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Castana, IAPhoto: Jared Winkler · CC BY-SA 4.0
–Not graded
Health in Castana · CDC PLACES 2025

Where Castana residents get care

CDC publishes only some of its health estimates for Castana, not the seven a Health Grade needs; here is what we do have.

Modeled estimates for adults 18+, CDC’s own estimate for Castana. How CDC estimates town health

What stands out · In brief

What stands out about health in Castana

Heart disease, cancer and stroke run high in Castana

1 in 11 adults have heart disease (9%), vs 6.6% across Iowa. 1 in 8 adults have had cancer (11.8%), vs 8.7% across Iowa. Stroke is also above the state: 4.4%, vs 3.3% across Iowa. In all, Castana runs above Iowa on seven of 11 chronic conditions. Conditions ↓

More high blood pressure in Castana, and more people treating it

41% of adults have high blood pressure (Iowa 33.9%), but 83% of them take medicine for it, vs 77.8% statewide. Checkups ↓

Castana keeps up with checkups

It beats Iowa on three of five routine checkups and screenings, including yearly checkups (81% vs 77.5%) and cholesterol checks (87.1% vs 84.1%). Checkups ↓

Written from the CDC, Medicare and HRSA data on this page. CDC PLACES 2025 release: modeled estimates for adults, not counts; “higher” and “lower” mean the Iowa figure falls outside Castana’s likely range.

★ What stands out · Chronic conditions

Out of every 100 Castana adults…

Castana runs above IA on 7 of 12 conditions. Tap one to see it as people.

9 of every 100 Castana adults have heart disease
Iowa: 7 in 100 · worse · likely 7.7–10.6%
Better than IAWorseAbout the sameIowa
Checkups & screenings

Keeping up with care

Share of Castana adults getting routine care. The full ring is 100%; the dark tick marks Iowa.

81%Yearly checkupIA 78%
65%Dentist visitIA 67%
87%Cholesterol checkIA 84%
72%Colon screeningIA 67%
76%MammogramIA 79%
83%Taking BP medsIA 78%
1 in 15
working-age adults has no health insurance
Castana 6.5% · Iowa 1 in 14 (7.3%)
Getting care

Care in and near Castana

No hospital or community health center in Castana itself. These are the nearest.

HNearest ERBurgess Health CenterOnawa · 10.6 miDirections →
★Best rated nearbyBurgess Health Center★★★★★ · 10.6 miDirections →
+Low-cost careSiouxland Community Health CenterSouth Sioux City · 37.6 mi · sliding-scale feesDirections →
10.6 mi
Burgess Health Center
Onawa · ★★★★★
ERRural critical access
28.4 mi
Crawford County Memorial Hospital
Denison · ★★★★★
ERRural critical access
29.5 mi
Horn Memorial Hospital
Ida Grove · not rated
ERRural critical access
30.9 mi
Twelve Clans Unity Hospital
Winnebago · not rated
ER
37.6 mi
Siouxland Community Health Center
3 sites · nearest in South Sioux City
Sliding-scale fees
Directions to nearest
43.6 mi
Midtown Health Center, Inc. West Point
West Point · community health center
Sliding-scale fees
✓ Primary careNo HRSA shortage area covers Castana itself
✓ Dental careCastana is not a shortage area
✓ Mental healthNo HRSA shortage area covers Castana itself

Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Castana; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

Habits

Everyday habits, side by side with Iowa

Share of adults, with the Iowa figure marked.

Get no exercise 27.5%IA 24.8%
Sleep under 7 hours 31.1%IA 32.5%
Binge drink 16.4%IA 20.5%
Smoke cigarettes 15.2%IA 14.5%
0%10%20%30%40%
Castana, betterCastana, worseAbout the sameIowa
Where Castana gets moving

Walk with neighbors

The easiest exercise habit to keep is one with company.

Mind & connection

How Castana adults are doing

About the same as Iowa on each measure.

1 in 3Castana adults feel lonely
32.3% · IA 32.3% · About the same as IA
1 in 4Castana adults lack social or emotional support
22.7% · IA 23.3% · About the same as IA
1 in 5Castana adults have been diagnosed with depression
20.4% · IA 20.7% · About the same as IA
1 in 6Castana adults are in frequent mental distress
15.7% · IA 16.4% · About the same as IA
The one neighbors can help with

1 in 3 Castana adults feel lonely. A hello is a start.

Groups are the easiest way in: a walking group, a book club, your street.

Find a group →

If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.

Everyday needs

Making ends meet

Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.

1 in 9
Castana adults worry about having enough food
10.9% · IA 12%
About the same as IA
1 in 13
Castana adults worry about keeping their housing
8% · IA 9.4%
About the same as IA
1 in 19
Castana adults were threatened with a utility shut-off
5.4% · IA 6.4%
About the same as IA
1 in 16
Castana adults lack reliable transportation
6.2% · IA 6.8%
About the same as IA

9.4% of Castana adults receive SNAP (food stamps), compared with 10% across Iowa.

Around town

Castana and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from

Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

32.5%

of Castana adults live with a disability (Iowa 28.1%). Walking or climbing stairs is the most common.

Walking or climbing stairs16.3%
Thinking or memory13.6%
Hearing10.2%
Errands alone8.1%
Vision4.8%
Dressing or bathing3.9%
Iowa

Questions about health in Castana

Why doesn’t Castana have a Health Grade?

Every Health Grade is built from seven of CDC’s PLACES estimates, and CDC doesn’t publish all seven for Castana.

What hospital is closest to Castana?

Burgess Health Center in Onawa, 10.6 miles in a straight line from Castana’s center point, is the nearest general hospital with an emergency room. Medicare rates it 3 of 5 stars.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Castana.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The Iowa figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. Ages: U.S. Census Bureau, American Community Survey. Town boundaries: U.S. Census Bureau. This page isn’t medical advice. In an emergency, call 911.