America's Health Rankings, United Health Foundation Logo


Low Disparities1

  • Between females3 and males3 for unemployment
  • Between non-metropolitan2 and metropolitan3 areas for uninsured
  • Between those with a high school education2 and some college education3 for cancer\

High Disparities

  • Between American Indian/Alaska Native2 and white3 for child poverty
  • Between those with less than a high school education2 and college graduates3 for high health status
  • Between Black2 and white3 for dedicated health care provider

[1] Low disparities within a state does not indicate that all populations are doing well. Consider rates in comparison to national averages.
[2] Rates worse than national average.
[3] Rates same or better than national average.


  • 31% decrease among those with Less Than a High School Education in the female population between 2005-2009 and 2015-2019 from 10.5% to 7.3%
  • 17% decrease in Poverty in non-metropolitan areas between 2005-2009 and 2015-2019 from 15.6% to 13.0%
  • 28% decrease in Smoking in college graduates between 2011- 2013 and 2017-2019 from 9.8% to 7.1%
  • 25% increase in Premature Death in the American Indian/Alaska Native population between 2005-2009 and 2015-2019 from 18,149 to 22,598 years of potential life lost before age 75 per 100,000
  • 46% increase in Cancer in college graduates between 2011-2013 and 2017-2019 from 5.4% to 7.9%
  • 16% decrease in Flu Vaccination in adults with a high school education between 2011-2013 to 2017-2019 from 45.5% to 38.4%


Download the PDF for details

Download the PDF for details

Income Inequality

Income inequality measures the ratio of median household income of the 20% richest to the 20% poorest. A high ratio indicates greater income inequality. Research demonstrates an association between greater income disparity and poorer population health.
In South Dakota, income inequality has decreased since 2011. South Dakota’s ratio is currently lower than the national ratio.
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