Counties in South Dakota by high cholesterol in screened adults, local model estimate

Custer County had the highest high cholesterol in screened adults, local model estimate of 66 counties in 2021, at 41%. Clay County had the lowest, at 27.6%. The median was 36.5%. Source: the Centers for Disease Control and Prevention.

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Highest41Custer County
Lowest27.6Clay County
Median36.566 counties

Map of counties, 2021

Aurora County: 35.8 %Beadle County: 35.8 %Bennett County: 32.1 %Bon Homme County: 34 %Brookings County: 29.6 %Brown County: 35.7 %Brule County: 36.4 %Buffalo County: 31.8 %Butte County: 37.1 %Campbell County: 39.5 %Charles Mix County: 37.6 %Clark County: 37.2 %Clay County: 27.6 %Codington County: 33.3 %Corson County: 34.2 %Custer County: 41 %Davison County: 36.5 %Day County: 39.1 %Deuel County: 36.6 %Dewey County: 33.4 %Douglas County: 37.2 %Edmunds County: 36.5 %Fall River County: 40.7 %Faulk County: 38.6 %Grant County: 37.8 %Gregory County: 38.2 %Haakon County: 36.9 %Hamlin County: 35 %Hand County: 36.8 %Hanson County: 35.4 %Harding County: 35.8 %Hughes County: 34.5 %Hutchinson County: 36.5 %Hyde County: 36 %Jackson County: 37.5 %Jerauld County: 38.8 %Jones County: 38 %Kingsbury County: 37.7 %Lake County: 37.4 %Lawrence County: 36.7 %Lincoln County: 31.8 %Lyman County: 36.3 %McCook County: 34.9 %McPherson County: 39.3 %Marshall County: 36.5 %Meade County: 31.5 %Mellette County: 35 %Miner County: 37.6 %Minnehaha County: 31.9 %Moody County: 35.3 %Oglala Lakota County: 32.6 %Pennington County: 36.4 %Perkins County: 38.3 %Potter County: 37.5 %Roberts County: 38.1 %Sanborn County: 36.7 %Spink County: 37.4 %Stanley County: 34.9 %Sully County: 37.7 %Todd County: 30.7 %Tripp County: 38.3 %Turner County: 37.5 %Union County: 34.8 %Walworth County: 36.8 %Yankton County: 35.5 %Ziebach County: 31.4 %
  • Under 33
  • 33 to 35
  • 35 to 37
  • 37 to 38
  • 38 and over
%, 2021. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2021

