Stanly County 2018 Community Health Assessment
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Stanly County
2018 Community Health
Assessment
2
TABLE OF CONTENTS
TABLE OF CONTENTS .............................................................................................................................................. 2
ACKNOWLEDGMENTS .............................................................................................................................................. 6
EXECUTIVE SUMMARY............................................................................................................................................. 7
Key Findings .......................................................................................................................................................... 8
Health Priorities ...................................................................................................................................................... 9
Next Steps ............................................................................................................................................................. 9
Reporting to the Public ........................................................................................................................................ 9
Responding to Community Requests ................................................................................................................... 9
Action Plan ...................................................................................................................................................... 10
COMMUNITY HEALTH ASSESSMENT PROCESS ..................................................................................................... 11
SELECT DEMOGRAPHICS OF SURVEY PARTICIPANTS .......................................................................................... 12
SELECT DEMOGRAPHICS OF 2018 COMMUNITY HEALTH ASSESSMENT SURVEY PARTICIPANTS & U.S. CENSUS
............................................................................................................................................................................... 13
STANLY COUNTY OVERVIEW ................................................................................................................................. 14
Arts ..................................................................................................................................................................... 14
Education ............................................................................................................................................................ 14
Employment ........................................................................................................................................................ 15
Government ......................................................................................................................................................... 16
Healthcare ........................................................................................................................................................... 16
Recreation ........................................................................................................................................................... 16
Religion ............................................................................................................................................................... 17
QUALITY OF LIFE ................................................................................................................................................... 18
There are enough jobs & opportunities to move up in Stanly County ......................................................................... 18
Stanly County is a good place to raise children ....................................................................................................... 19
Stanly County is a good place to grow older ............................................................................................................ 19
There is access to healthcare in Stanly County ....................................................................................................... 19
Stanly County is a safe place to live. ...................................................................................................................... 20
STANLY COUNTY & NORTH CAROLINA MORTALITY DATA ..................................................................................... 21
HEALTH ISSUES ..................................................................................................................................................... 23
3
Overview ............................................................................................................................................................. 23
Zip Codes ............................................................................................................................................................ 24
Gender ................................................................................................................................................................ 24
Race ................................................................................................................................................................... 24
Education (Grade Completion)............................................................................................................................... 25
Age ..................................................................................................................................................................... 26
Marital Status ....................................................................................................................................................... 26
HEALTH ISSUES DISCUSSION ................................................................................................................................ 27
Overview ............................................................................................................................................................. 27
Substance Misuse ................................................................................................................................................ 28
Obesity/Overweight .............................................................................................................................................. 31
Tobacco Use ....................................................................................................................................................... 33
Dental Health ....................................................................................................................................................... 34
Sexually Transmitted Diseases (STDs) ................................................................................................................... 35
Infant Births ......................................................................................................................................................... 36
COMMUNITY ISSUES .............................................................................................................................................. 37
Overview ............................................................................................................................................................. 37
Zip Code ............................................................................................................................................................. 37
Gender ................................................................................................................................................................ 38
Race ................................................................................................................................................................... 38
Education (Grade Completion)............................................................................................................................... 39
Age ..................................................................................................................................................................... 39
Marital Status ....................................................................................................................................................... 40
COMMUNITY ISSUES DISCUSSION ........................................................................................................................ 41
Lack of/Inadequate Health Insurance ..................................................................................................................... 42
Access to Higher Education .................................................................................................................................. 42
Child Abuse ......................................................................................................................................................... 43
Poverty ................................................................................................................................................................ 43
Health Disparities ................................................................................................................................................. 44
PEER COUNTY COMPARISONS .............................................................................................................................. 48
PERSONAL HEALTH PROFILE ................................................................................................................................ 51
BARRIERS TO HEALTH & HUMAN SERVICES ......................................................................................................... 52
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EMERGENCY PREPAREDNESS .............................................................................................................................. 53
FOCUS GROUP QUESTION RESPONSES ............................................................................................................... 54
IDENTIFIED HEALTH PRIORITIES ........................................................................................................................... 57
Stanly County Health Department .......................................................................................................................... 57
Carolinas HealthCare System Stanly ...................................................................................................................... 57
CONCLUSION ......................................................................................................................................................... 58
APPENDICES .......................................................................................................................................................... 59
STANLY COUNTY EMPLOYER PROFILE LISTING .................................................................................................... 60
STANLY COUNTY AGRICULTURE TABLE ................................................................................................................ 61
QUALITY OF LIFE ................................................................................................................................................... 62
There are enough jobs & opportunities to move up in Stanly County ......................................................................... 62
Stanly County is a good place to raise children ....................................................................................................... 63
Stanly County is a good place to grow older ............................................................................................................ 64
There is access to healthcare in Stanly County ....................................................................................................... 65
Stanly County is a safe place to live ....................................................................................................................... 66
STANLY COUNTY & NORTH CAROLINA KEY HEALTH INDICATOR TRENDS............................................................ 68
HEALTH ISSUES – TABLES ..................................................................................................................................... 71
Overall ................................................................................................................................................................ 71
Zip Code ............................................................................................................................................................. 72
Gender ................................................................................................................................................................ 73
Race ................................................................................................................................................................... 74
Education (Grade Completion)............................................................................................................................... 75
Age ..................................................................................................................................................................... 76
Marital Status ....................................................................................................................................................... 77
NC YOUTH TOBACCO SURVEY RESULTS, 2017 ..................................................................................................... 78
RESIDENT BIRTH CHARTS ..................................................................................................................................... 79
Overall ................................................................................................................................................................ 80
Zip Code ............................................................................................................................................................. 81
Gender ................................................................................................................................................................ 83
Race ................................................................................................................................................................... 84
Education (Grade Completion)............................................................................................................................... 86
Age ..................................................................................................................................................................... 88
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Marital Status ....................................................................................................................................................... 90
CHILD ABUSE CHARTS........................................................................................................................................... 92
PERSONAL HEALTH PROFILE TABLES ................................................................................................................... 94
Where Do You Go Most Often When You Are Sick or Need Advice about Your Health ............................................... 94
Had Recommended Yearly Preventive Health Screenings in the Past Year ............................................................... 96
In the Past Seven (7) Days You Participated in One of the Following Activities ........................................................... 98
BARRIERS TO HEALTH & HUMAN SERVICES ....................................................................................................... 101
EMERGENCY PREPAREDNESS ............................................................................................................................ 104
FOCUS GROUP QUESTIONS ................................................................................................................................ 105
KEY RESOURCES CITED ...................................................................................................................................... 106
COMMUNITY RESOURCES ................................................................................................................................... 108
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ACKNOWLEDGMENTS
Appreciation is extended to Stanly County residents for their participation and/or promotion of the community health assessment survey and/or participation in a focus group. Their willingness to express their views about a variety of health and community issues, quality of life in Stanly County, personal health questions, barriers to receiving services and emergency preparedness questions was invaluable. Their survey responses along with secondary data will determine where our limited resources can best be utilized.
Partners in Health, a Stanly County health coalition, assisted in the preparation of the survey tool, disseminated surveys
and/or website addresses and participated in the selection of the three priority health issues. Partners in Health members
encouraged their agency/organization staff to complete a survey tool online. The support of members of Partners in Health
was invaluable.
Appreciation is expressed to health department and hospital staff for distributing community health assessment surveys to
clients and patients.
Media outlets including WZKY 1580AM, WSPC 1010AM, Stanly Community College Television – SCC-TV channel 21,
Stanly News and Press and The Weekly Post informed the public about the 2018 community health assessment survey.
Their willingness to inform the public of the survey and to disseminate the results is greatly appreciated.
Appreciation is expressed to local churches and community groups for publicizing the community health assessment survey
to their members. The support from Stanly County Commissioners, municipal elected officials and governmental officials
was appreciated.
Appreciation is extended to Stanly Community College Small Business Center Grounds for Business (Albemarle)/Food for Thought (Locust) participants, Stanly County Minority Health Council members, Friends of the Senior Center and Cottonville Baptist Church Women for taking part in a focus group. Their insights were invaluable.
Appreciation is extended to Todd Speights, IT Specialist with the Stanly County Information Technology Department, for his
assistance with the pre and post survey activities.
Appreciation is extended to Jennifer Layton, Human Services Program Specialist (formerly Public Health Education
Specialist), with the Stanly County Health Department; Courtney Swain, Community Health Educator with the Butterfly
House Children’s Advocacy Center, (formerly Community Relations Associate with Carolinas HealthCare System Stanly)
and Laura Emery, BSN, RN Coordinator with the Faith Community Health Ministry/Rowan and Stanly Counties with the
Carolinas HealthCare System Stanly, for serving on the Community Health Assessment Planning Committee. Their
insights, suggestions and support were invaluable.
Appreciation is extended to Laura Emery, BSN, RN, Coordinator with the Faith Community Health Ministry/Rowan and
Stanly Counties with the Carolinas HealthCare System Stanly; Nicole Williams, Community Engagement Associate with
Carolinas HealthCare System Stanly; Patti Lewis, NP, with Carolinas HealthCare System Stanly; Jennifer Layton, Human
Services Program Specialist with Stanly County Health Department and Dolly Clayton, Assistant Health and Human
Services Director for proofreading and editing this report.
Report Author: Deborah Bennett, Public Health Educator
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EXECUTIVE SUMMARY
The Stanly County Health Department, Carolinas HealthCare System Stanly and Partners in Health (PIH) collaborated to
prepare, conduct and report on the 2018 Community Health Assessment (CHA). Evaluation of the 2018 CHA survey tool
was initiated at the July 26, 2017 PIH meeting. Edits were forwarded from PIH committee members to Debbie Bennett by
the September 2017 PIH meeting.
A Leadership Committee comprised of two representatives from the health department (Debbie Bennett, Public Health
Educator II, and Jennifer Layton, Public Health Education Specialist) and two representatives from the hospital (Courtney
Swain, Community Relations Associate, and Laura Emery, Faith Community Health Ministry Department Coordinator/Rowan
and Stanly Counties) met to address the details of the CHA process on December 11, 2017. This committee identified the
evidence-based model, Mobilizing for Action through Planning and Partnerships (MAPP), to guide the CHA process. The
vision statement adopted was - “Striving to build a community where all achieve optimal health.” The Leadership Committee
developed the CHA timeline, discussed marketing strategies and identified focus group selections. This information was
presented at various PIH meetings.
Collection of primary survey data was conducted January 2, 2018-February 28, 2018. The CHA survey was available on the
websites of the health department, hospital and county. Paper copies of the survey were provided for those accessing
services at the health department’s clinics or hospital’s Same Day Surgery waiting area. Paper surveys were completed at
the Volunteer Fire Department meeting, the Stanly County nutrition sites, hospital staff lunch time, local churches, and
community groups/programs. The survey was available in English and Spanish. There were 917 surveys completed of
which 813 were able to be used.
Remark Office OMR program software was used to analyze data from surveys collected during this process. The zip code
was the filtering factor. If a valid zip code was not provided, the survey was discarded. Survey responses were analyzed
according to one’s zip code, race, gender, age, education (grade completion) and marital status.
Focus groups were conducted with established community groups. The following community groups participated in a focus
group: Stanly Community College Small Business Center Grounds for Business (Albemarle)/Food for Thought (Locust),
Stanly County Minority Health Council, Friends of the Senior Center, and Cottonville Baptist Church Baptist Women.
Partnerships include the following:
Partnerships Number of Partners
Public Health Department 1
Hospital/Health Care System 1
Behavioral Health Care Provider 1
Businesses 10
Community Organizations 4
Law Enforcement Agency 1
County Government 3
Media/Communication Outlets 2
Churches 2
State Agency 1
Educational Institutions – Secondary/Public School 2
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Key Findings (Community Health Assessment Survey & Focus Groups)
Stanly County is seen to be a great place to reside whether it is to raise children or grow older. There is a concern regarding unemployment/underemployment. The three main causes of mortality from 2012-2016 in Stanly County are Heart Disease, Cancer – All Sites and Cancer - Trachea, Bronchus and Lung.1 This corresponds with the three major problems identified in the 2018 Community Health Assessment survey – drug abuse (prescription, illegal), tobacco use and obesity/overweight when analyzing selected risk factors for these diseases. Stanly County appears to have higher disease mortality rates than peer counties. The main barrier (28.66%) for survey respondents accessing health care was “The doctor would not accept my insurance or Medicaid.” However, almost 20% identified as having no health insurance. Respondents were able to mark all the responses that applied in the Emergency Preparedness section of the survey. Most survey respondents would get their “information from authorities in a large-scale disaster or emergency via the television” (72.34%). 53.77% stated the internet would be their source and 51.26% stated social media was their information resource. When asked “Why would you not evacuate if asked to do so?”, 35.52% stated concern about family safety. 29.8% were concerned about leaving property behind and 28.9% were concerned about leaving pets behind. Personal Health questions showed that overall the majority of the survey respondents would go to their doctor’s office (70.26%) if they were sick or needed advice. However, 40.28% of the Hispanic survey respondents cited the health department as their resource for health care and advice. Only about 50% participated in various preventive screenings in the past year. One positive area was that 64.63% of the survey respondents participated in a physical activity in the past seven days. The percentage of survey participants 12th grade and younger who had used a tobacco product (17.51%) or drank alcohol (11.36%) in the past seven days was troubling. Five focus groups were held. All groups were asked the same questions. The participants in the focus groups thoughtfully considered the needs and concerns of their communities and the people of Stanly County as they answered the questions. Education in the local public elementary and secondary schools was discussed. The importance of education was stressed in developing our youth as well as education’s impact on our economy. Suggestions were given on improving local public education in Stanly County. Government entities (County Commissioners and other local elected/nonelected officials) need to get out of their silos and work together for the betterment of all residents of Stanly County. Government entities need to create partnerships among other businesses, community groups and agencies to address unmet needs. Racism was raised as a concern. Aging was a concern especially as this county “grows older.” The lack of retirement facilities for older adults was cited as a need. Technology upgrades were cited as preparation for the future. Disabilities – specifically blindness was discussed and the need for and lack of resources for these individuals. Transportation needs of those throughout the county were discussed. Concern was raised about increased crime and gun violence. No one person, governmental entity, nonprofit agency, law enforcement department or elected official will solve all the problems in Stanly County. It will take a combined effort of all to address them. This will take time, resources and the will (political and community) for these efforts to succeed.
1 NC DHHS State Center for Health Statistics Volume 2 – Leading Causes of Death retrieved from https://schs.dph.ncdhhs.gov/data/vital/lcd/2016/
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Health Priorities
Stanly County Health Department
Partners in Health selected three health priorities at their May 23, 2018 meeting after viewing the 2018 Community Health
Assessment overall results. The health priorities selected were:
Tobacco Use
Substance Misuse
Overweight/Obesity
The Stanly County Consolidated Human Services Board voted to accept these three health priorities at their June 6, 2018
meeting.
Carolinas HealthCare System Stanly In 2015, Carolinas HealthCare System Stanly began developing a formal Community Health strategy by creating a steering committee to collect and review health and social data. Five community driven areas of focus were determined:
Obesity
Mental Health Prevention and Treatment (substance misuse)
Tobacco Prevention and Cessation
Access to Care (primary care, behavioral health and dental care)
Social and Economic (food access)
Next Steps
Reporting to the Public
The 2018 Community Health Assessment report will be available to the public via the Atrium Health (formerly Carolinas HealthCare System Stanly), Stanly County Government and Stanly County Health Department websites. The public and other stakeholders will know of its availability through the local media (radio, print and social media) and community meetings.
Responding to Community Requests
Information from this report will be presented to county stakeholders including Stanly County Commissioners, Stanly County Consolidated Human Services Board and Carolinas Healthcare System Advising Council at their regularly scheduled meetings. Speakers will be available for community programs to present the findings of this report. Programs will be presented to focus groups participating in this report upon their request. The health department’s Facebook page will highlight sections of this report.
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Laura Emery, BSN, RN, Coordinator with the Faith Community Health Ministry Department Ministry/Rowan and Stanly
Counties of Atrium Health, will make this data available to the Community Health Impact Team, churches, agencies and
other community groups.
Debbie Bennett, Public Health Educator with the Stanly County Health Department, will make available to agencies,
community groups, businesses, churches, etc. data assembled from the 2018 Community Health Assessment survey for
their grant writing activities.
Action Plan
The Stanly County Health Department will prepare and execute an Action Plan to address the top three health issues identified as priorities. Carolinas HealthCare System Stanly has chartered a Community Health Impact Team to focus on priorities internally for
2019 and to monitor collaboration with the Stanly County Health Department and other agencies.
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COMMUNITY HEALTH ASSESSMENT PROCESS
The Community Health Assessment (CHA) is conducted every three years by Stanly County Health Department and
Carolinas HealthCare System Stanly staff. The purpose of a CHA is to identify factors that affect the health and well being
of a community. These factors are determined by the results of primary data collection activities (community health
assessment survey and focus groups) as well as secondary data from reputable sources. This information is, then,
compiled into a report that is used for planning efforts by local and state entities to protect and promote the health of Stanly
County residents.
The 2018 CHA survey was prepared by Debbie Bennett, Public Health Educator with Stanly County Health Department.
The 2018 CHA survey was a revised version of the 2015 CHA survey with additional survey questions from members of
Partners in Health (PIH), a community health coalition. The proposed 2018 CHA survey was taken to the PIH membership
where they voted to accept it at their November 2017 meeting.
Laura Emery, Jennifer Layton, Courtney Swain and Bennett comprised the 2018 Leadership Committee for the CHA project.
Emery and Swain represented Carolinas HealthCare System Stanly and Layton and Bennett represented the Stanly County
Health Department. Their first meeting was held on December 11, 2017. A CHA timeline and media strategies were
developed. Potential focus groups were identified. At the January 8, 2018 meeting the CHA timeline was reviewed, media
strategies discussed and focus groups scheduled. The focus group questions were finalized at the March 16, 2018 meeting.
Assignments for scheduled focus groups were finalized. Bennett was assigned to be the focus group leader with the others
serving as recorders.
The 2018 CHA survey was available online January 2, 2018 through February 28, 2018. The survey was accessible on the
following websites: Carolinas HealthCare System Stanly, Stanly County government and Stanly County Health Department.
Paper copies were available at the Stanly County Health Department clinic waiting rooms, WIC waiting room, Stanly County
nutrition sites, Carolinas HealthCare System Stanly outpatient surgery, doctors’ offices and the cafeteria. Swain presented a
program to the Volunteer Firemen Association that included surveys being completed. Paper copies were made available to
PIH members to be completed at their agency.
Five focus groups were conducted during April and May. Established groups were asked to serve as focus groups instead
of assembling individual community members into groups. It was noted that established groups provided a comfort level
that resulted in more discussion. The focus group discussions were very insightful and helpful. The focus groups were
comprised of the following community groups: Stanly Community College Small Business Center Grounds for Business
(Albemarle)/Food for Thought (Locust), Stanly County Minority Health Council, Friends of the Senior Center and Cottonville
Baptist Church Women on Mission.
Remark Office Data 2014 program software was used to analyze data from surveys collected during this process. The
survey respondent’s zip code was the filtering factor. If a valid zip code was not provided, the survey was discarded.
Survey responses were analyzed according to zip code, race, gender, age, education (grade completion) and marital status.
Sources for the health and health-related statistics used in this report included the U.S. Census Bureau, North Carolina
State Center for Health Statistics, North Carolina Department of Commerce, North Carolina Division of Social Services,
Stanly County Schools System, North Carolina Department of Public Instruction, Butterfly House Children’s Advocacy
Center and Stanly County Health Department. The source of all health statistics is the North Carolina State Center for
Health Statistics unless otherwise cited. The selected data included in this report provides an overview of health issues and
concerns in Stanly County, but is not an exhaustive compilation of available data.
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SELECT DEMOGRAPHICS OF SURVEY PARTICIPANTS 2018 Survey Demographics
Select Demographics Number Percent (%)
Marital Status
Single/Never Married 177 21.22
Married 429 51.44
Partner/Significant Other 39 4.68
Divorced 92 11.03
Separated 26 3.12
Widowed 59 7.07
Total Persons in the Household
1-Person 115 13.79
2-Person 252 30.22
3-Person 164 19.66
4-Person or more 285 34.17
Education
‹High school graduate 132 15.83
High school graduate/GED 160 19.18
Some college; community or technical college (1-3 years) 127 15.23
Graduated community college or technical school 185 22.18
College – graduated with undergraduate degree 139 16.67
College – graduated with post graduate degree (Masters or Doctoral) 75 8.99
Age
15-19 38 4.56
20-34 228 27.34
35-54 286 34.29
55-64 159 19.06
65-74 66 7.91
75 or older 51 6.12
Town/City - Zip Codes
Albemarle – 28001/28002 420 50.36
Badin – 28009 34 4.08
Gold Hill – 28071 3 0.36
Locust – 28097 38 4.56
Misenheimer – 28109 7 0.84
Mt. Pleasant – 28124 5 0.60
New London – 28127 86 10.31
Norwood – 28128 106 12.71
Oakboro – 29129 58 6.95
Richfield – 28137 27 3.24
Stanfield – 28163 29 3.48
13
SELECT DEMOGRAPHICS OF 2018 COMMUNITY HEALTH ASSESSMENT
SURVEY PARTICIPANTS & U.S. CENSUS The demographic percentages of the 2018 Community Health Assessment survey participants are relatively comparable to the Stanly County U.S. Census Bureau percentages with several exceptions. More females than males participated in the survey. This is not unusual even though efforts were made to increase the percentage of males participating in this survey. Another exception was twice as many Stanly County individuals identified as American Indian/Alaskan Native and/or Hispanic/Latino than reported on the U.S. Census. More residents with bachelor degrees or higher degrees participated in this survey than the overall percentage living in Stanly County.
Demographics
2018 CHA Survey Respondents
Stanly County U.S. Census2
North Carolina U.S. Census3
POPULATION, 2017 est. 61,482 10,273,419
RACE, 2017^
* African American/Black 12.59% 11.6% 22.2%
* American Indian/ Alaska Native
0.84%
0.4%
1.6%
* Asian 1.56% 2.1% 3.1%
*Caucasian/White 74.82% 84.1% 70.8%
*Native Hawaiian & Other Pacific Islander
0
0.3%
0.1%
*Hispanic/Latino 8.63% 4.3% 5.2%
*2 or more races 0.96% 1.4% 2.2%
GENDER, 2017
*Female 77.34% 50.3 % 51.2%
*Male 19.54% 49.7% 48.8%
AGES, 2017
*Persons under 5 years 0 5.6% 5.9%
*Persons under 18 years 4.56% 21.7% 22.4%
*Persons 65 years and over 14.03% 18.7% 15.9%
EDUCATION, 2012-2016
*Bachelor’s degree or Higher – 25 years+
26.6%
16.1%
29.0%
INCOME & POVERTY
Median Household Income, 2013-2017
N.A.
$46,107
$50,320
Persons in poverty - 2017 N.A. 12.4% 14.7% ^Race is alone; does not include Hispanic or Latino Note: Some 2018 CHA survey participants did not answer race and/or gender demographic questions. Source: U.S. Census Bureau
2 U.S. Census Bureau QuickFacts/Fact Finder Stanly County retrieved from https://www.census.gov/quickfacts/fact/table/stanlycountynorthcarolina#viewtop and
https://factfinder.census.gov/ 3 U.S. Census Bureau QuickFacts/Fact Finder North Carolina retrieved from https://www.census.gov/quickfacts/nc and https://factfinder.census.gov/
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STANLY COUNTY OVERVIEW
Stanly County is located in the southern piedmont region of North Carolina. It is located approximately 30 miles northeast of
Charlotte, North Carolina. The 10 incorporated cities in Stanly County are Albemarle, Badin, Locust, New London,
Norwood, Oakboro, Red Cross, Richfield, Stanfield and Misenheimer. Albemarle is the largest city and the county seat.
Unincorporated areas include Aquadale, Big Lick, Cottonville, Endy, Finger, Frog Pond, Millingport, Palestine, Palmerville,
Plyler, Porter and Tuckertown.
The estimated population of Stanly County in 2017 was 61,482.4 According to the 2016 Provisional County Population
Estimates, Stanly County is the 44th largest county in North Carolina.5
Arts
Performing and visual arts are greatly appreciated in Stanly County. Opportunities abound for those who want to participate
in or enjoy cultural opportunities. The Stanly County Arts Council “encourages and promotes broad-based cultural and
educational activities in the arts throughout Stanly County.”6 Performing arts opportunities include Stanly County Chorale,
Uwharrie Men, Stanly County Concert Association, Uwharrie Players, Singing Americans of Stanly County, The Talent
Company, Pfeiffer University theater and music productions, etc. Visual art opportunities include the Stanly Arts Guild and
Falling Rivers Gallery. The Agri-Civic Center and the First Presbyterian Church (Albemarle) Art Gallery have exhibits of
local artists’ work at their locations.
Education
Stanly County offers a variety of educational opportunities from preschool through higher education. These educational
opportunities are provided through public school, charter school, home school and religious based education programs.
Stanly County’s public school system is experiencing change. Dr. Jeff James was hired as the superintendent in March
2018. With the population of school age children decreasing in Stanly County, school facilities and available resources are
being scrutinized to determine their best use to provide the children with a quality education. Gray Stone Day School, a
local charter school, has expanded its offerings. Middle school classes, grades 6-8, were added this year to complement
their high school program, grades 9-12.
Stanly Community College and Pfeiffer University are led by two visionary leaders Dr. John Enamait and Dr. Colleen Perry
Keith respectively. Both schools offer quality secondary education opportunities to students and are becoming more
involved in the life of Stanly County. These schools are involved with revitalizing the economic environment of Stanly
County. Small businesses and entrepreneurs are important job providers in Stanly County. Stanly Community College
Small Business Center supports their endeavors through individual assistance, seminars, trainings, etc. Stanly Community
College is providing apprenticeship and pre-apprenticeship programs for students. Companies involved with this program
include Preformed Line Products and Service King Collision Repair Centers. Pfeiffer University’s main undergraduate
campus is located in Misenheimer. Pfeiffer University is expanding its outreach by establishing two graduate health science
programs in downtown Albemarle.
4 U.S. Census Bureau QuickFacts Stanly County retrieved from https://www.census.gov/quickfacts/fact/table/stanlycountynorthcarolina#viewtop
5 North Carolina Office of State Budget and Management retrieved from https://files.nc.gov/ncosbm/demog/countygrowth_bysize_2016.html 6Stanly County Arts Council retrieved from http://www.stanlycountyartscouncil.org/about-us.html
15
Jan 2013
Jan 2014
Jan 2015
Jan 2016
Jan 2017
Jan 2018
Stanly County 9.8 6.6 5.4 4.9 5.1 4.2
North Carolina 9.5 6.9 5.9 5.4 5.5 4.5
0
5
10
15
per
cen
tag
e
Unemployment Percentage (%) Stanly County & North Carolina
Source: North Carolina Department of Commerce
Employment
The Stanly County unemployment rate has significantly decreased in the past five years. Still, concerns are raised about the
quality and quantity of employment opportunities found in Stanly County. Potential employees say they cannot find jobs that
will support a family by providing a living wage. Stanly County employers say those jobs are available, but lack qualified
applicants.
The western part of the county (Locust, Stanfield and Oakboro) has experienced increased housing start applications. This
growth is due to improved access to Charlotte via I-485. The eastern part of the county (Albemarle) is experiencing retail
growth with the construction of Olive Place Centre. Major tenants located there include Hobby Lobby, TJ Maxx, Ross and
PetSmart. In addition to increased retail presence, plans are underway to widen 24/27 south into Montgomery County.
The Stanly County and North Carolina January
unemployment rate for the past five years is
shown on the chart to the left.7 It is trending
downward as more jobs are coming to Stanly
County. Stanly County’s unemployment rate has
been lower than the State’s rate for the past five
(5) years.
The five largest employers in the fourth quarter of
2017 were (1) Stanly County Schools – 1000+
employees, (2) Carolinas HealthCare System
Stanly – 500-999 employees, 3) Wal-Mart
Associates, Inc. – 500-999 employees, 4) County of Stanly – 500-999 employees and Michelin Tire Center - 250-499
employees.8 The list of top 25 employers in Stanly County is found on page 60 in the Appendices.
Agriculture plays an important role in the economic livelihood of Stanly County. Crops and livestock products grown/
produced in Stanly County brought in cash receipts of $88,915,673 in 2016.9 A detailed table of Stanly County agricultural
products is found on page 61 in the Appendices.
Local farmers markets are selling produce and meats raised in Stanly County. Five farmers markets are operating in Stanly
County. Two farmers markets are located in Albemarle – Stanly County (Saturday/April-October & Wednesday/June-
August) and Stanly Commons (Monday/all year). The Norwood Farmers Market operates on Thursdays from April through
October. Locust’s Farmers Market operates on Thursdays from May through October. Oakboro’s farmers market operates
on Saturdays from April through October. There are many roadside stands that sell produce throughout Stanly County
during the summer months. Local restaurants are utilizing locally grown produce and meats.
Stanly County is on the cutting edge of nontraditional agriculture. Aquaculture is gaining a foothold in Stanly County.
Aquaponics is “a system of aquaculture in which the waste produced by farmed fish or other aquatic animals supplies
nutrients for plants grown hydroponically, which in turn purify the water.”10 Aquaponics is where plants are grown in nutrient-
rich water not soil. Lucky Clays Farm and Spring Lake Family Farms are two local aquaponics farms.
7 North Carolina Department of Commerce retrieved from https://accessnc.opendatasoft.com/explore/dataset/labor-force-laus/table/
8 North Carolina Department of Commerce Labor and Economic Analysis Division retrieved from https://accessnc.opendatasoft.com/explore/dataset/top-employers-
qcew/table/ 9 North Carolina Department of Agriculture & Consumer Services retrieved from https://www.ncagr.gov/stats/AgStat/Section06.pdf
10 Oxford Dictionaries retrieved from https://en.oxforddictionaries.com/definition/aquaponics
16
Government
Stanly County is governed by a Board of Commissioners – seven elected members from the community. “The Board’s
major responsibilities include adopting the annual County budget, setting the County property tax rate, and assessing and
establishing priorities on the many community needs, especially those related to health, education, welfare, mental health
and the environment. The Board also makes appointments to citizen advisory committees. The Commission works with
30+ departments to serve the citizens of Stanly County.”11 A County Manager oversees the day-to-day operations of the
county departments. One major decision voted on by the County Commissioners was to consolidate the Stanly County
Health Department and the Department of Social Services at their September 2017 meeting. The first meeting of the Stanly
County Consolidated Human Services Board was held November 16, 2017.
Healthcare
Providing healthcare to all citizens is a challenge, especially those not covered by private or governmental insurance. The
John P. Murray Community Care Clinic provides medical care and medication assistance to low income uninsured adults,
ages 18-64, who are residents of Stanly County. Acute and chronic diseases are treated. This clinic’s funding includes
support from Atrium Health, Stanly Health Foundation and United Way of Stanly County.
The Stanly County Health Department Adult Health Program provides medical care for Stanly County residents who are
uninsured/underinsured. Stanly County Health Department received a $150,000 Community Health Grant to provide free
adult health care in Stanly County. These grant funds initially provided one physical and two follow-up/sick visits to
underinsured/uninsured adults, 18 and older, who were income eligible. Now there is no limit on the number of health care
visits.
Carolinas HealthCare System (CHS) Stanly along with the Faith Community Health Ministry Department (a sub-department
of CHS Stanly) and Stanly Health Foundation have supported services for women and families accessing the counseling
services provided by the Mary and Martha Center for Women.
Recreation
Recreation opportunities abound in Stanly County. There are 15 public parks located throughout Stanly County and its
municipalities. Recreational opportunities at these parks include playgrounds, hiking, baseball, bocce, tennis, basketball,
swimming, fishing, disc golf and more. The Carolina Thread Trail winds through several locations in Stanly County. It is
continually being expanded to connect with other parts of the trail throughout the county. The Roger F. Snyder Greenway,
part of the regional Carolina Thread Trail, will connect Albemarle parks and the downtown when it is completed. The Falcon
Trail connecting Richfield and Misenheimer was completed this year. It will eventually extend to New London.
Outdoor activities such as running and bicycling are popular in Stanly County. Many people run and bicycle informally in
their communities. However, there are planned events that the community is invited to participate in throughout the year.
Running events include the YMCA Hot Chocolate Run 8K, Vac & Dash Ground Hog Day 2.0- Mile Run, Fellowship of the
Idiots Run, Locust Fiesta 5K, Uwharrie Running Club’s Beach Blast 5K, and many more. Bicycle races are sponsored
throughout the year. A popular one is Tour De Elvis. There are events that combined running, biking and swimming –
triathlons. Triathlons sponsored in Stanly County include Stanly Kids Triathlon and Badin Lake Triathlon.
Morrow Mountain State Park, part of the Uwharrie Mountains, is located in Stanly County. Morrow Mountain State Park
offers a variety of outdoor experiences throughout the year. These experiences include hiking, camping, fishing, swimming,
canoeing, picnicking, etc. Stanly County is home to several water venues - Lake Tillery, Badin Lake, Tuckertown Lake,
11
“County Commissioners” Stanly County North Carolina website retrieved from http://www.stanlycountync.gov/county-commissioners/
17
Rocky River and Yadkin-Pee Dee River. Popular water activities that take place on these venues include boating, skiing,
swimming and fishing.
Religion
Religion plays an important role in the lives of Stanly County residents of all ages. Traditional, nontraditional, large and
small churches are present throughout Stanly County. Individually and collectively, churches identify the needs of people in
Stanly County and provide needed resources. Churches provide opportunities for their members and resources for
community groups to serve those in need in our community.
There are several religious-based organizations that provide services for indigent people. These religious–based
organizations include Stanly Community Christian Ministry (SCCM) and West Stanly Christian Ministries (WSCM); both of
which offer food pantries. SCCM sponsors the Community Table I (Albemarle) and Community Table II (Norwood) offering
lunches daily. WSCM and the SCCM Clothing Closet (Albemarle) provide clothing. The Community Inn, administered by
Homes of Hope, provides temporary shelter for homeless men, women and children. The shelter has recently been
renovated and is able to house more people.
18
QUALITY OF LIFE Several questions included on the CHA survey were to determine the respondents’ perception of the quality of life in Stanly County. The qualities of life surveyed and reported on in this report are employment opportunities, good place to raise children, good place to grow older, safe place to live and availability of healthcare. Zip codes were defined as follows: East – 28001 and 28002; North – 28127, 28009, 28109, 28137 and 28071; South – 28128; West – 28097, 28129, 28163 and 28124.
Overall, Stanly County is seen as a great place to live. This trend remains consistent with previous community health assessment survey results. The main concern expressed is the lack of jobs and opportunities to advance. This, too, is in line with previous health assessment results. However, fewer see this as a major problem than in previous community health assessment survey results. Selected Quality of Life tables are highlighted on the following pages. Additional Quality of Life tables are found on pages 62-67 in the Appendices. Please note all numbers are percentages and survey participants not indicating a selection (no response) is the reason that responses do not tally 100%.
