State index

Texas

Environmental and community health profiles for all 254 counties in Texas. Sorted by opportunity score (highest need first).

254

Counties

Avg opportunity score

Converging-risk counties

What the data shows in Texas

Across Texas's 254 counties, 30 have two or more of the four health-risk areas (environmental, disease, provider access, and social conditions) above the national threshold at the same time. These are the places where several pressures land together rather than one at a time.

Statewide, the health-risk area scoring highest on average is gaps in provider access, the leading driver of community health need in Texas.

The most widespread specific risk pattern is Heat Vulnerability, triggered in 199 counties, followed by Heat-Dialysis Vulnerability in 166 counties.

Foard County carries the highest overall need in the state, with an opportunity score of 78 out of 100 (high). Higher scores mean more burden relative to the rest of the country.

County	Opportunity	Env	Disease	Provider	Social	Pop
Foard County 48155	78	45	82	92	80	1,079
Real County 48385	76	45	77	97	67	2,854
Cottle County 48101	76	44	73	99	71	1,294
San Augustine County 48405	75	45	88	74	78	7,833
Briscoe County 48045	75	42	71	98	74	1,445
Jasper County 48241	74	61	73	83	62	32,694
Aransas County 48007	74	69	65	77	73	25,374
Trinity County 48455	73	47	77	84	70	14,228
Dickens County 48125	73	42	68	100	68	1,711
Marion County 48315	73	59	81	61	74	9,571
Llano County 48299	73	59	69	87	62	22,875
Refugio County 48391	73	75	50	92	68	6,666
Jim Hogg County 48247	72	70	50	97	65	4,720
Throckmorton County 48447	72	49	70	99	57	1,526
Menard County 48327	72	42	70	100	62	1,958
Hamilton County 48193	71	55	65	87	65	8,619
Houston County 48225	71	55	65	84	68	22,066
Cass County 48067	71	65	70	70	67	28,659
Hall County 48191	71	46	63	99	65	2,818
Edwards County 48137	71	45	65	97	64	1,393
Kimble County 48267	71	43	73	97	57	4,442
Newton County 48351	71	47	83	62	75	12,039
Leon County 48289	71	63	65	79	64	16,538
Robertson County 48395	71	70	55	85	65	17,267
Baylor County 48023	71	51	66	94	60	3,463
Red River County 48387	71	52	78	62	78	11,678
Sabine County 48403	70	52	81	65	65	10,106
Jeff Davis County 48243	70	33	77	99	54	1,856
Coke County 48081	69	43	71	92	58	3,352
Falls County 48145	69	64	59	85	60	17,286
Dimmit County 48127	69	53	54	89	78	8,257
San Jacinto County 48407	69	50	68	77	69	28,936
Cochran County 48079	69	41	56	98	74	2,509
McCulloch County 48307	69	51	57	92	65	7,452
Goliad County 48175	69	70	54	94	53	7,144
Camp County 48063	69	61	60	80	62	13,000
Tyler County 48457	69	44	68	78	70	20,382
Coleman County 48083	68	45	66	85	64	7,842
Stonewall County 48433	68	44	68	97	53	1,218
Palo Pinto County 48363	68	56	56	82	69	29,747
Bandera County 48019	68	53	66	77	61	22,637
Limestone County 48293	68	54	60	79	67	22,250
Morris County 48343	68	62	66	70	61	12,066
Shelby County 48419	68	55	65	72	65	24,179
Milam County 48331	68	70	51	80	61	25,951
Collingsworth County 48087	67	48	57	98	58	2,563
Swisher County 48437	67	51	48	94	74	6,955
