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Border County Health Workforce Profiles: Texas

 

References

 

1 The State of Florida was added because it has population and health workforce characteristics and needs similar to those of the U.S.-Mexico Border States. 

2 U.S. Census Bureau, 2000. 

3 Murdock, SH, et al . (2003).  The New Texas Challenge.  Texas A & M University Press, College Station, Texas. 

4 Area Resource File (ARF), 2002.  Metropolitan includes those counties identified as Level A (Areas of 1 million or more), Level B (Areas of 250,000 to 999, 999), Level C (Areas of 100,000 to 249,000) and Level D (Areas of Less than 100,000) on the MSAPMSALevel1999 field in the ARF.  According to ARF documentation, metropolitan areas, which include Metropolitan Statistical Area (MSA) and Primary Metropolitan Statistical Area (PMSA), were announced by the Office of Management and Budget in OMB Bulletin No.99-04 and became effective June 30, 1999.  Current standards require that newly qualifying MSAs include at least one city with 50,000 or more inhabitants, or a Census Bureau-defined urbanized area (50,000 or more inhabitants) and a total metropolitan population of at least 100,000 (75,000 in New England).

5 U.S. Census Bureau, 2003. 

6 U.S. Census Bureau, 2000; using America Fact Finder; P77.  MEDIAN FAMILY INCOME IN 1999 (DOLLARS) 1 – Universe Families Data Set:  Census 2000 Summary File 3 (SF 3) – Sample Data, and P155H. MEDIAN FAMILY INCOME IN 1999 (DOLLARS) (HISPANIC OR LATINO HOUSEHOLDER) 1 – Universe:  Families with a householder who is Hispanic or Latino Data Set:  Census 2000 Summary File 3 (SF 3) – Sample Data.

7 U.S. Census Bureau, Poverty in the United States: 2000: Current Population Reports: Consumer Income , September 2001, p 5.  Note: Poverty thresholds are updated annually by the Census Bureau.

8 Behavioral Risk Factor Surveillance System (BRFSS) . Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2002.  In the BRFSS, respondents were asked “ Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicare?”  Sample size reflects number of respondents, excluding those who answered “Do not know/not sure” or refused.  The sample size within a State may not add up to State total due to suppression of data for counties with small sample sizes.  The percentages were weighted to population characteristics in order to produce estimates that were representative of the sampled population.  Health characteristics estimated from the BRFSS pertain only to the adult population (age 18 and older) living in households.

9 Note: Estimates based on the Current Population Survey, Annual Social and Economic Supplement, 2004, indicate that 25 percent of Texas residents were uninsured during some time in 2003.

10 Behavioral Risk Factor Surveillance System (BRFSS) . Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2002.  In the BRFSS, female respondents were asked “ How long has it been since you had your last mammogram?” if they responded “yes” to ever having had a mammogram.  The percentages reported here were weighted to population characteristics in order to produce estimates that were representative of the sampled population.

11 Age-adjusted mortality rate= Sum of ((number of resident deaths/population) in 10-year age groups multiplied by weights from the U.S. 2000 Standard Population).  This formula was applied whenever age-adjusted mortality rate is referred to in this report.  The population used in calculating the crude death rates by 10-year age groups includes total population with exception of breast (when specified) and cervical cancer (females only).

12 Behavioral Risk Factor Surveillance System (BRFSS) . Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2002.  In the BRFSS, female respondents were asked “ How long has it been since you had your last Pap smear?” if they responded “yes” to ever having had a pap smear.  The percentages reported here were weighted to population characteristics in order to produce estimates that were representative of the sampled population.

13 Kochanek KD, Murphy SL, Anderson RN, Scott C.  Deaths: Final data for 2002.  National vital statistics reports; vol 53 no 5.  Hyattsville, Maryland:  National Center for Health Statistics. 2004.

14 Office of Statistics and Programming, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.  10 Leading Causes of Death, Texas, 2002, All Races, Both Sexes, http://webappa.cdc.gov/sasweb/ncipc/leadcaus10.html, accessed on January 24, 2005.

