Counties in Texas by high blood pressure in adults, local model estimate

Jeff Davis County had the highest high blood pressure in adults, local model estimate of 254 counties in 2021, at 49%. Travis County had the lowest, at 25.8%. The median was 37.3%. Source: the Centers for Disease Control and Prevention.

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Lowest25.8Travis County
Median37.3254 counties

Map of counties, 2021

Anderson County: 38.5 %Andrews County: 31 %Angelina County: 40 %Aransas County: 40.8 %Archer County: 38 %Armstrong County: 36.7 %Atascosa County: 34 %Austin County: 37.3 %Bailey County: 33.7 %Bandera County: 42.3 %Bastrop County: 34.4 %Baylor County: 39.6 %Bee County: 34.4 %Bell County: 31.3 %Bexar County: 31.1 %Blanco County: 38.7 %Borden County: 36.8 %Bosque County: 41 %Bowie County: 38.4 %Brazoria County: 35 %Brazos County: 26.7 %Brewster County: 37 %Briscoe County: 44.1 %Brooks County: 38.5 %Brown County: 37.8 %Burleson County: 38.6 %Burnet County: 38.6 %Caldwell County: 34.9 %Calhoun County: 35.6 %Callahan County: 35.8 %Cameron County: 34.8 %Camp County: 40 %Carson County: 35.6 %Cass County: 43.5 %Castro County: 34.8 %Chambers County: 31.7 %Cherokee County: 38.7 %Childress County: 34.3 %Clay County: 38.5 %Cochran County: 40.2 %Coke County: 41.3 %Coleman County: 42.4 %Collin County: 30.2 %Collingsworth County: 39.9 %Colorado County: 39.9 %Comal County: 33.4 %Comanche County: 40 %Concho County: 42 %Cooke County: 37.8 %Coryell County: 31.7 %Cottle County: 44.8 %Crane County: 31.5 %Crockett County: 35 %Crosby County: 38.6 %Culberson County: 40.3 %Dallam County: 35.5 %Dallas County: 32.5 %Dawson County: 36.1 %Deaf Smith County: 33.5 %Delta County: 39.1 %Denton County: 29.6 %DeWitt County: 39.7 %Dickens County: 42.6 %Dimmit County: 41.1 %Donley County: 38.6 %Duval County: 36.7 %Eastland County: 40.4 %Ector County: 30.4 %Edwards County: 44.5 %Ellis County: 33.2 %El Paso County: 33.1 %Erath County: 30.4 %Falls County: 40.8 %Fannin County: 37.6 %Fayette County: 40.2 %Fisher County: 39.1 %Floyd County: 36.5 %Foard County: 45.8 %Fort Bend County: 31.8 %Franklin County: 37 %Freestone County: 39.9 %Frio County: 33 %Gaines County: 31.5 %Galveston County: 33.7 %Garza County: 30.9 %Gillespie County: 39.5 %Glasscock County: 32.6 %Goliad County: 38.8 %Gonzales County: 37.2 %Gray County: 37.7 %Grayson County: 35.4 %Gregg County: 37.5 %Grimes County: 39.8 %Guadalupe County: 33.5 %Hale County: 34.9 %Hall County: 42 %Hamilton County: 41.9 %Hansford County: 35.9 %Hardeman County: 38 %Hardin County: 37.5 %Harris County: 32.1 %Harrison County: 38 %Hartley County: 33 %Haskell County: 39.5 %Hays County: 29.3 %Hemphill County: 33.2 %Henderson County: 41 %Hidalgo County: 32.9 %Hill County: 38.9 %Hockley County: 35.2 %Hood County: 36.8 %Hopkins County: 37.8 %Houston County: 43.2 %Howard County: 34.2 %Hudspeth County: 33.2 %Hunt County: 36 %Hutchinson County: 35.7 %Irion County: 38.2 %Jack County: 37.4 %Jackson County: 37.6 %Jasper County: 44.3 %Jeff Davis County: 49 %Jefferson County: 39 %Jim Hogg County: 38.7 %Jim Wells County: 35.6 %Johnson County: 33 %Jones County: 35.9 %Karnes County: 34.9 %Kaufman County: 31.9 %Kendall County: 33.2 %Kenedy County: 41.3 %Kent County: 38.7 %Kerr County: 39.2 %Kimble County: 43.1 %King County: 43.7 %Kinney County: 39.2 %Kleberg County: 31.1 %Knox County: 40 %Lamar County: 40 %Lamb County: 38.1 %Lampasas County: 37.8 %La Salle County: 30.5 %Lavaca County: 40.8 %Lee County: 40.4 %Leon County: 43.1 %Liberty County: 35.6 %Limestone County: 42 %Lipscomb County: 36.1 %Live Oak County: 39 %Llano County: 42.4 %Loving County: 29.1 %Lubbock County: 30.5 %Lynn County: 37.1 %McCulloch County: 40.5 %McLennan County: 33.2 %McMullen County: 42.4 %Madison County: 35 %Marion County: 47.3 %Martin County: 31.7 %Mason County: 38.7 %Matagorda County: 38 %Maverick County: 33.4 %Medina County: 33.9 %Menard County: 44 %Midland County: 29.1 %Milam County: 39.6 %Mills County: 40.3 %Mitchell County: 34.2 %Montague County: 38.7 %Montgomery County: 31.4 %Moore County: 32.9 %Morris County: 42 %Motley County: 42.1 %Nacogdoches County: 35.3 %Navarro County: 38.4 %Newton County: 44.9 %Nolan County: 38.9 %Nueces County: 34.8 %Ochiltree County: 33.2 %Oldham County: 35 %Orange County: 35.6 %Palo Pinto County: 39.4 %Panola County: 40.2 %Parker County: 33.7 %Parmer County: 34.3 %Pecos County: 35.2 %Polk County: 40.1 %Potter County: 36.7 %Presidio County: 44.8 %Rains County: 40.4 %Randall County: 32 %Reagan County: 31 %Real County: 46.6 %Red River County: 45.1 %Reeves County: 33.7 %Refugio County: 40.1 %Roberts County: 36.4 %Robertson County: 41.3 %Rockwall County: 31.7 %Runnels County: 38.4 %Rusk County: 37.4 %Sabine County: 47.5 %San Augustine County: 47 %San Jacinto County: 41.7 %San Patricio County: 35 %San Saba County: 38.1 %Schleicher County: 36.1 %Scurry County: 35 %Shackelford County: 36.3 %Shelby County: 41.4 %Sherman County: 35 %Smith County: 37.4 %Somervell County: 35.5 %Starr County: 35.3 %Stephens County: 37 %Sterling County: 32.5 %Stonewall County: 41.9 %Sutton County: 37.8 %Swisher County: 39 %Tarrant County: 32.7 %Taylor County: 32.2 %Terrell County: 45.5 %Terry County: 37.5 %Throckmorton County: 42.7 %Titus County: 37 %Tom Green County: 33.5 %Travis County: 25.8 %Trinity County: 45.1 %Tyler County: 40.7 %Upshur County: 39.1 %Upton County: 34.6 %Uvalde County: 33.8 %Val Verde County: 33 %Van Zandt County: 38.3 %Victoria County: 35.4 %Walker County: 35.3 %Waller County: 30.3 %Ward County: 35 %Washington County: 39.1 %Webb County: 30.4 %Wharton County: 37.3 %Wheeler County: 40.2 %Wichita County: 36.5 %Wilbarger County: 39.6 %Willacy County: 36.5 %Williamson County: 29.9 %Wilson County: 34.2 %Winkler County: 32.9 %Wise County: 34.4 %Wood County: 41.4 %Yoakum County: 32.1 %Young County: 37.9 %Zapata County: 36 %Zavala County: 38.1 %
  • Under 33
  • 33 to 35
  • 35 to 37
  • 37 to 39
  • 39 to 41
  • 41 and over
%, 2021. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2021

