2010 County Health Rankings Report

10 2010 North CarolinaPageCounty Health Rankings 2010 North Carolina Introduction In this model , health outcomes are measures that Where we live matters to our health The health of a describe the current health status of a county These community depends on many different factors , including health outcomes are influenced by a set of health factors quality of health care , individual behavior , education and These health factors and their outcomes may also be jobs , and the environment We can improve a affected by community - based programs and policies community’s health through programs and policies For designed to alter their distribution in the community example , people who live in communities with ample Counties can improve health outcomes by addressing all park and recreation space are more likely to exercise , health factors with effective , evidence - based programs which reduces heart disease risk People who live in and policies communities with smoke - free laws are less likely to smoke or to be exposed to second - hand smoke , which reduces lung cancer risk The problem is that there are big differences in health across communities , with some places being much healthier than others And up to now , it has been hard to get a standard way to measure how healthy a county is and see where they can improve The Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute are Institute of Medicine , 2002 pleased to present the 2010 County Health Rankings , a collection of 50 reports that reflect the overall health of To compile the Rankings , we built on our prior work in counties in every state across the country For the first Wisconsin , worked closely with staff from the Centers for time , counties can get a snapshot of how healthy their Disease Control and Prevention and Dartmouth College , residents are by comparing their overall health and the and obtained input from a team of expert advisors factors that influence their health , with other counties in Together we selected a number of population health their state This will allow them to see county - to - county measures based on scientific relevance , importance , and where they are doing well and where they need to availability of data at the county level For a more improve Everyone has a stake in community health We detailed explanation of the choice of measures , see all need to work together to find solutions The County Health Rankings serve as both a call to action and a wwwcountyhealthrankingsorg needed tool in this effort All of the County Health Rankings are based upon this model of population health improvement wwwcountyhealthrankingsorg north - carolina 1PageCounty Health Rankings 2010 North Carolina The Rankings This report ranks North Carolina counties according to Our summary health outcomes rankings are based on their summary measures of health outcomes and an equal weighting of mortality and morbidity measures health factors , as well as the components used to The summary health factors rankings are based on create each summary measure The figure below depicts weighted scores of four types of factors behavioral , the structure of the Rankings model Counties receive a clinical , social and economic , and environmental The rank for each population health component ; those having weights for the factors shown in parentheses in the high ranks eg , 1 or 2 are estimated to be the figure are based upon a review of the literature and “ healthiest ” expert input but represent just one way of combining these factors 2 wwwcountyhealthrankingsorg north - carolinaPageCounty Health Rankings 2010 North Carolina The maps on this page display North Carolina’s counties Maps help locate the healthiest and least healthy divided into groups by health rank The lighter colors counties in the state The health factors map appears indicate better performance in the respective summary similar to the health outcomes map , showing how health rankings The green map shows the distribution of factors and health outcomes