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South Dakota Health Statistics
36.0% of adults have obesity, #17 highest among states. Compare 66 counties and the largest cities.
- Obesity
- 36.0%
- +2.7 pts
- Diabetes
- 11.7%
- about the same
- Smoking
- 15.4%
- +2.6 pts
- Uninsured (18-64)
- 8.9%
- -2.2 pts
Health by county
Share of adults, A to Z. Select a name for all 40 measures.
| County | Obesity | Diabetes | Smoking | Depression | Uninsured |
|---|---|---|---|---|---|
| Aurora | 36.4% | 12.2% | 15.4% | 20.1% | 9.9% |
| Beadle | 35.4% | 13.4% | 16.9% | 20.4% | 12.3% |
| Bennett | 42.4% | 18.7% | 28.0% | 22.4% | 13.7% |
| Bon Homme | 37.0% | 12.8% | 17.7% | 19.6% | 10.4% |
| Brookings | 35.7% | 8.5% | 10.7% | 23.5% | 7.3% |
| Brown | 35.1% | 11.2% | 14.1% | 20.2% | 8.2% |
| Brule | 38.2% | 13.2% | 16.4% | 20.3% | 8.9% |
| Buffalo | 48.5% | 17.5% | 31.7% | 22.6% | 14.6% |
| Butte | 35.7% | 12.5% | 16.8% | 21.3% | 9.9% |
| Campbell | 33.0% | 13.8% | 13.7% | 18.4% | 8.2% |
| Charles Mix | 40.4% | 15.3% | 20.4% | 20.9% | 10.3% |
| Clark | 34.1% | 13.1% | 16.5% | 19.9% | 10.4% |
| Clay | 34.7% | 8.1% | 12.4% | 24.3% | 8.1% |
| Codington | 35.9% | 12.1% | 16.2% | 21.3% | 8.7% |
| Corson | 43.5% | 19.9% | 29.6% | 23.8% | 14.0% |
| Custer | 33.9% | 13.9% | 13.9% | 18.8% | 7.0% |
| Davison | 38.0% | 12.2% | 15.6% | 20.4% | 9.3% |
| Day | 34.8% | 14.7% | 16.6% | 19.7% | 8.8% |
| Deuel | 33.3% | 11.9% | 14.8% | 20.1% | 8.2% |
| Dewey | 43.6% | 18.0% | 29.5% | 22.1% | 13.4% |
| Douglas | 35.1% | 13.6% | 15.8% | 20.5% | 9.3% |
| Edmunds | 33.7% | 12.4% | 14.7% | 19.8% | 7.6% |
| Fall River | 38.0% | 16.4% | 17.4% | 20.0% | 8.9% |
| Faulk | 36.3% | 14.4% | 17.2% | 21.1% | 9.3% |
| Grant | 37.3% | 12.8% | 14.7% | 19.4% | 9.4% |
| Gregory | 35.9% | 14.1% | 16.2% | 20.1% | 9.0% |
| Haakon | 33.7% | 13.5% | 15.7% | 19.9% | 8.5% |
| Hamlin | 34.6% | 10.1% | 14.6% | 20.1% | 9.1% |
| Hand | 33.9% | 11.9% | 13.0% | 19.6% | 7.1% |
| Hanson | 36.6% | 12.1% | 16.8% | 21.8% | 8.3% |
| Harding | 35.3% | 11.2% | 13.3% | 19.7% | 7.5% |
| Hughes | 34.0% | 10.8% | 13.7% | 20.3% | 7.3% |
| Hutchinson | 34.4% | 12.1% | 14.6% | 20.3% | 8.0% |
| Hyde | 35.3% | 13.6% | 16.3% | 20.6% | 9.1% |
| Jackson | 40.9% | 18.6% | 28.5% | 22.3% | 13.9% |
| Jerauld | 35.6% | 13.8% | 14.5% | 18.7% | 8.9% |
| Jones | 35.4% | 14.7% | 16.2% | 19.6% | 8.1% |
| Kingsbury | 35.6% | 12.1% | 14.7% | 20.1% | 8.5% |
| Lake | 32.5% | 12.0% | 13.2% | 19.4% | 7.7% |
| Lawrence | 32.7% | 11.4% | 14.2% | 20.4% | 8.0% |
| Lincoln | 34.9% | 8.8% | 11.6% | 19.7% | 6.7% |
| Lyman | 40.1% | 15.8% | 21.4% | 20.8% | 10.8% |
| Marshall | 35.9% | 12.7% | 15.2% | 19.1% | 9.2% |
| McCook | 36.1% | 11.0% | 14.0% | 20.5% | 7.9% |
| McPherson | 34.9% | 14.8% | 16.2% | 19.3% | 10.2% |
| Meade | 30.4% | 9.5% | 14.1% | 22.6% | 8.4% |
| Mellette | 45.6% | 21.1% | 30.2% | 22.8% | 14.6% |
| Miner | 35.7% | 13.3% | 15.9% | 19.9% | 8.7% |
| Minnehaha | 37.4% | 10.6% | 14.2% | 22.3% | 8.8% |
| Moody | 33.6% | 12.1% | 14.5% | 19.3% | 8.1% |
| Oglala Lakota | 47.0% | 21.1% | 39.8% | 24.3% | 19.1% |
