04:39am Wednesday 23 October 2019

Obesity, diabetes biggest health threats in South Texas

The South Texas Health Status Review, originally self-published in 2008, was updated this year to study more than 35 health conditions and risk factors and how people in South Texas may be differently affected than those in the rest of Texas or nation.

Other major health concerns
In addition to singling out diabetes and obesity, the report also indicates that the South Texas region faces higher rates than the rest of Texas or nation for:

  • Cervical, liver, stomach and gallbladder cancers
  • Child and adolescent leukemia
  • Neural tube defects
  • Other birth defects
  • Tuberculosis
  • Chlamydia
  • Childhood lead poisoning
Amelie Ramirez, Dr.P.H., is lead editor of The South Texas Health Status Review  and director of the Institute for Health Promotion Research at the UT Health Science Center San Antonio. clear graphic
Amelie Ramirez, Dr.P.H., is lead editor of The South Texas Health Status Review and director of the Institute for Health Promotion Research at the UT Health Science Center San Antonio. clear graphic


“The Review is a roadmap of the health inequalities that burden South Texas residents, especially Hispanics, compared with the rest of Texas and nation,” said Amelie G. Ramirez, Dr.P.H., lead editor of the Review and director of the IHPR at the Health Science Center. “We hope this knowledge motivates researchers and public health leaders to create and shape interventions to reverse those inequalities.”

South Texas, a 38-county region spanning 45,000 square miles along the Texas-Mexico border and northward up to Bexar County, is home to 18 percent of the state’s population.

South Texas residents, who are predominantly Hispanics, struggle with lower educational levels, lower incomes and less access to health care.

Statewide collaboration
To chart the health status of the region, Dr. Ramirez teamed up with the Texas Department of State Health Services with support from the Health Science Center’s Regional Academic Health Center (RAHC), represented by Regional Dean Leonel Vela, M.D., M.P.H., and the Health Science Center’s Cancer Therapy and Research Center (CTRC), represented by Director Ian M. Thompson Jr., M.D.

The team analyzed county, state and national data to compare South Texas’ incidence, prevalence and mortality rates for more than 35 health indicators ― from communicable diseases like HIV/AIDS to cancers to maternal health and even environmental health ― with the rest of Texas and the nation by age, sex, race/ethnicity and rural/urban location.

South Texas Hispanics have higher health risks overall
The Review found that South Texas had higher rates, compared with the rest of Texas, for 12 of the health indicators analyzed. Incidence rates for many of the health indicators were even higher for South Texas Hispanics than non-Hispanic whites.

For example, the percentage of obese adults in South Texas (32.7 percent) was higher than that of the rest of Texas (29.1 percent) and nation (27 percent).

Hispanics in South Texas also were more obese (37.9 percent) than their white counterparts.

Changing behaviors
“Obesity, a risk factor for diabetes and certain cancers, can be directly linked to lifestyle behaviors, such as inadequate physical activity and poor eating habits,” Dr. Ramirez said. “Prevention research efforts directed at obesity and diabetes could significantly reduce the burden of disease in South Texas communities.”

South Texas had lower rates for 16 indicators, including breast, colorectal and lung cancers.

However, South Texas Hispanics had higher rates of breast and colorectal cancers compared with their Hispanic counterparts in the rest of Texas.

“Several modifiable risk factors ― such as nutrition, reproductive factors and access to health care ― contribute to the differences in mortality, incidence or prevalence experienced in South Texas, particularly among Hispanics,” Dr. Ramirez said. “Focus on these elements is vital.”

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The University of Texas Health Science Center at San Antonio, one of the country’s leading health sciences universities, ranks in the top 3 percent of all institutions worldwide receiving National Institutes of Health funding. The university’s schools of medicine, nursing, dentistry, health professions and graduate biomedical sciences have produced more than 29,000 graduates. The $736 million operating budget supports eight campuses in San Antonio, Laredo, Harlingen and Edinburg. For more information on the many ways “We make lives better®,” visit www.uthscsa.edu.

The Institute for Health Promotion Research (IHPR) at The UT Health Science Center at San Antonio investigates the causes and solutions to the unequal impact of cancer and chronic disease among certain populations, including Latinos, in South Texas and the nation. The IHPR, founded in 2006, uses evidence-guided research, training and community outreach to improve the health of those at a disadvantage due to race/ethnicity or social determinants. Visit the IHPR at http://ihpr.uthscsa.edu.

Contact: Sheila Hotchkin, 210-567-3026,

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