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Downtown Center, TX IMG 0964Photo: Billy Hathorn at en.wikipedia · CC BY-SA 3.0
D−Health Grade
Health in Center · CDC PLACES 2025

On CDC estimates, Center is healthier than 3% of U.S. towns

Center differs from Texas on 23 of 31 measures CDC estimates: 2 better, 21 worse.

Modeled estimates for adults 18+, CDC’s own estimate for Center. How CDC estimates town health

What stands out · In brief

What stands out about health in Center

COPD, stroke and heart disease run high in Center

1 in 10 adults have COPD (10.5%), vs 5.7% across Texas. 1 in 19 adults have had a stroke (5.4%), vs 3.2% across Texas. Heart disease is also above the state: 8.5%, vs 5.6% across Texas. In all, Center runs above Texas on seven of 11 chronic conditions. Conditions ↓

Center is in the bottom 3% of U.S. towns for health

On the seven CDC estimates behind the Health Grade, Center is healthier than only 3% of U.S. towns. It earns a D on all of them. Health Grade ↓

Dental care lags in Center

43.4% of adults saw a dentist this year, vs 54.6% across Texas. Among those 65 and older, 23.6% have lost all their teeth (Texas 12.5%). Checkups ↓

More high blood pressure in Center, and more people treating it

44.1% of adults have high blood pressure (Texas 33.1%), but 78.2% of them take medicine for it, vs 74.1% statewide. Checkups ↓

Written from the CDC, Medicare and HRSA data on this page. CDC PLACES 2025 release: modeled estimates for adults, not counts; “higher” and “lower” mean the Texas figure falls outside Center’s likely range.

Health Grade

What’s behind Center’s grade

On seven CDC estimates for adults, Center is healthier than 3% of U.S. towns, #618 of 641 in Texas. All seven of Center’s estimates fall in the lowest 10% of U.S. towns. The furthest from typical is no exercise: 40.3% of adults, against 27.8% across Texas and 24.7% nationally.

D−Self-rated health33.5% · TX 21.8% · U.S. 19.4%
DPhysical distress18.1% · TX 13.2% · U.S. 13%
DMental distress20.1% · TX 16.9% · U.S. 15.9%
D−Obesity44.1% · TX 35.6% · U.S. 32.9%
D−Diabetes18.8% · TX 12.7% · U.S. 12%
DSmoking19.9% smoke · TX 12.5% · U.S. 11.8%
D−Exercise40.3% · TX 27.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 3%
Less healthyHealthier
Texas towns we grade (641)Healthier than 4%
U.S. towns with similar incomes, $36K–$60K (5,122)Healthier than 6%

Health estimates follow income closely across the country: towns with higher household incomes usually score higher (a correlation of 0.77 across 21,157 graded towns). Center’s median household income is $48,293; among the 5,122 U.S. towns within 25% of that ($36K–$60K), it’s healthier than 6%, so it sits below most towns with similar incomes, too.

A fairly firm grade. With every estimate at the unfavorable or the favorable end of CDC’s likely range, Center could be anywhere from D− to C−.

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Center adults…

Center runs above TX on 8 of 12 conditions. Tap one to see it as people.

11 of every 100 Center adults have COPD
Texas: 6 in 100 · worse · likely 9.2–11.8%
Better than TXWorseAbout the sameTexas
Checkups & screenings

Keeping up with care

Share of Center adults getting routine care. The full ring is 100%; the dark tick marks Texas.

76%Yearly checkupTX 74%
43%Dentist visitTX 55%
82%Cholesterol checkTX 85%
56%Colon screeningTX 58%
70%MammogramTX 74%
78%Taking BP medsTX 74%
1 in 4
working-age adults has no health insurance
Center 23.1% · Texas 1 in 5 (19.1%)
Getting care

Care in and near Center

1 community health center in Center, plus the nearest just outside it.

HNearest ERCHI St. Lukes Health Memorial San AugustineSan Augustine · 18.6 miDirections →
+Low-cost careHealth Opportunities for the People of East TexasCenter · 0.9 mi · sliding-scale feesDirections →
0.9 mi
Health Opportunities for the People of East Texas
4 sites · nearest in Center
Sliding-scale feesIn Center
Directions to nearest
18.6 mi
CHI St. Lukes Health Memorial San Augustine
San Augustine · not rated
ER
29.1 mi
East Texas Community Health Services
4 sites · nearest in Nacogdoches
Sliding-scale fees
Directions to nearest
29.5 mi
Nacogdoches Medical Center
Nacogdoches · ★★★★★
ER
30.2 mi
Nacogdoches Memorial Hospital
Nacogdoches · ★★★★★
ER
32.3 mi
Desoto Regional Health System
Mansfield · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers Center itself
✓ Dental careNo HRSA shortage area covers Center itself
✓ Mental healthNo HRSA shortage area covers Center itself

Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Center; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

Habits

Everyday habits, side by side with Texas

Share of adults, with the Texas figure marked.

Get no exercise 40.3%TX 27.8%
Sleep under 7 hours 42.8%TX 38.2%
Binge drink 13.4%TX 17%
Smoke cigarettes 19.9%TX 12.5%
0%10%20%30%40%50%
Center, betterCenter, worseAbout the sameTexas
Where Center gets moving

1 mile of trails across 2 parks and preserves

Parks & trails →
Mind & connection

How Center adults are doing

On 2 of 3 measures, Center runs above Texas.

1 in 3Center adults lack social or emotional support
32.8% · TX 28.4% · Worse than TX
1 in 4Center adults have been diagnosed with depression
22.3% · TX 21.2% · About the same as TX
1 in 5Center adults are in frequent mental distress
20.1% · TX 16.9% · Worse than TX
The one neighbors can help with

A hello is a start.

