The County Health Rankings show us that where we live matters to our health. The health of a community depends on many different factors - ranging from health behaviors, education and jobs, to quality of health care, to the environment.

2011 | Custer, South Dakota

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  Custer
County
Error
Margin
National
Benchmark*
South Dakota Rank
(of 55)
Health Outcomes 41
Mortality 24
Premature death 7,256 5,105-10,008 5,564 6,815  
Morbidity 45
Poor or fair health 11% 8-15% 10% 12%  
Poor physical health days 3.4 2.7-4.1 2.6 2.8  
Poor mental health days 3.4 2.5-4.3 2.3 2.6  
Low birthweight     6.0% 6.8%  
Health Factors 32
Health Behaviors 21
Adult smoking 19% 16-23% 15% 20%  
Adult obesity 28% 24-32% 25% 29%  
Excessive drinking 16% 12-20% 8% 19%  
Motor vehicle crash death rate     12 24  
Sexually transmitted infections 333   83 371  
Teen birth rate 25 17-32 22 39  
Clinical Care 22
Uninsured adults 21% 18-25% 13% 16%  
Primary care physicians 792:1   631:1 769:1  
Preventable hospital stays 37 30-44 52 69  
Diabetic screening 89% 62-100% 89% 83%  
Mammography screening 64% 41-87% 74% 68%  
Social & Economic Factors 27
High school graduation 85%   92% 83%  
Some college 59%   68% 64%  
Unemployment 4.0%   5.3% 4.8%  
Children in poverty 19% 14-24% 11% 18%  
Inadequate social support 17% 13-21% 14% 17%  
Children in single-parent households 28%   20% 29%  
Homicide rate     1 3  
Physical Environment 52
Air pollution-particulate matter days 0   0 0  
Air pollution-ozone days 2   0 0  
Access to healthy foods 50%   92% 42%  
Access to recreational facilities 13   17 13  

* 90th percentile, i.e., only 10% are better
Note: Blank values reflect unreliable or missing data