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Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges for the Southwest States

Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

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Page 1: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Southwest Region Executive Directors

Association

November 13, 2014

San Antonio, Texas

Demographic and Economic Characteristics, Trends, and

Challenges for the Southwest States

Page 2: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Dallas

Howard

FoardFloyd

Brewster

FranklinHunt

Newton

Starr

Kinney

Collingsworth

TomGreen

Coleman

Brazoria

Leon

Duval

Lamb

Morris

Smith

Jackson

Medina

Wheeler

Dallam

Callahan

Lamar

Coryell

Gaines

Kendall

Nacogdoches

Milam

Hays

Willacy

Johnson

Reagan

Webb

Shackelford

Bowie

Scurry

Kenedy

Somervell

Oldham

Taylor

King

Borden

Walker

Stephens

DeafSmith

Roberts

Tyler

ValVerde

Brown

Parker

Harris

Zapata

RedRiver

Karnes

PaloPinto

GlasscockShelby

Wood

Crosby

Refugio

Burnet

Sterling

Montgomery

SanAugustine

Rains

Nueces

Jack

Swisher

Camp

Brazos

Orange

Colorado

Pecos

Cochran

Parmer

FreestoneWinkler

Wichita

Gray

Schleicher

Hardeman

TravisGillespie

Yoakum

Fayette

Uvalde

Grimes

VanZandt

Throckmorton

Falls

Grayson

Ellis

Hall

Dickens

Trinity

Reeves

Marion

Terrell

Lynn

La Salle

Jasper

Jones

Castro

Victoria

Kleberg

Briscoe

Clay

Matagorda

Brooks

Runnels

Carson

Liberty

Lee

Hale

Bexar

Garza

Montague

Upton

Hamilton

FisherDawson

Dimmit

Limestone

Hutchinson

Llano

Presidio

Eastland

Sabine

Wharton

Rusk

Tarrant

Lavaca

Childress

Hidalgo

Kaufman

Moore

Menard

Edwards

SanPatricio

Terry

Crockett

Houston

Waller

Coke

Ward

Titus

Lampasas

Haskell

Martin

Atascosa

HemphillHartley

Young

BurlesonHardin

Gonzales

McMullen

Erath

Galveston

McLennan

Madison

McCulloch

Donley

Kent

Real

Sutton

Midland

Hudspeth

Zavala

Harrison

ComancheMitchell Navarro

Crane

Lubbock

Wise

Washington

JeffDavis

El Paso

Gregg

Williamson

Lipscomb

Mason

Henderson

Hansford

Chambers

Hill

Potter

JimWells

DeltaStonewall

Ector

Cameron

Maverick

Collin

Baylor

Panola

Guadalupe

Bastrop

Austin

Andrews

Anderson

Blanco

DeWitt

Bandera

Bell

Aransas

Archer

Armstrong

Bee

Bailey

Jefferson

Frio

Fannin

Goliad

Loving

Cass

FortBend

Bosque

Hockley

SanSaba

Kerr

Mills

Cooke

Wilbarger

Irion

Caldwell

JimHogg

Culberson

Upshur

Cherokee

Denton

Concho

Randall

Kimble

Knox

Polk

Hood

SanJacinto

Robertson

Wilson

Nolan

Cottle

Calhoun

Rockwall

LiveOak

Motley

Sherman Ochiltree

Comal

Total Estimated Population by County, Texas, 2013

Source: U.S. Census Bureau, 2013 Vintage Population Estimates

Legend

tl_2010_48_county10_dpsf

POPESTIMATE2013

95-,10,000

10,001-50,000

50,001-100,000

100,000-500,000

500,001-1,000,000

1,000,001-4,400,000

Page 3: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Dallas

Howard

FoardFloyd

Brewster

FranklinHunt

Newton

Starr

Kinney

Collingsworth

TomGreen

Coleman

Brazoria

Leon

Duval

Lamb

Morris

Smith

Jackson

Medina

Wheeler

Dallam

Callahan

Lamar

Coryell

Gaines

Kendall

Nacogdoches

Milam

Hays

Willacy

Johnson

Reagan

Webb

Shackelford

Bowie

Scurry

Kenedy

Somervell

Oldham

Taylor

King

Borden

Walker

Stephens

DeafSmith

Roberts

Tyler

ValVerde

Brown

Parker

Harris

Zapata

RedRiver

Karnes

PaloPinto

GlasscockShelby

Wood

Crosby

Refugio

Burnet

Sterling

Montgomery

SanAugustine

Rains

Nueces

Jack

Swisher

Camp

Brazos

Orange

Colorado

Pecos

Cochran

Parmer

FreestoneWinkler

Wichita

Gray

Schleicher

Hardeman

TravisGillespie

Yoakum

Fayette

Uvalde

Grimes

VanZandt

Throckmorton

Falls

Grayson

Ellis

Hall

Dickens

Trinity

Reeves

Marion

Terrell

Lynn

La Salle

Jasper

Jones

Castro

Victoria

Kleberg

Briscoe

Clay

Matagorda

Brooks

Runnels

Carson

Liberty

Lee

Hale

Bexar

Garza

Montague

Upton

Hamilton

FisherDawson

Dimmit

Limestone

Hutchinson

Llano

Presidio

Eastland

Sabine

Wharton

Rusk

Tarrant

Lavaca

Childress

Hidalgo

Kaufman

Moore

Menard

Edwards

SanPatricio

Terry

Crockett

Houston

Waller

Coke

Ward

Titus

Lampasas

Haskell

Martin

Atascosa

HemphillHartley

Young

BurlesonHardin

Gonzales

McMullen

Erath

Galveston

McLennan

Madison

McCulloch

Donley

Kent

Real

Sutton

Midland

Hudspeth

Zavala

Harrison

ComancheMitchell Navarro

Crane

Lubbock

Wise

Washington

JeffDavis

