Photo: Renelibrary · CC BY-SA 4.0San Augustine’s CDC health estimates rank near the bottom of U.S. towns
San Augustine differs from Texas on 24 of 31 measures CDC estimates: 3 better, 21 worse.
Modeled estimates for adults 18+, CDC’s own estimate for San Augustine. How CDC estimates town health
What stands out about health in San Augustine
COPD, stroke and heart disease run high in San Augustine
1 in 7 adults have COPD (15%), more than twice the Texas rate. 1 in 13 adults have had a stroke (8%), more than twice the Texas rate. Heart disease is also above the state: 12.1%, vs 5.6% across Texas. In all, San Augustine runs above Texas on ten of 11 chronic conditions. Age is part of it: 27% of residents are 65 or older (Texas 13%), and COPD, stroke and heart disease are more common later in life. Conditions ↓
More San Augustine adults get no exercise
45.9% of adults get no exercise outside work, vs 27.8% across Texas. Habits ↓
Dental care lags in San Augustine
41% of adults saw a dentist this year, vs 54.6% across Texas. Among those 65 and older, 30.3% 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 San Augustine’s likely range.
What’s behind San Augustine’s grade
On seven CDC estimates for adults, San Augustine is near the bottom of U.S. towns. All seven of San Augustine’s estimates fall in the lowest 6% of U.S. towns. The furthest from typical is diabetes: 24.8% of adults, against 12.7% across Texas and 12% nationally.
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). San Augustine’s median household income is $27,500; among the 359 U.S. towns within 25% of that ($21K–$34K), it’s healthier than 12%, so it sits below most towns with similar incomes, too.
Where San Augustine compares well: binge drinking, 11% (U.S. 15.4%); taking blood pressure medicine (adults with high blood pressure), 82.1% (U.S. 76.5%).
Out of every 100 San Augustine adults…
San Augustine runs above TX on 11 of 12 conditions. Tap one to see it as people.
San Augustine is an older town: 27% of residents are 65 or older, vs 13% across Texas. Heart disease, COPD and arthritis rise with age, so higher rates here say as much about who lives in San Augustine as about how healthy they are.
Everyday habits, side by side with Texas
Share of adults, with the Texas figure marked.
Walk with neighbors
The easiest exercise habit to keep is one with company.
Keeping up with care
Share of San Augustine adults getting routine care. The full ring is 100%; the dark tick marks Texas.
Care in and near San Augustine
1 hospital and 1 community health center in San Augustine, plus the nearest just outside it.
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 San Augustine; ≈ 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).
How San Augustine adults are doing
On 1 of 3 measures, San Augustine runs above Texas.
A hello is a start.
Groups are the easiest way in: a walking group, a book club, your street.
If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.
Making ends meet
Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.
33.7% of San Augustine adults receive SNAP (food stamps), compared with 14.6% across Texas.
San Augustine and the towns around it
How health changes across the town line.
Health next door
| Town | Health | Obesity | Diabetes | Smoking | Figures from |
|---|---|---|---|---|---|
| San Augustine | D− | 49.2% | 24.8% | 24.5% | CDC place |
Same-state neighbors only, ordered by length of shared border.
Living with a disability
Shown without a better/worse judgment.
of San Augustine adults live with a disability (Texas 30.9%). Walking or climbing stairs is the most common.
Every CDC estimate for San Augustine
Share of adults, 39 measures, with CDC’s likely range.
On the 31 measures below that have a better and a worse direction, San Augustine is better than Texas on 3 and worse on 21; on the rest, the Texas figure falls inside San Augustine’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.
