Health · Big Sandy

Big Sandy, TX health

Big Sandy differs from Texas on 15 of 33 measures. It has fewer uninsured adults (14% vs 19.1%) and more adults treating high blood pressure (76.9% vs 74.1%). Where it trails the state: more adults with COPD (9.3% vs 5.7%).

CDC PLACES 2025 · adults 18+ · CDC's estimate for Big Sandy
TownTapestry Health GradeNew

Big Sandy’s Health Grade: C−

On seven CDC health estimates for adults, Big Sandy is healthier than 18% of U.S. towns, and than 65% of towns with similar incomes.

C-Self-rated healthC-Physical distressDMental distressC+ObesityCDiabetesC-SmokingC-Exercise
All U.S. towns we grade (19,420)Healthier than 18%
Less healthyHealthier
Texas towns we grade (1,011)Healthier than 26%
Towns with similar incomes, $31K–$52K (2,703)Healthier than 65%

Better than its income would suggest. Big Sandy is healthier than most towns with similar incomes, even though its overall grade is C−.

These are estimates. At the ends of CDC’s likely ranges, Big Sandy could be anywhere from D− to B−.
How the Health Grade works
  • Seven CDC estimates. Adults in fair or poor health, frequent physical distress, frequent mental distress, obesity, diabetes, smoking and no exercise (CDC PLACES, 2025 release). On each one a town earns the share of U.S. towns doing worse, and those shares are averaged. It’s the same score as our Healthiest towns in Texas ranking.
  • Graded on a national curve. Every U.S. town with 1,000+ residents and all seven estimates (19,420 places) is lined up by score: A+ top 5%A next 10%A- next 10%B B+ to B−, next 30%C C+ to C−, next 30%D D and D−, bottom 15%
  • Not adjusted for income. Wealthier towns are usually healthier, and the grade shows that as it is. The similar-incomes bar compares Big Sandy with U.S. towns whose median household income is within 25% of its own.
  • Modeled, not measured. CDC combines national survey answers with each area’s age, sex, race and income mix. Big Sandy uses CDC’s own estimate for it. High blood pressure is left out because it tracks age more than anything else. The confidence line recomputes the grade with every estimate at the low, then the high, end of its range.
Report card

How Big Sandy compares with Texas

Each theme counts how many of its measures are better, worse or too close to call against the state. Tap one to jump to it.

Chronic conditions

Out of every 100 Big Sandy adults…

38 of every 100 Big Sandy adults have high blood pressure
Texas: 33 in 100 · worse · margin 33.8–42.2%

Bars show Big Sandy; the black tick is Texas. Tap a condition to see it as people.

Habits

Everyday habits, side by side with the state

Big Sandy, betterBig Sandy, worseToo close to callTexas
Get no exerciseshare of adults 30.8% Big Sandy
TX 27.8%
Sleep under 7 hoursshare of adults 39.1% Big Sandy
TX 38.2%
Binge drinkshare of adults 16.4% Big Sandy
TX 17%
Smoke cigarettesshare of adults 17.7% Big Sandy
TX 12.5%
0%10%20%30%40%
Care & screenings

Keeping up with care

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

75%
Yearly checkup
TX 74%
50%
Dentist visit
TX 55%
83%
Cholesterol check
TX 85%
63%
Colon screening
TX 58%
70%
Mammogram
TX 74%
77%
Taking BP meds
TX 74%
1 in 7
working-age adults has no health insurance
Big Sandy 14% · Texas 1 in 5 (19.1%)
Mind & connection

How Big Sandy adults are doing

1 in 4Big Sandy adults have been diagnosed with depression
26% · Texas 21.2% · worse
1 in 5Big Sandy adults are in frequent mental distress
20.6% · Texas 16.9% · worse
Disability

Living with a disability

37.4%

of Big Sandy adults live with a disability (Texas 30.9%). Thinking or memory is the most common.

Walking or climbing stairs18.2%
Thinking or memory18.6%
Hearing8%
Errands alone11.3%
Vision6.6%
Dressing or bathing5.1%

Black tick: Texas. Shown without a better/worse judgment.

Getting care

Care in and near Big Sandy

No hospital or community health center in Big Sandy itself. These are the nearest.

