Graham
County
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Indicators
#permalink to sectionHealth is largely determined by social, economic, behavioral, and environmental factors, all of which affect health outcomes. These factors, known as social determinants of health, can serve as a barometer for regional wellness and quality of life.
21 social determinants of health were selected, as part of the Healthy NC 2030 initiative, to be a public health focus for the state's next decade. This overview radar chart explores how Graham County is doing in comparison to the rest of the state for all indicators. Indicators closer to the circle's center are more of a challenge in this region, while indicators closer to the edge of the circle are regional strengths.
Graham (N/A): N/A%, of the population
Healthy NC State Target (2030): N/A, of the population
Percentage of individuals with household incomes at or below 200% of the Federal Poverty Level.
In 2021, to be below the 200% FPL threshold, an individual living alone would need to make $25,760 a year or less. A household of four would need to make $53,000 or less total.
Poverty
#permalink to sectionPoverty in the Region
#permalink to sectionThe map shows the percentage of individuals below 200% Federal Poverty Level (FPL) in Graham County as well as the average yearly change in this metric.
Poverty in the State
#permalink to sectionBy default, the ranking is shown for the 200% FPL threshold, but it is possible to change to other poverty thresholds with the Poverty Level dropdown selector above.
Poverty by Race and Ethnicity
#permalink to sectionThe graph shows the percentage of individuals below the FPL in Graham County by race and ethnicity from 2010 to N/A. By default, all races and ethnicities are shown. It is possible to hide a race or ethnicity by clicking it in the chart legend.
In N/A, the percent of individuals below 100% FPL in Graham County was N/A. The population with the highest percentage of individuals below the FPL was N/A, while the population with the lowest was N/A.
Poverty by Sex and Age
#permalink to sectionHighest Rate of Individuals Below 100% FPL N/A: N/A, N/A
Lowest Rate of Individuals Below 100% FPL N/A: N/A, N/A
The graph shows the percentage of individuals below the FPL in Graham County by age and sex.
In N/A, the group with the highest percentage of individuals below 100% FPL by age and sex were N/A. The lowest percentage of individuals below 100% FPL by age and sex were N/A.
Poverty Trend
#permalink to sectionThe graph shows the trend of the percentage of individuals living below the poverty threshold, as well as this metric's projection until 2030. By default, the trend is shown for the 200% FPL threshold, but it is possible to change to other poverty thresholds with the Poverty Level dropdown selector above.
Graham (N/A): N/A%, of the population
Healthy NC State Target (2030): 1.7, Disparity ratio between white and other populations
Percentage of individuals aged 16 and older who are in the labor force, but unemployed.
Individuals must be seeking work to be considered unemployed.
Unemployment
#permalink to sectionUnemployment in the Region
#permalink to sectionThe map shows the unemployment rate in Graham County as well as the average yearly change in this metric.
Unemployment in the State
#permalink to sectionUnemployment by Race and Ethnicity or Age
#permalink to sectionThe graph shows the unemployment rate in Graham County by race and ethnicity, or age.
In N/A, the population with the highest unemployment rate by race and ethnicity in Graham County was: N/A.
Unemployment by Sex
#permalink to sectionThe graph shows the unemployment rate in Graham County by sex from N/A to N/A, for the population between 20 and 64 years of age.
In N/A, female unemployment rate was N/A, while the male unemployment rate was N/A.
From N/A to N/A, the female unemployment rate N/A (from N/A to N/A), while the male unemployment rate N/A (from N/A to N/A).
Unemployment Trend
#permalink to sectionThe graph shows the trend of the unemployment rate in the county, as well as this metric's projection and target until 2030. By default, the trend is shown for all the population, but it is possible to change the sex with the selector above.
Graham (N/A): N/A, suspensions per 10 students
Healthy NC State Target (2030): N/A, suspensions per 10 students
Number of out-of-school short-term suspensions in educational facilities for all grades per 10 students.
A short-term suspension is 10 days or less. Data reflect total numbers of short-term suspensions that may include multiple suspensions per student.