| Adults who… | San Augustine | TX | U.S. | vs TX |
|---|---|---|---|---|
| Overall health | ||||
| Fair or poor health | 40.4%36.1–45.2 | 21.8% | 19.4% | Worse |
| Frequent physical distress (physical health not good 14+ days a month) | 21.7%19–24.4 | 13.2% | 13% | Worse |
| Frequent mental distress (mental health not good 14+ days a month) | 20.8%18.4–23.3 | 16.9% | 15.9% | Worse |
| Conditions | ||||
| Obesity | 49.2%39.9–58.4 | 35.6% | 32.9% | Worse |
| Diabetes | 24.8%21.9–27.8 | 12.7% | 12% | Worse |
| High blood pressure | 53.7%49–58.2 | 33.1% | 34.4% | Worse |
| High cholesterol (adults screened in 5 years) | 41.8%37.1–46.5 | 35.1% | 37.1% | Worse |
| Arthritis | 35.7%31.9–39.4 | 21.6% | 25.3% | Worse |
| Asthma | 12.3%10.8–13.9 | 9.5% | 9.9% | Worse |
| Cancer, other than skin cancer | 7.9%7.1–8.8 | 6.1% | 7.9% | Worse |
| Coronary heart disease | 12.1%10.7–13.5 | 5.6% | 6.4% | Worse |
| COPD | 15%13–17.1 | 5.7% | 6.3% | Worse |
| Stroke | 8%7.1–8.9 | 3.2% | 3.4% | Worse |
| Lost all teeth (ages 65+) | 30.3%25.6–35.3 | 12.5% | 12.3% | Worse |
| Habits | ||||
| Smoke cigarettes | 24.5%20.9–28.3 | 12.5% | 11.8% | Worse |
| No exercise outside work | 45.9%39.8–52.1 | 27.8% | 24.7% | Worse |
| Binge drinking | 11%8.9–13.5 | 17% | 15.4% | Better |
| Sleep under 7 hours | 43.9%36.4–51.4 | 38.2% | 36% | About the same |
| Checkups and coverage | ||||
| No health insurance (ages 18–64) | 22.1%18.7–25.8 | 19.1% | 11% | About the same |
| Checkup in the past year | 79.3%75.8–82.6 | 73.8% | 77.4% | Better |
| Dentist visit in the past year | 41%37.4–44.9 | 54.6% | 63.2% | Worse |
| Cholesterol check in 5 years | 83.8%81.7–85.8 | 84.6% | 87.1% | About the same |
| Taking blood pressure medicine (adults with high blood pressure) | 82.1%79.8–84.4 | 74.1% | 76.5% | Better |
| Colorectal cancer screening (ages 45–75) | 57.6%51.6–63.3 | 57.9% | 65.5% | About the same |
| Mammogram in 2 years (women 50–74) | 70.5%62–78.1 | 74.1% | 76.4% | About the same |
| Mind and connection | ||||
| Ever told they have depression | 22.6%19.1–26.4 | 21.2% | 20.6% | About the same |
| Lack social and emotional support | 31.1%27.2–35.1 | 28.4% | 23.6% | About the same |
| Everyday needs | ||||
| Worried about having enough food | 32%29.4–34.6 | 19.3% | 15% | Worse |
| Worried about keeping housing | 23.7%21.5–26 | 16.4% | 12% | Worse |
| Threatened with a utility shut-off | 18.4%16.5–20.3 | 10.7% | 7.6% | Worse |
| Lack reliable transportation | 15.8%14.4–17.2 | 10.5% | 7.9% | Worse |
| Received SNAP (food stamps) | 33.7%31.1–36.4 | 14.6% | 11.6% | Higher |
| Disability | ||||
| Any disability | 49.4%44.1–54.9 | 30.9% | 30.1% | Higher |
| Difficulty walking or climbing stairs | 31.3%27.6–34.8 | 14% | 13.6% | Higher |
| Difficulty concentrating or remembering | 22.1%19.6–25.1 | 15.1% | 13.9% | Higher |
| Hearing difficulty | 11.1%9.8–12.4 | 6.3% | 6.7% | Higher |
| Vision difficulty | 14%12.4–15.7 | 6.1% | 5.4% | Higher |
| Difficulty doing errands alone | 17.7%15.5–20.1 | 8.2% | 7.9% | Higher |
| Difficulty dressing or bathing | 10.8%9.4–12.1 | 4% | 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 San Augustine
Is San Augustine a healthy place to live?
On seven CDC estimates for adults, San Augustine is near the bottom of U.S. towns: D− for health. Among U.S. towns with similar household incomes it’s healthier than 12%. These are modeled estimates of who lives there, not a measure of local care or habits alone.
What is the obesity rate in San Augustine?
CDC estimates 49.2% of adults have obesity, likely between 39.9% and 58.4%, against 35.6% across Texas and 32.9% nationally.
What hospital is closest to San Augustine?
Sabine County Hospital in Hemphill, 21.6 miles in a straight line from San Augustine’s center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.
How many people in San Augustine have no health insurance?
CDC estimates 22.1% of adults ages 18–64 have no health insurance (likely 18.7–25.8%), 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 San Augustine more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D− to D.
Neighbors talk health
Doctors taking patients, urgent care, staying active in San Augustine.
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.