Health and Nutrition of Mellette, SD Residents

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Fifty four percent of Mellette residents report that their diet is generally healthy. People here have milk to drink or on their cereal 23 times per month. This includes chocolate and other flavored milks, as well as hot cocoa made with milk, and does not count small amounts of milk added to coffee or tea. People living here eat an average of two meals (breakfasts, lunches or dinners) per week that were prepared away from home in places such as restaurants, fast food places, food stands, grocery stores or from vending machines. They get one of these meals from a fast-food or pizza place. People here eat three "ready to eat" foods such as salads, soups, chicken, sandwiches and cooked vegetables per month. They also eat one frozen meals or frozen pizzas on average monthly.

Summary

Diet health (%)

  • Here 53.9%
  • Spink County 50.3%
  • South Dakota 49.4%

Milk product consumption (# of products/month)

  • Mellette 22.9
  • County 22.3
  • State 21.5

Meals not home prepared (#/week)

  • Mellette 2.5
  • County 3.5
  • South Dakota 3.6

Meals from fast food or pizza place (#/week)

  • Here 1.2
  • County 1.7
  • South Dakota 1.8

Ready-to-eat foods (#/month)

  • Mellette 3.1
  • County 1.7
  • State 1.8

Frozen meals/pizza (#/month)

  • Here 1.4
  • County 3.7
  • State 3.8

The biggest differences compared to state averages have been highlighted with a blue background.

The average Mellette resident last visited a dentist two years ago (including all types of dentists, such as, orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists). Eighteen percent of people living here 30 years of age and older, are embarrassed because of their teeth, mouth or dentures. Twenty three percent think they might have gum disease (might have swollen gums, receding gums, sore or infected gums or loose teeth). Mellette residents rate the overall health of their teeth and gums on average at 44 percent. People living here aged 30 years and older, aside from brushing their teeth with toothbrush, use dental floss or any other device that clean between teeth on average three days per week. They also use mouthwash or other dental rinse products to treat dental disease or dental problems an average of three days per week. The average person living here (including children) has 21 teeth.

Summary

Average years since last visit a dentist

  • Mellette 1.8
  • Spink County 2.0
  • State 2.0

People embarrassed because of mouth (%)

  • Here 18.3%
  • County 16.9%
  • State 16.5%

People with gum disease (%)

  • Here 23.4%
  • County 20.6%
  • State 21.3%

General health of teeth and gums (%)

  • Mellette 43.8%
  • County 46.3%
  • State 46.2%

Average days a week using dental floss/device

  • Mellette 3.2
  • County 2.7
  • State 2.8

Average days a week using mouthwash for dental problem

  • Mellette 3.1
  • County 2.6
  • South Dakota 2.7

Average number of teeth

  • Mellette 21.0
  • County 20.9
  • State 22.4

The average height of Mellette residents 16 years and older is 67 inches. The average weight is 185 pounds. Their average BMI (Body Mass Index) is 28. Thirty nine percent of people living here are obese. Fifty seven percent have ever been obese. Twenty five percent have ever tried to lose weight.

Summary

Average height (inches)

  • Here 67.3
  • County 67.1
  • South Dakota 67.0

Average weight (pounds)

  • Here 185.5
  • Spink County 180.9
  • South Dakota 180.7

Average BMI

  • Mellette 28.2
  • County 28.7
  • South Dakota 28.7

People that are obese (%)

  • Here 39.0%
  • County 36.9%
  • South Dakota 37.1%

People that ever were obese (%)

  • Here 57.2%
  • County 49.5%
  • State 49.4%

People trying to lose weight (%)

  • Mellette 24.7%
  • County 33.7%
  • South Dakota 35.1%

The biggest differences compared to state averages have been highlighted with a blue background.

Fifty five percent of Mellette residents have ever used marijuana or hashish. Fifteen percent of people living here have ever used cocaine, crack cocaine, heroin or methamphetamine. Fifteen percent have ever used any form of cocaine, such as powder, 'crack', 'free base', and coca paste. Six percent have ever used heroin. Eight percent have ever used methamphetamines.