El Paso

Gregg

Williamson

Lipscomb

Mason

Henderson

Hansford

Chambers

Hill

Potter

JimWells

DeltaStonewall

Ector

Cameron

Maverick

Collin

Baylor

Panola

Guadalupe

Bastrop

Austin

Andrews

Anderson

Blanco

DeWitt

Bandera

Bell

Aransas

Archer

Armstrong

Bee

Bailey

Jefferson

Frio

Fannin

Goliad

Loving

Cass

FortBend

Bosque

Hockley

SanSaba

Kerr

Mills

Cooke

Wilbarger

Irion

Caldwell

JimHogg

Culberson

Upshur

Cherokee

Denton

Concho

Randall

Kimble

Knox

Polk

Hood

SanJacinto

Robertson

Wilson

Nolan

Cottle

Calhoun

Rockwall

LiveOak

Motley

Sherman Ochiltree

Comal

Estimated Numeric Population Change by County, Texas, 2010 to 2013

Source: U.S. Census Bureau, 2013 Vintage Population Estimates.

99 counties lost population over the three year period.

Legend

tl_2010_48_county10_dpsf

Nch1013

-800-0

1-1,000

1,001-20,000

20,001-80,000

80,000-228,000

tl_2010_48_county10_dpsf

Pctch1013

-0.106707 - 0.000000

0.000001 - 0.025000

0.025001 - 0.050000

0.050001 - 0.100000

0.100001 - 0.146341

tl_2010_48_county10_dpsf

POPESTIMATE2013

95-,10,000

10,001-50,000

50,001-100,000

100,000-500,000

500,001-1,000,000

1,000,001-4,400,000

Page 4: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

4

Page 5: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

5

Page 6: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

6

Page 7: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

7

Page 8: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Number of Annual Immigrants Admitted to the United States, FY 1820-2012

18201827183418411848185518621869187618831890189719041911191819251932193919461953196019671974198119881995200220090

200,000

400,000

600,000

800,000

1,000,000

1,200,000

1,400,000

1,600,000

1,800,000

2,000,000

Fiscal Year Source: U.S. Department of Homeland Security 2013

Page 9: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Number of Non-Citizen Immigrants by World Area of Birth in the Top 5 Immigration Receiving States, 2007-2011

California

Texas

New York

Florida

Illinois

11,660

8,814

10,045

11,002

3,884

18,766

8,331

17,403

11,730

7,054

100,835

30,982

40,835

15,651

22,721

56,831

61,418

30,532

59,220

10,957

Latin America

Asia

Europe

Africa and Other

Source: 5-Year ACS PUMS 2007-2011

Page 10: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Shares of Recent Non-Citizen Immigrants to Texas from Mexico, India, China, and All Other Countries, 2005-2012

2005

2006

2007

2008

2009

2010

2011

2012

0.8%

2.4%

2.5%

4.2%

1.3%

6.0%

3.9%

6.1%

5.3%

5.7%

7.0%

5.8%

6.9%

6.5%

8.6%

11.7%

56.8%

54.9%

51.3%

49.1%

39.5%

39.4%

45.4%

37.1%

37.1%

36.9%

39.2%

40.9%

52.3%

48.1%

42.1%

45.1%

China India Mexico All Others

Source: 1-Year ACS PUMS 2005-2012

Page 11: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Texas White (non-Hispanic) and Hispanic Populations by Age, 2010

Under 1 year13 years 26 years 39 years 52 years 65 years 78 years 91 years0

50000

100000

150000

200000

250000

White (non-Hispanic) Hispanic

Age

Popu

latio

n

Source: U.S. Census Bureau 2010 Decennial Census, SF1

Page 12: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Texas Population Pyramid by Race/Ethnicity, 2010

Under 1 year4 years8 years

12 years16 years20 years24 years28 years32 years36 years40 years44 years48 years52 years56 years60 years64 years68 years72 years76 years80 years84 years88 years92 years96 years

100 to 104 years

200,000 150,000 100,000 50,000 0 50,000 100,000 150,000 200,000

NH White Male NH White Female

Source: U.S. Census Bureau 2010 Decennial Census, SF1

Page 13: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Texas Population Pyramid by Race/Ethnicity, 2010

Under 1 year4 years8 years

12 years16 years20 years24 years28 years32 years36 years40 years44 years48 years52 years56 years60 years64 years68 years72 years76 years80 years84 years88 years92 years96 years

100 to 104 years

200,000 150,000 100,000 50,000 0 50,000 100,000 150,000 200,000

Hispanic Male NH Black Male NH Asian Male NH Other Male Hispanic Female NH Black FemaleNH Asian Female NH Other Female

Source: U.S. Census Bureau 2010 Decennial Census, SF1

Page 14: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Texas Population Pyramid by Race/Ethnicity, 2010

Under 1 year4 years8 years

12 years16 years20 years24 years28 years32 years36 years40 years44 years48 years52 years56 years60 years64 years68 years72 years76 years80 years84 years88 years92 years96 years