There are enough jobs & opportunities to move up in Stanly County The employment situation has improved in Stanly County. However, unemployment is still the major concern in the community. The tables below highlight Zip Code and Grade Completion (Education) responses. The western part of the county is more positive about job opportunities than other Stanly County sectors. This is likely due to the western region of Stanly County having access to job opportunities in Charlotte via I-485. Those with college/university degrees are more apt to disagree with there being enough job opportunities in Stanly County. Caucasians/White and African American/Blacks are less apt to agree that there are enough job opportunities in Stanly County.
There are enough jobs & opportunities to move up in Stanly County – Zip Code Overall East North South West
Strongly Disagree 24.22 28.64 22.36 15.24 21.77
Disagree 43.41 41.53 53.42 51.43 35.48
Agree 21.10 22.67 14.91 22.86 21.77
Strongly Agree 1.08 0.95 0.62 0.95 2.42
Don’t Know 8.03 5.25 7.45 6.67 12.90
There are enough jobs & opportunities to move up in Stanly County – Grade Completion
Overall
12th Grade or Less
12/GED
College 1-3 Yrs.
Community/ Technical School
Degree/ Certification
Undergraduate Degree
Postgraduate Degree
Strongly Disagree
24.22
15.91
18.75
22.05
27.03
33.81
33.33
Disagree 43.41 31.82 41.88 48.82 44.86 48.92 53.33
Agree 21.10 34.85 25.63 21.26 18.38 12.23 12.00
Strongly Agree
1.08
3.03
1.25
1.57
0.54
0
0
Don’t Know
8.03
12.12
11.25
6.30
7.57
4.32
1.33
19
Stanly County is a good place to raise children
The majority of survey respondents agree that Stanly County is a good place to raise children. The table below shows
Single/Never Married and Divorced survey respondents had a higher disagreement rate for this statement than other marital
segment respondents. Hispanic/Latinos had significantly higher rates for both Strongly Disagree and Strongly Agree. More
survey respondents with a west zip code indicated Strongly Disagree/Disagree with this statement than the other locations.
Stanly County is a good place to raise children – Marital Status
Overall
Single/ Never Married
Married
Partner/ Significant Other
Divorce
Separated
Widowed
Strongly Disagree
4.08
3.39
3.50
10.26
3.26
0
8.47
Disagree 10.67 15.82 8.86 5.13 15.22 3.85 8.47
Agree 69.90 62.15 77.39 56.41 67.39 65.38 64.41
Strongly Agree 8.63 10.17 6.53 20.51 6.52 23.08 8.47
Don’t Know 4.20 7.91 2.80 2.56 5.43 7.69 1.69
Stanly County is a good place to grow older Males and females generally agree that Stanly County is a good place to grow older. The table below highlights the responses according to Age. Survey participants ages 15-19 had a significantly higher rate of Disagree than others; followed by those ages 65-74. Hispanic/Latinos agreed less with this statement than the other races. No Asian survey respondent indicated Strongly Disagree/Disagree with this statement.
There is access to healthcare in Stanly County Overall, the survey respondents felt there was access to healthcare in Stanly County. The table below shows that Asian and Hispanic/Latino respondents had a higher rate of strongly agree with this statement than other races. The table on the following page shows those ages 20-34 had a higher rate of agree and strongly agree than other age groups. Postgraduate degree respondents disagreed significantly higher than other educational groups with this statement. More Separated respondents disagreed with this statement than other marital groupings.
There is access to healthcare in Stanly County – Race
Overall
African American/Black
American Indian
Asian
Caucasian/ White
Hispanic/ Latino
Strongly Disagree
4.68
3.81
0
0
4.65
8.33
Disagree 12.71 9.52 14.29 7.69 13.78 9.72
Agree 69.18 76.19 57.14 61.54 71.15 50.00
Strongly Agree 7.55 4.76 0 15.38 5.93 20.83
Don’t Know 3.36 4.76 14.29 15.38 2.56 2.78
Stanly County is a good place to grow older – Age
Overall 15-19 20-34 35-54 55-64 65-74 75 or Older
Strongly Disagree
4.08
5.26
3.51
4.20
3.14
6.06
5.88
Disagree 6.71 21.05 5.70 5.94 6.29 9.09 3.92
Agree 71.58 63.16 66.67 76.92 77.36 69.70 60.78
Strongly Agree
7.55
7.89
12.72
5.59
3.14
6.06
7.84
Don’t Know 7.67 2.63 10.09 6.29 6.92 6.06 13.73
20
Stanly County is a safe place to live.
Overall Stanly County is a safe place to live. The tables below highlight the responses of those according to Race and Age.
No American Indian or Asian respondent disagreed or strongly disagreed with this statement. Older respondents, ages 65-
74 and 75 or Older, had higher disagreement responses than other age groups. Those with an education level of 12th Grade
or Less agreed less with this statement than other educational respondents. Postgraduate Degree respondents had the
highest rate of agreement with this statement. Partner/Significant Other and Widowed respondents had a higher rate of
disagreement with this statement.
Stanly County is a safe place to live – Race
Overall
African American/Black
American Indian
Asian
Caucasian/ White
Hispanic/ Latino
Strongly Disagree
3.36
3.81
0
0
2.56
9.72
Disagree 10.55 9.52 0 0 11.54 6.94
Agree 72.42 75.24 71.43 84.62 75.00 44.44
Strongly Agree
7.19
6.67
0
15.38
5.29
25.00
Don’t Know 3.84 4.76 14.29 0 3.53 4.17
There is access to healthcare in Stanly County – Age Overall 15-19 20-34 35-54 55-64 65-74 75 or Older
Strongly Disagree
4.68
2.63
3.51
4.20
6.29
7.58
5.88
Disagree 12.71 7.89 10.96 16.43 11.32 10.61 11.76
Agree 69.18 68.42 68.86 69.93 75.47 69.70 54.90
Strongly Agree
7.55
7.89
14.04
4.90
2.52
3.03
11.76
Don’t Know 3.36 13.16 1.32 3.50 2.52 6.06 3.92
Stanly County is a safe place to live – Age Overall 15-19 20-34 35-54 55-64 65-74 75 or Older
Strongly Disagree
3.36
0
3.95
2.80
3.77
6.06
1.96
Disagree 10.55 13.16 8.77 10.84 10.06 12.12 15.69
Agree 72.42 68.42 69.30 78.67 78.62 68.18 49.02
Strongly Agree
7.19
10.53
12.28
4.55
3.14
4.55
9.80
Don’t Know 3.84 7.89 4.39 2.10 2.52 7.58 7.84
21
STANLY COUNTY & NORTH CAROLINA MORTALITY DATA
The five leading causes of mortality in Stanly County are Heart Disease; Cancer – All Sites; Cancer – Trachea, Bronchus
and Lung; Chronic Lower Respiratory Disease and Cerebrovascular Disease (Stroke). These causes of death are identical
to the 2009-2013 leading causes of mortality identified in the 2015 Community Health Assessment. The most current key
mortality trend charts for several diseases are found on pages 68-70. These are diseases that can be significantly reduced
through lifestyle choices, such as exercising, having a healthier diet and not smoking.
Stanly County & North Carolina Leading Causes of Mortality & Age-Adjusted Mortality Rates12
2012-2016^ Stanly County Rank
Cause of Mortality
Stanly County
North
Carolina 1 Heart Disease 231.8 161.3
2 Cancer – All Sites 176.5 166.5
3 Cancer – Trachea, Bronchus & Lung 51.6 47.5
4 Chronic Lower Respiratory Diseases 47.7 45.6
5 Cerebrovascular Disease 46.5 43.1
6 Alzheimer’s Disease 41.9 31.9
7 All Other Unintentional Injuries 32.9 31.9
8 Pneumonia & Influenza 23.6 17.8
9 Diabetes Mellitus 22.2 23.0
10 Breast Cancer 20.0* 20.9
11 Suicide 18.8 12.9
12 Septicemia 17.5 13.1
13 Nephritis, Nephrotic Syndrome & Nephrosis 16.8 16.4
14 Unintentional Motor Vehicle Injuries 16.5 16.4
15 Prostate Cancer 15.1* 20.1
16 Cancer – Colon, Rectum & Anus 14.8 14.0
17 Chronic Liver Disease & Cirrhosis 12.5* 10.3
18 Homicide 3.7* 6.2
19 HIV Disease 0.9* 2.2 *Death rates with a small number (<50) of deaths in the numerator should be interpreted with caution. ^Per100, 000 population Red numbers = higher rate Source: NC DHHS State Center for Health Statistics
12 NC DHHS State Center for Health Statistics Volume 2 – Leading Causes of Death retrieved from https://schs.dph.ncdhhs.gov/data/vital/lcd/2016/
22
The chart below, Stanly County Leading Five Causes of Mortality by Age 2012-2016, shows chronic diseases or diseases of
lifestyle are the major causes of mortality for those 40 years old and older. For those 20-39 years of age, causes of mortality
are usually the result of situational choices. Those 19 years old and younger causes of mortality are the result of fetal
anomalies in the infants or situational choices for the older youth.
Stanly County Leading Five Causes of Mortality By Age13
2012-2016 All
Ages Death Rate*
00-19 Years
Death Rate*
20-39 Years
Death Rate*
40-64 Years
Death Rate*
65-84 Years
Death Rate*
85+ Years
Death Rate*
Diseases
of the Heart
293.0
Conditions originating –
perinatal period
19.0
Other
Unintentional Injuries
35.0
Cancer – All Sites
177.1
Diseases
of the Heart
868.1
Diseases
of the Heart
5587.4
Cancer – All Sites
231.3
Congenital Anomalies
Motor
Vehicle Injuries
5.4
Suicide
30.8
Diseases of the Heart
131.4
Cancer – All Sites
863.9
Cancer – All Sites
1671.2
Chronic Lower
Respiratory Diseases
61.7
Motor
Vehicle Injuries
21.0
Chronic Liver
Disease & Cirrhosis
27.6
Chronic Lower
Respiratory Diseases
274.5
Alzheimer’s
Disease
1367.3
Cerebro- vascular Disease
59.4
Suicide
Other
Unintentional Injuries
4.1
Cancer – All Sites
14.0
Diabetes Mellitus
Cerebrovascular Disease
Other
Unintentional Injuries
26.7
Alzheimer’s
Disease
157.5
Cerebro- vascular Disease
1350.4
Alzheimer’s
Disease
52.5
Diseases
of the Heart
12.6
Cerebro- vascular Disease
153.2
Pneumonia & Influenza
590.8
*Unadjusted mortality rates per 100,000 population Source: NC DHHS State Center for Health Statistics
13
NC DHHS State Center for Health Statistics 2012-2016 Ten Leading Causes of Death by County of Residence and Age Group: Ranking, Number of Deaths, and
Unadjusted Death Rates per 100,000 Population retrieved from https://schs.dph.ncdhhs.gov/data/databook/
23
HEALTH ISSUES
Overview The 2018 community health assessment survey participants rated 20 Health Issues ranging from Major Problem to Don’t
Know. For the complete listing of Health Issues – Major Problems, go to page 71 in the Appendices. The chart below
highlights the top 10 Health Issues that the survey participants identified as Major Problems. Drug Abuse (prescription,
illegal) was identified as the top Health Issue by 56.71% of survey participants. This amount was greater than the 2015
community health survey result where drug abuse was identified as a Major Problem by 43.41% of those survey
participants. The increase seen in identifying drug abuse as a major problem is not unexpected. In the three intervening
years from the 2015 community health assessment, drug abuse has garnered overwhelming attention as a result of the
opioid crisis. The opioid crisis has played out on the national, state and local stages. For information about the local
response to the opioid crisis, go to pages 29-31. Please note that “T” means tied in the following material and charts.
Tobacco Use received the second highest survey response with 43.29% survey respondents seeing it as a Major Problem.
More public locations are designated as smoke-free areas, so there is less exposure to secondary smoke. However,
electronic nicotine delivery systems (electronic cigarettes/e-cigarettes/e-vaporizers) are gaining popularity as a “healthier”
alternative to traditional cigarettes. There are three major concerns regarding electronic nicotine delivery systems: 1. The
long term health effects are unknown. 2. It is the “most commonly used form of tobacco among youth in the United
States.”14 and 3. It is seen as a gateway to traditional tobacco use. It is known that the use of traditional tobacco results in
increased risk of heart disease, cancers (including lung, larynx, tongue and mouth) and chronic obstructive pulmonary
disease (COPD). The four leading causes of death in Stanly County can be associated with the use of traditional cigarettes.
They are heart disease, cancer-all sites and cancer (trachea, bronchus and lung) and chronic lower respiratory diseases.
There seems to be a disconnection between causes of mortality and respondents’ major concerns. Heart disease (#1) and
cancer (#2) are the two major causes of mortality in Stanly County. However, survey respondents ranked heart disease as
#10 (25.66%) and cancer #7 (25.66%) as major problems. Actions that contribute to heart disease or cancer were listed
higher by survey respondents. These Health Issues included Tobacco Use (#2-43.29%), Obesity/Overweight (#3-39.69%),
Diabetes (#6-30.58%) and Inactivity/Lack of Physical Activity (#9-27.58%). Another disconnect is how the respondents
14
National Institutes of Health National Institute of Drug Abuse DrugFacts: “What Are Electronic Cigarettes?” retrieved from
https://www.drugabuse.gov/publications/drugfacts/electronic-cigarettes-e-cigarettes
Overall Health Issues – Major Problems - 2018 CHA
Health Issues %
1. Drug Abuse (prescription, illegal) 56.71
2. Tobacco Use 43.29
3. Obesity/Overweight 39.69
4. Alcoholism/Alcohol Abuse 32.13
5. Mental Illness 31.06
6. Diabetes 30.58
7. Cancer 29.14
8. Teenage Pregnancy 28.06
9. Inactivity/Lack of Physical Activity 27.58
10.Heart Disease 25.66
24
rated Other Unintentional Injuries/Other Injuries which are deaths due to falls, poisonings, drowning, etc. The survey results
had Other Unintentional Injuries/Other Injuries rated last at #20. However, looking at the causes of mortality by age, Other
Unintentional Injuries/Other Injuries is in the top five causes of death for those ages 00-19, 20-39 and 40-64. This
disconnect might be due to Other Unintentional Injuries/Other Injuries comprising a number of causes of death.
Zip Codes
Zip codes were defined as follows: East – 28001 and 28002; North – 28127, 28009, 28109, 28137 and 28071; South –
28128; West – 28097, 28129, 28163 and 28124. The top three Health Issues were the same for each geographical area of
Stanly County. In fact, the top 10 Health Issues were the same only in a slightly different order. Kidney Disease and Other
Unintentional Injuries/Other Injuries were viewed as the least Major Problem being listed either #19 or #20 for the
geographical areas. To see the complete Zip Code - Health Issues - Major problems table, go to pages 72 in the
Appendices.
Gender
Females and Males listed the same top three Health Issues – Drug Abuse, Tobacco Use and Obesity/Overweight. Some
areas of significant difference were Alcoholism/Alcohol Abuse (Females - #4 and Males #8T) and Lung Diseases (Females
#14 and Males #19). To see the complete Gender - Health Issues – Major Problems table, go to page 73 in the Appendices.
Race
The table on the following page shows African American/Black (46.67%), American Indian (28.57%T), Asian (61.54%T) and
Caucasian/White (64.26%) respondents identified Drug Abuse as either their primary or tied as the primary top Health Issue.
Hispanic/Latino respondents listed Drug Abuse (12.50%T) at #11. Three Health Issues tied for #1 with Hispanic/Latino
respondents - Obesity/Overweight, Tobacco Use and Teenage Pregnancy (22.22%T). Tobacco Use tied for first with
American Indian (28.57%T), Asian (61.54%T) and Hispanic/Latino (22.22%T) respondents. Tobacco Use was third for
African American/Black (38.10%) and second for Caucasian/White respondents (46.47%). There was a variety of
Zip Code – Health Issues – Major Problems – 2018 CHA
Rank Overall East North South West
1 Drug Abuse
(56.71%) Drug Abuse
(60.14%) Drug Abuse
(60.25%) Drug Abuse
(51.43%) Drug Abuse
(50.00%)
2 Tobacco Use
(43.29%) Tobacco Use
(44.39%) Tobacco Use
(45.34%) Tobacco Use
(42.86%) Tobacco Use
(41.13%)
3 Obesity/Overweight
(39.69%) Obesity/Overweight
(39.86%) Obesity/Overweight
(43.48%) Obesity/Overweight
(40.00%) Obesity/Overweight
(37.90%)
4 Alcoholism/
Alcohol Abuse (32.13%)
Mental Illness
(32.46%)
Alcoholism/ Alcohol Abuse
(37.27%)
Cancer
(34.29%)
Cancer
(32.26%)
5
Mental Illness (31.06%)
Alcoholism/ Alcohol Abuse
(31.50%)
Mental Illness
(33.54%)
Alcoholism/ Alcohol Abuse
(33.33%)
Alcoholism/ Alcohol Abuse
(29.84%)
Gender - Health Issues –Major Problems – 2018 CHA
Rank Overall % Female % Males % 1 Drug Abuse 56.71 Drug Abuse 58.45 Drug Abuse 55.21
2 Tobacco Use 43.29 Tobacco Use 46.20 Tobacco Use 36.20
3 Obesity/Overweight 39.69 Obesity/Overweight 42.17 Obesity/Overweight 34.36
4 Alcoholism/Alcohol Abuse 32.13 Alcoholism/Alcohol Abuse 35.19 Diabetes 30.67
25
responses to Obesity/Overweight Health Issue. It was a top five major problem Health Issue for African American/Black
(#4T), Caucasian/White (#3) and Hispanic/Latino (#1T) respondents. American Indian (#7T) and Asian (#12T) respondents
viewed it as less of a major problem.
Heart disease is the primary cause of mortality in Stanly County. However, it was not the top chronic disease cited by all
survey respondents as a Major Problem. Heart Disease was seen as a major problem by African American - 23.81% - #9,
American Indian – 28.57% - #1T; Asian 46.15% - #3; Caucasian/White – 26.92% - #10 and Hispanic/Latino – 15.28% - #6T
survey respondents. Diabetes was seen as a greater Health Issue by African Americans/Blacks (#2), Caucasian/White (#6)
and Hispanic/Latino (#5) respondents. Cancer was rated higher or tied with Heart Disease as a Major Problem by African
American/Black (#4T), Caucasian/White (#7T) and Hispanic/Latino (#6T) survey respondents. To see the complete Race -
Health Issues – Major Problems table, go to page 74 in the Appendices.
Education (Grade Completion)
Drug Abuse was identified as the primary Major Problem for all Education sections – Health Issues, except 12th Grade or
Less. 12th Grade or Less chose Tobacco Use as their primary Major Problem and Drug Abuse second. Tobacco Use was
cited as the second highest Major Problem for Completed Grade 12/GED, College 1-3 Years (College/Technical School)
and Community College/Technical School Degree/Certificate. Obesity/Overweight was the second highest ranking for
Undergraduate Degree and Postgraduate Degree respondents. Obesity/Overweight was third for Completed Grade 12/GED
and Community College/Technical School Degree Certificate respondents. 12th Grade or Less had Obesity/Overweight
ranked #5. Heart Disease was rated among #8-#11 for all Education sections, except for Postgraduate Degree respondents
where it was ranked #5. Heart disease is the leading cause of death (2012-2016). Two actions that impact the risk of heart
disease, Inactivity/Lack of Physical Activity and Nutrition, had mixed results. Inactivity/Lack of Physical Activity was in the
top 10 for each Education section. However, Nutrition was ranked below the top 10 for every Education group except for
Community College/Technical School Degree Certificate (#10T) and Postgraduate Degree (#9). To see the Education
(Grade Completion) – Health Issues – Major Problems table, go to page 75 in the Appendices.
Race – Health Issues – Major Problems – 2018 CHA African American
/Black
American Indian
Asian
Caucasian/White
Hispanic/Latino R a n k
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
1 Drug Abuse 46.67
Dental Health
Drug Abuse
Heart Disease
Mental Illness
Tobacco Use
Teenage Pregnancy
28.57 (T)
Drug Abuse
Tobacco Use
61.54
(T)
Drug Abuse 64.26 Obesity/ Overweight
Tobacco Use
Teenage Pregnancy
22.22 (T)
2
Diabetes
39.05
Tobacco Use
46.47
3
Tobacco Use
38.10
Heart Disease
46.15
Obesity/
Overweight
43.75
4 Cancer
Obesity/
Overweight
32.38
(T)
Alcoholism
/Alcohol Abuse
Diabetes
Inactivity/Lack of Physical Activity
38.46 (T)
Alcoholism /Alcohol Abuse
34.29
Alcoholism /Alcohol Abuse
19.44
5
Mental Illness
33.65
Diabetes
18.06
6
Alcoholism /Alcohol Abuse
31.43
Diabetes
31.09
Cancer
Heart Disease
Mental Illness
Suicide
15.28 (T)
26
Age
The table below shows that Drug Abuse was rated as the #1 Major Problem - Health Issues for those in the following age
categories: 20-34 Years, 35-54 Years, 55-64 Years and 65-74 Years. Tobacco Use was the #1 Major Problem for those
15-19 Years and #2 for 20-34 Years and 35-54 Years. Those 75 or Older respondents cited Cancer as their #1 Major
Problem. Drug Abuse was the #2 Major Problem for age categories 15-19 Years and 75 or Older. Obesity/Overweight was
the #2 Major Problem for age categories 55-64 Years and 65-74 Years.
There seems to be a disconnect between perceived and real health risks for those in select age categories regarding Other
Unintentional Injuries/Other Injuries. Other Unintentional Injuries/Other Injuries was cited as a Major Problem #17 tied for
15-19 Years, and #20 (last) for all the other age categories. This is noteworthy as Other Unintentional Injuries/Other Injuries
is the 4th (tied) leading cause of death for those 00-19 years of age during 2012-2016. Other Unintentional Injuries/Other
Injuries are the #1 leading cause of death for 20-39 year olds and 4th (tied) leading cause of death for 40-64 years of age
during 2012-2016. This disconnect continues regarding heart disease. All age categories except 15-19 Years had a higher
percentage of diabetes cited as of a Major Problem than heart disease. See chart below for top three Age - Major Problems
– Health Issues. To see the complete Age - Health Issues – Major Problems table, go to page 76 in the Appendices.
Marital Status
Drug Abuse, Tobacco Use and Overweight/Obesity were cited as the #1 Major Problem for different Marital Status groups.
Drug Abuse was the primary Major Problem for Single/Never Married, Married, Divorced and Widowed. Tobacco Use was
ranked as the primary Major Problem for Partner/Significant Other (#1T) and Separated (#1). In fact, Tobacco Use was a
top three Major Problem for all Marital Status groups. Obesity/Overweight was seen as a Major Problem for Married (#2),
Partner/Significant Other (#1T) and Separated (#2T). Teen Pregnancy and Alcohol/ Alcoholism were a top 10 Major
Problem for all Marital Status groupings. To see the Marital Status - Health Issues – Major Problems table, go to page 77 in
the Appendices.
Age – Health Issues – Major Problems – 2018 CHA
15-19 years 20-34 years 35-54 years 55-64 years 65-74 years 75 or older
Rank Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
1 Tobacco Use 44.74 Drug Abuse 47.81 Drug Abuse 66.08 Drug Abuse 70.44 Drug Abuse 56.06 Cancer 29.41
2
Drug Abuse
34.21
Tobacco
Use
44.74
Tobacco
Use
48.60
Obesity/
Overweight
47.80
Obesity/
Overweight
50.00
Drug Abuse
25.49
3
Inactivity/Lack of Physical Activity
23.68
Obesity/
Overweight
34.65
Obesity/
Overweight
43.36
Tobacco Use
44.03
Diabetes
45.45
Obesity/
Overweight
21.57
27
HEALTH ISSUES DISCUSSION Overview The 2018 community health assessment survey results are compared to the 2015 community health assessment survey results in the table below. There was only one change in the Health Issue section of the 2018 community health assessment survey when compared to the 2015 survey. Sexually transmitted diseases (STDs) was removed and included with Infectious Diseases. The top three selections for both 2018 and 2015 survey results were Drug Abuse, Tobacco Use and Obesity/Overweight.
The only difference between the two reports is the order in which the top three Health Issues are listed. There were other
differences between the 2018 and 2015 survey results. Alcohol/Alcoholism was three spots higher on the 2018 survey
results and a greater percentage saw it as a Major Problem. There was a significant difference for the placement of Mental
Illness. Mental Illness was six spots higher and a greater percentage saw it as a Major Problem (31.06% versus 23.17%) in
2018.
Suicide was four spots higher on the 2018 survey results and had a higher percentage identify suicide as a Major Problem
(22.78% versus 16.29%). Heart disease was exactly in the 10th spot for both surveys, but a much higher percentage in 2015
saw it as a Major Problem than on the 2018 survey results (40.46% versus 25.66%). See table below for complete listing.
2018 CHA Health Issue 2015 CHA Rank Percentage (%) Rank Percentage (%)
1 56.71 Drug Abuse (prescription, illegal) 1 43.41
2 43.29 Tobacco Use 3 39.46
3 39.69 Obesity/Overweight 2 40.30
4 32.13 Alcoholism/Alcohol Abuse 7 27.79
5 31.06 Mental Illness 11 23.17
6 30.58 Diabetes 4 33.59
7 29.14 Cancer 5 32.66
8 28.06 Teenage Pregnancy 8 27.04
9 27.58 Inactivity/Lack of Physical Activity 6 29.55
10 25.66 Heart Disease 10 40.46
11 22.78 Suicide 15 16.29
12 21.82 Nutrition 9 24.60
13 17.51 Dental Health 12T 17.88
14 16.19 Cerebrovascular Disease (Stroke) 12T 17.88
15 14.99 Lung Diseases (asthma, COPD) 16 16.20
16
12.35
Neurological Diseases (Alzheimer’s, MS, MD, Parkinson’s, epilepsy, etc.)
17
14.36
17
11.75
Infectious Diseases (flu, measles, pertussis, mumps, STDs, etc.)
18
12.59
18 11.15 Motor Vehicle Accident Injuries 19 11.42
19 5.88 Kidney Disease 20 6.13
20 3.60 Other Injuries (drowning, poisonings, falls, etc.) 21 4.79
21 XX *Sexually Transmitted Diseases (STDs) 14 16.62 *STDs were not listed on the 2018 Community Health Assessment survey. STDs were included with Infectious Diseases.
28
Substance Misuse Substance misuse has been a primary concern for Stanly County citizens for many years. It was the number one Health Issue - Major Problem on the last two Community Health Assessment surveys (2015 and 2018). This concern has reached epic proportions due to the opioid crisis. The 2012-2016 drug overdose mortality rate was 27.3/100,000 population in Stanly County for ages 15-64.15 This exceeds the North Carolina and the United States drug overdose mortality rate of 22.0/100,000 population and 17.7/100,000 population respectively.16
There were 4,112,000 opioid pills dispensed to Stanly County residents in 2017.17 There were 6 deaths due to accidental
poisoning in Stanly County in 2016.18
The following information is from the Stanly County Emergency Medical Services (EMS):
In 2017, EMS responded to 103 drug overdoses in Stanly County. Forty-nine (49) of those overdoses were for
heroin use. From January through August 2018, there were 165 drug overdoses. Seventy-one (71) were for
heroin overdoses.
In 2017, naloxone was administered 40 times prior to the arrival of EMS and EMS administered naloxone 27 times.
From January 2018 through August 2018, naloxone was administered 84 times prior to the arrival of EMS and EMS
administered naloxone 32 times.
Fifty-Five (55) patients were treated for overdose and transported to the hospital by EMS in 2017. January through
August 2018, 92 were treated and transported to the hospital. In 2017, 46 were treated for their overdose, but they
refused to be transported to the emergency department (ED) for care after naloxone was administered. January
through August 2018, 70 patients were treated for an overdose, but refused to be transported to the hospital. 19
There have been 96 opioid ED visits from January 2018 through October 2018…double the number during that time frame
in 2017.20 Of those seen at the ED from January 2018-October 2018, 95% were White and 5% were Black.21 The chart
below shows the percentage of opioid overdose ED visits by age group.22 The majority of opioid overdose ED visits
involved people 20-44 years old.
15NORC at the University of Chicago and the U.S. Department of Agriculture’s USDA Rural Development retrieved from https://opioidmisusetool.norc.org/ 16 NORC at the University of Chicago and the U.S. Department of Agriculture’s USDA Rural Development retrieved from https://opioidmisusetool.norc.org/ 17 NC DHHS NC Opioid Dashboard retrieved from https://injuryfreenc.shinyapps.io/OpioidActionPlan/ 18 NC DHHS North Carolina State Center for Health Statistics retrieved from https://schs.dph.ncdhhs.gov/data/vital/dms/2016/stanly.pdf 19 Email received from Brian Simpson, Stanly County EMS Director (September 7, 2018) Overdoses in Stanly County 2017 & 2018 20 NC DHHS NC Opioid Dashboard retrieved from https://injuryfreenc.shinyapps.io/OpioidActionPlan/ 21 NC DHHS NC Opioid Dashboard retrieved from https://injuryfreenc.shinyapps.io/OpioidActionPlan/ 22 NC DHHS NC Opioid Dashboard retrieved from https://injuryfreenc.shinyapps.io/OpioidActionPlan/
<15 15-19 20-24 25-34 35-44 45-54 55-64 65+
% 1 1 23 28 24 13 7 3
0
10
20
30
Pe
rce
nta
ge
2018 YTD Stanly County % Opioid Overdose ED Visits
by Age Group January 2018-October 2018
Source: NC DHHS NC Opioid Dashboard
29
Health concerns are not the only issues with substance misuse. Incidences of crime are also a concern…“at the most
intense levels of drug use, drugs and crime are directly and highly correlated and serious drug use can amplify and
perpetuate preexisting criminal activity...Those with a drug use dependency are more likely to be arrested for acquisitive
crimes such as burglary or shop theft, or for robbery and handling stolen goods…”23 Crime statistics for Albemarle show an
overall decline from 2016 compared to 2017.24
FBI Crime Statistics - Albemarle
Violent Crime
Robbery
Aggravated
Assault
Property
Crime
Burglary
Larceny-
Theft
Motor Vehicle Theft
2016 Albemarle 107 24 76 771 201 538 32
2017 Albemarle N.A. 21 67 238 221 486 31 Source: U.S. Department of Justice Federal Bureau of Investigation
FBI crime statistics for Stanly County are shown in the following table.25 It looks like overall there was an increase in the
number of reported crimes. The data shown in this table does not reflect county totals, but are the number of offenses
reported by the Sheriff’s office.
FBI Crime Statistics – Stanly County*
Violent Crime
Robbery
Aggravated
Assault
Property
Crime
Burglary
Larceny-
Theft
Motor Vehicle Theft
2015 Stanly County 20 1 17 421 183 228 10
2016 Stanly County 29 2 25 440 183 244 13 Source: U.S. Department of Justice Federal Bureau of Investigation
What is being done in Stanly County to address this substance misuse crisis? Several local groups have formed to address
this opioid crisis in Stanly County.
The first group was Project Lazarus, a group comprised of public health, health care, law enforcement and mental health personnel as well as concerned citizens. Its purpose was to consolidate the county’s response to this public health crisis. It initiated harm reduction actions. One of their first projects was to provide drug drop boxes at two locations (Albemarle and Oakboro) in Stanly County. These drug drop boxes provide people a way to dispose of unused and out-of-date prescription drugs. Drug drop boxes are located at Albemarle Police Department main office, Oakboro Town Hall and Norwood Police Department. 123,346 grams (271lbs. and 14.902111 ozs.) of prescription drugs have been collected at the Albemarle drug drop box January 2018 through November 2018.26 Data is not available for the Oakboro or Norwood locations. A community meeting, sponsored by Project Lazarus and the Stanly County Health Department, was held in 2016 at the First Presbyterian Church to discuss the opioid and illegal drug crisis in Stanly County. Its purpose was to inform those present about this public health crisis. Project Lazarus is exploring the establishment of a syringe exchange program (SEP) in the county. This SEP program would decrease the incidence of infectious and chronic diseases in IV drug users as well as provide an opportunity for the individual to seek treatment. The Stanly County Health Department received naloxone from Cardinal Innovations Healthcare and is providing naloxone to emergency personnel and community individuals. Increasing
23
National Council on Alcoholism and Drug Addiction, Inc. retrieved from https://www.ncadd.org/about-addiction/alcohol-drugs-and-crime 24
U.S. Department of Justice Federal Bureau of Investigation retrieved from https://ucr.fbi.gov/crime-in-the-u.s/2017/crime-in-the-u.s.-2017/tables/table-10/table-10-state-
cuts/north-carolina.xls and https://ucr.fbi.gov/crime-in-the-u.s/2016/crime-in-the-u.s.-2016/tables/table-6/table-6-state-cuts/north-carolina.xls 25
U.S. Department of Justice Federal Bureau of Investigation retrieved from https://ucr.fbi.gov/crime-in-the-u.s/2016/crime-in-the-u.s.-2016/tables/table-8/table-8-state-
cuts/north-carolina.xls and https://ucr.fbi.gov/crime-in-the-u.s/2015/crime-in-the-u.s.-2015/tables/table-10/table-10-state-pieces/table_10_offenses_known_to_law_enforcement_north_carolina_by_metropolitan_and_nonmetropolitan_counties_2015.xls 26
Email received from Harold D. Dunlap, Evidence Custodian with Albemarle Police Department (December3, 2018)
30
the availability of naloxone to emergency responders, law enforcement and the public is being encouraged as it effectively reverses an overdose if administered in time. Stanly County Health Department wrote a grant with Stanly County Emergency Medical Services from the North Carolina Department of Health and Human Services (NC DHHS) Injury and Violence Prevention Branch in 2018. They were awarded this grant to develop a community paramedicine program with an overdose rapid response component. The Stanly County Health Department recently began providing access to naloxone for families or friends of someone in need of having the medication on hand to reverse an overdose. Cardinal Innovations Healthcare provided the naloxone free of charge to the health department. Those requesting naloxone must schedule an appointment through the Adult Health Clinic. They will receive an assessment of need, education related to naloxone and overdose identification. Both the visit and the medication are provided at no charge to the individual. The medication is dispensed through a local pharmacy Strengthening Opiod Misuse Prevention (STOP) Act was signed into law on January 29, 2017 by Governor Roy Cooper. 27 STOP’s components include control the dispensing of opioids by health care providers, mandate electronic prescriptions, health care providers submit information to Controlled Substance Reporting System (CSRS) and allow community administration of naloxone with citizens being covered by the Good Samaritan Act. For more information about the STOP Act, go to https://www.ncbon.com/vdownloads/strengthen-opioid-misuse-prevention.pdf. The chart below shows that the STOP Act has been very effective in decreasing the availability of prescription opioid pills in the community as people are now misusing illegal drugs, such as heroin and/or heroin laced with fentanyl instead of prescription opioids.28 This switch to illegal drugs was not unexpected as illegal drugs are more readily available and cheaper than prescription drugs.
Plan of Safe Care is a state mandated program where the Department of Social Services (DSS) refers infants born to
women who are known drug users or who test positive for drugs after the birth of their children to the Care Coordination for
Children (CC4C) Program at the Stanly County Health Department. DSS staff follows up with the mothers to access needed
services such as mental health or substance misuse treatment. CC4C staff follows up to provide the children services that
will aid in their normal development.
