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American Diabetes Association March 24, 2015 San Antonio, Texas Texas Demographic Characteristics and Trends: Diabetes

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American Diabetes Association

March 24, 2015

San Antonio, Texas

Texas Demographic Characteristics and Trends: Diabetes

Year* PopulationNumericChange

AnnualPercentChange

1950 7,711,194 -- --1960 9,579,677 1,868,483 2.41970 11,196,730 1,617,053 1.71980 14,229,191 3,032,461 2.71990 16,986,510 2,757,319 2.02000 20,851,820 3,865,310 2.32010 25,145,561 4,293,741 2.12012 26,060,796 915,235 1.82013 26,448,193 387,397 1.4

* All values for the decennial dates are for April 1st of the indicated census year. Values for 2012 and 2013 are for July 1 as estimated by the U.S. Census Bureau.

Total Population and Components of Population Change in Texas, 1950‐2013

2Source: U.S. Census Bureau, Census Counts and Population Estimates

Population Growth 1950‐2010

0

5,000,000

10,000,000

15,000,000

20,000,000

25,000,000

30,000,000

1950 1960 1970 1980 1990 2000 2010

Source: U.S. Census Bureau, Census Counts

Dallas

Howard

FoardFloyd

Brewster

FranklinHunt

Newton

Starr

Kinney

Collingsworth

TomGreen

Coleman

Brazoria

Leon

Duval

Lamb

Morris

Smith

Jackson

Medina

Wheeler

Dallam

Callahan

Lamar

Coryell

Gaines

Kendall

Nacogdoches

Milam

Hays

Willacy

Johnson

Reagan

Webb

Shackelford

Bowie

Scurry

Kenedy

Somervell

Oldham

Taylor

King

Borden

Walker

Stephens

DeafSmith

Roberts

Tyler

ValVerde

Brown

Parker

Harris

Zapata

RedRiver

Karnes

PaloPinto

GlasscockShelby

Wood

Crosby

Refugio

Burnet

Sterling

Montgomery

SanAugustine

Rains

Nueces

Jack

Swisher

Camp

Brazos

Orange

Colorado

Pecos

Cochran

Parmer

FreestoneWinkler

Wichita

Gray

Schleicher

Hardeman

TravisGillespie

Yoakum

Fayette

Uvalde

Grimes

VanZandt

Throckmorton

Falls

Grayson

Ellis

Hall

Dickens

Trinity

Reeves

Marion

Terrell

Lynn

La Salle

Jasper

Jones

Castro

Victoria

Kleberg

Briscoe

Clay

Matagorda

Brooks

Runnels

Carson

Liberty

Lee

Hale

Bexar

Garza

Montague

Upton

Hamilton

FisherDawson

Dimmit

Limestone

Hutchinson

Llano

Presidio

Eastland

Sabine

Wharton

Rusk

Tarrant

Lavaca

Childress

Hidalgo

Kaufman

Moore

Menard

Edwards

SanPatricio

Terry

Crockett

Houston

Waller

Coke

Ward

Titus

Lampasas

Haskell

Martin

Atascosa

HemphillHartley

Young

BurlesonHardin

Gonzales

McMullen

Erath

Galveston

McLennan

Madison

McCulloch

Donley

Kent

Real

Sutton

Midland

Hudspeth

Zavala

Harrison

ComancheMitchell Navarro

Crane

Lubbock

Wise

Washington

JeffDavis

El Paso

Gregg

Williamson

Lipscomb

Mason

Henderson

Hansford

Chambers

Hill

Potter

JimWells

DeltaStonewall

Ector

Cameron

Maverick

Collin

Baylor

Panola

Guadalupe

Bastrop

Austin

Andrews

Anderson