Summary

People that ever used marijuana or hashish (%)

  • Here 55.2%
  • Spink County 66.7%
  • State 66.1%

Ever used hard drugs (%)

  • Here 15.3%
  • Spink County 25.7%
  • State 25.9%

Ever used any form of cocaine (%)

  • Here 15.3%
  • County 23.2%
  • State 23.7%

Ever used heroin (%)

  • Here 5.8%
  • County 3.4%
  • State 3.1%

Ever used methamphetamine (%)

  • Here 7.6%
  • County 14.2%
  • State 14.9%

The biggest differences compared to state averages have been highlighted with a blue background.

Twenty four percent of people living in Mellette have ever been told by a doctor or health professional that they have diabetes. Fifty percent of people had a blood test for high sugar or diabetes within the past three years. Five percent of city residents are currently taking insulin.

Summary

Diabetics (%)

  • Here 23.8%
  • County 12.2%
  • State 10.0%

Had a blood test for high blood sugar (%)

  • Mellette 50.2%
  • Spink County 49.1%
  • State 46.6%

People taking insulin (%)

  • Mellette 5.4%
  • Spink County 3.6%
  • State 3.0%

The biggest differences compared to state averages have been highlighted with a blue background.

Mellette residents 20 years and older on average get up to urinate one time at night (from time they go to bed at night until the time they get up in the morning).

Summary

Avg. # of times urinating at night

  • Here 1.2
  • County 1.2
  • South Dakota 1.1

Twenty seven percent of Mellette residents above the age of 40 have problems with their ability to smell, such as not being able to smell things or things not smelling the way they are supposed to. Seven percent have been having problems with their ability to taste sweet, sour, salty or bitter foods and drinks. Sixty six percent of people above the age of 40 have ever had wisdom teeth removed. Twenty percent have ever had their tonsils removed. Fifteen percent have lost consciousness because of a head injury. Nineteen percent have ever had a broken nose or other serious injury to face or skull. Twenty eight percent have had two or more sinus infections.

Summary

People 40+ having problems with smell (%)

  • Here 26.7%
  • County 11.8%
  • State 12.1%

People 40+ having problems with taste (%)

  • Here 7.2%
  • County 6.4%
  • State 5.4%

People 40+ that ever had wisdom teeth removed (%)

  • Mellette 65.5%
  • County 70.0%
  • South Dakota 70.2%

People 40+ that ever had tonsils teeth removed (%)

  • Mellette 19.9%
  • County 33.6%
  • South Dakota 31.5%

People 40+ that ever had a loss of consciousness because of a head injury (%)

  • Here 14.9%
  • County 16.5%
  • State 17.5%

People 40+ that ever had a broken nose or other serious injury to face or skull (%)

  • Mellette 19.2%
  • Spink County 23.6%
  • State 23.1%

People 40+ that ever had two or more sinus infections (%)

  • Here 27.6%
  • County 44.5%
  • South Dakota 43.8%

The biggest differences compared to state averages have been highlighted with a blue background.

Sixty nine percent of people living in Mellette are covered by health insurance or some other kind of health care plan.

Summary

People covered by health insurance (%)

  • Here 69.4%
  • County 76.9%
  • State 75.0%

Thirty one percent of people living in Mellette have been ever told by a doctor or other health professional that they had hypertension (also called high blood pressure). Twenty two percent of people take their blood pressure at home. Forty eight percent of people in Mellette frequently check their blood cholesterol. Thirty three percent of people have ever been told by a doctor or other health professional that their blood cholesterol level was high.

Summary

Has high blood pressure (%)

  • Here 31.0%
  • County 28.0%
  • South Dakota 22.8%

Checking blood pressure at home (%)

  • Mellette 22.3%
  • County 27.7%
  • South Dakota 25.4%

Frequently checking blood cholesterol (%)

  • Mellette 48.4%
  • Spink County 47.5%
  • South Dakota 41.9%

Has high cholesterol level (%)

  • Mellette 33.2%
  • Spink County 24.3%
  • South Dakota 19.9%

The biggest differences compared to state averages have been highlighted with a blue background.

Twenty one percent of people living in Mellette use sunscreen.

Summary

People using sunscreen (%)

  • Mellette 21.0%
  • County 35.5%
  • State 37.2%

The biggest differences compared to state averages have been highlighted with a blue background.