27
North Carolina General Assembly retrieved from https://www4.ncleg.net/sessions/2017/bills/house/pdf/h243v7.pdf 28
NC DHHS Injury and Violence Prevention Branch Stanly County 2018YTD Opioid Emergency Department Visits infographic retrieved from
https://www.injuryfreenc.ncdhhs.gov/DataSurveillance/StatewideOverdoseSurveillanceReports/OpioidOverdoseEDVisitsMonthlyReports/CountyReports/stanlycountyopioidoverdoseedvisit.pdf
January February March April May June July August September October
Commonly Prescribed Opioids 2 1 0 0 0 2 1 1 5 6
Heroin/Synthetic Narcotic 4 3 5 5 6 11 14 9 7 14
4 3 5 5 6
11 14
9 7
14 2
1 0 0
0
2
1
1 5
6
0
5
10
15
20
25
Nu
mb
er
Stanly County 2018 YTD Opiod Overdose ED Visits by Month
Source: NC DHHS Injury and Violence Prevention Branch
31
A pilot Adverse Childhood Experiences (ACEs) Project is being conducted in the Stanly County Health Department WIC
Program. The goal of this project is to prevent negative social, health and behavioral implications of ACEs. According to the
CDC, “Adverse Childhood Experiences have been linked to: risky health behaviors, chronic health conditions, low life
potential, and early death. As the number of ACEs increases, so does the risk for these outcomes.”29 All women enrolled in
WIC are screened and given the opportunity to seek counseling if wanted during scheduled WIC appointments. Counseling
appointment opportunities have been arranged with Daymark, Monarch and Journey.
Stanly County Schools is creating an awareness of the impact of toxic stress and trauma on children’s ability to learn among
teachers and administrators. The goal of this awareness is to encourage dialogue and action in building resilience in the
children enrolled in the Stanly County School System.
Mr. Andy Lucas, County Manager, convened a North Carolina Association of County Commissioners Leadership Forum on Opioid Abuse on August 29, 2017, in Badin, North Carolina. The purpose of this forum was to increase the awareness of local elected leaders (including County Commissioners, Municipal Council members, School Board members and county law enforcement) with the opioid crisis in Stanly County. This awareness included the effects of substance misuse on residents of Stanly County as well as evidence based treatments, interventions and prevention strategies to address this crisis. “Project First Step is an initiative led by Norwood Chief of Police James Wilson and Oakboro Chief of Police T. J. Smith and their community partners. It is modeled after the Hope Initiative developed by Thomas Bashore, Chief of Police in Nashville, NC. Project First Step is an initiative that seeks to take action by assisting those with a substance use disorder in taking that first step onto the path of recovery.”30 A well attended Project First Step Seminar on Opioid Abuse was held on October 18, 2017 at Memorial Baptist Church. There was much discussion on the opioid crisis in Stanly County and some potential activities to address it. One way discussed to address the crisis is to provide nonviolent, first time offenders the opportunity to seek treatment instead of being incarcerated. Will's Place is a recovery resource center that supports individuals misusing drugs to achieve and sustain recovery. Will’s
Place, also, provides support to family members and friends of those misusing drugs. A service component is offered to
prevent children and youth from misusing drugs and alcohol.31
33 Recovery, a local organization that helps active addicts receive treatment to obtain sobriety, is establishing a family
support team.32 Family support services are needed in Stanly County. Most of the resources and information is focused on
helping the individual misusing drugs. However, substance misuse affects the family and friends of the user.
Obesity/Overweight
Obesity/Overweight continues to be a major health concern in Stanly County. It was listed as the third highest Health Issue -
Major Problem on the results of the 2018 community health assessment survey. Obesity/Overweight leads to decreased life
expectancy and affects the quality of one’s life. Obesity/Overweight contributes to a variety of health problems such as
coronary artery disease, type 2 diabetes, hypertension, gallbladder disease and mental illness.33
29
Centers for Disease Control and Prevention (CDC) “About Adverse Childhood Experiences” retrieved from
https://www.cdc.gov/violenceprevention/acestudy/about_ace.html 30 Email received from Arin Wilhelm Letter from James Wilson, Norwood Chief of Police and T. E. Smith, Oakboro Chief of Police re: Project First Step Invitation 9-17-2017.docx (October 10, 2017) 31 Will’s Place retrieved from www.willsplacenc.org 32 33 Recovery Facebook Page retrieved from https://www.facebook.com/pg/33Recovery/about/?ref=page_internal 33 Centers for Disease Control and Prevention (CDC) “The Health Effects of Overweight and Obesity” retrieved from www.cdc.gov/healthyweight/effects/index.html
32
The chart below shows that almost 67% of the Piedmont respondents to the Behavioral Risk Factor Surveillance System
(BRFSS) survey were overweight or obese.34 Piedmont NC and North Carolina “recommended range” were comparable.
There were more overweight Piedmont survey participants than the overall North Carolina participants. Piedmont
participants reported a smaller percentage of those obese.
(Underweight: BMI less than 18.5, Recommended Range: BMI 18.5 to 24.9, Overweight: BMI 25.0 to 29.9, Obese: BMI greater than 29.9. and Overweight or Obese: BMI greater than 24.9.)
Children seen in the Women, Infants and Children (WIC) Program provide limited data regarding weight prevalence. The chart below shows Weight Prevalence Rates of children enrolled calendar year (CY) in the Stanly County WIC Program.35 The majority are in the Healthy Weight column. There are a slightly greater percentage of children in the CY2016 Overweight and Obese columns when comparing to the CY2015 data.
*Children served in the NC WIC Clinics are at or below the 185% Federal Poverty. These children may not be representative of general children population in NC.
What is being done in Stanly County to address the overweight/obesity health issue? Carolinas HealthCare System Stanly
sponsors a community program called Start It, Stanly! (Wellness Series). This program offers events and activities to
provide the community opportunities to be healthier. Start It, Stanly! offerings include Saturday hikes in Morrow Mountain
State Park, cooking demonstrations with health talks offered free of charge to the public and free training sessions for
people of all ages have been offered at City Lake Park. Daniel Harkey leads a youth hiking program for 4th and 5th graders
in the summer at Morrow Mountain State Park. Carolinas HealthCare System Stanly is involved in sponsoring other
community activities that support a healthy lifestyle choice.
NC Cooperative Extension offers the community a variety of opportunities to keep fit through nutrition and movement
activities. Extension GrowLine of Stanly County offers general gardening information to gardeners. Canning classes are
held to help people preserve food. NC Cooperative Extension partners with Daniel Harkey to present nutrition education
34 NC DHHS State Center for Health Statistics Behavioral Risk Factor Surveillance System (BRFSS) Body Mass Index Grouping-Underweight, Recommended Range, Overweight and Obese retrieved from https://schs.dph.ncdhhs.gov/data/brfss/2017/pied/rf1.html 35
Number & Percent of Children 2-4 Years of Age Who Receive WIC Program Services ….NC DHHS Women & Children’s Health Section Nutrition Services Branch
2017 BRFSS Survey Results Piedmont North Carolina and North Carolina
Source: State Center for Health Statistics
Underweight
Recommended Range
Overweight
Obese
Piedmont NC 1.5% 31.7% 35.8% 31.0%
North Carolina 1.7% 31.3% 34.9% 32.1%
Weight Prevalence Rates – WIC Program – CY 2015 & 2016 Number & Percent of Children 2-4 Years of Age Who Receive WIC Program Services,
by BMI Percentile and by County, NC-WIC Program* Source: NC DHHS Women & Children’s Health Section Nutrition Services Branch
Underweight Healthy Weight Overweight Obese Total
‹5th Percentile ›=5th to ‹95th Percentile
›=85th to ‹95th Percentile
›95th Percentile
Number % Number % Number % Number % Number
CY2016 24 3.6 458 68.3 85 12.7 104 15.5 671
CY2015 30 4.0 516 69.5 88 11.9 108 14.6 742
33
with his hiking program. Youth are given the opportunity to learn about MyPlate with a focus on fruits and vegetables at the
cooking camp offered by NC Cooperative Extension.36
The Golden Shoe event is sponsored by Partners in Health. Gold painted shoes are hidden throughout the local parks for a
two week period in the spring. People of all ages are encouraged to find a shoe and exchange it for a prize at the
concluding Saturday event. The purpose of this event is to motivate individuals and families to access and utilize the local
parks. The 2018 Golden Shoe event had an overall claim rate of 74.5%.37 The survey completed by participants revealed
that 41.1% were participating for the first time and 100% stating they would be visiting one of the local parks again.38
Farmers’ markets are available to provide fresh produce to people throughout the county. There are five farmers markets
located in Stanly County. Farmers’ market locations include Albemarle (Stanly County and The Stanly Commons),
Norwood, Locust and Oakboro. These markets encourage healthy eating by providing fresh produce, recipes and cooking
demonstrations.
Tobacco Use
Tobacco use is a perennial health concern with Stanly County citizens. It was the number two Health Issues - Major
Problem in the results of the 2018 community health assessment survey. The negative health consequences of tobacco use
are well known. The use of tobacco products increases the risk of heart disease, stroke, cancer (including lung, larynx,
trachea, bronchus, kidney and oropharynx), chronic obstructive pulmonary disease (COPD), preterm labor, low birth weight
babies, stillbirths, cataracts and other health issues.39 In spite of these negative health outcomes, people still use tobacco
products. The results of the 2017 Behavioral Risk Factor Surveillance System (BRFSS) survey showed that 14% of the
Piedmont North Carolina survey respondents are current smokers. This percentage is less than the 2016 BRFSS Survey in
which 16.9% survey respondents self-identified as current smokers. Piedmont North Carolina males (15.7%) identified as
current smokers more than Piedmont North Carolina females (12.6%) in the 2017 BRFSS Survey. This was a decrease
from the 2016 BRFSS Survey results where 19.7% of the Piedmont North Carolina males and 14.5% of the Piedmont North
Carolina females self-identified as current smokers. The Piedmont North Carolina College graduates (3.7%) had a lower
percentage of smokers than Less than High School (19.9%), High School/G.E.D, (21.1%) and Some Post-H.S. (16.5%)
survey participants.40
More Piedmont North Carolina respondents in the 2017 BRFSS Survey used chewing tobacco or snuff (6.9%) when
compared to North Carolina respondents (4.4%).41
E-cigarettes are being touted by the industry as a safe alternative for using tobacco products. The Centers for Disease
Control and Prevention has provided the following information on e-cigarettes:42
The FDA has not approved e-cigarettes as a quit smoking aid.
E-cigarettes are less harmful than regular cigarettes, but that does not mean they are safe.
36
“News Growline,” Cooking & Nutrition Programs for Youth” and “Hike It To Healthy” NC Cooperative Extension Stanly County Center – August/September 2018
Newsletter 37
Email received from Jennifer Layton, Golden Shoe Director with Stanly County Health Department, 2018 Golden Shoe Data, November 9, 2018. 38
Email received from Jennifer Layton, Golden Shoe Director with Stanly County Health Department, 2018 Golden Shoe Data, November 9, 2018. 39 Centers for Disease Control and Prevention (CDC) retrieved from cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/index.htm 40 NC DHHS State Center for Health Statistics Behavioral Risk Factor Surveillance System (BRFSS) retrieved from schs.dph.ncdhhs.gov/data/brfss/2017/west/_rfsmok3.html/schs.dph.ncdhhs.gov/data/brfss/2016/pied/_rfsmok3.html 41 NC DHHS State Center for Health Statistics Behavioral Risk Factor Surveillance System (BRFSS) retrieved from schs.dph.ncdhhs.gov/data/brfss/2017/west/usenow3.html/ 42 Centers for Disease Control and Prevention (CDC) Electronic Cigarettes What’s The Bottom Line Infographic www.cdc.gov/tobacco/basic_information/e-cigarettes/pdfs/Electronic-Cigarettes-Infographic-508.pdf
34
The health risks of e-cigarettes are not completely understood, but harmful materials can be found in e-cigarettes
such as nicotine, flavoring chemicals, cancer-causing chemicals heavy metals (nickel, tin and lead).
Use of e-cigarettes may result in unintended injuries to a user because of explosions or fires due to defective
batteries.
Exposure to the liquid or airborne contents of e-cigarettes may result in harm to those who swallow, inhale or
absorb it through the skin or eyes.
Those responding to the 2017 BRFSS Survey: Piedmont North Carolina showed an increase in using e-cigarettes every
day. In 2017, 10.7% Piedmont North Carolina respondents self-identified as using e-cigarettes or some other electronic
vaping product compared with 6.7% in the 2016 BRFSS survey.43
The results of the 2017 Youth Tobacco Survey (western region) show that 31.7% of the high school students and 8.9% of
the middle school students had used a tobacco product at least once during the past 30 days.44 Electronic cigarettes were
used by 19.5% of the high school students and 5.3% of the middle school students at least one day in the past month.45
There were 9.7% of the high school students who smoked a cigarette at least once during the past 30 days.46 More males
(36.0%) than females (27.3%) used a tobacco product at least once in the past 30 days.47 To see the 2017 Youth Tobacco
Survey charts, go to page 78 in the Appendices.
What services are available to help people quit using tobacco products? Over-the counter medications help some
individuals to stop using tobacco products. For others, quitting cold turkey works. North Carolina offers a free telephone/
online smoking cessation program to any North Carolina resident calling QuitlineNC. There are two components to it:
1. QuitelineNC is a 24/7 telephone service that provides a tobacco user access to Quit Coaches and in some cases nicotine
patches or gum at no cost and 2. WebCoach, an online 24/7 access to Quit Coaches.48 For more information about
QuitlineNC, go to www.quitlinenc.com/.
Dental Health
Dental health impacts one’s health and well being. “Oral health affects our ability to speak, smile, eat, and show emotions.
It also affects self-esteem, school performance, and attendance at work and school. Oral diseases—which range from
cavities to gum disease to oral cancer—cause pain and disability for millions of Americans…Oral health has been linked with
other chronic diseases, like diabetes and heart disease…”49
Children and youth (0-18 years of age) residing in Stanly County have access to dental care through the Stanly County
Dental Clinic. All children are eligible to receive dental care at this facility regardless of their ability to pay or insurance
status. Dental care is provided by the Stanly County Dental Clinic in the dental clinic facility, Carolinas HealthCare System
Stanly operating room and local public schools.
43 NC DHHS State Center for Health Statistics Behavioral Risk Factor Surveillance System (BRFSS) retrieved from schs.dph.ncdhhs.gov/data/brfss/2017/west/ECIGNOW.html & https://schs.dph.ncdhhs.gov/data/brfss/2016/pied/ECIGNOW.html 44
Emailed received from Ann Houston Staples, Director of Public Education & Communication Division of Public Health, Tobacco Prevention & Control Branch North
Carolina Department of Health and Human Services 2017 YTS_West.pptx (October 8, 2018) 45
Emailed received from Ann Houston Staples, Director of Public Education & Communication Division of Public Health, Tobacco Prevention & Control Branch North
Carolina Department of Health and Human Services 2017 YTS_West.pptx (October 8, 2018) 46
Emailed received from Ann Houston Staples, Director of Public Education & Communication Division of Public Health, Tobacco Prevention & Control Branch North
Carolina Department of Health and Human Services 2017 YTS_West.pptx (October 8, 2018) 47
Emailed received from Ann Houston Staples, Director of Public Education & Communication Division of Public Health, Tobacco Prevention & Control Branch North
Carolina Department of Health and Human Services 2017 YTS_West.pptx (October 8, 2018) 48
NC DHHS Division of Public Health “QuitlineNC” retrieved from www.quitlinenc.com/ 49
Centers for Disease Control and Prevention (CDC) “Oral Health Basics” retrieved from www.cdc.gov/oralhealth/basics/index.html
35
In 2016, the Stanly County Dental Clinic received a Duke Endowment grant that provided dental sealant services to all
second and third grade children enrolled in public schools. This service is provided at the individual elementary public
schools. This service continues to be provided to all children in the second and third grades with parental permission.
Medicaid and Health Choice are charged for this service where applicable. Dental sealants decrease the occurrence of
cavities on premolars and molars where decay usually occurs in children. “School-age children (ages 6-11) without sealants
have almost 3 times more 1st molar cavities than those with sealants.”50 The Stanly County Dental Clinic staff has received
another Duke Endowment grant to provide dental sealants for sixth and seventh graders enrolled in public schools.
Adult dental health services are one of the most requested, but unavailable, services received by public health staff. Adults
have great difficulty accessing dental health services if they are unable to pay for them. This results in a compromised
quality of life for these individuals. For some it may be a dire situation as their poor oral health results in dental abscesses
and possibly life threatening diseases.
Sexually Transmitted Diseases (STDs)
Sexually transmitted diseases (STDs) are a serious public health issue even though STDs was discontinued as a separate
Health Issue on the 2018 Community Health Assessment survey. It was included under Infectious Diseases. This decision
was the result of concerns regarding length of the survey. In 2017, the highest number of cases of the three nationally
reported STDs (chlamydia, gonorrhea, and syphilis) was reported in the United States.51 Overall, Stanly County has a lower
reported rate of specific STDs when compared with the State’s rate. However, Stanly County has higher rate of reported
cases of chlamydia, gonorrhea and syphilis than her peer counties. Stanly County has the second highest rate of reported
cases of HIV and AIDS among her peer counties. The table below shows the reported rates of chlamydia, gonorrhea,
syphilis, HIV and AIDS for North Carolina, Stanly County and her peer counties.52
STD/HIV Report* Peer County & North Carolina
2014-2016 North
Carolina Stanly County
Carteret County
Chatham County
Haywood County
Moore County
Chlamydia 539.1 366.5 293.9 238.4 207.2 327.3
Gonorrhea 171.7 86.8 51.8 58.5 35.6 78.6
Syphilis** 16.2 7.1 3.4 4.2 6.6 4.6
HIV 16.1 9.1 6.6 3.8 3.8 11.3
AIDS 8.1 6.5 3.9 7.2 1.3 6.3 (Numbers in red indicate highest rate among Peer Counties) *Rank based on three year average per 100,000 population
** Early Syphilis (Primary, Secondary, and Early Latent) ↓one year Source: NC DHHS Division of Public Health
Are these high rates of reported STDs in Stanly County due to an increased number of individuals engaging in high risk behaviors or lacking knowledge on how to prevent infection? Or are these higher rates the result of efficient reporting? Either way, more must be done to address this situation. Education about STDs needs to be provided whether it be in the schools, churches, health care provider’s office, etc. Brown bags containing 12 condoms in each bag are distributed free of charge from the health department’s front desk when individuals request them. As a result of the Media & Outreach
50
Centers for Disease Control and Prevention (CDC) “Dental Sealants Prevent Cavities” retrieved from www.cdc.gov/vitalsigns/dental-sealants/index.html 51
Centers for Disease Control and Prevention (CDC) Reported STDs in the United States, 2017 Infographic retrieved from
https://www.cdc.gov/nchhstp/newsroom/docs/factsheets/STD-Trends-508.pdf 52
NC DHHS Division of Public Health “2016 North Carolina HIV/STD/Hepatitis Surveillance Report” retrieved from
epi.publichealth.nc.gov/cd/stds/figures/std16rpt_rev3.pdf
36
Committee recommendation, these brown bags now have appointment information for the health department’s STD and Family Planning clinics on them.
Infant Births
Stanly County’s percentage of low birth weight infants is trending upward. The Stanly County rate of low birth weight infants
has been higher than the North Carolina’s rate the past two years. In 2016, 8.4% of the infants born in Stanly County were
low birth weight compared to 7.6% infants statewide. The percentage of premature births has been trending higher in Stanly
County. A higher percentage of premature births were reported in Stanly County (12.5%) than North Carolina (10.4%) in
2016. To see the Resident Birth charts, go to page 79 in the Appendices.
37
COMMUNITY ISSUES
Overview
There were several changes in the 2018 Community Health Assessment survey. Poverty, Access to Substance Treatment
Services and Social Isolation were added to the Community Issues survey list. These additions were requested by
individuals reviewing the 2018 survey. The Community Issues removed were Lack of Recycling and Emergency
Preparedness. Recycling is available throughout Stanly County by utilizing the county Convenience Centers and the city of
Albemarle began offering curbside recycling again July 1, 2018. Emergency Preparedness is addressed in the Emergency
Preparedness section of this report.
The chart below highlights the top 10 Community Issues that the survey participants identified as Major Problems.
Unemployment/Underemployment continues to rank number one on the survey as a Major Problem. However, the
percentage decreased from the 2015 Community Health Assessment. Lack of/Inadequate Insurance and Bullying were in
the top four Major Problems in the 2018 and 2015 Community Health Assessment surveys. New to the top 10 Community
Issues ranking was Poverty which ranked fourth and Access to Substance Treatment Services which tied for sixth with
Crime as a Major Problem. To see the entire Overall - Community Issues – Major Problems table, go to page 80 in the
Appendices. Please note that “T” means tied in the following material and charts
Overall Community Issues – Major Problems – 2018 CHA
Community Issues %
1. Unemployment/Underemployment 29.74
2. Lack of/Inadequate Health Insurance 28.30
3. Bullying 26.98
4. Poverty 26.02
5. Inadequate/Unaffordable Housing 25.30
6T. Access to Substance Treatment Services 24.22
6T. Crime 24.22
8. Child Abuse & Neglect 23.98
9. Homelessness 23.62
10. Domestic Violence 23.14
Zip Code
The table with the identified top seven Zip Code - Community Issues - Major Problems is shown on the next page. Bullying
was the only Community Issue ranked in the top five as a Major Problem for all four county regions. Bullying is an important,
but challenging issue to address. Increasingly bullying is done on social media venues. However, there is still bullying taking
place face-to-face.
Unemployment/Underemployment is still ranked the number one Major Problem by all county regions, except in the West. It
was tied for sixth with Crime in the West. It is understandable that Unemployment/Underemployment would rank lower in
the western part of the county. Interstate 485 is located nearby which facilitates access to Charlotte and Concord (North
Carolina) where jobs are more available than in Stanly County. Lack of/Inadequate Insurance was the top Major Problem
for the West.
38
Unemployment/underemployment of Stanly County residents impacts the rankings of other Community Issues. Those
Community Issues negatively impacted include Poverty, Lack of/Inadequate Health Insurance and Inadequate/Unaffordable
Housing. To see the entire Zip Code – Community Issues – Major Problems table go to pages 81-82 in the Appendices.
Zip Code – Community Issues – Major Problems – 2018 CHA East North South West
Rank
Community Issue
%
Rank
Community Issue
%
Rank
Community Issue
%
Rank
Community Issue
%
1
Unemployment/ Underemployment
33.89
1T
Unemployment/ Underemployment
Poverty
30.43
(T)
1
Unemployment/ Underemployment
23.81
1
Lack of/Inadequate Health Insurance
30.65
2
Bullying
30.07
2
Bullying
22.86
2
Access to Adult Day Care
24.19
3
Lack of/Inadequate Health Insurance
29.83
3
Lack of/Inadequate Health Insurance
29.81
3
Inadequate/Unaffordable Housing
21.90
3T
Child Abuse & Neglect
Access to Substance Treatment Services
23.39
(T) 4
Poverty
28.40
4
Crime
29.19
4T
Access to Substance Treatment Services
Poverty
20.95
(T)
5T
Inadequate/ Unaffordable Housing
Quality of Education
(K-12)
27.92 (T)
5
Bullying
27.95
5
Bullying
22.58
6
Inadequate/
Unaffordable Housing
26.09
6T
Access to Mental Health Services
Domestic Violence
20.00
(T)
6T
Crime
Unemployment/ Underemployment
21.77
(T)
7 Homelessness 27.68 7 Domestic Violence 25.47
Gender
The table below highlights the top five Gender – Community Issues – Major Problems. Unemployment/Underemployment
was the top Major Problem for Females and Males. Lack of/Inadequate Health Insurance and Poverty were in both genders’
top five Community Issues identified as a Major Problem. Males ranked Child Abuse higher than Females - #5 ranking
versus #9 ranking, but a higher percentage of Females (25.58%) saw it as a Major Problem than Males (20.25%). To see
the entire Gender - Community Issues – Major Problems table, go to page 83 in the Appendices.
Race
The table with the top six Race - Community Issues - Major Problems is shown on the next page. Unemployment/
Underemployment was the top Major Problem for African American/Black and Caucasian/White survey participants. It was
tied for seventh (with several other options) for American Indian and Asian survey participants and 12th for Hispanic/Latino
survey respondents. Bullying was a top ten concern for all Races. American Indian respondents had Bullying tied as the #1
Major Problem while Asian respondents had Bullying tied for the #2 Major Problem. Caucasian/White respondents had
Bullying tied for 4th place and African American/Black respondents had bullying tied for #10. Hispanic/Latino respondents
had Bullying as the #6 Major Problem.
Gender - Community Issues –Major Problems – 2018 CHA
Rank
Female - Community Issues
%
Male - Community Issues %
1 Unemployment/Underemployment 31.47 Unemployment/Underemployment 25.77
2 Lack of/Inadequate Health Insurance 31.01 Quality of Education (K-12) 23.93
3 Bullying 30.54 Poverty 22.09
4 Inadequate/Unaffordable Housing 28.22 Lack of/Inadequate Health Insurance 20.86
5 Poverty 27.60 Child Abuse & Neglect 20.25
39
Racism was noted as a Major Problem for African American/Black (#2), American Indian (#2T), Asian (#2T) and
Hispanic/Latino (#3T). Caucasian/White respondents had Racism listed at #19. Lack of/Inadequate Health Insurance was
registered as a Major Problem for American Indian and Hispanic/Latino (#1T), Caucasian/White (#3), African
American/Black (#4T) and Asian (#7T).
Domestic Violence rated high as a Major Problem for Hispanic/Latino (#1T), African American/Black (#6), Asian (#7T),
American Indian (#7T) and Caucasian/White (#14). Special attention may need to be made in the Hispanic/Latino
community regarding domestic violence. Incidences of domestic violence may be under reported due to language barriers,
concern over finances and their immigration status. To see the entire Race - Community Issues – Major Problems table, go
to pages 84-85 in the Appendices.
Race - Community Issues –Major Problems – 2018 CHA
African American/ Black
American Indian
Asian
Caucasian/White
Hispanic/Latino
Rank
Community Issue
% Community Issue
% Community Issue
% Community Issue
% Community Issue
%
1
Unemployment/
Underemployment
39.05
Access to Adult Day Care
Bullying
Child Abuse & Neglect
Lack of/Inadequate Health Insurance
Poverty
Racism
28.57 (T)
Inadequate/
Unaffordable Housing
38.46
Unemployment/
Underemployment
30.29
Domestic Violence
Lack of/Inadequate Health Insurance
26.39 (T)
2
Racism
36.19 Bullying
Child Abuse & Neglect
Crime
Lack of Recreational Facilities/Programming
Racism
30.77 (T)
Access to Substance Treatment Services
28.53
3
Crime
34.29
Lack of/Inadequate Health Insurance
28.21
Child Abuse & Neglect
Crime
Racism
23.61 (T)
4T
Homelessness
Lack of/Inadequate Health Insurance
32.38
(T)
Bullying
Poverty
27.24
(T)
6
Domestic Violence
30.48
Inadequate/Unaffordable Housing
26.28
Bullying
22.22
Education (Grade Completion)
Community Issues seen as Major Problems are very diverse when looking at the Education (Grade Completion) criteria.
Bullying was seen as a Major Problem in the 12th Grade or Less (#1) and Completed Grade 12/GED (#3) categories. Even
though Bullying was ranked lower in other Education (Grade Completion) categories, it had a comparable percentage with
them. Unemployment/Underemployment was listed in the top eight Major Problems for all Education (Grade Completion)
categories. It was the number one concern for College 1-3 Years and tied for number one with Completed Grade 12/GED.
Poverty ranked the lowest in those identifying with a 12th Grade or Less education. Crime was more of a Major Problem to
those identifying with the least amount of education – 12th Grade or Less (#2T) and Completed Grade 12/GED (#1T). Lack
of/Inadequate Insurance was a top 10 Major Problem for all Education (Grade Completion) categories. It was the number
one Major Problem for Community College/Technical School Degree/Certificate respondents. Access to Adult Day Care
was the number one Major Problem for those with an Undergraduate Degree. Access to Substance Treatment Services
was the number one Major Problem for those identifying with a Postgraduate Degree. It was a top 10 Major Problem for
those with any college or technical school experience. To see the Education (Grade Completion) Community Issues – Major
Problems table, go to pages 86-87 in the Appendices.
Age
Unemployment/Underemployment was in a top three ranking (number one for 20-34 Years and 35-54 Years age groups) for
all age groups, except for 15-19 Years. Unemployment/Underemployment was tied for number nine with 15-19 Years age
group. Two age groups, 55-64 Years and 75 and Older, had Access to Adult Day Care as their number one Major Problem.
Poverty was ranked the top Major Problem for those 65-74 Years. Bullying was the number one Major Problem for the age
group, 15-19 Years. Bullying was a top five Major Problem for 20-34 Years, 35-54 Years and 75 or Older age groups. Lack
40
of/Inadequate Health Insurance was a top 10 Major Problem for all age groups, except 15-19 Years. Access to Substance
Treatment Services was ranked at least a top four Major Problem for age categories 35-54 Years, 55-64 Years and 65-74
Years. To see the Age - Community Issues – Major Problems table, go to pages 88-89 in the Appendices.
Marital Status
Unemployment/Underemployment was ranked one or two in all the age groups except, Widowed. There were a variety of
Major Problems ranked number one for some of the marital groups. Crime was ranked as Widowed’s number one Major
Problem. Access to Substance Treatment Services was the top Major Problem for Married respondents. Bullying was the
number one Major Problem for Partner/Significant Other respondents. Poverty tied with Unemployment/Underemployment
for the top ranking with Divorced survey respondents. The Separated group ranked Inadequate/Unaffordable Housing as
their top Major Problem. To see the Marital Status - Community Issues - Major Problems table, go to pages 90-91 in the
Appendices.
41
COMMUNITY ISSUES DISCUSSION
A smaller percentage of survey respondents identify Unemployment/Underemployment as the number one major problem
Community Issue in Stanly County when compared with 2015 survey results. This is due to the current unemployment rate
of 4.2% and jobs are available throughout the county.53 Still people are having difficulty becoming gainfully employed due to
substance misuse, lack of transportation, lack of skills needed for job and/or lack of the job offering a living wage.
Several Community Issues fell in the rankings, but the percentages that identified them as Major Problems were comparable
to 2015 survey results. These Community Issues included Child Abuse & Neglect, Domestic Violence, Access to Adult Day
Care and Racism.
2018 CHA Community Issues 2015 CHA
Rank Percentage (%) Rank Percentage (%)
1 29.74 Unemployment/Underemployment 1 38.20
2 28.30 Lack of/Inadequate Health Insurance 3 22.17
3 26.98 Bullying 4 21.91
4 26.02 Poverty* * *
5 25.30 Inadequate/Unaffordable Housing 11 17.13
6T 24.22 Access to Substance Treatment Services* * *
6T 24.22 Crime 7 18.64
8 23.98 Child Abuse & Neglect 2 24.35
9 23.62 Homelessness 12 16.79
10 23.14 Domestic Violence 5T 21.33
11 22.66 Access to Adult Day Care 8T 18.30
12 21.10 Quality of Education (K-12) 5T 21.33
13 20.62 Access to Mental Health Services 17 14.02
14 19.90 Access to Health Care Specialists 8T 18.30
15 19.42 Lack of Transportation 14 15.03
16 18.94 Racism 10 17.80
17 17.27 Gangs 15 14.53
18 16.67 Litter 16 14.27
19 16.19 Lack of Recreational Facilities/ Programming 19 11.75 20 15.71 Access to Dental Care – Adult 18 13.01 21 11.39 Elder Abuse & Neglect 21 11.08 22 10.79 Social Isolation* * * 23 10.31 Pollution 20 11.59 24 9.47 Access to Higher Education 22 10.41 25 8.87 Access to Primary Healthcare 23 8.73 26 8.15 Access to Quality Child Care 25 7.30 27 7.43 Access to In-Home Care 26 5.63
*These Community Issues were added to the 2018 CHA survey. The following 2015 Community Issues were removed from the 2018 CHA survey: Lack of Recycling & Emergency Preparedness.
53
North Carolina Department of Commerce retrieved from https://accessnc.opendatasoft.com/explore/dataset/labor-force-laus/table/
42
Lack of/Inadequate Health Insurance
Lack of/Inadequate Health Insurance was ranked number two on the overall 2018 Community Health Assessment report
survey results. The percentage of survey respondents seeing this as a Major Problem was slightly greater in 2018 (28.30%)
versus 2015 (22.17%). This increase may represent the changes the Affordable Care Act is undergoing. The Affordable
Care Act was enacted to offer health insurance coverage for uninsured individuals, but its continuity is uncertain. Stanly
County has two health facilities that provide primary medical care to low income residents – John P. Murray Community
Care Clinic and the Stanly County Health Department.
The John P. Murray Community Care Clinic provides primary health care for chronic diseases. Participants must be a
resident of Stanly County, between 18-64 years of age and 200% or less of the Federal Poverty Level.54 The Stanly Health
Foundation funds free mammograms for the uninsured enrolled with this clinic. The Stanly Health Foundation provides
limited funding for participants’ medications and supplies.55
The Stanly County Health Department received a Community Health grant which initially provided three free health visits
through the Adult Health Program - a physical exam and two follow-up and/or sick visits. Now there are unlimited health
visits permitted under this grant. Eligible individuals for this service are those 18 and older who are uninsured/underinsured
who meet the income requirement.