Jeff Davis County: 49 %Jeff Davis County49Sabine County: 47.5 %Sabine County47.5Marion County: 47.3 %Marion County47.3San Augustine County: 47 %San Augustine County47Real County: 46.6 %Real County46.6Foard County: 45.8 %Foard County45.8Terrell County: 45.5 %Terrell County45.5Red River County: 45.1 %Red River County45.1Trinity County: 45.1 %Trinity County45.1Newton County: 44.9 %Newton County44.9Cottle County: 44.8 %Cottle County44.8Presidio County: 44.8 %Presidio County44.8Edwards County: 44.5 %Edwards County44.5Jasper County: 44.3 %Jasper County44.3Briscoe County: 44.1 %Briscoe County44.1Menard County: 44 %Menard County44King County: 43.7 %King County43.7Cass County: 43.5 %Cass County43.5Houston County: 43.2 %Houston County43.2Kimble County: 43.1 %Kimble County43.1Leon County: 43.1 %Leon County43.1Throckmorton County: 42.7 %Throckmorton County42.7Dickens County: 42.6 %Dickens County42.6Coleman County: 42.4 %Coleman County42.4Llano County: 42.4 %Llano County42.4McMullen County: 42.4 %McMullen County42.4Bandera County: 42.3 %Bandera County42.3Motley County: 42.1 %Motley County42.1Concho County: 42 %Concho County42Hall County: 42 %Hall County42Limestone County: 42 %Limestone County42Morris County: 42 %Morris County42Hamilton County: 41.9 %Hamilton County41.9Stonewall County: 41.9 %Stonewall County41.9San Jacinto County: 41.7 %San Jacinto County41.7Shelby County: 41.4 %Shelby County41.4Wood County: 41.4 %Wood County41.4Coke County: 41.3 %Coke County41.3Kenedy County: 41.3 %Kenedy County41.3Robertson County: 41.3 %Robertson County41.3Jeff Davis County: 49 %Jeff Davis County49Sabine County: 47.5 %Sabine County47.5Marion County: 47.3 %Marion County47.3San Augustine County: 47 %San Augustine County47Real County: 46.6 %Real County46.6Foard County: 45.8 %Foard County45.8Terrell County: 45.5 %Terrell County45.5Red River County: 45.1 %Red River County45.1Trinity County: 45.1 %Trinity County45.1Newton County: 44.9 %Newton County44.9Cottle County: 44.8 %Cottle County44.8Presidio County: 44.8 %Presidio County44.8Edwards County: 44.5 %Edwards County44.5Jasper County: 44.3 %Jasper County44.3Briscoe County: 44.1 %Briscoe County44.1Menard County: 44 %Menard County44King County: 43.7 %King County43.7Cass County: 43.5 %Cass County43.5Houston County: 43.2 %Houston County43.2Kimble County: 43.1 %Kimble County43.1Leon County: 43.1 %Leon County43.1Throckmorton County: 42.7 %Throckmorton County42.7Dickens County: 42.6 %Dickens County42.6Coleman County: 42.4 %Coleman County42.4Llano County: 42.4 %Llano County42.4McMullen County: 42.4 %McMullen County42.4Bandera County: 42.3 %Bandera County42.3Motley County: 42.1 %Motley County42.1Concho County: 42 %Concho County42Hall County: 42 %Hall County42Limestone County: 42 %Limestone County42Morris County: 42 %Morris County42Hamilton County: 41.9 %Hamilton County41.9Stonewall County: 41.9 %Stonewall County41.9San Jacinto County: 41.7 %San Jacinto County41.7Shelby County: 41.4 %Shelby County41.4Wood County: 41.4 %Wood County41.4Coke County: 41.3 %Coke County41.3Kenedy County: 41.3 %Kenedy County41.3Robertson County: 41.3 %Robertson County41.3
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Jeff Davis County49
2Sabine County47.5
3Marion County47.3
4San Augustine County47
5Real County46.6
6Foard County45.8
7Terrell County45.5
8Red River County45.1
8Trinity County45.1
10Newton County44.9
11Cottle County44.8
11Presidio County44.8
13Edwards County44.5
14Jasper County44.3
15Briscoe County44.1
16Menard County44
17King County43.7
18Cass County43.5
19Houston County43.2
20Kimble County43.1
20Leon County43.1
22Throckmorton County42.7
23Dickens County42.6
24Coleman County42.4
24Llano County42.4
24McMullen County42.4
27Bandera County42.3
28Motley County42.1
29Concho County42
29Hall County42
29Limestone County42
29Morris County42
33Hamilton County41.9
33Stonewall County41.9
35San Jacinto County41.7
36Shelby County41.4
36Wood County41.4
38Coke County41.3
38Kenedy County41.3
38Robertson County41.3
41Dimmit County41.1
42Bosque County41
42Henderson County41
44Aransas County40.8
44Falls County40.8
44Lavaca County40.8
47Tyler County40.7
48McCulloch County40.5
49Eastland County40.4
49Lee County40.4
49Rains County40.4
