Health · Preston

Preston, TX health

Preston differs from Texas on 15 of 33 measures. It has fewer uninsured adults (10.2% vs 19.1%) and more adults screened for colon cancer (68% vs 57.9%). Where it trails the state: more adults who have had cancer (11.9% vs 6.1%).

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

Preston’s Health Grade: C+

On seven CDC health estimates for adults, Preston is healthier than 38% of U.S. towns and 56% of Texas towns.

CSelf-rated healthCPhysical distressB+Mental distressB+ObesityDDiabetesC+SmokingCExercise
All U.S. towns we grade (19,420)Healthier than 38%
Less healthyHealthier
Texas towns we grade (1,011)Healthier than 56%
Towns with similar incomes, $49K–$81K (9,113)Healthier than 52%

About what its income would suggest. Preston does about as well against towns with similar incomes as against all towns.

These are estimates. At the ends of CDC’s likely ranges, Preston 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 Preston 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. Preston 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 Preston 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 Preston adults…

44 of every 100 Preston adults have high blood pressure
Texas: 33 in 100 · worse · margin 39.5–48.9%

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

Habits

Everyday habits, side by side with the state

Preston, betterPreston, worseToo close to callTexas
Get no exerciseshare of adults 28.5% Preston
TX 27.8%
Sleep under 7 hoursshare of adults 37.1% Preston
TX 38.2%
Binge drinkshare of adults 14.4% Preston
TX 17%
Smoke cigarettesshare of adults 15.1% Preston
TX 12.5%
0%10%20%30%40%
Care & screenings

Keeping up with care

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

79%
Yearly checkup
TX 74%
61%
Dentist visit
TX 55%
90%
Cholesterol check
TX 85%
68%
Colon screening
TX 58%
75%
Mammogram
TX 74%
82%
Taking BP meds
TX 74%
1 in 10
working-age adults has no health insurance
Preston 10.2% · Texas 1 in 5 (19.1%)
Mind & connection

How Preston adults are doing

1 in 4Preston adults have been diagnosed with depression
23.4% · Texas 21.2% · too close to call
1 in 6Preston adults are in frequent mental distress
16.2% · Texas 16.9% · too close to call
Disability

Living with a disability

36%

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

Walking or climbing stairs18.9%
Thinking or memory14%
Hearing10.3%
Errands alone8.9%
Vision5.4%
Dressing or bathing4.5%

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

Getting care

Care in and near Preston

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

HNearest ERTexoma Medical CenterDenison · 7.3 miDirections →
★Best rated nearbyBaylor Scott and White Surgical Hospital at Sherma★★★★★ · 13.5 miDirections →
+Low-cost careFamily Health Center of Southern OklahomaKingston · 9.8 mi · sliding-scale feesDirections →
7.3 mi
Texoma Medical Center
Denison · ★★★★★
ER
9.8 mi
Family Health Center of Southern Oklahoma
2 sites · nearest in Kingston
Sliding-scale fees
Directions to nearest
13.5 mi
Baylor Scott and White Surgical Hospital at Sherma
Sherman · ★★★★★
ER
15.8 mi
Wilson N Jones Regional Medical Center
Sherman · ★★★★★
ER
16.9 mi
Alliancehealth Madill
Madill · not rated
ERRural critical access
34.4 mi
Good Shepherd Community Clinic
5 sites · nearest in Ardmore
Sliding-scale fees
Directions to nearest
! Primary carePreston's county is a federal shortage area for some residents.Low-income residents, Grayson County · need score 14 of 25
! Dental carePreston's county is a federal shortage area for some residents.Low-income residents, Grayson County · need score 14 of 25
! Mental healthPreston's county is a federal shortage area for some residents.Low-income residents, Grayson 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 Preston. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 33 measures for Preston
MeasurePrestonMarginTexas
Chronic conditions
High blood pressure44.3%39.5–48.9%33.1%worse
High cholesterol44.8%39.9–49.6%35.1%worse
Obesity33.8%26–41.8%35.6%about the same
Arthritis34.8%30.9–38.7%21.6%worse
Depression23.4%20–27.2%21.2%about the same
Lost all teeth (65+)13%10.5–15.8%12.5%about the same
Asthma10.3%9.1–11.6%9.5%about the same
Cancer (not skin)11.9%10.7–13.2%6.1%worse
Diabetes15.6%13.4–18%12.7%worse
COPD9.8%8.3–11.6%5.7%worse
Heart disease9.6%8.4–10.9%5.6%worse
Stroke4.8%4.2–5.4%3.2%worse
Habits
Smoke cigarettes15.1%12.3–18.1%12.5%about the same
Binge drink14.4%11.7–17.3%17%about the same
Get no exercise28.5%23.1–34%27.8%about the same
Sleep under 7 hours37.1%30.3–44.2%38.2%about the same
Care & screenings
Yearly checkup79.4%75.8–82.5%73.8%better
Dentist visit61.1%57.2–64.9%54.6%better
Cholesterol check89.6%88–91%84.6%better
Colon screening68%62.7–72.9%57.9%better
Mammogram75%66.7–82%74.1%about the same
Taking BP meds82.1%79.1–84.7%74.1%better
No health insurance10.2%8.2–12.5%19.1%better
Mind & connection
Frequent mental distress16.2%14.1–18.3%16.9%about the same
Fair or poor health22%18.5–25.7%21.8%about the same
Frequent physical distress15.8%13.6–18.1%13.2%worse
Disability
Any disability36%30.9–41.1%30.9%
Walking or climbing stairs18.9%15.9–21.9%14%
Thinking or memory14%12.1–16.1%15.1%
Hearing10.3%9.1–11.6%6.3%
Vision5.4%4.7–6.3%6.1%
Dressing or bathing4.5%3.9–5.2%4%
Errands alone8.9%7.6–10.3%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 Preston door to door.
Close calls stay grayEvery figure has a margin of error. When the Texas figure falls inside it, we don't call Preston better or worse.
CDC's own town estimateCDC publishes Preston 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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