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County profile Texas Metropolitan

Black health in Tarrant County, Texas

256,000

Black residents (ACS)

12.02%

Of county population

$49,100

Median household income, Black

19.60%

Uninsured, Black residents

Tarrant County has roughly 256,000 Black residents, concentrated in east Fort Worth and the Stop Six and Como neighbourhoods. JPS Health Network, the county's public hospital system, operates the only level-I trauma centre and the largest network of federally qualified health centres in north Texas. Tarrant County Public Health's Fetal Infant Mortality Review program covers Black-resident ZIP codes with elevated infant mortality, a program structurally similar to the one in neighboring Dallas County.

The county's uninsured rate among Black adults runs materially above the state average, reflecting Texas's non-expansion status and the mix of service-sector employment in Fort Worth without employer-sponsored coverage.

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)

73.90 yrs

At birth, CDC NVSS Small-Area LE

Infant mortality (Black)

10.50

Per 1,000 live births, CDC WONDER

CVD mortality (Black)

359.30

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

County Health Rankings

#118

Overall rank in Texas (lower = better)

Policy context in Tarrant

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 Tarrant

Find Black health providers & resources in Tarrant

Black clinicians in Tarrant

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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