15 Jermendy G. Can type 2 diabetes mellitus be considered preventable?  Diabetes Research and Clinical Practice 2005, 68SI:  S73-81; Schwarz PEH, Schwarz J, Bornstein SR, Schulze J. Prevention of type 2 diabetes:  what challenges do we have to address?  Journal of Public Health, 2005.  13:  303-308; Zimmet P, Shaw J, Alberti KGMM.  Preventing Type 2 diabetes and the dysmetabolic syndrome in the real world: a realistic view.  Diabetic Medicine, 2003.  20:  693-702.

16 Mokdad AH, Ford ES, Bowman BA, et al.  Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001.  Journal of the American Medical Association 2003; 289:  76-9.

17 Morbidity and Mortality Weekly Report (MMWR), Prevalence of Diabetes Among Hispanics –- Selected Areas, 1998—2002.  53(40):  941-944.

18 U.S.-Mexico Border Health Commission (USMBHC).  Healthy Border 2010:  An Agenda for Improving Health on the United States Mexico Border, 2003.

19 National Immunization Program, Centers for Disease Control and Prevention, 2003.  Estimates are based on a sample and presented as 95 percent confidence intervals; wide confidence intervals for the State (plus or minus 4.1 percent) may be a sign of small sample size and less precision; national estimates have smaller confidence intervals (plus or minus 1.0 percent) and are more precise that State estimates.

20 National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.  Injury in America.  Defining Risk…Increasing Safety, June 2002.

21 Office of Statistics and Programming, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.  10 Leading Causes of Death, Texas, 2002, All Races, Both Sexes, http://webapp.cdc.gov/sasweb/ncipc/leadcaus10.html, accessed on January 24, 2005.

22 Kochanek KD, Murphy SL, Anderson RN, Scott C. Deaths:  Final data for 2002.  National vital statistics reports; vol 53 no 5.  Hyattsville, Maryland:  National Center for Health Statistics.  2004.

23 National Cen ter for Injury Prevention and Control, Centers for Disease Control and Prevention. Injury Fact Book 2001–2002 , November 2001 ; and National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.  Injury in America.  Defining Risk…Increasing Safety, June 2002.

24 Bureau of Vital Statistics, Texas Department of Health, 2002.

25 U.S.-Mexico Border Health Commission (USMBHC).  Healthy Border 2010: An Agenda for Improving Health on the United States Mexico Border, 2003.

26 U.S. Department of Health and Human Services.   Mental Health: A Report of the Surgeon General—Executive Summary .  Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health, 1999.

27 Office of Statistics and Programming, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.  10 Leading Causes of Death, Texas, 2002, All Races, Both Sexes, http://webapp.cdc.gov/sasweb/ncipc/leadcaus10.html, accessed on January 24, 2005.

28 Kochanek KD, Murphy SL, Anderson RN, Scott C. Deaths:  Final data for 2002.  National vital statistics reports; vol 53 no 5.  Hyattsville, Maryland:  National Center for Health Statistics.  2004.

29 Oral Health in America: A Report of the Surgeon General .  U.S. Department of Health and Human Services, National Institutes of Health, Rockville, MD, 2000.

30 Cappelli DP, Steffensen JEM, Urbieta M.  “Oral Health,” in the Bexar County Community Health Assessment, 2002.  The Bexar County Community Health Collaborative, San Antonio, Texas; Grossi SG, Zambon JJ, Ho AW, et al. Assessment of risk for periodontal disease:  risk indicators of periodontal attachment loss.  Journal of Periodontology, 1994. 65:  260-267; Mattila KJ, Valle MS, Nieninen MS, et al.  Dental infections and coronary atherosclerosis. Atherosclerosis, 1993.  103:  205-211; Offenbacher S, Katz V, Fertik G, et al.  Periodontal disease as a possible risk factor for preterm low birth weight.  Journal of Periodontology, 1996.  67:  1103-1113.

31 Beltrán-Aguilar ED, Barker LK, Canto MT, Dye BA, Gooch BF, Griffin SO, Hyman J, Jaramillo F, Kingman A, Nowjack-Raymer R, Selwitz RH, Wu T. Surveillance for Dental Caries, Dental Sealants, Tooth Retention, Edentulism, and Enamel Fluorosis .   MMWR Surveillance Summaries 2005; 54(03); 1–44.