52Culberson County40.3
52Mills County40.3
54Cochran County40.2
54Fayette County40.2
54Panola County40.2
54Wheeler County40.2
58Polk County40.1
58Refugio County40.1
60Angelina County40
60Camp County40
60Comanche County40
60Knox County40
60Lamar County40
65Collingsworth County39.9
65Colorado County39.9
65Freestone County39.9
68Grimes County39.8
69DeWitt County39.7
70Baylor County39.6
70Milam County39.6
70Wilbarger County39.6
73Gillespie County39.5
73Haskell County39.5
75Palo Pinto County39.4
76Kerr County39.2
76Kinney County39.2
78Delta County39.1
78Fisher County39.1
78Upshur County39.1
78Washington County39.1
82Jefferson County39
82Live Oak County39
82Swisher County39
85Hill County38.9
85Nolan County38.9
87Goliad County38.8
88Blanco County38.7
88Cherokee County38.7
88Jim Hogg County38.7
88Kent County38.7
88Mason County38.7
88Montague County38.7
94Burleson County38.6
94Burnet County38.6
94Crosby County38.6
94Donley County38.6
98Anderson County38.5
98Brooks County38.5
98Clay County38.5
101Bowie County38.4
101Navarro County38.4
101Runnels County38.4
104Van Zandt County38.3
105Irion County38.2
106Lamb County38.1
106San Saba County38.1
106Zavala County38.1
109Archer County38
109Hardeman County38
109Harrison County38
109Matagorda County38
113Young County37.9
114Brown County37.8
114Cooke County37.8
114Hopkins County37.8
114Lampasas County37.8
114Sutton County37.8
119Gray County37.7
120Fannin County37.6
120Jackson County37.6
122Gregg County37.5
122Hardin County37.5
122Terry County37.5
125Jack County37.4
125Rusk County37.4
125Smith County37.4
128Austin County37.3
128Wharton County37.3
130Gonzales County37.2
131Lynn County37.1
132Brewster County37
132Franklin County37
132Stephens County37
132Titus County37
136Borden County36.8
136Hood County36.8
138Armstrong County36.7
138Duval County36.7
138Potter County36.7
141Floyd County36.5
141Wichita County36.5
141Willacy County36.5
144Roberts County36.4
145Shackelford County36.3
146Dawson County36.1
146Lipscomb County36.1
146Schleicher County36.1
149Hunt County36
149Zapata County36
151Hansford County35.9
151Jones County35.9
153Callahan County35.8
154Hutchinson County35.7
155Calhoun County35.6
155Carson County35.6
155Jim Wells County35.6
155Liberty County35.6
155Orange County35.6
160Dallam County35.5
160Somervell County35.5
162Grayson County35.4
162Victoria County35.4
164Nacogdoches County35.3
164Starr County35.3
164Walker County35.3
167Hockley County35.2
167Pecos County35.2
169Brazoria County35
169Crockett County35
169Madison County35
169Oldham County35
169San Patricio County35
169Scurry County35
169Sherman County35
169Ward County35
177Caldwell County34.9
177Hale County34.9
177Karnes County34.9
180Cameron County34.8
180Castro County34.8
180Nueces County34.8
183Upton County34.6
184Bastrop County34.4
184Bee County34.4
184Wise County34.4
187Childress County34.3
187Parmer County34.3
189Howard County34.2
189Mitchell County34.2
189Wilson County34.2
192Atascosa County34
193Medina County33.9
194Uvalde County33.8
195Bailey County33.7
195Galveston County33.7
195Parker County33.7
195Reeves County33.7
199Deaf Smith County33.5
199Guadalupe County33.5
199Tom Green County33.5
202Comal County33.4
202Maverick County33.4
204Ellis County33.2
204Hemphill County33.2
204Hudspeth County33.2
204Kendall County33.2
204McLennan County33.2
204Ochiltree County33.2
210El Paso County33.1
211Frio County33
211Hartley County33
211Johnson County33
211Val Verde County33
215Hidalgo County32.9
215Moore County32.9
215Winkler County32.9
218Tarrant County32.7
219Glasscock County32.6
220Dallas County32.5
220Sterling County32.5
222Taylor County32.2
223Harris County32.1
223Yoakum County32.1
225Randall County32
226Kaufman County31.9
227Fort Bend County31.8
228Chambers County31.7
228Coryell County31.7
228Martin County31.7
228Rockwall County31.7
232Crane County31.5
232Gaines County31.5
234Montgomery County31.4
235Bell County31.3
236Bexar County31.1
236Kleberg County31.1
238Andrews County31
238Reagan County31
240Garza County30.9
241La Salle County30.5
241Lubbock County30.5
243Ector County30.4
243Erath County30.4
243Webb County30.4
246Waller County30.3
247Collin County30.2
248Williamson County29.9
249Denton County29.6
250Hays County29.3

