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Marshall US Post OfficeMarshall US Post Office · Photo: Michael Barera · CC BY-SA 4.0
DHealth Grade
Health in Marshall · CDC PLACES 2025

On CDC estimates, Marshall is healthier than 11% of U.S. towns

Marshall differs from Texas on 20 of 31 measures CDC estimates: 1 better, 19 worse.

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

What stands out · In brief

What stands out about health in Marshall

COPD, stroke and heart disease run high in Marshall

1 in 12 adults have COPD (8.3%), vs 5.7% across Texas. 1 in 22 adults have had a stroke (4.6%), vs 3.2% across Texas. Heart disease is also above the state: 7.1%, vs 5.6% across Texas. In all, Marshall runs above Texas on seven of 11 chronic conditions. Conditions ↓

Making ends meet is harder in Marshall

1 in 4 adults worry about having enough food (24.9%), vs 19.3% across Texas. Utility shut-off threats (14.6% vs 10.7%) and no reliable transportation (13.6% vs 10.5%) are higher too. 22.9% of adults receive SNAP, vs 14.6% statewide. Everyday needs ↓

Dental care lags in Marshall

48.4% of adults saw a dentist this year, vs 54.6% across Texas. Among those 65 and older, 17.8% have lost all their teeth (Texas 12.5%). 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 Marshall’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D− to C+.

Health Grade

What’s behind Marshall’s grade

On seven CDC estimates for adults, Marshall is healthier than 11% of U.S. towns, #539 of 641 in Texas. Smoking holds the grade up (fewer adults who smoke than 34% of U.S. towns); mental distress pulls it down (better than 8%).

DSelf-rated health27.6% · TX 21.8% · U.S. 19.4%
CPhysical distress15.7% · TX 13.2% · U.S. 13%
DMental distress20.2% · TX 16.9% · U.S. 15.9%
DObesity41.7% · TX 35.6% · U.S. 32.9%
DDiabetes15.6% · TX 12.7% · U.S. 12%
CSmoking16.4% smoke · TX 12.5% · U.S. 11.8%
DExercise33.9% · TX 27.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 11%
Less healthyHealthier
Texas towns we grade (641)Healthier than 16%
U.S. towns with similar incomes, $41K–$69K (7,436)Healthier than 20%

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). Marshall’s median household income is $55,089; among the 7,436 U.S. towns within 25% of that ($41K–$69K), it’s healthier than 20%, 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, Marshall could be anywhere from D− to C+.

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Marshall adults…

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

8 of every 100 Marshall adults have COPD
Texas: 6 in 100 · worse · likely 7.4–9.3%
Better than TXWorseAbout the sameTexas
Everyday needs

Making ends meet

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

1 in 4
Marshall adults worry about having enough food
24.9% · TX 19.3%
Worse than TX
1 in 5
Marshall adults worry about keeping their housing
20.3% · TX 16.4%
Worse than TX
1 in 7
Marshall adults were threatened with a utility shut-off
14.6% · TX 10.7%
Worse than TX
1 in 7
Marshall adults lack reliable transportation
13.6% · TX 10.5%
Worse than TX

22.9% of Marshall adults receive SNAP (food stamps), compared with 14.6% across Texas.

Checkups & screenings

Keeping up with care

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

76%Yearly checkupTX 74%
48%Dentist visitTX 55%
82%Cholesterol checkTX 85%
62%Colon screeningTX 58%
73%MammogramTX 74%
77%Taking BP medsTX 74%
1 in 5
working-age adults has no health insurance
Marshall 18.3% · Texas 1 in 5 (19.1%)
Getting care

Care in and near Marshall

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

HNearest ERLongview Regional Medical CenterLongview · 21.9 miDirections →
+Low-cost careEast Texas Border Health ClinicMarshall · 1 mi · sliding-scale feesDirections →
1 mi
East Texas Border Health Clinic
4 sites · nearest in Marshall
Sliding-scale feesIn Marshall
Directions to nearest
16.1 mi
Jefferson Clinic
Jefferson · community health center
Sliding-scale fees
21.9 mi
Longview Regional Medical Center
Longview · ★★★★★
ER
22.2 mi
Christus Good Shepherd Medical Center
Longview · ★★★★★
ER
25.7 mi
UT Health East Texas Carthage Hospital
Carthage · ★★★★★
ER
30.9 mi
North Caddo Medical Center
Vivian · not rated
ERRural critical access
✓ Primary careNo HRSA shortage area covers Marshall itself
✓ Dental careNo HRSA shortage area covers Marshall itself
✓ Mental healthNo HRSA shortage area covers Marshall 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 Marshall; ≈ 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 33.9%TX 27.8%
Sleep under 7 hours 40.9%TX 38.2%
Binge drink 14.8%TX 17%
Smoke cigarettes 16.4%TX 12.5%
0%10%20%30%40%50%
Marshall, betterMarshall, worseAbout the sameTexas
Where Marshall gets moving

0.7 miles of trails across 9 parks and preserves

Parks & trails →
Mind & connection

How Marshall adults are doing

On 1 of 3 measures, Marshall runs above Texas.

