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Smithville Commercial Historic DistrictSmithville Commercial Historic District · Photo: Larry D. Moore · CC BY 4.0
≈ C−Health Grade
Health in Smithville · CDC PLACES 2025

On CDC estimates, Smithville is healthier than 23% of U.S. towns

Smithville differs from Texas on 18 of 31 measures CDC estimates: 9 better, 9 worse.

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

What stands out · In brief

What stands out about health in Smithville

COPD, cancer and heart disease run high in Smithville

1 in 12 adults have COPD (8.6%), vs 5.7% across Texas. 1 in 11 adults have had cancer (9.1%), vs 6.1% across Texas. Heart disease is also above the state: 7.8%, vs 5.6% across Texas. In all, Smithville runs above Texas on seven of 11 chronic conditions. Conditions ↓

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

40.7% of adults have high blood pressure (Texas 33.1%), but 79.4% of them take medicine for it, vs 74.1% statewide. Checkups ↓

Fewer Smithville adults struggle to make ends meet

Worries about food, housing, utility bills and getting around all run below Texas. 1 in 7 adults worry about having enough food, vs 1 in 5 adults statewide. Everyday needs ↓

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 Smithville’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D to B.

Health Grade

What’s behind Smithville’s grade

On seven CDC estimates for adults, Smithville is healthier than 23% of U.S. towns, #418 of 641 in Texas. Smoking holds the grade up (fewer adults who smoke than 48% of U.S. towns); obesity pulls it down (better than 16%).

C−Self-rated health23.9% · TX 21.8% · U.S. 19.4%
CPhysical distress15.5% · TX 13.2% · U.S. 13%
C+Mental distress17.5% · TX 16.9% · U.S. 15.9%
C−Obesity40.9% · TX 35.6% · U.S. 32.9%
C−Diabetes14.7% · TX 12.7% · U.S. 12%
B−Smoking15% smoke · TX 12.5% · U.S. 11.8%
C−Exercise31% · TX 27.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 23%
Less healthyHealthier
Texas towns we grade (641)Healthier than 35%
U.S. towns with similar incomes, $45K–$75K (8,897)Healthier than 34%

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). Smithville’s median household income is $59,977; among the 8,897 U.S. towns within 25% of that ($45K–$75K), it’s healthier than 34%, so it sits below most towns with similar incomes, too.

Where Smithville compares well: taking blood pressure medicine (adults with high blood pressure), 79.4% (U.S. 76.5%).

A rough placement. CDC’s likely ranges are wide here: with every estimate at one end or the other, Smithville could be anywhere from D to B. The letter shows with “≈”.

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Smithville adults…

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

9 of every 100 Smithville adults have COPD
Texas: 6 in 100 · worse · likely 7.3–10.1%
Better than TXWorseAbout the sameTexas
Checkups & screenings

Keeping up with care

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

77%Yearly checkupTX 74%
55%Dentist visitTX 55%
87%Cholesterol checkTX 85%
65%Colon screeningTX 58%
70%MammogramTX 74%
79%Taking BP medsTX 74%
1 in 6
working-age adults has no health insurance
Smithville 15.5% · Texas 1 in 5 (19.1%)
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 7
Smithville adults worry about having enough food
15.2% · TX 19.3%
Better than TX
1 in 8
Smithville adults worry about keeping their housing
12.9% · TX 16.4%
Better than TX
1 in 11
Smithville adults were threatened with a utility shut-off
8.8% · TX 10.7%
Better than TX
1 in 12
Smithville adults lack reliable transportation
8.4% · TX 10.5%
Better than TX

11.6% of Smithville adults receive SNAP (food stamps), compared with 14.6% across Texas.

Getting care

Care in and near Smithville

1 hospital in Smithville, plus the nearest just outside it.

HNearest ERAscension Seton SmithvilleSmithville · 1.1 miDirections →
+Low-cost careBastrop Community Health CenterBastrop · 11.2 mi · sliding-scale feesDirections →
1.1 mi
Ascension Seton Smithville
Smithville · not rated
ERRural critical accessIn Smithville
11.2 mi
Bastrop Community Health Center
Bastrop · community health center
Sliding-scale fees
12.6 mi
Travis County Healthcare District
3 sites · nearest in Bastrop
Sliding-scale fees
Directions to nearest
38 mi
Ascension Seton Edgar B Davis
Luling · not rated
ERRural critical access
38.3 mi
Memorial Hospital
Gonzales · not rated
38.8 mi
Dell Children's Medical Center
Austin · not rated
ERChildren’s
✓ Primary careNo HRSA shortage area covers Smithville itself
✓ Dental careNo HRSA shortage area covers Smithville itself
✓ Mental healthNo HRSA shortage area covers Smithville 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 Smithville; ≈ 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 31%TX 27.8%
Sleep under 7 hours 34.1%TX 38.2%
Binge drink 15.7%TX 17%
Smoke cigarettes 15%TX 12.5%
0%10%20%30%40%
Smithville, betterSmithville, worseAbout the sameTexas
Where Smithville gets moving

0.2 miles of trails across 5 parks and preserves

Parks & trails →
Mind & connection

How Smithville adults are doing

On 1 of 3 measures, Smithville does better than Texas.