Showing the top 250 of 254. The Excel download has every row.

Other periods

About this ranking

Percentage of adults who have ever been told by a doctor, nurse or other health professional that they have high blood pressure. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2021; its eight former counties are not served. The question is asked in odd years only.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence (Counties in Texas by high blood pressure in adults, local model estimate, 2021) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence, Counties in Texas by high blood pressure in adults, local model estimate, 2021. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-high-blood-pressure-rate-county-estimate/texas-counties?period=2021. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence. Counties in Texas by high blood pressure in adults, local model estimate, 2021. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-high-blood-pressure-rate-county-estimate/texas-counties?period=2021.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence, Counties in Texas by high blood pressure in adults, local model estimate, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-high-blood-pressure-rate-county-estimate/texas-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_texas_by_2021,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence: Counties in Texas by high blood pressure in adults, local model estimate, 2021}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-high-blood-pressure-rate-county-estimate/texas-counties?period=2021. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence: Counties in Texas by high blood pressure in adults, local model estimate, 2021
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-high-blood-pressure-rate-county-estimate/texas-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-high-blood-pressure-rate-county-estimate/texas-counties?period=2021.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  - 
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Rank Counties in Texas by high blood pressure in adults, local model estimate using official data, and cite the source.
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Questions

Which county has the highest high blood pressure in adults, local model estimate?

Jeff Davis County, with 49% in 2021, according to the Centers for Disease Control and Prevention.

Which county has the lowest high blood pressure in adults, local model estimate?

Travis County, with 25.8% in 2021.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence. Retrieved 2026-10-12.

High blood pressure in adults, local model estimate: other rankings

Counties in Texas: more rankings