32 Cappelli DP, Steffensen JEM, Urbieta M.  “Oral Health,” in the Bexar County Community Health Assessment, 2002.  The Bexar County Community Health Collaborative, San Antonio, Texas.

33 Area Resource File (ARF), 2002.

34 Area Resource File (ARF), 2002.

35 National Center for Health Workforce Analysis, Bureau of Health Professions, Health Resources and Services Administration, U.S. Department of Health and Human Services.  United States Health Personnel Factbook, 2003.  Table #402 Estimated Supply of Registered Nurses by Geographic Area December 31, 1999.  It is estimated that 2,201,813 registered nurses employed in nursing are represented by survey results.

36 Ratios could not be calculated for Border States because specialty data for California were not available.

37 This is a HRSA description inclusive of the core roles of CHWs in the U.S. from the National Community Health Advisor Study by Rosenthal EL, Wiggins N, Brownstein JN et al., 1998.

38 Texas Department of State Health Services, On the Front Lines of Public Health: A Look at Certification for Promotores(as) .  Texas Department of State Health Services, Austin, TX.

39 Texas Department of State Health Services, Legislative Mandates Promotor(a) or Community Health Worker Training and Certification .  Texas Department of State Health Services, Public Health Promotions Program, Austin, TX.

40 Texas Department of State Health Services, Public Health Promotion.  Promotores(as) (Community Health Workers) by County of Residence - September, 2005. Texas Department of State Health Services, Center for Health Statistics, Health Professions Resource Center, October 21, 2005.

41 Source:  U.S. Census Bureau.  Census 2000 Summary File (SF-3) – Sample Data.

42 Source:  U.S. Census Bureau County Population Estimates.

43 Source:  U.S. Census Bureau County Population Estimates.

44 Source:  U.S. Census Bureau, 2000.  Data for 2000 were the most recent year of data available.  Note:  In 2000, $17,761 for a family of four was established as the poverty threshold according to the U.S. Census Bureau, Poverty in the United States:  2000:  Current Population Reports:  Consumer Income , September 2001, p 5.  Poverty thresholds are updated annually by the Census Bureau, in 2004, the poverty threshold changed to $19,484, http://www.census.gov/hhes/poverty/threshld/thresh04.html, accessed on February 8, 2006.

45 Source:   Behavioral Risk Factor Surveillance System (BRFSS) .  Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2002.  In the BRFSS, respondents were asked “ Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicare?”  Sample size reflects number of respondents, excluding those who answered “Do not know/not sure” or refused.  The sample size within a State may not add up to State total due to suppression of data for counties with small sample sizes.  The percentages were weighted to population characteristics in order to produce estimates that were representative of the sampled population.  Health characteristics estimated from the BRFSS pertain only to the adult population (age 18 and older) living in households.

46 Source:  U.S. Census Bureau, 2000.  Figures reported here reflect the highest level of education attained by adults ages 25 and over.  Data for 2000 were the most recent year of data available.

47 Years of potential life lost (YPLL) calculated for persons who died before age 65.

48 Sources:  Kochanek KD, Murphy SL, Anderson RN, Scott C.  Deaths:  Final data for 2002.  National vital statistics reports; vol 53 no 5.  Hyattsville, Maryland:  National Center for Health Statistics.  2004, for mortality, and http://wonder.cdc.gov/mortICD10J.html , accessed on September 9, 2004, for YPLL rates.

49 Sources:  Bureau of Vital Statistics, Texas Department of Health, 2002, for mortality and YPLL rates, and Texas Cancer Registry, Texas Department of Health, 2001, for incidence rates.  Breast cancer mortality and YPLL rates include all deaths and total population; female population used to calculate mortality and YPLL for cervical cancer; both mortality rates were adjusted to the 2000 U.S. Standard Population.  Incidence rates reflect malignant neoplasm of the breast and cervix uteri and were for the most current years of data available; breast cancer incidence reflects males and females.

