Health · Union

Union, SD health

Union differs from South Dakota on 5 of 33 measures. It has more adults getting cholesterol checked (86.7% vs 84.8%). Where it trails the state: more adults who have had a stroke (4.1% vs 3.5%).

CDC PLACES 2025 · adults 18+ · ZIP codes 57028, 57026

TownTapestry Health GradeNew

Not graded

Health Grades cover towns with 1,000 or more residents. CDC's estimates for a place of 193 people are less certain, so we show Union's 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…

36 of every 100 Union adults have high blood pressure

South Dakota: 33 in 100 · too close to call · margin 32–39.8%

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 26% Union
SD 24.1%

Sleep under 7 hoursshare of adults 31.5% Union
SD 29.7%

Binge drinkshare of adults 16.5% Union
SD 18.8%

Smoke cigarettesshare of adults 15.9% 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.

Yearly checkup

SD 77%

Dentist visit

SD 69%

Cholesterol check

SD 85%

Colon screening

SD 66%

Mammogram

SD 77%

Taking BP meds

SD 76%

1 in 11

working-age adults has no health insurance

Union 9.3% · South Dakota 1 in 11 (8.8%)

Mind & connection

How Union adults are doing

1 in 5Union adults have been diagnosed with depression

19.6% · South Dakota 21.2% · too close to call

1 in 7Union adults are in frequent mental distress

14.6% · South Dakota 15.3% · too close to call

Disability

Living with a disability

31.8%

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

Walking or climbing stairs14.9%

Thinking or memory13.4%

Hearing9.5%

Errands alone8.2%

Vision5.4%

Dressing or bathing4%

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. Pins are hospitals and community health centers in and near Union.

34.9%39.5%· darker is worse for health

Obesity

#4 of 15towns on this map, healthiest first

Flandreau35%

Union35.4%

Lone Rock36%

Ward38.6%

Altona39.1%

Troy39.2%

Care nearby

Avera Flandreau Hospital - CahFlandreau · 5.2 mi · ER · rural critical access Directions Medicare profile

Pipestone County Medical CenterPipestone · 9.8 mi · ER · rural critical access Directions Medicare profile

Avera Dells Area Hospital - CahDell Rapids · 20 mi · ER · rural critical access Directions Medicare profile

Brookings Health SystemBrookings · 21.6 mi · ★★★★★ · ER Directions Medicare profile

Access Health - BrookingsBrookings · 21.7 mi · community health center, sliding-scale fees Directions

Falls Community HealthSioux Falls · 37.5 mi · community health center, sliding-scale fees Directions

! Primary careUnion's county is a federal shortage area for some residents.AI/AN-Moody County · need score 7 of 25

✓ Dental careUnion is not a shortage area

! Mental healthUnion's county is a federal shortage area.Community Counseling Service (CCS) - MHCA 3A · need score 19 of 25

Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes). Hospitals: Medicare overall star ratings, 1–5. Distances are straight-line from the center of Union. Nearby towns are shaded from CDC's estimates for their ZIP codes, or CDC's own figure for cities and villages.

All 33 measures for Union

Measure	Union	Margin	South Dakota
Chronic conditions
High blood pressure	35.7%	32–39.8%	33.3%	about the same
High cholesterol	35.9%	31.8–39.9%	34%	about the same
Obesity	35.4%	28.4–43.1%	35.9%	about the same
Arthritis	28.7%	25.5–31.9%	25.8%	about the same
Depression	19.6%	16.7–22.6%	21.2%	about the same
Lost all teeth (65+)	15.1%	12.2–18.2%	12.7%	about the same
Asthma	10.5%	9.3–11.7%	10.1%	about the same
Cancer (not skin)	10.1%	9.3–11.1%	9.2%	worse
Diabetes	13.5%	11.8–15.4%	11.7%	worse
COPD	7.4%	6.4–8.5%	6.7%	about the same
Heart disease	7.8%	7–8.8%	6.8%	worse
Stroke	4.1%	3.7–4.6%	3.5%	worse
Habits
Smoke cigarettes	15.9%	13.5–18.3%	15.2%	about the same
Binge drink	16.5%	13.9–19.4%	18.8%	about the same
Get no exercise	26%	21.9–30.5%	24.1%	about the same
Sleep under 7 hours	31.5%	25.2–37.9%	29.7%	about the same
Care & screenings
Yearly checkup	77.9%	74.6–81.1%	76.5%	about the same
Dentist visit	66.7%	63.2–70.1%	69.2%	about the same
Cholesterol check	86.7%	85.1–88.4%	84.8%	better
Colon screening	66.1%	60.9–70.9%	65.5%	about the same
Mammogram	78.2%	70.5–84.3%	76.6%	about the same
Taking BP meds	78.8%	75.9–81.4%	75.9%	about the same
No health insurance	9.3%	7.8–10.9%	8.8%	about the same
Mind & connection
Frequent mental distress	14.6%	13–16.5%	15.3%	about the same
Fair or poor health	19%	16.5–21.7%	17.3%	about the same
Frequent physical distress	13.7%	12–15.3%	12.3%	about the same
Disability
Any disability	31.8%	27.8–36.1%	30.1%
Walking or climbing stairs	14.9%	12.9–17.2%	12.9%
Thinking or memory	13.4%	11.8–15.3%	13.7%
Hearing	9.5%	8.5–10.7%	8.2%
Vision	5.4%	4.8–6%	4.7%
Dressing or bathing	4%	3.5–4.5%	3.5%
Errands alone	8.2%	7.2–9.4%	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.