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AHealth Grade
Health in Big Sioux Township · CDC PLACES 2025

On CDC estimates, Big Sioux Township is healthier than 91% of U.S. towns

Big Sioux Township beats South Dakota on 13 of 26 measures CDC estimates, and trails on none.

Modeled estimates for adults 18+, from ZIP code 57049. How CDC estimates town health

What stands out · In brief

What stands out about health in Big Sioux Township

Big Sioux Township is an active town

Only 19.3% of adults get no exercise outside work, vs 24.1% across South Dakota. The town has 22 miles of trails across 2 parks and preserves. Habits ↓

COPD and stroke are less common in Big Sioux Township

Big Sioux Township runs below South Dakota on COPD (5.3% vs 6.7%), stroke (2.9% vs 3.5%) and diabetes (9.9% vs 11.7%). Conditions ↓

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 South Dakota figure falls outside Big Sioux Township’s likely range; Big Sioux Township’s figures come from ZIP code 57049, which may reach past town lines; at the ends of CDC’s ranges the grade could be anywhere from B+ to A+.

Health Grade

What’s behind Big Sioux Township’s grade

On seven CDC estimates for adults, Big Sioux Township is healthier than 91% of U.S. towns, #4 of 35 in South Dakota. All seven estimates beat the typical U.S. town. The strongest is mental distress (fewer adults with frequent mental distress than 93% of towns); the weakest is smoking, still better than 78%.

ASelf-rated health13.5% · SD 17.3% · U.S. 19.4%
APhysical distress10.5% · SD 12.3% · U.S. 13%
AMental distress13.3% · SD 15.3% · U.S. 15.9%
A−Obesity30.3% · SD 35.9% · U.S. 32.9%
A−Diabetes9.9% · SD 11.7% · U.S. 12%
A−Smoking11.6% smoke · SD 15.2% · U.S. 11.8%
AExercise19.3% · SD 24.1% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 91%
Less healthyHealthier
South Dakota towns we grade (35)Healthier than 91%
U.S. towns with similar incomes, $96K–$160K (4,749)Healthier than 77%

Health estimates follow income closely across the country: towns with higher household incomes usually score higher (a correlation of 0.77 across 21,157 graded towns). Big Sioux Township’s median household income is $128,005; among the 4,749 U.S. towns within 25% of that ($96K–$160K), it’s healthier than 77%, about where its income would put it.

A fairly firm grade. With every estimate at the unfavorable or the favorable end of CDC’s likely range, Big Sioux Township could be anywhere from B+ to A+. These are ZIP code figures (ZIP 57049), weighted by land area, which can reach past town lines.

How TownRatings grades health →

★ What stands out · Habits

Everyday habits, side by side with South Dakota

Share of adults, with the South Dakota figure marked.

Get no exercise 19.3%SD 24.1%
Sleep under 7 hours 30.7%SD 29.7%
Binge drink 18.7%SD 18.8%
Smoke cigarettes 11.6%SD 15.2%
0%10%20%30%40%
Big Sioux Township, betterBig Sioux Township, worseAbout the sameSouth Dakota
Where Big Sioux Township gets moving

22 miles of trails across 2 parks and preserves

Parks & trails →
Chronic conditions

Out of every 100 Big Sioux Township adults…

Big Sioux Township runs below SD on 5 of 12 conditions. Tap one to see it as people.

5 of every 100 Big Sioux Township adults have COPD
South Dakota: 7 in 100 · better · likely 4.5–6.1%
Better than SDWorseAbout the sameSouth Dakota
Getting care

Care in and near Big Sioux Township

1 hospital in Big Sioux Township, plus the nearest just outside it.

