Activity 29.1
favorable
23.9
% Vigorous Physical Activity 38.2
similar
34.8
% Medical Advice on Physical Activity in Past Year 40.8
unfavorable
47.8
% Child [Age 5-17] Watches TV 3+ Hours per Day 7.5
favorable
19.7
% Child [Age 5-17] Uses Computer 3+ Hours per Day 8.3
similar
9.9
% Child [Age 5-17] 3+ Hours per Day of Total Screen Time 28.5
favorable
43.4
 
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Respiratory Diseases Service Area vs. SD vs. US vs. HP2020
CLRD (Age-Adjusted Death Rate) 50.4
unfavorable
44.3
unfavorable
42.4
Pneumonia/Influenza (Age-Adjusted Death Rate) 16.9
similar
16.2
similar
16.9
% Nasal/Hay Fever Allergies 27.9
similar
27.3
% Sinusitis 14.4
favorable
19.4
% Chronic Lung Disease 14.1
unfavorable
8.4
% [Adult] Currently Has Asthma 10.6
unfavorable
6.9
similar
7.5
% [Child 0-17] Currently Has Asthma 9.9
similar
6.8
 
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Sexually Transmitted Diseases Service Area vs. SD vs. US vs. HP2020
Gonorrhea Incidence per 100,000 106.7
unfavorable
57.8
unfavorable
101.0
Primary & Secondary Syphilis Incidence per 100,000 1.1
unfavorable
0.2
favorable
4.5
Chlamydia Incidence per 100,000 485.1
unfavorable
393.7
unfavorable
429.6
% [Unmarried 18-64] 3+ Sexual Partners in Past Year 7.6
similar
7.1
% [Unmarried 18-64] Using Condoms 41.1
favorable
18.9
 
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Substance Abuse Service Area vs. SD vs. US vs. HP2020
Cirrhosis/Liver Disease (Age-Adjusted Death Rate) 13.9
unfavorable
10.4
unfavorable
9.1
unfavorable
8.2
% Current Drinker 57.9
similar
58.8
similar
58.8
% Chronic Drinker (Average 2+ Drinks/Day) 4.8
similar
5.9
similar
5.6
% Binge Drinker (Single Occasion - 5+ Drinks Men, 4+ Women) 14.9
favorable
22.1
similar
16.7
favorable
24.3
% Drinking & Driving in Past Month 1.2
favorable
3.5
% Driving Drunk or Riding with Drunk Driver 2.9
favorable
5.5
Drug-Induced Deaths (Age-Adjusted Death Rate) 8.8
unfavorable
6.2
favorable
12.7
favorable
11.3
% Illicit Drug Use in Past Month 0.7
similar
1.7
favorable
7.1
% Ever Sought Help for Alcohol or Drug Problem 5.1
similar
3.9
 
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Tobacco Use Service Area vs. SD vs. US vs. HP2020
% Current Smoker 23.6
similar
23.1
unfavorable
16.6
unfavorable
12.0
% Someone Smokes at Home 14.0
similar
13.6
% [Non-Smokers] Someone Smokes in the Home 6.4
similar
5.7
% [Household With Children] Someone Smokes in the Home 7.2
similar
12.1
% [Smokers] Received Advice to Quit Smoking 64.0
similar
63.7
% [Smokers] Have Quit Smoking 1+ Days in Past Year 56.9
similar
56.2
unfavorable
80.0
% Smoke Cigars 2.7
similar
4.2
unfavorable
0.2
% Use Smokeless Tobacco 6.0
unfavorable
2.8
unfavorable
0.3
 
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Vision Service Area vs. SD vs. US vs. HP2020
% Blindness/Trouble Seeing 8.8
similar
6.9
% Eye Exam in Past 2 Years 62.8
favorable
57.5
 
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