100 to 104 years

200,000 150,000 100,000 50,000 0 50,000 100,000 150,000 200,000

NH White Male Hispanic Male NH Black Male NH Asian Male NH Other Male NH White FemaleHispanic Female NH Black Female NH Asian Female NH Other Female

Source: U.S. Census Bureau 2010 Decennial Census, SF1

Page 15: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Estimated and Projected Total Population Growth, Natural Increase, and Immigration Rates for the United States, 1950-

2050

1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 20500.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

Natural Increase ImmigrationTotal Growth

Year

Num

ber p

er 1

,000

Pop

ulati

on

Estimates Projections

http://www.fas.org/sgp/crs/misc/RL32701.pdf

Page 16: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Source: Federal Reserve Bank of Dallas, Texas Economic Indicators, February 2014

Page 17: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges
Page 18: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Dallas

Howard

FoardFloyd

Brewster

FranklinHunt

Newton

Starr

Kinney

Collingsworth

TomGreen

Coleman

Brazoria

Leon

Duval

Lamb

Morris

Smith

Jackson

Medina

Wheeler

Dallam

Callahan

Lamar

Coryell

Gaines

Kendall

Nacogdoches

Milam

Hays

Willacy

Johnson

Reagan

Webb

Shackelford

Bowie

Scurry

Kenedy

Somervell

Oldham

Taylor

King

Borden

Walker

Stephens

DeafSmith

Roberts

Tyler

ValVerde

Brown

Parker

Harris

Zapata

RedRiver

Karnes

PaloPinto

GlasscockShelby

Wood

Crosby

Refugio

Burnet

Sterling

Montgomery

SanAugustine

Rains

Nueces

Jack

Swisher

Camp

Brazos

Orange

Colorado

Pecos

Cochran

Parmer

FreestoneWinkler

Wichita

Gray

Schleicher

Hardeman

TravisGillespie

Yoakum

Fayette

Uvalde

Grimes

VanZandt

Throckmorton

Falls

Grayson

Ellis

Hall

Dickens

Trinity

Reeves

Marion

Terrell

Lynn

La Salle

Jasper

Jones

Castro

Victoria

Kleberg

Briscoe

Clay

Matagorda

Brooks

Runnels

Carson

Liberty

Lee

Hale

Bexar

Garza

Montague

Upton

Hamilton

FisherDawson

Dimmit

Limestone

Hutchinson

Llano

Presidio

Eastland

Sabine

Wharton

Rusk

Tarrant

Lavaca

Childress

Hidalgo

Kaufman

Moore

Menard

Edwards

SanPatricio

Terry

Crockett

Houston

Waller

Coke

Ward

Titus

Lampasas

Haskell

Martin

Atascosa

HemphillHartley

Young

BurlesonHardin

Gonzales

McMullen

Erath

Galveston

McLennan

Madison

McCulloch

Donley

Kent

Real

Sutton

Midland

Hudspeth

Zavala

Harrison

ComancheMitchell Navarro

Crane

Lubbock

Wise

Washington

JeffDavis

El Paso

Gregg

Williamson

Lipscomb

Mason

Henderson

Hansford

Chambers

Hill

Potter

JimWells

DeltaStonewall

Ector

Cameron

Maverick

Collin

Baylor

Panola

Guadalupe

Bastrop

Austin

Andrews

Anderson

Blanco

DeWitt

Bandera

Bell

Aransas

Archer

Armstrong

Bee

Bailey

Jefferson

Frio

Fannin

Goliad

Loving

Cass

FortBend

Bosque

Hockley

SanSaba

Kerr

Mills

Cooke

Wilbarger

Irion

Caldwell

JimHogg

Culberson

Upshur

Cherokee

Denton

Concho

Randall

Kimble

Knox

Polk

Hood

SanJacinto

Robertson

Wilson

Nolan

Cottle

Calhoun

Rockwall

LiveOak

Motley

Sherman Ochiltree

Comal

Estimated Percent Change of the Total Population by County, Texas, 2010 to 2013

Legend

tl_2010_48_county10_dpsf

Pctch1013

-11-0%

0.1-2.5%

2.51-5%

5.1-10%

10.1-14.7%

Source: U.S. Census Bureau, 2013 Vintage Population Estimates.

Page 19: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Unemployment Rate, 2010 to 2014

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

5.10%

6.10%

Texas

U.S. Unemployment

Source: Texas Workforce Commission, U.S. Bureau of Labor Statistics

Page 20: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Top States for Doing Business, 2014

Source: Area Development Online www.areadevelopment.com

1.GEORGIA2.TEXAS3.SOUTH CAROLINA4.ALABAMA5.TENNESSEE6.LOUISIANA7.INDIANA8.NORTH CAROLINA9.OHIO10.MISSISSIPPI

Page 21: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges
Page 22: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Total U.S. Exports (Origin of Movement) by StateBased on 2013 Dollar Value

2013 Value (1,000s Dollars)

2013 % Share of U.S. Exports

% Change, 2012 - 2013

Arkansas 7,154 0.5 % -6.1Louisiana 63,339 4.0 % 0.7Oklahoma 6,919 0.4 % 5.2

New Mexico 2,728 0.2 % -7.8

Texas 279,491 17.7 % 5.6

Source: U.S. Census Bureau. https://www.census.gov/foreign-trade/statistics/state/data/tx.html

Page 23: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Arkansas Louisiana OklahomaNew Mexico Texas