HNearest ERSt. Lukes Regional Medical CenterSioux City · 5.3 miDirections →
★Best rated nearbySt. Lukes Regional Medical Center★★★★★ · 5.3 miDirections →
+Low-cost careSiouxland Community Health CenterSioux City · 5.5 mi · sliding-scale feesDirections →
1.4 mi
Dunes Surgical Hospital
Dakota Dunes · not rated
In Big Sioux Township
5.3 mi
St. Lukes Regional Medical Center
Sioux City · ★★★★★
ER
5.5 mi
Siouxland Community Health Center
3 sites · nearest in Sioux City
Sliding-scale fees
Directions to nearest
5.9 mi
Mercyone Siouxland Medical Center
Sioux City · ★★★★★
ER
14.3 mi
Horizon Health Care
3 sites · nearest in Elk Point
Sliding-scale fees
Directions to nearest
19.9 mi
Twelve Clans Unity Hospital
Winnebago · not rated
ER
✓ Primary careBig Sioux Township is not a shortage area
✓ Dental careBig Sioux Township is not a shortage area
✓ Mental healthNo HRSA shortage area covers Big Sioux Township 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 Big Sioux Township; ≈ 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).

Checkups & screenings

Keeping up with care

Share of Big Sioux Township adults getting routine care. The full ring is 100%; the dark tick marks South Dakota.

76%Yearly checkupSD 77%
73%Dentist visitSD 69%
87%Cholesterol checkSD 85%
68%Colon screeningSD 66%
80%MammogramSD 77%
76%Taking BP medsSD 76%
1 in 15
working-age adults has no health insurance
Big Sioux Township 6.7% · South Dakota 1 in 11 (8.8%)
Mind & connection

How Big Sioux Township adults are doing

On 1 of 2 measures, Big Sioux Township does better than South Dakota.

1 in 5Big Sioux Township adults have been diagnosed with depression
19.6% · SD 21.2% · About the same as SD
1 in 8Big Sioux Township adults are in frequent mental distress
13.3% · SD 15.3% · Better than SD
The one neighbors can help with

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.

Around town

Big Sioux Township and the towns around it

Big Sioux Township’s Health Grade ranks 2nd of 5 graded towns around it.

North Sioux City: 31.5%Sioux City: 39.7%Dakota Dunes: 29.3%Jefferson Township: 32.7%Sergeant Bluff: 35.5%South Sioux City: 44.8%Dakota City: 43%Civil Bend Township: 32.5%Elk Point Township: 32.4%Big Sioux Township: 30.3%Big Sioux TownshipNorth Sioux CitySioux CityDakota DunesJefferson TownshipDunes Surgical Hospital · Dakota Dunes · 1.4 miHSt. Lukes Regional Medical Center · Sioux City · 5.3 mi · 2★ MedicareHMercyone Siouxland Medical Center · Sioux City · 5.9 mi · 2★ MedicareHSiouxland Community Health Women's Clinic · Sioux City · 5.5 mi+Horizon Health - Elk Point · Elk Point · 14.3 mi+
Healthier than SDNear SDLess healthyHHospital+Health center
Obesity
#2 of 10 towns on this map, healthiest first
Dakota Dunes29.3%
Big Sioux Township30.3%
North Sioux City31.5%
Jefferson Township32.7%
Sioux City39.7%
SD35.9%

Nearby towns are shaded from CDC’s estimates for their ZIP codes, or CDC’s own figure for cities and villages.

Health next door

TownHealthObesityDiabetesSmokingFigures from
Big Sioux TownshipA30.3%9.9%11.6%ZIP 57049
North Sioux CityA−31.5%10.1%13.2%CDC place
Dakota DunesA29.3%9.7%10.2%CDC place
Jefferson TownshipA−32.7%10.8%14.9%ZIP codes

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

Disability

Living with a disability

Shown without a better/worse judgment.

24.8%

of Big Sioux Township adults live with a disability (South Dakota 30.1%). Thinking or memory is the most common.

Walking or climbing stairs10%
Thinking or memory11%
Hearing6.9%
Errands alone5.9%
Vision3.4%
Dressing or bathing2.7%
South Dakota

Every CDC estimate for Big Sioux Township

Share of adults, 33 measures, with CDC’s likely range.