50 Years of potential life lost (YPLL) calculated for persons who died before age 65.

51 Source:   Behavioral Risk Factor Surveillance System (BRFSS) .  Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2002.  In the BRFSS, respondents were asked “ Have you ever been told by a doctor that you have diabetes?  (If "Yes" and female, ask ‘Was this only when you were pregnant?')”.  Sample size reflects number of respondents, excluding those who answered “Do not know/not sure,” were female and had diabetes while pregnant, or refused.  The sample size within a State may not add up to State total due to suppression of data for counties with small sample sizes.  The percentages were weighted to population characteristics in order to produce estimates that were representative of the sampled population.  Health characteristics estimated from the BRFSS pertain only to the adult population (age 18 and older) living in households.

52 Source:  DeFrances CJ, Hall MJ.  2002 National Hospital Discharge Survey.  Advance data from vital and health statistics; no 342.  Hyattsville, Maryland:  National Center for Health Statistics.  2004; for hospital discharge rate; Kochanek KD, Murphy SL, Anderson RN, Scott C. Deaths:  Final data for 2002.  National vital statistics reports; vol 53 no 5.  Hyattsville, Maryland:  National Center for Health Statistics.  2004, for mortality; and http://wonder.cdc.gov/mortICD10J.html , accessed on September 9, 2004, for YPLL rate.

53 Source:  Hospital Discharge Data Public Use Data File, Texas Health Care Information Council, 2002, and Bureau of Vital Statistics, Texas Department of Health, 2002, for mortality and YPLL rates.  Age at death not reported for 2 cases in Texas.

54 Source:   Behavioral Risk Factor Surveillance System (BRFSS) .  Atlanta, Georgia:  U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2002.  In the BRFSS, body mass index is reported as a calculated variable using weight and height data collected from the respondent.  Sample size reflects number of respondents, excluding those who answered “Do not know/not sure” or refused, or whose data was missing.  The sample size within a State may not add up to State total due to suppression of data for counties with small sample sizes.  The percentages were weighted to population characteristics in order to produce estimates that were representative of the sampled population.  Health characteristics estimated from the BRFSS pertain only to the adult population (age 18 and older) living in households.

55 Years of potential life lost (YPLL) calculated for persons who died before age 65.

56 Sources:  Kochanek KD, Murphy SL, Anderson RN, Scott C. Deaths:  Final data for 2002.  National vital statistics reports; vol 53 no 5.  Hyattsville, Maryland:  National Center for Health Statistics.  2004 for mortality, and National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, for YPLL rates.  http://webappa.cdc.gov/sasweb/ncipc/ypll10.html , accessed on August 30, 2004.

57 Source:  Bureau of Vital Statistics, Texas Department of Health, 2002, for mortality and YPLL rates.  Age at death not reported for two cases in Texas.

58 Source:  National Center for HIV, STD and TB Prevention, Centers for Disease Control and Prevention.  Table 14.  AIDS cases and rate (per 100,000 population), by area of residence and age category, reported through December 2002 – United States. 

59 Source:  Bureau of HIV and STD Prevention, Texas Department of Health, 2002.  HIV/STD Annual Report 2002.  Counts exclude cases diagnosed in the Texas State prison system (121 AIDS and 299 HIV).

60 Sources:  National Center for Infectious Diseases, Centers for Disease Control and Prevention.  Table 1.  Reported cases of acute viral hepatitis, by type and year, United States, 1966-2003.  National Center for HIV, STD and TB Prevention, Centers for Disease Control and Prevention.  Table 1.  Tuberculosis Cases and Case Rates per 100,000 Population, Deaths, and Death Rates per 100,000 Population: United States, 1953-2002.

61 Sources:  Immunization Division, Texas Department of Health, 2002; reflects only acute hepatitis cases, and Tuberculosis Elimination Division, Texas Department of Health, 2002.  Tuberculosis Cases for Texas Counties, 1996-2003.

62 Source:  National Immunization Program, Centers for Disease Control and Prevention, 2003.  National Immunization Survey table available at http://www.cdc.gov/nip/coverage/nis/03/tab26_431331_race_iap.xls , accessed on August 25, 2004.

63 Years of potential life lost (YPLL) calculated for persons who died before age 65.

64 Source:  National Vital Statistics Reports, Vol. 53, No. 5, October 12, 2004, for mortality rate, and National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, for YPLL rate.  http://webappa.cdc.gov/sasweb/ncipc/ypll10.html , accessed on August 30, 2004.

