Black Hills Knowledge Netowork

Custer County - Health & Wellness

Public Health

Custer County ranks 36th out of 60 counties in South Dakota for overall health outcomes in 2017.

The percentage of Custer County adults who smoke does not exceed the national average, with 13 percent admitting they smoke compared to 14 percent nationwide. The amount of people who drink excessively, 16 percent, is lower than the state average of 18 percent, but higher than the national average of 12 percent.

Obesity in Custer County is the same as the State average of 30 percent. It is slightly higher than the national average of 26 percent.

The teen birth rate in Custer County is 32 per 1,000 females ages 15-19. It is lower than the state's average of 34 per 1,000 females but significantly higher than the national average of 17 per 1,000 females.

The amount of children that live in poverty in Custer County is 18 percent, same as the state average. 

The incidence of sexually transmitted infections is also high when compared to national statistics. Custer County reports that 401 per 100,000 people are infected with an STD, compared to just 145 per 100,000 people in the nation and 493 per 100,000 people in the state. 

Premature death in Custer County is 6,000 per 100,000 people which is just below the state average of 6,900 per 100,000 people but above the national average of 5,200 per 100,000 people.

Just 10 percent of Custer residents report poor health, compared to the state average of 13 percent and the national average of 12 percent. The amount of poor physical and mental health days was lower than the state and national average. 

The amount of people uninsured in Custer County is 12 percent, same as the state's average of 12 percent. 

Check out last year's overall health outcomes here

For the full list of factors and to compare Custer County data to other counties, visit this site created by the Robert Wood Johnson Foundation and the University of Wisconsin. 

The Custer County Office of Community Health Services and Public Health Alliance provides public health services to all ages. The office manages various primary and preventive programs that help residents develop and maintain a healthier lifestyle and higher quality of life. Professional nursing and nutrition staff provide advice to individuals, families and communities. The office also provides a wide range of services to infants, children, pregnant and postpartum women and adults.

County-level health statistics are also available from the U.S. Center for Disease Control and Prevention’s CHSI Project. Compare Custer County to similar counties in the United States and to the national median.

Hospitals & Clinics

Regional Health operates the Custer Regional Hospital, which oversees several clinics and senior care centers throughout the Custer Area, including Custer Clinic, Custer Regional Senior Care, Hill City Clinic, Hot Springs Regional Medical Clinic, and Wedgewood Regional Senior Care.

Custer Clinic is a basic family care provider located at 1041 Montgomery Street.

Custer Regional Senior Care is a licensed 76-bed nursing facility that works in partnership with physicians and staff from the Custer Regional Hospital to provide customized care for area seniors.

Fitness & Recreation

Fitness opportunities abound in Custer County. The Black Hills National Forest and Custer State Park provide a backyard playground for Custer residents and visitors. The 109-mile Mickelson Trail, billed as the "best rails to trails in the west," is a favorite of bike enthusiasts. For information about the annual 3-day Trail Trek based out of Custer, click here. When the weather is not cooperative, there are several options for indoor fitness activities at the YMCA and Curves.

More Information

For more data on the health and wellness of the citizens of South Dakota and the Black Hills, please check out our interactive graphs and charts.

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