HOPE Data by State.
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South Dakota
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How does
South Dakota
Perform on Health Opportunity and Equity?

This graphic illustrates how each state compares to other states across various factors that influence health

HEALTH OUTCOMES
23rd
Domain score:
64
SOCIAL & ECONOMIC FACTORS
49th
Domain score:
59
COMMUNITY & SAFETY FACTORS
40th
Domain score:
55
PHYSICAL
ENVIRONMENT
46th
Domain score:
52
ACCESS TO
HEALTH CARE
50th
Domain score:
20
Key State Highlights.
South Dakota generally ranks in the middle on health outcomes, despite experiencing some of the worst socioeconomic and environmental inequities in the nation. American Indian/Alaska Native individuals suffer greater disadvantages in South Dakota than in most other states.
  • Black adults in South Dakota are least likely to own a home. Only 19% of Black adults in the state own their own home, compared to the state rate of 71%.
  • American Indian/Alaska Native individuals in South Dakota face steep health care challenges including low rates of health insurance coverage and access to primary and psychiatric care. They also have the highest rates of adult premature mortality and infant mortality compared to all other groups.
  • American Indian/Alaska Native communities within the state also face substantial challenges in the ability to obtain quality housing, earn a livable income, or have youth in school or working, and are among the least likely to have food security.
  • Hispanic adults in South Dakota face limited opportunities in their ability to access affordable health care.
Adult Health Status
Child Health Status
Infant Mortality
Low Birthweight
Premature Mortality
Affordable Housing
Employment
Livable Income
Post-Secondary Education
Youth in School or Working
Low Homicide
Low Physical Assault
Low Robbery
Low Sexual Assault
Food Security
Home Ownership
Housing Quality
Low Liquor Store Density
Access to Primary Care
Access to Psychiatric Care
Affordable Health Care
Dedicated Healthcare Provider
Health Insurance Coverage
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Youth in School or Working
91%
of young people are in school or working
100%
More young people would need to obtain jobs or enroll in school to achieve the HOPE Goal
9,781
More young people would need to obtain jobs or enroll in school to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Youth in School or Working

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Hope Goal
100%
60%
70%
80%
90%
100%
SD
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Post-Secondary Education
62%
of adults have post-secondary education
83%
More adults would need to attain post-secondary education to achieve the HOPE Goal
121,345
More adults would need to attain post-secondary education to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Post-Secondary Education

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Hope Goal
83%
20%
30%
40%
50%
60%
70%
80%
90%
SD
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Premature Mortality
448.94
deaths per 100,000 adults age 25-64
More 25-64 year old adults surviving per year to achieve the HOPE Goals
1,350
More 25-64 year old adults surviving per year to achieve the HOPE Goals
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Premature Mortality

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Hope Goal
241
0
400
800
1200
1600
SD
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Low Sexual Assault
46%
of people live in counties with low sexual assault rates
100%
More people would need to live in counties with low sexual assault rates to achieve the HOPE Goal
465,543
More people would need to live in counties with low sexual assault rates to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Sexual Assault

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Hope Goal
100%
0%
20%
40%
60%
80%
100%
SD
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Low Robbery
76%
of people live in counties with low robbery rates
100%
More people would need to live in counties with low robbery rates to achieve the HOPE Goal
210,060
More people would need to live in counties with low robbery rates to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Robbery

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Hope Goal
100%
0%
20%
40%
60%
80%
100%
SD
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Low Physical Assault
60%
of people live in counties with low physical assault rates
100%
More people would need to live in counties with low physical assault rates to achieve the HOPE Goal
339,785
More people would need to live in counties with low physical assault rates to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Physical Assault

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Hope Goal
100%
0%
20%
40%
60%
80%
100%
SD
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Low Homicide
98%
of people live in counties with low murder rates
100%
More people would need to live in counties with low murder rates to achieve the HOPE Goal
15,476
More people would need to live in counties with low murder rates to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Homicide

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Hope Goal
100%
0%
20%
40%
60%
80%
100%
SD
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Low Liquor Store Density
97%
of people are living in counties with low liquor store density
100%
More people would need to live in counties with low liquor store density to achieve the HOPE Goal
13,550
More people would need to live in counties with low liquor store density to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Liquor Store Density

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Hope Goal
100%
0%
20%
40%
60%
80%
100%
SD
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Livable Income
65%
of adults live in households with livable income
88%
More adults would need to live in households with livable incomes to achieve the HOPE Goal
130,716
More adults would need to live in households with livable incomes to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Livable Income

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Hope Goal
88%
20%
30%
40%
50%
60%
70%
80%
90%
SD
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Low Birthweight
7%
of infants are born with low birth weight
5%
Fewer low-weight births would need to happen per year to achieve the HOPE Goal
222
Fewer low-weight births would need to happen per year to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Birthweight

