Health · Vivian

Vivian, SD health

Vivian differs from South Dakota on 12 of 33 measures. It has fewer uninsured adults (6.7% vs 8.8%) and fewer adults in frequent mental distress (12.6% vs 15.3%). Where it trails the state: more adults who have had cancer (12.5% vs 9.2%).

CDC PLACES 2025 · adults 18+ · ZIP code 57576 (all of Vivian)

TownTapestry Health GradeNew

Not graded

Health Grades cover towns with 1,000 or more residents. CDC's estimates for a place of 158 people are less certain, so we show Vivian's figures without a grade.

Report card

How Vivian 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 Vivian adults…

40 of every 100 Vivian adults have high blood pressure

South Dakota: 33 in 100 · worse · margin 34.9–44.8%

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

Habits

Everyday habits, side by side with the state

Vivian, betterVivian, worseToo close to callSouth Dakota

Get no exerciseshare of adults 23.7% Vivian
SD 24.1%

Sleep under 7 hoursshare of adults 27.5% Vivian
SD 29.7%

Binge drinkshare of adults 16.3% Vivian
SD 18.8%

Smoke cigarettesshare of adults 13.6% Vivian
SD 15.2%

0%10%20%30%40%

Care & screenings

Keeping up with care

Share of Vivian 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 15

working-age adults has no health insurance

Vivian 6.7% · South Dakota 1 in 11 (8.8%)

Mind & connection

How Vivian adults are doing

1 in 5Vivian adults have been diagnosed with depression

18.5% · South Dakota 21.2% · too close to call

1 in 8Vivian adults are in frequent mental distress

12.6% · South Dakota 15.3% · better

Disability

Living with a disability

30.4%

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

Walking or climbing stairs14.8%

Thinking or memory11.3%

Hearing9.9%

Errands alone7.1%

Vision4.5%

Dressing or bathing3.7%

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

Around Vivian

Vivian and the towns around it

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

34.8%46.8%· darker is worse for health

Obesity

#1 of 8towns on this map, healthiest first

Vivian34.8%

Williams Creek35.5%

Mussman35.7%

Care nearby

Avera St. Mary's HospitalPierre · 32.6 mi · ★★★★★ · ER Directions Medicare profile

Winner Regional Healthcare Center - CahWinner · 42.6 mi · ER · rural critical access Directions Medicare profile

Sanford Chamberlain Medical CenterChamberlain · 49.5 mi · ER · rural critical access Directions Medicare profile

Phs Indian Hospital at RosebudRosebud · 54.6 mi · ER Directions Medicare profile

Access Health - PreshoPresho · 12.4 mi · community health center, sliding-scale fees Directions

Horizon Health - White RiverWhite River · 31.2 mi · community health center, sliding-scale fees Directions

! Primary careVivian's county is a federal shortage area.Lyman County · need score 18 of 25

! Dental careVivian's county is a federal shortage area.Lyman County · need score 20 of 25

! Mental healthVivian's county is a federal shortage area.Capital Area Counseling Services MHCA · 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 Vivian. 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 Vivian

Measure	Vivian	Margin	South Dakota
Chronic conditions
High blood pressure	39.5%	34.9–44.8%	33.3%	worse
High cholesterol	39.9%	35.4–45%	34%	worse
Obesity	34.8%	27.2–43.8%	35.9%	about the same
Arthritis	32.3%	28.5–36.6%	25.8%	worse
Depression	18.5%	15.6–22%	21.2%	about the same
Lost all teeth (65+)	13.5%	11–16.3%	12.7%	about the same
Asthma	9.7%	8.5–11%	10.1%	about the same
Cancer (not skin)	12.5%	11.4–13.8%	9.2%	worse
Diabetes	13.6%	11.6–16%	11.7%	about the same
COPD	7.6%	6.3–9.1%	6.7%	about the same
Heart disease	8.5%	7.4–9.7%	6.8%	worse
Stroke	4.2%	3.6–4.7%	3.5%	worse
Habits
Smoke cigarettes	13.6%	10.7–16.6%	15.2%	about the same
Binge drink	16.3%	13.6–19.6%	18.8%	about the same
Get no exercise	23.7%	19.1–29%	24.1%	about the same
Sleep under 7 hours	27.5%	22.1–33.5%	29.7%	about the same
Care & screenings
Yearly checkup	80.3%	77.1–83.3%	76.5%	better
Dentist visit	71.9%	68.7–74.9%	69.2%	about the same
Cholesterol check	89.7%	88.1–91.2%	84.8%	better
Colon screening	73.9%	69.2–78.2%	65.5%	better
Mammogram	77.2%	70.6–82.7%	76.6%	about the same
Taking BP meds	81.8%	78.9–84.5%	75.9%	better
No health insurance	6.7%	5.2–8.5%	8.8%	better
Mind & connection
Frequent mental distress	12.6%	10.9–14.6%	15.3%	better
Fair or poor health	16.9%	14–20.1%	17.3%	about the same
Frequent physical distress	13.1%	11.2–15.3%	12.3%	about the same
Disability
Any disability	30.4%	25.8–35.7%	30.1%
Walking or climbing stairs	14.8%	12.4–17.5%	12.9%
Thinking or memory	11.3%	9.6–13.3%	13.7%
Hearing	9.9%	8.6–11.3%	8.2%
Vision	4.5%	3.8–5.2%	4.7%
Dressing or bathing	3.7%	3.1–4.3%	3.5%
Errands alone	7.1%	6–8.2%	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 Vivian 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 Vivian better or worse.

Why a ZIP codeCDC publishes towns like Vivian by ZIP code. We weight the ZIP codes that cover Vivian 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.