Fourteen percent of Mellette residents 18 years old and older have usually little interest or pleasure in doing things. Twenty three percent often feel down, depressed, or hopeless. Twenty percent of people living here have trouble falling or staying asleep, or sleep too much. Twenty eight percent of people often feel tired or have little energy. Eighteen percent are bothered by poor appetite or overeating. Sixteen percent often feel badly about themselves, that they are a failure or have let themselves or their families down. Eleven percent have trouble concentrating on things, such as reading the newspaper or watching TV. Fourteen percent of people living here move or speak so slowly that other people could have noticed, or the opposite - being so fidgety or restless that they have been moving around a lot more than usual. Four percent have thoughts that they would be better off dead or of hurting themselves in some way.

Summary

People who have little interest in doing things (%)

  • Mellette 14.2%
  • Spink County 25.1%
  • State 26.4%

People feeling down, depressed, or hopeless (%)

  • Mellette 23.4%
  • Spink County 26.8%
  • State 27.9%

People who have trouble sleeping or sleeping too much (%)

  • Mellette 20.2%
  • Spink County 41.7%
  • State 43.2%

People feeling tired or having little energy (%)

  • Here 27.8%
  • County 50.5%
  • State 52.7%

People with poor appetite or overeating (%)

  • Mellette 18.0%
  • County 26.9%
  • State 28.1%

People feeling bad about themself (%)

  • Here 15.7%
  • County 20.7%
  • State 21.7%

People who have trouble concentrating on things (%)

  • Mellette 10.9%
  • Spink County 18.4%
  • South Dakota 20.0%

People moving or speaking slowly or too fast (%)

  • Here 14.2%
  • County 13.6%
  • South Dakota 14.5%

People having thoughts they would be better off dead (%)

  • Mellette 3.8%
  • County 4.2%
  • South Dakota 4.5%

The biggest differences compared to state averages have been highlighted with a blue background.

Mellette residents on average take two prescription medicines.

Summary

Average number of prescription medicines taking

  • Mellette 2.3
  • County 2.6
  • State 2.2

Eighty seven percent of people living in Mellette have at least one alcoholic drink per month. Five percent of people living here do not drink alcohol at all. People living here drink alcohol 5.1 days per month on average. They have 6.6 drinks per week. On average people living here have 5 or more drinks on 23 days a year.

Summary

People drinking some alcohol every month (%)

  • Mellette 87.4%
  • County 80.1%
  • South Dakota 81.0%

People not drinking at all (%)

  • Here 5.4%
  • County 10.4%
  • South Dakota 10.5%

Average days/month drinking alcohol

  • Here 5.1
  • County 5.2
  • South Dakota 5.1

Average drinks/week

  • Mellette 6.6
  • Spink County 5.6
  • South Dakota 6.0

Average days/year people drink much

  • Here 22.9
  • Spink County 22.7
  • South Dakota 24.5

The biggest differences compared to state averages have been highlighted with a blue background.

Hundred percent of Mellette residents 18 years and older have ever had vaginal, anal or oral sex. Hundred percent of males have ever had vaginal sex with a woman. Eighty five percent have ever performed oral sex on a woman. Forty seven percent have ever had anal sex with a woman. Ten percent of males in Mellette have ever had any kind of sex with a man, including oral or anal. People in Mellette were 18 years old on average when they had sex for the first time. The average man in his lifetime had any kind of sex with 16 women. He has vaginal sex with 15 women. People living here were on average 21 years old when they first performed oral sex on a woman. In their lifetime they performed oral sex on average on five women. People in Mellette were 21 years old on average when they first performed oral sex on a man. Four percent of people use protection, like a condom or dental dam, while performing oral sex. The average person in Mellette has vaginal or anal sex 22 times a year. Eighty two percent have sex without using a condom. Thirty nine percent of men 18 years old and older are circumcised.

Summary

People 18+ that ever had sex (vaginal, anal, or oral) (%)

  • Mellette 99.8%
  • Spink County 97.8%
  • State 97.3%

Males 18+ that ever had vaginal sex with a woman (%)

  • Mellette 99.8%
  • County 94.6%
  • State 94.6%

Males 18+ that ever performed oral sex on a woman (%)

  • Here 84.6%
  • County 88.4%
  • State 88.3%

Males 18+ that ever had anal sex with a woman (%)

  • Mellette 47.3%
  • County 46.5%
  • South Dakota 49.8%

Males 18+ that ever had any sex with a man (%)