HNearest ERUniversity of Texas Health Science Center at TylerTyler · 13 miDirections →
★Best rated nearbyBaylor Scott & White Texas Spine & Joint Hospital★★★★★ · 20.8 miDirections →
+Low-cost careCore Health Systems - GilmerGilmer · 14.2 mi · sliding-scale feesDirections →
13 mi
University of Texas Health Science Center at Tyler
Tyler · ★★★★★
ER
14.2 mi
Core Health Systems - Gilmer
Gilmer · community health center
Sliding-scale fees
14.2 mi
Longview Wellness Center
3 sites · nearest in Gilmer
Sliding-scale fees
Directions to nearest
19.8 mi
Christus Mother Frances Hospital
Tyler · ★★★★★
ER
20 mi
Ut Health East Texas Tyler Regional Hospital
Tyler · ★★★★★
ER
20.8 mi
Baylor Scott & White Texas Spine & Joint Hospital
Tyler · ★★★★★
ER
! Primary careBig Sandy's county is a federal shortage area for some residents.Low-income residents, Upshur County · need score 16 of 25
! Dental careBig Sandy's county is a federal shortage area for some residents.Low-income residents, Upshur County · need score 16 of 25
! Mental healthBig Sandy's county is a federal shortage area for some residents.Low-income residents, Upshur County · need score 17 of 25

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 Big Sandy. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 33 measures for Big Sandy
MeasureBig SandyMarginTexas
Chronic conditions
High blood pressure37.8%33.8–42.2%33.1%worse
High cholesterol37%32.9–41.8%35.1%about the same
Obesity37.7%30.1–47%35.6%about the same
Arthritis28.2%25.1–31.7%21.6%worse
Depression26%22.2–30.5%21.2%worse
Lost all teeth (65+)18.2%15.1–21.7%12.5%worse
Asthma11.6%10.2–13.1%9.5%worse
Cancer (not skin)8%7.2–8.9%6.1%worse
Diabetes13.4%11.7–15.3%12.7%about the same
COPD9.3%8.1–10.6%5.7%worse
Heart disease7.3%6.5–8.2%5.6%worse
Stroke4.3%3.8–4.7%3.2%worse
Habits
Smoke cigarettes17.7%15–20.8%12.5%worse
Binge drink16.4%13.7–20%17%about the same
Get no exercise30.8%25.9–36.2%27.8%about the same
Sleep under 7 hours39.1%32.2–46.4%38.2%about the same
Care & screenings
Yearly checkup74.5%70.7–78.5%73.8%about the same
Dentist visit50.3%46.6–54.1%54.6%worse
Cholesterol check83.4%81.1–85.6%84.6%about the same
Colon screening62.5%57.4–67.5%57.9%about the same
Mammogram69.8%61.4–77.7%74.1%about the same
Taking BP meds76.9%74.2–79.6%74.1%better
No health insurance14%11.5–16.8%19.1%better
Mind & connection
Frequent mental distress20.6%18.3–23.3%16.9%worse
Fair or poor health24.9%21.5–28.5%21.8%about the same
Frequent physical distress16%14–18.3%13.2%worse
Disability
Any disability37.4%32.6–42.7%30.9%
Walking or climbing stairs18.2%15.7–20.9%14%
Thinking or memory18.6%16.1–21.4%15.1%
Hearing8%7.1–9.1%6.3%
Vision6.6%5.8–7.3%6.1%
Dressing or bathing5.1%4.5–5.8%4%
Errands alone11.3%9.8–12.8%8.2%
About these numbers

How CDC estimates town health

They're modeled estimatesCDC combines a large national health survey with each area's age, sex, race and income mix to estimate local rates. Nobody surveyed Big Sandy door to door.
Close calls stay grayEvery figure has a margin of error. When the Texas figure falls inside it, we don't call Big Sandy better or worse.
CDC's own town estimateCDC publishes Big Sandy directly, so these are its own figures.

CDC PLACES: Local Data for Better Health, 2025 release. The Texas figure combines its counties, weighted by adult population.

Health estimates: CDC PLACES. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. Town boundaries: U.S. Census Bureau.

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Boundary source: https://tigerweb.geo.census.gov/arcgis/rest/services/TIGERweb/Places_CouSub_ConCity_SubMCD/MapServer/18 · 2025-01-01