On the 26 measures below that have a better and a worse direction, Big Sioux Township is better than South Dakota on 13 and worse on 0; on the rest, the South Dakota figure falls inside Big Sioux Township’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…Big Sioux TownshipSDU.S.vs SD
Overall health
Fair or poor health13.5%11.5–15.717.3%19.4%Better
Frequent physical distress (physical health not good 14+ days a month)10.5%9.1–11.912.3%13%Better
Frequent mental distress (mental health not good 14+ days a month)13.3%11.6–15.215.3%15.9%Better
Conditions
Obesity30.3%23.5–38.235.9%32.9%About the same
Diabetes9.9%8.5–11.411.7%12%Better
High blood pressure30.5%26.7–34.733.3%34.4%About the same
High cholesterol (adults screened in 5 years)34.1%29.9–38.534%37.1%About the same
Arthritis23.9%20.9–27.125.8%25.3%About the same
Asthma9.5%8.4–10.910.1%9.9%About the same
Cancer, other than skin cancer9.6%8.7–10.59.2%7.9%About the same
Coronary heart disease5.8%5.1–6.46.8%6.4%Better
COPD5.3%4.5–6.16.7%6.3%Better
Stroke2.9%2.6–3.23.5%3.4%Better
Lost all teeth (ages 65+)9.7%7.7–11.812.7%12.3%Better
Habits
Smoke cigarettes11.6%9.5–13.915.2%11.8%Better
No exercise outside work19.3%15.8–23.224.1%24.7%Better
Binge drinking18.7%15.5–22.318.8%15.4%About the same
Sleep under 7 hours30.7%24.3–3729.7%36%About the same
Checkups and coverage
No health insurance (ages 18–64)6.7%5.4–8.18.8%11%Better
Checkup in the past year76.3%72.4–8076.5%77.4%About the same
Dentist visit in the past year73.2%69.9–76.369.2%63.2%Better
Cholesterol check in 5 years87.3%85.4–8984.8%87.1%Better
Taking blood pressure medicine (adults with high blood pressure)76.2%72.8–79.375.9%76.5%About the same
Colorectal cancer screening (ages 45–75)68.3%63.2–7365.5%65.5%About the same
Mammogram in 2 years (women 50–74)80.1%72.7–85.876.6%76.4%About the same
Mind and connection
Ever told they have depression19.6%16.6–23.221.2%20.6%About the same
Disability
Any disability24.8%21.2–28.730.1%30.1%Lower
Difficulty walking or climbing stairs10%8.5–11.612.9%13.6%Lower
Difficulty concentrating or remembering11%9.5–12.613.7%13.9%Lower
Hearing difficulty6.9%6.1–7.88.2%6.7%Lower
Vision difficulty3.4%3–3.94.7%5.4%Lower
Difficulty doing errands alone5.9%5.1–6.77.8%7.9%Lower
Difficulty dressing or bathing2.7%2.3–33.5%3.8%Lower

Each figure is the share of adults 18+ unless the label says otherwise; small numbers after it are CDC’s likely range (95% interval). “About the same” means the South Dakota figure falls inside that range.

Questions about health in Big Sioux Township

Is Big Sioux Township a healthy place to live?

On seven CDC estimates for adults, Big Sioux Township is healthier than 91% of U.S. towns: A for health, #4 of 35 in South Dakota. Among U.S. towns with similar household incomes it’s healthier than 77%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Big Sioux Township?

CDC estimates 30.3% of adults have obesity, likely between 23.5% and 38.2%, against 35.9% across South Dakota and 32.9% nationally.

What hospital is closest to Big Sioux Township?

St. Lukes Regional Medical Center in Sioux City, 5.3 miles in a straight line from Big Sioux Township’s center point, is the nearest general hospital with an emergency room; Medicare rates it 2 of 5 stars.

How many people in Big Sioux Township have no health insurance?

CDC estimates 6.7% of adults ages 18–64 have no health insurance (likely 5.4–8.1%), against 8.8% across South Dakota.

How accurate are these numbers?

They’re modeled estimates: CDC applies national survey answers to each area’s age, sex, race and education mix, so they describe who lives in Big Sioux Township more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from B+ to A+.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Big Sioux Township.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The South Dakota figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. The Health Grade is our own summary of CDC’s estimates, not an official rating. 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.