Blanco

DeWitt

Bandera

Bell

Aransas

Archer

Armstrong

Bee

Bailey

Jefferson

Frio

Fannin

Goliad

Loving

Cass

FortBend

Bosque

Hockley

SanSaba

Kerr

Mills

Cooke

Wilbarger

Irion

Caldwell

JimHogg

Culberson

Upshur

Cherokee

Denton

Concho

Randall

Kimble

Knox

Polk

Hood

SanJacinto

Robertson

Wilson

Nolan

Cottle

Calhoun

Rockwall

LiveOak

Motley

Sherman Ochiltree

Comal

Total Estimated Population by County, Texas, 2013

4Source: U.S. Census Bureau 2013 Population Estimates

95-,10,000

10,001-50,000

50,001-100,000

100,000-500,000

500,001-1,000,000

1,000,001-4,400,000

Dallas

Howard

FoardFloyd

Brewster

FranklinHunt

Newton

Starr

Kinney

Collingsworth

TomGreen

Coleman

Brazoria

Leon

Duval

Lamb

Morris

Smith

Jackson

Medina

Wheeler

Dallam

Callahan

Lamar

Coryell

Gaines

Kendall

Nacogdoches

Milam

Hays

Willacy

Johnson

Reagan

Webb

Shackelford

Bowie

Scurry

Kenedy

Somervell

Oldham

Taylor

King

Borden

Walker

Stephens

DeafSmith

Roberts

Tyler

ValVerde

Brown

Parker

Harris

Zapata

RedRiver

Karnes

PaloPinto

GlasscockShelby

Wood

Crosby

Refugio

Burnet

Sterling

Montgomery

SanAugustine

Rains

Nueces

Jack

Swisher

Camp

Brazos

Orange

Colorado

Pecos

Cochran

Parmer

FreestoneWinkler

Wichita

Gray

Schleicher

Hardeman

TravisGillespie

Yoakum

Fayette

Uvalde

Grimes

VanZandt

Throckmorton

Falls

Grayson

Ellis

Hall

Dickens

Trinity

Reeves

Marion

Terrell

Lynn

La Salle

Jasper

Jones

Castro

Victoria

Kleberg

Briscoe

Clay

Matagorda

Brooks

Runnels

Carson

Liberty

Lee

Hale

Bexar

Garza

Montague

Upton

Hamilton

FisherDawson

Dimmit

Limestone

Hutchinson

Llano

Presidio

Eastland

Sabine

Wharton

Rusk

Tarrant

Lavaca

Childress

Hidalgo

Kaufman

Moore

Menard

Edwards

SanPatricio

Terry

Crockett

Houston

Waller

Coke

Ward

Titus

Lampasas

Haskell

Martin

Atascosa

HemphillHartley

Young

BurlesonHardin

Gonzales

McMullen

Erath

Galveston

McLennan

Madison

McCulloch

Donley

Kent

Real

Sutton

Midland

Hudspeth

Zavala

Harrison

ComancheMitchell Navarro

Crane

Lubbock

Wise

Washington

JeffDavis

El Paso

Gregg

Williamson

Lipscomb

Mason

Henderson

Hansford

Chambers

Hill

Potter

JimWells

DeltaStonewall

Ector

Cameron

Maverick

Collin

Baylor

Panola

Guadalupe

Bastrop

Austin

Andrews

Anderson

Blanco

DeWitt

Bandera

Bell

Aransas

Archer

Armstrong

Bee

Bailey

Jefferson

Frio

Fannin

Goliad

Loving

Cass

FortBend

Bosque

Hockley

SanSaba

Kerr

Mills

Cooke

Wilbarger

Irion

Caldwell

JimHogg

Culberson

Upshur

Cherokee

Denton

Concho

Randall

Kimble

Knox

Polk

Hood

SanJacinto

Robertson

Wilson

Nolan

Cottle

Calhoun

Rockwall

LiveOak

Motley

Sherman Ochiltree

Comal

Estimated Change of the Total Population by County, Texas, 2010 to 2013

5Source: U.S. Census Bureau Population Estimates, 2013 Vintage.