Short-Term Suspension
#permalink to sectionShort-term Suspension by County
#permalink to sectionHighest Short-term Suspension per 10 Students: N/A, N/A (N/A)
Lowest Short-term Suspension per 10 Students: N/A, N/A (N/A)
Short-term Suspension in the State
#permalink to sectionShort-term Suspension by Race and Ethnicity
#permalink to sectionThe graph shows the short-term suspension rate per 10 students in Graham County by race and ethnicity from 2014 to 2019.
In 2019, the population with the highest short-term suspension rate was N/A, while the population with the lowest short-term suspension rate was N/A.
Graham (N/A): N/A, per 100,000 population
Healthy NC State Target (2030): N/A, per 100,000 population
Incarceration in prisons per 100,000 population.
Incarcerated individuals are tallied in the county they resided in when they were first incarcerated, not where they are currently incarcerated.
Incarceration
#permalink to sectionIncarceration by County
#permalink to sectionHighest incarceration rate per 100,000 population: N/A, N/A (N/A)
Lowest incarceration rate per 100,000 population: N/A, N/A (N/A)
Incarceration in the State
#permalink to sectionIncarceration by Race and Ethnicity, and Sex
#permalink to sectionThe graph shows the incarceration rate per 100,000 population in Graham County by race and ethnicity, and sex.
In N/A, the population with the highest incarceration rate was N/A, while the population with the lowest incarceration rate was N/A.
North Carolina (2016-17): 23.6%, of children
Healthy NC State Target (2030): 18.0%, of the population
Percentage of children who have experienced two or more of the following: hard to get by on money, parent/guardian divorced or separated, parent/guardian died, parent/guardian served time in jail, saw or heard violence in the home, victim/witness of neighborhood violence, lived with anyone mentally ill, suicidal or depressed, live with anyone with alcohol or drug problem, often treated or judged unfairly due to race/ethnicity.
This indicator, chosen by the Healthy NC 2030 taskforce, is not available at a geographic level less than regional.
Adverse Childhood Experiences
#permalink to sectionIn order to provide meaningful, localized insights into ACEs and ACEs-adjacent indicators, Cape Fear Collective convened a team of experts in ACEs and trauma to select a proxy metric for this indicator: percentage of disconnected youth, individuals aged 16 to 19 who are neither in school nor working.
Disconnected Youth in the Region
#permalink to sectionThe map shows the percentage of the population ages 16 to 19 that is neither in school nor working in Graham County as well as the average yearly change in this metric.
Disconnected Youth in the State
#permalink to sectionDisconnected Youth by Sex
#permalink to sectionThe graph shows the percentage of the population ages 16 to 19 that was neither in school nor working in Graham County by sex from 2010 to N/A.
In N/A, the percentage of the population ages 16 to 19 that was neither in school nor working among females was N/A, and N/A among males.
From 2010 to N/A, the percentage of the population ages 16 to 19 that was neither in school nor working among females N/A (from N/A to N/A) and among males it N/A (from N/A to N/A).
Disconnected Youth Trend
#permalink to sectionHealthy NC State Target (2030): N/A, of the population
Percentage of children proficient or better at grade-level reading based on third grade End of Grade exams.
Proficiency defined as Level 3 or higher.
Third Grade Reading Proficiency
#permalink to sectionThird Grade Reading by LEA Code
#permalink to sectionThe graph shows the ranking of Local Education Agencies (LEAs) in North Carolina by the percentage of children who are grade-level proficient in reading at the end of third grade.
By default, the ranking is shown for grade-level proficiency, but it is possible to change the ranking to other achievement levels with the upper selector.
Using the Highest 25 and Lowest 25 buttons, it is possible to toggle between the 25 geographies with the highest and lowest values in the state.
Third Grade Reading Proficiency by Race and Ethnicity
#permalink to sectionThe graph shows the percentage of children who were who were proficient in reading (N/A) at the end of third grade in Graham County by race and ethnicity.
In 2019, the population with the highest percentage of children who were proficient in reading (N/A) in N/A was N/A, while the population with the lowest percentage was N/A.
Third Grade Reading Proficiency by Sex and Achievement Level
#permalink to sectionThe graph shows the third grade reading proficiency in the Local Education Agencies (LEAs) in Graham County by sex and achievement level.
In N/A, the highest percentage of children who were proficient in reading at the end of third grade in N/A were N/A. The lowest percentage of children who were proficient in reading at the end of third grade were N/A.