3 in 10Marshall adults lack social or emotional support
29.8% · TX 28.4% · About the same as TX
1 in 4Marshall adults have been diagnosed with depression
23.1% · TX 21.2% · About the same as TX
1 in 5Marshall adults are in frequent mental distress
20.2% · 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.

Around town

Marshall and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
MarshallD41.7%15.6%16.4%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

38.3%

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

Walking or climbing stairs18.8%
Thinking or memory18.8%
Hearing7.1%
Errands alone12%
Vision8.3%
Dressing or bathing5.9%
Texas

Every CDC estimate for Marshall

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

On the 31 measures below that have a better and a worse direction, Marshall is better than Texas on 1 and worse on 19; on the rest, the Texas figure falls inside Marshall’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…MarshallTXU.S.vs TX
Overall health
Fair or poor health27.6%24.5–30.921.8%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)15.7%13.8–17.613.2%13%Worse
Frequent mental distress (mental health not good 14+ days a month)20.2%17.8–22.516.9%15.9%Worse
Conditions
Obesity41.7%33–50.635.6%32.9%About the same
Diabetes15.6%13.6–17.712.7%12%Worse
High blood pressure40.1%35.8–44.433.1%34.4%Worse
High cholesterol (adults screened in 5 years)35%30.7–39.435.1%37.1%About the same
Arthritis26.3%23.1–29.421.6%25.3%Worse
Asthma11.4%10–12.89.5%9.9%Worse
Cancer, other than skin cancer6.5%5.8–7.26.1%7.9%About the same
Coronary heart disease7.1%6.4–7.95.6%6.4%Worse
COPD8.3%7.4–9.35.7%6.3%Worse
Stroke4.6%4.2–4.93.2%3.4%Worse
Lost all teeth (ages 65+)17.8%14.8–21.212.5%12.3%Worse
Habits
Smoke cigarettes16.4%14.1–18.712.5%11.8%Worse
No exercise outside work33.9%28.8–39.127.8%24.7%Worse
Binge drinking14.8%12–17.917%15.4%About the same
Sleep under 7 hours40.9%33.8–48.338.2%36%About the same
Checkups and coverage
No health insurance (ages 18–64)18.3%16.1–20.619.1%11%About the same
Checkup in the past year76%71.9–79.673.8%77.4%About the same
Dentist visit in the past year48.4%44.7–52.254.6%63.2%Worse
Cholesterol check in 5 years82.4%80.3–84.484.6%87.1%Worse
Taking blood pressure medicine (adults with high blood pressure)77%74.2–79.374.1%76.5%Better
Colorectal cancer screening (ages 45–75)62.1%56.8–67.357.9%65.5%About the same
Mammogram in 2 years (women 50–74)73.4%65–80.674.1%76.4%About the same
Mind and connection
Ever told they have depression23.1%19.6–2721.2%20.6%About the same
Lack social and emotional support29.8%26.5–34.128.4%23.6%About the same
Everyday needs
Worried about having enough food24.9%23–27.419.3%15%Worse
Worried about keeping housing20.3%18.5–22.616.4%12%Worse
Threatened with a utility shut-off14.6%13.2–16.410.7%7.6%Worse
Lack reliable transportation13.6%12.6–14.910.5%7.9%Worse
Received SNAP (food stamps)22.9%21.1–25.114.6%11.6%Higher
Disability
Any disability38.3%33.5–43.130.9%30.1%Higher
Difficulty walking or climbing stairs18.8%16.6–21.114%13.6%Higher
Difficulty concentrating or remembering18.8%16.8–2115.1%13.9%Higher
Hearing difficulty7.1%6.3–86.3%6.7%About the same
Vision difficulty8.3%7.6–96.1%5.4%Higher
Difficulty doing errands alone12%10.8–13.48.2%7.9%Higher
Difficulty dressing or bathing5.9%5.4–6.54%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 Marshall

Is Marshall a healthy place to live?

On seven CDC estimates for adults, Marshall is healthier than 11% of U.S. towns: D for health, #539 of 641 in Texas. Among U.S. towns with similar household incomes it’s healthier than 20%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Marshall?

CDC estimates 41.7% of adults have obesity, likely between 33% and 50.6%, against 35.6% across Texas and 32.9% nationally.

What hospital is closest to Marshall?

Longview Regional Medical Center in Longview, 21.9 miles in a straight line from Marshall’s center point, is the nearest general hospital with an emergency room; Medicare rates it 3 of 5 stars.

How many people in Marshall have no health insurance?

CDC estimates 18.3% of adults ages 18–64 have no health insurance (likely 16.1–20.6%), 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 Marshall 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 Marshall.

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.