School of Medicine Publications and Presentations
Investigating Environmental and Socioeconomic Contributors to Adult Obesity in the Rio Grande Valley
Document Type
Article
Publication Date
7-2025
Abstract
Obesity in the Rio Grande Valley (RGV) of Texas remains a critical public health concern, with rates (46.9%) significantly exceeding those of Texas (36%) and the U.S. (34%) (p < 0.001). This study used 2024 County Health Rankings data to analyze environmental and socioeconomic contributors to obesity across 240 Texas counties, with a population-weighted focus on Hidalgo, Cameron, Starr, and Willacy counties. The RGV exhibited markedly poorer access to exercise, higher rates of physical inactivity, lower Food Environment Index scores (FEI = 4.3 vs. 5.7 in Texas), higher rates of uninsurance, worse patient-to–primary care physician (PCP) ratios (2152:1 vs. Texas 1660:1), and increased preventable hospitalizations. Multiple linear regression identified physical inactivity (β = 0.6, p = 0.01) and access to exercise (β = −0.02, p = 0.02) as significant predictors of obesity. Notably, higher uninsured rates were associated with lower reported obesity, likely due to underdiagnosis in the absence of routine care. These findings emphasize the need for targeted interventions addressing food access, environmental and recreational infrastructure, along with healthcare infrastructure in the RGV, where socioeconomic disadvantage and structural barriers magnify the impact of national obesity trends on the regional level.
Recommended Citation
Cauba, J. N., Woo, J., Wiggins, R. W., & Mito, S. (2025). Investigating Environmental and Socioeconomic Contributors to Adult Obesity in the Rio Grande Valley. Obesities, 5(3), 50. https://doi.org/10.3390/obesities5030050
Publication Title
Obesities
DOI
10.3390/obesities5030050
Academic Level
faculty
Mentor/PI Department
Medical Education
Comments
© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).