Physical Environment
#permalink to sectionGraham (N/A): N/A%, of the population
Healthy NC State Target (2030): N/A, of the population
Percentage of the population living half a mile from a park in any area, one mile from a recreational center in a metropolitan area, or three miles from a recreational center in a rural area.
Exercise access is based on census tract proximity to public parklands or recreational facilities such as “gyms, community centers, dance studios, pools,” and other exercise facilities.
Access to Exercise Opportunities
#permalink to sectionAccess to Exercise Opportunities by County
#permalink to sectionHighest Access to Exercise Opportunities: N/A, N/A (N/A)
Lowest Access to Exercise Opportunities: N/A, N/A (N/A)
Access to Exercise Opportunities in the State
#permalink to sectionHealthy NC State Target (2030): 5%, of the population
Percentage of people who are low-income that are not in close proximity to a grocery store.
This indicator, chosen by the Healthy NC 2030 taskforce, is based on USDA-designated food deserts. For metropolitan communities, living close to a grocery store is defined as being less than a mile from a store; in rural areas, the threshold proximity is 10 miles from a grocery store according to the USDA.
Limited Access to Healthy Foods
#permalink to sectionBecause access to healthy food is a significant issue in the Cape Fear region, and because this indicator was only available at a county-level geography, Cape Fear Collective created a Food Hardship Index from a logistic regression model predicting USDA food desert status.
The Food Hardship Index indicates how close a neighborhood is to being a designated food desert, with 1 indicating very high levels of food hardship and 0 indicating very low.
Food Hardship Index in the Region
#permalink to sectionThe map shows the Food Hardship Index in Graham County as well as the average yearly change in this metric.
Food Hardship Index in the State
#permalink to sectionGraham (N/A): N/A%, of the population
Healthy NC State Target (2030): N/A, of the population
Percentage of households with at least 1 of four HUD-designated housing problems.
The U.S. Department of Housing and Urban Development defines severe housing problems as occupied household units that have at least one of the following issues: overcrowding (>1 occupant per room), high housing costs (monthly housing costs >= 50% of monthly income), or lack of adequate kitchen or plumbing facilities.
Severe Housing Problems
#permalink to sectionHUD has not made post-2017 data publicly available, so CFC built a regression model to predict 2018 and 2019 severe housing problems based on the number of households with each individual HUD-designated housing problem.
Housing Problems in the Region
#permalink to sectionThe map shows the percentage of people with severe housing problems in Graham County as well as the average yearly change in this metric.
*The 2018 and 2019 values were built from a CFC model.
Housing Problems in the State
#permalink to section*The 2018 and 2019 values were built from a CFC model.
Housing Problems by Race and Ethnicity
#permalink to sectionThe graph shows the percentage of the population living with severe housing problems in Graham County by race and ethnicity from 2013 to 2017.
*The 2018 and 2019 values were built from a CFC model.
Housing Problems Trend
#permalink to sectionThe graph shows the trend of the percentage of the population living with severe housing problems, as well as this metric's projection until 2030.
*The 2018 and 2019 values were built from a CFC model.
Health Behaviors
#permalink to sectionHealthy NC State Target (2030): N/A, per 100,000 people
Number of persons who die as a result of drug poisoning per 100,000 population.
Includes deaths of any intent from both medications and drugs.
Drug Overdose Deaths
#permalink to sectionDrug Overdose Deaths in the Region
#permalink to sectionHighest drug overdose rate rate in N/A: N/A, N/A
Lowest drug overdose rate in N/A: N/A, N/A
Drug Overdose Deaths in the State
#permalink to sectionDrug Overdose Deaths by Race and Ethnicity
#permalink to sectionThe graph shows the drug overdose death rate (average across years) per 100,000 population in Graham County by race and ethnicity.
Drug Overdose Deaths by Type
#permalink to sectionThe graph shows the overdose death rate (average across years) in Graham County by type of death and type of drug.
Healthy NC State Target (2030): 9.0% / 15.0%, youth / adult
Percent of youth and adults reporting current use of e-cigarettes, cigarettes, cigars, smokeless tobacco, pipes, and/or hookah.