Wheeler County 48483	67	46	57	96	60	4,804
Donley County 48129	67	46	60	96	56	3,214
Lee County 48287	67	61	55	86	58	18,240
Crosby County 48107	67	48	48	96	71	4,917
Wilbarger County 48487	67	60	60	74	62	12,522
Montague County 48337	67	54	55	82	67	21,598
Hardeman County 48197	67	49	61	93	55	3,490
Zapata County 48505	67	65	44	84	69	13,736
McMullen County 48311	66	64	57	N/A	69	568
Henderson County 48213	66	49	61	79	63	86,158
Wood County 48499	66	49	66	77	60	47,921
Eastland County 48133	66	49	57	82	68	18,037
Motley County 48345	66	41	64	99	52	1,020
Delta County 48119	66	63	54	93	48	5,520
Angelina County 48005	66	59	54	80	60	87,319
Nolan County 48353	66	53	57	81	62	14,306
Bosque County 48035	65	54	58	88	53	18,996
Brooks County 48047	65	55	38	93	74	6,848
King County 48269	65	40	77	N/A	61	217
Starr County 48427	65	71	39	79	68	65,934
Willacy County 48489	65	78	36	80	62	20,037
Knox County 48275	65	49	53	97	54	3,302
DeWitt County 48123	65	59	49	84	60	19,929
Jackson County 48239	65	65	46	86	58	15,221
Matagorda County 48321	65	64	45	75	68	36,359
Navarro County 48349	65	66	50	77	60	55,635
Freestone County 48161	64	58	53	81	58	20,441
Clay County 48077	64	63	52	79	56	10,738
Lamar County 48277	64	59	58	66	62	51,127
Mason County 48319	64	50	56	98	48	3,931
Mills County 48333	64	49	57	96	49	4,548
Polk County 48373	64	41	60	76	68	54,186
Gonzales County 48177	64	62	45	81	63	19,930
Jack County 48237	64	49	46	90	66	8,875
Upshur County 48459	64	54	56	79	58	43,281
Cherokee County 48073	63	52	52	81	62	52,217
Presidio County 48377	63	37	49	96	65	5,795
Gray County 48179	63	58	39	97	57	20,916
Rains County 48379	63	46	60	76	61	12,986
San Saba County 48411	63	50	47	96	54	5,845
Colorado County 48089	63	63	46	86	54	21,117
Comanche County 48093	63	50	55	84	55	14,050
Potter County 48375	63	51	42	85	70	114,647
Grimes County 48185	62	63	43	76	63	32,384
Haskell County 48207	62	46	52	96	52	5,385
Hill County 48217	62	60	50	75	58	38,101
Lavaca County 48285	62	60	58	84	43	20,571
Floyd County 48153	62	50	45	94	56	5,090
San Patricio County 48409	62	81	29	79	61	70,660
Lipscomb County 48295	62	50	47	98	51	2,906
Jefferson County 48245	62	54	44	81	64	251,496
Brown County 48049	62	57	49	85	52	38,709
Burleson County 48051	62	65	43	87	51	19,475
Lynn County 48305	62	47	41	96	60	5,761
Titus County 48449	62	62	45	75	60	31,357
Young County 48503	61	53	44	89	57	18,124
Kenedy County 48261	61	70	39	N/A	91	343
Panola County 48365	61	57	51	70	59	22,838
Live Oak County 48297	61	71	48	62	58	11,584
Culberson County 48109	61	38	44	99	58	2,196
Bowie County 48037	61	66	46	70	57	91,687
Duval County 48131	60	68	37	66	70	9,604
Kerr County 48265	60	43	58	83	52	53,915
Austin County 48015	60	59	48	79	53	31,677
Jim Wells County 48249	60	63	33	76	67	38,662
Liberty County 48291	60	54	38	80	66	108,272
Zavala County 48507	60	53	49	69	62	9,312
Wharton County 48481	60	64	37	78	59	41,739
Fisher County 48151	60	48	47	95	49	3,612
Nacogdoches County 48347	60	55	41	77	63	65,375
Hutchinson County 48233	59	64	36	92	49	20,033
Hale County 48189	59	59	33	85	60	31,761