1 Canada China Canada Mexico Mexico

2 Mexico Mexico Mexico Israel Canada

3 China Canada China Canada Brazil

4 France Japan Japan China China

5 Hong Kong Singapore Germany Germany Netherlands

6 Brazil Netherlands Singapore Ireland Korea, South

7 Germany Brazil Brazil Belgium Colombia

8 Japan France Saudi Arabia Brazil Singapore

9 Belgium Colombia Australia Japan Venezuela

10 Korea, South Panama Russia Australia Japan

Total U.S. Exports (Origin of Movement) by Country Ranking by State

Based on 2013 Dollar Value

Source: U.S. Census Bureau. https://www.census.gov/foreign-trade/statistics/state/data/tx.html

Page 24: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Projected Racial and Ethnic Percent, Texas, 2010-2050

20102013

20162019

20222025

20282031

20342037

20402043

20462049

0

5,000,000

10,000,000

15,000,000

20,000,000

25,000,000

30,000,000

35,000,000

NH-WhiteNH-BlackHispanicNH-Other

Source: Texas State Data Center 2012 Population Projections , 2000-2010 Migration Scenario

Page 25: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Trends in Educational Attainment of Persons in the Labor Force (25-64 Years of Age) in Texas by Race/Ethnicity –

High School Graduates and Above

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 201150%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

WhiteBlackHispanicOther

Source: U.S. Census Bureau, American Community Survey, Public Use Micro Sample, 2001-2011

Page 26: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Percent of the Civilian Labor Force (ages 25-64) by Educational Attainment for 2011, 2030 Using Constant Rates,

Texas

26

Less

than High Sc

hool

High School o

r Equiva

lent

Some Colle

ge / Asso

ciate D

egree

Bachelor's

Degre

e

Graduate or P

rofessi

onal Degre

e0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

15.0%

23.8%

31.3%

20.1%

9.8%

18.1%

24.0%

29.9%

18.7%

9.3%

2011 ACS

2030 Constant 2011 %

Educational Attainment

Perc

ent o

f the

Civ

ilian

Lab

or F

orce

These should be going DOWN These should be going UP

Sources: U.S. Census Bureau, American Community Survey, 1-Year PUMS. Texas State Data Center, 2012 Vintage Population Projections, 0.5 Migration Scenario

Page 27: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Percent of the Civilian Labor Force (ages 25-64) by Educational Attainment for 2011, and 2030 Using Trended

Rates, Texas

27

Less

than High Sc

hool

High School o

r Equiva

lent

Some Colle

ge / Asso

ciate D

egree

Bachelor's

Degre

e

Graduate or P

rofessi

onal Degre

e0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

15.0%

23.8%

31.3%

20.1%

9.8%11.4%

20.4%

34.3%

22.1%

11.8%

2011 ACS

2030 Trended (2001-2011 Trend)

Educational Attainment

Perc

ent o

f the

Civ

ilian

Lab

or F

orce

These should be going DOWN These should be going UP

Sources: U.S. Census Bureau, American Community Survey, 1-Year PUMS. Texas State Data Center, 2012 Vintage Population Projections, 0.5 Migration Scenario

Page 28: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

U.S. Drought Monitor Contiguous U.S. November 4, 2014

Source: The National Drought Mitigation Center: http://droughtmonitor.unl.edu/Home/RegionalDroughtMonitor.aspx

Page 29: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Projected Increase of Obesity in Texas by Ethnicity, 2006-2040

29Source: Texas State Data Center. Population Projections, 2000-2004 Migration Scenario.

Page 30: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

30

Projected Number of Adults with Diabetes by Race and Ethnicity for Texas, 2010-2040

2010

2020

2030

2040

0

2,000,000

4,000,000

6,000,000

8,000,000

Total Latino Anglo African American Other

Pro

ject

ed P

ers

ons

with

Dia

bete

s

Source: Office of the State Demographer. 2006 Population Projections, 2000-2004 Migration Scenario.

Page 31: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Not Border Border Not Border BorderNon-Metro Non-Metro Metropolitan Metropolitan Total

020406080

100120140160180200

95

53

175

110

159

2009Sources: U.S. Census Bureau. 2009 Estimates.Department of State Health Services. Health Professions Resource Center Database.

Physicians per 100,000 byMetro & Border Status of Counties, 2009

31

Page 32: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Direct Patient Care Physicians by County of Practice per 100,000 Population - September, 2013