  • Here 9.7%
  • Spink County 6.0%
  • State 6.0%

Average age people first had sex

  • Mellette 17.5
  • Spink County 16.7
  • State 16.7

Average number of female sex partners in lifetime (males 18+)

  • Mellette 15.9
  • Spink County 24.7
  • South Dakota 27.6

Average number of female vaginal sex partners in lifetime (males 18+)

  • Mellette 15.2
  • County 18.6
  • State 21.4

Average age people first performed oral sex on a woman (18+)

  • Here 21.2
  • County 21.2
  • State 21.0

Average number of woman performed oral sex on in lifetime (18+)

  • Here 5.4
  • Spink County 5.3
  • State 5.7

Average age people first performed oral sex on a man (18+)

  • Mellette 20.8
  • Spink County 20.9
  • South Dakota 19.4

People using protection when performing oral sex (%)

  • Mellette 4.4%
  • County 7.0%
  • State 7.9%

Average number of times people have vaginal or anal sex a year

  • Here 21.7
  • Spink County 60.5
  • South Dakota 63.7

People having sex without condom (%)

  • Here 82.4%
  • County 54.2%
  • South Dakota 55.6%

Circumcised males 18+ (%)

  • Mellette 38.9%
  • Spink County 86.5%
  • State 84.7%

The biggest differences compared to state averages have been highlighted with a blue background.

Eight percent of households in Mellette use chemical products in their homes to control fleas, roaches, ants, termites or other insects. Five percent use chemical products in their lawns or gardens to kill weeds.

Summary

Households using pesticides to control insects (%)

  • Here 7.6%
  • County 9.8%
  • State 9.8%

Households using pesticides to kill weeds (%)

  • Mellette 5.2%
  • County 4.5%
  • South Dakota 4.6%

The biggest differences compared to state averages have been highlighted with a blue background.

Mellette residents 16 years and older usually get seven hours of sleep at night on weekdays or workdays. Twenty two percent of them have trouble sleeping.

Summary

Average hours sleeping at night

  • Here 6.7
  • County 6.8
  • State 6.8

People that has trouble sleeping (%)

  • Mellette 21.6%
  • County 34.5%
  • State 32.8%

The biggest differences compared to state averages have been highlighted with a blue background.

Thirty five percent of Mellette residents currently smoke cigarettes.

Summary

People smoking cigarettes (%)

  • Mellette 35.0%
  • County 50.3%
  • State 51.9%

The biggest differences compared to state averages have been highlighted with a blue background.

Thirty percent of Mellette residents' work involve vigorous-intensity activity that causes large increases in breathing or heart rate, like carrying or lifting heavy loads, digging or construction work for at least 10 minutes continuously. Thirty nine percent of people do moderate-intensity activities at work that cause small increases in breathing or heart rate such as brisk walking or carrying light loads for at least 10 minutes continuously. Thirty five percent walk or bicycle for at least 10 minutes continuously to get to and from places. Fourteen percent do any vigorous-intensity sports, fitness or recreational activities that cause large increases in breathing or heart rate like running or basketball for at least 10 minutes continuously. Thirty six percent do any moderate-intensity sports, fitness or recreational activities that cause a small increase in breathing or heart rate such as brisk walking, bicycling, swimming or golf for at least 10 minutes continuously. People living here spend five hours sitting on a typical day (this includes sitting at work, at home, getting to and from places, or with friends, including time spent sitting at a desk, traveling in a car or bus, reading, playing cards, watching television or using a computer). They usually sit and watch TV or videos for about three hours per day. They use a computer or play computer games (including Playstation, Nintendo DS, or other portable video games) outside of work or school for 0.7 hours per day.

Summary

People doing vigorous-intensity work activities (%)

  • Mellette 29.8%
  • Spink County 22.3%
  • State 23.2%

People doing moderate-intensity work activities (%)

  • Here 38.6%
  • County 36.8%
  • State 40.1%

People walking or bicycling (%)

  • Mellette 35.1%
  • County 28.1%
  • State 29.0%

People doing vigorous-intensity recreational activities (%)

  • Mellette 14.2%
  • County 16.8%
  • State 18.8%

People doing moderate-intensity recreational activities (%)

  • Mellette 36.4%
  • County 39.5%
  • State 43.2%

Average hours a day doing sedentary activities

  • Here 4.6
  • County 6.2
  • State 6.0

Average hours a day watching TV or videos

  • Mellette 2.5
  • Spink County 2.9
  • South Dakota 2.8

Average hours a day using computer

  • Mellette 0.7
  • County 1.1
  • South Dakota 1.2

The biggest differences compared to state averages have been highlighted with a blue background.

