Health · Union

Union, SD health

Union differs from South Dakota on 17 of 33 measures. It has fewer adults who have had cancer (8.3% vs 9.2%). Where it trails the state: more older adults who have lost all their teeth (19.6% vs 12.7%).

CDC PLACES 2025 · adults 18+ · ZIP codes 57748, 57787
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…

37 of every 100 Union adults have high blood pressure
South Dakota: 33 in 100 · worse · margin 33.7–39.9%

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 30.8% Union
SD 24.1%
Sleep under 7 hoursshare of adults 33.7% Union
SD 29.7%
Binge drinkshare of adults 17% Union
SD 18.8%
Smoke cigarettesshare of adults 23.1% 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.

76%
Yearly checkup
SD 77%
58%
Dentist visit
SD 69%
81%
Cholesterol check
SD 85%
63%
Colon screening
SD 66%
71%
Mammogram
SD 77%
75%
Taking BP meds
SD 76%
1 in 9
working-age adults has no health insurance
Union 11.3% · South Dakota 1 in 11 (8.8%)
Mind & connection

How Union adults are doing

1 in 4Union adults have been diagnosed with depression
23% · South Dakota 21.2% · too close to call
1 in 5Union adults are in frequent mental distress
18.9% · South Dakota 15.3% · worse
Disability

Living with a disability

38.3%

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

Walking or climbing stairs18.4%
Thinking or memory18.2%
Hearing9.8%
Errands alone11.8%
Vision8.3%
Dressing or bathing5.4%

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

Around Union

Union and the towns around it

Pick a measure to shade the map. Darker is worse for health.

Howard: 40.4% Dakota: 39.3% Rainy Creek/Cheyenne: 34.3% Union: 40% Union Howard Dakota
34.3%40.4%· darker is worse for health

Obesity

#3 of 4towns on this map, healthiest first
Dakota39.3%
Union40%
Howard40.4%
6 places to get careNearest ER 48.5 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 Union

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

HNearest ERHans P Peterson Memorial Hospital - CahPhilip · 48.5 miDirections →
★Best rated nearbyMonument Health Rapid City Hospital★★★★★ · 65.2 miDirections →
+Low-cost careHorizon Health CareFaith · 27.3 mi · sliding-scale feesDirections →
27.3 mi
Horizon Health Care
4 sites · nearest in Faith
Sliding-scale fees
Directions to nearest
48.5 mi
Hans P Peterson Memorial Hospital - Cah
Philip · not rated
ERRural critical access
63.4 mi
Community Health Center of the Black Hills
2 sites · nearest in Rapid City
Sliding-scale fees
Directions to nearest
65.2 mi
Monument Health Rapid City Hospital
Rapid City · ★★★★★
ER
65.7 mi
Same Day Surgery Center
Rapid City · not rated
66 mi
Black Hills Surgical Hospital
Rapid City · not rated
! Primary careUnion's county is a federal shortage area.Meade County · need score 13 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 pressure36.8%33.7–39.9%33.3%worse
High cholesterol35.6%32.6–38.6%34%about the same
Obesity40%34.5–45.3%35.9%about the same
Arthritis29.1%26.4–31.4%25.8%worse
Depression23%20.2–25.9%21.2%about the same
Lost all teeth (65+)19.6%16.9–22.4%12.7%worse
Asthma12.7%11.4–14.1%10.1%worse
Cancer (not skin)8.3%7.7–9.1%9.2%better
Diabetes15.4%13.6–17.1%11.7%worse
COPD9.5%8.1–11%6.7%worse
Heart disease7.7%6.9–8.5%6.8%worse
Stroke4.6%4–5.1%3.5%worse
Habits
Smoke cigarettes23.1%19.9–26.4%15.2%worse
Binge drink17%14.8–19.4%18.8%about the same
Get no exercise30.8%26.6–35%24.1%worse
Sleep under 7 hours33.7%29–38.4%29.7%about the same
Care & screenings
Yearly checkup75.8%72.9–78.6%76.5%about the same
Dentist visit57.8%54.8–60.7%69.2%worse
Cholesterol check81.3%78.8–83.6%84.8%worse
Colon screening62.9%58.8–66.9%65.5%about the same
Mammogram71%63.2–78%76.6%about the same
Taking BP meds75%72.5–77.2%75.9%about the same
No health insurance11.3%9.1–14.1%8.8%worse
Mind & connection
Frequent mental distress18.9%16.8–21%15.3%worse
Fair or poor health24.9%21.7–28.1%17.3%worse
Frequent physical distress16.4%14.5–18.4%12.3%worse
Disability
Any disability38.3%34.1–42.4%30.1%
Walking or climbing stairs18.4%16–20.7%12.9%
Thinking or memory18.2%16–20.5%13.7%
Hearing9.8%8.7–10.8%8.2%
Vision8.3%7.2–9.4%4.7%
Dressing or bathing5.4%4.7–6.3%3.5%
Errands alone11.8%10.2–13.5%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