Health · Advance

Advance, ND health

Advance differs from North Dakota on 15 of 40 measures. It has more adults treating high blood pressure (81.6% vs 76.3%) and more adults getting cholesterol checked (85.6% vs 82.7%). Where it trails the state: more adults with heart disease (8.9% vs 6.1%).

CDC PLACES 2025 · adults 18+ · ZIP codes 58220, 58282
TownTapestry Health GradeNew

Not graded

Health Grades cover towns with 1,000 or more residents. CDC's estimates for a place of 200 people are less certain, so we show Advance's figures without a grade.

Report card

How Advance compares with North Dakota

Each theme counts how many of its measures are better, worse or too close to call against the state. Tap one to jump to it.

Chronic conditions

Out of every 100 Advance adults…

39 of every 100 Advance adults have high blood pressure
North Dakota: 32 in 100 · worse · margin 35–43.5%

Bars show Advance; the black tick is North Dakota. Tap a condition to see it as people.

Habits

Everyday habits, side by side with the state

Advance, betterAdvance, worseToo close to callNorth Dakota
Get no exerciseshare of adults 27.3% Advance
ND 21.8%
Sleep under 7 hoursshare of adults 32.9% Advance
ND 32.7%
Binge drinkshare of adults 19.2% Advance
ND 21.3%
Smoke cigarettesshare of adults 15.2% Advance
ND 13.1%
0%10%20%30%40%
Care & screenings

Keeping up with care

Share of Advance adults getting routine care. The full ring is 100%; the dark tick marks North Dakota.

77%
Yearly checkup
ND 74%
60%
Dentist visit
ND 65%
86%
Cholesterol check
ND 83%
68%
Colon screening
ND 65%
75%
Mammogram
ND 78%
82%
Taking BP meds
ND 76%
1 in 13
working-age adults has no health insurance
Advance 7.8% · North Dakota 1 in 14 (7.3%)
Mind & connection

How Advance adults are doing

1 in 4Advance adults feel lonely
27.8% · North Dakota 29.6% · too close to call
1 in 5Advance adults have been diagnosed with depression
20.4% · North Dakota 21.3% · too close to call
1 in 5Advance adults lack social or emotional support
21.4% · North Dakota 20.6% · too close to call
1 in 7Advance adults are in frequent mental distress
13.8% · North Dakota 14.2% · too close to call
Everyday needs

Making ends meet

Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.

1 in 9
Advance adults worry about having enough food
11.5% · ND 10.7% · about the same
1 in 11
Advance adults worry about keeping their housing
8.8% · ND 8.9% · about the same
1 in 17
Advance adults were threatened with a utility shut-off
5.9% · ND 5.8% · about the same
1 in 15
Advance adults lack reliable transportation
6.6% · ND 6.5% · about the same

7.8% of Advance adults receive SNAP (food stamps), compared with 6.7% across North Dakota.

Disability

Living with a disability

32.7%

of Advance adults live with a disability (North Dakota 27.6%). Walking or climbing stairs is the most common.

Walking or climbing stairs16%
Thinking or memory13%
Hearing10.6%
Errands alone8.3%
Vision5.2%
Dressing or bathing4.2%

Black tick: North Dakota. Shown without a better/worse judgment.

Around Advance

Advance and the towns around it

Pick a measure to shade the map. Darker is worse for health. Pins are hospitals and community health centers in and near Advance.

La Moure: 43.4% Akra: 42% St. Joseph: 43.1% Cavalier: 42% Beaulieu: 42.4% Walhalla: 43.6% North Olga: 43.1% Park: 41.5% Felson: 42% Hamilton: 41.8% Lodema: 41.8% Thingvalla: 40.1% South Olga: 40.8% East Alma: 39.7% Advance: 42.3% Advance La Moure Akra St. Joseph Cavalier Beaulieu Pembina County Memorial Hospital · Cavalier · 3 miH
39.7%43.6%· darker is worse for health

Obesity

#10 of 15towns on this map, healthiest first
Akra42%
Cavalier42%
Advance42.3%
Beaulieu42.4%
St. Joseph43.1%
La Moure43.4%
6 places to get careNearest ER 3 mi

Nearby towns are shaded from CDC's estimates for their ZIP codes, or CDC's own figure for cities and villages.

Getting care

Care in and near Advance

No hospital or community health center in Advance itself. These are the nearest.