This HNC 2030 indicator's data is drawn from the Behavioral Risk Factor Surveillance Survey, which provides data at the statewide level.
Tobacco Use
#permalink to sectionIn order to provide meaningful, localized insights into this indicator, we substituted data from the CDC PLACES project that measures the percent of the current population aged ≥18 years who report having smoked ≥100 cigarettes in their lifetime and currently smoke every day or some days.
Current Adult Smokers in the Region
#permalink to sectionThe map shows the percentage of current adult smokers in Graham County.
Current Adult Smokers in the State
#permalink to sectionGraham (N/A): N/A, of the population
Healthy NC State Target (2030): N/A, of the population
Percent of adults reporting binge or heavy drinking.
Binge drinking is defined as having 5 or more drinks (men) or 4 or more drinks (women) on an occasion in the past 30 days.
Excessive Drinking
#permalink to sectionExcessive Drinking in the Region
#permalink to sectionThe map shows the percentage of adults reporting binge or heavy drinking in Graham County.
Excessive Drinking in the State
#permalink to sectionSTATE CURRENT (2021): 33.6%, OF YOUTHS
Healthy NC State Target (2030): 17%, of youths
Percent of youth and adults reporting consumption of one or more sugar-sweetened beverages (SSBs) per day.
This HNC 2030 indicator's data is drawn from the Behavioral Risk Factor Surveillance Survey, which provides data at the statewide level.
Sugar-Sweetened Beverage Consumption
#permalink to sectionIn order to provide meaningful, localized insights into this indicator, we partnered with experts at Novant Health New Hanover Regional Medical Center to provide a proxy metric for this indicator: percentage of diabetes patients under age 45.
Diabetes Patients under Age 45 in the Region
#permalink to sectionThe map shows the percentage of adults with diabetes in Graham County.
Diabetes Patients under Age 45 in the State
#permalink to section*When the count of affected people is less than 10, the data is not displayed.
Healthy NC State Target (2030): N/A, per 100,000 population
Number of new HIV diagnoses per 100,000 population.
HIV Diagnosis
#permalink to sectionHIV Diagnosis by County
#permalink to sectionHighest HIV diagnosis rate in N/A: N/A, N/A
Lowest HIV diagnosis rate in N/A: N/A, N/A
*When the count of affected people is less than 10, the data is not displayed.
HIV Diagnosis in the State
#permalink to section*When the count of affected people is less than 10, the data is not displayed.
HIV Diagnosis by Race and Ethnicity
#permalink to sectionThe graph shows the HIV diagnosis rate (average across years) per 100,000 population in Graham County by race and ethnicity.
*When the count of affected people is less than 10, the data is not displayed.
Healthy NC State Target (2030): N/A, per 1,000 population
Number of births to girls aged 15-19 per 1,000 population.
This HNC 2030 indicator's data is drawn from NC Vital Statistics, which provides publicly-available data at the statewide level.
The HNC 2030 target is to reduce this indicator to N/A per 1,000 females aged 15-19.
Teen Birth
#permalink to sectionIn order to provide meaningful, localized insights into this indicator, we substituted data from NC Live Birth Statistics that measures the number of births to girls under 18 per 1,000 population.
Teen Birth by County
#permalink to sectionHighest teen births rate in N/A: N/A, N/A
Lowest teen births rate in N/A: N/A, N/A
*When the count of affected people is less than 10, the data is not displayed.
Teen Birth in the State
#permalink to section*When the count of affected people is less than 10, the data is not displayed.
Teen Birth by Race and Ethnicity
#permalink to sectionThe graph shows the teen birth rate (average across years) per 1,000 females under 18 in Graham County by race and ethnicity.
*When the count of affected people is less than 10, the data is not displayed.
Clinical Care
#permalink to sectionGraham (N/A): N/A%, of the population
Healthy NC State Target (2030): N/A, Healthy NC Target (2030)
Population under age 65 without health insurance.
This HNC 2030 indicator's data is drawn from Small Area Health Insurance Estimates, which provides data at the statewide level.
Uninsured
#permalink to sectionIn order to provide meaningful, localized insights into this indicator, we substituted data from U.S. Census Bureau that measures the population without health insurance at all ages.