Access to Higher Education
Access to institutions of higher education is critical to enable students and their affected communities achieve their potential. Access to Higher Education was ranked 24 (out of 27) as a Major Problem in the 2018 Community Health Assessment standings. This low ranking underscores the fact that quality higher education is available in Stanly County. Stanly County is fortunate to be home to two excellent institutions of higher education – Pfeiffer University (founded 1885)56 and Stanly Community College (established 1971).57 Stanly Community College has an Albemarle and a Locust campus. Pfeiffer University has a Misenheimer and a future Albemarle campus in Stanly County. These two educational institutions are lead by two dynamic and visionary leaders - Dr. Colleen Perry Keith (Pfeiffer University) and Dr. John Enamait (Stanly Community College). Pfeiffer University offers undergraduate and graduate degrees at its Stanly County campuses. Pfeiffer University plans to
open a Center for Health Sciences in Historic Downtown Albemarle. Two new graduate programs, Master of Science in
Occupational Therapy (2019) and a Master of Science in Physician Assistant Studies (2020), are proposed for the
Albemarle campus pending approval from the Southern Association of Colleges and Schools Commission on Colleges.58
This…“four-story health sciences facility will include classrooms, simulated clinical, administrative and library space featuring
technology that puts students on the forefront of the health sciences. Also on site will be the county’s first cadaver
laboratory for pre-clinical training.”59 “Not only will these programs provide educational opportunities and better health care
to a large underserved rural population, it will provide an opportunity for economic development in Historic Downtown
54
North Carolina Association of Free & Charitable Clinics retrieved from http://ncafcc.org/clinic/john-p-murray-community-care-clinic/ 55
Conversation with Jane L. Boone, Executive Director, Stanly Health Foundation (10/2018) 56
The Pfeiffer Legacy retrieved from http://www.pfeiffer.edu/why-pfeiffer/pfeiffer-legacy 57
SCC Celebrated 45th Anniversary retrieved from https://www.stanly.edu/college-information/presidents-blog/july-2016 58
“Pfeiffer Forward/Part 1 Pfeiffer is Rising: Developing State-Of-The-Art Facilities” retrieved from http://www.pfeiffer.edu/news/pfeiffer-forward-part-1-pfeiffer-rising-
developing-state-art-facilities 59
“Pfeiffer Forward/Part 1 Pfeiffer is Rising: Developing State-Of-The-Art Facilities” retrieved from http://www.pfeiffer.edu/news/pfeiffer-forward-part-1-pfeiffer-rising-
developing-state-art-facilities
http://www.pfeiffer.edu/news/pfeiffer-forward-part-1-pfeiffer-rising-developing-state-art-facilities
http://www.pfeiffer.edu/news/pfeiffer-forward-part-1-pfeiffer-rising-developing-state-art-facilities
43
Albemarle, Albemarle as a whole, Stanly County, and the whole Uwharrie Mountain region. It is part of an effort by Pfeiffer
to provide quality needed medical education to service the growing medical needs of people living in rural areas.”60
Stanly Community College provides individuals educational opportunities and assists small business owners in establishing,
retaining and expanding their business. Stanly Community College offers students associate degrees and technical
certifications…from accounting to welding technology. The Locust campus is devoted to Allied Health careers and houses
the simulation hospital. This singular focus and state-of-the-art technology allows students from a variety of allied health
fields to work together as they would in a real life health care setting. Stanly Early College High School is located on the
Albemarle campus. This program provides students the opportunity to earn a high school diploma as well as “two years of
transferable credit or an associate degree.”61
Stanly Community College Small Business Center (SBC) is “a community-based provider of education and training,
counseling, networking and referrals.”62 The Stanly Community College SBC provides potential or established small
business owners assistance to be successful. This can be done on an individual counseling basis or through educational
programs. A monthly round table educational opportunity sponsored by the Stanly Community College SBC for small
business professionals is Grounds for Business (Albemarle)/Food for Thought (Locust). At this event a variety of business
and professional growth programs are offered.
Child Abuse Child abuse continues to be a serious problem in Stanly County. The Butterfly House Children’s Advocacy Center serves children and youth from Stanly and surrounding counties who have been abused. “The Butterfly House brings together law enforcement officers, medical providers, (district) attorneys, and many others to look at each case of abuse comprehensively.”63 The Department of Social Services and mental health providers, also, play an important role with the Butterfly House in addressing child abuse in Stanly County. The extent of reported child abuse in Stanly and surrounding counties is shown in the County of Residence and Type of Abuse charts and Gender table on pages 92-93.
The Butterfly House has expanded their outreach from clinical services to the community by hiring a Community Health
Educator to their staff. This individual’s role is to present community education programs to children and adults. One
project underway is a partnership with the Stanly County School System to present the program, Stop Go Tell, a body safety
educational program. Stop Go Tell is to be taught in the first and fifth grades in the Stanly County Public Schools. Stop Go
Tell is funded by State monies and a grant from Stanly Health Foundation.64
Poverty
The unemployment rate in Stanly County is low. Many businesses have “hiring” signs up. Still poverty is a presence in
Stanly County. Reasons for poverty include low paying jobs, lack of education, lack of skills and substance misuse.
The face of poverty in Stanly County is shown in the following data.65 In 2017, a higher percentage of females (18.4%) live
in poverty than males (13.0%). Black/African American had the highest percentage of poverty – 38.0%. Hispanic/Latino
origin (of any race) had a poverty rate of 30.7%. American Indian and Alaskan Native alone poverty rate was 28.4%. White
60
“Pfeiffer University Health Sciences School” Charlotte Business Journal retrieved from www.bizjournals.com/charlotte/feature/development-in-stanly/2017/pfeiffer-
university-health-sciences-school.html) 61
Stanly Early College Stanly Community College retrieved from https://www.stanly.edu/future-students/college-catalog/stanly-early-college 62
Stanly Community College Small Business Center Small Business Center Network North Carolina Community College System retrieved from
https://www.ncsbc.net/center.aspx?center=75500 63
Children’s Advocacy Center Stanly Health Foundation retrieved from https://www.ncsbc.net/center.aspx?center=75500 64
Email received from Amy Yow Director The Butterfly House, CAC (September 4, 2018) 65
U.S. Census Bureau FactFinder retrieved from https://factfinder.census.gov/faces/nav/jsf/pages/index.xhtml
44
25.7
13.7
9.2
4.1
2017 Stanly County Residents
Education & Estimated Percentage in Poverty
Source: U.S. Census FactFinder
Less than high school
High school graduate/Equivalency
Some college; Associate degree
Bachelor's degree or higher
alone poverty rate was 12.9%. Asian alone poverty rate was
5.3%.66 The chart on the left highlights the ages where poverty
is more prevalent in Stanly County. More 18-34 year olds
(18.6%) live in poverty than any other age group, except those
younger than18 years of age (23.9%). Those who worked part-
time (19.0%) or did not work (21.9%) had higher rates of poverty
than full time workers (3.5%).
How does poverty affect the wellbeing of children? According to
the American Psychological Association, “Poverty impacts
children within their various contexts at home, in school, and in their neighborhoods and communities.
Poverty is linked with negative conditions such as substandard housing, homelessness, inadequate nutrition and food
insecurity, inadequate child care, lack of access to health care, unsafe neighborhoods, and under resourced schools which
adversely impact our nation’s children.
Poorer children and teens are also at greater risk for several negative outcomes such as poor academic
achievement, school dropout, abuse and neglect, behavioral and socioemotional problems, physical health
problems, and developmental delays…
Unsafe neighborhoods may expose low-income children to violence which can cause a number of psychosocial
difficulties. Violence exposure can also predict future violent behavior in youth which places them at greater risk of
injury and mortality and entry into the juvenile justice system…
Low birth weight
Chronic conditions such as asthma, anemia and pneumonia
Risky behaviors such as smoking or engaging in early sexual activity
Exposure to environmental contaminants, e.g., lead paint and toxic waste dumps. Exposure to violence in their
communities which can lead to trauma, injury, disability and mortality…”67
What is the face of poverty in Stanly County? It is most likely an adult
female of color with limited education and unemployed.
What can be done to address poverty in Stanly County? The only
variable that can be changed is educational attainment. Education
seems to be the key out of poverty as well as the prevention of poverty.
The chart to the right shows that educational attainment had a significant
effect on one’s poverty status.68
Health Disparities
What are health disparities? “Healthcare disparities refer to differences in access to or availability of health facilities and services. Health status disparities refer to the variation in rates of disease occurrence and disabilities between socioeconomic and/or geographically defined
66
U.S. Census American Fact Finder retrieved from
https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_17_5YR_S1701&prodType=table 67
“Effects of Poverty, Hunger and Homelessness on Children and Youth” American Psychological Association retrieved from http://www.apa.org/pi/families/poverty.aspx 68
U.S. Census Bureau FactFinder retrieved from
https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_17_5YR_S1701&prodType=table
23.9
18.6
13.5
9.1
2017 Stanly County Residents
Estimated Percentage Live in Poverty Source: U.S. Census FactFinder
Under 18
18-34 years
35-64 years
60 years and older
45
population groups.”69 Health disparities are present in Stanly County. Health disparities may be among races, genders, ages and/or geography. The table below highlights the differences among Stanly County and her peer counties with regards to life expectancy at birth.70 The table below shows where one lives can affect one’s life expectancy. Stanly County has the lowest overall life expectancy at birth among the five peer counties 2014-2016. The data shows Stanly County has the lowest life expectancy at birth for males, female, Whites and African Americans.
Source: NC DHHS State Center for Health Statistics
Health disparities are evident at birth.71 The table below shows that Stanly County has a slightly lower infant mortality
disparity ratio than Carteret County which had the highest among the peer counties. Stanly County infant mortality rates for
Non-Hispanic White and Non-Hispanic African American were higher than North Carolina’s rates.
2017 NORTH CAROLINA INFANT MORTALITY REPORT Infant Mortality Racial Disparities Between White Non-Hispanics & African American Non-Hispanics: 2013-2017
Stanly County, North Carolina & Peer Counties North
Carolina
Stanly County Carteret County
Chatham County
Haywood County
Moore County
Non-Hispanic White
5.3
5.4
5.6
8.2
7.1
5.3
Non-Hispanic African American
12.7
21.9
22.9
18.4
0
7.3
Disparity Ratio
2.40
4.06
4.09
2.24
0
1.38
NC DHHS State Center for Health Statistics Per 1,000 live births
The table on the next page highlights that health disparities among races begin at birth in Stanly County.72 The rate of
Stanly County and North Carolina African American infant mortality is significantly higher than Stanly County and North
Carolina White infants’ mortality rate. Stanly County African American infant mortality rate is higher than North Carolina’s
African American infant mortality rate. Stanly County Non-Hispanic White infant mortality is slightly greater than North
Carolina’s rate. There were more Non-Hispanic White infants than African American deaths when looking at overall
numbers.
69
U.S. National Library of Medicine National Information Center on Health Services Research and Health Care Technology (NICHSR) retrieved from
https://hsric.nlm.nih.gov/hsric_public/display_links/705 70
NC DHHS State Center for Health Statistics “Life Expectancy” retrieved from https://schs.dph.ncdhhs.gov/data/lifexpectancy/ 71
NC DHHS State Center for Health Statistics “Infant Mortality Racial Disparities Between White Non-Hispanics & African-American Non-Hispanics: 2013-2017 retrieved
from https://schs.dph.ncdhhs.gov/data/vital/ims/2017/table3b.html 72
NC DHHS State Center for Health Statistics Infant Mortality Statistics Vital Statistics 2017 North Carolina Infant Mortality Report, Table 3b retrieved from
https://schs.dph.ncdhhs.gov/data/vital/ims/2017/table3b.html
2014-2016 County Life Expectancy at Birth Stanly County & Peer Counties
Gender Race
Peer Counties
Total
Male
Female
White
African American
Stanly County 76.3 73.9 78.9 76.6 74.2
Carteret County 78.4 75.9 81.0 78.4 78.9
Chatham County 82.6 79.9 85.2 83.8 78.0
Haywood County 77.7 75.0 80.5 77.8 N.A.
Moore County 79.6 76.3 83.0 80.6 74.7
46
Source: North Carolina State Center for Health Statistics Numbers in ( ) are actual numbers of infant deaths Per 1,000 live births
Even the birth weight of infants indicates disparities among the races. There are many causes of low birth weight babies.
According to the March of Dimes, these causes include: preterm labor, chronic health condition (hypertension, diabetes),
infections, smoking, alcohol, street drugs, age (younger than 15 & older than 35), lower socioeconomic status and race.73
The chart below shows that the percentage of low birth weight infants in Stanly County is significantly higher in African
American women than all other races.74 The trend has been upward for all races, except Other Non-Hispanic.
Source: North Carolina State Center for Health Statistics
73 March of Dimes “Low Birthweight” retrieved from https://www.marchofdimes.org/complications/low-birthweight.aspx 74 NC DHHS State Center for Health Statistics 2018 County Health Data Book 2012-2016 North Carolina Resident Live Births by County of Residence:….. retrieved from
https://schs.dph.ncdhhs.gov/data/databook/CD6A-B%20LBW%20&%20VLBW%20by%20race.html
2012 2013 2014 2015 2016
White, Non-Hispanic 5.4 8.5 7.2 7.5 7.9
African American, Non-Hispanic
8.7 9.8 10.6 10.3 12.2
Other Non-Hispanic 4.3 8.3 3.2 0 10
Hispanic 0 0 2.3 4.3 4.4
0 2 4 6 8
10 12 14
Per
cen
tag
e
Stanly County Percentage of Resident Live Births Classified as
Low Birth Weight (<2500 grams/5 lobs. 8 ozs.)
Infant Deaths 2013-2017 Stanly County and North Carolina
Non-Hispanic White Rate
Non-Hispanic African American Rate
Stanly County 5.4(14) 21.9(11)
North Carolina 5.3(1,757) 12.7(1,830)
47
Health disparities among races and genders are evident in Stanly County and North Carolina as shown in the mortality
tables below.75 The table below highlights that Stanly County White and African American residents have a higher death
rate than North Carolina White and African American residents for All Causes (of death), Diseases of Heart and Cancer.76
Source: North Carolina State Center for Health Statistics
Males (White and African American) have higher death rates than females (White and African American) for All Causes (of
death), Diseases of the Heart and Cancer. African American males have higher death rates than White males as well as
White and African American females. African American females have a higher mortality rate than White females for All
Causes (of death) and Cancer. White females have a higher mortality rate than African American females for Diseases of
Heart. Mortality data rates were not available for American Indian (Non-Hispanic), Other Races (Non-Hispanic) or Hispanic
races.
2013-2017 Stanly County Resident Race/Ethnicity & Sex-Specific Age-Adjusted Death Rates Per 100,000 Population
White, Non-Hispanic African American, Non-Hispanic
Overall Male Female Male Female
All Causes 901.0 1,075.0 782.2 1,123.2 812.5
Diseases of Heart 227.6 295.7 186.8 302.2 144.0
Cancer 170.1 218.6 127.8 265.8 204.3
There is an encouraging trend with regards to Stanly County mortality death rates. The table below shows All Causes,
Diseases of Heart and Cancer 2013-2017 death rates for African American Stanly County residents decreased from the
2012-2016 death rates. For White Stanly County residents, the 2013-2017 death rates increased for All Causes and
decreased for Diseases of Heart and Cancer when compared to 2012-2016 death rates.77
75 NC DHHS State Center for Health Statistics 2019 County Health Data Book “2013-2017 Race-Sex-Specific Age-Adjusted Death Rates by County” retrieved from
https://schs.dph.ncdhhs.gov/data/databook/ 76
NC DHHS State Center for Health Statistics 2019 County Health Data Book “2013-2017 Race-Sex-Specific Age-Adjusted Death Rates by County” retrieved from
https://schs.dph.ncdhhs.gov/data/databook/ 77
NC DHHS State Center for Health Statistics 2019 County Health Data Book “2012-2016 Race-Sex-Specific Age-Adjusted Death Rates by County” & “2013-2017 Race-
Sex-Specific Age-Adjusted Death Rates by County” retrieved from https://schs.dph.ncdhhs.gov/data/databook/
2013-2017 Stanly County(SC) and North Carolina(NC) Resident Race/Ethnicity Age-Adjusted Death Rates Per 100,000 Population
SC White,
Non-Hispanic
NC White,
Non-Hispanic
SC African American, Non-
Hispanic
NC African American, Non-
Hispanic
All Causes 912.7 777.7 946.2 891.7
Diseases of Heart 232.0 157.6 207.0 184.7
Cancer 167.3 162.8 229.0 186.7
2012-2016 & 2013-2017 Stanly County Resident Race/Ethnicity & Sex-Specific Age-Adjusted Death Rates
Per 100,000 Population
White, Non-Hispanic African American, Non-Hispanic
2012-2016 2013-2017 2012-2016 2013-2017
All Causes 908.7 912.7 1,004.0 946.2
Diseases of Heart 234.7 232.0 223.9 207.0
Cancer 173.1 167.3 246.4 229.0
48
PEER COUNTY COMPARISONS Selected key health indicators are shown on the table below to compare Stanly County with her peer counties.78 Stanly
County has a higher rate of mortality in the diseases listed below, except for cancer deaths - colon, rectum & anus. Stanly
County has the highest rate of suicide compared with her peer counties and North Carolina. Stanly County’s percentage of
infant deaths and repeat teen pregnancies is second highest among the peer counties. The chart below has additional
health outcome and factor comparisons among the five peer counties.
Health Outcomes & Factors Comparisons Selected Key Health Indicators Stanly County & Peer Counties 2012-2016 (unless where noted)
North Carolina
Stanly County
Carteret County
Chatham County
Haywood County
Moore County
% Low birth weighta
9.0
9.5
7.6
8.9
9.6
8.9
% Born prematureb
10.1
10.5
10.8
9.4
11.5
9.5
2016 Teen pregnanciesc
28.1
25.6
16.6
19.3
28.6
23.4
2016 % Repeat teen pregnanciesd
22.1
30.4
27.6
40.0
23.8
18.6
Infant deathse
(2013-2017)
7.1
7.5
6.7
10.7
7.2
6.0
Child deathsf 58.1 48.2 49.0 53.1 63.4 36.4
Heart disease deathsg
161.3
231.8
166.8
102.6
191.1
134.0
Cancer – All Sites deathsh
166.5
176.5
176.1
129.2
151.3
156.3
Diabetes deathsi 23.0 22.2 17.0 18.0 13.8 12.2
Colon, rectum & anus cancer deathsj
14.0
14.8
15.8
10.1
9.8*
10.7
Trachea, bronchus & lung cancer deathsk
47.5
51.6
50.9
32.7
45.9
43.1
Unintentional injury deathsL
14.1
16.5
9.1*
16.6
13.3*
20.6
Suicide deathsm 12.9 18.8 17.6 11.9* 16.5 14.3
Drug Overdose Mortality Raten
22.0
27.3
37.6
8.8**
36.0
22.0
Source: NC DHHS State Center for Health Statistics, except where noted Numbers in bold red higher percentage or rate a- % of resident live births ‹2,500 grams/5 lbs. 8 ozs. *Death rates with a small number (<50) of deaths in the numerator
b- % of resident live births that were born ‹37 weeks gestation **Crude death rate c-Teen pregnancies, ages 15-19, /1,000 female residents d-% teen pregnancies, ages 15-19 e-Infant deaths/1,000 live births (https://schs.dph.ncdhhs.gov/data/vital/ims/2017/2017rpt.html ) f- Child deaths/100,000 residents, ages 0-17 g-Age-adjusted death rate/100,000 residents (Healthy NC 2020 Target-61.5) h-Age-adjusted death rate/100,000 residents i- Age-adjusted death rate/100,000 residents j- Age-adjusted death rate/100,000 residents (Healthy NC 2020 Target-10.1) k- Age-adjusted incident rate/100,000 residents L- Age-adjusted death rate/100,000 residents (excluding motor vehicle deaths) m- Age-adjusted rate/100,000 residents (Healthy NC 2020 Target-8.3) n- Per 100,000 residents: ages 15-6; 2012-2016 (https://opioidmisusetool.norc.org/)79
78
NC DHHS State Center for Health Statistics “Statistics and Reports County Level retrieved from https://schs.dph.ncdhhs.gov/data/county.cfm 79
Drug Overdose Deaths in the United States retrieved from https://opioidmisusetool.norc.org/79
49
Social determinants of health are “the conditions in which people live, work, play and worship.”80 These do have an effect
on a person’s health and quality of life. The determinants include Economic and Social & Neighborhood indicators. See
table below for specific selected social determinants for Stanly County and her peer counties.
Social Determinants of Health Selected Indicators
Stanly County & Peer Counties 2013-2017 Estimates*81
Indicators
North Carolina
Stanly County
Carteret County
Chatham County
Haywood County
Moore County
Economic
% Age 65 & Older 15.1 18.7 24.2 23.7 24.4 23.8
% of Population Living in Poverty 2017
14.7
12.4
13.3
10.3
14.5
10.7
Median Household Income
$50,320
$46,017
$51,584
59,684
$45,538
$54,468
% Unemployed Seasonally Unadjusted82
3.4
3.1
4.5
2.9
3.0
3.4
% No Health
Insurance, ↓ 65 years
12.6
12.1
12.2
12.5
12.4
10.3
Social & Neighborhood
% Population No High School
Diploma 25 years ↑
13.1
14.8
9.2
12.7
12.2
9.8
% Have Bachelor Degree or Higher
29.9
16.5
26.7
40.1
24.3
36.0
% No Computer in Household 2017
14.5
17.1
11.1
14.1
19.0
15.2
% Female Householder/No Husband Present/Own Children ↓18Years of Age
7.2
6.5
5.8
5.6
6.6
4.7
% Households Other than English Spoken at Home 5 Years+
11.4
5.7
5.8
14.3
3.2
7.3
County numbers in bold red represent problematic percentage or rate. *Except where indicated Source: U.S. Census Bureau American Community Survey 2017 5-Year Estimates 2013-2017 & Fact Finder
Stanly County has the lowest rate of those 65 years old and older among the peer counties. Stanly County’s median
household income is approximately $500 higher than Haywood County – the lowest among this peer county grouping.
Stanly County had the highest percentage of those 25 years old and older not having a high school diploma. Stanly County
was higher than the State’s percentage too. Stanly County had the lowest percentage of those with a bachelor’s degree or
higher. Haywood County had a higher percentage of female householders with no husband present. Stanly County was
second to Haywood County in this category.
80
Office of Disease Prevention and Health Promotion Healthy People 2020 Social Determinants of Health retrieved from https://www.healthypeople.gov/2020/topics-
objectives/topic/social-determinants-of-health 81 U.S. Census Bureau Quick Facts/Fact Finder retrieved from https://www.census.gov/quickfacts/fact/table/ and https://factfinder.census.gov/ 82 North Carolina Department of Commerce retrieved from https://d4.nccommerce.com/
50
The table below highlights infant deaths from 2013-2017 in Stanly County and her peer counties.83 The Stanly County Non-
Hispanic White infant death rate was lowest among the peer counties, except for Moore County. Chatham County had the
highest rate. Stanly and Carteret counties had the lowest number of Non-Hispanic White infant deaths. Moore County had
the highest number among the peer counties.
The rate of Stanly County Non-Hispanic African American infant deaths was second highest among the peer counties and
higher than North Carolina’s rate. Carteret County had the highest rate. Stanly County had the highest number of Non-
Hispanic African American infant deaths among the peer counties.
Infant Deaths 2013-2017 Stanly County and Peer Counties
North Carolina
Stanly County
Carteret County
Chatham County
Haywood County
Moore County
Non-Hispanic White Rate
5.3(1,757)
5.4(14)
5.6(14)
8.2(16)
7.1(19)
5.3(20)
Non-Hispanic African American Rate
12.7(1,830)
21.9(11)
22.9(4)
18.4(7)
0
7.3(6)
*Rates based on fewer than 10 deaths, so results unstable and interpret with caution Per 1,000 live births Number in red indicate the higher number Numbers in () are number of infant deaths Source: NC DHHS State Center for Health Statistics
83
NC DHHS State Center for Health Statistics Infant Mortality Statistics Vital Statistics 2017 North Carolina Infant Mortality Report, Table 3b retrieved from
https://schs.dph.ncdhhs.gov/data/vital/ims/2017/table3b.html
51
PERSONAL HEALTH PROFILE
Survey participants were asked to respond to personal health questions. These questions asked where they go for
healthcare advice or care, yearly health screenings settings, physical activity participation, alcohol ingestion, inappropriate
use drugs or medications and use of tobacco products. Over 70% of the survey participants would contact their doctor’s
office when they were sick or needed medical advice. Over 40% of Hispanic/Latino survey participants cited the health
department as their resource for these services.
Yearly preventive screenings questions were asked. Not all screenings are required every year, so participants had the
option of checking “NR” (not recommended). The majority of survey respondents had their blood pressure, blood sugar and
cholesterol checked within the past year. Over 50% of the survey participants had dental or vision screenings. About 25%
had responded that they had had screenings for depression, hearing and/or skin cancer. Slightly less than 50% of the
women stated they had had a pap smear in the past year. While only 44% stated they had had a mammogram during that
time period. About 14% said they had had a stroke screening within the past year. About 38% of the males had a PSA
prostate cancer screening done in the past year. Hispanic/Latino survey participants had significantly lower percentages of
screenings done during the past year than other races, except for mammograms. 7.69% Asian survey respondents reported
having a mammogram compared to 19.44% Hispanic/Latino survey respondents. Younger survey participants were less
likely to have yearly health screenings than older survey participants.
Over 60% of the people who completed a survey stated they participated in physical activity three or more times in the past
week. That is similar to the 2015 Community Health Assessment survey results. The age group that reported the least
amount of physical activity was 75 or Older (39.22%). All the other age groups reported similar percentages of physical
activity between the 63%-70% range.
Over 72% of survey participants stated they did not drink an alcoholic beverage in the past seven days. That is slightly more
than the 2015 Community Health Assessment respondents. Groups with college degrees reported higher percentages of
drinking than other Education (Grade Completion) groups. Married (31.70%) and Divorced (33.70%) survey participants
reported higher percentages of drinking alcohol in the past week than other Marital Status groups. Over 82% stated they did
not use any form of tobacco in the past week. A greater percentage of males (23.93%) than females (16.28%) reported
tobacco use during the past week. More tobacco use was reported in Age groups 20-34 (24.12%) and 35-54 (19.58%) than
other Age groups. Over 97% reported they did not use illegal drugs or abuse medications in the past week. This is a higher
percentage than in the 2015 Community Health Assessment report. When looking at the number of survey respondents
who reported using illegal drugs or abusing medication(s), the majority were Caucasian/White survey participants between
the ages of 35 and 54.
To see all the Personal Health tables, go to pages 94-100 in the Appendices.
52
BARRIERS TO HEALTH & HUMAN SERVICES
Questions were asked regarding barriers to receiving health and human services. The barriers included in this survey were
lack of health insurance, deductable/co-pay too high, doctor’s office does not accept my insurance or Medicaid and lack of
transportation. “Doctor’s office does not accept my insurance or Medicaid” received the highest percentage of responses –
22.66%. East, South and West respondents had it as its number one barrier. South respondents had a tie for the number
one barrier – Lack of Health Insurance and Deductible/Co-pay too High. Lack of Transportation received the lowest
percentage for all locations.
The table below highlights the barriers identified according to race. African American/Black respondents ranked Deductible/
Co-pay too High as their greatest barrier. American Indian, Asian and Caucasian/White identified Doctor’s Office Does Not
Accept My Insurance or Medicaid as their greatest barrier to receiving services. The Hispanic/Latino respondents ranked
two choices for their greatest barrier – Lack of Health Insurance and Deductible/Co-pay too High. See table below.
Groups that had the highest ranking of Lack of Transportation as their barrier to receiving health and human services were
Race - African American/Black (10.48%), Education (Grade Completion) – 12/GED (8.75%), Marital Status - Divorced
(9.78%) and Age - 20-34 Year (7.89%). Lack of Transportation appeared to be concentrated in specific age groups. The
age groups that ranked Lack of Transportation as the highest barrier were 20-34 (7.89%), 75 or Older (7.84%) and 65-74
(7.58%). To see additional Barriers to Health & Human Services tables, go to pages 101-103 in the Appendices.
Race - Barriers to Health & Human Services
Overall African American/
Black American
Indian
Asian Caucasian/
White Hispanic/
Latino Lack of health insurance
19.54
25.71
0
30.77
17.79
27.78
Deductible/Co-pay too high
21.22
36.19
0
23.08
18.27
27.78
Doctor’s office does not accept my insurance or Medicaid
28.66
31.43
28.57
53.85
30.29
6.94
Lack of transportation 6.47 10.48 0 0 6.41 1.39
53
EMERGENCY PREPAREDNESS
Emergency Preparedness addresses a community’s response to
natural or man-made disasters. Natural disasters include disease
outbreaks, and weather related events (hurricanes, tornadoes
downbursts, damaging winds, floods, etc.). Man-made disasters
include bioterrorism events, power service disruption, explosions,
hazardous material spill, etc. One survey question was, “How would
you get information from authorities in a large-scale disaster or
emergency?” The graphic to the left highlights the choices for this
particular question. The majority of people responding to this question
chose Television (72.34%) with Internet (53.77%) coming in second
highest. Survey participants could mark all responses that applied.
The chart to the right shows the survey responses to the
question, “Why Would You Not Evacuate If Asked to Do So?”
The main reason most survey participants would be reluctant to
leave their home during an emergency is concern about their
families’ safety (35.52%). Concern about leaving property
behind was the concern of 29.8% survey participants with
Concern about Leaving Pets right behind at 28.96%. The least
marked survey question was Health Problems Could Not Be
Moved (4.77%) with Lack of Transportation at 6.08%. Survey
participants could mark all responses that applied.
These charts are available in a different format on page 104 in
the appendices.
Television 72.34
Radio 34.61
Internet 53.77
Print media 9.34
Neighbor 30.9
Social Media 51.26
How would you get information from authorities in a
large-scale disaster or emergency?
Lack of transportation,
6.08
Lack of trust in public
officials, 7.51 Concern
about leaving
property behind,
29.8
Concern about personal
safety, 21.93
Concern about family safety,
35.52
Concern about
leaving pets, 28.96
Concern about traffic jams & inability to get
out, 16.92
Health problems
could not be moved, 4.77
Why would you not evacuate if asked to do so?
54
FOCUS GROUP QUESTION RESPONSES
Five focus groups were utilized to collect additional information from Stanly County residents about health and community
issues in Stanly County. The five groups participating in the focus group activity were Stanly County Minority Health Council
members, Stanly Community College Small Business Center Grounds for Business (Albemarle)/Food for Thought (Locust)
participants, Friends of the Senior Center and Cottonville Baptist Church Women on Mission. Debbie Bennett served as the
moderator of the focus groups. Jennifer Layton, Courtney Swain and Laura Emery served as scribes at selected focus
group sessions. The following are the responses of the five focus groups to the four focus group questions. The list of
questions discussed in focus groups is listed below and on page 105.
Question 1 Look at the top five Health Issues and top five Community Issues. What concerns need to be added? Which ones seem to be more critical to address in Stanly County than other ones? Why? Three health and community issues were discussed in the majority of groups – substance misuse, education and aging. One area of emphasis was prevention of substance misuse in the youth. It was felt more education was needed to warn children and youth of substance misuse. One group felt the health department should address the issue of substance misuse (drugs, smoking) as it had an impact on individual’s health. Education was seen as providing opportunities for children and youth as well as serving as an economic engine. Education provided youth with future opportunities. It was suggested that there be only two high schools in the county. This would allow the high schools to offer more International Baccalaureate (IB) and Advanced Placement (AP) classes to additional students. It was stated that quality education attracts young families and industry. The importance of higher education in Stanly County was noted in several groups. Stanly Community College and Pfeiffer University were seen as two of three gems in Stanly County. Their role in educating and training people for gainful employment was stressed. Resources for aging Stanly County residents were discussed. One group cited a need for retirement facilities, so people
could continue to live in Stanly County as they age. Too many older residents are forced to go out of county for retirement
housing. A need for a Senior Center and a Medical Center (primary care and specialists) located in the western part of the
county was expressed.
Additional concerns expressed during the focus groups included racism, poverty, litter, guns, resources for the blind and
government’s role. Racism was raised as a concern. Discussed were racism’s detrimental impact on individuals and the
community. Poverty was an issue raised in one focus group. Concern was raised regarding families who “fall between the
cracks” and are not eligible for government assistance. It was shared that Bethany United Methodist Church and other
churches assist these families in acquiring food and/or shelter through specific church local mission programs in the
community as well as the schools’ Backpack Program, Stanly Community Christian Ministry food pantry, Community Table I
(Albemarle), Community Table II (Norwood) and Community Inn.
Litter was a concern not only for it unsightliness, but its potential impact on the economy. Stanly County is a tourist
destination with Morrow Mountain State Park (Stanly County’s identified third gem) as well as Lake Tillery and Badin Lake
located in the county. Litter can leave a negative impression about Stanly County.
Concerned was raised about the increase in gun violence. Concern was specifically raised regarding gun violence between
African Americans. The response of police to situations involving guns regarding minorities was a concern.
55
One health issue that is seldom spoken about was raised – blindness. There are very few resources available for
individuals who are blind. There are no support groups, limited transportation services and a general lack of awareness
about blindness.
The role of government was discussed. It was urged that all Stanly County governmental entities get out of their silos and
work together to bring employment and improvements to Stanly County. It was noted that when governmental entities work
together great accomplishments occur. One example of this cited was Pfeiffer University locating its Center of Health
Sciences in Historical Downtown Albemarle. It was expressed that very few large businesses are going to locate in Stanly
County. It was urged that smaller industries be supported in Stanly County and encourage entrepreneurships.
Question 2 What resources (financial, civic groups, governmental agencies, churches, and businesses) are currently available to address these critical health concerns and community issues? Public Schools:
DARE officers are used in the middle schools to address substance misuse. Serving breakfast at the schools is a good
idea. Unfortunately school lunches are not well received by children. School lunches are thrown away and the children buy
unhealthy snacks to eat.
Local Government: The Stanly County Health Department offers classes and programs on health topics in the community. Senior Center offers classes with information for Senior Citizens. SCUSA provides limited transportation options. NC Health and Human Services has a district office in Mecklenburg to address blindness issues. Jennifer Layton responded to questions asked regarding substance misuse activities taking place in Stanly County. Churches: Churches help their members. Local churches support local missions in Stanly County. Atrium Health Stanly: Daniel Harkey directs a physical fitness program for youth in Stanly County. The hospital offers programs on a variety of health topics including nutrition, diabetes and heart health. Community groups: Monarch and GHA Autism Supports offer services and group homes to their clients. Question 3 What are the barriers within our community that may impact being able to address these health/community concerns? Overall:
The will to do something – be the leader Working in silos Being mindful of the haves and have nots Potential employees can’t pass drug tests Lack of transportation Jobs that will support families
Cost of programs Lack of interest SCUSA is too costly, too advance notice and not available
Lack of facilities for youth – ownership and/or cost may be prohibitive for youth. Leadership vital – County Commissioners,
City Council, business owners
56
Health: Excellent hospital facility, but physicians are retiring Public Schools:
Decrease in number of students enrolled in public schools Lack of leadership (Note: This comment does not reflect on Dr. Jeff James. He was hired as Superintendent February 2018 – just two months before focus groups took place.) Lack of parental knowledge about good jobs available without a 4 year degree Technology: No broadband Fewer people needed for jobs due to technology – need new training for available jobs
Question 4 What are our next steps to addressing these health concerns/community issues? Community:
Get community groups to work together. It would result in better utilization of resources and more good work being done.
Youth need more boundaries. Parents need to provide them guidance.
Economy: Create partnerships with other groups, businesses and agencies. Allow employees to attend additional training programs during work hours. Businesses should be utilized to market community programs and activities. Introduce school age children to potential job opportunities. Utilize CAFÉ (Career Academy for Educators) Program to increase awareness of educational needs for future workforce.
Government: Get educated about those running for office and vote. Transportation – SCUSA looking to establish a limited fixed bus route in Albemarle. Break down barriers among 10 municipalities so work for the good of Stanly County. Communicate with leadership – political as well as community leaders. Stanly County Health Department should get out into the community more and share information. Support Parks & Recreation programs. Take advantage of our assets (Pfeiffer University, Stanly Community College and Morrow Mountain State Park). Health: Have more health fairs to increase awareness. Address intergenerational drug abuse. Kids see parents doing drugs. Locate health care services (either through hospital or health department) at West Stanly Christian Ministries facility. Hospital needs more of a presence in the community – participate in job fairs, partner with colleges to provide student tours. Public Schools: Homework done during school, so children can get needed assistance with it Local groups support schools with needed equipment/supplies (Locust Rotary Club example). More private (community, churches) and school partnerships Get parental involvement – not only to attend meetings, but to get their children to school.