65 Source:  Bureau of Vital Statistics, Texas Department of Health, 2002, for mortality and YPLL rates.  Age at death not reported for 7 cases in Texas.

66 Source:  Kochanek KD, Murphy SL, Anderson RN, Scott C. Deaths: Final data for 2002. National vital statistics reports; vol 53 no 5.  Hyattsville, Maryland:  National Center for Health Statistics. 2004.

67 Source:  Bureau of Vital Statistics, Texas Department of Health, 2002.

68 Source:  Martin JA, Hamilton BE, Sutton PD, Ventura SJ, Menacker F, Munson ML.  Births:  Final data for 2002.  National vital statistics reports; vol 52 no 10.  Hyattsville, Maryland:  National Center for Health Statistics. 2003.

69 Source:  Bureau of Vital Statistics, Texas Department of Health, 2002.

70 Source:  Martin JA, Hamilton BE, Sutton PD, Ventura SJ, Menacker F, Munson ML.  Births:  Final data for 2002.  National vital statistics reports; vol 52 no 10.  Hyattsville, Maryland:  National Center for Health Statistics. 2003.

71 Source:  Bureau of Vital Statistics, Texas Department of Health, 2002.

72 Source:  Martin JA, Hamilton BE, Sutton PD, Ventura SJ, Menacker F, Munson ML.  Births:  Final data for 2002.  National vital statistics reports; vol 52 no 10.  Hyattsville, Maryland:  National Center for Health Statistics.  2003.

73 Source:  Bureau of Vital Statistics, Texas Department of Health, 2002.

74 Years of potential life lost (YPLL) calculated for persons who died before age 65.

75 Sources:  DeFrances CJ, Hall MJ.  2002 National Hospital Discharge Survey.  Advance data from vital and health statistics; no 342.  Hyattsville, Maryland:  National Center for Health Statistics.  2004 for hospital discharge rate; Kochanek KD, Murphy SL, Anderson RN, Scott C.  Deaths:  Final data for 2002.  National vital statistics reports; vol 53 no 5.  Hyattsville, Maryland:  National Center for Health Statistics.  2004 for mortality; National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, for YPLL rate.  http://webappa.cdc.gov/sasweb/ncipc/ypll10.html , accessed on August 30, 2004.

76 Source:  Hospital Discharge Data Public Use Data File, Texas Health Care Information Council, 2002, and Bureau of Vital Statistics, Texas Department of Health, 2002, for mortality and YPLL rates.  Age at death not reported for 5 cases in Texas.

77 Source:   Behavioral Risk Factor Surveillance System (BRFSS) .  Atlanta, Georgia:  U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2002.  In the BRFSS, respondents were asked “ How long has it been since you last visited a dentist or a dental clinic for any reason?  Include visits to dental specialists, such as orthodontists.”  Sample size reflects number of respondents, excluding those who answered “Do not know/not sure” or refused.  The sample size within a State may not add up to State total due to suppression of data for counties with small sample sizes.  The percentages were weighted to population characteristics in order to produce estimates that were representative of the sampled population.  Health characteristics estimated from the BRFSS pertain only to the adult population (age 18 and older) living in households.

78 Years of potential life lost (YPLL) calculated for persons who died before age 65.

79 Source:   Behavioral Risk Factor Surveillance System (BRFSS) .  Atlanta, Georgia:  U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2002.  In the BRFSS, respondents were asked “ Have you ever been told by a doctor, nurse, or other health professional that you had asthma?”  Sample size reflects number of respondents, excluding those who answered “Do not know/not sure” or refused.  The sample size within a State may not add up to State total due to suppression of data for counties with small sample sizes.  The percentages were weighted to population characteristics in order to produce estimates that were representative of the sampled population.  Health characteristics estimated from the BRFSS pertain only to the adult population (age 18 and older) living in households.

80 Sources:  DeFrances CJ, Hall MJ.  2002 National Hospital Discharge Survey.  Advance data from vital and health statistics; no 342.  Hyattsville, Maryland:  National Center for Health Statistics.  2004; for hospital discharge rate; Kochanek KD, Murphy SL, Anderson RN, Scott C. Deaths:  Final data for 2002. National vital statistics reports; vol 53 no 5.  Hyattsville, Maryland:  National Center for Health Statistics.  2004 for mortality; and http://wonder.cdc.gov/mortICD10J.html , accessed on September 9, 2004, for YPLL rate.