| Pennington | 33.7% | 12.1% | 15.0% | 21.0% | 8.5% |
| Perkins | 36.0% | 14.3% | 16.0% | 20.2% | 8.4% |
| Potter | 34.8% | 13.1% | 13.6% | 19.1% | 7.2% |
| Roberts | 43.0% | 16.3% | 20.3% | 20.5% | 10.4% |
| Sanborn | 36.3% | 12.6% | 16.1% | 20.2% | 9.3% |
| Spink | 36.0% | 12.9% | 15.1% | 20.2% | 8.4% |
| Stanley | 35.2% | 11.1% | 13.4% | 20.0% | 7.1% |
| Sully | 34.7% | 12.5% | 13.7% | 18.8% | 7.7% |
| Todd | 49.3% | 20.7% | 37.2% | 24.2% | 17.6% |
| Tripp | 37.0% | 15.3% | 18.9% | 20.6% | 10.1% |
| Turner | 34.0% | 11.8% | 15.0% | 20.4% | 8.3% |
| Union | 31.2% | 10.6% | 12.8% | 19.9% | 7.6% |
| Walworth | 34.3% | 13.4% | 15.7% | 19.8% | 8.3% |
| Yankton | 38.3% | 11.8% | 13.8% | 20.2% | 8.8% |
| Ziebach | 47.2% | 18.7% | 30.4% | 23.1% | 13.7% |
Largest cities
Share of adults, largest population first
| City | Obesity | Diabetes | Smoking | Depression | Uninsured |
|---|---|---|---|---|---|
| Sioux Falls | 36.9% | 10.5% | 13.9% | 22.0% | 8.9% |
| Rapid City | 34.0% | 11.8% | 15.9% | 21.7% | 9.6% |
| Aberdeen | 34.9% | 10.7% | 14.2% | 20.6% | 8.7% |
| Brookings | 35.9% | 7.8% | 10.8% | 24.6% | 7.8% |
| Watertown | 35.4% | 11.6% | 16.1% | 21.8% | 8.9% |
| Mitchell | 38.0% | 11.6% | 15.6% | 20.9% | 9.5% |
| Yankton | 38.6% | 11.6% | 14.0% | 20.7% | 9.0% |
| Huron | 35.7% | 13.6% | 17.6% | 20.5% | 14.2% |
| Pierre | 34.2% | 10.5% | 14.1% | 20.9% | 7.3% |
| Spearfish | 30.7% | 9.6% | 12.7% | 21.5% | 8.1% |
| Box Elder | 32.2% | 8.2% | 15.2% | 23.7% | 10.0% |
| Vermillion | 33.7% | 6.7% | 11.7% | 25.9% | 8.4% |
| Brandon | 34.8% | 9.0% | 11.6% | 22.3% | 6.1% |
| Rapid Valley | 33.9% | 10.4% | 15.8% | 22.2% | 8.4% |
| Sturgis | 31.2% | 11.7% | 15.8% | 22.7% | 9.3% |
| Harrisburg | 34.5% | 5.4% | 11.7% | 21.7% | 6.8% |
| Madison | 31.8% | 10.3% | 13.4% | 20.3% | 9.0% |
| Belle Fourche | 35.6% | 12.2% | 16.9% | 21.9% | 10.3% |
| Tea | 35.6% | 6.3% | 12.3% | 21.9% | 6.4% |
| Dakota Dunes | 29.3% | 9.7% | 10.2% | 18.9% | 5.7% |
| Dell Rapids | 34.7% | 10.0% | 12.1% | 21.9% | 6.7% |
| Milbank | 36.5% | 12.4% | 14.0% | 19.6% | 9.7% |
| Hot Springs | 38.1% | 17.0% | 17.9% | 20.3% | 9.6% |
| Hartford | 35.8% | 8.7% | 12.9% | 23.4% | 6.7% |
| Mobridge | 34.6% | 12.6% | 15.5% | 20.5% | 8.0% |
| Pine Ridge | 45.1% | 20.5% | 35.4% | 22.7% | 15.5% |
| Canton | 38.2% | 11.8% | 16.2% | 20.5% | 8.7% |
| North Sioux City | 31.5% | 10.1% | 13.2% | 20.6% | 8.1% |
| Blackhawk | 31.5% | 10.0% | 14.5% | 22.9% | 7.3% |
| Lead | 35.0% | 11.6% | 17.1% | 21.5% | 8.8% |
| Summerset | 31.2% | 8.4% | 14.6% | 23.9% | 7.7% |
| Winner | 39.0% | 15.9% | 21.6% | 21.7% | 11.1% |
| Sisseton | 44.5% | 17.8% | 22.5% | 20.9% | 12.0% |
| Chamberlain | 37.9% | 13.5% | 16.3% | 20.2% | 9.7% |
| Lennox | 36.6% | 10.2% | 14.5% | 20.2% | 8.0% |
| Flandreau | 34.9% | 14.1% | 16.2% | 19.1% | 10.3% |
| North Spearfish | 33.6% | 11.0% | 14.5% | 21.1% | 7.9% |
| Redfield | 35.9% | 13.7% | 14.6% | 20.1% | 8.6% |
| Beresford | 32.8% | 11.1% | 14.3% | 20.6% | 8.5% |
| Elk Point | 32.2% | 10.5% | 14.4% | 21.2% | 8.1% |
South Dakota compared with the U.S.