Ten percent of Mellette residents have ever been told by a doctor or other health professional that they had asthma. Two percent of people living here has anemia, sometimes called "tired blood" or "low blood". Five percent of people 16 years and older have ever been told by a doctor or other health care professional that they had psoriasis. Thirty nine percent are overweight. Fourteen percent of people 60 years and older have difficulties in thinking or remembering that can make a big difference in everyday activities (this does not refer to occasionally forgetting your keys or the name of someone you recently met). This refers to things like confusion or memory loss that are happening more often or getting worse. Sixteen percent of people living in Mellette have ever received a blood transfusion. Twenty five percent have trouble seeing, even when wearing glasses or contact lenses. Twenty seven percent of people 20 and older have arthritis. Seven percent have ever been told they had gout. Five percent have congestive heart failure. Six percent have coronary heart disease. Five percent have angina, also called angina pectoris. Seven percent have ever had a heart attack, also called myocardial infarction. Six percent have been ever told by a doctor or other health professional that they had a stroke. Two percent have ever had emphysema. Four percent have ever had chronic bronchitis. Five percent of people had any kind of liver condition. Twelve percent have ever had cancer or a malignancy of any kind.

Summary

People with asthma (%)

  • Here 10.0%
  • Spink County 11.4%
  • State 10.6%

People with anemia (%)

  • Here 1.9%
  • County 3.3%
  • State 3.1%

People with psoriasis (%)

  • Mellette 4.9%
  • Spink County 4.3%
  • State 4.1%

People with overweight (%)

  • Here 39.3%
  • Spink County 35.3%
  • South Dakota 34.2%

Elderly people having difficulties in thinking or remembering (%)

  • Here 13.8%
  • County 21.2%
  • South Dakota 19.9%

People who ever received blood transfusion (%)

  • Mellette 16.4%
  • Spink County 14.0%
  • State 11.9%

People having trouble seeing even with glass/contacts (%)

  • Mellette 24.6%
  • Spink County 19.9%
  • South Dakota 19.2%

People with arthritis (%)

  • Here 27.5%
  • County 31.8%
  • State 27.2%

People with gout (%)

  • Here 6.8%
  • Spink County 5.2%
  • South Dakota 3.9%

People with congestive heart failure (%)

  • Here 5.4%
  • County 5.0%
  • South Dakota 3.7%

People with coronary heart disease (%)

  • Here 6.0%
  • County 4.5%
  • State 3.6%

People with angina pectoris (%)

  • Mellette 5.4%
  • Spink County 3.1%
  • South Dakota 2.4%

People who ever had heart attack (%)

  • Here 7.4%
  • Spink County 5.3%
  • State 4.2%

People who ever had stroke (%)

  • Here 5.8%
  • Spink County 4.9%
  • State 3.9%

People with emphysema (%)

  • Mellette 1.6%
  • Spink County 4.9%
  • South Dakota 3.4%

People with chronic bronchitis (%)

  • Mellette 3.5%
  • County 4.7%
  • South Dakota 3.9%

People with any liver condition (%)

  • Here 4.7%
  • County 3.7%
  • State 2.9%

People who ever had cancer or malignancy (%)

  • Here 12.1%
  • Spink County 11.8%
  • State 9.6%

The biggest differences compared to state averages have been highlighted with a blue background.

People living in Mellette report their general health condition on average at 51 percent. Eight percent of them donate blood. Excluding tests they have had as part of blood donations, 45 percent of Mellette residents have ever had their blood tested for the AIDS virus infection. Five percent of people living in Mellette are left-handed.

Summary

General health condition (%)

  • Here 51.0%
  • Spink County 55.0%
  • State 56.0%

Blood donors (%)

  • Mellette 7.5%
  • Spink County 4.2%
  • South Dakota 4.8%

Has blood ever tested for HIV virus (%)

  • Mellette 44.8%
  • Spink County 36.5%
  • South Dakota 37.6%

Left-handed people (%)

  • Mellette 4.9%
  • County 8.2%
  • South Dakota 8.5%

The biggest differences compared to state averages have been highlighted with a blue background.