Madison County 48313	59	61	32	79	64	13,742
Upton County 48461	59	48	42	90	55	3,109
Van Zandt County 48467	59	46	52	77	55	64,000
Concho County 48095	59	50	34	92	60	3,297
Oldham County 48359	59	39	37	100	59	1,783
Callahan County 48059	59	41	49	86	55	14,374
Calhoun County 48057	58	80	31	83	46	19,696
Gregg County 48183	58	56	40	78	57	126,243
Hopkins County 48223	58	52	46	76	55	38,172
Lamb County 48279	58	59	41	77	54	12,711
Fannin County 48147	58	55	45	74	55	37,571
Stephens County 48429	58	43	43	76	65	9,343
Sutton County 48435	58	43	40	94	54	3,221
Archer County 48009	58	55	46	91	42	9,029
Rusk County 48401	58	61	41	77	52	53,079
Fayette County 48149	58	66	49	75	43	25,474
Karnes County 48255	58	64	24	84	62	15,018
Terrell County 48443	58	45	37	99	52	687
Harrison County 48203	58	55	45	69	57	70,895
Anderson County 48001	57	49	34	80	65	57,736
Atascosa County 48013	57	68	25	80	59	51,784
Gillespie County 48171	57	41	51	87	48	27,733
Howard County 48227	57	61	24	89	59	30,554
Armstrong County 48011	57	45	43	99	44	1,832
Cooke County 48097	57	61	42	76	50	43,782
Irion County 48235	57	44	38	98	50	1,549
Kleberg County 48273	57	71	20	79	63	30,069
Burnet County 48053	57	55	45	80	49	53,991
Hidalgo County 48215	57	58	27	79	64	898,471
Nueces County 48355	57	67	25	78	61	352,289
Victoria County 48469	57	64	30	86	52	91,664
Dallam County 48111	57	51	31	94	54	7,237
Deaf Smith County 48117	57	56	33	86	54	18,347
La Salle County 48283	56	56	28	93	53	6,537
Terry County 48445	56	44	42	67	73	11,547
Hockley County 48219	56	57	29	84	58	21,460
Lampasas County 48281	56	46	47	81	49	23,262
Cameron County 48061	56	56	29	79	62	426,710
Walker County 48471	56	52	31	81	62	81,268
Dawson County 48115	56	48	33	77	66	12,004
Franklin County 48159	56	50	44	77	51	10,735
Hardin County 48199	56	53	41	79	51	58,261
Jones County 48253	56	56	26	86	59	20,381
McLennan County 48309	56	63	29	77	57	268,583
Frio County 48163	56	57	23	85	62	17,987
Castro County 48069	55	56	29	92	50	7,227
Wichita County 48485	55	60	28	86	53	130,180
Garza County 48169	55	46	31	95	53	4,517
Hood County 48221	55	53	42	80	47	67,774
Hudspeth County 48229	55	41	23	91	71	3,451
Orange County 48361	55	51	38	73	57	85,722
Runnels County 48399	55	52	43	67	55	9,868
Carson County 48065	55	58	32	96	42	5,878
Grayson County 48181	55	61	36	76	49	146,907
Maverick County 48323	55	55	27	78	62	57,762
Shackelford County 48417	55	48	37	91	48	3,229
Uvalde County 48463	55	52	28	76	64	24,960
Washington County 48477	55	63	38	75	46	37,007
Blanco County 48031	55	59	42	70	48	13,048
Caldwell County 48055	54	61	27	75	58	49,859
Bee County 48025	54	62	18	84	60	30,850
Moore County 48341	54	53	28	87	54	21,190
Schleicher County 48413	54	47	32	99	46	2,391
Val Verde County 48465	54	47	22	95	58	47,720
Childress County 48075	54	43	21	98	59	6,788
Kinney County 48271	54	51	44	86	40	3,148
Webb County 48479	54	54	20	84	61	269,148
Erath County 48143	54	55	24	81	59	44,195
Hunt County 48231	53	55	31	76	55	113,347
Pecos County 48371	53	43	27	90	57	14,623
Sherman County 48421	53	51	21	99	51	2,678
Bell County 48027	53	59	27	77	54	393,193
