El Paso County and City of El Paso

Demographic Data for El Paso County and City of El Paso
Table of Contents

    El Paso County
  1. Location
  2. Population
  3. Ethnicity
  4. Income
  5. Border Health
  6. Cancer Rates in El Paso County
  7. Diabetes
  8. HIV/AIDS
  9. Leading Causes of Death for El Paso County


    City of El Paso
  1. Population
  2. Cross Border Migration
  3. HIV/AIDS
  4. Health Insurance and Cultural Factors as Barriers

El Paso County

Location
El Paso County is located at the western tip of Texas, and has borders with the state of Chihuahua, Mexico to the south, and the state of New Mexico to the north. EI Paso County is has an area of 1,013.11 square miles, with a population density of approximately 790.3 persons per square mile 1.


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Population
According to the U.S. Census, in 2009 there were an estimated 800,647 people living in El Paso County. Of that total, an estimated 130,000 people live in rural communities such as Anthony, Vinton, Canutillo, San Elizario, and Socorro, for example. The Census also reported a 17.8% change in the population from 2000 to 2010 1.

Ethnicity
According to the U.S. Census, the population of El Paso County is younger than that of the nation as a whole. In 2009, 41 percent of EI Paso County's population was under the age of 25; the corresponding figure for the United States was 36 percent 1.

Data from the U.S. Census, estimated that out of the 800,647 inhabitants of El Paso County, there were 48.2 % males and 51.8% percent females. Approximately 82.2 percent of the population in El Paso County is Hispanic, and 13.4 percent are non-Hispanic whites. African Americans make up 3.1% of the population, and other ethnicities comprise 4.9 percent of the total population 1.

Income
In 2006, the U.S, Census Bureau estimated that the median household income was $36,519 which is less than the median statewide household income of $ 50,049. Almost 14 percent of households made less than $10,000 a year, and 9.1 percent of households made $10,000 to $14,999 a year. In the year 2000, 31.8 percent of the population, and 31.5 percent of children were living in poverty, while in 2008, 25.2 % of the population was living in poverty. For many years (decades), the residents of El Paso County have been some of the poorest, both in Texas, as well as the nation. According to the U.S. Census, 19.5 percent of the El Paso population had an academic level of less than a ninth grade education, and 11.9 percent did not graduate from high school 1.

Border Health
There are 32 Texas counties that are located within 100 kilometers of the U.S.-Mexico border. These counties, including El Paso County, are among the poorest in the United States and have numerous barriers to health education and health care access. Because many health conditions are found to be worse in the border region than in the rest of the state, special attention is given to monitoring disparities along the border 4.

Cancer Rates in El Paso County
In 2011, the Texas Department of State Health Services estimated that there will be 2,622 new cancer cases and 929 cancer deaths in El Paso County. Non-Hispanic Caucasian women have the highest incidence rates for cancer, as well as the highest mortality rate of any ethnic group in El Paso County. African American females have the second highest and Asian women have the lowest mortality rate 5.

Comparison of cervical cancer rates among women living in border counties
The State of Texas includes 32 counties which border the neighboring country of Mexico. In general, women living in the Texas-Mexico border counties (12.3 per 100,000) had higher cervical cancer incidence rates when compared to women in non-border counties (9.5 per 100,000). With regard to the former, non-Hispanic white women in the border counties (9.1 per 100,000) had slightly higher cervical cancer incidence rates when compared to non-Hispanic whites in non-border counties (8.1 per 100,000) 6.

On the other hand, Hispanic women in the non-border counties had slightly higher cervical cancer incidence rates (14.2 per 100,000) than Hispanics in the border counties (13.3 per 100,000). According to the Texas State Health Services (TSHS), women living in border counties experienced higher cervical cancer mortality rates (4.1 per 100,000) overall compared to women living in non-border counties (3.0 per 100,000) 6.

Aside from the BRFSS data, a recent study found that Hispanic women, particularly those who live in Texas counties along the United States-Mexico border, are less likely than non-Hispanic whites to receive routine screenings for breast and cervical cancers. This may be due to lack of access to health care in the border region and the need for culturally sensitive preventive health care may account in part for these low screening rates among Hispanic women 6.

Diabetes
From 2002 through 2007, diabetes was the sixth leading cause of death in Texas. In 2007, 5,105 people died from this disease. On a national level, from 2002 through 2004 and 2006, diabetes was also the sixth leading cause of death, and in 2005, it was the seventh leading cause of death across the state. Diabetes is believed to be under-reported on death certificates in Texas, as well as the rest of the U.S., both as a condition and as a cause of death. When compared with the state rate, 24 Texas counties, El Paso County among them, had diabetes SMR significantly higher than the state SMR 10.

HIV/AIDS cases in (2010 - 2011)11, 12
El Paso County is classified as Texas Public Health Region number 10. In the year 2010, El Paso County ranked fifth in the state among the first 25 Texas counties with the highest number of cases of HIV infection, AIDS cases, and people living with HIV. With regard to highest case rates for people living with HIV, the rate for El Paso County was 208.1, representing the cases reported per 100,000 populations.