32

Menard

Hale

Armstrong

Calhoun

Clay

Orange

Gonzales

Fannin

Kerr

Refugio

JimHogg

Dimmit

Nolan

Brazos

Jefferson

Bell

Bandera

Hidalgo

Schleicher

GraysonCrosby

Delta

Zavala

Rockwall

Eastland

DeWitt

Angelina

McLennan

Lamar

Leon

Stonewall

McMullen

Sutton

FortBend

Parker

Kinney

Fayette

Briscoe

Harrison

Reagan

Coleman

Ochiltree

Crane

Washington

Lynn

Mills

Oldham

Sabine

Hopkins

Houston

Bexar

Upton

Erath

Randall

Rusk

Coryell

Comal

Aransas

Jack

Hemphill

Shackelford

SanJacinto

Kendall

Wharton

Floyd

Karnes

Kaufman

Duval

Johnson

Franklin

EdwardsWaller

Maverick

Kleberg

Gaines

Martin

Bowie

Andrews

Potter

Garza

Caldwell

Parmer

TitusTerry

Foard

Real

Carson

Knox

Hays

Medina

MotleyWichita

Midland

Victoria

Tyler

Falls

Presidio

Willacy

Lubbock

Henderson

Walker

Galveston

Harris

Dawson

Pecos

Nacogdoches

Guadalupe

Tarrant

Jackson

Swisher

SterlingWinkler

Frio

Lipscomb

Collingsworth

Colorado

Wise

GlasscockShelby

Comanche

Burnet

Gray

Hudspeth

Cass

Ellis

Cooke

Williamson

Cochran

VanZandt

Donley

Jones

Grimes

Irion

Navarro

Brooks

Dallam

Hunt

Mitchell

Wood

Childress

JeffDavis

Montague

Brown

Haskell

Fisher

Concho

Coke

Polk

Cottle

Young

Lee

Cherokee

Hall

Hood

ArcherBaylor

SanAugustine

MadisonMilam

Reeves

Nueces

Camp

FreestoneRunnels

Terrell

DeafSmith

Marion

Liberty

Jasper

Hansford

Chambers

Hardin

Collin

Brazoria

Throckmorton

Bastrop

Scurry

Ector

Limestone

Denton

RedRiver

Matagorda

Hardeman

PaloPinto

LiveOak

Sherman

Uvalde

Bailey

Culberson

Atascosa

Wilson

Starr

Dallas

Kimble

McCulloch

Crockett

Hill

Kent

El Paso Loving

Dickens

La Salle

Lamb

Austin

Hutchinson

ValVerde

Smith

Robertson

Gillespie

King

TomGreen

Yoakum

Somervell

Kenedy

Borden

SanSaba

Burleson

Bee

Trinity

Castro

Brewster

Gregg

Ward

Wilbarger

Hamilton

Stephens

Lavaca

Bosque

Goliad

Roberts

Callahan

Rains

Morris

Lampasas

Upshur

Wheeler

SanPatricio

Moore

Webb

Blanco

Newton

Hockley

PanolaAnderson

Cameron

Montgomery

LlanoMason

Taylor

Hartley

JimWells

Zapata

Travis

Howard

Data Source: Texas Medical Board - September 2013 Excludes: Federal and military physicians, residents and fellows. Prepared by: Texas Department of State Health Services, Center for Health Statistics, Health Professions Resource Center, December 3, 2013

Legend

tl_2013_us_county

DirCPhysPer1k

0

.1-50

50.1-100

100.1-200

200.1-350

Page 33: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Registered Nurses by County of Practice per 100,000 Population - September, 2013

33

Menard

Hale

Armstrong

Calhoun

Clay

Orange

Gonzales

Fannin

Kerr

Refugio

JimHogg

Dimmit

Nolan

Brazos

Jefferson

Bell

Bandera

Hidalgo

Schleicher

GraysonCrosby

Delta

Zavala

Rockwall

Eastland

DeWitt

Angelina

McLennan

Lamar

Leon

Stonewall

McMullen

Sutton

FortBend

Parker

Kinney

Fayette

Briscoe

Harrison

Reagan

Coleman

Ochiltree

Crane

Washington

Lynn

Mills

Oldham

Sabine

Hopkins

Houston

Bexar

Upton

Erath

Randall

Rusk

Coryell

Comal

Aransas

Jack

Hemphill

Shackelford

SanJacinto

Kendall

Wharton

Floyd

Karnes

Kaufman

Duval

Johnson

Franklin

EdwardsWaller

Maverick

Kleberg

Gaines

Martin

Bowie

Andrews

Potter

Garza

Caldwell

Parmer

TitusTerry

Foard

Real

Carson

Knox

Hays

Medina

MotleyWichita

Midland

Victoria

Tyler

Falls

Presidio

Willacy

Lubbock

Henderson

Walker

Galveston

Harris

Dawson

Pecos

Nacogdoches

Guadalupe

Tarrant

Jackson

Swisher

SterlingWinkler

Frio

Lipscomb

Collingsworth

Colorado

Wise

GlasscockShelby

Comanche

Burnet

Gray

Hudspeth

Cass

Ellis

Cooke

Williamson

Cochran

VanZandt

Donley

Jones

Grimes

Irion

Navarro

Brooks

Dallam

Hunt

Mitchell

Wood

Childress

JeffDavis

Montague

Brown

Haskell

Fisher

Concho

Coke

Polk

Cottle

Young

Lee

Cherokee

Hall

Hood

ArcherBaylor

SanAugustine

MadisonMilam

Reeves

Nueces

Camp

FreestoneRunnels

Terrell

DeafSmith

Marion

Liberty

Jasper

Hansford

Chambers

Hardin

Collin

Brazoria

Throckmorton

Bastrop

Scurry

Ector

Limestone

Denton

RedRiver

Matagorda

Hardeman

PaloPinto

LiveOak

Sherman

Uvalde

Bailey

Culberson

Atascosa

Wilson

Starr

Dallas

Kimble

McCulloch

Crockett

Hill

Kent

El Paso Loving

Dickens

La Salle

Lamb

Austin

Hutchinson

ValVerde

Smith

Robertson

Gillespie

King

TomGreen

Yoakum

Somervell

Kenedy

Borden

SanSaba

Burleson

Bee

Trinity

Castro

Brewster

Gregg

Ward

Wilbarger

Hamilton

Stephens

Lavaca

Bosque

Goliad

Roberts

Callahan

Rains

Morris

Lampasas

Upshur

Wheeler

SanPatricio

Moore

Webb

Blanco

Newton

Hockley

PanolaAnderson

Cameron

Montgomery

LlanoMason

Taylor

Hartley

JimWells

Zapata

Travis

Howard

Data Source: Texas Board of Nursing - September 2013 Prepared by: Texas Department of State Health Services, Center for Health Statistics, Health Professions Resource Center, December 3, 2013