Bailey County 48017	53	45	32	90	49	6,672
Dallas County 48113	53	64	15	78	60	2,606,358
Brewster County 48043	53	51	22	87	57	9,513
Harris County 48201	52	59	15	78	64	4,835,125
Winkler County 48495	52	56	21	86	54	7,414
Martin County 48317	52	60	17	93	50	5,216
Crockett County 48105	52	44	37	98	38	2,858
Bexar County 48029	52	61	17	78	58	2,087,679
Ector County 48135	52	61	16	82	57	164,494
Johnson County 48251	52	65	24	79	48	202,906
Bastrop County 48021	52	58	25	75	54	110,778
Smith County 48423	51	48	35	78	48	245,209
Tom Green County 48451	51	50	24	92	47	119,057
Mitchell County 48335	51	42	24	93	52	9,075
Reeves County 48389	51	54	29	70	55	11,770
Hansford County 48195	51	51	27	92	42	5,071
Scurry County 48415	51	47	28	90	46	16,212
Crane County 48103	50	43	24	97	46	4,574
Andrews County 48003	50	53	18	86	51	18,664
Tarrant County 48439	50	65	17	78	50	2,182,947
Glasscock County 48173	50	52	12	89	56	1,141
Reagan County 48383	49	49	18	91	50	3,141
Wise County 48497	49	57	29	76	44	78,097
El Paso County 48141	49	63	20	59	60	869,880
Hemphill County 48211	49	47	23	95	43	3,189
Waller County 48473	49	60	17	76	52	63,553
Ochiltree County 48357	49	55	28	68	50	9,704
Lubbock County 48303	49	45	16	86	55	320,940
Coryell County 48099	48	54	18	79	51	84,878
Wilson County 48493	48	56	21	80	47	54,183
Brazos County 48041	48	57	13	79	54	244,703
Medina County 48325	48	57	24	76	45	54,797
Taylor County 48441	48	48	20	83	49	146,836
Somervell County 48425	47	55	33	69	41	9,888
Ward County 48475	47	46	25	68	55	10,966
Parker County 48367	47	58	24	79	40	173,494
Kaufman County 48257	47	58	18	78	46	185,690
Gaines County 48165	47	51	22	70	51	22,523
Ellis County 48139	46	65	18	77	41	222,829
Guadalupe County 48187	46	69	17	78	37	188,454
Galveston County 48167	46	43	20	79	52	361,744
Yoakum County 48501	46	40	19	81	52	7,468
Montgomery County 48339	45	60	14	78	45	711,354
Chambers County 48071	45	62	16	77	41	53,876
Loving County 48301	45	56	N/A	N/A	39	43
Randall County 48381	45	57	18	87	35	148,255
Parmer County 48369	44	57	25	60	45	9,617
Hays County 48209	44	59	9	79	45	280,486
Sterling County 48431	44	42	10	97	42	1,397
Hartley County 48205	43	44	18	96	33	5,145
Comal County 48091	43	58	16	79	35	193,928
Midland County 48329	43	54	9	82	43	177,108
Travis County 48453	42	59	6	78	44	1,334,961
Borden County 48033	42	43	47	N/A	40	572
Fort Bend County 48157	41	65	7	78	34	916,778
Kendall County 48259	41	49	21	75	34	50,537
Kent County 48263	40	40	46	N/A	40	734
Brazoria County 48039	39	48	11	78	39	398,938
Williamson County 48491	39	64	6	78	32	697,191
Denton County 48121	38	58	7	79	32	1,007,703
Collin County 48085	38	64	4	78	30	1,195,359
Rockwall County 48397	38	54	9	80	28	131,307
Roberts County 48393	33	44	34	N/A	33	840

Scores are national percentile ranks (0–100) from the Banana Analytics methodology (v1.2.0). Higher scores indicate more burden. Click any county for its full environmental and community health profile.

Deeper reads from our research that connect to the data on this page.

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