Population-weighted average of all counties
Health outcomes
| Adults with | Here | U.S. |
|---|---|---|
| Obesity | 36.0%+2.7 pts | 33.3% |
| Diagnosed diabetes | 11.7%about the same | 12.1% |
| High blood pressure | 33.3%-1.1 pts | 34.4% |
| High cholesterol (among those screened) | 34.0%-2.4 pts | 36.4% |
| Coronary heart disease | 6.8%+0.5 pts | 6.3% |
| Stroke | 3.5%about the same | 3.4% |
| Current asthma | 10.2%about the same | 10.2% |
| COPD | 6.8%about the same | 6.5% |
| Cancer (excluding skin cancer) | 9.1%+1.4 pts | 7.7% |
| Arthritis | 25.8%+0.6 pts | 25.2% |
| Depression | 21.2%about the same | 21.6% |
| All teeth lost (age 65+) | 12.9%about the same | 12.6% |
Health behaviors
| Adults with | Here | U.S. |
|---|---|---|
| Current smoking | 15.4%+2.6 pts | 12.8% |
| Binge drinking | 18.8%+2.9 pts | 15.9% |
| No leisure-time physical activity | 24.2%-1.0 pts | 25.2% |
| Short sleep (under 7 hours) | 29.7%-6.4 pts | 36.1% |
Prevention
| Adults with | Here | U.S. |
|---|---|---|
| No health insurance (age 18 to 64) | 8.9%-2.2 pts | 11.1% |
| Routine checkup in the past year | 76.5%about the same | 76.8% |
| Dental visit in the past year | 69.0%+7.3 pts | 61.7% |
| Taking blood pressure medicine (if high) | 75.9%about the same | 75.5% |
| Cholesterol screening | 84.7%-1.5 pts | 86.2% |
| Colorectal cancer screening (age 45 to 75) | 65.4%+1.7 pts | 63.7% |
| Mammogram in the past 2 years (women 50 to 74) | 76.5%about the same | 76.1% |
Health status
| Adults with | Here | U.S. |
|---|---|---|
| Fair or poor general health | 17.4%-2.4 pts | 19.8% |
| Frequent mental distress | 15.4%-1.1 pts | 16.5% |
| Frequent physical distress | 12.4%-0.9 pts | 13.3% |
Disability
| Adults with | Here | U.S. |
|---|---|---|
| Any disability | 30.2%about the same | 30.4% |
| Mobility disability | 13.0%-0.8 pts | 13.8% |
| Cognitive disability | 13.7%-0.6 pts | 14.3% |
| Hearing disability | 8.2%+1.4 pts | 6.8% |
| Vision disability | 4.8%-0.5 pts | 5.3% |
| Self-care disability | 3.6%about the same | 3.8% |
| Independent living disability | 7.9%about the same | 8.1% |
Share of adults (18 and older unless noted), crude prevalence. Differences are compared with the U.S.; green is better than the national rate, red is worse. These are model-based estimates, not counts.
Frequently asked questions
- What is the obesity rate in South Dakota?
- About 36.0% of adults in South Dakota have obesity, compared with 33.3% nationwide. Todd has the highest county rate (49.3%) and Meade the lowest (30.4%).
- How many adults in South Dakota have diabetes?
- About 11.7% of adults in South Dakota have been diagnosed with diabetes (U.S. 12.1%).
- What share of South Dakota adults smoke?
- About 15.4% of adults in South Dakota currently smoke cigarettes (U.S. 12.8%).
Source: CDC PLACES: Local Data for Better Health · Last updated 12/01/2025 · Model-based estimates of the share of adults. State figures are population-weighted averages of county estimates.