Health · Astoria

Astoria, SD health

On most measures Astoria looks like South Dakota as a whole. It has fewer older adults who have lost all their teeth (6.2% vs 12.7%).

CDC PLACES 2025 · adults 18+ · CDC's estimate for Astoria
TownTapestry Health GradeNew

Not graded

Health Grades cover towns with 1,000 or more residents. CDC's estimates for a place of 142 people are less certain, so we show Astoria's figures without a grade.

Report card

How Astoria compares with South 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 Astoria adults…

33 of every 100 Astoria adults have high blood pressure
South Dakota: 33 in 100 · too close to call · margin 28.8–37.5%

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

Habits

Everyday habits, side by side with the state

Astoria, betterAstoria, worseToo close to callSouth Dakota
Get no exerciseshare of adults 23.3% Astoria
SD 24.1%
Sleep under 7 hoursshare of adults 30.9% Astoria
SD 29.7%
Binge drinkshare of adults 19.3% Astoria
SD 18.8%
Smoke cigarettesshare of adults 14.8% Astoria
SD 15.2%
0%10%20%30%40%
Care & screenings

Keeping up with care

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

76%
Yearly checkup
SD 77%
68%
Dentist visit
SD 69%
87%
Cholesterol check
SD 85%
67%
Colon screening
SD 66%
81%
Mammogram
SD 77%
76%
Taking BP meds
SD 76%
1 in 10
working-age adults has no health insurance
Astoria 10.2% · South Dakota 1 in 11 (8.8%)
Mind & connection

How Astoria adults are doing

1 in 5Astoria adults have been diagnosed with depression
19.3% · South Dakota 21.2% · too close to call
1 in 7Astoria adults are in frequent mental distress
13.9% · South Dakota 15.3% · too close to call
Disability

Living with a disability

28.6%

of Astoria adults live with a disability (South Dakota 30.1%). Thinking or memory is the most common.

Walking or climbing stairs12.2%
Thinking or memory12.3%
Hearing7.9%
Errands alone6.7%
Vision4.2%
Dressing or bathing3.3%

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

Getting care

Care in and near Astoria

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

HNearest ERHendricks Community HospitalHendricks · 7.2 miDirections →
★Best rated nearbyBrookings Health System★★★★★ · 20.5 miDirections →
+Low-cost careRural Health CareBrookings · 20.3 mi · sliding-scale feesDirections →
7.2 mi
Hendricks Community Hospital
Hendricks · not rated
ERRural critical access
16.8 mi
Sanford Canby Medical Center
Canby · not rated
ERRural critical access
17.9 mi
Sanford Clear Lake Medical Center
Clear Lake · not rated
ERRural critical access
20.3 mi
Rural Health Care
3 sites · nearest in Brookings
Sliding-scale fees
Directions to nearest
20.5 mi
Brookings Health System
Brookings · ★★★★★
ER
42.7 mi
Horizon Health Care
4 sites · nearest in Lake Preston
Sliding-scale fees
Directions to nearest
! Primary careAstoria's county is a federal shortage area.Deuel County · need score 16 of 25
✓ Dental careAstoria is not a shortage area
! Mental healthAstoria's county is a federal shortage area.Human Services Agency - MHCA 5A · need score 19 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 Astoria. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 33 measures for Astoria
MeasureAstoriaMarginSouth Dakota
Chronic conditions
High blood pressure33%28.8–37.5%33.3%about the same
High cholesterol34.9%30.4–39.6%34%about the same
Obesity34.4%26.6–42.7%35.9%about the same
Arthritis26.1%22.7–29.6%25.8%about the same
Depression19.3%16.1–22.7%21.2%about the same
Lost all teeth (65+)6.2%4.9–7.8%12.7%better
Asthma9.6%8.4–10.9%10.1%about the same
Cancer (not skin)9.4%8.4–10.6%9.2%about the same
Diabetes11.7%9.9–13.7%11.7%about the same
COPD6.4%5.2–7.8%6.7%about the same
Heart disease6.6%5.6–7.6%6.8%about the same
Stroke3.3%2.9–3.8%3.5%about the same
Habits
Smoke cigarettes14.8%11.8–18.1%15.2%about the same
Binge drink19.3%15.9–23%18.8%about the same
Get no exercise23.3%18.6–28.4%24.1%about the same
Sleep under 7 hours30.9%25.1–37.2%29.7%about the same
Care & screenings
Yearly checkup76%71.9–79.7%76.5%about the same
Dentist visit67.9%64.4–71.3%69.2%about the same
Cholesterol check86.9%84.8–89%84.8%about the same
Colon screening67.1%62.2–71.5%65.5%about the same
Mammogram81.2%74.7–86.9%76.6%about the same
Taking BP meds76.4%73–79.7%75.9%about the same
No health insurance10.2%7.8–13.1%8.8%about the same
Mind & connection
Frequent mental distress13.9%11.9–16.1%15.3%about the same
Fair or poor health16.3%13.5–19.6%17.3%about the same
Frequent physical distress12.1%10.3–14.1%12.3%about the same
Disability
Any disability28.6%24.1–33.6%30.1%
Walking or climbing stairs12.2%10–14.6%12.9%
Thinking or memory12.3%10.4–14.5%13.7%
Hearing7.9%6.8–9.1%8.2%
Vision4.2%3.6–4.9%4.7%
Dressing or bathing3.3%2.8–3.9%3.5%
Errands alone6.7%5.6–8%7.8%
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 Astoria door to door.
Close calls stay grayEvery figure has a margin of error. When the South Dakota figure falls inside it, we don't call Astoria better or worse.
CDC's own town estimateCDC publishes Astoria directly, so these are its own figures.

CDC PLACES: Local Data for Better Health, 2025 release. The South 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/18 · 2025-01-01