How does
Texas
Perform on Health Opportunity and Equity?

This graphic illustrates how each state compares to other states across various factors that influence health

HEALTH OUTCOMES
20th
Domain score:
78
SOCIAL & ECONOMIC FACTORS
11th
Domain score:
66
COMMUNITY & SAFETY FACTORS
22nd
Domain score:
61
PHYSICAL
ENVIRONMENT
15th
Domain score:
75
ACCESS TO
HEALTH CARE
42nd
Domain score:
41
Key State Highlights.
Texas generally fares poorer than other states in the nation in health care access with improvement in most measures of opportunity across racial/ethnic groups.
  • Texans also face health care access challenges within the state. For example, American Indian/Alaska Native and Hispanic Texans have health insurance coverage rates that are lower than the state rate for all groups.
  • Black residents in Texas not only struggle the most with access to home ownership they also are less likely to live in areas of low crime rates. Black individuals also have much higher rates of premature mortality and infant mortality compared to other populations.
  • Hispanic Texans not only face socioeconomic challenges in acquiring livable income and post-secondary education, but they also have some of the lowest rates to health care access as measured by having a dedicated health care provider and health insurance coverage. Hispanic adults are also least likely to be in excellent or very good health compared to all other groups.
  • Texans as a whole are further from HOPE Goals in housing, food security, living in neighborhoods with less crime, livable income, post-secondary education, and health care access than other states.
Adult Health Status
Child Health Status
Infant Mortality
Low Birthweight
Premature Mortality
Affordable Housing
Employment
Livable Income
Post-Secondary Education
Youth in School or Working
Low Homicide
Low Physical Assault
Low Robbery
Low Sexual Assault
Food Security
Home Ownership
Housing Quality
Low Liquor Store Density
Access to Primary Care
Access to Psychiatric Care
Affordable Health Care
Dedicated Healthcare Provider
Health Insurance Coverage
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Youth in School or Working
87%
of young people are in school or working
100%
More young people would need to obtain jobs or enroll in school to achieve the HOPE Goal
473,926
More young people would need to obtain jobs or enroll in school to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Youth in School or Working
Hope Goal
100%
60%
70%
80%
90%
100%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Post-Secondary Education
59%
of adults have post-secondary education
83%
More adults would need to attain post-secondary education to achieve the HOPE Goal
4,376,350
More adults would need to attain post-secondary education to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Post-Secondary Education
Hope Goal
83%
20%
30%
40%
50%
60%
70%
80%
90%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Premature Mortality
422.31
deaths per 100,000 adults age 25-64
More 25-64 year old adults surviving per year to achieve the HOPE Goals
44,066
More 25-64 year old adults surviving per year to achieve the HOPE Goals
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Premature Mortality
Hope Goal
241
0
400
800
1200
1600
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Low Sexual Assault
75%
of people live in counties with low sexual assault rates
100%
More people would need to live in counties with low sexual assault rates to achieve the HOPE Goal
7,209,903
More people would need to live in counties with low sexual assault rates to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Sexual Assault
Hope Goal
100%
0%
20%
40%
60%
80%
100%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Low Robbery
44%
of people live in counties with low robbery rates
100%
More people would need to live in counties with low robbery rates to achieve the HOPE Goal
15,967,004
More people would need to live in counties with low robbery rates to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Robbery
Hope Goal
100%
0%
20%
40%
60%
80%
100%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Low Physical Assault
66%
of people live in counties with low physical assault rates
100%
More people would need to live in counties with low physical assault rates to achieve the HOPE Goal
9,760,842
More people would need to live in counties with low physical assault rates to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Physical Assault
Hope Goal
100%
0%
20%
40%
60%
80%
100%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Low Homicide
60%
of people live in counties with low murder rates
100%
More people would need to live in counties with low murder rates to achieve the HOPE Goal
19,183,422
More people would need to live in counties with low murder rates to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Homicide
Hope Goal
100%
0%
20%
40%
60%
80%
100%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Low Liquor Store Density
100%
of people are living in counties with low liquor store density
100%
More people would need to live in counties with low liquor store density to achieve the HOPE Goal
124,571
More people would need to live in counties with low liquor store density to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Liquor Store Density
Hope Goal
100%
0%
20%
40%
60%
80%
100%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Livable Income
62%
of adults live in households with livable income
88%
More adults would need to live in households with livable incomes to achieve the HOPE Goal
4,712,814