Legend

tl_2013_us_county

RNPer1k

0

.1-250

250.1-750

750.1-1,000

1,000-2,050

Page 34: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Menard

Hale

Armstrong

Calhoun

Clay

Orange

Gonzales

Fannin

Kerr

Refugio

JimHogg

Dimmit

Nolan

Brazos

Jefferson

Bell

Bandera

Hidalgo

Schleicher

GraysonCrosby

Delta

Zavala

Rockwall

Eastland

DeWitt

Angelina

McLennan

Lamar

Leon

Stonewall

McMullen

Sutton

FortBend

Parker

Kinney

Fayette

Briscoe

Harrison

Reagan

Coleman

Ochiltree

Crane

Washington

Lynn

Mills

Oldham

Sabine

Hopkins

Houston

Bexar

Upton

Erath

Randall

Rusk

Coryell

Comal

Aransas

Jack

Hemphill

Shackelford

SanJacinto

Kendall

Wharton

Floyd

Karnes

Kaufman

Duval

Johnson

Franklin

EdwardsWaller

Maverick

Kleberg

Gaines

Martin

Bowie

Andrews

Potter

Garza

Caldwell

Parmer

TitusTerry

Foard

Real

Carson

Knox

Hays

Medina

MotleyWichita

Midland

Victoria

Tyler

Falls

Presidio

Willacy

Lubbock

Henderson

Walker

Galveston

Harris

Dawson

Pecos

Nacogdoches

Guadalupe

Tarrant

Jackson

Swisher

SterlingWinkler

Frio

Lipscomb

Collingsworth

Colorado

Wise

GlasscockShelby

Comanche

Burnet

Gray

Hudspeth

Cass

Ellis

Cooke

Williamson

Cochran

VanZandt

Donley

Jones

Grimes

Irion

Navarro

Brooks

Dallam

Hunt

Mitchell

Wood

Childress

JeffDavis

Montague

Brown

Haskell

Fisher

Concho

Coke

Polk

Cottle

Young

Lee

Cherokee

Hall

Hood

ArcherBaylor

SanAugustine

MadisonMilam

Reeves

Nueces

Camp

FreestoneRunnels

Terrell

DeafSmith

Marion

Liberty

Jasper

Hansford

Chambers

Hardin

Collin

Brazoria

Throckmorton

Bastrop

Scurry

Ector

Limestone

Denton

RedRiver

Matagorda

Hardeman

PaloPinto

LiveOak

Sherman

Uvalde

Bailey

Culberson

Atascosa

Wilson

Starr

Dallas

Kimble

McCulloch

Crockett

Hill

Kent

El Paso Loving

Dickens

La Salle

Lamb

Austin

Hutchinson

ValVerde

Smith

Robertson

Gillespie

King

TomGreen

Yoakum

Somervell

Kenedy

Borden

SanSaba

Burleson

Bee

Trinity

Castro

Brewster

Gregg

Ward

Wilbarger

Hamilton

Stephens

Lavaca

Bosque

Goliad

Roberts

Callahan

Rains

Morris

Lampasas

Upshur

Wheeler

SanPatricio

Moore

Webb

Blanco

Newton

Hockley

PanolaAnderson

Cameron

Montgomery

LlanoMason

Taylor

Hartley

JimWells

Zapata

Travis

Howard

General Dentists by County of Practice per 100,000 Population - September, 2013

34

Legend

tl_2013_us_county

DentPer1k

0

.1-20

20.1-30

30.1-50

50.1-71

Data Source: Texas State Board of Dental Examiners - September 2013 General (Primary Care) Dentists: Includes: Dentists with a status code of "active" or "expired," and, a practice type of general dentistry, pediatric dentistry or dental public health. Excludes: Dentists with a status code as "retired," "revoked," "suspended," "cancelled," "surrendered," or "deceased," and those who are non-primary care, federal or military dentists, dental residents, or faculty.

Prepared by: Texas Department of State Health Services, Center for Health Statistics, Health Professions Resource Center, December 3, 2013

Page 35: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Percent of the Population that Speaks a Language Other than English at Home and Speaks English Less