57
IDENTIFIED HEALTH PRIORITIES
Stanly County Health Department
Partners in Health selected three health priorities at their May 23, 2018 meeting after viewing the 2018 community health assessment overall results. The health priorities selected were:
Tobacco Use
Substance Misuse
Overweight/Obesity
The Stanly County Consolidated Human Services Board voted to accept these three health priorities at their June 6, 2018
meeting.
Carolinas HealthCare System Stanly
Carolinas HealthCare System Stanly has selected the following health priorities:
Obesity (pediatric and adult)
Mental Health Prevention and Treatment
Tobacco Prevention and Cessation
Access to Care (primary care, behavioral health and dental care)
Social and Economic (food access)
58
CONCLUSION Stanly County is an ideal place to live according to the responses to the Quality of Life questions. It is a safe place to live, raise children and grow older. There is ample access to healthcare in Stanly County. One concern expressed was the lack of job opportunities in Stanly County. However, the percentage of survey respondents seeing employment opportunities as a problem was less in the 2018 Community Health Assessment survey than the 2015 survey. The three major causes of mortality in Stanly County are heart disease; cancer – all sites; and cancer – trachea, bronchus and lung. These diseases are impacted by lifestyle choices. These lifestyle choices include use of tobacco products, unhealthy eating and lack of exercise. Activities to address this are available through several venues, including Carolinas HealthCare System Stanly, Stanly County Health Department, N.C. Cooperative Extension, Stanly County YMCA, Albemarle Parks & Recreation and Stanly County School System. Every community in Stanly County has at least one park in which to walk and participate in various outdoor activities. Survey participants chose as their top five Health Issues: Drug Abuse, Tobacco Use, Overweight/Obesity, Alcoholism/Alcohol Abuse and Mental Illness. The Health Issue getting the most attention is drug abuse or as it is now referred to as substance misuse. With the incidences of overdoses and deaths in Stanly County, substance misuse is in the forefront for action by many community, health and government entities as well as individuals. Unfortunately, this crisis will get worse before it will get better. Nonetheless, action is being taken to help those addicted to opioids (and other legal and illegal drugs) and prevent future substance misuse by our Stanly County citizens. Survey participants chose the following Community Issues as their top five concerns: Unemployment/Underemployment, Lack of/Inadequate Health Insurance, Bullying, Poverty and Inadequate/Unaffordable Housing. Gainful employment would address at least four of these five Community Issues. Employment opportunities are available in Stanly County. The barriers to employment such as lack of skills, lack of transportation, lack of education and substance misuse must be addressed. North Carolina has identified Carteret, Chatham, Haywood and Moore counties as peer counties of Stanly County. Stanly County’s comparison of its health and social determinant data among these identified peer counties needs to improve. In the Personal Health Section, the majority of people would contact their physician for questions and healthcare. Approximately half of the survey respondents had the recommended health screenings. Most practiced good health habits in that they had exercised and didn’t smoke, drink alcohol or misuse drugs in the past week. The main barrier to accessing health care was that the health care provider did not accept the person’s health insurance. Almost 20% of the survey respondents reported not having health insurance. Television was the main source of information for survey participants during an emergency preparedness event. Internet and social media followed closely behind as primary resources for information. Family safety was the main reason given for not evacuating during a large-scale disaster. Five focus groups were held throughout the community. These focus groups were Stanly County Minority Health Council members, Stanly Community College Small Business Center Grounds for Business (Albemarle)/Food for Thought (Locust) participants, Friends of the Senior Center and Cottonville Baptist Church Women on Mission. They discussed health and community issues, resources, barriers and ways to address health and community issues. Stanly County Health Department’s priorities are Tobacco Use, Drug Abuse and Overweight/Obesity. Carolinas HealthCare System Stanly priorities are Obesity (pediatric and adult), Mental Health Prevention and Treatment, Tobacco Prevention and Cessation, Access to Care (primary care, behavioral health and dental care) and Social and Economic (food access).
59
APPENDICES
60
STANLY COUNTY EMPLOYER PROFILE LISTING84
Stanly County Employer Profile 2017 - 4th Quarter Rank Company Industry Employment Range
1 Stanly County Schools Education & Health Services 1000+ 2 Carolinas HealthCare System Education & Health Services 500-999 3 Wal-Mart Associates, Inc. Trade, Transportation & Utilities 500-999 4 County of Stanly Public Administration 500-999 5 Michelin Tire Center Trade, Transportation & Utilities 250-499 6 Stanly Community College Education & Health Services 250-499 7 Fiberon Manufacturing 250-499 8 N.C. Department of Public Safety Public Administration 250-499 9 Food Lion Trade, Transportation & Utilities 250-499
10 Monarch Education & Health Services 250-499 11 City of Albemarle Public Administration 250-499 12 Clayton Mobile Homes Manufacturing 250-499 13 Auria Old Fort LLC Manufacturing 250-499 14 Pfeiffer University Education & Health Services 100-249 15 GHA Autism Supports Education & Health Services 100-249 16 Preformed Line Products Co. Manufacturing 100-249 17 N.C. Department of Transportation Public Administration 100-249 18 Principle Long Term Care, Inc. Education & Health Services 100-249 19 Petsense LLC Trade, Transportation & Utilities 100-249 20 McDonalds Restaurants Leisure & Hospitality 100-249 21 Universal Forest Products Eastern Manufacturing 100-249 22 Stanly County Family YMCA (A Corp) Other Services 100-249 23 Uwharrie Bank Financial Activities 100-249 24 Lowes Home Centers, Inc. Trade, Transportation & Utilities 100-249 25 Cap Yarn LLC Manufacturing 100-249
Source: N.C. Department of Commerce, Labor and Economic Analysis Division Note: County is determined by the address provided by the business
84
North Carolina Department of Commerce Labor and Economic Analysis Division retrieved from https://accessnc.opendatasoft.com/explore/dataset/top-employers-
qcew/table/
61
STANLY COUNTY AGRICULTURE TABLE85
Stanly County Agriculture – 2016 Crops Production Rank Livestock Number Rank
Corn for grain, Bushel
1,527,000
28
Broilers Produced (2016)
9,000,000
28
Cotton: Lbs*
22,000
3
Cattle, All (Jan. 1, 2017)
13,000
22
Hay, Other: Tons
23,000
24
Hogs & Pigs (Dec.1, 2016)
3,500
49
Soybeans: Bushel
737,000
31
Turkeys Raised (2016)
590,000
11
Cash Receipts - 2016 Dollars Rank
Livestock, Dairy and Poultry
59,130,167
33
Crops 28,045,442 42
Government Payments 1,740,064 28
Total 88,915,673 39 *Production in 480 lb. bales Source: North Carolina Department of Agriculture & Consumer Services
85
North Carolina Department of Agriculture & Consumer Services County Summary Crops & Livestock Cash Receipts by County
https://www.ncagr.gov/stats/AgStat/Section06.pdf
62
QUALITY OF LIFE (numbers are percentages)
There are enough jobs & opportunities to move up in Stanly County
There are enough jobs & opportunities to move up in Stanly County - Gender Overall Female Male
Strongly Disagree 24.22 24.34 23.93
Disagree 43.41 44.50 42.33
Agree 21.10 21.24 20.86
Strongly Agree 1.08 0.78 1.23
Don’t Know 8.03 8.22 7.98
There are enough jobs & opportunities to move up in Stanly County - Race
Overall
African American/Black
American Indian
Asian
Caucasian/ White
Hispanic/ Latino
Strongly Disagree
24.22
28.57
14.29
7.69
25.96
8.33
Disagree 43.41 47.62 42.86 53.85 45.67 18.06
Agree 21.10 16.19 28.57 15.38 18.91 43.06
Strongly Agree
1.08
0
0
7.69
0.80
4.17
Don’t Know 8.03 7.62 0 15.38 6.73 20.83
There are enough jobs & opportunities to move up in Stanly County – Marital Status
Overall
Single/ Never
Married
Married
Partner/
Significant Other
Divorce
Separated
Widowed
Strongly Disagree
24.22
15.25
27.51
17.95
34.78
15.38
22.03
Disagree 43.41 39.55 48.02 38.46 38.04 38.46 44.07
Agree 21.10 34.46 16.78 28.21 17.39 42.31 6.78
Strongly Agree
1.08
1.69
0.70
2.56
0
0
3.39
Don’t Know 8.03 8.47 6.29 12.82 9.78 3.85 13.56
There are enough jobs & opportunities to move up in Stanly County - Age Overall 15-19 20-34 35-54 55-64 65-74 75 or Older
Strongly Disagree
24.22
7.89
16.67
26.92
30.19
33.33
27.45
Disagree 43.41 44.74 39.04 46.50 49.69 46.97 25.49
Agree 21.10 36.84 33.77 18.18 14.47 9.09 7.84
Strongly Agree
1.08
2.63
1.32
0.70
0
0
3.92
Don’t Know 8.03 7.89 8.33 7.34 4.40 7.58 21.57
63
Stanly County is a good place to raise children
Stanly County is a good place to raise children – Zip Code
Overall East North South West
Strongly Disagree 4.08 4.06 4.35 2.86 4.84
Disagree 10.67 13.60 9.94 8.57 4.03
Agree 69.90 69.21 72.67 70.48 72.58
Strongly Agree 8.63 8.35 6.83 8.57 12.10
Don’t Know 4.20 3.34 4.35 5.71 1.61
Stanly County is a good place to raise children - Gender Overall Female Male
Strongly Disagree 4.08 3.88 4.91
Disagree 10.67 10.85 11.66
Agree 69.90 70.85 67.48
Strongly Agree 8.63 8.84 7.36
Don’t Know 4.20 4.34 3.68
Stanly County is a good place to raise children – Race
Overall
African American/Black
American Indian
Asian
Caucasian/ White
Hispanic/ Latino
Strongly Disagree
4.08
3.81
0
0
3.37
12.50
Disagree 10.67 18.10 0 0 10.26 8.33
Agree 69.90 63.81 71.43 84.62 73.08 45.83
Strongly Agree
8.63
6.67
0
15.38
7.05
26.39
Don’t Know 4.20 6.67 14.29 0 4.17 0
Stanly County is a good place to raise children – Grade Completion
Overall
12th Grade or Less
12/GED
College 1-3 Yrs.
Community/ Technical School
Degree/ Certification
Undergraduate Degree
Postgraduate Degree
Strongly Disagree
4.08
8.33
1.88
3.15
2.70
5.04
4.00
Disagree 10.67 10.61 8.13 10.24 4.86 18.71 17.33
Agree 69.90 54.55 73.75 73.23 77.30 69.06 74.67
Strongly Agree
8.63
18.94
8.75
9.45
8.65
2.88
0
Don’t Know
4.20
3.03
6.25
3.15
4.86
3.60
4.00
64
Stanly County is a good place to raise children (continued)
Stanly County is a good place to raise children – Age Overall 15-19 20-34 35-54 55-64 65-74 75 or Older
Strongly Disagree
4.08
2.63
4.82
2.80
3.14
7.58
7.84
Disagree 10.67 15.79 10.53 10.14 9.43 16.67 7.84
Agree 69.90 68.42 64.91 75.17 78.62 60.61 54.90
Strongly Agree
8.63
7.89
12.72
7.34
3.14
7.58
13.73
Don’t Know 4.20 5.26 5.70 3.50 3.14 4.55 3.92
Stanly County is a good place to grow older
Stanly County is a good place to grow older– Zip Code
Overall East North South West
Strongly Disagree 4.08 4.53 4.97 2.86 2.42
Disagree 6.71 6.68 7.45 8.57 4.84
Agree 71.58 72.08 70.81 73.33 74.19
Strongly Agree 7.55 8.35 7.45 2.86 8.87
Don’t Know 7.67 7.16 8.07 7.62 5.65
Stanly County is a good place to grow older - Gender
Overall Female Male
Strongly Disagree 4.08 4.03 3.07
Disagree 6.71 6.98 6.13
Agree 71.58 71.63 75.46
Strongly Agree 7.55 7.91 5.52
Don’t Know 7.67 8.22 5.52
Stanly County is a good place to older – Race
Overall
African American/Black
American Indian
Asian
Caucasian/ White
Hispanic/ Latino
Strongly Disagree
4.08
3.81
0
0
3.85
8.33
Disagree 6.71 5.71 14.29 0 7.37 4.17
Agree 71.58 74.29 71.43 84.62 74.20 44.44
Strongly Agree
7.55
9.52
0
15.38
5.77
19.44
Don’t Know 7.67 5.71 0 0 7.21 13.89
65
Stanly County is a good place to grow older (continued)
Stanly County is a good place to grow older – Education (Grade Completion)
Overall
12th Grade or Less
12/GED
College 1-3 Yrs.
Community/ Technical
School Degree/ Certification
Undergraduate Degree
Postgraduate Degree
Strongly Disagree
4.08
9.09
1.25
2.36
3.24
4.32
5.33
Disagree 6.71 8.33 6.88 5.51 3.78 6.47 13.33
Agree 71.58 53.79 71.25 76.38 78.38 78.42 76.00
Strongly Agree
7.55
15.91
8.75
8.66
6.49
2.88
0
Don’t Know
7.67
9.09
10.63
5.51
6.49
7.91
5.33
There is access to healthcare in Stanly County
There is access to healthcare in Stanly County – Zip Code
Overall East North South West
Strongly Disagree 4.68 5.25 5.59 3.81 2.42
Disagree 12.71 13.60 11.80 15.24 11.29
Agree 69.18 69.69 70.81 63.81 70.16
Strongly Agree 7.55 6.92 6.83 7.62 8.87
Don’t Know 3.36 3.34 3.73 4.76 1.61
Stanly County is a good place to grow older – Marital Status
Overall
Single/ Never Married
Married
Partner/ Significant Other
Divorce
Separated
Widowed
Strongly Disagree
4.08
2.82
3.26
12.82
4.35
0
8.47
Disagree 6.71 9.60 6.76 2.56 5.43 0 5.08
Agree 71.58 65.54 78.55 56.41 72.83 57.69 64.41
Strongly Agree
7.55
10.73
4.90
17.95
5.43
23.08
6.78
Don’t Know 7.67 10.17 5.83 5.13 9.78 19.23 8.47
66
There is access to healthcare in Stanly County (continued)
There is access to healthcare in Stanly County – Gender
Overall Female Male
Strongly Disagree 4.68 4.65 4.29
Disagree 12.71 12.40 15.95
Agree 69.18 71.01 64.42
Strongly Agree 7.55 8.22 4.29
Don’t Know 3.36 2.79 4.91
There is access to healthcare in Stanly County – Education (Grade Completion)
Overall
12th Grade or Less
12/GED
College 1-3 Yrs.
Community/ Technical
School Degree/ Certification
Undergraduate Degree
Postgraduate Degree
Strongly Disagree
4.68
6.06
2.50
6.30
2.70
5.04
8.00
Disagree 12.71 7.58 11.25 10.24 17.84 11.51 20.00
Agree 69.18 60.61 71.88 70.87 70.81 75.54 72.00
Strongly Agree
7.55
15.91
8.75
9.45
5.41
2.88
0
Don’t Know
3.36
6.06
4.38
2.36
2.16
4.32
0
There is access to healthcare in Stanly County – Marital Status
Overall
Single/ Never Married
Married
Partner/ Significant Other
Divorce
Separated
Widowed
Strongly Disagree
4.68
2.26
4.43
10.26
7.61
0
6.78
Disagree 12.71 10.17 14.69 2.56 15.22 7.69 11.86
Agree 69.18 70.06 73.66 64.10 64.13 73.08 55.93
Strongly Agree
7.55
11.30
4.43
17.95
6.52
19.23
8.47
Don’t Know 3.36 5.08 2.10 2.56 4.35 0 8.47
Stanly County is a safe place to live
Stanly County is a safe place to live – Zip Code
Overall East North South West
Strongly Disagree 3.36 4.30 3.11 0 3.23
Disagree 10.55 13.13 9.94 11.43 4.03
Agree 72.42 72.55 73.29 77.14 69.35
Strongly Agree 7.19 5.97 8.70 2.86 12.90
Don’t Know 3.84 3.10 3.73 2.86 4.03
67
Stanly County is a safe place to live (continued)
Stanly County is a safe place to live – Gender
Overall Female Male
Strongly Disagree 3.36 3.10 3.07
Disagree 10.55 10.39 12.27
Agree 72.42 74.42 69.33
Strongly Agree 7.19 6.98 6.75
Don’t Know 3.84 3.72 3.68
Stanly County is a safe place to live – Education (Grade Completion)
Overall
12th Grade or Less
12/GED
College 1-3 Yrs.
Community/ Technical
School Degree/ Certification
Undergraduate Degree
Postgraduate Degree
Strongly Disagree
3.36
7.58
0.63
2.36
3.24
3.60
2.67
Disagree 10.55 9.85 10.63 12.60 10.27 10.79 8.00
Agree 72.42 54.55 73.75 73.23 76.22 81.29 86.67
Strongly Agree
7.19
18.18
7.50
7.87
5.41
2.16
0
Don’t Know
3.84
5.30
6.88
3.15
3.24
1.44
2.67
Stanly County is a safe place to live – Marital Status
Overall
Single/ Never Married
Married
Partner/ Significant Other
Divorce
Separated
Widowed
Strongly Disagree
3.36
2.82
3.03
7.69
2.17
0
6.78
Disagree 10.55 11.86 9.09 10.26 14.13 7.69 13.56
Agree 72.42 67.23 80.42 58.97 73.91 65.38 52.54
Strongly Agree 7.19 11.86 4.20 15.38 4.35 15.38 10.17
Don’t Know 3.84 5.08 2.56 5.13 4.35 7.69 6.78
68
STANLY COUNTY & NORTH CAROLINA KEY HEALTH INDICATOR TRENDS 86 Source: North Carolina State Center for Health Statistics
Healthy NC 2020 target: 161.5
86 NC DHHS State Center for Health Statistics Trends in Key Health Indicators North Carolina and Statewide retrieved from https://schs.dph.ncdhhs.gov/data/keyindicators/
2001-2005
2006-2010
2011-2015
Stanly County 350.3 299.8 285.2
North Carolina 314.9 251.9 221.9
0 50
100 150 200 250 300 350 400
rate
/100
0,00
0 re
sid
ents
Age-Adjusted Cardiovascular Disease Death Rates
2001-2005
2006-2010
2011-2015
Stanly County 263.2 232.8 231.7
North Carolina 227.6 186 163.7
0
50
100
150
200
250
300
rate
/100
0,00
0 re
sid
ents
Age-Adjusted Heart Disease Death Rates
69
STANLY COUNTY & NORTH CAROLINA KEY HEALTH INDICATOR TRENDS 87 (continued)
Source: North Carolina State Center for Health Statistics
87 NC DHHS State Center for Health Statistics Trends in Key Health Indicators North Carolina and Statewide retrieved from https://schs.dph.ncdhhs.gov/data/keyindicators/
2001-2005 2006-2010 2011-2015
Stanly County 72.7 54.2 42.3
North Carolina 65.3 48.3 43.1
0
10
20
30
40
50
60
70
80
rate
/100
0,00
0 re
sid
ents
Age-Adjusted Stroke Death Rates
2001-2005 2006-2010 2011-2015
Stanly County 31.3 25.6 22.6
North Carolina 27.5 22.5 22.8
0
5
10
15
20
25
30
35
rate
/100
0,00
0 re
sid
ents
Age-Adjusted Diabetes Death Rates
70
STANLY COUNTY & NORTH CAROLINA KEY HEALTH INDICATOR TRENDS88 (continued)
Source: North Carolina State Center for Health Statistics
88
NC DHHS State Center for Health Statistics Trends in Key Health Indicators North Carolina and Statewide retrieved from
https://schs.dph.ncdhhs.gov/data/keyindicators/
2001-2005 2006-2010 2011-2015
Stanly County 15.6 14.2 15.4
North Carolina 18.3 15.8 14
0
2
4
6
8
10
12
14
16
18
20 ra
te/1
000,
000
resi
den
ts
Age-Adjusted Colorectal Cancer Death Rates
2001-2005 2006-2010 2011-2015
Stanly County 56.8 58.9 56
North Carolina 59 55.5 48.9
0
20
40
60
80
100
120
140
160
180
rate
/100
,000
res
iden
ts
Age-Adjusted Tracea, Bronchus & Lung Cancer Death Rates
HEALTH ISSUES – TABLES
Overall
Overall Health Issues – Major Problems - 2018 CHA
Health Issues %
1. Drug Abuse (prescription, illegal) 56.71
2. Tobacco Use 43.29
3. Obesity/Overweight 39.69
4. Alcoholism/Alcohol Abuse 32.13
5. Mental Illness 31.06
6. Diabetes 30.58
7. Cancer 29.14
8. Teenage Pregnancy 28.06
9. Inactivity/Lack of Physical Activity 27.58
10.Heart Disease 25.66
11. Suicide 22.78
12. Nutrition 21.82
13. Dental Health 17.51
14. Cerebrovascular Disease (Stroke) 16.19
15. Lung Diseases (asthma, COPD) 14.99
16. Neurological Diseases (Alzheimer’s, MS, MD, Parkinson’s, epilepsy, etc.)
12.35
17. Infectious Diseases (flu, measles, pertussis, mumps, STDs, etc.)
11.75
18. Motor Vehicle Accident Injuries 11.15
19. Kidney Disease 5.88
20. Other Unintentional Injuries (Other Injuries) (drowning poisonings, falls, etc.)
3.60
Change from 2015 CHA - Removed STDS from listing (added to Infectious Diseases)
Zip Code
Zip Code – Health Issues – Major Problems – 2018 CHA Overall East North South West
R a n k
Health Issue
%
Rank
Health Issue
%
R a n k
Health Issue
%
R a n k
Health Issue
%
R a n k
Health Issue
%
1 Drug Abuse 56.71 1 Drug Abuse 60.14 1 Drug Abuse 60.25 1 Drug Abuse 51.43 1 Drug Abuse 50.00 2
Tobacco Use
43.29
2
Tobacco Use
44.39
2
Tobacco Use
45.34
2
Tobacco Use
42.86
2
Tobacco Use
41.13
3
Obesity/ Overweight
39.69
3
Obesity/ Overweight
39.86
3
Obesity/ Overweight
43.48
3
Obesity/ Overweight
40.00
3
Obesity/ Overweight
37.90
4
Alcoholism/ Alcohol Abuse
32.13
4
Mental Illness
32.46
4
Alcoholism/ Alcohol Abuse
37.27
4
Cancer
34.29
4
Cancer
32.26
5
Mental Illness
31.06
5
Alcoholism/ Alcohol Abuse
31.50
5
Mental Illness
33.54
5
Alcoholism/ Alcohol Abuse
33.33
5
Alcoholism/ Alcohol Abuse
29.84
6
Diabetes
30.58
6
Diabetes
31.74
6
Diabetes
32.30
6
Diabetes
30.48
6T
Heart Disease
Inactivity/Lack of Physical Activity
28.23
(T) 7
Cancer
29.14
7
Teenage Pregnancy
29.36
7T
Cancer
Teenage Pregnancy
29.19
(T)
7
Mental Illness
27.62
8
Teenage Pregnancy
28.06
8
Inactivity/Lack of Physical Activity
28.64
8
Teenage Pregnancy
25.71
8T
Diabetes
Mental Illness
27.42
(T) 9
Inactivity/Lack of Physical Activity
27.58
9
Cancer
27.45
9
Inactivity/Lack of Physical Activity
27.95
9
Heart Disease
24.76
10
Heart Disease
25.66
10
Heart Disease
25.78
10
Heart Disease
26.09
10
Inactivity/Lack of Physical Activity
23.81
10
Teenage Pregnancy
25.81
11
Suicide
22.78
11
Suicide
24.34
11
Nutrition
25.47
11
Suicide
20.00
11T
Nutrition
Suicide
18.55
(T) 12 Nutrition 21.82 12 Nutrition 22.43 12 Suicide 24.84 12 Nutrition 19.05
13
Dental Health
17.51
13 Cerebrovascular Disease (Stroke)
16.47
13
Dental Health
22.36
13
Dental Health
18.10
13
Dental Health
17.74
14
Cerebrovascular Disease (Stroke)
16.19
14T
Dental Health
Lung Diseases
15.75
(T)
14
Cerebrovascular Disease (Stroke)
18.63
14
Cerebrovascular Disease (Stroke)
13.33
14
Cerebrovascular Disease (Stroke)
16.13
15
Lung Diseases
14.99
15
Lung Diseases
17.39
15
Infectious Diseases
12.38
15
Lung Diseases
12.90
16
Neurological Diseases
12.35
16
Neurological Diseases
12.65
16
Neurological Diseases
14.29
16
Neurological Diseases
11.43
16
Motor Vehicle Accident Injuries
12.10
17
Infectious Diseases
11.75
17
Infectious Diseases
11.46
17
Motor Vehicle Accident Injuries
13.04
17T
Lung Diseases
Motor Vehicle Accident Injuries
10.48
(T)
17
Infectious Diseases
11.29
18
Motor Vehicle Accident Injuries
11.15
18
Motor Vehicle Accident Injuries
10.74
18
Infectious Diseases
12.42
18
Neurological Diseases
10.48
19
Kidney Disease
5.88
19
Kidney Disease 5.73
19
Kidney Disease
6.21
19
Other Unintentional Injuries
4.76
19
Kidney Disease
7.26
20
Other Unintentional Injuries
3.60
20
Other Unintentional Injuries
3.34
20
Other Unintentional Injuries
3.73
20
Kidney Disease
3.81
20
Other Unintentional Injuries
2.42
Gender
Gender - Health Issues –Major Problems – 2018 CHA
Rank Overall % Female % Males % 1 Drug Abuse 56.71 Drug Abuse 58.45 Drug Abuse 55.21
2 Tobacco Use 43.29 Tobacco Use 46.20 Tobacco Use 36.20
3 Obesity/Overweight 39.69 Obesity/Overweight 42.17 Obesity/Overweight 34.36
4 Alcoholism/Alcohol Abuse 32.13 Alcoholism/Alcohol Abuse 35.19 Diabetes 30.67
5 Mental Illness 31.06 Mental Illness 33.33 Mental Illness 25.77
6 Diabetes 30.58 Diabetes 31.32 Cancer
Teenage Pregnancy
24.54
(T)
7
Cancer
29.14
Cancer
31.01
8 Teenage Pregnancy 28.06 Inactivity/Lack of Physical Activity 29.77 Alcoholism/Alcohol Abuse
Heart Disease
Inactivity/Lack of Physical Activity
22.09 (T)
9 Inactivity/Lack of Physical Activity 27.58 Teenage Pregnancy 29.46
10
Heart Disease
25.66
Heart Disease
27.13
11 Suicide 22.78 Suicide 24.50 Nutrition
Suicide
17.79
(T)
12
Nutrition
21.82
Nutrition
23.57
13 Dental Health 17.51 Dental Health 19.07 Dental Health
Cerebrovascular Disease (Stroke)
Neurological Diseases
12.27 (T)
14
Cerebrovascular Disease (Stroke)
16.19
Lung Diseases
17.52
15
Lung Diseases
14.99
Cerebrovascular Disease (Stroke)
17.36
16 Neurological Diseases 12.35 Neurological Diseases 12.71 Motor Vehicle Accident Injuries 11.04
17 Infectious Diseases 11.75 Infectious Diseases 12.56 Infectious Diseases 9.82
18 Motor Vehicle Accident Injuries 11.15 Motor Vehicle Accident Injuries 11.16 Kidney Disease 6.75
19 Kidney Disease 5.88 Kidney Disease 5.74 Lung Diseases 6.13
20 Other Injuries 3.60 Other Injuries 3.88 Other Injuries 3.07
74
Race
Race – Health Issues – Major Problems – 2018 CHA
Overall African American
/Black
American Indian
Asian
Caucasian/White
Hispanic/Latino R a n k
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
1 Drug Abuse 56.71 Drug Abuse 46.67 Dental Health
Drug Abuse
Heart Disease
Mental Illness
Tobacco Use
Teenage Pregnancy
28.57 (T)
Drug Abuse
Tobacco Use
61.54
(T)
Drug Abuse 64.26 Obesity/ Overweight
Tobacco Use
Teenage Pregnancy
22.22 (T)
2
Tobacco Use
43.29
Diabetes
39.05
Tobacco Use
46.47
3
Obesity/
Overweight
39.69
Tobacco Use
38.10
Heart Disease
46.15
Obesity/
Overweight
43.75
4 Alcoholism
/Alcohol Abuse
32.13 Cancer
Obesity/
Overweight
32.38
(T)
Alcoholism /Alcohol Abuse
Diabetes
Inactivity/Lack of Physical Activity
38.46 (T)
Alcoholism /Alcohol Abuse
34.29
Alcoholism /Alcohol Abuse
19.44
5
Mental Illness
31.06
Mental Illness
33.65
Diabetes
18.06
6
Diabetes
30.58
Alcoholism
/Alcohol Abuse
31.43
Diabetes
31.09
Cancer
Heart Disease
Mental Illness
Suicide
15.28 (T)
7
Cancer
29.14
Mental Illness
Teenage Pregnancy
28.57
(T)
Alcoholism /Alcohol Abuse
Cerebrovascular Disease (Stroke)
Diabetes
Inactivity/Lack of Physical Activity
Infectious Diseases
Lung Diseases
Motor Vehicle
Accident Injuries
Neurological Diseases
Nutrition
Obesity/Overweight
14.29 (T)
Cancer
Infectious Diseases
Lung Diseases
Mental Illness
Teen Pregnancy
30.77 (T)
Cancer
30.61
8
Teenage Pregnancy
28.06
Inactivity/Lack of Physical Activity
29.97
9
Inactivity/Lack of Physical Activity
27.58
Heart Disease
23.81
Teenage Pregnancy
28.69
10
Heart Disease
25.66
Dental Health
21.90
Heart Disease
26.92
Cerebrovascular Disease (Stroke)
13.89
11
Suicide
22.78
Inactivity/Lack of Physical Activity
20.95
Suicide
25.80
Dental Health
Drug Abuse
Inactivity/Lack of Physical Activity
Infectious Diseases
12.50 (T)
12
Nutrition
21.82
Cerebrovascular Disease (Stroke)
Nutrition
19.05
(T)
Cerebrovascular Disease (Stroke)
Dental Health
Motor Vehicle
Accident Injuries
Neurological Diseases
Nutrition
Obesity/Overweight
Suicide
23.08 (T)
Nutrition
23.72
13
Dental Health
17.51
Dental Health
16.99
14
Cerebrovascular Disease (Stroke)
16.19
Kidney Disease
16.19
Cerebrovascular Disease (Stroke)
15.87
15
Lung Diseases
14.99
Infectious Diseases
Lung Diseases
15.24 (T)
Lung Diseases
15.06
Lung Diseases
Motor Vehicle Accident Injuries
11.11
(T)
16
Neurological Diseases
12.35
Neurological Diseases
12.66
17
Infectious Diseases
11.75
Neurological
Diseases
Suicide
14.29 (T)
Cancer
Kidney Disease
Other Injuries
Suicide
0.00 (T)
Motor Vehicle Accident Injuries
11.38
Nutrition
9.72
18
Motor Vehicle
Accident Injuries
11.15
Infectious Diseases
10.74
Neurological Diseases
6.94
19
Kidney Disease
5.88
Motor Vehicle Accident Injuries
9.52
Kidney Disease
Other Injuries
7.69 (T)
Kidney Disease
4.17
Kidney Disease
Other Injuries
5.56 (T) 20 Other Injuries 3.60 Other Injuries 6.67 Other Injuries 2.88
75
Education (Grade Completion)
Education (Grade Completion) – Health Issues – Major Problems – 2018 CHA
Overall
12th Grade or Less 12th or Less
Completed Grade
12/GED
College 1-3 Years (College/
Technical School)
Community College/ Technical School Degree/Certificate
Undergraduate Degree
Postgraduate Degree
R a n k
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
1 Drug Abuse 56.71 Tobacco Use 27.27 Drug Abuse 51.88 Drug Abuse 62.20 Drug Abuse 64.86 Drug Abuse 73.38 Drug Abuse 76.00
2
Tobacco Use
43.29
Drug Abuse
23.48
Tobacco Use
37.50
Tobacco Use
47.24
Tobacco Use
48.11
Obesity/ Overweight
56.83
Obesity/ Overweight
61.33
3
Obesity/ Overweight
39.69
Cancer
Teenage Pregnancy
19.70
(T)
Obesity/ Overweight
30.00
Obesity/ Overweight
35.43
Obesity/ Overweight
47.03
Tobacco Use
53.24
Tobacco Use
54.67
4
Alcoholism /Alcohol Abuse
32.13
Cancer
26.88
Alcoholism /Alcohol Abuse
34.65
Alcoholism /Alcohol Abuse
36.22
Mental Illness
51.80
Diabetes
48.00
5
Mental Illness
31.06
Obesity/ Overweight
18.94
Alcoholism
/Alcohol Abuse
Teenage Pregnancy
26.25 (T)
Teenage Pregnancy
31.50
Diabetes
Inactivity/Lack of Physical Activity
34.59 (T)
Diabetes
48.20
Heart Disease
46.67
6
Diabetes
30.58
Diabetes
16.67
Mental Illness
30.71
Alcoholism /Alcohol Abuse
Inactivity/Lack of Physical Activity
41.73 (T)
Alcoholism
/Alcohol Abuse
44.00
7
Cancer
29.14
Alcoholism/ Alcohol Abuse
Mental Illness
15.91
(T)
Mental Illness
23.75
Cancer
29.13
Cancer
32.43
Inactivity/Lack of Physical Activity
Mental Illness
41.33
(T) 8
Teenage Pregnancy
28.06
Diabetes
Heart Disease
21.25
(T)
Suicide
25.20
Mental Illness
30.81
Heart Disease
38.85
9
Inactivity/Lack of Physical Activity
27.58
Heart Disease
Inactivity/Lack of Physical Activity
Lung Diseases
12.88 (T)
Diabetes
23.62
Suicide
28.11
Cancer
37.41
Nutrition
38.67
10
Heart Disease
25.66
Inactivity/Lack of Physical Activity
19.38
Inactivity/Lack of Physical Activity
21.26
Heart Disease
Nutrition
27.57
(T)
Teenage Pregnancy
34.53
Suicide
Teenage Pregnancy
34.67
(T) 11
Suicide
22.78
Suicide
16.88
Heart Disease
Lung Diseases
Motor Vehicle
Accident Injuries
Nutrition
15.75 (T)
Nutrition
32.37
12
Nutrition
21.82
Infectious Diseases
12.12
Infectious Diseases
16.25
Teenage Pregnancy
27.03
Dental Health
26.62
Cancer
30.67
13 Dental Health 17.51 Nutrition
Suicide
11.36 (T)
Dental Health 14.38 Dental Health 18.92 Suicide 25.90 Dental Health 28.00
14
Cerebrovascular Disease (Stroke)
16.19
Motor Vehicle
Accident Injuries
Nutrition
13.13 (T)
Cerebrovascular Disease (Stroke)
Lung Diseases
17.30 (T)
Cerebrovascular Disease (Stroke)
23.74
Cerebrovascular Disease (Stroke)
22.67
15
Lung Diseases
14.99
Motor Vehicle Accident Injuries
10.61
Cerebrovascular Disease (Stroke)
14.96
Lung Diseases
19.42
Lung Diseases
20.00
16
Neurological Diseases
12.35
Neurological Diseases
9.85
Neurological Diseases
11.88
Dental Health
14.17
Neurological Diseases
15.14
Neurological Diseases
12.23
Motor Vehicle Accident Injuries
Neurological
Diseases
14.67 (T)
17
Infectious Diseases
11.75
Cerebrovascular Disease (Stroke)
9.09