Custer County: 41 %Custer County41Fall River County: 40.7 %Fall River County40.7Campbell County: 39.5 %Campbell County39.5McPherson County: 39.3 %McPherson County39.3Day County: 39.1 %Day County39.1Jerauld County: 38.8 %Jerauld County38.8Faulk County: 38.6 %Faulk County38.6Perkins County: 38.3 %Perkins County38.3Tripp County: 38.3 %Tripp County38.3Gregory County: 38.2 %Gregory County38.2Roberts County: 38.1 %Roberts County38.1Jones County: 38 %Jones County38Grant County: 37.8 %Grant County37.8Kingsbury County: 37.7 %Kingsbury County37.7Sully County: 37.7 %Sully County37.7Charles Mix County: 37.6 %Charles Mix County37.6Miner County: 37.6 %Miner County37.6Jackson County: 37.5 %Jackson County37.5Potter County: 37.5 %Potter County37.5Turner County: 37.5 %Turner County37.5Lake County: 37.4 %Lake County37.4Spink County: 37.4 %Spink County37.4Clark County: 37.2 %Clark County37.2Douglas County: 37.2 %Douglas County37.2Butte County: 37.1 %Butte County37.1Haakon County: 36.9 %Haakon County36.9Hand County: 36.8 %Hand County36.8Walworth County: 36.8 %Walworth County36.8Lawrence County: 36.7 %Lawrence County36.7Sanborn County: 36.7 %Sanborn County36.7Deuel County: 36.6 %Deuel County36.6Davison County: 36.5 %Davison County36.5Edmunds County: 36.5 %Edmunds County36.5Hutchinson County: 36.5 %Hutchinson County36.5Marshall County: 36.5 %Marshall County36.5Brule County: 36.4 %Brule County36.4Pennington County: 36.4 %Pennington County36.4Lyman County: 36.3 %Lyman County36.3Hyde County: 36 %Hyde County36Aurora County: 35.8 %Aurora County35.8Custer County: 41 %Custer County41Fall River County: 40.7 %Fall River County40.7Campbell County: 39.5 %Campbell County39.5McPherson County: 39.3 %McPherson County39.3Day County: 39.1 %Day County39.1Jerauld County: 38.8 %Jerauld County38.8Faulk County: 38.6 %Faulk County38.6Perkins County: 38.3 %Perkins County38.3Tripp County: 38.3 %Tripp County38.3Gregory County: 38.2 %Gregory County38.2Roberts County: 38.1 %Roberts County38.1Jones County: 38 %Jones County38Grant County: 37.8 %Grant County37.8Kingsbury County: 37.7 %Kingsbury County37.7Sully County: 37.7 %Sully County37.7Charles Mix County: 37.6 %Charles Mix County37.6Miner County: 37.6 %Miner County37.6Jackson County: 37.5 %Jackson County37.5Potter County: 37.5 %Potter County37.5Turner County: 37.5 %Turner County37.5Lake County: 37.4 %Lake County37.4Spink County: 37.4 %Spink County37.4Clark County: 37.2 %Clark County37.2Douglas County: 37.2 %Douglas County37.2Butte County: 37.1 %Butte County37.1Haakon County: 36.9 %Haakon County36.9Hand County: 36.8 %Hand County36.8Walworth County: 36.8 %Walworth County36.8Lawrence County: 36.7 %Lawrence County36.7Sanborn County: 36.7 %Sanborn County36.7Deuel County: 36.6 %Deuel County36.6Davison County: 36.5 %Davison County36.5Edmunds County: 36.5 %Edmunds County36.5Hutchinson County: 36.5 %Hutchinson County36.5Marshall County: 36.5 %Marshall County36.5Brule County: 36.4 %Brule County36.4Pennington County: 36.4 %Pennington County36.4Lyman County: 36.3 %Lyman County36.3Hyde County: 36 %Hyde County36Aurora County: 35.8 %Aurora County35.8
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

Other periods

About this ranking

Percentage of adults who have ever had their cholesterol checked and were told by a doctor, nurse or other health professional that it was high. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2021; its eight former counties are not served. The question is asked in odd years only.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence (Counties in South Dakota by high cholesterol in screened adults, local model estimate, 2021) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence, Counties in South Dakota by high cholesterol in screened adults, local model estimate, 2021. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/south-dakota-counties?period=2021. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. Counties in South Dakota by high cholesterol in screened adults, local model estimate, 2021. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/south-dakota-counties?period=2021.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence, Counties in South Dakota by high cholesterol in screened adults, local model estimate, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/south-dakota-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_south_dakota_2021,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence: Counties in South Dakota by high cholesterol in screened adults, local model estimate, 2021}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/south-dakota-counties?period=2021. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence: Counties in South Dakota by high cholesterol in screened adults, local model estimate, 2021
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/south-dakota-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/south-dakota-counties?period=2021.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  - 
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Rank Counties in South Dakota by high cholesterol in screened adults, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_high_cholesterol_rate_modelled","level":"province","within":"South Dakota","limit":10}
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Questions

Which county has the highest high cholesterol in screened adults, local model estimate?

Custer County, with 41% in 2021, according to the Centers for Disease Control and Prevention.

Which county has the lowest high cholesterol in screened adults, local model estimate?

Clay County, with 27.6% in 2021.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. Retrieved 2026-10-12.

High cholesterol in screened adults, local model estimate: other rankings

Counties in South Dakota: more rankings