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Researchers estimate that the direct healthcare cost of obesity for the state of Texas is $5,768 million. If current obesity levels are maintained, in 10 years Texas could save $12,427 million off a projected $108,577 million healthcare bill. That’s $672 for every adult in the state.

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Texas (2009)
America’s Health Rankings™

Ranking:
Texas is 39th this year; it was 40th in 2008.

Strengths:
Strengths include high immunization coverage with 78.6 percent of children ages 19 to 35 months receiving complete immunizations, a low rate of cancer deaths at 185.2 deaths per 100,000 population and few poor mental days per month at 3.2 days in the previous 30 days.

Challenges:
Challenges include a high rate of uninsured population at 25.1 percent, a high percentage of children in poverty at 23.1 percent of persons under age 18, low public health funding at $47 per person, a high incidence of infectious disease at 22.6 cases per 100,000 population and limited availability of primary care physicians with 95.0 primary care physicians per 100,000 population. Texas ranks lower for health determinants than for health outcomes, indicating that overall healthiness may decline over time.

Significant Changes:

In the past year, the rate of preventable hospitalizations decreased from 87.6 to 81.2 discharges per 1,000 Medicare enrollees.

In the past five years, geographic disparity within the state increased from 12.2 percent to 15.3 percent.

Since 1990, the prevalence of smoking decreased from 30.6 percent to 18.5 percent of the population.

Since 1990, the prevalence of obesity increased from 12.3 percent to 28.9 percent of the population.

Health Disparities:
In Texas, obesity is more prevalent among Hispanics at 31.8 percent and non-Hispanic blacks at 39.2 percent than non-Hispanic whites at 24.7 percent. The prevalence of diabetes also varies by race and ethnicity in the state; 12.2 percent of non-Hispanic blacks have diabetes and 10.6 percent of Hispanics have diabetes compared to 8.1 percent of non-Hispanic whites. In addition, mortality rates vary in Texas with 1,053.0 deaths per 100,000 population among non-Hispanic blacks compared to 674.7 deaths per 100,000 population among Hispanics and 807.0 deaths per 100,000 population among non-Hispanic whites.

State Health Department Web Site: www.dshs.state.tx.us

Download this state summary as a PDF file

Overall Rank :

New! Supplemental Measures

America’s Health Rankings™ have been expanded to include 15 more state-specific measures of health, from Daily Vegetable and Fruit intake to Incidence of High Blood Pressure and Diabetes. GO

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Texas - Core Measures
	2009		2008		No. 1
Behaviors	Value	Rank	Value	Rank	State
High School Graduation (Percent of incoming ninth graders)	72.5	35	74.0	35	87.5
Prevalence of Obesity (Percent of population)	28.9	37	28.6	39	19.1
Prevalence of Smoking (Percent of population)	18.5	26	19.3	19	9.3
Prevalence of Binge Drinking (Percent of population)	15.1	22	15.1	21	9.0
Community & Environment
Occupational Fatalities (Deaths per 100,000 workers)	5.7	28	6.3	29	3.1
Infectious Disease (Cases per 100,000 population)	22.6	44	23.8	44	2.4
Air Pollution (Micrograms of fine particles per cubic meter)	11.0	26	11.2	26	4.8
Children in Poverty (Percent of persons under age 18)	23.1	43	25.0	49	8.6
Violent Crime (Offenses per 100,000 population)	507	39	510	37	117
Public & Health Policies
Lack of Health Insurance (Percent of population)	25.1	50	24.9	50	5.4
Immunization Coverage (Percent of children ages 19 to 35 months)	78.6	17	78.2	38	85.0
Public Health Funding (Dollars per person)	$47	43	$46	42	$220
Clinical Care
Prenatal Care (Percent of pregnant women)	61.8	39	63.2	39	86.1
Preventable Hospitalizations (Number per 1,000 Medicare enrollees)	81.2	39	87.6	39	29.3
Primary Care Physicians (Number per 100,000 population)	95.0	42	95.0	42	190.0
Health Outcomes
Premature Death (Years lost per 100,000 population)	7609	26	7554	25	5595
Poor Physical Health Days (Days in the previous 30 days)	3.7	38	3.8	41	2.7
Infant Mortality (Deaths per 1,000 live births)	6.4	20	6.5	24	4.8
Poor Mental Health Days (Days in the previous 30 days)	3.2	19	3.5	31	2.2
Geographic Disparity (Relative standard deviation)	15.3	41	15.1	40	4.3
Cancer Deaths (Deaths per 100,000 population)	185.2	16	186.3	15	144.7
Cardiovascular Deaths (Deaths per 100,000 population)	290.1	29	302.8	30	212.6

Summation
All Determinants	-0.366	46	-0.361	46	0.827
All Outcomes	0.047	26	0.020	31	0.348
Overall	-0.320	39	-0.341	40	1.064

Texas - Supplemental Measures
	2009		2008		No. 1
Behaviors	Value	Rank	Value	Rank	State
Cholesterol Check (Percent of adult population)	70.7	45	70.7	45	84.6
Recent Dental Visit (Percent of adult population)	62.6	46	63.5	43	80.2
Daily Vegetables and Fruit (Percent of population)	25.2	21	25.2	21	30.0
Physical Activity (Percent of adult population)	71.5	42	71.7	44	81.9
Chronic Disease
Stroke (Percent of adult population)	2.4	18	2.8	31	1.8
High Cholesterol (Percent of adult population)	38.5	34	38.5	34	32.4
High Blood Pressure (Percent of adult population)	27.8	27	27.8	27	19.7
Heart Attack (Percent of adult population)	3.9	15	4.2	25	2.9
Cardiac Heart Disease (Percent of adult population)	4.2	22	4.4	28	2.7
Diabetes (Percent of adult population)	9.7	40	10.3	46	5.9
Economic
Per Capita Personal Income (Dollars per person)	$38575	23	$37083	22	$56248
Underemployment Rate (Percent)	9.1	18	7.7	25	5.7
Annual Unemployment Rate (Percent)	4.9	20	4.4	25	3.0
Median Household Income (Dollars per household)	$46490	35	$47822	36	$66176
August 2009 Unemployment Rate (Percent)	8.0	19	5.0	20	4.3
Health Outcomes
Health Status (Percent report fair or poor health)	19.0	44	19.6	44	10.7

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