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States › South Dakota › Custer County

County · South Dakota

Custer County, SD

9,117 residents, 7,850 adults (Census population estimates used by PLACES). 4 ZIP Codes and 4 places with estimates.

Custer County within South Dakota. Boundaries: US Census Bureau.
33.9%obesity, adults95% interval 26.1–42.1in line with · state figure 35.9% (site aggregate)
13.9%diabetes, adults95% interval 11.7–16.3in line with · state figure 11.7% (site aggregate)
40.3%high blood pressure, adults95% interval 35.6–45.1above · state figure 33.3% (site aggregate)
17.2%fair or poor health, adults95% interval 13.9–20.6in line with · state figure 17.3% (site aggregate)

Custer County, in South Dakota, has 9,117 residents in the Census population estimates used by PLACES (7,850 adults). CDC's PLACES project estimates 40 health measures for its adult population using a statistical model, not a local survey.

In the 2025 release it estimates that 33.9% of adults have obesity (95% confidence interval 26.1–42.1%), in line with the South Dakota figure of 35.9% (site aggregate), similar to the national estimate of 32.8%. Where intervals overlap the figures are described as similar, because the model cannot separate them.

Diagnosed diabetes: 13.9% of adults (95% confidence interval 11.7–16.3%) in the 2025 release, in line with the South Dakota figure of 11.7% (site aggregate), similar to the national estimate of 12.0%.

Across the 33 measures with a published estimate, the county's interval lies entirely above the South Dakota figure for 10, entirely below it for 3 and includes it for 20. State figures are population-weighted county estimates computed by this site and carry no interval.

7 measures have no published estimate for this area in any release kept here (the health-related social needs measures are only estimated for states that ran that survey module).

Report card: 40 measures by CDC category

Crude prevalence is the estimated share of all adults. Age-adjusted prevalence is standardised to the 2000 US standard population so that areas with different age structures can be compared. CDC: "Age-adjusted estimates are only available at the county and place-level."