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Hope Goal
5%
4%
6%
8%
10%
12%
14%
16%
18%
SD
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Health Insurance Coverage
89%
of people under age 65 have health insurance coverage
98%
More people under the age of 65 would need to obtain health insurance coverage to achieve the HOPE Goal
67,373
More people under the age of 65 would need to obtain health insurance coverage to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Health Insurance Coverage

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Hope Goal
98%
50%
60%
70%
80%
90%
100%
SD
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Infant Mortality
6.7
infant deaths per 1,000 live births
2.5
More infants surviving to their first birthday per year to achieve the HOPE Goal
48
More infants surviving to their first birthday per year to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Infant Mortality

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Hope Goal
2.5
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
SD
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Housing Quality
87%
of households have good housing quality
92%
More households would need to have good housing quality to achieve the HOPE Goal
16,286
More households would need to have good housing quality to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Housing Quality

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Hope Goal
92%
55%
60%
65%
70%
75%
80%
85%
90%
95%
SD
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Home Ownership
71%
of households live in a home they own
81%
More households would need to own their homes to achieve the HOPE Goal
31,595
More households would need to own their homes to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Home Ownership

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Hope Goal
81%
0%
20%
40%
60%
80%
100%
SD
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Food Security
82%
of people with food security
97%
More people would need to have food security to achieve the HOPE Goal
135,504
More people would need to have food security to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Food Security

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Hope Goal
97%
30%
40%
50%
60%
70%
80%
90%
100%
SD
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Employment
94%
of people in the labor force are employed
99%
More people in the labor force would need to be employed to achieve the HOPE Goal
25,723
More people in the labor force would need to be employed to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Employment

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Hope Goal
99%
75%
80%
85%
90%
95%
100%
SD
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Dedicated Healthcare Provider
82%
of adults have a usual source of care
92%
More adults would need to report having a dedicated health care provider to achieve the HOPE Goal
59,690
More adults would need to report having a dedicated health care provider to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Dedicated Healthcare Provider

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Hope Goal
96%
40%
50%
60%
70%
80%
90%
100%
SD
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Child Health Status
93%
of children in very good or excellent health
98%
More children would need to be in very good or excellent health to achieve the HOPE Goal
More children would need to be in very good or excellent health to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Child Health Status

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SD
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Adult Health Status
55%
of U.S. adults are in very good or excellent health
73%
More adults would need to be in very good or excellent health to achieve the HOPE Goal
101,791
More adults would need to be in very good or excellent health to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Adult Health Status

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Hope Goal
73%
20%
30%
40%
50%
60%
70%
SD
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Affordable Housing
73%
of households with affordable housing
87%
More households would need affordable housing to achieve the HOPE Goal
29,000
More households would need affordable housing to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Affordable Housing

Explore data by clicking the dots to select and compare different race and ethnicity groups. Click button to see how Arkansas compares to other states.

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Hope Goal
87%
30%
40%
50%
60%
70%
80%
SD
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Affordable Health Care
92%
of adults with affordable health care
96%
More adults would need to have affordable health care to achieve the HOPE Goal
22,684
More adults would need to have affordable health care to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Affordable Health Care

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Hope Goal
97%
50%
60%
70%
80%
90%
100%
SD
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Access to Psychiatric Care
59%
of people live in counties with access to psychiatric care
100%
More people would need to live in counties with access to psychiatric care to achieve the HOPE Goal
359,451
More people would need to live in counties with access to psychiatric care to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Access to Psychiatric Care

Explore data by clicking the dots to select and compare different race and ethnicity groups. Click button to see how Arkansas compares to other states.

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Hope Goal
100%
20%
30%
40%
50%
60%
70%
80%
90%
100%
SD
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Access to Primary Care
78%
of people live in counties with access to primary care
100%
More people would need to live in counties with access to primary care to achieve the HOPE Goal
195,433
More people would need to live in counties with access to primary care to achieve the HOPE Goal
How Does 
South Dakota
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Access to Primary Care

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Hope Goal
100%
20%
30%
40%
50%
60%
70%
80%
90%
100%
SD
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Health Outcomes
Adult Health Status
Child Health Status
Infant Mortality
Low Birthweight
Premature Mortality
Social & Economic Factors
Affordable Housing
Employment
Livable Income
Post-Secondary Education
Youth in School or Working
Community & Safety Factors
Low Homicide
Low Physical Assault
Low Poverty Concentration
Low Robery
Low Sexual Assault
Physical Environment
Food Security
Home Ownership
Housing Quality
Low Liquor Store Density
Access to Health Care
Access to Primary Care
Access to Psychiatric Care
Affordable Health Care
Dedicated Health Care Provider
Adult Health Status
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