Cerebrovascular Disease (Stroke)
11.25
Neurological
Diseases
11.81
Infectious Diseases
11.35
Infectious Diseases
10.79
18
Motor Vehicle Accident Injuries
11.15
Dental Health
8.33
Lung Diseases
8.13
Infectious Diseases
7.87
Motor Vehicle Accident Injuries
10.81
Kidney Disease
7.19
Infectious Diseases
13.33
19
Kidney Disease
5.88
Kidney Disease
5.30
Kidney Disease
6.25
Kidney Disease
5.51
Kidney Disease
5.95
Motor Vehicle Accident Injuries
4.32
Kidney Disease
5.33
20 Other Injuries 3.60 Other Injuries 4.55 Other Injuries 7.50 Other Injuries 0.79 Other Injuries 4.32 Other Injuries 1.44 Other Injuries 1.33
76
Age
Age – Health Issues – Major Problems – 2018 CHA
Overall 15-19 Years 20-34 Years 35-54 Years 55-64 Years 65-74 Years 75 or older
Rank
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
1 Drug Abuse 56.71 Tobacco Use 44.74 Drug Abuse 47.81 Drug Abuse 66.08 Drug Abuse 70.44 Drug Abuse 56.06 Cancer 29.41
2
Tobacco Use
43.29
Drug Abuse
34.21
Tobacco Use
44.74
Tobacco Use
48.60
Obesity/ Overweight
47.80
Obesity/ Overweight
50.00
Drug Abuse
25.49
3
Obesity/ Overweight
39.69
Inactivity/Lack of Physical Activity
23.68
Obesity/ Overweight
34.65
Obesity/ Overweight
43.36
Tobacco Use
44.03
Diabetes
45.45
Obesity/ Overweight
21.57
4
Alcoholism /Alcohol Abuse
32.13
Alcoholism /Alcohol Abuse
Mental Illness
Obesity/
Overweight
21.05 (T)
Teenage Pregnancy
32.02
Mental Illness
38.81
Cancer
38.99
Alcoholism
/Alcohol Abuse
Cancer
Heart Disease
39.39 (T)
Diabetes
Tobacco Use
17.65
(T) 5
Mental Illness
31.06
Mental Illness
30.70
Alcoholism
/Alcohol Abuse
Diabetes
36.36 (T)
Alcoholism /Alcohol Abuse
35.85
6
Diabetes
30.58
Inactivity/Lack of Physical Activity
29.82
Diabetes
34.59
Alcoholism /Alcohol Abuse
Teenage
Pregnancy
15.69 (T)
7
Cancer
29.14
Cancer
Heart Disease
Motor Vehicle Accident Injuries
18.42 (T)
Alcoholism /Alcohol Abuse
28.51
Cancer
32.87
Heart Disease
33.96
Tobacco Use
36.36
8
Teenage
Pregnancy
28.06
Nutrition
27.63
Teenage
Pregnancy
31.47
Mental Illness
32.70
Inactivity/Lack of Physical Activity
Teenage
Pregnancy
28.79 (T)
Inactivity/Lack of Physical Activity
Suicide
13.73 (T)
9
Inactivity/Lack of Physical Activity
27.58
Diabetes
23.68
Heart Disease
30.07
Inactivity/Lack of Physical Activity
26.42
10
Heart Disease
25.66
Teenage Pregnancy
15.79
Suicide
21.05
Inactivity/Lack of Physical Activity
29.72
Suicide
Teenage Pregnancy
23.90
(T)
Dental Health
27.27
Cerebrovascular Disease (Stroke)
Heart Disease
Kidney Disease
Neurological
Diseases
11.76 (T)
11
Suicide
22.78
Infectious Diseases
Suicide
13.16
(T)
Cancer
16.67
Suicide
29.02
Cerebrovascular Disease (Stroke)
25.76
12
Nutrition
21.82
Dental Health
Infectious Diseases
16.23 (T)
Nutrition
23.43
Nutrition
19.50
Lung Diseases
Mental Illness
Nutrition
22.73 (T)
13
Dental Health
17.51
Lung Diseases
Neurological
Diseases
10.53 (T)
Dental Health
21.33
Cerebrovascular Disease (Stroke
18.87
14
Cerebrovascular Disease (Stroke)
16.19
Heart Disease
14.91
Cerebrovascular Disease (Stroke)
18.18
Dental Health
16.98
Lung Diseases
7.84
15
Lung Diseases
14.99
Diabetes
Nutrition
7.89 (T)
Lung Diseases
14.47
Lung Diseases
17.13
Neurological
Diseases
15.09
Neurological
Diseases
Suicide
13.64
(T)
Infectious Diseases
Mental Illness
Motor Vehicle
Accident Injuries
Nutrition
5.88 (T)
16
Neurological Diseases
12.35
Motor Vehicle Accident Injuries
13.60
Neurological Diseases
15.73
Lung Diseases
12.58
17
Infectious Diseases
11.75
Cerebrovascular Disease (Stroke)
Other Injuries
5.26 (T)
Cerebrovascular Disease (Stroke)
11.84
Infectious Diseases
11.54
Motor Vehicle Accident Injuries
9.43
Infectious Diseases
12.12
18
Motor Vehicle
Accidents Injuries
11.15
Neurological
Diseases
6.58
Motor Vehicle
Accident Injuries
10.84
Infectious Diseases
7.55
Motor Vehicle
Accident Injuries
9.09
19 Kidney Disease 5.88 Dental Health
Kidney Disease
2.63 (T)
Kidney Disease 3.95 Kidney Disease 6.29 Kidney Disease 6.29 Kidney Disease 7.58 Dental Health 3.92
20
Other Injuries
3.60
Other Injuries
3.07
Other Injuries
4.55
Other Injuries
2.52
Other Injuries
4.55
Other Injuries
1.96
Marital Status
Marital Status – Health Issues – Major Problems – 2018 CHA
Overall
Single/Never Married
Married
Partner/ Significant Other
Divorced
Separated
Widowed
Rank
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
Health Issue
%
1 Drug Abuse 56.71 Drug Abuse 45.76 Drug Abuse 65.27 Obesity/ Overweight
Tobacco Use
41.03
(T)
Drug Abuse 67.39 Tobacco Use 53.85 Drug Abuse 45.76
2
Tobacco Use
43.29
Tobacco Use
39.55
Obesity/
Overweight
46.62
Tobacco Use
46.74
Diabetes
Obesity/ Overweight
Teenage
Pregnancy
34.62 (T)
Cancer
42.37
3
Obesity/ Overweight
39.69
Teenage Pregnancy
27.68
Tobacco Use
45.92
Drug Abuse
38.46
Obesity/ Overweight
43.48
Alcoholism /Alcohol Abuse
Tobacco Use
33.90
(T) 4
Alcoholism /Alcohol Abuse
32.13
Obesity/ Overweight
27.12
Mental Illness
36.60
Alcoholism /Alcohol Abuse
Diabetes
Teenage Pregnancy
30.77 (T)
Diabetes
38.04
5
Mental Illness
31.06
Inactivity/Lack of Physical Activity
24.29
Alcoholism /Alcohol Abuse
36.36
Mental Illness
34.78
Dental Health
30.77
Diabetes
Obesity/ Overweight
30.51
(T) 6
Diabetes
30.58
Mental Illness
23.73
Cancer
33.33
Alcoholism /Alcohol Abuse
33.70
Drug Abuse
26.92
7
Cancer
29.14
Alcoholism /Alcohol Abuse
23.16
Diabetes
33.10
Mental Illness
28.21
Inactivity/Lack of Physical Activity
30.43
Alcoholism /Alcohol Abuse
Lung Diseases
Mental Illness
23.08 (T)
Heart Disease
27.12
8
Teenage
Pregnancy
28.06
Nutrition
21.47
Inactivity/Lack of Physical Activity
31.93
Heart Disease
25.64
Cancer
29.35
Cerebrovascular Disease (Stroke)
23.73
9
Inactivity/Lack of Physical Activity
27.58
Diabetes
20.90
Heart Disease
30.54
Inactivity/Lack of Physical Activity
Nutrition
20.51
(T)
Teenage Pregnancy
27.17
Neurological Diseases
20.34
10
Heart Disease
25.66
Cancer
20.34
Teenage Pregnancy
29.14
Suicide
26.09
Cancer
Cerebrovascular Disease (Stroke)
Inactivity/Lack of Physical Activity
Infectious Diseases
Suicide
15.38 (T)
Suicide
Teenage Pregnancy
22.03
(T) 11
Suicide
22.78
Suicide
16.95 Suicide
26.11
Cancer
17.95
Heart Disease
25.00
12 Nutrition 21.82 Heart Disease 16.38 Nutrition 24.24 Cerebrovascular Disease (Stroke)
Motor Vehicle
Accident Injuries
Suicide
15.38 (T)
Dental Health
Nutrition
23.91
(T)
Dental Health
Lung Diseases
Mental Illness
Motor Vehicle Accident Injuries
Nutrition
18.64 (T)
13
Dental Health
17.51
Infectious Diseases
14.12
Cerebrovascular Disease (Stroke)
18.88
14
Cerebrovascular Disease (Stroke)
16.19
Dental Health
Motor Vehicle Accident Injuries
12.43 (T)
Dental Health
17.95
Lung Diseases
17.39
15
Lung Diseases
14.99
Lung Diseases
16.55
Dental Health
Infectious Diseases
12.82
(T)
Infectious Diseases
16.30
Heart Disease
Nutrition
11.54
(T) 16
Neurological Diseases
12.35
Lung Diseases
9.60 Neurological
Diseases
13.75 Cerebrovascular Disease (Stroke)
15.22
17
Infectious Diseases
11.75
Neurological Diseases
9.04
Motor Vehicle
Accident Injuries
10.49
Lung Diseases
10.26
Neurological
Diseases
14.13
Motor Vehicle Accident Injuries
Neurological Diseases
7.69 (T)
Kidney Disease
16.95
18
Motor Vehicle Accident Injuries
11.15
Cerebrovascular Disease (Stroke)
7.34
Infectious Diseases
10.26
Kidney Disease
Other Injuries
5.13 (T)
Motor Vehicle Accident Injuries
10.87
Inactivity/Lack of Physical Activity
15.25
19
Kidney Disease
5.88
Kidney Disease
Other Injuries
4.52 (T)
Kidney Disease
5.36
Kidney Disease
6.52
Kidney Disease
Other Injuries
0.00 (T)
Infectious Diseases
8.47
20
Other Injuries
3.60
Other Injuries
3.03
Neurological Diseases
2.56
Other Injuries
4.35
Other Injuries
5.08
78
NC YOUTH TOBACCO SURVEY RESULTS, 201789 Source: 2017 North Carolina Youth Tobacco Survey
*Current use is defined as using 1 or more days of past 30 days.
89Emailed received from Ann Houston Staples, Director of Public Education & Communication Division of Public Health, Tobacco Prevention & Control Branch North Carolina Department of Health and Human Services 2017 YTS_West.pptx (October 8, 2018)
Any tobacco product
Electronic cigarettes
Cigars Cigarettes
High School 31.7 19.5 11.6 9.7
Middle School 8.9 5.3 2.7 0
0
5
10
15
20
25
30
35
Pe
rce
nta
ge o
f St
ud
en
ts
1999 2001 2003 2005 2007 2009 2011 2013 2015 2017
High School 42 38.7 36.9 32 33.2 30.8 28.8 25.8 27 31.7
Middle School 17.4 15.9 17.2 10.8 9.8 12.2 9.4 5.3 10.4 8.9
0
5
10
15
20
25
30
35
40
45
Pe
rce
nta
ge o
f St
ud
en
ts
High School & Middle School Current Tobacco Use* 1999-2017 Western Region
NC Youth Tobacco Survey
79
RESIDENT BIRTH CHARTS90 Source: North Carolina State Center for Health Statistics
*Change: 2012-2015:1,501-2,500 grams; 2016: 1,500-2,499 grams
*2012-2015:1,500 grams or less; 2016: 1,499 or less grams
90 NC DHHS State Center for Health Statistics County Health Data Book 2012-2016 North Carolina Resident Live Births by County of Residence…… https://schs.dph.ncdhhs.gov/data/databook/CD6A-B%20LBW%20&%20VLBW%20by%20race.html
2012 2013 2014 2015 2016
Stanly County 5.6 8.2 7.2 7.5 8.4
North Carolina 7.1 7.1 7.2 7.4 7.6
0
2
4
6
8
10
pe
rce
nta
ge
Percentage of Resident Live Births Classified As Low Birth Weight
(‹2,500 grams/5 lbs. 8 ozs.)*
2012 2013 2014 2015 2016
Stanly County 2.2 1.4 1.7 2.5 2.5
North Carolina 1.7 1.7 1.7 1.8 1.7
0
0.5
1
1.5
2
2.5
pe
rce
nta
ge
Percentage of Resident Live Births Classified as Very Low Birth Weight
(‹1,500 grams/3 lbs. 4 ozs.)*
80
COMMUNITY ISSUES – TABLES
Overall
Overall Community Issues – Major Problems – 2018 CHA
Community Issues %
1. Unemployment/Underemployment 29.74
2. Lack of/Inadequate Health Insurance 28.30
3. Bullying 26.98
4. Poverty 26.02
5. Inadequate/Unaffordable Housing 25.30
6T. Access to Substance Treatment Services 24.22
6T. Crime 24.22
8. Child Abuse & Neglect 23.98
9. Homelessness 23.62
10. Domestic Violence 23.14
11. Access to Adult Day Care 22.66
12. Quality of Education (K-12) 21.10
13. Access to Mental Health Services 20.62
14. Access to Health Care Specialists 19.90
15. Lack of Transportation 19.42
16. Racism 18.94
17. Gangs 17.27
18. Litter 16.67
19. Lack of Recreational Facilities/Programming 16.19
20. Access to Dental Care - Adult 15.71
21. Elder Abuse & Neglect 11.39
22. Social Isolation 10.79
23. Pollution 10.31
24. Access to Higher Education 9.47
25. Access to Primary Healthcare 8.87
26. Access to Quality Child Care 8.15
27. Access to In-Home Care 7.43 Change from 2015 CHA - Added Social Isolation, Access to Substance Treatment Services & Poverty
Removed – Emergency Preparedness & Lack of Recycling
81
Zip Code
Zip Code – Community Issues – Major Problems – 2018 CHA Overall East North South West
Rank
Community Issue
%
Rank
Community Issue
%
Rank
Community Issue
%
Rank
Community Issue
%
Rank
Community Issue
%
1
Unemployment/ Underemployment
29.74
1
Unemployment/ Underemployment
33.89
1T
Unemployment/ Underemployment
Poverty
30.43
(T)
1
Unemployment/ Underemployment
23.81
1
Lack of/Inadequate Health Insurance
30.65
2
Lack of/Inadequate Health Insurance
28.30
2
Bullying
30.07
2
Bullying
22.86
2
Access to Adult Day Care
24.19
3
Bullying
26.98
3
Lack of/Inadequate Health Insurance
29.83
3
Lack of/Inadequate Health Insurance
29.81
3
Inadequate/Unaffordable Housing
21.90
3T
Child Abuse & Neglect
Access to Substance Treatment Services
23.39
(T) 4
Poverty
26.02
4
Poverty
28.40
4
Crime
29.19
4T
Access to Substance Treatment Services
Poverty
20.95
(T) 5
Inadequate/Unaffordable Housing
25.30
5T
Inadequate/ Unaffordable Housing
Quality of Education
(K-12)
27.92 (T)
5
Bullying
27.95
5
Bullying
22.58
6T
Access to Substance Treatment Services
Crime
24.22
(T)
6
Inadequate/
Unaffordable Housing
26.09
6T
Access to Mental Health Services
Domestic Violence
20.00 (T)
6T
Crime
Unemployment/ Underemployment
21.77
(T)
7
Homelessness
27.68
7
Domestic Violence
25.47
8
Child Abuse & Neglect
23.98
8T
Child Abuse & Neglect
Access to Substance Treatment Services
26.49
(T)
8
Homelessness
24.22
8T
Elder Abuse & Neglect
Homelessness
12.38
(T)
8
Access to Health Care Specialists
20.16
9
Homelessness
23.62
9
Child Abuse & Neglect
23.60
9
Inadequate/ Unaffordable Housing
19.35
10
Domestic Violence 23.14
10T
Crime
Domestic Violence
25.54
(T)
10
Access to Substance Treatment Services
22.36
10T
Child Abuse & Neglect
Racism
18.10
(T)
10T
Access to Dental Care – Adult
Access to Mental
Health Services
Poverty
18.55 (T)
11
Access to Adult Day Care
22.66
11T
Access to Adult Day Care
Access to Health Care
Specialists
21.74 (T)
12
Quality of Education
(K-12)
21.10
12
Access to Adult Day
Care
24.34
12T
Access to Adult Day
Care
Crime
17.14 (T)
13 Access to Mental Health
Services
20.62
13
Gangs
22.43
13T
Access to Mental Health Services
Litter
21.12
(T)
13T
Domestic Violence
Quality of Education (K-12)
16.94
(T) 14
Access to Health Care Specialists
19.90
14
Lack of Transportation
21.96
14T
Access to Health Care
Specialists
Lack of Transportation
16.19 (T)
15
Lack of Transportation
19.42
15
Access to Mental Health Services
21.72
15T
Lack of Transportation
Racism
19.88
(T)
15
Lack of Recreational
Facilities/Programming
16.13
16
Racism
18.94
16T
Access to Health Care Specialists
Racism
21.00
(T)
16
Litter
15.24
16
Litter
15.32
17
Gangs
17.27
17
Lack of Recreational Facilities/Programming
18.01
17
Lack of Recreational Facilities/Programming
14.29
17T
Homelessness
Lack of Transportation
Racism
13.71 (T)
18
Litter
16.67
18
Access to Dental Care - Adult
16.47
18
Gangs
16.15
18T
Elder Abuse & Neglect
Gangs
Quality of Education
(K-12)
12.38 (T)
19
Lack of Recreational Facilities/Programming
16.19
19
Litter
16.23
19
Access to Dental Care - Adult
15.53
20
Access to Dental Care -
Adult
15.71
20
Lack of Recreational
Facilities/Programming
15.99
20T
Pollution
Quality of Education
(K-12)
14.29 (T)
20
Social Isolation
11.29
21
Elder Abuse & Neglect
11.39
21
Elder Abuse & Neglect
11.93
21
Access to Dental Care - Adult
11.43
21T
Access to Higher Education
Elder Abuse & Neglect
9.68 (T)
22
Social Isolation
10.79
22
Social Isolation
11.69
22
Elder Abuse & Neglect
11.80
22T
Access to In-Home Care
Pollution
9.52 (T)
23
Pollution
10.31
23
Access to Higher Education
10.74
23
Social Isolation
10.56
82
24
Access to Higher Education
9.47
24
Pollution
10.26
24
Access to Higher Education
8.70
24T
Access to Primary Healthcare
Social Isolation
8.57 (T)
23T
Access to Quality Child
Care
Gangs
8.87 (T)
25
Access to Primary
Healthcare
8.87
25
Access to Primary
Healthcare
10.02
25
Access to Primary
Healthcare
7.45
25T
Access to Primary
Healthcare
Pollution
8.06 (T)
26 Access to Quality Child
Care
8.15
26 Access to Quality Child
Care
8.83
26 Access to Quality Child
Care
6.21
26T
Access to Quality Child Care
Access to Higher
Education
7.62 (T)
27
Access to In-Home Care
7.43
27
Access to In-Home
Care
7.88
27
Access to In-Home
Care
5.59
27 Access to In-Home
Care
6.45
Rank
Community Issue
%
Rank
Community Issue
%
Rank
Community Issue
%
Rank
Community Issue
%
Rank
Community Issue
%
Overall East North South West
Zip Code – Community Issues – Major Problems – 2018 CHA
Gender
Gender - Community Issues –Major Problems – 2018 CHA
Rank
Overall
% Female - Community
Issues
% Male - Community Issues
% 1
Unemployment/ Underemployment
29.74
Unemployment/ Underemployment
31.47
Unemployment/ Underemployment
25.77
2
Lack of/Inadequate Health Insurance
28.30
Lack of/Inadequate Health Insurance
31.01
Quality of Education (K-12)
23.93
3 Bullying 26.98 Bullying 30.54 Poverty 22.09
4
Poverty
26.02
Inadequate/ Unaffordable Housing
28.22
Lack of/ Inadequate Health Insurance
20.86
5 Inadequate/Unaffordable Housing 25.30 Poverty 27.60 Child Abuse & Neglect 20.25
6T
Access to Substance Treatment
Services
Crime
24.22 (T)
Access to Substance Treatment Services 26.51 Crime
Access to Mental Health Services
19.02 (T)
Homelessness
26.36
8 Child Abuse & Neglect 23.98 Crime 26.05 Access to Substance Treatment Services
Domestic Violence
18.40
(T) 9
Homelessness
23.62
Child Abuse & Neglect
25.58
10 Domestic Violence 23.14 Domestic Violence 24.96 Litter 17.18
11 Access to Adult Day Care 22.66 Access to Adult Day Care 24.81 Inadequate/Unaffordable Housing
Lack of Transportation
Racism
16.56 (T)
12
Quality of Education (K-12)
21.10
Access to Mental Health Services
21.71
13
Access to Mental Health Services
20.62
Access to Health Care Specialists
21.40
14 Access to Health Care Specialists 19.90 Quality of Education (K-12) 21.24 Access to Adult Day Care 15.95
15
Lack of Transportation
19.42
Lack of Transportation
20.62
Access to Health Care Specialists
Homelessness
15.34
(T) 16
Racism
18.94
Racism
19.84
17 Gangs 17.27 Gangs 18.60 Bullying 14.72
18
Litter
16.67
Lack of Recreational Facilities/Programming
18.14
Access to Higher Education
Gangs
14.11
(T) 19 Lack of Recreational Facilities/Programming
16.19
Access to Dental Care - Adult
17.05
20 Access to Dental Care - Adult 15.71 Litter 16.90 Access to Dental Care - Adult 11.66
21
Elder Abuse & Neglect
11.39
Elder Abuse & Neglect
12.25
Lack of Recreational Facilities/ Programming
Pollution
Social Isolation
10.43 (T)
22 Social Isolation
10.79
Social Isolation
11.01
23 Pollution 10.31 Pollution 10.39
24
Access to Higher Education
9.47
Access to Primary Healthcare
9.46
Access to In-Home Care
Elder Abuse & Neglect
9.20 (T) 25
Access to Primary Healthcare
8.87
Access to Higher Education
8.53
26 Access to Quality Child Care 8.15 Access to Quality Child Care 8.37 Access to Quality Child Care 8.59
27 Access to In-Home Care 7.43 Access to In-Home Care 7.13 Access to Primary Healthcare 7.98
84
Race
Race – Community Issues – Major Problems – 2015 CHA Overall African American/
Black American
Indian
Asian
Caucasian/White
Hispanic/Latino
Rank Community Issue % Community Issue % Community Issue % Community Issue % Community Issue % Community Issue %
1
Unemployment/ Underemployment
29.74
Unemployment/ Underemployment
39.05
Access to Adult Day Care
Bullying
Child Abuse & Neglect
Lack of/Inadequate Health Insurance
Poverty
Racism
28.57 (T)
Inadequate/ Unaffordable Housing
38.46
Unemployment/ Underemployment
30.29
Domestic Violence
Lack of/Inadequate Health Insurance
26.39
(T)
2 Lack of/Inadequate Health
Insurance
28.30
Racism
36.19 Bullying
Child Abuse & Neglect
Crime
Lack of Recreational
Facilities/Programming
Racism
30.77 (T)
Access to Substance Treatment Services
8.53
3
Bullying
26.98
Crime
34.29
Lack of/Inadequate Health Insurance
8.21
Child Abuse & Neglect
Crime
Racism
23.61
(T)
4
Poverty
26.02
Homelessness
Lack of/Inadequate Health Insurance
32.38
(T)
Bullying
Poverty
27.24
(T) 5
Inadequate/Unaffordable Housing
25.30
6(T)
Access to Substance Treatment Services
Crime
24.22
(T)
Domestic Violence
30.48
Inadequate/Unaffordable Housing
26.28
Bullying
22.22
Lack of Recreational Facilities/Programming
29.52
Access to Dental Care – Adult
Bullying
Child Abuse & Neglect
Crime
Domestic Violence
Gangs
Homelessness
Inadequate/Unaffordable
Housing
Lack of/Inadequate Health Insurance
Litter
Pollution
Quality of Education
(K-12)
Social Isolation
Unemployment/ Underemployment
14.29 (T)
Access to Higher Education
Domestic Violence
Homelessness
Lack of/Inadequate Health Insurance
Poverty
Quality of Education
(K-12)
Unemployment/ Underemployment
23.08 (T)
Access to Adult Day Care
26.12
Elder Abuse & Neglect
18.06
8
Child Abuse & Neglect
23.98
Inadequate/Unaffordable Housing
Poverty
28.57
(T)
Access to Mental Health Services
23.88
Gangs
Homelessness
Lack of Transportation
16.67 (T)
9
Homelessness
23.62
Child Abuse & Neglect
23.72
10
Domestic Violence
23.14
Bullying
Gangs
27.62
(T)
Quality of Education (K-12)
23.40
11
Access to Adult Day Care
22.66
Homelessness
23.08
Access to Dental Care - Adult
15.28
12
Quality of Education (K-12)
21.10
Child Abuse & Neglect
26.67
Crime
22.60
Poverty
Unemployment/
Underemployment
13.89 (T)
13
Access to Mental Health Services
20.62
Lack of Transportation
22.86
Access to Health Care Specialists
22.12
14
Access to Health Care Specialists
19.90
Social Isolation
20.00
Access to Adult Day Care
Access to Mental Health
Services
Access to Substance Treatment Services
Gangs
15.38 (T)
Domestic Violence
21.96
Inadequate/Unaffordable Housing
Lack of Recreational
Facilities/Programming
12.50
(T) 15
Lack of Transportation
19.42
Access to Health Care
Specialists
Quality of Education (K-12)
17.14 (T)
Lack of Transportation
19.39
16
Racism
18.94
Litter
17.63
Access to Health Care
Specialists
Access to Mental Health Services
11.11 (T)
17
Gangs
17.27
Litter
16.19
Access to Dental Care - Adult
16.19
18
Litter
16.67
Access to Dental Care – Adult
Elder Abuse & Neglect
15.24
(T)
Lack of Transportation
Litter
Social Isolation
15.38 (T)
Gangs
15.71
Litter
9.72
19
Lack of Recreational Facilities/Programming
16.19
Racism
15.06
Access to Adult Day Care
Access to Substance Treatment Services
Pollution
Quality of Education
(K-12)
8.33 (T)
20
Access to Dental Care -
Adult
15.71
Access to Adult Day Care
14.29
Lack of Recreational
Facilities/Programming
14.10
21
Elder Abuse & Neglect
11.39
Access to Primary Healthcare
Access to Substance Treatment Services
12.38
(T)
Access to Quality Child Care
Access to Health Care
Specialists
0.00 (T)
Access to Dental Care –
Adult
7.69 (T)
Pollution
10.26
22
Social Isolation
10.79
Elder Abuse & Neglect
10.10
85
23
Pollution
10.31
Pollution
Access to Higher
Education
Access to In-Home Care
Access to Mental Health Services
Access to Primary
Healthcare
Access to Substance Treatment Services
Lack of Recreational Facilities/Programs
Lack of Transportation
0.00 (T)
Access to In-Home Care
Elder Abuse & Neglect Pollution
7.00 (T)
Access to Higher Education
9.78
Access to Quality Child Care
Social Isolation
6.94 (T)
24
Access to Higher Education
9.47 Access to Mental Health
Services
10.48
Social Isolation
9.46
25
Access to Primary
Healthcare
8.87
Access to Higher Education
Access to Quality Child
Care
9.52 (T)
Access to Quality Child Care
Access to Health Care
Specialists
Access to Primary Healthcare
0.00 (T)
Access to Primary
Healthcare
9.13
Access to Higher
Education
5.56
26
Access to Quality Child Care
8.15
Access to Quality Child Care
Access to In-Home Care
8.33 (T)
Access to Primary Healthcare
4.17
27
Access to In-Home Care
7.43
Access to In-Home Care
5.71
Access to In-Home Care
2.78
Rank Community Issue % Community Issue % Community Issue % Community Issue % Community Issue % Community Issue %
Overall African American/ Black
American Indian
Asian
Caucasian/White
Hispanic/Latino
Race – Community Issues – Major Problems – 2015 CHA
86
Education (Grade Completion)
Education (Grade Completion) - Community Issues – Major Problems – 2018 CHA
Overall
12th Grade or Less
Completed Grade 12/GED College 1-3 Years
(College/Technical School) Community College/Technical
School Degree/Certificate Undergraduate
Degree Postgraduate
Degree Rank Community Issue % Community Issue % Community Issue % Community Issue % Community Issue % Community Issue % Community Issue %
1
Unemployment/ Underemployment
29.74
Bullying
22.73
Crime
Unemployment/ Underemployment
30.63
(T)
Unemployment/ Underemployment
34.65
Lack of/Inadequate Health Insurance
36.76
Access to Adult Day Care
38.85
Access to Substance Treatment Services
49.33
2
Lack of/Inadequate Health Insurance
28.30
Crime
Racism
18.18
(T)
Inadequate/Unaffordable Housing
30.71
Bullying
34.59
Quality of Education (K-12)
36.69
Quality of Education (K-12)
42.67
3
Bullying
26.98
Bullying
29.38
Lack of/Inadequate Health Insurance
Poverty
29.92
(T)
Unemployment/ Underemployment
33.51
Access to Substance Treatment Services
35.25
Access to Mental Health Services
41.33
4
Poverty
26.02
Child Abuse & Neglect
Litter
17.72
(T)
Inadequate/ Unaffordable Housing
27.50
Access to Adult Day Care
31.35
Poverty
33.81
Poverty
40.00
5
Inadequate/Unaffordable Housing
25.30
Lack of/Inadequate Health Insurance
25.00
Homelessness
29.13
Homelessness
28.65
Unemployment/ Underemployment
33.09
Lack of/Inadequate Health Insurance
37.33
6T
Access to Substance Treatment Services
Crime
24.22 (T)
Lack of/Inadequate Health Insurance
Unemployment/
Underemployment
16.67 (T)
Homelessness
23.13
Crime
28.35
Access to Substance Treatment Services
27.57
Access to Health Care
Specialists
Access to Mental Health Services
32.37 (T)
Child Abuse &
Neglect
Lack of Transportation
36.00 (T)
Poverty
Domestic Violence
22.50 (T)
Domestic Violence
25.98
Access to Health Care
Specialists
26.49
8
Child Abuse & Neglect
23.98
Homelessness
15.91
Access to Substance Treatment Services
Bullying
Child Abuse & Neglect
24.41 (T)
Child Abuse & Neglect
Poverty
25.95
(T)
Domestic Violence
30.94
Unemployment/ Underemployment
33.33
9
Homelessness
23.62
Gangs
Inadequate/Unaffordable Housing
15.15 (T)
Litter
21.25
Inadequate/ Unaffordable Housing
29.50
Access to Adult Day Care
9.33
10
Domestic Violence
23.14
Child Abuse &
Neglect
19.38
Crime
24.86
Child Abuse & Neglect
Lack of/Inadequate Health Insurance
28.06 (T)
Inadequate/
Unaffordable Housing
28.00
11
Access to Adult Day Care
22.66
Domestic Violence
Elder Abuse & Neglect
Pollution
12.88 (T)
Gangs
Racism
18.75
(T)
Access to Adult Day Care
22.05
Inadequate/Unaffordable Housing
24.32
Access to Health Care Specialists
25.33
12
Quality of Education (K-12)
21.10
Litter
20.47
Access to Mental Health Services
Domestic Violence
23.78
(T)
Lack of Transportation
Bullying
27.34
(T)
Domestic Violence
22.67
13
Access to Mental Health Services
20.62
Access to Dental Care – Adult
Access to Substance Treatment Services
Lack of Recreational
Facilities/ Programming
16.25
(T)
Lack of Transportation
Quality of Education (K-12)
19.69
(T)
Access to Dental Care – Adult
Lack of Recreational
Facilities/ Programming
Racism
21.33 (T)
14
Access to Health Care Specialists
19.90
Poverty
12.12
Lack of Recreational Facilities/Programming
22.70
Homelessness
23.74
15
Lack of Transportation
19.42
Access to Dental Care -
Adult
9.85
Access to Health Care
Specialists
Gangs
Racism
18.90 (T)
Lack of Transportation
21.08
Crime
22.30
16 Racism 18.94 Lack of Transportation 9.09 Access to Mental Health Services
Lack of
Transportation
Quality of Education (K-12)
13.13
(T)
Gangs 20.54 Racism 20.86 Crime
Homelessness
20.00
(T)
17
Gangs
17.27
Quality of Education (K-12)
8.33
Quality of Education
(K-12)
19.46
Access to Dental Care
– Adult
17.27
18
Litter
16.67
Access to Mental Health
Services
7.58
Lack of Recreational
Facilities/Programming
17.32
Racism
18.38
Gangs
16.55
Bullying
17.33
19
Lack of Recreational Facilities/Programming
16.19
Access to Adult Day
Care
6.82 (T)
Access to Health Care Specialists
Elder Abuse &
12.50 (T)
Access to Mental Health Services
16.54
Access to Dental Care – Adult
17.30
Lack of Recreational Facilities/Programming
15.83
Access to Higher Education
Litter
16.00
(T) 20
Access to Dental Care - Adult
15.71
Access to Dental Care - Adult
15.75
Litter
16.22
Access to Higher Education
15.11
87
Access to Health Care Specialists
Social Isolation
6.82 (T)
Neglect
21
Elder Abuse & Neglect
11.39
Pollution
Social Isolation
11.88
(T)
Pollution
14.17
Elder Abuse & Neglect
13.51
Access to Quality Child Care
12.23
Access to In-Home Care
13.33
22
Social Isolation
10.79
Access to Substance Treatment Services
6.06
Social Isolation
12.60
Social Isolation
12.43
Access to Primary Healthcare
11.51
Access to Primary Healthcare
Access to Quality
Child Care
12.00
(T) 23
Pollution
10.31
Access to Higher Education
Access to Primary
Healthcare
Lack of Recreational Facilities/Programming
5.30 (T)
Access to Adult Day
Care
11.25
Elder Abuse & Neglect
11.02
Access to Higher
Education
11.89
Elder Abuse & Neglect
Social Isolation
10.79 (T)
24 Access to Higher
Education
9.47 Access to Primary
Healthcare
8.75 Access to Quality
Child Care
Access to Higher Education
Access to Primary
Healthcare
8.66 (T)
Pollution
10.81
Social Isolation
10.67
25
Access to Primary
Healthcare
8.87
Access to Quality
Child Care
8.13
Access to Primary
Healthcare
9.19
Access to In-Home
Care
10.07
Gangs
9.33
26
Access to Quality Child
Care
8.15
Access to In-Home Care
4.55
Access to In-Home
Care
6.25
Access to Quality Child Care
Access to In-Home Care
8.11 (T)
Litter
8.63
Pollution
5.33
27
Access to In-Home Care
7.43
Access to Quality Child Care
2.27
Access to Higher Education
3.75
Access to In-Home Care
5.51
Pollution
5.76
Elder Abuse & Neglect
2.67
Rank
Community Issue
%
Community Issue
%
Community Issue
%
Community Issue
%
Community Issue
%
Community Issue
%
Community Issue
%
Overall
12th Grade or Less
Completed Grade 12/GED
College 1-3 Years (College/Technical School)
Community College/Technical School Degree/Certificate
Undergraduate
Degree
Postgraduate
Degree
Education (Grade Completion) - Community Issues – Major Problems – 2018 CHA
88
Age
Age – Community Issues – Major Problems – 2018 CHA Overall 15-19 Years 20-34 Years 35-54 Years 55-64 Years 65-74 Years 75 or older
R a n k
Community Issue
%
Community Issue
%
Community Issue
%
Community Issue
%
Community Issue
%
Community Issue
%
Community Issue
%
1