estimate with 95% intervalSD figureUS estimate

Health outcomes (12)vs SD figure: 6 above · 0 below · 6 in line
MeasureEstimate and 95% intervalValueFlagsRelease
All teeth lost among adults aged ≥65 yearsBRFSS 2022 · Adults aged 65 years and older12.0%10.3–13.712.2%10.6–14.0St. ≈US ≈St. ≈US ≈2025
Arthritis among adultsBRFSS 202333.8%29.6–38.022.2%19.2–25.3St. ↑US ↑St. ≈US ≈2025
Cancer (non-skin) or melanoma among adultsBRFSS 202313.0%11.7–14.57.7%7.0–8.6St. ↑US ↑St. ≈US ↑2025
Chronic obstructive pulmonary disease among adultsBRFSS 20237.9%6.3–9.65.2%4.3–6.2St. ≈US ≈St. ≈US ≈2025
Coronary heart disease among adultsBRFSS 20238.9%7.6–10.35.2%4.5–5.9St. ↑US ↑St. ≈US ≈2025
Current asthma among adultsBRFSS 20239.8%8.5–11.110.1%8.8–11.4St. ≈US ≈St. ≈US ≈2025
Depression among adultsBRFSS 202318.8%15.6–22.121.4%17.9–25.0St. ≈US ≈St. ≈US ≈2025
Diagnosed diabetes among adultsBRFSS 202313.9%11.7–16.38.9%7.5–10.4St. ≈US ≈St. ≈US ≈2025
High blood pressure among adultsBRFSS 202340.3%35.6–45.128.3%24.4–32.2St. ↑US ↑St. ≈US ≈2025
High cholesterol among adults who have ever been screenedBRFSS 202341.1%36.3–45.929.6%25.5–33.7St. ↑US ≈St. ≈US ≈2025
Obesity among adultsBRFSS 202333.9%26.1–42.133.6%25.8–41.8St. ≈US ≈St. ≈US ≈2025
Stroke among adultsBRFSS 20234.3%3.7–5.02.7%2.3–3.1St. ↑US ↑St. ≈US ≈2025
Prevention (7)vs SD figure: 3 above · 0 below · 4 in line
MeasureEstimate and 95% intervalValueFlagsRelease
Cholesterol screening among adultsBRFSS 202390.3%88.5–91.884.0%81.1–86.4St. ↑US ↑St. ≈US ≈2025
Colorectal cancer screening among adults aged 45–75 yearsBRFSS 2022 · Adults aged 45–75 years66.4%62.9–69.758.0%54.4–61.4St. ≈US ≈St. ≈US ≈2025
Current lack of health insurance among adults aged 18-64 yearsBRFSS 2023 · Adults aged 18–64 years7.0%5.4–9.18.1%6.3–10.4St. ≈US ↓St. ≈US ↓2025
Mammography use among women aged 50-74 yearsBRFSS 2022 · Women aged 50–74 years77.3%72.6–81.375.2%70.1–79.5St. ≈US ≈St. ≈US ≈2025
Taking medicine to control high blood pressure among adults with high blood pressureBRFSS 202382.4%79.2–85.155.6%51.0–60.1St. ↑US ↑St. ≈US ≈2025
Visited dentist or dental clinic in the past year among adultsBRFSS 202270.4%68.1–72.670.6%68.3–72.8St. ≈US ↑St. ≈US ↑2025
Visits to doctor for routine checkup within the past year among adultsBRFSS 202380.9%77.5–84.073.8%69.4–77.8St. ↑US ≈St. ≈US ≈2025
Health risk behaviors (4)vs SD figure: 0 above · 1 below · 3 in line
MeasureEstimate and 95% intervalValueFlagsRelease
Binge drinking among adultsBRFSS 202315.1%12.3–18.020.9%17.3–24.7St. ↓US ≈St. ≈US ↑2025
Current cigarette smoking among adultsBRFSS 202313.9%10.7–17.014.4%11.4–17.9St. ≈US ≈St. ≈US ≈2025
No leisure-time physical activity among adultsBRFSS 202325.1%19.8–30.421.9%17.3–26.8St. ≈US ≈St. ≈US ≈2025
Short sleep duration among adultsBRFSS 202227.8%24.3–31.529.4%25.9–33.3St. ≈US ↓St. ≈US ↓2025
Disability (7)vs SD figure: 1 above · 1 below · 5 in line
MeasureEstimate and 95% intervalValueFlagsRelease
Any disability among adultsBRFSS 202331.0%25.9–36.026.6%22.1–31.5St. ≈US ≈St. ≈US ≈2025
Cognitive disability among adultsBRFSS 202311.2%9.3–13.113.2%11.0–15.6St. ↓US ↓St. ≈US ≈2025
Hearing disability among adultsBRFSS 202310.2%8.7–11.76.6%5.7–7.6St. ↑US ↑St. ≈US ≈2025
Independent living disability among adultsBRFSS 20237.1%5.9–8.56.8%5.7–8.1St. ≈US ≈St. ≈US ≈2025
Mobility disability among adultsBRFSS 202315.2%12.4–18.310.1%8.2–12.0St. ≈US ≈St. ≈US ≈2025
Self-care disability among adultsBRFSS 20233.7%3.0–4.42.8%2.3–3.3St. ≈US ≈St. ≈US ≈2025
Vision disability among adultsBRFSS 20234.5%3.8–5.33.7%3.2–4.3St. ≈US ↓St. ↓US ↓2025
Health status (3)vs SD figure: 0 above · 1 below · 2 in line
MeasureEstimate and 95% intervalValueFlagsRelease
Fair or poor self-rated health status among adultsBRFSS 202317.2%13.9–20.614.6%12.0–17.4St. ≈US ≈St. ≈US ↓2025
Frequent mental distress among adultsBRFSS 202312.4%10.6–14.415.6%13.4–18.0St. ↓US ↓St. ≈US ≈2025
Frequent physical distress among adultsBRFSS 202313.2%11.1–15.411.0%9.3–12.8St. ≈US ≈St. ≈US ≈2025
Health-related social needs (7)not published for this area
MeasureEstimate and 95% intervalValueFlagsRelease
Food insecurity in the past 12 months among adultsBRFSS 2023not publishednot published———
Housing insecurity in the past 12 months among adultsBRFSS 2023not publishednot published———
Lack of reliable transportation in the past 12 months among adultsBRFSS 2023not publishednot published———
Lack of social and emotional support among adultsBRFSS 2023not publishednot published———
Loneliness among adultsBRFSS 2023not publishednot published———
Received food stamps in the past 12 months among adultsBRFSS 2023not publishednot published———
Utility services shut-off threat in the past 12 months among adultsBRFSS 2023not publishednot published———

Flags: St. = South Dakota figure (site aggregate: a population-weighted county estimate computed by this site, no interval: above, below or in line), US = national estimate with CDC's interval. ↑ interval entirely above, ↓ entirely below, ≈ overlapping or containing the reference. Release column in colour: not published for this county in the 2025 release, most recent published release shown.

