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County profile Texas Metropolitan

Black health in Bexar County, Texas

170,000

Black residents (ACS)

8.46%

Of county population

$50,800

Median household income, Black

18.40%

Uninsured, Black residents

Bexar County has roughly 170,000 Black residents, a smaller Black population in absolute and percent terms than Harris, Dallas, or Tarrant, but the county's east side has been the historical core of Black San Antonio since the late nineteenth century. University Health (the county's public hospital system) and UT Health San Antonio anchor the academic medicine; University Health's new Women's & Children's Tower opened in 2023 and houses the region's largest high-risk obstetrics practice.

San Antonio's HIV prevalence among Black men who have sex with men is among the highest in Texas; the county's Metropolitan Health District runs the largest publicly-funded PrEP clinic south of Austin.

Headline outcomes

Race-stratified county-level figures pulled from CDC WONDER small-area estimates, the annual County Health Rankings, and the CDC NVSS state/county life tables. County values with cell counts below CDC suppression thresholds are marked as data pending.

Life expectancy (Black)

73.50 yrs

At birth, CDC NVSS Small-Area LE

Infant mortality (Black)

10.30

Per 1,000 live births, CDC WONDER

CVD mortality (Black)

354.00

Age-adjusted per 100k, CDC WONDER I00-I99

County Health Rankings

#141

Overall rank in Texas (lower = better)

Policy context in Bexar

Texas has not adopted Medicaid expansion. Low-income Black adults in this county without dependent children and without employer coverage typically fall into the coverage gap — uninsured by default. Medicaid does not cover doula services in this state. Postpartum Medicaid coverage extends for 12 months after delivery — the federal recommended standard, in place here.

Where to get help in Bexar

Find Black health providers & resources in Bexar

Black clinicians in Bexar

Directory filtered to this county & state

Federally Qualified Health Centers

Sliding-scale FQHCs across Texas

Crisis & support resources

988, postpartum helplines, Black-serving crisis lines

Texas state profile

Statewide context, Medicaid policy, all 10 health facets

References & primary sources

  1. Demographics: US Census ACS 5-year 2019–2023, Tables B03002 (race), B01003 (total population), S1903 (median income), B27010B (uninsured by race).
  2. Mortality and life expectancy: CDC WONDER county-level Multiple Cause of Death and Underlying Cause of Death, pooled 2020–2022; CDC NVSS Small-Area Life Expectancy Estimates, 2016–2020 release.
  3. County Health Rankings: University of Wisconsin Population Health Institute & Robert Wood Johnson Foundation, 2024 release.
  4. HRSA shortage-area designations: HRSA HPSA Find and MUA/P Find, current as of 2025.
  5. Rural-Urban Continuum Codes: USDA Economic Research Service, 2023 release.

Data refreshed:

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