For that same year, there were 117 reported cases of HIV infection, 47 cases of AIDS and 1,609 people living with HIV in El Paso. As of December 31, 2010, there were 2,482 cumulative HIV diagnoses in this county. The AIDS cases reported for 2010 were the lowest compared to the previous seven year period (77 cases reported for 2003 vs. 47 in 2010). Within that same time period, the highest number of AIDS cases reported was 82, for the year 2007.

(Texas 2010 HIV surveillance report). From January through June of 2010, there were 60 cases of HIV infection reported for El Paso County, compared to 54 cases reported for the same period in 2011. With regard to AIDS cases, there were 26 cases reported from January to June 2010, compared to 20 cases for the same period in 2011. (Texas 2011 HIV quarterly surveillance report).

Leading Causes of Death for El Paso County 10

    White Black Other Hispanic
Under Age 1          
Complications of Pregnancy/Birth   34% nrf nrf 33%
Birth Defects   30% nrf nrf 31%
Age 1-14          
Injuries   25% nrf nrf 21%
Cancer   15% nrf nrf 15%
Homicide   nrf nrf nrf nrf
Age 15-24          
Injuries   23% nrf nrf 23%
Homicide   nrf nrf nrf nrf
Suicide   10% nrf nrf 11%
Cancer   nrf nrf nrf nrf
Age 25-44          
Injuries   14% nrf nrf 13%
Cancer   16% nrf nrf 17%
Heart Disease   nrf 16% nrf nrf
Suicide   nrf nrf nrf nrf
HIV/AIDS   nrf nrf nrf nrf
Homicide   nrf nrf nrf nrf
Age 45-65          
Cancer   30% 21% 39% 28%
Heart Disease   19% 27% 21% 18%
Age 65+          
Heart Disease   28% 31% 20% 27%
Cancer   22% 27% 25% 22%

nrf=No report, fewer than 20 deaths in race/ethnicity and age group or less than 10% of the deaths.
nda=No data available.
Local data are presented for the Nation's top leading causes of death in each age group. Columns, within age categories, do not total 100% because all causes of death are not listed.
Source: U.S. Depth of Health and Human Services (2009).- http://communityhealth.hhs.gov/homepage.aspx?j=1

 

City of El Paso

Population
The City of El Paso is contained within this county, and is the sixth largest city in Texas, as well as the 22nd largest city in the United States, with an estimated population of 602,672 , which is composed of 318,076 females and 284,596 males 2.

Table .1 DSHS Projected Texas Population by Area, 2010 (not based on US Census data for 2010)

Area Name Total Anglo Black Hispanic Other
Texas 25,373,947 11,441,595 2,925,751 9,847,852 1,158,749
El Paso MSA 773,125 84,666 21,624 651,192 15,643
Source: Texas Dept, of State Health Services; Texas population, 2010: http://www.dshs.state.tx.us/chs/popdat/ST2010.shtm

El Paso is challenged by the high percentage of residents who are living in poverty. In 2006, the U.S. Census Bureau estimated that the median household income ($36,519) was less than the median statewide household income ($50,049). Almost 14 percent of households made less than $10,000 a year, and 9.1% percent made $10,000 - $14,999. In 2009, census data indicated that 23.7 percent of the population was living in poverty 1.

Cross Border Migration
Another significant transient population is the direct result of cross border migration. Pedestrian traffic crossing into El Paso from Mexico was 7,234,043 in 2001, while personal automobile crossings were approximately 16.6 million. Pedestrian traffic crossings into El Paso from Mexico increased from 5,686, 789 in 1992 (pre NAFTA) to 8,765,137 3 .

HIV/AIDS
A total of 1,617 people were living with AIDS in El Paso in 2010. Of these, males far outnumbered females being 1,410 vs. 207, respectively. Hispanics accounted for the majority of the cases (1,374), compared to 150 for Caucasians and 80 for African Americans. Another 9 cases were classified as "other" or "unknown" ethnic origin. The age groups most represented for people living with AIDS were the 45-54 years of age bracket, with 520 cases, followed by 35-44 years of age group, with 515 reported cases.

The mode of exposure reported for people living with AIDS was principally by male to male sexual contact (MSM), with 1,083 cases. Other forms of exposure included intravenous drug users (IDU) with 133 cases. Additionally, MSM plus IDU corresponded to 77 cases and AIDS due to heterosexual contact reported 297 cases (Texas Department of State Health Services - 2010 Texas Integrated Epidemiologic Profile for HIV /AIDS).

Health Insurance and Cultural Factors as Barriers
Another significant characteristic of El Paso relates to language. El Paso is unique in that we do not have one dominant language. The majority (80%) of El Paso's population is Hispanic and many people are fluent only in Spanish. The U.S. Census Bureau data obtained from 2005-2009 confirms that 74.9% of the population ages 5 years and older in El Paso County speaks another language different from English at home, and roughly 32 percent of Spanish speakers in El Paso County have difficulty expressing themselves in English 2.