People in Mellette spend $476 per month on average on food for their families at supermarkets or grocery stores. This is 30 percent of their income. The average family in Mellette spends $87 on food at other stores monthly. This is three percent of their income. They spend $118 on eating out, including cafeterias at work or at school or on vending machines. This is seven percent of their income. They also spend $12 monthly on carried out or delivered food. This is one percent of their income.

Summary

Money monthly spent on food at supermarket/grocery store

  • Here $476
  • Spink County $359
  • South Dakota $354

Income spent on food at supermarket/grocery store (%)

  • Mellette 30.3%
  • County 22.8%
  • State 23.1%

Money monthly spent on food at other stores

  • Here $87
  • County $66
  • South Dakota $72

Income spent on food at other stores (%)

  • Here 3.3%
  • County 3.6%
  • State 4.3%

Money monthly spent on eating out

  • Mellette $118
  • Spink County $147
  • State $136

Income spent on eating out (%)

  • Here 7.4%
  • Spink County 6.5%
  • South Dakota 7.1%

Money monthly spent on carryout/delivered foods

  • Mellette $12
  • Spink County $24
  • South Dakota $26

Income spent on carryout/delivered foods (%)

  • Here 0.6%
  • Spink County 1.1%
  • South Dakota 1.3%

The biggest differences compared to state averages have been highlighted with a blue background.

People living in Mellette report their general condition of hearing on average at 78 percent. Eighty one percent of them can usually hear and understand, without the use of a hearing aid or any other listening devices, what a person says without seeing his or her face if that person whispers to them from across a quiet room. Eighty eight percent of people can hear a normal voice across a quiet room. Twenty five percent of Mellette population have been bothered by ringing, roaring or buzzing in their ears or head. Forty six percent of people living here have ever had a job where they were exposed to loud sounds or noise. Loud means so loud that they must speak in a raised voice to be heard. Twelve percent of people in Mellette had off-work exposure to loud noise.

Summary

Average condition of hearing (%)

  • Mellette 77.5%
  • Spink County 76.0%
  • State 77.8%

People that can hear a whisper from across a quiet room (%)

  • Here 81.1%
  • Spink County 75.3%
  • South Dakota 77.5%

People that can hear normal voice from across a quiet room (%)

  • Mellette 88.2%
  • County 94.6%
  • State 94.5%

Ears ringing, roaring, buzzing (%)

  • Mellette 24.9%
  • Spink County 22.9%
  • South Dakota 21.6%

Had a job exposure to loud noise (%)

  • Mellette 45.9%
  • County 45.0%
  • South Dakota 46.5%

Had off-work exposure to loud noise (%)

  • Here 12.0%
  • County 15.7%
  • South Dakota 16.4%

The biggest differences compared to state averages have been highlighted with a blue background.

Twenty eight percent of Mellette residents 40 and older take a low-dose aspirin each day to prevent heart attacks, strokes or cancer.

Summary

Adults 40+ taking low-dose aspirin (%)

  • Mellette 27.7%
  • County 29.3%
  • State 27.1%

Nineteen percent of Mellette residents 20 or older have limitations caused by a long-term physical, mental or emotional problems or illnesses keeping them from working at a job or business. Twenty five percent are limited in the kind or amount of work they can do because of physical, mental or emotional problems. Fourteen percent have difficulty walking without using any special equipment. Fourteen percent are limited in any way because of difficulty remembering or because they experience periods of confusion. Twelve percent of people here have health problems that require them to use special equipment, such as a cane, wheelchair, special bed or special telephone.

Summary

People having limitations keeping them from working (%)

  • Mellette 18.8%
  • County 20.7%
  • South Dakota 18.8%

People limited in amount of work they can do (%)

  • Here 25.2%
  • Spink County 27.6%
  • South Dakota 25.6%

People that need special equipment to walk (%)

  • Here 14.2%
  • County 11.1%
  • State 9.4%

People experiencing confusion/memory problems (%)

  • Mellette 14.3%
  • County 11.1%
  • South Dakota 10.2%

People requiring special healthcare equipment (%)

  • Here 12.2%
  • Spink County 9.6%
  • State 8.0%

The biggest differences compared to state averages have been highlighted with a blue background.

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