Unemployment/ Underemployment
29.74
Bullying
34.21
Unemployment/ Underemployment
31.14
Unemployment/ Underemployment
34.97
Access to Adult Day Care
32.08
Poverty
39.39
Access to Adult Day Care
Crime
17.65
(T)
2
Lack of/Inadequate Health Insurance
28.30
Litter
26.32
Inadequate/ Unaffordable Housing
Lack of/Inadequate Health Insurance
30.70 (T)
Lack of/Inadequate Health Insurance
33.92
Access to Substance Treatment Services
25.79
Unemployment/ Underemployment
36.36
3
Bullying
26.98
Crime
23.68
Bullying
32.17
Unemployment/
Underemployment
25.16
Access to Substance Treatment Services
Child Abuse & Neglect
33.33 (T)
Poverty
Unemployment/ Underemployment
15.69
(T)
4
Poverty
26.02
Racism
21.05
Bullying
28.07
Access to Substance Treatment Services
31.82
Domestic Violence
Lack of/Inadequate Health Insurance
Quality of Education
(K-12)
24.53 (T)
5
Inadequate/ Unaffordable Housing
25.30
Access to Mental Health Services
Child Abuse & Neglect
Elder Abuse & Neglect
Gangs
15.79 (T)
Crime
28.07
Poverty
30.42
Inadequate/ Unaffordable Housing
31.82
Bullying
Child Abuse & Neglect
Domestic Violence
Lack of
Transportation
Litter
13.73 (T)
6T
Access to Substance Treatment Services
Crime
24.22 (T)
Homelessness
Poverty
25.44 (T)
Access to Adult Day Care
Inadequate/
Unaffordable Housing
29.37 (T)
Lack of/Inadequate Health
Insurance
Quality of Education
30.30 (T) Access to Health
Care Specialists
Access to Mental Health Services
Homelessness
23.90 (T)
8
Child Abuse & Neglect
23.98
Domestic Violence
24.56
Homelessness
27.62
Crime
Domestic Violence
28.79 (T)
9
Homelessness
23.62
Domestic Violence
Homelessness
Pollution
Quality of Education
Unemployment/ Underemployment
13.16 (T)
Child Abuse & Neglect
Racism
23.25 (T)
Access to Mental Health Services
Child Abuse &
Neglect
27.27 (T)
10
Domestic Violence
23.14
Crime
23.27
Access to Adult Day Care
27.27 Lack of/Inadequate Health Insurance
Racism
11.76
(T) 11
Access to Adult Day Care
22.66
Litter
19.74
Access to Health Care Specialists
24.83
Lack of Transportation
22.64
Bullying
25.76
12
Quality of Education (K-12)
21.10
Lack of Recreational Facilities/Programming
19.30
Quality of Education (K-12)
23.78
Child Abuse & Neglect
Poverty
21.38
(T)
Litter
Racism
24.24
(T)
Access to Health Care Specialists
Access to Mental Health Services
Access to Substance Treatment Services
9.80 (T)
13
Access to Mental Health Services
20.62
Access to Health Care
Specialists
Quality of Education (K-12)
17.98 (T)
Domestic Violence
23.43
14
Access to Health Care Specialists
19.90
Inadequate/
Unaffordable Housing
Lack of/Inadequate Health Insurance
Lack of Recreational
Facilities/Programming
Lack of Transportation
Poverty
Social Isolation
10.53 (T)
Crime
Lack of
Transportation
23.08 (T)
Bullying
20.13
Access to Mental Health Services
22.73
15
Lack of Transportation
19.42
Access to Substance Treatment Services
17.54
Gangs
18.24
Homelessness
21.21
Access to In-Home Care
Access to Primary
Healthcare
Elder Abuse & Neglect
Inadequate/
Unaffordable Housing
Social Isolation
7.84 (T)
16
Racism
18.94
Gangs
Lack of Transportation
Pollution
16.23 (T)
Gangs
20.28
Inadequate/ Unaffordable
Housing
17.61
Access to Dental Care -
Adult
19.70
17
Gangs
17.27
Racism
19.23
Access to Dental Care - Adult
16.35
Gangs
Lack of Recreational Facilities/
Programming
Lack of Transportation
18.18 (T)
18
Litter
16.67
Access to Dental Care - Adult
18.88
Litter
13.84
19
Lack of Recreational
Facilities/Programming
16.19
Access to Dental Care -
Adult
15.35
Lack of Recreational
Facilities/ Programming
17.83
Lack of Recreational
Facilities/ Programming
14.47
20
Access to Dental Care - Adult
15.71
Access to Higher Education
7.89 (T)
Access to Mental Health Services
13.16
Litter
13.64
Racism
12.58
Pollution
16.67
Access to Dental Care – Adult
5.88 (T)
89
21
Elder Abuse & Neglect
11.39
Access to Substance Treatment Services
7.89 (T)
Social Isolation
12.72
Access to Higher Education
12.59
Elder Abuse & Neglect
11.32
Access to Health Care Specialists
15.15
Access to Higher Education
Homelessness
Quality of Education
(K-12)
5.88 (T)
22
Social Isolation
10.79
Access to Adult Day Care
Access to In-Home
Care
Access to Primary Healthcare
5.26 (T)
Elder Abuse & Neglect
12.28
Access to Primary Healthcare
Elder Abuse &
Neglect
Social Isolation
10.49 (T)
Access to Quality Child Care
10.06
Elder Abuse & Neglect
13.64
23
Pollution
10.31
Access to Quality Child
Care
11.40
Access to In-Home
Care
Social Isolation
9.43 (T)
Social Isolation
12.12
24
Access to Higher
Education
9.47
Access to Adult Day
Care
10.96
Access to In-Home Care
Access to Primary Healthcare
10.61
(T)
Access to Quality Child Care
Gangs
Pollution
3.92 (T)
25
Access to Primary Healthcare
8.87
Access to Healthcare Specialists
2.63
Access to Higher Education
10.53
Access to In-Home Care
8.74
Pollution
8.18
26
Access to Quality Child Care
8.15
Access to Quality Child Care
Access to Dental Care
- Adult
0.00 (T)
Access to Primary Healthcare
8.33
Access to Quality Child Care
7.34
Access to Primary Healthcare
7.55
Access to Higher Education
9.09
27
Access to In-Home
Care
7.43
Access to In-Home
Care
3.95
Pollution
6.29
Access to Higher
Education
4.40
Access to Quality Child
Care
4.55
Lack of Recreational Facilities/
Programming
1.96
R a n k
Community Issue
%
Community Issue
%
Community Issue
%
Community Issue
%
Community Issue
%
Community Issue
%
Community Issue
%
Overall 15-19 Years 20-34 Years 35-54 Years 55-64 Years 65-74 Years 75 or older
Age – Community Issues – Major Problems – 2018 CHA
90
Marital Status
Marital Status – Community Issues – Major Problems – 2018 CHA
Overall Single/
Never Married
Married Partner/
Significant Other
Divorced
Separated
Widowed
Rank Community
Issue
% Community
Issue
% Community
Issue
% Community
Issue
% Community
Issue
% Community
Issue
% Community
Issue
%
1 Unemployment/
Underemployment
29.74 Unemployment/
Underemployment
27.68 Access to Substance Treatment Services
31.47
Bullying
33.33
Poverty
Unemployment/ Underemployment
35.87
(T)
Inadequate/ Unaffordable Housing
38.46
Crime
30.51
2
Lack of/Inadequate Health Insurance
28.30
Lack of/Inadequate Health Insurance
26.55
Unemployment/ Underemployment
31.00
Poverty
Unemployment/ Underemployment
28.21
(T)
Bullying
Crime
Lack of/Inadequate Health Insurance
Unemployment/
Underemployment
34.62 (T)
Child Abuse & Neglect
Domestic Violence
25.42
(T) 3
Bullying
26.98
Crime
25.99
Access to Adult Day Care
29.84
Homelessness
Inadequate/ Unaffordable Housing
34.78
(T) 4
Poverty
26.02
Bullying
25.42
Lack of/Inadequate Health Insurance
29.60
Domestic Violence
25.64
Access to Adult Day Care
Lack of/Inadequate Health Insurance
Poverty
23.73 (T)
5
Inadequate/Unaffordable
Housing
25.30
Homelessness
Inadequate/Unaffordable
Housing
24.29 (T)
Child Abuse & Neglect
27.04
Lack of/Inadequate Health Insurance
Racism
23.08
(T)
Bullying
33.70
6T
Access to Substance Treatment Services
Crime
24.22
(T)
Bullying
26.81
Lack of/Inadequate Health Insurance
31.52
Access to Dental Care – Adult
Domestic Violence
26.92
(T) Poverty
23.73
Quality of Education (K-12)
26.34
Inadequate/Unaffordable Housing
20.51
Crime
30.43
Access to Substance Treatment Services
Racism
Unemployment/
Underemployment
22.03 (T)
8
Child Abuse & Neglect
23.98
Racism
22.60
Access to Mental Health Services
26.11
Access to Health Care Specialists
Child Abuse & Neglect
Crime
Homelessness
Quality of Education
(K-12)
17.95 (T)
Access to Adult Day Care
29.35
Access to Health Care Specialists
Child Abuse & Neglect
Elder Abuse & Neglect
Homelessness
Litter
23.08 (T)
9
Homelessness
23.62
Domestic Violence
Litter
20.34
(T)
Poverty
25.64
Access to Mental Health Services
Access to Substance Treatment Services
27.17 (T)
10
Domestic Violence
23.14 Inadequate/
Unaffordable Housing
24.94 Homelessness
Lack of
Transportation
20.34
(T) 11
Access to Adult Day Care
22.66
Child Abuse & Neglect
19.21
Domestic Violence
24.24
Lack of Recreational Facilities/Programming
25.00
12
Quality of Education (K-12)
21.10
Gangs
18.64
Access to Health Care Specialists
23.08
Child Abuse & Neglect
23.91
Access to Health Care Specialists
Bullying
Litter
18.64 (T)
13
Access to Mental Health Services
20.62
Quality of Education (K-12)
18.08
Homelessness
22.38
Lack of Transportation
15.38
Gangs
Racism
22.83
(T)
Access to Substance Treatment Services
Gangs
Poverty
19.23 (T)
14
Access to Health Care Specialists
19.90
Lack of Recreational Facilities/Programming
Lack of Transportation
17.51
(T)
Crime
21.91
Access to Mental Health Services
12.82
15
Lack of Transportation
19.42
Lack of Transportation
21.68
Access to Dental Care – Adult
Access to Substance Treatment Services
Lack of Recreational
Facilities/Programming
10.26 (T)
Access to Health Care Specialists
21.74
Inadequate/ Unaffordable Housing
16.95
16 Racism 18.94 Social Isolation 14.69 Gangs 17.02 Domestic Violence
Quality of Education
(K-12)
20.65 (T)
Pollution 15.38 Access to Mental Health Services
Access to Mental Health Services
Elder Abuse &
Neglect
15.25 (T)
17
Gangs
17.27
Access to Dental Care –
Adult
Pollution
14.12 (T)
Racism
16.55
Access to Adult Day
Care
Lack of Recreational Facilities/Programming
Racism
11.54 (T)
18
Litter
16.67
Access to Dental Care - Adult
16.32
Access to Higher Education
Gangs
7.69 (T)
Lack of Transportation
19.57
19
Lack of Recreational Facilities/Programming
16.19
Access to Health Care Specialists
12.99
Lack of Recreational Facilities/Programming
15.85
Litter
18.48
Access to In-Home
Care
13.56
(T) Elder Abuse & Neglect 12.43
91
20
Access to Dental Care - Adult
15.71
Litter
15.15
Litter
Social Isolation
7.69 (T)
Access to Dental Care - Adult
17.39
Access to Quality Child Care
Access to Higher
Education
Access to Mental Health Services
Access to Primary
Healthcare
Lack of Transportation
Social Isolation
7.69 (T)
Gangs
Social Isolation
13.56
(T) 21
Elder Abuse & Neglect
11.39
Access to Substance Treatment Services
11.30
Access to Higher Education
11.66
Access to Primary Healthcare
Social Isolation
16.30
(T) 22
Social Isolation
10.79
Access to Mental Health Services
10.73
Elder Abuse & Neglect 9.79
Access to Adult Day Care
Access to Quality Child Care
Access to Primary
Healthcare
Pollution
5.13 (T)
Lack of Recreational Facilities/
Programming
Pollution
10.17
(T) 23
Pollution
10.31
Access to Primary
Healthcare
9.04
Access to Quality Child
Care
9.09
Elder Abuse & Neglect
15.22
24
Access to Higher Education
9.47
Access to Adult Day Care
8.47
Pollution
8.62
Pollution
13.04
Access to Primary Healthcare
Quality of Education
(K-12)
8.47 (T)
25
Access to Primary Healthcare
8.87
Access to Quality Child
Care
7.91
Social Isolation
8.39
Access to In-Home
Care
9.78
26
Access to Quality Child Care
8.15
Access to Higher Education
Access to In-Home Care
6.78 (T)
Access to Primary Healthcare
7.93
Access to In-Home Care
Elder Abuse & Neglect
2.56 (T)
Access to Higher Education
8.70
Access to In-Home Care
3.8
Access to Quality Child Care
Access to Higher
Education
6.78 (T)
27
Access to In-Home Care
7.43
Access to In-Home Care
7.23
Access to Quality Child
Care
7.61
Quality of Education
(K-12)
0.0
Rank
Community Issue
%
Community Issue
%
Community Issue
%
Community Issue
%
Community Issue
%
Community Issue
%
Community Issue
%
Overall
Single/ Never Married
Married
Partner/ Significant Other
Divorced
Separated
Widowed
Marital Status – Community Issues – Major Problems – 2018 CHA
CHILD ABUSE CHARTS91 Source: Butterfly House Children Advocacy Center of Atrium Health Stanly
Gender Children Seen at Butterfly House
July 2015-June 2016 July 2016-June 2017 July 2017-June 2018
Female 127 122 110
Male 80 52 78
91 Butterfly House Children Advocacy Center of Atrium Health Stanly
July 2012-June 2013 July 2013-June 2014 July 2014-June 2015 July 2015-June 2016 July 2016-June 2017
Stanly 65 75 103 90 73
Anson 15 16 12 13 30
Montgomery 36 30 31 25 23
Richmond 16 43 47 47 20
Rowan 3 1 1 0 0
Cabarrus 5 4 2 2 2
Moore 3 0 0 0 0
Mecklenburg 0 2 0 0 0
Scotland 0 0 5 15 16
Other 3 0 16 14 11
0
20
40
60
80
100
120
nu
mb
er
County of Residence of Children Seen at
Butterfly House
93
CHILD ABUSE CHARTS92
Source: Butterfly House Children Advocacy Center of Atrium Health Stanly
92 Email received from Amy Yow Director The Butterfly House, CAC (September 4, 2018)
July 2015-June2017 July 2016-June2017 July 2017-June2018
Sexual Abuse 146 146 140
Physical Abuse 37 11 33
Neglect 20 8 6
Drug Endangerment 10 3 3
Witness to Violence 4 7 6
Psychological Abuse 4 0 0
Other 0 0 1
0 20 40 60 80
100 120 140 160
Nu
mb
er
Types of Abuse Reported Butterfly House
94
PERSONAL HEALTH PROFILE TABLES (Results are percentages. Percentages do not equal 100% on the following tables as Not Recommended and No Response were not included.)
Where Do You Go Most Often When You Are Sick or Need Advice about Your Health
Gender – Where Do You Go Most Often When You Are Sick or Need Advice About Your Health
Overall Female Male Doctor’s Office 70.26 71.01 71.17
Hospital 5.64 5.43 7.36
Health Department 12.11 13.49 7.98
Urgent Care Center 3.36 3.41 3.68
Mental Health Services 0.72 0.78 0.61
Community Care Clinic 1.92 1.86 1.84
(Limited to one response)
Race – Where Do You Go Most Often When You Are Sick or Need Advice About Your Health
Overall
African American/ Black
American Indian
Asian
Caucasian/ White
Hispanic/ Latino
Doctor’s Office 70.26 62.86 85.71 84.62 77.40 16.67
Hospital 5.64 10.48 0 7.69 4.81 4.17
Health Department 12.11 15.24 0 0 8.65 40.28
Urgent Care Center 3.36 1.90 0 7.69 3.53 4.17
Mental Health Services 0.72 0 0 0 0.32 5.56
Community Care Clinic 1.92 0 0 0 1.28 11.11
(Limited to one response)
Age – Where Do You Go Most Often When You Are Sick or Need Advice About Your Health
Overall 15-19 20-34 35-54 55-64 65-74 75 or Older Doctor’s Office 70.26 55.26 54.39 74.13 83.65 86.36 76.47
Hospital 5.64 13.16 13.16 2.80 1.26 1.52 1.96
Health Department 12.11 5.26 17.74 13.29 8.18 6.06 7.84
Urgent Care Center 3.36 10.53 6.14 2.80 1.26 0 0
Mental Health Services 0.72 0 0.88 1.40 0 0 0
Community Care Clinic 1.92 7.89 2.19 2.10 1.26 0 0
(Limited to one response)
95
Where Do You Go Most Often When You Are Sick or Need Advice about Your Health* (continued)
Grade Completion - Where Do You Go Most Often When You Are Sick or Need Advice About Your Health
Overall
12th Grade or Less
12/GED
College 1-3 Yrs.
Community/ Technical School
Degree/ Certification
Undergraduate Degree
Postgraduate Degree
Doctor’s Office
70.26
40.91
59.38
78.74
80.54
87.77
88.00
Hospital 5.64 12.12 12.50 3.15 2.70 1.44 0
Health Department
12.11
19.70
13.13
11.02
10.81
7.91
8.00
Urgent Care Center
3.36
2.27
5.63
4.72
3.24
2.16
1.33
Mental Health Services
0.72
3.03
0.63
0
0.54
0
0
Community Care Clinic
1.92
6.06
1.25
1.57
1.62
0
1.33
(Limited to one response)
Marital Status - Where Do You Go Most Often When You Are Sick or Need Advice About Your Health
Overall
Single/ Never
Married
Married
Partner/
Significant Other
Divorce
Separated
Widowed
Doctor’s Office 70.26 50.85 82.28 51.28 70.65 38.46 81.36
Hospital 5.64 14.12 2.56 7.69 6.52 7.69 0
Health Department
12.11
16.95
7.69
25.64
10.87
34.62
11.86
Urgent Care Center
3.36
8.47
2.10
2.56
3.26
0
0
Mental Health Services
0.72
0
0.70
2.56
1.09
3.85
0
Community Care Clinic
1.92
1.13
2.33
5.13
2.17
0
0
(Limited to one response)
96
Had Recommended Yearly Preventive Health Screenings in the Past Year
Gender – Had Recommended Yearly Preventive Health Screenings In the Past Year
Overall Female Male Blood Pressure 64.63 65.43 65.64
Blood Sugar 58.15 57.98 61.35
Cholesterol 58.39 58.14 61.35
Dental 52.88 53.80 51.53
Depression 26.98 27.75 25.77
Hearing 20.14 17.83 28.22
Mammogram 35.97 43.72 4.91
Pap Smear (female only) 40.29 49.46 6.13
PSA (male only) 9.83 2.79 38.04
Skin Cancer 23.98 21.55 34.36
Stroke 14.15 11.47 23.93
Vision 51.80 51.63 55.21
Race - Had Recommended Yearly Preventive Health Screenings In the Past Year
Overall African American/
Black American
Indian
Asian Caucasian/
White Hispanic/
Latino Blood Pressure 64.63 55.24 71.43 46.15 71.31 26.39
Blood Sugar 58.15 51.43 57.14 30.77 63.30 29.17
Cholesterol 58.39 50.48 71.43 30.77 63.94 27.78
Dental 52.88 44.76 28.57 53.85 58.81 20.83
Depression 26.98 27.62 42.86 15.38 28.69 12.50
Hearing 20.14 21.90 57.14 23.08 20.67 9.72
Mammogram 35.97 36.19 42.86 7.69 38.78 19.44
Pap Smear (female only)
40.29
40.00
0
30.77
42.79
29.17
PSA (male only) 9.83 14.29 14.29 0 10.26 2.78
Skin Cancer 23.98 14.29 28.57 0 28.53 6.94
Stroke 14.15 16.19 14.29 0 15.38 5.56
Vision 51.80 45.71 42.86 46.15 57.69 13.89
Age – Had Recommended Yearly Preventive Health Screenings In the Past Year Overall 15-19 20-34 35-54 55-64 65-74 75 or Older Blood Pressure 64.63 26.32 38.16 72.73 80.50 90.91 90.20
Blood Sugar 58.15 21.05 32.46 63.64 76.10 86.36 82.35
Cholesterol 58.39 18.42 27.63 66.43 81.13 86.36 80.39
Dental 52.88 28.95 31.58 59.44 67.92 72.73 62.75
Depression 26.98 10.53 24.56 30.42 25.16 31.82 33.33
Hearing 20.14 5.26 14.47 18.88 19.50 33.33 50.98
Mammogram 35.97 5.26 7.89 45.80 54.72 59.09 43.14
Pap Smear (female only)
40.29
13.16
43.42
49.65
39.62
27.27
15.69
PSA (male only) 9.83 0 3.51 8.74 13.21 21.21 27.45
Skin Cancer 23.98 2.63 7.89 25.52 35.22 34.85 54.90
Stroke 14.15 0 5.26 13.29 19.50 33.33 27.45
Vision 51.80 21.05 29.39 54.20 68.55 81.82 74.51
97
Had Recommended Yearly Preventive Health Screenings in the Past Year (continued)
Grade Completion - Had Recommended Yearly Preventive Health Screenings In the Past Year
Overall
12th Grade or Less
12/GED
College 1-3 Yrs.
Community/ Technical School
Degree/ Certification
Undergraduate Degree
Postgraduate Degree
Blood Pressure 64.63 37.12 56.25 65.35 74.59 79.86 90.67
Blood Sugar 58.15 36.36 51.25 56.69 64.86 70.50 84.00
Cholesterol 58.39 34.85 48.75 63.78 64.86 69.78 85.33
Dental 52.88 29.55 38.13 48.03 58.92 77.70 81.33
Depression 26.98 24.24 22.50 22.05 29.73 33.09 37.33
Hearing 20.14 18.94 21.88 17.32 23.24 17.99 24.00
Mammogram 35.97 17.42 28.75 37.80 44.86 46.76 44.00
Pap Smear (female only)
40.29
26.52
30.00
40.16
51.89
51.08
44.00
PSA (male only) 9.83 7.58 11.25 8.66 5.95 14.39 16.00
Skin Cancer 23.98 9.85 22.50 18.11 25.41 35.97 40.00
Stroke 14.15 8.33 15.00 7.09 17.30 16.55 24.00
Vision 51.80 23.48 37.50 58.27 64.32 65.47 74.67
Marital Status - Had Recommended Yearly Preventive Health Screenings In the Past Year
Overall Single/ Never
Married
Married
Partner/
Significant Other
Divorce
Separated
Widowed
Blood Pressure 64.63 36.72 76.69 43.59 77.17 46.15 76.27
Blood Sugar 58.15 30.51 68.76 43.59 71.74 42.31 67.80
Cholesterol 58.39 28.25 70.63 38.46 72.83 38.46 69.49
Dental 52.88 29.54 64.57 28.21 59.78 46.15 54.24
Depression 26.98 23.16 28.21 15.38 36.96 26.92 27.12
Hearing 20.14 15.25 19.35 10.26 25.00 19.23 44.07
Mammogram 35.97 14.69 43.59 12.82 52.17 26.92 42.37
Pap Smear (female only)
40.29
29.94
47.32
35.90
42.39
50.00
22.03
PSA (male only) 9.83 4.52 12.82 0 11.96 11.54 8.47
Skin Cancer 23.98 7.34 31.47 10.26 27.17 11.54 32.20
Stroke 14.15 6.21 16.08 5.13 17.39 15.38 25.42
Vision 51.80 27.12 63.40 25.64 60.87 34.62 61.02
98
In the Past Seven (7) Days You Participated in One of the Following Activities
Race - In the Past Seven (7) Days You Participated in One of the Following Activities
Overall African American/
Black American
Indian
Asian Caucasian/
White Hispanic/
Latino Participated in a physical activity? (walking, swimming, tennis, etc.)
64.63
67.62
57.14
84.62
67.47
36.11
Drank one or more alcoholic beverages? (beer, wine, liquor)
27.22
23.81
14.29
30.77
30.29
9.72
Used any form of tobacco? (cigarette, cigar, chew, snuff, e-cigarette)
17.51
19.05
14.29
15.38
18.43
5.56
Used illegal drugs or abused medication(s)?
2.28
3.81 (4)*
14.29 (1)
0
2.08 (13)
0
*Numbers in ( ) are actual number of survey participants with “yes” responses
Gender– In the Past Seven (7) Days You Participated in One of the Following Activities
Overall Female Male Participated in a physical activity? (walking, swimming, tennis, etc.)
64.63
65.27
67.48
Drank one or more alcoholic beverages? (beer, wine, liquor)
27.22
24.65
39.26
Used any form of tobacco? (cigarette, cigar, chew, snuff, e-cigarette)
17.51
16.28
23.93
Used illegal drugs or abused medication(s)?
2.28
2.02
3.07
99
In the Past Seven (7) Days You Participated in One of the Following Activities (continued)
*Numb numbers in ( ) are actual number of survey participants with “yes” responses
Grade Completion - In the Past Seven (7) Days You Participated in One of the Following Activities
Overall
12th Grade or Less
12/GED
College 1-3 Yrs.
Community/ Technical
School Degree/ Certification
Undergraduate Degree
Postgraduate Degree
Participated in a physical activity? (walking, swimming, tennis, etc.)
64.63
46.21
55.63
72.44
69.73
75.54
81.33
Drank one or more alcoholic beverages? (beer, wine, 8.63liquor)
27.22
11.36
20.00
32.28
24.86
43.17
42.67
Used any form of tobacco? (cigarette, cigar, chew, snuff, e-cigarette)
17.51
21.21
25.63
22.83
16.22
8.63
8.00
Used illegal drugs or abused medication(s)?
2.28
4.55
1.88
1.57
1.08
4.32
0
Age – In the Past Seven (7) Days You Participated in One of the Following Activities
Overall 15-19 20-34 35-54 55-64 65-74 75 or Older Participated in a physical activity? (walking, swimming, tennis, etc.)
64.63
65.79
69.74
64.69
67.92
63.64
39.22
Drank one or more alcoholic beverages? (beer, wine, liquor)
27.22
5.26
23.68
32.87
29.56
31.82
17.65
Used any form of tobacco? (cigarette, cigar, chew, snuff, e-cigarette)
17.51
7.89
24.12
19.58
13.21
13.64
3.92
Used illegal drugs or abused medication(s)?
2.28
10.53 (4)*
2.19 (5)*
2.80 (8)*
1.26 (2)*
0
0
100
In the Past Seven (7) Days You Participated in One of the Following Activities
(continued)
Marital Status - In the Past Seven (7) Days You Participated in One of the Following Activities
Overall Single/ Never
Married
Married
Partner/ Significant
Other
Divorce
Separated
Widowed
Participated in a physical activity? (walking, swimming, tennis, etc.)
64.63
70.06
66.20
51.28
69.57
65.38
49.15
Drank one or more alcoholic beverages? (beer, wine, liquor)
27.22
21.47
31.70
12.82
33.70
19.23
20.34
Used any form of tobacco? (cigarette, cigar, chew, snuff, e-cigarette)
17.51
22.60
14.45
12.82
23.91
30.77
15.25
Used illegal drugs or abused medication(s)?
2.28
4.52
1.63
0
3.26
0
1.69
101
BARRIERS TO HEALTH & HUMAN SERVICES (% that responded “Yes”)
Zip Code - Barriers to Health & Human Services Overall East North South West
Lack of health insurance
19.54
20.53
18.63
21.90
16.94
Deductible/ Co-pay too high
21.22
20.29
22.36
21.90
22.58
Doctor’s office does not accept my insurance or Medicaid
28.66
32.70
27.95
20.00
25.00
Lack of transportation 6.47 5.73 8.70 9.52 3.23
Age - Barriers to Health & Human Services Overall 15-19 20-34 35-54 55-64 65-74 75 or Older
Lack of health insurance
19.54
15.79
34.21
19.58
11.32
7.58
0
Deductible/ Co-pay too high
21.22
13.16
32.46
21.33
31.21
12.12
15.69
Doctor’s office does not accept my insurance or Medicaid
28.66
5.26
24.56
41.96
28.93
19.70
3.92
Lack of transportation
6.47
5.26
7.89
6.99
3.14
7.58
7.84
Gender - Barriers to Health & Human Services Overall Female Male
Lack of health insurance 19.54 20.31 17.18
Deductible/Co-pay too high 21.22 21.24 22.70
Doctor’s office does not accept my insurance or Medicaid
28.66
31.01
23.31
Lack of transportation 6.47 6.82 6.13
102
BARIERS TO HEALTH & HUMAN SERVICES (continued - % that responded “Yes”)
Grade Completion - Barriers to Health & Human Services
Overall
12th Grade or Less
12/GED
College 1-3 Yrs.
Community/ Technical School
Degree/ Certification
Undergraduate Degree
Postgraduate Degree
Lack of health insurance
19.54
26.52
28.13
24.41
17.30
10.07
2.67
Deductible/ Co-pay too high
21.22
20.45
37.50
22.05
21.08
12.23
4.00
Doctor’s office does not accept my insurance or Medicaid
28.66
11.36
20.00
22.83
40.54
44.60
33.33
Lack of transportation
6.47
6.82
8.75
6.30
7.57
3.60
4.00
Marital Status - Barriers to Health & Human Services
Overall Single/ Never
Married
Married
Partner/
Significant Other
Divorce
Separated
Widowed
Lack of health insurance
19.54
25.42
14.69
28.21
25.00
38.46
13.56
Deductible/ Co-pay too high
21.22
28.25
15.85
28.21
23.91
38.46
25.42
Doctor’s office does not accept my insurance or Medicaid
28.66
20.90
35.20
20.51
29.35
53.85
18.64
Lack of transportation
6.47
8.47
5.13
7.69
9.78
0
8.47
103
BARIERS TO HEALTH & HUMAN SERVICES (continued)
*Asked to mark top two choices
Facebook Twitter Stanly
News & Press
WZKY 1010
Friends/ Family
Local websites
Radio station
TV station Instagram Church School Local
agency newsletter
% 48.8 0.72 32.13 4.2 52.4 6.47 4.32 7.07 4.8 15.71 5.76 4.2
0
10
20
30
40
50
60
%
Where do you get information regarding community resources & events?*
104
EMERGENCY PREPAREDNESS
Television Radio Internet Print media Neighbors Social Media
% 72.34 34.61 53.77 9.34 30.9 51.26
0 10 20 30 40 50 60 70 80
pe
rce
nta
ge
How would you get information from authorities in a large-scale disaster or emergency?
(mark all that apply)
Lack of transpor
tation
Lack of trust in public
officials
Concern about
leaving property behind
Concern about
personal safety
Concern about family safety
Concern about
leaving pets
Concern about traffic jams & inability to get
out
Health problems could not be moved
% 6.08 7.51 29.8 21.93 35.52 28.96 16.92 4.77
0
5
10
15
20
25
30
35
40
pe
rce
nta
ge
Why would you not evacuate if asked to do so?
(mark all that apply)
105
FOCUS GROUP QUESTIONS Group: _____________________________________________ Date: _____________________ Welcome and purpose of this activity. We would like your input and opinions on health concerns & community issues in Stanly County. Some information we will share is the most current ranking of the leading causes of death in Stanly County compared to the State. The second bit of information is the ranking of Health Issues and Community Issues from the recent Community Health Assessment survey by Stanly County residents.
1. Look at the top ten Health Concerns/Community Issues on the following lists. Which ones seem to be more critical to address in Stanly County than others? Why?
2. What resources (financial, civic groups, governmental agencies, churches, businesses) are currently available to address these critical health concerns and community issues?
3. What are the barriers within our community that may impact being able to address these health
concerns/community issues?
4. What should be our next steps to addressing these health concerns/community issues? Identify key groups? Evidence based strategies?
KEY RESOURCES CITED
33 Recovery
Albemarle Police Department
Danny Bowen, Chief of Police Harold D. Dunlap, Evidence Custodian
American Psychological Association
Butterfly House Children’s Advocacy Center Carolinas HealthCare System Stanly
Amy Yow, Director
Cardinal Health Innovations Arin Wilhelm
Centers for Disease Control and Prevention
Charlotte Business Journal
Oxford Dictionaries.com
National Council on Alcohol and Drug Addiction National Institutes of Health
National Institute of Drug Abuse
NORC at the University of Chicago (non-partisan research institution)
N.C. Association of Free & Charitable Clinics
N.C. Department of Agriculture & Consumer Services
N.C. Department of Commerce
N. C. Department of Health and Human Services (NC DHHS) (Department of Public Health, State Center for Health Statistics, NC Opioid Dashboard, Injury & Violence Prevention
Branch, Nutrition Services Branch, and Tobacco Prevention & Control Branch (Ann Houston Staples)
N.C. General Assembly
N. C. Office of State Budget & Management
107
KEY RESOURCES CITED (continued)
Office of Disease Prevention & Health Promotion
Healthy People 2020
Pfeiffer University
Stanly Community College
Stanly County Cooperative Extension Services
Stanly County Emergency Medical Services Brian Simpson, Director
Stanly Health Foundation Jane Boone, Executive Director
U.S. Census Bureau Quick Facts/Fast Facts
U.S. Department of Agriculture
U.S. Department of Justice Federal Bureau of Investigation
U.S. National Library of Medicine National Information Center on Health services Research & Health Care Technology
108
COMMUNITY RESOURCES Agency Access Information Description of Service
Abused/Neglected Adults Stanly County Department of Social Services (DSS)
Stanly Commons 1000 N. First St., Suite 2 Albemarle, NC 28001 704-982-6100 http://dss.stanlycountync.gov/
DSS receives and evaluates reports of abuse, neglect, or exploitation of elderly or disabled adults
Abused/Neglected Children Butterfly House Children Advocacy Center
217 B Yadkin St. P.O. Box 1489 Albemarle, NC 28002 704-980-323-4625 https://stanlyhealthfoundation.org/2017/03/29/cac-2/
Provides services for children suspected of being sexually abused. Services include forensic interviews, certified medical exams, treatment and access to a victim advocate. A multidisciplinary approach is utilized.