are closely related summary health outcomes The blue displays the distribution of the summary rank for health factors HEALTH OUTCOMES HEALTH FACTORS wwwcountyhealthrankingsorg north - carolina 3PagePage pageNumber5County Health Rankings 2010 North Carolina Summary Health Outcomes & Health Factors Rankings Counties receive two summary ranks Health outcomes represent how healthy a county is while • Health Outcomes health factors are what influences the health of the • Health Factors county Each of these ranks represents a weighted summary of a number of measures Rank Health Outcomes Rank Health Factors 1 Wake 1 Orange 2 Orange 2 Wake 3 Union 3 Buncombe 4 Chatham 4 Polk 5 Mecklenburg 5 Henderson 6 New Hanover 6 Transylvania 7 Dare 7 New Hanover 8 Watauga 8 Durham 9 Cabarrus 9 Moore 10 Guilford 10 Union 11 Durham 11 Chatham 12 Jackson 12 Catawba 13 Randolph 13 Yancey 14 Madison 14 Mecklenburg 15 Onslow 15 Macon 16 Yancey 16 Watauga 17 Transylvania 17 Guilford 18 Catawba 18 Madison 19 Clay 19 Haywood 20 Forsyth 20 Forsyth 21 Iredell 21 Clay 22 Lincoln 22 Cabarrus 23 Polk 23 Davie 24 Craven 24 Carteret 25 Buncombe 25 Dare 26 Alamance 26 Craven 27 Carteret 27 Mitchell 28 Pasquotank 28 Alamance 29 Ashe 29 Iredell 30 Camden 30 Yadkin 31 Moore 31 Jackson 32 Johnston 32 Brunswick 33 Henderson 33 Lincoln 34 Hyde 34 Alexander 35 Harnett 35 Pamlico 36 Franklin 36 Stanly 37 Davie 37 Ashe 38 Pender 38 Camden 39 Pamlico 39 Pitt 40 Currituck 40 Pender 4 wwwcountyhealthrankingsorg north - carolinaPagePage pageNumber6County Health Rankings 2010 North Carolina Rank Health Outcomes Rank Health Factors 41 Davidson 41 Randolph 42 Yadkin 42 Rutherford 43 Brunswick 43 Onslow 44 Macon 44 Franklin 45 Pitt 45 Caldwell 46 Lee 46 Avery 47 Person 47 Gates 48 Surry 48 Alleghany 49 Granville 49 Gaston 50 Chowan 50 Johnston 51 McDowell 51 Currituck 52 Avery 52 McDowell 53 Stokes 53 Stokes 54 Cumberland 54 Cumberland 55 Caswell 55 Cherokee 56 Haywood 56 Burke 57 Hoke 57 Wayne 58 Caldwell 58 Davidson 59 Montgomery 59 Lee 60 Alexander 60 Surry 61 Nash 61 Nash 62 Rowan 62 Wilkes 63 Wayne 63 Harnett 64 Wilkes 64 Rowan 65 Washington 65 Cleveland 66 Gates 66 Pasquotank 67 Sampson 67 Beaufort 68 Stanly 68 Jones 69 Greene 69 Chowan 70 Gaston 70 Granville 71 Rockingham 71 Caswell 72 Burke 72 Perquimans 73 Duplin 73 Greene 74 Alleghany 74 Person 75 Perquimans 75 Hoke 76 Graham 76 Wilson 77 Tyrrell 77 Bladen 78 Swain 78 Hertford 79 Cleveland 79 Montgomery 80 Beaufort 80 Washington 81 Wilson 81 Hyde 82 Jones 82 Sampson 83 Cherokee 83 Duplin 84 Mitchell 84 Lenoir 85 Rutherford 85 Rockingham 86 Scotland 86 Graham 87 Anson 87 Martin 88 Lenoir 88 Tyrrell 89 Northampton 89 Bertie 90 Richmond 90 Richmond wwwcountyhealthrankingsorg north - carolina 5PagePage pageNumber7County Health Rankings 2010 North Carolina Rank Health Outcomes Rank Health Factors 91 Vance 91 Swain 92 Warren 92 Anson 93 Hertford 93 Halifax 94 Edgecombe 94 Northampton 95 Martin 95 Scotland 96 Halifax 96 Vance 97 Bladen 97 Columbus 98 Robeson 98 Warren 99 Bertie 99 Edgecombe 100 Columbus 100 Robeson 6 wwwcountyhealthrankingsorg north - carolinaPagePage pageNumber8County Health Rankings 2010 North Carolina Health Outcomes Rankings The summary health outcomes ranking is based on The morbidity rank is based on measures that represent measures of mortality and morbidity Each county’s ranks health - related quality of life and birth outcomes We for mortality and morbidity are displayed here The combine four morbidity measures self - reported fair or mortality rank , representing length of life , is based on a poor health , poor physical health days , poor mental measure of premature death the years of potential life health days , and the percent of births with low lost prior to age 75 birthweight Rank Mortality Morbidity 1 Wake Wake 2 Orange Chatham 3 Union Polk 4 New Hanover Orange 5 Mecklenburg Union 6 Watauga Jackson 7 Madison Dare 8 Durham Clay 9 Chatham Mecklenburg 10 Camden Moore 11 Guilford Craven 12 Cabarrus Cabarrus 13 Dare Transylvania 14 Onslow Guilford 15 Randolph New Hanover 