Physical and Mental Health of Older Adults in Houston and Harris County

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While most older Houstonians report good health, disparities exist based on race, ethnicity and income.

Older residents’ well-being and access to care vary by race, ethnicity and income. 

About 1 in 8 residents in Greater Houston are over the age of 65, and this population group is growing rapidly. A survey of more than 700 seniors in spring 2024 explored the non-medical drivers shaping their health, highlighting disparities and emphasizing ways to improve support. 

Key findings

  • While the majority of older residents reported good to excellent health, about 1 in 6 reported poor or fair physical health, and 1 in 15 reported poor or fair mental health.
  • Hispanic and Black older adults and households earning less than $100,000 were most likely to report poor or fair physical and mental health.
  • Compared to national averages, Houston and Harris County seniors experienced higher rates of cardiovascular conditions and lower rates of metabolic conditions.
  • About 1 in 7 older adults said they did not receive healthcare when it was needed in the past 12 months.
  • Greater Sharpstown and Golfcrest/Gulfgate had the highest uninsured rates. Both neighborhoods have median household incomes below $50,000 and poverty rates around 25%, which may contribute to lower coverage rates.


Recommendations

To improve health outcomes and equity, the study advises local leaders to:

  • Expand access to healthcare in underserved neighborhoods and offer more flexible options like walk-in clinics and telehealth
  • Strengthen partnerships with trusted community organizations to bridge cultural and income gaps
  • Invest in social infrastructure such as senior centers and clubs that foster connections, build skills and encourage healthy habits

Suggested Citation: Ballard, H. K., Mistry-Patel, S., Perez, K. L., Martinez, A., & Garcini, L. M. (2026). Physical and mental health of older adults in Houston and Harris County. Houston, TX: Center for Community and Public Health, Kinder Institute for Urban Research, Rice University. DOI: https://doi.org/10.25611/Q7QN-S982

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