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, 34 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 Field Burden, triggered in 221 counties, followed by Heat Vulnerability in 199 counties.

San Augustine County carries the highest overall need in the state, with an opportunity score of 74 out of 100 (high). Higher scores mean more burden relative to the rest of the country.

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

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.

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