Groups are the easiest way in: a walking group, a book club, your street.

Find a group →

If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.

Everyday needs

Making ends meet

Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.

3 in 10
Center adults worry about having enough food
30.5% · TX 19.3%
Worse than TX
1 in 4
Center adults worry about keeping their housing
23.6% · TX 16.4%
Worse than TX
1 in 6
Center adults were threatened with a utility shut-off
16.8% · TX 10.7%
Worse than TX
1 in 6
Center adults lack reliable transportation
15.7% · TX 10.5%
Worse than TX

28.2% of Center adults receive SNAP (food stamps), compared with 14.6% across Texas.

Around town

Center and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
CenterD−44.1%18.8%19.9%CDC place

Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

42%

of Center adults live with a disability (Texas 30.9%). Walking or climbing stairs is the most common.

Walking or climbing stairs22.9%
Thinking or memory20.2%
Hearing8.4%
Errands alone13.6%
Vision10.3%
Dressing or bathing7.4%
Texas

Every CDC estimate for Center

Share of adults, 39 measures, with CDC’s likely range.

On the 31 measures below that have a better and a worse direction, Center is better than Texas on 2 and worse on 21; on the rest, the Texas figure falls inside Center’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…CenterTXU.S.vs TX
Overall health
Fair or poor health33.5%29.6–37.421.8%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)18.1%16–20.513.2%13%Worse
Frequent mental distress (mental health not good 14+ days a month)20.1%17.9–22.516.9%15.9%Worse
Conditions
Obesity44.1%35.4–53.435.6%32.9%About the same
Diabetes18.8%16.6–21.312.7%12%Worse
High blood pressure44.1%39.8–48.633.1%34.4%Worse
High cholesterol (adults screened in 5 years)38.8%34.3–43.635.1%37.1%About the same
Arthritis28.6%25.4–3221.6%25.3%Worse
Asthma11.3%10–12.89.5%9.9%Worse
Cancer, other than skin cancer6.5%5.9–7.26.1%7.9%About the same
Coronary heart disease8.5%7.6–9.55.6%6.4%Worse
COPD10.5%9.2–11.85.7%6.3%Worse
Stroke5.4%4.9–5.93.2%3.4%Worse
Lost all teeth (ages 65+)23.6%19.8–2812.5%12.3%Worse
Habits
Smoke cigarettes19.9%17.2–22.812.5%11.8%Worse
No exercise outside work40.3%34.7–46.327.8%24.7%Worse
Binge drinking13.4%10.9–16.417%15.4%Better
Sleep under 7 hours42.8%34.8–50.838.2%36%About the same
Checkups and coverage
No health insurance (ages 18–64)23.1%20–2619.1%11%Worse
Checkup in the past year76%72.3–79.873.8%77.4%About the same
Dentist visit in the past year43.4%39.6–47.454.6%63.2%Worse
Cholesterol check in 5 years82.2%80.2–84.184.6%87.1%Worse
Taking blood pressure medicine (adults with high blood pressure)78.2%75.8–80.674.1%76.5%Better
Colorectal cancer screening (ages 45–75)55.9%50–61.657.9%65.5%About the same
Mammogram in 2 years (women 50–74)69.9%60.8–78.174.1%76.4%About the same
Mind and connection
Ever told they have depression22.3%19–26.221.2%20.6%About the same
Lack social and emotional support32.8%28.6–37.128.4%23.6%Worse
Everyday needs
Worried about having enough food30.5%27.9–33.119.3%15%Worse
Worried about keeping housing23.6%21.3–2616.4%12%Worse
Threatened with a utility shut-off16.8%15–18.610.7%7.6%Worse
Lack reliable transportation15.7%14.3–1710.5%7.9%Worse
Received SNAP (food stamps)28.2%25.7–30.714.6%11.6%Higher
Disability
Any disability42%37–47.330.9%30.1%Higher
Difficulty walking or climbing stairs22.9%20.3–25.814%13.6%Higher
Difficulty concentrating or remembering20.2%17.8–22.615.1%13.9%Higher
Hearing difficulty8.4%7.5–9.56.3%6.7%Higher
Vision difficulty10.3%9.3–11.36.1%5.4%Higher
Difficulty doing errands alone13.6%12.1–15.38.2%7.9%Higher
Difficulty dressing or bathing7.4%6.7–8.24%3.8%Higher

Each figure is the share of adults 18+ unless the label says otherwise; small numbers after it are CDC’s likely range (95% interval). “About the same” means the Texas figure falls inside that range.

Questions about health in Center

Is Center a healthy place to live?

On seven CDC estimates for adults, Center is healthier than 3% of U.S. towns: D− for health, #618 of 641 in Texas. Among U.S. towns with similar household incomes it’s healthier than 6%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Center?

CDC estimates 44.1% of adults have obesity, likely between 35.4% and 53.4%, against 35.6% across Texas and 32.9% nationally.

What hospital is closest to Center?

UT Health East Texas Carthage Hospital in Carthage, 27.6 miles in a straight line from Center’s center point, is the nearest general hospital with an emergency room; Medicare rates it 5 of 5 stars.

How many people in Center have no health insurance?

CDC estimates 23.1% of adults ages 18–64 have no health insurance (likely 20–26%), against 19.1% across Texas.

How accurate are these numbers?

They’re modeled estimates: CDC applies national survey answers to each area’s age, sex, race and education mix, so they describe who lives in Center more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D− to C−.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Center.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The Texas figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. The Health Grade is our own summary of CDC’s estimates, not an official rating. Ages: U.S. Census Bureau, American Community Survey. Town boundaries: U.S. Census Bureau. This page isn’t medical advice. In an emergency, call 911.