County · Texas
Sterling County, Texas
Sterling County, Texas has a quality-of-life score of 59 out of 100 (moderate), ranking #1,291 of 3,143 US counties. Within Texas it ranks #25 of 254 counties. It ranks best on child care cost burden (low), social associations (high) and premature death (low). It ranks worst on restaurants and bars (low), primary care physicians (low) and distance to an emergency room (high).
- Quality-of-life score
- #1,291 of 3,143 counties
- Texas
- #25 of 254 in TX
- Population
- 1,349 (2025)
- Land area
- 923 mi²
- Density
- 1.5 /mi²
- FIPS code
- 48431
Percentile-based score (100 is the best in the country) from 70 of 80 indicators, with the default “Explorer” weights.
Scores by category
Each category averages its indicators' percentile scores among US counties.
- Safety41#1,837/3,096
- Economy85#460/3,143
- Housing39#1,906/3,140
- Health94#184/3,144
- Healthcare6#2,963/3,143
- Environment67#1,020/3,108
- Education46#1,712/3,144
- Infrastructure51#1,556/3,144
- Community78#677/3,144
- Leisure & amenities50#1,574/3,143
Strengths · Weaknesses
Indicators where Sterling County, Texas ranks highest and lowest among US counties (score = percentile, 100 = best).
Strengths
- Child care cost burden · low14.7%
- Social associations · high28.6 /10k
- Premature death · low4,197 /100k99/100Texas 7,960 /100kUnited States 8,123 /100k2021-2023University of Wisconsin Population Health InstituteHigh uncertainty
- Grocery stores · high7.4 /10k
- Cost of buying a home today · low16.5%
- Public libraries · high7.3 /10k
Weaknesses
- Restaurants and bars · low0.0 /10k
- Primary care physicians · low0 /100k
- Distance to an emergency room · high33.9 mi
- Dentists · low0 /100k
- Hot days · high111 days4/100Texas 111 daysUnited States 42 days2016-2025NOAA National Centers for Environmental Information
- Traffic deaths · high57.8 /100k5/100Texas 14.1 /100kUnited States 12.3 /100k2020-2024National Highway Traffic Safety AdministrationProvisional data
Trends
The largest changes over about five years, next to the country's over the same periods.
- Rent-burdened householdsWorsening
13.0% (2015-2019) → 71.4% (2020-2024)
+58 pts5 yearsCensus table B25070US 49.6% → 51.1%
- Home price to income ratioWorsening
1.0× (2015-2019) → 2.3× (2020-2024)
+130%5 yearsCensus table B25077US 3.5× → 4.1×
- Rent as share of incomeWorsening
19.6% (2015-2019) → 45.4% (2020-2024)
+26 pts5 yearsCensus table B25071US 29.8% → 30.6%
- Some collegeImproving
38.8% (2016-2020) → 57.9% (2019-2023)
+19 pts3 yearsUS 66.9% → 67.8%
- Bachelor's degree or higherImproving
9.5% (2015-2019) → 24.5% (2020-2024)
+15 pts5 yearsCensus table B15003US 32.1% → 35.7%
- Traffic deathsImproving
183.1 /100k (2015-2019) → 57.8 /100k (2020-2024)
−68%5 yearsUS 11.3 /100k → 12.3 /100k
What changed in five years
How each measure moved between two periods about five years apart, read against whether more or less is better, the published margin of error and the same change in other places.
Counties like Sterling County, Texas five years ago that improved
The places whose measures looked most like those of Sterling County, Texas in the earlier period, ranked by how many measures improved beyond the margin of error, minus how many declined. A comparison of published data, not a forecast and not advice.
Who lives here
Age, race and education of residents, from the American Community Survey. Shares are of all residents (age), residents of every origin (race) or adults 25 and over (education).
Income
How household income is spread, not just the middle: each bar is the share of households in that income range.
Homes
Who owns and who rents, what homes cost, and what the housing stock looks like.