More adults would need to live in households with livable incomes to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Livable Income
Hope Goal
88%
20%
30%
40%
50%
60%
70%
80%
90%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Low Birthweight
8%
of infants are born with low birth weight
5%
Fewer low-weight births would need to happen per year to achieve the HOPE Goal
12,882
Fewer low-weight births would need to happen per year to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Birthweight
Hope Goal
5%
4%
6%
8%
10%
12%
14%
16%
18%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Health Insurance Coverage
80%
of people under age 65 have health insurance coverage
98%
More people under the age of 65 would need to obtain health insurance coverage to achieve the HOPE Goal
4,598,762
More people under the age of 65 would need to obtain health insurance coverage to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Health Insurance Coverage
Hope Goal
98%
50%
60%
70%
80%
90%
100%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Infant Mortality
5.4
infant deaths per 1,000 live births
2.5
More infants surviving to their first birthday per year to achieve the HOPE Goal
1,072
More infants surviving to their first birthday per year to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Infant Mortality
Hope Goal
2.5
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Housing Quality
84%
of households have good housing quality
92%
More households would need to have good housing quality to achieve the HOPE Goal
805,376
More households would need to have good housing quality to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Housing Quality
Hope Goal
92%
55%
60%
65%
70%
75%
80%
85%
90%
95%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Home Ownership
64%
of households live in a home they own
81%
More households would need to own their homes to achieve the HOPE Goal
1,594,814
More households would need to own their homes to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Home Ownership
Hope Goal
81%
0%
20%
40%
60%
80%
100%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Food Security
63%
of people with food security
97%
More people would need to have food security to achieve the HOPE Goal
12,653,720
More people would need to have food security to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Food Security
Hope Goal
97%
30%
40%
50%
60%
70%
80%
90%
100%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Employment
92%
of people in the labor force are employed
99%
More people in the labor force would need to be employed to achieve the HOPE Goal
941,614
More people in the labor force would need to be employed to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Employment
Hope Goal
99%
75%
80%
85%
90%
95%
100%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Dedicated Healthcare Provider
72%
of adults have a usual source of care
92%
More adults would need to report having a dedicated health care provider to achieve the HOPE Goal
3,594,099
More adults would need to report having a dedicated health care provider to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Dedicated Healthcare Provider
Hope Goal
96%
40%
50%
60%
70%
80%
90%
100%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Child Health Status
88%
of children in very good or excellent health
98%
More children would need to be in very good or excellent health to achieve the HOPE Goal
More children would need to be in very good or excellent health to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Child Health Status
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Adult Health Status
47%
of U.S. adults are in very good or excellent health
73%
More adults would need to be in very good or excellent health to achieve the HOPE Goal
4,891,135
More adults would need to be in very good or excellent health to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Adult Health Status
Hope Goal
73%
20%
30%
40%
50%
60%
70%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Affordable Housing
66%
of households with affordable housing
87%
More households would need affordable housing to achieve the HOPE Goal
1,409,040
More households would need affordable housing to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Affordable Housing
Hope Goal
87%
30%
40%
50%
60%
70%
80%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Affordable Health Care
84%
of adults with affordable health care
96%
More adults would need to have affordable health care to achieve the HOPE Goal
2,296,353
More adults would need to have affordable health care to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Affordable Health Care
Hope Goal
97%
50%
60%
70%
80%
90%
100%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Access to Psychiatric Care
81%
of people live in counties with access to psychiatric care
100%
More people would need to live in counties with access to psychiatric care to achieve the HOPE Goal
5,555,475
More people would need to live in counties with access to psychiatric care to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Access to Psychiatric Care
Hope Goal
100%
20%
30%
40%
50%
60%
70%
80%
90%
100%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Access to Primary Care
79%
of people live in counties with access to primary care
100%
More people would need to live in counties with access to primary care to achieve the HOPE Goal
6,092,625
More people would need to live in counties with access to primary care to achieve the HOPE Goal
How Does 
Texas
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Access to Primary Care
Hope Goal
100%
20%
30%
40%
50%
60%
70%
80%
90%
100%
TX
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.