1 in 4Smithville adults lack social or emotional support
24.8% · TX 28.4% · Better than TX
1 in 4Smithville adults have been diagnosed with depression
23.8% · TX 21.2% · About the same as TX
1 in 6Smithville adults are in frequent mental distress
17.5% · TX 16.9% · About the same as 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

Smithville and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
SmithvilleC−40.9%14.7%15%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

35.3%

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

Walking or climbing stairs18.2%
Thinking or memory15.5%
Hearing8.4%
Errands alone9.6%
Vision6.3%
Dressing or bathing4.8%
Texas

Every CDC estimate for Smithville

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

On the 31 measures below that have a better and a worse direction, Smithville is better than Texas on 9 and worse on 9; on the rest, the Texas figure falls inside Smithville’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…SmithvilleTXU.S.vs TX
Overall health
Fair or poor health23.9%20.6–27.521.8%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)15.5%13.5–17.713.2%13%Worse
Frequent mental distress (mental health not good 14+ days a month)17.5%15.4–19.716.9%15.9%About the same
Conditions
Obesity40.9%33.4–48.735.6%32.9%About the same
Diabetes14.7%12.7–16.812.7%12%About the same
High blood pressure40.7%36.4–4533.1%34.4%Worse
High cholesterol (adults screened in 5 years)40.6%36.1–4535.1%37.1%Worse
Arthritis30%26.6–33.521.6%25.3%Worse
Asthma10.6%9.3–11.99.5%9.9%About the same
Cancer, other than skin cancer9.1%8.2–10.16.1%7.9%Worse
Coronary heart disease7.8%6.9–8.95.6%6.4%Worse
COPD8.6%7.3–10.15.7%6.3%Worse
Stroke4.3%3.8–4.83.2%3.4%Worse
Lost all teeth (ages 65+)17.4%14.3–20.912.5%12.3%Worse
Habits
Smoke cigarettes15%12.5–17.612.5%11.8%About the same
No exercise outside work31%26.1–36.327.8%24.7%About the same
Binge drinking15.7%12.9–18.617%15.4%About the same
Sleep under 7 hours34.1%28.2–40.438.2%36%About the same
Checkups and coverage
No health insurance (ages 18–64)15.5%13–18.319.1%11%Better
Checkup in the past year76.8%73.2–80.173.8%77.4%About the same
Dentist visit in the past year54.6%50.9–58.454.6%63.2%About the same
Cholesterol check in 5 years87%85.2–88.784.6%87.1%Better
Taking blood pressure medicine (adults with high blood pressure)79.4%76.6–81.874.1%76.5%Better
Colorectal cancer screening (ages 45–75)64.8%59.9–69.657.9%65.5%Better
Mammogram in 2 years (women 50–74)70.3%61.9–78.174.1%76.4%About the same
Mind and connection
Ever told they have depression23.8%20.2–27.521.2%20.6%About the same
Lack social and emotional support24.8%21.4–28.228.4%23.6%Better
Everyday needs
Worried about having enough food15.2%13.6–16.919.3%15%Better
Worried about keeping housing12.9%11.4–14.516.4%12%Better
Threatened with a utility shut-off8.8%7.7–9.910.7%7.6%Better
Lack reliable transportation8.4%7.6–9.210.5%7.9%Better
Received SNAP (food stamps)11.6%10.3–13.114.6%11.6%Lower
Disability
Any disability35.3%30.7–40.130.9%30.1%About the same
Difficulty walking or climbing stairs18.2%15.6–2114%13.6%Higher
Difficulty concentrating or remembering15.5%13.5–17.715.1%13.9%About the same
Hearing difficulty8.4%7.4–9.56.3%6.7%Higher
Vision difficulty6.3%5.5–7.16.1%5.4%About the same
Difficulty doing errands alone9.6%8.4–11.18.2%7.9%Higher
Difficulty dressing or bathing4.8%4.2–5.54%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 Smithville

Is Smithville a healthy place to live?

On seven CDC estimates for adults, Smithville is healthier than 23% of U.S. towns: ≈ C− for health, #418 of 641 in Texas. Among U.S. towns with similar household incomes it’s healthier than 34%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Smithville?

CDC estimates 40.9% of adults have obesity, likely between 33.4% and 48.7%, against 35.6% across Texas and 32.9% nationally.

What hospital is closest to Smithville?

Ascension Seton Smithville in Smithville, 1.1 miles in a straight line from Smithville’s center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.

How many people in Smithville have no health insurance?

CDC estimates 15.5% of adults ages 18–64 have no health insurance (likely 13–18.3%), 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 Smithville more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D to B.

Neighbors talk health

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

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.