than Very Well, Texas Counties, 2007-2011

35

W i n n

C a m e r o n

Caldwell

S i o u x Sheridan

Henry

Antelope

Furnas Thayer

Jackson

Hitchcock

Maries

Allen

G r a n t

K n o x

St. Clair

Na nceK e i t h

Lancaster

Franklin

Pulaski

Drew

Logan

Newton

Lafayette

White

Carroll

Nevada

Hot Spring

Montgomery

Conway

IzardWashington

Howard

Ouachita

Garland

Y e l l

Little River

Van Buren

Shelby

Hardin

Boone

E l k

G u n n i s o n

Warren

Edwards

Harper

WebsterHamilton

Brown

L u n a

K i t C a r s o n Sheridan

C h e r r y

K a y

C l a r k

Pottawatomie

W e l d

Marion

Lyon

Phillips

Wapello

Cowley

Okfuskee

Beauregard

Sabine

St.Landry

Pawnee

Hickory

Pierce

Colfax

Merrick

Wheeler

Mercer

Howard

Kimbal l

Cooper

Lo up

Taney

Garden

Ha yes

B u f fa l o

Rock

Madison

P e r k i n s

M o r r i l l

Nuckolls

Dodge

Daviess

O t o e

DeKalb

Harrison

Macon

H o l t

Jackson

WebsterWright

Searcy

Grant

Faulkner

Jefferson

Clark

Perry

Johnson

SebastianCrawford

Hempstead

Greene

Audubon

Chaffee

Rio Blanco

Grant

WagonerTulsa

Marion

Mesa

Cotton

Adair

Douglas

Y u m a

Greenwood

Dickinson

Harper

Canadian

G o v e

Coal

Wayne

Kingman

Oklahoma

A n d r e w s

Crane

Liberty

Yoakum

Bee

Glasscock

Gregg

Orange

Sabine

Crosby

Angelina

Kaufman

Camp

Haskell

Matagorda

Hamilton

Aransas

U v a l d e

L y n n

Eastland

DeWitt

P r e s i d i o

Brazos

Borden Fisher

Mason

H a l lCastro

B e l l

R e e v e s

H a l e

Rusk

B e x a r

Stephens

Lavaca

Archer

B r e w s t e r

BriscoeChildress

D i m m i t

D a l l a m

K l e b e r g

Bastrop

BlancoGrimes

Jones

Carson

B o w i e

Rains

W e b b

Gillespie

Brooks

C o k e

Edwards

Marion

Runnels

Zapata

Cl a y

G a i n e s

L l a n o

J a c k

Trinity

Hutchinson

Lee

Flo y d

Freestone

Coryell

Howard

Grayson

Refugio

Morris

Callahan

Schleicher

Nacogdoches

Terre l l

Dallas

Karnes

Limestone

Colorado

Collingsworth

Hun t

Hood

Cochran

Harrison

Armstrong

Galveston

P e c o s

Kinney

Newton

Reagan

San Augustine

G r a y

Ter ry

Parmer

Winkler

Burnet

Hardeman

Fayette

Montgomery

La Salle

Dickens

Shackelford

N u e c e s

Rapides

Ouachita

Washington

Sherman

Atchison

D a w s o n

Richardson

Shawnee

Carroll Marshall

RioGrande

Seward

Harrison

Jefferson

Io w a

R i c e

Jackson

Greeley

Jasper

E l b e r t

Washington

Clear CreekA d a m s

P a r k

ThomasWashington

Blaine

Jefferson

Osage

Delaware

Crawford

Wharton

Young

VanZandt

H u d s p e t h

McLennan

Lampasas

Gonzales

Burleson

McCulloch

Mitchell

Z a v a l a

K e n t

Martin

WallerReal

Na varro

Tarrant

S u t t o n

Erath

Hidalgo

Ec t o r

Houston

McMullen

Donley

Hopkins

Comanche

Potter

H a r t l e y Hemphill

Lubbock

Washington

Midland

Panola

Madison

Williamson

C r o c k e t t

Cameron

E l l i s

Maverick

Throckmorton

Victoria

Sterling

F a l l s

Berna l i l lo

W i s e

Swisher

Broomfield

Menard

Titus

J e f f D a v i s

El Paso

S a nS a b a

Wichita

Upton

Jasper

Dawson

Tr a v i s Hardin

Grady

W a r d

Garza

Moore

D a w e s

Caldwell

Acadia

Ve r n o n

Iberia

U n i o n

Grant

Calcasieu

R i o A r r i b a

DeSoto

Avoyelles

SanJuan

Bienville

Ba te s

L i n c o l n

Dade

Saunders

Garfield

Morgan Osage

Benton

Benton

Anderson

Taylor

Garfield

C i m a r r o n

Le FloreComanche

C u s t e r

Cleveland

O t e r o

Okmulgee

Pawnee

Summit

L i n n

Cib o la

Monroe

D e B a c a

Lane

Adair

P i t k i n

Caddo

Ga r v in

Wilson

Comanche

Cho ctaw

Pottawatomie

HendersonJohnson

McCurtain

Grundy

C a s s

Ad a i r

P o lk

Lafayette

Pulaski

Republic

Boone

Andrew

D o u g l a s

Barton

Schuyler

Platte

Dallas

Logan

C o l f a x

C u r r y

P u e b l o

Moffat

Logan

B e a v e r

BeckhamMcIntosh

Ottawa

Tillman

Scott

Leavenworth

Gilpin

Gray

Custer

Mitchell

R o u t t

Lake

Alamosa

San taFe

A t o k a

C r e e k

Montgomery

Cheyenne

P a y n e

L a s A n i m a s

Wyandotte

Guadalupe

Jefferson

O t e r o

N e s sCrowley

H i l l

Pittsburg

San Jacinto

Delta

Caldwell

Fort Bend

LipscombHansford

Loving

ChambersGuadalupe

K e r r

Col l i n

Hockley

Wilson

Nolan

Stonewall

LiveOak

Denton

McKinley

Bosque

Baylor

CulbersonMills

L a m b

Ochiltree

C a s s

Upshur

Bandera

Jim Wells

Boulder

Austin

Webster

De u e l

B la ine

Boone

Worth

Ar th ur

C a s s

D u n d y

Fillmore