HNearest ERPembina County Memorial HospitalCavalier · 3 miDirections →
+Low-cost careCommunity Health Service Inc. - GraftonGrafton · 32.5 mi · sliding-scale feesDirections →
3 mi
Pembina County Memorial Hospital
Cavalier · not rated
ERRural critical access
28.4 mi
Cavalier County Memorial Hospital Association
Langdon · not rated
ERRural critical access
30 mi
First Care Health Center
Park River · not rated
ERRural critical access
32.5 mi
Community Health Service Inc. - Grafton
Grafton · community health center
Sliding-scale fees
33 mi
Unity Medical Center
Grafton · not rated
ERRural critical access
64.2 mi
Spectra Health
3 sites · nearest in Larimore
Sliding-scale fees
Directions to nearest
! Primary careAdvance's county is a federal shortage area.Pembina County · need score 11 of 25
✓ Dental careAdvance is not a shortage area
! Mental healthAdvance's county is a federal shortage area.Pembina County · need score 15 of 25

Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Advance. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 40 measures for Advance
MeasureAdvanceMarginNorth Dakota
Chronic conditions
High blood pressure39.1%35–43.5%31.8%worse
High cholesterol38.6%34.4–43.1%33.8%worse
Obesity42.3%35–50.3%36.5%about the same
Arthritis33.1%29.5–36.7%25.3%worse
Depression20.4%17.3–23.8%21.3%about the same
Lost all teeth (65+)13.7%11.1–16.6%10.8%worse
Asthma10.2%9–11.5%10.1%about the same
Cancer (not skin)10.8%9.8–11.9%8.2%worse
Diabetes13%11.2–15.1%9.8%worse
COPD8.4%7.2–9.8%5.9%worse
Heart disease8.9%7.9–10.1%6.1%worse
Stroke4.4%3.8–4.9%3.1%worse
Habits
Smoke cigarettes15.2%12.7–18.1%13.1%about the same
Binge drink19.2%16–22.8%21.3%about the same
Get no exercise27.3%22.7–32.3%21.8%worse
Sleep under 7 hours32.9%26.9–39.2%32.7%about the same
Care & screenings
Yearly checkup76.8%73.1–80.2%74.4%about the same
Dentist visit60.2%56.6–63.9%64.5%worse
Cholesterol check85.6%83.5–87.4%82.7%better
Colon screening67.8%62.8–72.5%64.9%about the same
Mammogram74.6%66.9–81.7%78%about the same
Taking BP meds81.6%78.9–84%76.3%better
No health insurance7.8%6.2–9.6%7.3%about the same
Mind & connection
Feel lonely27.8%23.5–32.6%29.6%about the same
Lack emotional support21.4%18.1–25.1%20.6%about the same
Frequent mental distress13.8%12.1–15.7%14.2%about the same
Fair or poor health20.5%17.6–23.9%16.1%worse
Frequent physical distress14.2%12.3–16.3%11.4%worse
Everyday needs
Food insecurity11.5%9.4–13.9%10.7%about the same
Housing insecurity8.8%7.4–10.5%8.9%about the same
Utility shut-off threat5.9%5–6.9%5.8%about the same
No reliable transportation6.6%5.6–7.7%6.5%about the same
Receive SNAP7.8%6.2–9.6%6.7%
Disability
Any disability32.7%28.1–37.5%27.6%
Walking or climbing stairs16%13.6–18.5%11.2%
Thinking or memory13%11.2–14.9%12.6%
Hearing10.6%9.4–12%7.8%
Vision5.2%4.6–5.9%4.1%
Dressing or bathing4.2%3.6–4.8%3.1%
Errands alone8.3%7.2–9.6%7.1%
About these numbers

How CDC estimates town health

They're modeled estimatesCDC combines a large national health survey with each area's age, sex, race and income mix to estimate local rates. Nobody surveyed Advance door to door.
Close calls stay grayEvery figure has a margin of error. When the North Dakota figure falls inside it, we don't call Advance better or worse.
Why a ZIP codeCDC publishes towns like Advance by ZIP code. We weight the ZIP codes that cover Advance by how much of its land each one covers.

CDC PLACES: Local Data for Better Health, 2025 release. The North Dakota figure combines its counties, weighted by adult population.

Health estimates: CDC PLACES. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. Town boundaries: U.S. Census Bureau.

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Boundary source: https://tigerweb.geo.census.gov/arcgis/rest/services/TIGERweb/Places_CouSub_ConCity_SubMCD/MapServer/15 · 2025-01-01