81 Source:  Hospital Discharge Data Public Use Data File, Texas Health Care Information Council, 2002, and Bureau of Vital Statistics, Texas Department of Health, 2002, for mortality and YPLL.

82 Source:  U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, National Center for Health Workforce Analysis.  United States Health Personnel Factbook, 2003.  Table #203 Number, Percent Distribution, and Physician-to-Population Ratios of Active MDs by Primary Care Specialty, 1981-2000; Table #211 Total and Active Osteopathic Physicians (DOs) and Physician-to-Population Ratios, 1981-2000.

83 Source:  Texas State Board of Medical Examiners, September 2003.  Physicians include active MDs and DOs whose practice address was located in Texas.

84 Source:  Texas State Board of Medical Examiners, September 2003.  Physicians include active MDs and DOs who provide direct patient care and whose practice address was located in Texas.

85 Source:  Texas State Board of Medical Examiners, September 2003.  Physicians include active MDs and DOs who provide direct patient care and whose practice address was located in Texas.

86 Source:  Texas State Board of Medical Examiners, September 2003.  Physicians include active MDs and DOs who provide direct patient care and whose practice address was located in Texas.

87 Source:  Texas State Board of Medical Examiners, September 2003.  Physicians include active MDs and DOs who provide direct patient care and whose practice address was located in Texas.

88 Source:  Texas State Board of Medical Examiners, September 2003.  Physicians include active MDs and DOs who provide direct patient care and whose practice address was located in Texas.

89 Source:  U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, National Center for Health Workforce Analysis.  United States Health Personnel Factbook, 2003.  Table #301 Professionally Active and Private Practice Dentists and Dentist-to-Population Ratios, Selected Years: 1975-2000.

90 Source:  Texas State Board of Dental Examiners, September 2003.  Dentists include those dentists with an active license whose latest primary or secondary mailing address reported to the Board was located in Texas.

91 Source:  Texas State Board of Dental Examiners, September 2003.  Dentists include those dentists with an active license in private practice, except dental public health, whose latest primary or secondary mailing address reported to the Board was located in Texas.

92 Source:  Texas State Board of Dental Examiners, September 2003.  Dentists include those dentists with an active license in private practice, except dental public health, whose latest primary or secondary mailing address reported to the Board was located in Texas.

93 Source:  Texas State Board of Dental Examiners, September 2003.  Dentists include those dentists with an active license in private practice, except dental public health, whose latest primary or secondary mailing address reported to the Board was located in Texas.

94 Source:  U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, National Center for Health Workforce Analysis.  United States Health Personnel Factbook, 2003.  Table #402 Estimated Supply of Registered Nurses by Geographic Area December 31, 1999.

95 Source:  Texas Board of Nurse Examiners, September 2003.  Registered nurses (RNs) include those RNs with an active license, practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

96 Source:  Texas Board of Nurse Examiners, September 2003.  Registered nurses (RNs) include those RNs with an active license, practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

97 Source:  U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, National Center for Health Workforce Analysis.  The Registered Nurse Population:  Findings from the National Sample Survey of Registered Nurses, 2001.  Table 1.  Registered nurse population by employment status, gender, racial/ethnic background and age group: March 2000.

98 Source:  Texas Board of Nurse Examiners, September 2003.  Registered nurses (RNs) include those RNs with an active license, practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

99 Source:  U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, National Center for Health Workforce Analysis.  The Registered Nurse Population:  Findings from the National Sample Survey of Registered Nurses, 2001.  Table 1.  Registered nurse population by employment status, gender, racial/ethnic background and age group: March 2000.

100 Source:  Texas Board of Nurse Examiners, September 2003.  Registered nurses (RNs) include those RNs with an active license, practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

101 Source:  U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, National Center for Health Workforce Analysis.  The Registered Nurse Population:  Findings from the National Sample Survey of Registered Nurses, 2001.  Table 1.  Registered nurse population by employment status, gender, racial/ethnic background and age group: March 2000.