16 Davie Lincoln 17 Pasquotank Macon 18 Johnston Carteret 19 Alamance Yancey 20 Catawba Randolph 21 Yancey Onslow 22 Forsyth Pamlico 23 Currituck Catawba 24 Iredell Iredell 25 Buncombe Durham 26 Ashe Forsyth 27 Jackson Harnett 28 Transylvania Watauga 29 McDowell Lee 30 Lincoln Buncombe 31 Hyde Person 32 Henderson Henderson 33 Pender Nash 34 Clay Brunswick 35 Franklin Granville 36 Davidson Swain 37 Craven Yadkin 38 Caswell Hyde 39 Carteret Ashe 40 Surry Franklin wwwcountyhealthrankingsorg north - carolina 7PagePage pageNumber9County Health Rankings 2010 North Carolina Rank Mortality Morbidity 41 Stokes Wayne 42 Rowan Alamance 43 Harnett Madison 44 Pitt Montgomery 45 Gates Pender 46 Yadkin Sampson 47 Chowan Pasquotank 48 Polk Pitt 49 Alleghany Hoke 50 Moore Davidson 51 Tyrrell Avery 52 Cumberland Johnston 53 Wilkes Cumberland 54 Brunswick Greene 55 Avery Haywood 56 Pamlico Chowan 57 Caldwell Alexander 58 Haywood Gaston 59 Granville Surry 60 Alexander Caldwell 61 Person Camden 62 Stanly Cherokee 63 Burke Washington 64 Lee Davie 65 Washington Currituck 66 Jones Rockingham 67 Hoke Duplin 68 Montgomery Stokes 69 Macon Stanly 70 Perquimans Wilson 71 Rockingham Rutherford 72 Duplin Wilkes 73 Mitchell Beaufort 74 Gaston Caswell 75 Cleveland Graham 76 Greene Burke 77 Wayne Anson 78 Graham Perquimans 79 Nash McDowell 80 Sampson Gates 81 Beaufort Martin 82 Lenoir Rowan 83 Wilson Scotland 84 Warren Cleveland 85 Northampton Alleghany 86 Cherokee Edgecombe 87 Richmond Robeson 88 Rutherford Vance 89 Scotland Mitchell 90 Hertford Jones 8 wwwcountyhealthrankingsorg north - carolinaPage0County Health Rankings 2010 North Carolina Rank Mortality Morbidity 91 Swain Tyrrell 92 Anson Richmond 93 Vance Northampton 94 Edgecombe Hertford 95 Halifax Bladen 96 Bladen Columbus 97 Bertie Halifax 98 Columbus Lenoir 99 Robeson Bertie 100 Martin Warren wwwcountyhealthrankingsorg north - carolina 9Page1County Health Rankings 2010 North Carolina Health Factors Rankings The summary health factors ranking is based on four care includes measures of access to care and quality of factors health behaviors , clinical care , social and care Social and economic factors include measures of economic , and physical environment factors In turn , education , employment , income , family and social each of these factors is based on several measures support , and community safety The physical Health behaviors include measures of smoking , diet and environment includes measures of environmental quality exercise , alcohol use , and risky sex behavior Clinical and the built environment Rank Health Behaviors Clinical Care Social & Economic Factors Physical Environment 1 Orange Orange Orange Hoke 2 Yancey Durham Wake Yadkin 3 Polk Buncombe Currituck Madison 4 Mecklenburg Transylvania Transylvania Clay 5 Wake New Hanover Union Onslow 6 Buncombe Pitt Watauga Halifax 7 New Hanover Forsyth Camden Tyrrell 8 Henderson Catawba Chatham Polk 9 Moore Rutherford Polk Ashe 10 Clay Henderson Dare Craven 11 Avery Haywood Henderson Brunswick 12 Macon Guilford Buncombe Moore 13 Watauga Wake Davie Buncombe 14 Union Macon Carteret Swain 15 Catawba Mecklenburg Cabarrus Nash 16 Chatham Moore Haywood Mitchell 17 Transylvania Madison New Hanover Richmond 18 Forsyth Cleveland Madison Jones 19 Durham Cumberland Jackson Robeson 20 Guilford Mitchell Iredell Rutherford 21 Mitchell Chowan Mecklenburg Franklin 22 Cabarrus Yancey Yadkin Montgomery 23 Gates Bladen Johnston Chowan 24 Alleghany Alamance Durham Dare 25 Ashe Burke Moore Scotland 26 Lincoln Nash Onslow Pasquotank 27 Alexander Scotland Guilford Cleveland 28 Greene Vance Pamlico Duplin 29 Cherokee Cabarrus Stokes Bladen 30 Brunswick Caldwell Forsyth Henderson 31 Rutherford Pamlico Craven Cherokee 32 Stanly Polk Catawba Orange 33 Carteret Hertford Macon Randolph 34 Alamance Craven Pender Davie 35 Haywood Edgecombe Lincoln Jackson 36 Iredell Gaston Clay Alexander 37 Davie Wayne Alamance Surry 38 Graham McDowell Franklin Vance 39 Jackson Stanly Stanly Perquimans 40 Pitt Randolph Avery Graham 10 wwwcountyhealthrankingsorg north - carolinaPage2County Health Rankings 2010 North Carolina Rank Health Behaviors Clinical Care Social & Economic Factors Physical Environment 41 Washington Pasquotank Brunswick Alamance 42 Wilkes Rowan Alexander Harnett 43 Pender Wilson Granville Wayne 44 Craven Lee Rowan Yancey 45 Caldwell Union Ashe Sampson 46 Madison Bertie Gates Washington 47 Randolph Halifax Randolph Gaston 48 Dare Chatham Harnett Rockingham 49 Surry Beaufort McDowell Chatham 50 Yadkin Caswell Wayne Carteret 51 Cleveland Clay Yancey Macon 52 Camden Brunswick Davidson Catawba 53 Lee Lincoln Hoke Warren 54 McDowell Alexander Cumberland Stokes 55 Davidson Davie Person Hertford 56 Jones Person Gaston Pamlico 57 Tyrrell Columbus Caldwell Pender 58 Gaston Surry Alleghany Johnston 59 Harnett Iredell Mitchell Lenoir 60 Wilson Cherokee Burke Anson 61 Duplin Hoke Beaufort Lee 62 Franklin Carteret Caswell Pitt 63 Chowan Davidson Wilkes Caldwell 64 Bladen Richmond Perquimans Bertie 65 Pamlico Lenoir Pitt Edgecombe 66 Burke Robeson Lee Durham 67 Johnston Granville Surry Cumberland 68 Nash Anson Pasquotank New Hanover 69 Hyde Washington Rockingham Burke 70 Perquimans Franklin Duplin Wilson 71 Rowan Hyde Cherokee Alleghany 72 Montgomery Northampton Sampson Haywood 73 Stokes Ashe Nash Beaufort 74 Hertford Graham Greene Wilkes 75 Halifax Jones Jones Hyde 76 Lenoir Wilkes Rutherford Union 77 Wayne Onslow Montgomery Davidson 78 Cumberland Montgomery Martin Guilford 79 Martin Pender Swain Transylvania 80 Onslow Stokes Hyde McDowell 81 Richmond Warren Lenoir Camden 82 Beaufort Alleghany Hertford Caswell 83 Pasquotank Rockingham Wilson Northampton 84 Anson Perquimans Chowan Iredell 85 Caswell Watauga Cleveland Greene 86 Sampson Jackson Bladen Avery 87 Person Dare Northampton Stanly 88 Currituck Tyrrell Washington Gates 89 Bertie Yadkin Bertie Currituck 90 Granville Gates Anson Watauga wwwcountyhealthrankingsorg north - carolina 11Page3County Health Rankings 2010 North Carolina Rank Health Behaviors Clinical Care Social & Economic Factors Physical Environment 91 Columbus Sampson Tyrrell Person 92 Rockingham Martin Richmond Lincoln 93 Warren Swain Warren Martin 94 Scotland Greene Columbus Columbus 95 Northampton Harnett Graham Cabarrus 96 Vance Johnston Vance Granville 97 Swain Currituck Scotland Forsyth 98 Hoke Camden Halifax Wake 99 Robeson Avery Edgecombe Rowan 100 Edgecombe Duplin Robeson Mecklenburg 12 wwwcountyhealthrankingsorg north - carolinaPage4County Health Rankings 2010 North Carolina 2010 County Health Rankings Measures , Data Sources , and Years of Data Measure Data Source Years of Data HEALTH OUTCOMES Mortality Premature death National Center for Health Statistics 2004 - 2006 Morbidity Poor or fair health Behavioral Risk Factor Surveillance System 2002 - 2008 Poor physical health days Behavioral Risk Factor Surveillance System 2002 - 2008 Poor mental health days Behavioral Risk Factor Surveillance System 2002 - 2008 Low birthweight National Center for Health Statistics 2000 - 2006 HEALTH FACTORS HEALTH BEHAVIORS Tobacco Adult smoking Behavioral Risk Factor Surveillance System 2002 - 2008 Diet and Exercise Adult obesity 2006 - 2008 National Center for Chronic Disease Prevention and Health Promotion Alcohol Use Binge drinking Behavioral Risk Factor Surveillance System 2002 - 2008 Motor vehicle crash death rate National Center for Health Statistics 2000 - 2006 High Risk Sexual Chlamydia rate National Center for Health Statistics 2006 Behavior Teen birth rate National Center for Health Statistics 2000 - 2006 CLINICAL CARE Access to Care Uninsured adults Small Area Health Insurance Estimates , 2005 US Census Health Resources & Services Primary care provider rate 2006 Administration Quality of Care Preventable hospital stays Medicare Dartmouth Institute 2005 - 2006 Diabetic screening Medicare Dartmouth Institute 2003 - 2006 Hospice use Medicare Dartmouth Institute 2001 - 2005 SOCIOECONOMIC FACTORS 1 Education High school graduation National Center for Education Statistics 2005 - 2006 College degrees US Census American Community Survey 2000 