Uninsured in the Region
#permalink to sectionThe map shows the uninsured rate in Graham County and how it has changed over time.
Uninsured in the State
#permalink to sectionUninsured by Race and Ethnicity
#permalink to sectionThe graph shows the uninsured rate in Graham County by race and ethnicity from 2012 to N/A.
In N/A, the population with the highest uninsured rate was N/A, while the population with the lowest uninsured rate was N/A.
Uninsured Trend
#permalink to sectionHealthy NC State Target (2030): 1:1,500
Primary care workforce as a ratio of the number of full-time equivalent primary care clinicians to county population.
Includes physicians, nurse practitioners, physician assistants, and certified nurse midwives.
Provider location defined by primary practice location on licensure information.
Certified nurse midwife counts were not available for 2019.
Primary Care Workforce
#permalink to sectionPrimary Care Workforce in the Region
#permalink to sectionHighest primary care workforce rate N/A: N/A, N/A
Lowest primary care workforce rate N/A: N/A, N/A
Primary Care Workforce in the State
#permalink to sectionGraham (N/A): N/A%, of women
Healthy NC State Target (2030): N/A, of women
Percent of women who receive pregnancy-related health care services during the first trimester of a pregnancy.
First trimester is defined as the first 3 months of pregnancy.
Data is for live births only.
Early Prenatal Care
#permalink to sectionEarly Prenatal Care by County
#permalink to sectionHighest early prenatal care rate N/A: N/A, N/A
Lowest early prenatal care rate N/A: N/A, N/A
Early Prenatal Care in the State
#permalink to sectionEarly Prenatal Care by Race and Ethnicity
#permalink to sectionThe graph shows the early prenatal care rate in the Graham County by race and ethnicity from 2011 to N/A.
In N/A, the population with the highest early prenatal care rate was N/A, while the population with the lowest was N/A.
Healthy NC State Target (2030): N/A, per 100,000 people
Age-adjusted number of deaths attributable to self-harm per 100,000 population.
This HNC 2030 indicator's data is drawn from NC Vital Statistics, which provides publicly-available data at the statewide level.
Suicide Rate
#permalink to sectionIn order to provide meaningful, localized insights into this indicator, we substituted data from NC Detailed Mortality Statistics that is not age-adjusted.
Suicide by County
#permalink to sectionHighest suicides rate in N/A per 100,000 population: N/A, N/A
Lowest suicides rate in N/A: N/A, N/A
*When the count of affected people is less than 10, the data is not displayed.
Suicide in the State
#permalink to section*When the count of affected people is less than 10, the data is not displayed.
Suicide by Race and Ethnicity
#permalink to sectionThe graph shows the suicide rate (average across years) per 100,000 population in Graham County by race and ethnicity.
*When the count of affected people is less than 10, the data is not displayed.
Suicide by Age
#permalink to sectionThe graph shows the suicide rate (average across years) in the Graham County by age, reported per 100,000 population.
*When the count of affected people is less than 10, the data is not displayed.
Health Outcomes
#permalink to sectionHealthy NC State Target (2030): N/A, per 1,000 births
Rate of infant deaths per 1,000 live births.
Deaths are counted if they occur within the first year of life.
Infant Mortality
#permalink to sectionInfant Mortality by County
#permalink to sectionHighest infant mortality rate in N/A per 1,000 births: N/A, N/A
Lowest infant mortality rate in N/A per 1,000 births: N/A, N/A
Infant Mortality in the State
#permalink to sectionInfant Mortality by Race and Ethnicity
#permalink to sectionThe graph shows the infant mortality rate (average across years) per 1,000 births in Graham County by race and ethnicity.
*When the count of affected people is less than 10, the data is not displayed.
Graham (N/A): N/A, years
Healthy NC State Target (2030): N/A, years
Average number of years of life remaining.
Tract-level data is life expectancy at birth for the period 2010-2015.
Life Expectancy
#permalink to sectionLife Expectancy by Race and Ethnicity
#permalink to sectionThe graph shows the average life expectancy in Graham County by race and ethnicity.
In N/A, the population with the highest average life expectancy in Graham County was N/A, while the population with the lowest was N/A.
* Data interpretation should consider the Hispanic Epidemiological Paradox.