Compared with state and nation

Measure (crude)Custer CountySouth Dakota (site aggregate)United States
Obesity33.9%
26.1–42.1
35.9%
in line
32.8%
32.4–33.1 · similar
Diabetes13.9%
11.7–16.3
11.7%
in line
12.0%
11.8–12.2 · similar
High Blood Pressure40.3%
35.6–45.1
33.3%
above
34.4%
34.0–34.7 · higher
Current Asthma9.8%
8.5–11.1
10.1%
in line
9.8%
9.6–10.0 · similar
COPD7.9%
6.3–9.6
6.7%
in line
6.2%
6.1–6.3 · similar
Coronary Heart Disease8.9%
7.6–10.3
6.8%
above
6.4%
6.2–6.5 · higher
Depression18.8%
15.6–22.1
21.2%
in line
20.2%
19.9–20.5 · similar
Current Cigarette Smoking13.9%
10.7–17.0
15.2%
in line
11.4%
11.2–11.6 · similar
Binge Drinking15.1%
12.3–18.0
18.8%
below
15.2%
15.0–15.5 · similar
Physical Inactivity25.1%
19.8–30.4
24.1%
in line
24.5%
24.2–24.8 · similar
Health Insurance7.0%
5.4–9.1
8.8%
in line
11.0%
10.7–11.3 · lower
General Health17.2%
13.9–20.6
17.3%
in line
19.2%
18.9–19.5 · similar
Measure (age-adjusted)Custer CountySouth Dakota (site aggregate)United States
Obesity33.6%
25.8–41.8
36.2%
in line
32.9%
32.5–33.2 · similar
Diabetes8.9%
7.5–10.4
10.1%
in line
10.3%
10.1–10.5 · similar
High Blood Pressure28.3%
24.4–32.2
29.8%
in line
30.7%
30.4–31.0 · similar
Current Asthma10.1%
8.8–11.4
10.2%
in line
9.8%
9.6–10.0 · similar
COPD5.2%
4.3–6.2
5.9%
in line
5.3%
5.2–5.4 · similar
Coronary Heart Disease5.2%
4.5–5.9
5.6%
in line
5.3%
5.2–5.4 · similar
Depression21.4%
17.9–25.0
21.9%
in line
20.7%
20.4–21.0 · similar
Current Cigarette Smoking14.4%
11.4–17.9
15.7%
in line
11.6%
11.4–11.9 · similar
Binge Drinking20.9%
17.3–24.7
20.5%
in line
16.6%
16.3–16.9 · higher
Physical Inactivity21.9%
17.3–26.8
23.3%
in line
23.7%
23.4–24.0 · similar
Health Insurance8.1%
6.3–10.4
9.1%
in line
11.5%
11.2–11.9 · lower
General Health14.6%
12.0–17.4
16.5%
in line
18.3%
18.0–18.6 · lower

Twelve headline measures; the toggle switches crude and age-adjusted. State figures are population-weighted county estimates computed by this site and carry no interval. Age-adjusted figures let counties with different age structures be compared.

ZIP Codes in Custer County

crude prevalence, highest point estimate first

Ordered by point estimate; intervals overlap for most neighbouring rows, so the order is not a ranking. The flag compares each row's interval with Custer County by the confidence-interval rule.

ZIP CodesPopulationEstimate95% intervalvs Custer County
ZIP 5773818336.2%28.2–44.7similar
ZIP 577442,47535.9%29.5–42.9similar
ZIP 5777312535.6%27.6–43.8similar
ZIP 577305,21933.7%26.3–41.6similar

ZIP Codes are assigned to the county holding the largest share of their land area; ZIPs that straddle counties appear once.

Cities and places in Custer County

crude prevalence, highest point estimate first

Ordered by point estimate; intervals overlap for most neighbouring rows, so the order is not a ranking. The flag compares each row's interval with Custer County by the confidence-interval rule.