This situation makes it difficult for many of the residents to communicate effectively with health care providers and the inability to speak fluently in English could be a significant factor to falls prevention because of patient's inability to communicate effectively with health care providers. The CDC (2008) found that the main reason why some women did not have a mammogram was the lack of health insurance 7.

Additionally, the U.S Census Bureau / Texas Comptrollers' Office has shown that 33.2% of the El Paso population lacks health insurance 8.

El Paso has the second highest (33.2%) uninsured rate in Texas


Source: Combs, S (2005)12. The Uninsured: A Hidden Burden on Texas Employers and Communities. Transmittal Letter. Window on State Government. Texas Comptroller's Office. http://www.window.state.tx.us/specialrpt/uninsured05/

TABLE 2
Texas Demographic and Economic Factors by Texas MSA
Ranked by Percent Uninsured (El Paso)
MSA Population
(January 1, 2003)*
Percent Uninsured 3-year average** Average Annual Wage 2003*** Unemployment Rate 2003**** Below 200 Percent of Poverty 3-year average*****
EL Paso 705,459 33.2% $25,017 9.7% 59%


Source: Combs, S (2005)12. The Uninsured: A Hidden Burden on Texas Employers and Communities. Transmittal Letter. Window on State Government. Texas Comptroller's Office. http://www.window.state.tx.us/specialrpt/uninsured05/

Table 3. LANGUAGE SPOKEN AT HOME – El Paso, Texas
Population 5 years and over 544,224 +/-791 544,224 (X)
English only 146,582 +/-2,771 26.9% +/-0.5
Language other than English 397,642 +/-2,756 73.1% +/-0.5
Speak English less than "very well" 154,650 +/-2,807 28.4% +/-0.5
Spanish 384,681 +/-2,677 70.7% +/-0.5
Speak English less than "very well" 149,984 +/-2,839 27.6% +/-0.5

Source: U.S Census-American Fact Finder, 2009

  1. U.S Census (2010). Data for El Paso, County, Texas. http://quickfacts.census.gov/qfd/states/48/48141.html (Accessed on June 18, 2011).
  2. (US Census (2009). El Paso, Texas population projections. http://quickfacts.census.gov/qfd/states/48/4824000.html. (accessed 8-24-11). http://factfinder.census.gov/servlet/STTable?_bm=y&-geo_id=16000US4824000&-qr_name=ACS_2009_5YR_G00_S0101&-ds_name=ACS_2009_5YR_G00_&-redoLog=false
  3. City of El Paso (2003) Border mobility –crossings: http://www.ci.el-paso.tx.us/econdev/infra_trans.asp (accessed 8-24-11).
  4. Texas Department of State Health Services (2010). Health Status of Texas Border Counties; http://www.dshs.state.tx.us/layouts/contentpage.aspx?pageid=35776&id=34404&terms=texas+border+counties (accessed 8-24-11).
  5. Texas Department of State Health Services (2010). Cancer in El Paso County. http://www.dshs.state.tx.us/tcr/Texas-Fact-Sheets.aspx (accessed 9-2-11).
  6. Texas Department of State Health Services (2009). Cancer rates in Texas –Women. http://www.dshs.state.tx.us/tcr/publications.shtm (accessed June 15, 2011).
  7. Center for Disease Control and Prevention (2010). Surveillance for Certain Health Behaviors Among States and Selected Local Areas — United States, 2008. http://www.cdc.gov/mmwr/pdf/ss/ss5910.pdf (accessed July 13, 2011).
  8. Combs, S (2005). The Uninsured: A Hidden Burden on Texas Employers and Communities. Transmittal Letter. Window on State Government. Texas Comptroller's Office. http://www.window.state.tx.us/specialrpt/uninsured05/ (accessed 8-24-11).
  9. Texas Department of State Health Services (2009). Diabetes in Texas factsheet. http://www.dshs.state.tx.us/diabetes/tdcdata.shtm (accessed May, 25, 2011).
  10. Community Health Status Report- El Paso County -NCHS. Vital Statistics Reporting System (2003-2005). http://communityhealth.hhs.gov/NationalLeadingCausesofDeath.aspx?GeogCD=48141&PeerStrat=3&state=Texas&county=El%20Paso (accessed 9-6-11).
  11. Texas HIV Surveillance Report (2010). TB/HIV/STD Epidemiology and Surveillance Branch. Austin, TX: Texas Department of State Health Services.
  12. Texas HIV Quarterly Report – 2ND Quarter (2011). TB/HIV/STD Epidemiology and Surveillance Branch. Austin, TX: Texas Department of State Health Services. http://www.dshs.state.tx.us/Layouts/ContentPage.aspx?PageID=34561&id=4962&terms=hiv+report (accessed 4-23-12)

Revised on 6/29/2011