99 counties lost population over the three year period.-800-0

1-1,000

1,001-20,000

20,001-80,000

80,000-228,000

Dallas

Howard

FoardFloyd

Brewster

FranklinHunt

Newton

Starr

Kinney

Collingsworth

TomGreen

Coleman

Brazoria

Leon

Duval

Lamb

Morris

Smith

Jackson

Medina

Wheeler

Dallam

Callahan

Lamar

Coryell

Gaines

Kendall

Nacogdoches

Milam

Hays

Willacy

Johnson

Reagan

Webb

Shackelford

Bowie

Scurry

Kenedy

Somervell

Oldham

Taylor

King

Borden

Walker

Stephens

DeafSmith

Roberts

Tyler

ValVerde

Brown

Parker

Harris

Zapata

RedRiver

Karnes

PaloPinto

GlasscockShelby

Wood

Crosby

Refugio

Burnet

Sterling

Montgomery

SanAugustine

Rains

Nueces

Jack

Swisher

Camp

Brazos

Orange

Colorado

Pecos

Cochran

Parmer

FreestoneWinkler

Wichita

Gray

Schleicher

Hardeman

TravisGillespie

Yoakum

Fayette

Uvalde

Grimes

VanZandt

Throckmorton

Falls

Grayson

Ellis

Hall

Dickens

Trinity

Reeves

Marion

Terrell

Lynn

La Salle

Jasper

Jones

Castro

Victoria

Kleberg

Briscoe

Clay

Matagorda

Brooks

Runnels

Carson

Liberty

Lee

Hale

Bexar

Garza

Montague

Upton

Hamilton

FisherDawson

Dimmit

Limestone

Hutchinson

Llano

Presidio

Eastland

Sabine

Wharton

Rusk

Tarrant

Lavaca

Childress

Hidalgo

Kaufman

Moore

Menard

Edwards

SanPatricio

Terry

Crockett

Houston

Waller

Coke

Ward

Titus

Lampasas

Haskell

Martin

Atascosa

HemphillHartley

Young

BurlesonHardin

Gonzales

McMullen

Erath

Galveston

McLennan

Madison

McCulloch

Donley

Kent

Real

Sutton

Midland

Hudspeth

Zavala

Harrison

ComancheMitchell Navarro

Crane

Lubbock

Wise

Washington

JeffDavis

El Paso

Gregg

Williamson

Lipscomb

Mason

Henderson

Hansford

Chambers

Hill

Potter

JimWells

DeltaStonewall

Ector

Cameron

Maverick

Collin

Baylor

Panola

Guadalupe

Bastrop

Austin

Andrews

Anderson

Blanco

DeWitt

Bandera

Bell

Aransas

Archer

Armstrong

Bee

Bailey

Jefferson

Frio

Fannin

Goliad

Loving

Cass

FortBend

Bosque

Hockley

SanSaba

Kerr

Mills

Cooke

Wilbarger

Irion

Caldwell

JimHogg

Culberson

Upshur

Cherokee

Denton

Concho

Randall

Kimble

Knox

Polk

Hood

SanJacinto

Robertson

Wilson

Nolan

Cottle

Calhoun

Rockwall

LiveOak

Motley

Sherman Ochiltree

Comal

Estimated Percent Change of the Total Population by County, Texas, 2010 to 2013

6Source: U.S. Census Bureau Population Estimates, 2013 Vintage.