102 Source:  Texas Board of Nurse Examiners, September 2003.  Registered nurses (RNs) include those RNs with an active license, practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

103 Source:  U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, National Center for Health Workforce Analysis.  The Registered Nurse Population:  Findings from the National Sample Survey of Registered Nurses, 2001.  Table 1.  Registered nurse population by employment status, gender, racial/ethnic background and age group: March 2000.

104 Source:  U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, National Center for Health Workforce Analysis.  United States Health Personnel Factbook, 2003.  Table #220 Estimated Number of Physician Assistants and Physician Assistant-to-Population Ratios by Geographic Area, January 1, 2002.

105 Source:  Texas State Board of Medical Examiners, September 2003.  Physician assistants (PAs) are those PAs with an active license whose latest practice address reported to the Board was located in Texas.

106 Source:  Texas State Board of Medical Examiners, September 2003.  Physician assistants (PAs) are those PAs with an active license whose latest practice address reported to the Board was located in Texas.

107 Source:  Texas State Board of Medical Examiners, September 2003.  Physician assistants (PAs) are those PAs with an active license whose latest practice address reported to the Board was located in Texas.

108 Source:  Texas State Board of Medical Examiners, September 2003.  Physician assistants (PAs) are those PAs with an active license whose latest practice address reported to the Board was located in Texas.

109 Source:  U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, National Center for Health Workforce Analysis.  The Registered Nurse Population:  Findings from the National Sample Survey of Registered Nurses, 2001.  Table 12.  Distribution of advanced practice nurses by national certification, state recognition and employment status:  March 2000.  It was estimated that 77,584 nurse practitioners employed in nursing were represented by survey results.  Ratio calculated using the estimated number of nurse practitioners and the 2000 U.S. population.

110 Source:  Texas Board of Nurse Examiners, September 2003.  Nurse practitioners are registered nurses with an active license and a position type of “nurse practitioner,” practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

111 Source:  Texas Board of Nurse Examiners, September 2003.  Nurse practitioners are registered nurses with an active license and a position type of “nurse practitioner,” practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

112 Source:  Health Personnel in the U.S., 2000-2015, forthcoming.

113 Source:  Texas Board of Nurse Examiners, September 2003.  Nurse practitioners are registered nurses with an active license and a position type of “nurse practitioner,” practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

114 Source:  Texas Board of Nurse Examiners, September 2003.  Nurse practitioners are registered nurses with an active license and a position type of “nurse practitioner,” practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

115 Source:  Health Personnel in the U.S., 2000-2015, forthcoming.

116 Source:  Texas Board of Nurse Examiners, September 2003.  Nurse practitioners are registered nurses with an active license and a position type of “nurse practitioner,” practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

117 Source:  U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, National Center for Health Workforce Analysis.  The Registered Nurse Population:  Findings from the National Sample Survey of Registered Nurses, 2001. Table 12.  Distribution of advanced practice nurses by national certification, state recognition and employment status:  March 2000.  It was estimated that 7,914 nurse midwives employed in nursing were represented by survey results.  Ratio calculated using the estimated number of nurse midwives and the 2000 U.S. population.

118 Source:  Texas Board of Nurse Examiners, September 2003.  Nurse midwives are registered nurses with an active license and a position type of “nurse midwife,” practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

119 Source:  Texas Board of Nurse Examiners, September 2003.  Nurse midwives are registered nurses with an active license and a position type of “nurse midwife,” practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

120 Source:  Health Personnel in the U.S., 2000-2015, forthcoming.

121 Source:  Texas Board of Nurse Examiners, September 2003.  Nurse midwives are registered nurses with an active license and a position type of “nurse midwife,” practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

122 Source:  Texas Board of Nurse Examiners, September 2003.  Nurse midwives are registered nurses with an active license and a position type of “nurse midwife,” practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

123 Source:  Health Personnel in the U.S., 2000-2015, forthcoming.

124 Source:  Texas Board of Nurse Examiners, September 2003.  Nurse midwives are registered nurses with an active license and a position type of “nurse midwife,” practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

125 Source:  U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, National Center for Health Workforce Analysis.  The Registered Nurse Population:  Findings from the National Sample Survey of Registered Nurses, 2001.  Table 12.  Distribution of advanced practice nurses by national certification, state recognition and employment status:  March 2000.  It was estimated that 25,575 nurse anesthetists employed in nursing were represented by survey results.  Ratio calculated using the estimated number of nurse anesthetists and the 2000 U.S. population.

