Counties with the highest rates of high blood pressure in Texas
Photo Illustration by Stacker // Canva
Counties with the highest rates of high blood pressure in Texas
Nearly half of Americans live with high blood pressure. High blood pressure, or hypertension, contributed to nearly 700,000 deaths in 2021 and is a major risk factor for heart disease and stroke.
Stacker used data from the Centers for Disease Control and Prevention to examine the counties with the highest rates of high blood pressure in Texas as of 2021. Ties are broken by the share of the population on blood pressure medication. For counties that ranked in the top 200 nationally, their national rank for high blood pressure prevalence is also included.
The Southeast has the highest rates of high blood pressure. Racial disparities underscore these geographical trends, as about 40% of Black people across the U.S. have high blood pressure. Social determinants of health, including access to health care and fresh foods, have contributed to higher rates.
Guidelines for doctors have also limited the types of high blood pressure medication available to Black patients, a paradigm which is now starting to shift as recent studies have pointed out the flaws of race-based prescribing for hypertension.
Emma Rubin // Stacker
State-level statistics
The American Heart Association and the American College of Cardiology in 2017 updated high blood pressure guidelines for the first time since 2003. Any reading of 130/80 and above is now considered hypertensive.
Blood pressure is measured using two numbers: systolic and diastolic pressure. The systolic reading examines the arteries when the heart is beating, while the diastolic reading examines them while the heart rests. Normal blood pressure is below 120/80.
Diet is a major driver of high blood pressure, with salty foods and low-potassium diets connected to hypertension. Other lifestyle choices play a part, too, including drinking and smoking. The CDC says heredity also likely plays some role in hypertension risk.
For people who have hypertension, limiting high-risk foods and behaviors, taking medication recommended by doctors, and regularly monitoring their blood pressure with a cuff can prevent more severe incidents.
Read on to see the counties in Texas with the highest rates of hypertension.
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#25. Nacogdoches County
– Adults with high blood pressure: 35.9%
– Adults on medication for high blood pressure: 22.1% (61.5% of those with high blood pressure)
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#24. Bowie County
– Adults with high blood pressure: 36.0%
– Adults on medication for high blood pressure: 22.2% (61.6% of those with high blood pressure)
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#23. Dawson County
– Adults with high blood pressure: 36.1%
– Adults on medication for high blood pressure: 21.9% (60.8% of those with high blood pressure)
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#22. Cottle County
– Adults with high blood pressure: 36.1%
– Adults on medication for high blood pressure: 22.3% (61.7% of those with high blood pressure)
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#21. Limestone County
– Adults with high blood pressure: 36.2%
– Adults on medication for high blood pressure: 22.0% (60.8% of those with high blood pressure)
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#20. Zavala County
– Adults with high blood pressure: 36.2%
– Adults on medication for high blood pressure: 22.2% (61.2% of those with high blood pressure)
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#19. Cass County
– Adults with high blood pressure: 36.2%
– Adults on medication for high blood pressure: 22.3% (61.5% of those with high blood pressure)
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#18. Willacy County
– Adults with high blood pressure: 36.4%
– Adults on medication for high blood pressure: 22.1% (60.6% of those with high blood pressure)
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#17. Starr County
– Adults with high blood pressure: 36.4%
– Adults on medication for high blood pressure: 22.2% (60.9% of those with high blood pressure)
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#16. Marion County
– Adults with high blood pressure: 36.6%
– Adults on medication for high blood pressure: 22.6% (61.7% of those with high blood pressure)
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#15. Hudspeth County
– Adults with high blood pressure: 36.7%
– Adults on medication for high blood pressure: 22.1% (60.1% of those with high blood pressure)
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#14. Anderson County
– Adults with high blood pressure: 36.8%
– Adults on medication for high blood pressure: 22.4% (60.9% of those with high blood pressure)
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#13. Angelina County
– Adults with high blood pressure: 36.8%
– Adults on medication for high blood pressure: 22.8% (61.9% of those with high blood pressure)
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#12. Shelby County
– Adults with high blood pressure: 36.9%
– Adults on medication for high blood pressure: 22.6% (61.3% of those with high blood pressure)
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#11. Jefferson County
– Adults with high blood pressure: 37.0%
– Adults on medication for high blood pressure: 22.8% (61.6% of those with high blood pressure)
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#10. Falls County
– Adults with high blood pressure: 37.0%
– Adults on medication for high blood pressure: 23.1% (62.3% of those with high blood pressure)
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#9. Houston County
– Adults with high blood pressure: 37.1%
– Adults on medication for high blood pressure: 23.0% (62.0% of those with high blood pressure)
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#8. Cochran County
– Adults with high blood pressure: 37.2%
– Adults on medication for high blood pressure: 22.7% (60.9% of those with high blood pressure)
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#7. Swisher County
– Adults with high blood pressure: 37.2%
– Adults on medication for high blood pressure: 22.8% (61.2% of those with high blood pressure)
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#6. Jasper County
– Adults with high blood pressure: 37.4%
– Adults on medication for high blood pressure: 23.2% (61.9% of those with high blood pressure)
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#5. Presidio County
– Adults with high blood pressure: 37.6%
– Adults on medication for high blood pressure: 23.1% (61.5% of those with high blood pressure)
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#4. Walker County
– Adults with high blood pressure: 37.6%
– Adults on medication for high blood pressure: 23.2% (61.7% of those with high blood pressure)
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#3. Newton County
– Adults with high blood pressure: 37.8%
– Adults on medication for high blood pressure: 23.2% (61.5% of those with high blood pressure)
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#2. Dimmit County
– Adults with high blood pressure: 38.1%
– Adults on medication for high blood pressure: 23.8% (62.5% of those with high blood pressure)
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#1. San Augustine County
– Adults with high blood pressure: 38.1%
– Adults on medication for high blood pressure: 23.9% (62.6% of those with high blood pressure)
This story features data reporting and writing by Emma Rubin and is part of a series utilizing data automation across 49 states.