-11-0%

0.1-2.5%

2.51-5%

5.1-10%

10.1-14.7%

Percent of Population 65 Years of Age and Older, Texas Counties, 2013

7Source: U.S. Census Bureau, Population Estimates, 2013

Menard

Hale

Armstrong

Calhoun

Clay

Orange

Gonzales

Fannin

Kerr

Refugio

JimHogg

Dimmit

Nolan

Brazos

Jefferson

Bell

Bandera

Hidalgo

Schleicher

GraysonCrosby

Delta

Zavala

Rockwall

Eastland

DeWitt

Angelina

McLennan

Lamar

Leon

Stonewall

McMullen

Sutton

FortBend

Parker

Kinney

Fayette

Briscoe

Harrison

Reagan

Coleman

Ochiltree

Crane

Washington

Lynn

Mills

Oldham

Sabine

Hopkins

Houston

Bexar

Upton

Erath

Randall

Rusk

Coryell

Comal

Aransas

Jack

Hemphill

Shackelford

SanJacinto

Kendall

Wharton

Floyd

Karnes

Kaufman

Duval

Johnson

Franklin

EdwardsWaller

Maverick

Kleberg

Gaines

Martin

Bowie

Andrews

Potter

Garza

Caldwell

Parmer

TitusTerry

Foard

Real

Carson

Knox

Hays

Medina

MotleyWichita

Midland

Victoria

Tyler

Falls

Presidio

Willacy

Lubbock

Henderson

Walker

Galveston

Harris

Dawson

Pecos

Nacogdoches

Guadalupe

Tarrant

Jackson

Swisher

SterlingWinkler

Frio

Lipscomb

Collingsworth

Colorado

Wise

Glasscock ShelbyComanche

Burnet

Gray

Hudspeth

Cass

Ellis

Cooke

Williamson

Cochran

VanZandt

Donley

Jones

Grimes

Irion

Navarro

Brooks

Dallam

Hunt

Mitchell

Wood

Childress

JeffDavis

Montague

Brown

Haskell

Fisher

Concho

Coke

Polk

Cottle

Young

Lee

Cherokee

Hall

Hood

ArcherBaylor

SanAugustineMadison

Milam

Reeves

Nueces

Camp

FreestoneRunnels

Terrell

DeafSmith

Marion

Liberty

Jasper

Hansford

Chambers

Hardin

Collin

Brazoria

Throckmorton

Bastrop

Scurry

Ector

Limestone

Denton

RedRiver

Matagorda

Hardeman

PaloPinto

LiveOak

Sherman

Uvalde

Bailey

Culberson

Atascosa

Wilson

Starr

Dallas

Kimble

McCulloch

Crockett

Hill

Kent

El Paso Loving

Dickens

La Salle

Lamb

Austin

Hutchinson

ValVerde

Smith

Robertson

Gillespie

King

TomGreen

Yoakum

Somervell

Kenedy

Borden

SanSaba

Burleson

Bee

Trinity

Castro

Brewster

Gregg

Ward

Wilbarger

Hamilton

Stephens

Lavaca

Bosque

Goliad

Roberts

Callahan

Rains

Morris

Lampasas

Upshur

Wheeler

SanPatricio

Moore

Webb

Blanco

Newton

Hockley

PanolaAnderson

Cameron

Montgomery

LlanoMason

Taylor

Hartley

JimWells

Zapata

Travis

Howard

8-10%

10.1-15%

15.1-20%

20.1-25%

25.1-33%

Texas Racial and Ethnic Composition, 2000 and 2010

NH White53%

NH Black11%

NH Other4%

Hispanic or Latino32%

2000

NH White45%

NH Black11%

NH Other6%

Hispanic or Latino38%

2010

Source: U.S. Census Bureau. 2000 and 2010 Census count DRAFT 8-15-14

Texas White (non‐Hispanic) and Hispanic Populations by Age, 2010

0

50000

100000

150000

200000

250000

Und

er 1 year

4 years

8 years

12 years

16 years

20 years

24 years

28 years

32 years

36 years

40 years

44 years

48 years

52 years

56 years

60 years

64 years

68 years

72 years

76 years

80 years

84 years

88 years

92 years

96 years

100 to 104…

Popu

latio

n

Age

White (non‐Hispanic)Hispanic

9Source: U.S. Census Bureau 2010 Decennial Census, SF1

Texas Population Pyramid by Race/Ethnicity, 2010

200,000 150,000 100,000 50,000 0 50,000 100,000 150,000 200,000Under 1 year

5 years

10 years

15 years

20 years

25 years

30 years

35 years

40 years

45 years

50 years

55 years

60 years

65 years

70 years

75 years

80 years

85 years

90 years

95 years

100 to 104 years

NH White Male NH White Female

10Source: U.S. Census Bureau 2010 Decennial Census, SF1

Texas Population Pyramid by Race/Ethnicity, 2010

200,000 150,000 100,000 50,000 0 50,000 100,000 150,000 200,000Under 1 year

5 years10 years15 years20 years25 years30 years35 years40 years45 years50 years55 years60 years65 years70 years75 years80 years85 years90 years95 years

100 to 104 years

Hispanic Male NH Black Male NH Asian Male NH Other Male

Hispanic Female NH Black Female NH Asian Female NH Other Female

11Source: U.S. Census Bureau 2010 Decennial Census, SF1

Texas Population Pyramid by Race/Ethnicity, 2010

200,000 150,000 100,000 50,000 0 50,000 100,000 150,000 200,000Under 1 year

5 years10 years15 years20 years25 years30 years35 years40 years45 years50 years55 years60 years65 years70 years75 years80 years85 years90 years95 years

100 to 104 years

NH White Male Hispanic Male NH Black Male NH Asian Male NH Other Male

NH White Female Hispanic Female NH Black Female NH Asian Female NH Other Female

12Source: U.S. Census Bureau 2010 Decennial Census, SF1

Leading Causes of Death in Texas, 2010

13Source: Texas Vital Statistics Unit, DSHS. Figure produced entirely by the Office of Surveillance, Evaluation, and Research Health Promotion and Chronic Disease Prevention Section, Texas Department of State Health services for the Burden of Diabetes in Texas Report (April 1, 2013).

Diagnosed Diabetes, Age Adjusted Rate (per 100), Adults ‐ Total, 2012

14Source: National Center for Chronic Disease Prevention and Health Promotion, Division of Diabetes Translation, www.cdc.gov/diabetes

Texas has the 8th highest rate in the U.S. at 8.6 (per 100).

