Health · Union

Union, SD health

On every measure CDC estimates, Union looks like South Dakota as a whole: no difference is outside the margin of error.

CDC PLACES 2025 · adults 18+ · ZIP codes 57314, 57359

TownTapestry Health GradeNew

Not graded

Health Grades cover towns with 1,000 or more residents. CDC's estimates for a place of 89 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…

33 of every 100 Union adults have high blood pressure

South Dakota: 33 in 100 · too close to call · margin 29–36.8%

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 24.2% Union
SD 24.1%

Sleep under 7 hoursshare of adults 29.6% Union
SD 29.7%

Binge drinkshare of adults 19.3% Union
SD 18.8%

Smoke cigarettesshare of adults 16.1% 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.

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 9.1% · South Dakota 1 in 11 (8.8%)

Mind & connection

How Union adults are doing

1 in 5Union adults have been diagnosed with depression

21.3% · South Dakota 21.2% · too close to call

1 in 6Union adults are in frequent mental distress

15.9% · South Dakota 15.3% · too close to call

Disability

Living with a disability

30.4%

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

Walking or climbing stairs12.7%

Thinking or memory14.3%

Hearing8.5%

Errands alone7.9%

Vision4.5%

Dressing or bathing3.5%

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.

35.3%37.9%· darker is worse for health

Obesity

#9 of 13towns on this map, healthiest first

Oneida35.3%

Diana35.3%

Logan35.9%

Union36.1%

Butler36.9%

Care nearby

Avera Queen of PeaceMitchell · 18.6 mi · ★★★★★ · ER · rural critical access Directions Medicare profile

Avera Weskota Memorial Medical Center - CahWessington Springs · 27.3 mi · ER · rural critical access Directions Medicare profile

Huron Regional Medical CenterHuron · 27.7 mi · ★★★★★ · ER · rural critical access Directions Medicare profile

Avera De Smet Memorial Hospital - CahDe Smet · 36.3 mi · ER · rural critical access Directions Medicare profile

Horizon Health - WoonsocketWoonsocket · 13 mi · community health center, sliding-scale fees Directions

Access Health - MitchellMitchell · 20.2 mi · community health center, sliding-scale fees Directions

! Primary careUnion's county is a federal shortage area for some residents.Low-income residents, Jerauld/Sanborn/Buffalo Counties · need score 17 of 25

✓ Dental careUnion is not a shortage area

! Mental healthUnion's county is a federal shortage area.Catchment Area 4 · 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	32.8%	29–36.8%	33.3%	about the same
High cholesterol	34.3%	30.2–38.4%	34%	about the same
Obesity	36.1%	28.2–44.5%	35.9%	about the same
Arthritis	25.9%	22.9–29%	25.8%	about the same
Depression	21.3%	18.1–24.8%	21.2%	about the same
Lost all teeth (65+)	11.2%	9.1–13.5%	12.7%	about the same
Asthma	10.1%	9–11.5%	10.1%	about the same
Cancer (not skin)	9.1%	8.2–10%	9.2%	about the same
Diabetes	11.1%	9.6–12.8%	11.7%	about the same
COPD	7.1%	6–8.1%	6.7%	about the same
Heart disease	7%	6.2–7.8%	6.8%	about the same
Stroke	3.5%	3.1–3.8%	3.5%	about the same
Habits
Smoke cigarettes	16.1%	13.6–18.8%	15.2%	about the same
Binge drink	19.3%	16–22.8%	18.8%	about the same
Get no exercise	24.2%	20.1–28.8%	24.1%	about the same
Sleep under 7 hours	29.6%	23.8–35.8%	29.7%	about the same
Care & screenings
Yearly checkup	74.9%	70.9–78.6%	76.5%	about the same
Dentist visit	67.3%	63.9–70.5%	69.2%	about the same
Cholesterol check	83.8%	81.6–86%	84.8%	about the same
Colon screening	66.3%	61.4–70.7%	65.5%	about the same
Mammogram	77.6%	70.5–83.5%	76.6%	about the same
Taking BP meds	75.8%	72.9–78.5%	75.9%	about the same
No health insurance	9.1%	7.3–11.1%	8.8%	about the same
Mind & connection
Frequent mental distress	15.9%	14.1–17.9%	15.3%	about the same
Fair or poor health	17.3%	14.8–20%	17.3%	about the same
Frequent physical distress	12.8%	11.1–14.5%	12.3%	about the same
Disability
Any disability	30.4%	26.2–34.9%	30.1%
Walking or climbing stairs	12.7%	10.8–14.6%	12.9%
Thinking or memory	14.3%	12.5–16.4%	13.7%
Hearing	8.5%	7.5–9.5%	8.2%
Vision	4.5%	3.9–5%	4.7%
Dressing or bathing	3.5%	3.1–4%	3.5%
Errands alone	7.9%	6.8–8.9%	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.