Getting to work
How workers travel to their job and how long it takes them.
Local businesses
Employer businesses and sole proprietors by industry, per resident and against the state and the nation. Counts of businesses next to counts of people, not a measure of demand.
Federal contract spending
Federal grants & assistance
Grants, loans (counted at their subsidy cost), direct payments and insurance, by fiscal year of the action (USAspending.gov, FABS). Reported apart from contracts and never added to them.
Public money & outcomes
Federal money per resident by fiscal year next to how the place changed, and, when its money jumped, how it compares with similar counties. A comparison, not cause and effect.
Representation in Congress
Members serving today, with their record in the current Congress (party-unity votes cast with their caucus, roll calls missed). Not a grade.
Cities and towns in Sterling County
Places whose residents live mostly in Sterling County, largest first.
Neighboring counties
Places that share a border, best score first.
Similar counties
Closest indicator profiles across the country (no model: score distances).
- Sherman County, TX53Alike on Dry days, Precipitation, Domestic migration
- Shackelford County, TX61Alike on Associations, Hot days, Wildfire risk
- Carson County, TX67Alike on Wildfire risk, Libraries, Buy effort
- Irion County, TX63Alike on Dry days, Wildfire risk, Child care cost
- Hartley County, TX50Alike on Domestic migration, Dry days, July high
Data and sources
Latest published value of each indicator; periods differ by source. Values flagged by their publisher are marked.
- Mapping Injury, Overdose, and ViolenceCenters for Disease Control and Prevention · release 2026-10-01
- PLACES: Local Data for Better HealthCenters for Disease Control and Prevention · release 2025
- Daily county PM2.5 and ozone (EPA downscaler model)Centers for Disease Control and Prevention · U.S. Environmental Protection Agency · release 2022
- Care Compare: Hospital General Information and Timely and Effective CareCenters for Medicare & Medicaid Services · release 2026-07-22
- Distance to airports and intercity railFederal Aviation Administration · Bureau of Transportation Statistics · U.S. Census Bureau · release 2025+amtrak-2026-04-23
- Uniform Crime Reporting Program, Return A master filesFederal Bureau of Investigation · release 2025
- National Risk IndexFederal Emergency Management Agency · release v1.20.0
- Health Professional Shortage AreasHealth Resources and Services Administration · release 2026-10-03
- Public Libraries SurveyInstitute of Museum and Library Services · release FY2024
- Common Core of DataNational Center for Education Statistics · release 2024
- U.S. Drought Monitor county statisticsNational Drought Mitigation Center (University of Nebraska–Lincoln), USDA and NOAA · release 2026-09-29
- Fatality Analysis Reporting SystemNational Highway Traffic Safety Administration · release 2024
- nClimGrid-Daily county averagesNOAA National Centers for Environmental Information · release 2025
- Regional Economic AccountsU.S. Bureau of Economic Analysis · release 2024
- Local Area Unemployment StatisticsU.S. Bureau of Labor Statistics · release 2025
- Quarterly Census of Employment and WagesU.S. Bureau of Labor Statistics · release 2026 Q1
- American Community Survey 5-Year EstimatesU.S. Census Bureau · release 2017-2024
- Business Formation StatisticsU.S. Census Bureau · release 2026-10-01
- Population Estimates ProgramU.S. Census Bureau · release 2025
- Small Area Health Insurance EstimatesU.S. Census Bureau · release 2024
- Small Area Income and Poverty EstimatesU.S. Census Bureau · release 2024
- Alternative Fuels Data Center station locatorU.S. Department of Energy · release 2026-10
- Election Administration and Voting SurveyU.S. Election Assistance Commission · release 2024
- County Health Rankings & RoadmapsUniversity of Wisconsin Population Health Institute · release 2022-2025+2026-03-supplement
- Zillow Home Value Index, Observed Rent Index and affordabilityZillow Research · release 2026-08