Health · Union

Union, SD health

Union differs from South Dakota on 8 of 33 measures. It has more adults treating high blood pressure (79.6% vs 75.9%). Where it trails the state: more adults with heart disease (9.1% vs 6.8%).

CDC PLACES 2025 · adults 18+ · ZIP codes 57760, 57758
TownTapestry Health GradeNew

Not graded

CDC doesn't publish all seven estimates the grade is built on for Union, so we show its figures without a grade.

Report card

How Union 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 Union adults…

39 of every 100 Union adults have high blood pressure
South Dakota: 33 in 100 · worse · margin 34.7–42.6%

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

Habits

Everyday habits, side by side with the state

Union, betterUnion, worseToo close to callSouth Dakota
Get no exerciseshare of adults 27.6% Union
SD 24.1%
Sleep under 7 hoursshare of adults 30.3% Union
SD 29.7%
Binge drinkshare of adults 16.6% Union
SD 18.8%
Smoke cigarettesshare of adults 16.6% Union
SD 15.2%
0%10%20%30%40%
Care & screenings

Keeping up with care

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

78%
Yearly checkup
SD 77%
65%
Dentist visit
SD 69%
86%
Cholesterol check
SD 85%
65%
Colon screening
SD 66%
76%
Mammogram
SD 77%
80%
Taking BP meds
SD 76%
1 in 11
working-age adults has no health insurance
Union 8.9% · South Dakota 1 in 11 (8.8%)
Mind & connection

How Union adults are doing

1 in 5Union adults have been diagnosed with depression
21.5% · South Dakota 21.2% · too close to call
1 in 7Union adults are in frequent mental distress
15.2% · South Dakota 15.3% · too close to call
Disability

Living with a disability

33.9%

of Union adults live with a disability (South Dakota 30.1%). Walking or climbing stairs is the most common.

Walking or climbing stairs16.3%
Thinking or memory14.2%
Hearing10.5%
Errands alone8.9%
Vision5.4%
Dressing or bathing4.4%

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

Getting care

Care in and near Union

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

HNearest ERVA Black Hills Healthcare SystemFort Meade · 43.3 miDirections →
★Best rated nearbyMonument Health Spearfish Hospital★★★★★ · 52.1 miDirections →
+Low-cost careHorizon Health CareFaith · 47.6 mi · sliding-scale feesDirections →
43.3 mi
VA Black Hills Healthcare System
Fort Meade · ★★★★★
ERVA
44.9 mi
Monument Health Sturgis Hospital
Sturgis · not rated
ERRural critical access
47.6 mi
Horizon Health Care
5 sites · nearest in Faith
Sliding-scale fees
Directions to nearest
52.1 mi
Monument Health Spearfish Hospital
Spearfish · ★★★★★
ER
53.2 mi
Monument Health Lead-Deadwood Hospital
Deadwood · not rated
ERRural critical access
60.2 mi
Community Health Center of the Black Hills
2 sites · nearest in Rapid City
Sliding-scale fees
Directions to nearest
! Primary careUnion's county is a federal shortage area.Butte County · need score 14 of 25
✓ Dental careUnion is not a shortage area
! Mental healthUnion's county is a federal shortage area.Behavior Management Systems MHCA · need score 18 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 Union. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 33 measures for Union
MeasureUnionMarginSouth Dakota
Chronic conditions
High blood pressure38.7%34.7–42.6%33.3%worse
High cholesterol37.8%33.9–41.7%34%about the same
Obesity34.7%28.5–41.2%35.9%about the same
Arthritis32.2%28.8–35.5%25.8%worse
Depression21.5%18.3–24.6%21.2%about the same
Lost all teeth (65+)13%10.6–15.8%12.7%about the same
Asthma10.6%9.3–11.9%10.1%about the same
Cancer (not skin)11.4%10.3–12.6%9.2%worse
Diabetes13.4%11.5–15.3%11.7%about the same
COPD8.9%7.5–10.4%6.7%worse
Heart disease9.1%8–10.3%6.8%worse
Stroke4.5%3.9–5%3.5%worse
Habits
Smoke cigarettes16.6%13.6–19.5%15.2%about the same
Binge drink16.6%13.9–19.4%18.8%about the same
Get no exercise27.6%22.9–32.5%24.1%about the same
Sleep under 7 hours30.3%24.6–36.5%29.7%about the same
Care & screenings
Yearly checkup77.9%74.5–81%76.5%about the same
Dentist visit65.3%61.8–68.8%69.2%worse
Cholesterol check86.4%84.4–88.3%84.8%about the same
Colon screening65.1%60–69.9%65.5%about the same
Mammogram75.9%68–82.5%76.6%about the same
Taking BP meds79.6%76.9–82.2%75.9%better
No health insurance8.9%7–11.2%8.8%about the same
Mind & connection
Frequent mental distress15.2%13.3–17.1%15.3%about the same
Fair or poor health19.7%16.6–22.9%17.3%about the same
Frequent physical distress14.3%12.3–16.3%12.3%about the same
Disability
Any disability33.9%29.3–38.4%30.1%
Walking or climbing stairs16.3%13.8–19%12.9%
Thinking or memory14.2%12.2–16.2%13.7%
Hearing10.5%9.3–11.8%8.2%
Vision5.4%4.7–6.2%4.7%
Dressing or bathing4.4%3.8–5.1%3.5%
Errands alone8.9%7.6–10.2%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 Union 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 Union better or worse.
Why a ZIP codeCDC publishes towns like Union by ZIP code. We weight the ZIP codes that cover Union by how much of its land each one covers.

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.

The coffee’s on

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