PlacesPopulationEstimate95% intervalvs Custer County
Pringle10935.8%27.6–44.0similar
Buffalo Gap13135.3%27.5–43.3similar
Hermosa38234.8%26.7–42.9similar
Custer1,91932.9%25.4–41.0similar

Estimates by release

What each PLACES release published for Custer County (crude prevalence with 95% interval). CDC advises that the estimates cannot be used to track local change over time: each release re-models a different survey year onto a fixed population, intervals usually overlap and the interval method changed in 2023. Listed for reference only.

Measure2022 release2023 release2024 release2025 release
COPD7.8%
6.4–9.1
8.5%
6.7–10.4
8.4%
7.6–9.1
7.9%
6.3–9.6
Coronary Heart Disease9.6%
8.6–10.6
9.2%
7.9–10.5
10.2%
9.4–11.0
8.9%
7.6–10.3
Current Asthma8.8%
8.3–9.3
8.7%
7.5–9.8
9.1%
8.3–9.9
9.8%
8.5–11.1
Depression14.9%
13.9–15.8
15.3%
12.2–18.4
16.1%
14.3–18.0
18.8%
15.6–22.1
Diabetes12.0%
10.9–13.0
13.6%
11.5–16.0
13.0%
11.7–14.3
13.9%
11.7–16.3
High Blood Pressure40.1%
38.2–41.8
40.0%
34.9–44.8
38.3%
33.5–43.3
40.3%
35.6–45.1
Obesity33.8%
31.8–35.7
38.6%
30.5–46.5
38.5%
33.9–43.3
33.9%
26.1–42.1
Health Insurance11.1%
9.2–13.5
8.0%
6.0–10.3
4.0%
3.5–4.5
7.0%
5.4–9.1
Binge Drinking15.5%
14.8–16.1
14.5%
11.8–17.3
16.0%
14.2–17.9
15.1%
12.3–18.0
Current Cigarette Smoking16.2%
13.5–18.9
16.2%
12.7–19.9
15.1%
13.8–16.5
13.9%
10.7–17.0
Physical Inactivity25.3%
21.9–28.3
25.9%
20.8–31.4
25.4%
22.7–28.1
25.1%
19.8–30.4
General Health13.3%
11.4–15.5
15.2%
12.4–18.2
16.0%
14.8–17.3
17.2%
13.9–20.6

Questions and answers

What share of adults in Custer County have obesity, according to PLACES?

PLACES estimates 33.9% (95% confidence interval 26.1–42.1%) in the 2025 release, based on 2023 BRFSS responses modelled onto the area's adult population. It is a modelled estimate for the whole adult population of the area, not a count of diagnoses.

How common is diagnosed diabetes in Custer County?

PLACES estimates 13.9% of adults (95% confidence interval 11.7–16.3%) in the 2025 release. The national estimate in the same release is 12.0%.

Is Custer County different from South Dakota on obesity?

The county's interval for obesity includes the South Dakota figure, so the two cannot be told apart by this model.

Can these figures describe a person who lives in Custer County?

No. CDC states: "We do not produce estimates for individuals; only aggregated results for counties, places, census tracts, or ZCTAs." The figures describe the expected prevalence across the area's adult population given its demographic make-up and its county and state; they say nothing about any resident.

Can Custer County be ranked or tracked over time with these figures?

CDC advises that the data "should not be used for ranking the overall health of any county, place, census tract, or ZCTA" and that the modelling procedure "does not support using the estimates to track changes at the local level over time". Areas can be compared on individual measures, with their confidence intervals; this site lists estimates by release for reference only.

Where does this data come from?

CDC PLACES: Local Data for Better Health, 2025 release (data updated 4 Dec 2025), which models Behavioral Risk Factor Surveillance System responses with Census population and American Community Survey data. Earlier releases (2022, 2023, 2024) are shown for reference. Boundaries and ZIP-to-county relationships are from the US Census Bureau.

Provenance

Source: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, 2025 release (data updated 4 Dec 2025), with the 2022, 2023, 2024 releases for reference; US government work, public domain. Dataset on data.cdc.gov. Boundaries and ZIP-to-county relationships: US Census Bureau. Percentages are shown to one decimal as CDC publishes them; state figures are population-weighted means computed by this site. Processing errors are corrected at the next daily build; see corrections. Generated 30 Sep 2026.