Welcome to the 2016 Bexar County CHNA

Dear Community Members:

In keeping with our mission to improve the health status of our community through collaborative means, it is our pleasure to present the 2016 Bexar County Community Health Needs Assessment.

This report is the result of a formal community assessment that reflects over 24 months of collaborative work with agency partners and community stakeholders to establish a shared vision, select relevant indicators, and prepare a document that addresses the important drivers of health in our community.

In keeping with the national movement in public health to focus more sharply on the root causes of health outcomes, the report devotes significant space to describing social, economic, and environmental conditions. The framework used to organize the report, developed by the Bay Area Regional Health Inequalities Initiative, moves from population characteristics to living conditions, to health behaviors and risk factors, and finally to prevalence of specific diseases and causes of death.

We hope this framework helps readers consider connections among people, places, circumstances and health outcomes. Ultimately, a health needs assessment helps answer the question “What matters for health?” And it points to potential responses to a second question, “What can be done about it?”

True progress requires as many County residents and stakeholders as possible to be engaged in answering those questions. We will therefore continue to make this report freely accessible to all who live, learn, work, and play in Bexar County. We would be happy to receive feedback and suggestions from those who use the report.

We thank the many stakeholders and partners from multiple sectors and the expert technical assistance provided by CI:Now and Dr. Laura McKieran. A special thank you is also due to the Board of Directors of the Health Collaborative, whose leadership and guidance contribute substantially to a high quality report.

The health of a community’s residents offers a stark accounting of how effectively it functions. No other metric captures more vital information. We hope that the data collected here help point the way to policy and community action to create conditions in which all Bexar County residents have real opportunities to flourish.


Robert L. Ferrer, MD, MPH
Health Collaborative
Board Chair
Stephen K. Blanchard PhD
Health Collaborative
Data Committee Chair

Health Collaborative: Executive Board of Directors
Robert L. Ferrer, MD, Board Chair
Ms. Pilar Oates, Vice Chair
Theresa De La Haya RN, Secretary/Treasurer
Stephen K. Blanchard, PhD, Data Committee Chair
Elizabeth Lutz, MBA, Executive Director


  • What Makes Us Healthy?
  • People & Place
  • Environment & Living Conditions
  • Health-Related Behaviors and Early Outcomes
  • Health & Well-Being
  • Implications for Action