2005 - 2007 Employment Unemployment Bureau of Labor Statistics 2008 Income Children in poverty Small Area Income and Poverty Estimates , 2007 US Census 2 Income inequality US Census American Community Survey 2000 2005 - 2007 Family and Social Inadequate social support Behavioral Risk Factor Surveillance System 2005 - 2008 Support Single - parent households US Census American Community Survey 2000 2005 - 2007 3 Community Safety Violent crime 2005 - 2007 Uniform Crime Reporting , Federal Bureau of Investigation PHYSICAL ENVIRONMENT 4 Air Quality 2005 Air pollution - particulate matter US Environmental Protection Agency days Centers for Disease Control and Prevention Air pollution - ozone days 2005 US Environmental Protection Agency Centers for Disease Control and Prevention Built Environment Access to healthy foods Census Zip Code Business Patterns 2006 Liquor store density Census County Business Patterns 2006 1 State data sources for KY , NH , NC , PA , SC , and UT 2007 - 2008 2 Income inequality estimates for 2000 were calculated by Mark L Burkey , North Carolina Agricultural & Technical State University , wwwncatedu ~ burkeym Ginihtm 3 Homicide rate 2000 - 2006 from National Center for Health Statistics for AK , AZ , AR , CO , CT , GA , ID , IN , IA , KS , KY , LA , MN , MS , MT , NE , NH , NM , NC , ND , OH , SD , UT , and WV State data source for IL 4 Not available for AK and HI wwwcountyhealthrankingsorg north - carolina 13Page5County Health Rankings 2010 North Carolina CREDITS Report Editors University of Wisconsin - Madison School of Medicine and Public Health Population Health Institute Bridget Booske , PhD , MHSA Jessica Athens , MS Patrick Remington , MD , MPH This publication would not have been possible without the following contributions Conceptual Development David Kindig , MD , PhD Paul Peppard , PhD Patrick Remington , MD , MPH Technical Advisors Amy Bernstein , ScD , Centers for Disease Control and Prevention Michele Bohm , MPH , Centers for Disease Control and Prevention Vickie Boothe , MPH , Centers for Disease Control and Prevention Ethan Burke , MD , MPH , Dartmouth Institute for Health Policy and Clinical Practice Research Assistance Clare O’Connor Karen Odegaard Hyojun Park Matthew Rodock Production and Editing Chuck Alexander Alex Field Joan Fischer Irene Golembiewski Jennifer Robinson Design Forum One , Alexandria , VA Media Solutions , UW School of Medicine and Public Health Metrics Advisory Group Yukiko Asada , PhD , Associate Professor , Community Health and Epidemiology , Dalhousie University , Halifax , Nova Scotia Tom Eckstein , MBA , Principal , Arundel Street Consulting Inc , St Paul , MN Elliott Fisher , MD , MPH , Director , Center for Population Health , Dartmouth Institute for Health Policy and Clinical Practice , and Professor of Medicine and Community and Family Medicine , Dartmouth Medical School , Lebanon , NH Howard Frumkin , MD , MPH , Dr PH , Director of the National Center for Environmental Health , ATSDR , CDC , Atlanta , GA Thomas Kottke , MD , MSPH , Medical Director for Evidence - Based Health , HealthPartners , Minneapolis , MN Ali Mokdad , PhD , Professor of Global Health , Institute for Health Metrics and Evaluation , University of Washington , Seattle , WA Roy Gibson Parrish , MD , Consultant in Population Health Information Systems , Peacham , VT Robert M Bobby Pestronk , MPH , Executive Director , National Association of County and City Health Officials NACCHO , Washington , DC Tom Ricketts , PhD , Professor of Health Policy and Administration , University of North Carolina Steven Teutsch , MD , MPH , Chief Science Officer , Los Angeles County Public Health , Los Angeles , CA Julie Willems Van Dijk , PhD , RN , former Marathon County , WI Health Officer Suggested citation University of Wisconsin Population Health Institute County Health Rankings 2010 14 wwwcountyhealthrankingsorg north - carolinaPage6University of Wisconsin Population Health Institute 610 Walnut St , # 524 , Madison , WI 53726 608 265 - 6370 info @ countyhealthrankingsorgPage