B a n n e r

B o xB u t t e

B u r t

F r o n t i e r Adams

Johnson

Carroll

Camden

Knox

Franklin

Story

Noble

Murray

Nowata

R o g e rM i l l s

Barton McPherson

T o r r a n c e

D o ñ a A n a

M i l l sCass

Wa sh i ta

T e x a s

Jefferson

Fannin

Muskogee

JimHogg

Roberts

Goliad

Concho

F r i o

Robertson

K n o x

TomGreen

Cottle

Atascosa

I r i o n

Lamar

Coleman

Rockwall

Wilbarger

Calhoun

L e o n

Bailey

K imb le

P o l k

V a l V e r d e

D u v a l

S t a r r

WheelerO l d h a m

Comal

Valenc ia

Medina

K i n g

Somervell

Tyler

Jackson

M i l a m

RedRiver

Motley

KendallHays

Deaf Smith

Shelby

Harris

Kenedy

Cooke

Scurry

Randall

Sherman

Taylor

W i l l a c y

Parker

Brazoria

CherokeeAnderson

Brown

Walker

SmithCaddo

PolkDouglas

Valley

Phelps

Stanton

Gage Nemaha

Monroe

Newton

Q u a y

T a o s

E d d y

A r a p a h o e

Chautauqua

Tama

Prowers

Pawnee

G r a n t

K i o w a

Sequoyah

Keokuk

Ouray

Rogers

Lucas

Mineral

Johnson

C a r t e r

L a r i m e r

Stevens

M o r aMayes

F r e m o n t Miami

Vermilion

Greene

Thomas

Cedar

C l a y

Jasper

Platte

Evangeline

Moniteau

Saline

R a y

Lincoln

Gentry

Livingston

Gosper

Harlan

Pettis

Vernon

Barry

Laclede

Miller

L i n nHolt

Howell

Riley

Morris

Phillips

Hinsdale

Harmon

Seminole

H u e r f a n o

Jackson

E l P a s oDelta

Sherman

Sedgwick

Hughes

Greer

Woods

Pushmataha

SanJuan

Woodbury

Jefferson

Randolph

Bossier

Hamilton

Dixon

La Salle

Goshen

Converse

McDonald

C h a s e

Graham

Teller

Hodgeman

Ottawa

Stanton

Osborne

Los Alamos

Marshall

Mo rg an

S i e r r a

Clarke

K i o w a

I d a

O s a g e

Stafford

Poweshiek

Douglas

Montgomery

Kiowa

Lincoln

Chase

Woodson

S a n M i g u e l

Nemaha

Geary

Haskell

S m i t h

Russell

B u t l e r

MortonMeade

H a r d i n g

C h a v e s

D e w e y

Lincoln

Scotts BluffMcPherson

Kearney

O z a r k

A l b a n y

Stone

Sullivan

N a t r o n a

Chariton

Texas

C a r b o n

P l a t t e

Ashley

Calhoun

C u s t e r

L o g a n

Decatur

F o r d

Labette

E l l i s

S a g u a c h e

JacksonE a g l e

C o n e j o s

Roos eve l t

U n i o n

Neosho

Costilla

M a j o r

B r y a n

P r a t t

Rooks

S a n d o v a l

C h e y e n n e

S a c

Davis

Jewel l

B e n t

Dallas

Adams

Page

Madison

Tre g o

Johnston

Sumner

Craig

Woodward

R u s h

La Plata

Claiborne

Miller

Benton

Lawrence

Thurston

Webster

Shelby

Natchitoches

Hooker

Brown

Johnson

H a l l

NodawayScotland

Cheyenne

Yo r k

Franklin

Callaway

RedWillow

Buchanan

Washington

S c o t t

Pike

P o l k

Columbia

MadisonStone

Cleburne

Bradley

Saline

BooneBaxter

Marion

Sevier

Fulton

Dallas

Pope

Lonoke

Cleveland

Hamilton

G r a n d

R e n o

Sedgwick

Norton

U n i o n

L a r a m i e

B a r b e r

Latimer

Garfield

Stephens

Allen

B a c a

Marshall

Monona

Pontotoc

Black Hawk

S o c o r r o

L o g a n

Wichita

C l o u d

Appanoose

P o l k

Clay

Rawlins

L i n c o l n

KearnyHarvey

Wallace

Alfalfa

Coffey

Kingfisher

Ellsworth

Archuleta

Jefferson

McClain

L e a

Decatur

E l l i s

Haskell

Lincoln

Legend

tl_2013_us_state

PCT HISP 11 5YR

DP2_HC03_VC170

0-5%

5.1-10%

10.1-20%

20.1-40%

40.1-61%

Source: U.S. Census Bureau, American Community Survey, 5-Year Sample, 2007-2011

Page 36: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges
Page 37: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Estimated Percent Uninsured Under 65 Years of Age by County, 2012

Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE)

Page 38: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

State Rank for Teen Birth Rates per 1,000 Women Aged 15-19 Years, U.S. and Top 9 States, 2012, 2011,

and DifferenceRank Geography 2012 2011 % Change

2011-12

United States 29.4 31.3 -6

1 New Mexico 47.5 48.8 †

2 Oklahoma 47.3 47.8 †

3 Mississippi 46.1 50.2 -8

4 Arkansas 45.7 50.7 -10

5 Texas 44.4 46.9 -5

6 West Virginia 44.1 43.5 †

7 Louisiana 43.1 45.1 -4

8 Kentucky 41.5 43.5 -5

9 Alabama 39.2 40.5 †Source: Centers for Disease Control and Prevention, Births: Final Data for 2012, Volume 62, number 9, December 30, 2013

Page 39: Southwest Region Executive Directors Association November 13, 2014 San Antonio, Texas Demographic and Economic Characteristics, Trends, and Challenges

Contact

Office: (512) 463-8390 or (210) 458-6530Email: [email protected]: http://osd.state.tx.us

Office of the State Demographer