Diagnosed Diabetes, Age Adjusted Rate (per 100) for Texas, Adults ‐ Total

15Source: National Center for Chronic Disease Prevention and Health Promotion, Division of Diabetes Translation, www.cdc.gov/diabetesGreen vertical bar indicates major changes to the survey methods. www.cdc.gov/surveillancepractice/reports/brfss/brfss.html

Age‐adjusted Prevalence of Diagnosed Diabetes, 1994‐2010 Among U.S. Adults 

16

Aged 18 Years or Older

19942000

2010

No Data <4.5% 4.5%–5.9% 6.0%–7.4% 7.5%–8.9% >9.0%

Source: CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics

Age Adjusted Diagnosed Diabetes Percentage by County, 2012

17Source: National Center for Chronic Disease Prevention and Health Promotion, Division of Diabetes Translation, www.cdc.gov/diabetes

Age Adjusted Diagnosed Diabetes Percentage, 2004 to 2011

18

7.9

9.6

7.5

9.3

6.9

9.0

6

7

8

9

10

11

12

2004 2005 2006 2007 2008 2009 2010 2011*

Percent

Bexar County Texas U.S.

Source: National Center for Chronic Disease Prevention and Health Promotion, Division of Diabetes Translation, www.cdc.gov/diabetes

Diabetes Prevalence among Adults by Educational and Household Income Level, Texas, 2010

19Source: Texas BRFSS, 2010 DSHS. Figure produced entirely by the Office of Surveillance, Evaluation, and Research Health Promotion and Chronic Disease Prevention Section, Texas Department of State Health services for the Burden of Diabetes in Texas Report (April 1, 2013).

20

25

30

35

40

45

50

55

Millions

Zero Migration0.5 Migration1.0 Migration

Projected Population Growth in Texas, 2010‐2050

20Source: Texas State Data Center 2014 Population Projections

Projected Racial and Ethnic Percent, Texas, 2010‐2050

21Source: Texas State Data Center 2014 Population Projections , Half 2000‐2010 Migration Scenario

0

4

8

12

16

20

24

Millions

NH WhiteNH BlackHispanicNH Other

Projected Increase in Obesity in Texas by Ethnicity, 2006 to 2040

22Source: Office of the State Demographer projections, using 2000-2004 migration scenario population projections

Obesity Prevalence Projections

23% adults with obesity: Office of the State Demographer

Diabetes Prevalence Projections

24% adults with diabetes: Office of the State Demographer

Trends in Educational Attainment of Persons in the Labor Force (25‐64 Years of Age) in Texas by Race/Ethnicity –

High School Graduates and Above

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

White

Black

Hispanic

Other

Source: U.S. Census Bureau, American Community Survey, Public Use Micro Sample, 2001‐2011

Percent of the Civilian Labor Force (ages 25‐64) by Educational Attainment for 2011, 2030 Using Constant Rates, 

Texas

26

15.0%

23.8%

31.3%

20.1%

9.8%

18.1%

24.0%

29.9%

18.7%

9.3%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

Less than High School High School orEquivalent

Some College /Associate Degree

Bachelor's Degree Graduate orProfessional Degree

Percen

t of the

 Civilian

 Labor Force

Educational Attainment

2011 ACS

2030 Constant 2011 %

These should be going DOWN These should be going UP

Sources: U.S. Census Bureau, American Community Survey, 1-Year PUMS.Texas State Data Center, 2012 Vintage Population Projections, 0.5 Migration Scenario

Percent of the Civilian Labor Force (ages 25‐64) by Educational Attainment for 2011, and 2030 Using Trended 

Rates, Texas

27

15.0%

23.8%

31.3%

20.1%

9.8%11.4%

20.4%

34.3%

22.1%

11.8%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

Less than High School High School orEquivalent

Some College /Associate Degree

Bachelor's Degree Graduate orProfessional Degree

Percen

t of the

 Civilian

 Labor Force

Educational Attainment

2011 ACS

2030 Trended (2001‐2011 Trend)

These should be going DOWN These should be going UP

Sources: U.S. Census Bureau, American Community Survey, 1-Year PUMS.Texas State Data Center, 2012 Vintage Population Projections, 0.5 Migration Scenario

New Cases of Diagnosed Diabetes, Age Adjusted Rate (per 1000), Adults, 2010

28

Contact 

Lila Valencia, Ph.D.

Office: (512) 936‐3542Email: [email protected]: http://osd.state.tx.usTwitter: @TexasDemography 

29