126 Source:  Texas Board of Nurse Examiners, September 2003.  Nurse anesthetists are registered nurses with an active license and a position type of “nurse anesthetist,” practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

127 Source:  Texas Board of Nurse Examiners, September 2003.  Nurse anesthetists are registered nurses with an active license and a position type of “nurse anesthetist,” practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

128 Source:  Health Personnel in the U.S., 2000-2015, forthcoming.

129 Source:  Texas Board of Nurse Examiners, September 2003.  Nurse anesthetists are registered nurses with an active license and a position type of “nurse anesthetist,” practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

130 Source:  Texas Board of Nurse Examiners, September 2003.  Nurse anesthetists are registered nurses with an active license and a position type of “nurse anesthetist,” practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

131 Source:  Health Personnel in the U.S., 2000-2015, forthcoming.

132 Source:  Texas Board of Nurse Examiners, September 2003.  Nurse anesthetists are registered nurses with an active license and a position type of “nurse anesthetist,” practicing nursing on a part-time or full-time basis, whose practice address zip code or latest address reported to the Board was located in Texas.

133 Source:  U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, National Center for Health Workforce Analysis.  United States Health Personnel Factbook, 2003.  Table #701 Estimated Number of Clinically Active or Clinically Trained Mental Health Personnel and Practitioner-to-Population Ratios by Discipline and Geographic Area.

134 Source:  Texas State Board of Medical Examiners, 2003.  Physicians include active MDs and DOs whose primary specialty was reported as general psychiatry and whose practice address was located in Texas.

135 Source:  Texas State Board of Medical Examiners, 2003.  Physicians include active MDs and DOs whose primary specialty was reported as general psychiatry and whose practice address was located in Texas.

136 Source:  Texas State Board of Medical Examiners, 2003.  Physicians include active MDs and DOs whose primary specialty was reported as general psychiatry and whose practice address was located in Texas.

137 Source:  Texas State Board of Medical Examiners, 2003.  Physicians include active MDs and DOs whose primary specialty was reported as general psychiatry and whose practice address was located in Texas.

138 Source:  Texas State Board of Medical Examiners, 2003.  Physicians include active MDs and DOs whose primary specialty was reported as general psychiatry and whose practice address was located in Texas.

139 Source:  U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, National Center for Health Workforce Analysis.  United States Health Personnel Factbook, 2003.  Table #701 Estimated Number of Clinically Active or Clinically Trained Mental Health Personnel and Practitioner-to-Population Ratios by Discipline and Geographic Area.

140 Source:  Texas State Board of Examiners of Psychologists, October 2003.  Psychologists include those psychologists whose license was active, with a license type of licensed psychologist (LP), and whose latest address reported to the Board was located in Texas.

141 Source:  U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, National Center for Health Workforce Analysis.  United States Health Personnel Factbook, 2003.  Table #701 Estimated Number of Clinically Active or Clinically Trained Mental Health Personnel and Practitioner-to-Population Ratios by Discipline and Geographic Area.

142 Source:  Texas State Board of Social Worker Examiners, September 2003.  Includes only Licensed Master Social Workers (LMSW) whose license was active and whose address was located in Texas.

143 Source:  http://www.medicare.gov/NHCompare/home.asp, accessed on August 25, 2004.  Nursing Home Compare includes information only on nursing homes that are Medicare or Medicaid certified.

144 Source:  Texas Health Care Information Council, Center for Health Statistics, Texas Department of Health, 2004.

145 Source:  HPSA designations from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Office of Workforce Analysis and Quality Assurance, Shortage Designations Branch, updated weekly.

146 Source:  HPSA designations from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Office of Workforce Analysis and Quality Assurance, Shortage Designations Branch, updated weekly.

147 Source:  HPSA designations from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Office of Workforce Analysis and Quality Assurance, Shortage Designations Branch, updated weekly.

148 Subsequent geocoding passes were performed on unmatched records only.