Stanly County Department of Social Services (DSS)
Stanly Commons 1000 N. First St., Suite 2 Albemarle, NC 28001 704-982-6100 http://dss.stanlycountync.gov/
DSS is required by law to receive and investigate reports of abuse or neglect of children by parents or caretakers. Investigations of allegations of abuse or serious risk to a child are initiated within 24 hours. Referrals alleging neglect must be investigated within 72 hours.
Animals Stanly County Animal Control 1037 Coble Ave.
Albemarle, NC 28001 704-986-3881 http://www.stanlycountync.gov/animal-control/
Provides rabies control safety measures, trapping and sheltering dogs and cats. Adoption of stray dogs and cats. All services free except adoption and reclaiming.
Stanly County Humane Society, Inc.
2049 Badin Rd. Albemarle, NC 28001 704-983-SPAY (7729) https://stanlycountyhumanesociety.org/
Non-profit animal rescue organization. Provides shots, tests, treatments, spaying/ neutering and micro chipping (dogs only) to improve animals’ adoptability.
Arts/Culture Stanly County Arts Council Agri-Civic Center
26032-G Newt Rd. Albemarle, NC 28001 704-982-0908 www.stanlyartscouncil.org
Promotes cultural and educational activities in the arts throughout Stanly County.
Stanly County Arts Guild/ Falling Rivers Gallery
Falling Rivers Gallery 320 N. Second St. Albemarle, NC 28001 704-983-4278 www.fallingriversgallery.com
Supports established artists and nurtures beginning artists. The public is introduced to artists’ works, such as pottery, jewelry, stained glass items, paintings, photography, glass blown items, etc.
Uwharrie Players P.O. Box 131 Albemarle, NC 28002 704-983-1020 www.uwharrieplayers.org
Non-profit organization that sponsors community theater productions.
Children Boy Scouts of America 32252 NC Hwy 24/27
Albemarle, NC 28001 704-982-0141 www.centralnccouncilbsa.com
Programs offered to boys and girls 5 through 21 years of age. Programs include Cub Scouts, Boy Scouts, Venture and Explorer Programs. Programs include leadership, family, decision-making, outdoor programs, personal fitness and community service
Girl Scouts – Hornets’ Nest Council
7007 Idlewood Rd. Charlotte, NC 28212 704-731-6500 1-800-868-0528 (toll free) www.hngirlscouts.org/
Non-profit leadership organization for girls grades k-12. Creates opportunities for girls to build courage, confidence & character through programs including community leadership, STEM (science, technology, engineering, math), outdoor skills, financial literacy, healthy living & more.
109
Agency Access Information Description of Service
Children continued Guardian ad Litem Jodi Livengood
201 S. Second St. 2nd Floor Stanly County Courthouse Albemarle NC 28002 704-986-7103 www.volunteerforgal.com
Serves as a child’s advocate in court.
N.C. Cooperative Extension 26032-E Newt Rd. Albemarle, NC 28001 704-983-3987 www.stanly.ces.ncus.edu/
Provides programs to children on health, nutrition, physical activity, food safety and 4-H activities
Stanly County Partnership for Children (Smart Start)
Stanly Commons 1000 N. First St., Suite 8 Albemarle, NC 28001 704-982-2038 http://www.stanlypartnership.org/
Provides early childhood, ages 0-5, resources and materials; programs for parents and child care resource and referrals.
Stanly County Public Library (Main)
133 E. Main St. Albemarle, NC 28001 704-986-3755 www.stanlycountylibrary.org
Provides children’s story time – Wednesday at 10:00am. Child appropriate books, movies and internet access. Summer activities offered.
Stanly County Public Library Branches Check for hours of operation at http://www.stanlycountylibrary.org/contact-us/
Badin – 62 Pine St. Badin, NC 28009 704-422-3218 Locust – 186 Ray Kennedy Dr. Locust, NC 28097 704-888-0103 Norwood – 207 Pee Dee Ave. Norwood, NC 28128 704-474-3625 Oakboro – 214 S. Main St. Oakboro, NC 28129 704-485-4310
Provides child appropriate books, movies and internet access. Summer activities offered. Norwood – Mommy & Me (interactive story time up to age 5) – Monday at 2:30pm Oakboro – Preschool story time –Friday at 9:30am
Stanly County Family YMCA 427 N. First St. Albemarle, NC 28001 704-982-1916 www.stanlycountyymca.org
Community-based afterschool programs and summer camps (scholarships available). Fitness, swimming and playground facilities available.
Disabilities
Albemarle Lions Club Meeting Information: Sagebrush Steakhouse 623 Hwy. 24/27 Bypass Albemarle NC 28001 Weekly –Wednesdays (12:00pm)
Provides financial assistance for hearing aids or eyeglasses for income eligible Stanly County residents who are visually or hearing impaired.
GHA Autism Supports
213 N. Second St. P.O. Box 2487 Albemarle, NC 28002 704-982-9600 https://www.ghaautismsupports.org/
Non-profit organization focused on individuals with the primary diagnosis of autism spectrum disorder by providing residential, day and community services; education, supported employment and in-home services.
Monarch 350 Pee Dee Ave., Suite A Albemarle, NC 28001 Local - 704-986-1500 Toll free 1-866-272-7826 https://www.monarchnc.org/
Non-profit organization whose focus is supporting those with intellectual and development disabilities, mental illness and substance abuse issues. Services include supported, supervised, or group home living; respite; family support; advocacy; counseling; DWI; substance abuse and employment support.
N.C. Department of Health & Human Services N.C. Division of Services for the Blind
5501 Executive Center Dr. Suite 102 Charlotte, NC 28121 1-800-422-1895 https://www.ncdhhs.gov/divisions/dsb
Provides advocacy and equipment to assist visually impaired to live independently, job training, medical eye care services and placement services.
110
Agency Access Information Description of Service
Disabilities continued
Vocational Rehabilitation 702 Henson St. Albemarle, NC 280901 704-982-8124 www.dvr.dhhs.state.nc.us
Provides job placement, functioning /skills assessments, guidance and counseling, restoration, training and post-employment support for those eligible. Eligibility includes physical, mental, learning disability or emotional impairment that affects employment status.
Diseases Alzheimer’s Association Western Carolina Chapter
4600 Park Rd., Suite 250 Charlotte, NC 28209 980-498-7760 24/7 Helpline 1-800-272-3900 www.alz.org
Non-profit organization provides support, education and resources (including clinical trials) for families dealing with Alzheimer’s disease.
American Lung Association Charlotte Office
401 Hawthorne Lane, Suite 110 980-237-6611 1-800-LUNGUSA (586-4872) www.lung.org/local-content/_content-items/about-us/local-associations-office/North-Carolina.html
Non-profit organization whose focus is on improving lung health and preventing lung diseases through education, advocacy and research. Lung diseases include COPD, asthma, lung cancer and influenza.
American Cancer Society Charlotte Office
1901 Brunswick Ave., Suite 100 Charlotte, NC 28207 704-552-6147 www.cancer.org
Non-profit organization whose focus is on cancer prevention, education, services, resources, research and advocacy
American Diabetes Association Charlotte Office
1300 Baxter St., Suite 150 Charlotte, NC 28204 704-373-9111 1-800—DIABETES (342-2383) www.diabetes.org
Non-profit organization whose focus is on diabetes prevention, education, research and advocacy.
American Heart Association/American Stroke Association Charlotte Office
128 S. Tryon St. Charlotte, NC 28202 704-417-5751 https://www.heart.org/en/affiliates/north-carolina/charlotte
Non-profit organization whose focus is on the prevention of cardiovascular diseases and stroke through prevention, education, treatment and research.
Carolinas HealthCare System Stanly (Atrium Health)
301 Yadkin St. Albemarle, NC 28001 980-323-4000 https://www.carolinashealthcare.org/locations/carolinas-healthcare-system-stanly
Medical facility that provides health care services that include disease management, treatment, education and prevention. Diseases include cancer and diabetes.
National Kidney Foundation Charlotte Office
933 Louise Ave. Suite, 101B Charlotte, NC 28204 704-519-0020 1-855-653-2273 (toll free) https://www.kidney.org/offices/nkf-serving-carolinas-north-carolina
Non-profit organization whose focus is on the prevention of kidney diseases, support dialysis/transplant patients, treatment and education.
Stanly County Health Department
Stanly Commons 1000 N. First St., Suite 3 Albemarle, NC 28001 704-982-9171 704-986-3099 (clinic appointment line) http://health.stanlycountync.gov/
Public health healthcare provider that offers services that includes immunizations; sexually transmitted diseases testing and treatment and HIV antibody testing. Adult and child health clinical services provided. Gynecological services (mammograms, pap smear and clinical breast exam) for women 50-64 years of age available free of charge – income eligibility. Family planning and maternal health services available.
Domestic Violence Esther House P.O. Box 734
Albemarle, NC 28002 704-961-7502 704-961-7500 (24 hour crisis line)
Non-profit organization that provides women who experienced domestic violence or sexual assault shelter, court advocacy, safety planning, parenting training, group counseling, education and resources.
111
Agency Access Information Description of Service
Education Carolina Christian School 406 Renee Ford Rd.
Locust, NC 28097 704-888-4332 www.carolinachristianschool.com
Private Christian-based education for grades K-12. Affiliated with Presbyterian Church. Coed.
Christ the King Christian Academy
210 N. Ferry Ave. New London, NC 28127 704-463-7285 http://www.ctkca.com
Private Christian-based education for grades K-9. Coed
Gray Stone Day School 49464 Merner Terrace Misenheimer, NC 28109 704-463-0567 www.graystoneday.org
Public charter middle and high school, 6th-12th grade, located on Pfeiffer University campus.
Park Ridge Christian School 312 Park Ridge Rd. Albemarle, NC 28001 704-982-9798 http://parkridgechristianschool.org/
Private Christian-based education for grades K-8. Coed.
Pfeiffer University 48380 U.S. Highway 52 N Misenheimer, NC 28109 1-800-338-2060 www.pfeiffer.edu
Offers traditional undergraduate degree programs. Graduate and School of Adult Studies available on Charlotte campus. Online courses available.
Stanly Community College Albemarle campus: 141 College Dr. Albemarle, NC 28001 704-982-0121 Crutchfield Education Center: 102 Stanly Parkway Locust, NC 28097 704-888-8848 www.stanly.edu
Offers Associate degrees, diplomas or certificates. Online courses available. Crutchfield Education Center – Allied Health Programs
Stanly County Head Start 405 Davis St. Albemarle, NC 28001 704-983-4742
Promotes school readiness for low income children, ages 3-5. Services include educational, nutritional, health and social.
Stanly County Schools Stanly Commons 1000 N. First St., Suite 4 Albemarle, NC 28001 704-961-3000 www.stanlyschools.org
Provides education opportunities, grades kindergarten through grade 12. Coed.
Emergency Preparedness Stanly County Emergency Management
201 S. Second St. #301 Albemarle, NC 28001 704-986-3660 http://www.stanlycountync.gov/emergency-management/
Responsible for disaster preparedness, response and recovery in Stanly County.
Stanly County Health Department
Stanly Commons 1000 N. First St., Suite 3 Albemarle, NC 28001 704-982-9171 http://health.stanlycountync.gov/
Preparedness Coordinator works with Stanly County Emergency Management staff to develop response plans to a natural or man-made event.
Employment Employment Staffing, Inc. 160 N. First St., #2
Albemarle, NC 28001 704-986-0447 www.employmnetstaffing.com
Provides workers to employers who are seeking temporary, temporary-to-permanent or seasonal employees.
NC Works Career Center 944 N. 1st St. Albemarle, NC 28001 704-982-2183 www.ncworks.gov
State agency that provides employment services, unemployment insurance and labor market information.
112
Agency Access Information Description of Service
Employment continued
Staffmasters USA 1954B E. North St. Albemarle, NC 28001 704-983-3630 https://hiredynamics.com/locations/albemarle/
Provides workers to employers who are seeking temporary, temporary-to-permanent or seasonal employees.
Vocational Rehabilitation 702 Henson St. Albemarle, NC 280901 704-982-8124 www.dvr.dhhs.state.nc.us
Provides job placement, functioning /skills assessments, guidance and counseling, restoration, training and post-employment support for those eligible. Eligibility includes physical, mental, learning disability or emotional impairment that affects employment status.
Financial Assistance Albemarle Lions Club Meeting Information:
Sagebrush Steakhouse 623 Hwy. 24/27 Bypass Albemarle NC 28001 Weekly –Wednesdays (12:00pm)
Provides financial assistance for hearing aids or eyeglasses for income eligible visually or hearing impaired residents.
Gaston Community Action, Inc.-Stanly
1970 East Main St. #5 Albemarle, NC 28001 704-985-1928 www.gastonca.org
Provides funds for services that include rent, utilities, child care, clothing, tuition, medical and transportation. Assists with money management skills. Must be income eligible.
Salvation Army 118 Heath St. Albemarle, NC 28001 704-782-7822
Provide assistance to those with financial difficulties. This assistance will include rent, utilities, food and spiritual counseling. Hours 11am-3pm Tuesday and Wednesday.
Stanly County Department of Social Services (DSS)
Stanly Commons 1000 N. First St., Suite 2 Albemarle, NC 28002 704-982-6100 www.stanlydss.com
Services include child care subsidies, emergency assistance (families with child under 21 years of age) and food stamps. Manages Medicaid or N.C. Health Choice for Children, Carolina ACCESS, and child support.
Stanly Community Christian Ministries
506 S. First St. P.O. Box 58 Albemarle, NC 28001 704-982-7915 https://www.sccminc.org/
Provides financial assistance for utilities, rent, and some medications for those who are income eligible. Also operates the food pantry, Clothing Closet and Community Tables I & II.
West Stanly Christian Ministries
100 S. Love Chapel Rd. Stanfield, NC 28163 704-888-6406 http://www.weststanlychristian.com/
Provides financial assistance for food, services and clothing closet for the poor.
Healthcare/Urgent Care Albemarle Medical Services 105 Yadkin St.
Suite 301 Albemarle, NC 28001 980-323-5360 https://atriumhealth.org/locations/albemarle-medical-services
Provides health care specializing in the prevention, diagnosis, and treatment of acute and chronic illnesses in adults and children.
Albemarle Orthopedic & Sports Medicine
105 Yadkin St. #101 Albemarle, NC 28001 980-323-5425
Provides orthopedic care that includes innovative and effective surgical and nonsurgical treatment for a wide range of orthopedic conditions.
Albemarle Pediatrics 1420-A US-52 Albemarle, NC 28001 704-982-5437 http://www.albemarlepediatrics.com/
Provides comprehensive healthcare for newborns, children and adolescents.
Albemarle Pulmonary Services 929 N Second St. Suite 205 Albemarle, NC 28001 980-323-5625
Providers specialize in: Arterial Blood Gas Test (Abg) Bronchoscopy Pulmonary Function Test Respiratory Management
113
Agency Access Information Description of Service
Healthcare/Urgent Care continued Albemarle Surgical Associates 105 Yadkin St.
Suite 203 Albemarle, NC 28001 980-323-5300 https://atriumhealth.org/locations/albemarle-surgical-associates
Provides a comprehensive range of surgical services, with a focus on providing the highest quality health care and excellent customer service.
Albemarle Women’s Clinic 815 N 3rd St. Albemarle, NC 28001 704-550-5260
Provides general gynecologic care, gynecologic surgery, infertility treatment and maternity care.
Atrium Health Stanly (formerly Carolinas HealthCare System Stanly)
301 Yadkin St. Albemarle, NC 28001 980-323-4000 https://atriumhealth.org/locations/detail/carolinas-healthcare-system-stanly
Provides hospital services that include inpatient/outpatient surgery, rehabilitation, & behavioral health; imaging services; emergency department, disease management (including diabetes, heart disease, weight management, smoking) and health promotion services.
Atrium Health Stanly Urgent Care
703 Leonard Ave. Albemarle, NC 28001 704-550-0050 https://atriumhealth.org/locations/detail/carolinas-healthcare-system-urgent-care--albemarle
Provides services for conditions that need immediate attention. These conditions include: sprains, strains, fractures, minor cuts and burns, removal of foreign objects from the ear, nose or skin, allergies, sore throats, ear infections, colds, flu and immunizations.
Cabarrus Family Medicine 123 Professional Dr. Locust, NC 28097 704-403-6760 https://atriumhealth.org/locations/cabarrus-family-medicine
Provides comprehensive healthcare for adults and children. Services include occupational healthcare, physical and pain therapy.
Center for Wound Care and Hyperbaric Medicine
303 Yadkin St. Suite A Albemarle, NC 28001 704-984-4388
Provides wound care treatment. The most up-to-date approaches to wound healing are used and they are current in new scientific advances.
Central Carolina Medical Associates – Dr. Philip Veatch
1908 Hilco St. #B Albemarle, NC 28001 704-983-3855
From simple illnesses, routine wellness exams and health screening, to the management of complex medical conditions, we are able to provide for all your healthcare needs for patients 13 years and older.
Charlotte Eye, Ear, Nose and Throat Associates
1908 Hilco St. Albemarle, NC 28001 704-983-5350
Provides care for the ear, nose and throat.
Community Home Care & Hospice (Troy)
1024 Albemarle Rd. Suite 904 Troy, NC 27371 910-576-0023 http://www.communityhch.com/locations/nc/troy
Works with local health care providers to provide a hospice care plan.
Dermatology – Morris Minton 315 Yadkin St. Albemarle, NC 28001 704-982-4480
Provides diagnose and treatment of skin diseases
First Medical Care Clinic 1426 E. Main St. Albemarle, NC 28001 704-228-7352 https://www.firstcarecanhelp.com/medical-clinic-albemarle
Provides comprehensive healthcare for adults and children. Services include occupational healthcare, physical and pain therapy.
114
Agency Access Information Description of Service
Healthcare/Urgent Care continued
Hope Medical – Dr. Kenneth Shank
815 N 3rd St. Albemarle, NC 28001 704-983-3508
Family medical practice that provides health care specializing in the prevention, diagnosis, and treatment of acute and chronic illnesses in adults and children.
Hospice of Stanly County & the Uwharrie
960 N. First St. Albemarle, NC 28001 704-983-4216 www.hospiceofstanly.org
Provides physical, emotional, and spiritual support for those with a life expectancy of six months or less. Services include nursing, counseling, respite and payment for medicine/equipment.
(John P. Murray) Community Care Clinic
303 Yadkin St. Albemarle, NC 28001 980-323-4668 www.communitycareclinicalbemarle.org
Provides primary medical care and medication assistance to low income uninsured adults, ages 18-64, who are residents of Stanly County.
Dr. Rufus Lefler 923 N. Second St., Suite 101 Albemarle, NC 28001 704-982-1136
Practices internal medicine that provides health care to adults. Health care includes the prevention, diagnosis, and treatment of adult diseases.
Lakeside Primary Care 236 Market St. #110, Locust, NC 28097 (704) 384-9590 https://www.nhlakesideprimarycare.org/locations--hours/locust.aspx
Practices family medicine
Locust Medical Services 103 Stanly Parkway #C Locust, NC 28097 704-888-0580
Provides care specializing in the prevention, diagnosis and treatment of acute and chronic illnesses in adults and children.
Levine Cancer Institute – Albemarle
945 North 5th St. Albemarle, NC 28001 980-323-7790 https://atriumhealth.org/locations/levine-cancer-institute-albemarle
Services provided include: Hematology Medical oncology (cancer) Gynecologic oncology
Novant Health Orthopedic & Sports Medicine
1420 US Highway North 52 Suite B Albemarle, NC 28001 704-216-5633 https://www.novanthealth.org/clinic-locations/novant-health-orthopedics--sports-medicine---albemarle.aspx
Practices orthopedic and sports medicine.
Northeast Infectious Diseases 200 Medical Park Dr. NE #280 Concord, NC 28025 704-403-1766 https://atriumhealth.org/locations/northeast-infectious-diseases
Services provided include HIV treatment and care.
Northeast Psychiatric Services 105 Yadkin St. Suite 302 Albemarle, NC 28001 704-403-1877 https://atriumhealth.org/locations/northeast-psychiatric-services
Services Provided at NorthEast Psychiatric Services Depression Stress Dementia Anxiety/panic disorders Anger control problems Alcohol and substance abuse for adults Psychotic disorders Attention deficit disorder Marital/relationship problems Child behavior issues Borderline personalities Post-traumatic stress disorder Chronic illness
115
Agency Access Information Description of Service
Healthcare/Urgent Care continued Revelstone Family Practice – Dr. Edward Kepp
319 Yadkin St. Albemarle, NC 28001 (704) 986-3901 https://www.healthgrades.com/physician/dr-edward-kepp-xrr69
Family medical practice that provides health care specializing in the prevention, diagnosis, and treatment of acute and chronic illnesses in adults and children.
Roy M. Hinson Cancer Center
945 N. 5th St. Albemarle, NC 28001 704-983-8268
Provides radiation treatment to cancer patients. Northeast Oncology Associated of Albemarle located here provides chemotherapy services.
Sanger Heart & Vascular Institute
307 Yadkin St. Albemarle, NC 28001 980-323-6180 https://atriumhealth.org/medical-services/specialty-care/heart-care
Provides comprehensive treatment for a broad range of heart and vascular conditions, including: Adult congenital heart disease, Congestive heart failure, Pulmonary hypertension, Hypertrophic cardiomyopathy, Heart attack, Heart rhythm disorders, Heart valve disease & Vascular disease.
Dr. Leonard Saltzman
1420-G Hwy. 52N Albemarle, NC 28001 704-982-9877
Family medical practice that provides health care specializing in the prevention, diagnosis, and treatment of acute and chronic illnesses in adults and children.
Dr. Harold Samuel
606 N. 1st St., G Albemarle, NC 28001 704-983-1241
Practices internal medicine that provides health care to adults. Health care includes the prevention, diagnosis, and treatment of adult diseases.
Southeastern Pain & Spine Care
929 North Second St., Suite 101 Albemarle, NC 28001 866-258-3008 https://atriumhealth.org/medical-services/childrens-services/locations/detail/southeast-pain-care--stanly
Provides evaluation of each patient and develop a custom care plan that may include physical therapy, counseling and support groups.
Stanly County Dental Clinic Stanly Commons 1000 N. First St., Suite 3 Albemarle, NC 28001 704-986-3845 http://health.stanlycountync.gov/dental-clinic/
Provides dental care for children through age of 18 on Medicaid, N.C. Health Choice, are at or below 100% of the Federal poverty level or covered by private insurance. Services include exams, cleaning, sealants and extractions.
Stanly County Health Department
Stanly Commons 1000 N. First St., Suite 3 Albemarle, NC 28001 704-982-9171 704-986-3099 (clinic appointment line) http://health.stanlycountync.gov/
Provides infant, children and adult health care; services include family planning; prenatal; immunizations; women, infant & children (WIC); pregnancy testing; sexually transmitted diseases; HIV antibody testing and lice checks.
Stanly Gastroenterology & Digestive Health
923 North Second St. Suite 204 Albemarle, NC 28001 980-323-5600 https://atriumhealth.org/locations/stanly-gastroenterology-and-digestive-health-center
Provides treatment for health conditions related to the esophagus, stomach, small intestine, large intestine and biliary system (e.g., liver, pancreas, gallbladder and bile ducts).
Stanly Medical Services – Women’s Services
105 Yadkin St., Suite 102 Albemarle, NC 28001 704-982-1590 https://atriumhealth.org/locations/stanly-womens-services
Provides general gynecologic care, gynecologic surgery, infertility treatment and maternity care.
Stanly Pediatrics 105 Yadkin St., Suite 303 Albemarle, NC 28001 980-323-5400 https://atriumhealth.org/locations/stanly-pediatric-services
Provides comprehensive healthcare for newborns, children and adolescents.
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Homelessness/Housing
City of Albemarle Department of Public Housing
300 S. Bell St. Albemarle, NC 28001 704-984-9580 http://www.albemarlenc.gov/departments/public-housing
Offers public housing to low and moderate income families. Section 8 (rental assistance) available.
Community Inn 510 S. First St. Albemarle, NC 28001 704-984-6454 www.stanlycohomesofhope.org
Emergency overnight shelter (6pm-7am daily). Open to the public for those in need of temporary overnight housing. Services include meals, showers and referrals. Operated by Homes of Hope, Inc.
Gaston Community Action, Inc.-Stanly
1970 E. Main St. #5 Albemarle, NC 28001 704-985-1928 http://www.gastonca.org/
Provides funds for services that include rent, utilities, child care, clothing, tuition, medical and transportation. Assists with money management skills. Must be income eligible.
Habitat for Humanity 1506 Hwy. 24/27 Bypass W. Albemarle, NC 28001 704-985-1051 http://www.stanlyhabitat.org/
Provides low income people to become home owners. Potential home owners work with community volunteers to build houses.
Homes of Hope, Inc. Homes of Hope 1816B East Main St. Albemarle, NC 28001 704-982-3634 http://homesofhopestanly.org/
Non-profit organization that operates a six month program for homeless families, as well as support services, advocacy and education to prevent and eliminate homelessness.
Mental Health Daymark Recovery Services Stanly Commons
1000 N. First St., Suite 1 Albemarle, NC 28001 704-983-2117 http://www.daymarkrecovery.org/
Provides outpatient treatment to adults and children/adolescents for substance abuse disorders and/or mental health disorders. Also provides referral and psychiatric services.
Monarch 350 Pee Dee Ave., Suite A Albemarle, NC 28001 Local - 704-986-1500 Toll free 1-866-272-7826 https://www.monarchnc.org/
Provides outpatient treatment to adults and/or children/adolescents experiencing substance abuse and/or mental health disorders. Other services provided include Psychiatric Services, Assertive Community Treatment (for individuals with severe and persistent mental health disorders), In Home Therapy Services (children/adolescents) and Individual Placement Services (employment).
Piedmont Community Operations Center/Cardinal Innovative Healthcare
4855 Milestone Ave. Kannapolis, NC 28081 1-704-939-7590 https://www.cardinalinnovations.org/Contact/Offices
Management organization of all regional mental health and substance abuse service providers. Assist with referrals, locating appropriate services and reporting concerns of quality of services.
Miscellaneous Partners in Health Stanly County Health Department
1000 N. First St., Suite 3 Albemarle, NC 28001 704-982-9171
Stanly County health coalition where the public and agency/organization/medical/ business /school/ church personnel collaborate to address local health and safety concerns. Meetings are open to everyone. Meets every other month.
Social Security Administration 201 Charter St. (Brookwood Executive Park) Albemarle, NC 28001 704-982-3640 1-800-772-1213 www.ssa.gov/
Assist with applications for initial entitlement to Medicare; General information about Medicare provisions; information and assistance with all Social Security related matters; applications for new/replacement Social Security cards.
Chamber of Commerce 116 E. North St. Albemarle, NC 28001 Phone 704-982-8116 https://stanlychamber.org/
Offers services and information to local businesses. Networking opportunities and group purchasing discounts are provided. An advocate for economic growth, positive change and consensus-building.
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Miscellaneous continued Stanly County Economic Development Commission
1000 North First St., Suite 11 Albemarle, NC 28001 Ph: 704-986-3682 http://new.stanlyedc.com/
Advocate for economic development in Stanly County. Resource for businesses locating or expanding Stanly County.
Stanly County Public Library (Main) Check for hours of operation at http://www.stanlycountylibrary.org/contact-us/
133 E. Main St. Albemarle, NC 28001 704-986-3755 www.stanlycountylibrary.org
Provides books for children and adults, magazines, newspapers and internet access.
Stanly County Public Library Branches Check for hours of operation at http://www.stanlycountylibrary.org/contact-us/
Badin – 62 Pine St. Badin, NC 28009 704-422-3218 Locust – 186 Ray Kennedy Dr. Locust, NC 28097 704-888-0103 Norwood – 207 Pee Dee Ave. Norwood, NC 28128 704-474-3625 Oakboro – 214 S. Main St. Oakboro, NC 28129 704-485-4310
Provides books for children and adults, magazines, newspapers and internet access.
United Way of Stanly County 116 E. North St. P.O. Box 1178 Albemarle, NC 28002 704-982-6916 https://www.unitedwaystanly.org/
Local information and referral agency that financially supports 16 local agencies.
Nutrition Community Table I 512 South First St.
Albemarle, NC 28001 704-984-6825
Serves lunch Monday –Sunday 11:15am-12:30pm
Community Table II 227 N. Kendall St. Norwood, NC 28128 704-474-9085
Serves lunch Monday – Saturday; 11:15am-1:00pm
N.C. Cooperative Extension 26032-E Newt Rd. Albemarle, NC 28001 704-983-3987 www.stanly.ces.ncsu.edu/
Provides programs to children on health, nutrition, physical activity, food safety and 4-H activities
Stanly County Department of Senior Services
283 N. Third St. Albemarle, NC 28001 704-986-3789 http://www.stanlycountync.gov/senior-services/
Nutrition sites provide a nutritious mid-day meal for seniors, 60 years and older, along with daily educational and recreational programs Monday through Friday at four sites in the county (Albemarle, Locust, Oakboro and Norwood). Home delivered meals and supplemental meals available.
Stanly County Department of Social Services (DSS)
Stanly Commons 1000 N. First St., Suite 2 Albemarle, NC 28001 704-982-6100 http://dss.stanlycountync.gov/
Determines eligibility for and enrolls people in Food and Nutrition Services (formerly known as food stamps). Eligibility is based on both income and reserve limits.
Stanly County Health Department
Stanly Commons 1000 N. First St., Suite 3 Albemarle, NC 28001 704-982-9171 http://health.stanlycountync.gov/
Women, Infant, and Children (WIC) Program provides food and nutrition education to low income pregnant, postpartum, or breastfeeding women; infants and children to age five. Breastfeeding support is available from a Breastfeeding Peer Counselor or Lactation Educator.
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Nutrition continued Stanly County Schools Stanly Commons
1000 N. First St., Suite 4 Albemarle, NC 28001 704-961-3000 https://www.stanlycountyschools.org/ l
Provides nutrition sites during the summer months for children 1-18.
Pregnancy Pregnancy Resource Center of Stanly County
731 W. Main St. Albemarle, NC 28001 704-983-2100 www.prcstanly.com
Provides support, comfort and education to those experiencing an unplanned pregnancy. Services include: pregnancy testing, counseling, prenatal education, parenting classes, baby clothes and items.
Stanly County Health Department
Stanly Commons 1000 N. First St., Suite 3 Albemarle, NC 28001 704-982-9171 704-986-3099 (clinic appointment line) http://health.stanlycountync.gov/
Provides infant, children and adult health care; Women, Infant, & Children (WIC) nutrition services; prenatal care; post partum-newborn services; family planning services; case management services for Medicaid children, 0-5 years old and case management services for pregnant women.
Recreation
Albemarle Parks and Recreation Department
1816A East Main St. Albemarle, NC 28001 704-984-9560 http://www.albemarlenc.gov/departments/parks-and-recreation
Provides programs and facilities throughout Albemarle. Activities include swimming, sailing, disc golf, volleyball, basketball, baseball, and soccer for youth and adults including senior planning.
Locust Parks and Recreation 2884 Officer Jeff Shelton Dr. Locust, NC 28097 704-888-5260 Ext. 106 http://www.locusttowncenter.com/locust-north-carolina-parks-and-rec.php
Activities include basketball, soccer, tennis, softball and volleyball programs.
Morrow Mountain State Park 49104 Morrow Mountain Rd. Albemarle, NC 28001 Office Phone: 704- 982-4402 https://www.ncparks.gov/morrow-mountain-state-park
Activities include fishing, canoeing and boating on Lake Tillery and the Yadkin/Pee Dee River; hiking and horseback riding. Cabins and camping sites are available.
Oakboro Parks and Recreation 423 South Main St. Oakboro, NC 28129 704-984-0972 http://www.oakboro.com/parks_recreation.html
Activities include disc golf, soccer, workout stations, horse shoe pits, baseball, softball and hiking trails. There is an amphitheater and picnic shelters.
Stanfield Parks and Recreation 103-101 Park Rd. Stanfield, NC 28163 704-888-2386 www.stanfieldnc.com/parks-recreation/
Programs include baseball, softball, basketball programs. Tennis courts, playground and picnic shelter are available.
Stanly County Family YMCA 427 N. First St. Albemarle, NC 28001 704-982-1916 www.stanlycountyymca.org
Programs offered include fitness, swimming, aerobics and playground facilities available. Community-based afterschool programs and summer camps (scholarships available).
Recycling/Environment Christ Episcopal Church 428 Pee Dee Ave.
Albemarle, NC 28001 704-982-1428
Aluminum cans ONLY. Recycle locations throughout Albemarle.
Waste Management 1008 Old Charlotte Rd. Albemarle, NC 28001 704-666-1180 https://www.wm.com/us
Provides curbside solid waste (paper, plastic, and metals) collection services for residents. Residential, yard and leaf waste. Appliances – call in basis.
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Recycling/Environment continued Stanly County Solid Waste Department – Convenient Centers
Nine locations throughout Stanly County: 5 Day Sites *Badin – 16 NC Hwy 740 Badin, NC 28009 704-422-5018 *Bethany – 34103 Bethany Rd. Albemarle, NC 28001 704-982-4713 *Corner Store – 8126 NC Hwy. 200 Stanfield, NC 28163 704-888-3620 *Newt Road 26162 Newt Rd. Albemarle, NC 28001 704-982-2645 *Norwood 1009 Pee Dee Ave. Norwood, NC 28128 704-474-3469 4 Day Sites *Aquadale – 33235 S. Stanly School Rd. Norwood, NC 28128 704-474-5341 *Austin Road – 13106 Austin Rd. Oakboro, NC 28129 704-485-8743 *Millingport – 34877 Esther Rd. Albemarle, NC 28001 704-982-4573 *Richfield – 175 High Rock Rd. New London, NC 28127 704-463-5404
5 Day Sites Closed Wednesdays and Sundays Hours of operation 7:00am-6:00pm 4 Day Sites Closed Tuesdays, Wednesdays and Sundays Hours of operation 7:00am-6:00pm Recyclable Items All sites recycle: aluminum cans, newspaper, corrugated cardboard, plastic jugs & bottles (please remove lids), steel cans, brown paper bags (without plastic handles), office paper, magazines, catalogues, telephone books, glass bottles & jars (clear, brown & green), used motor oil and used oil filters and cooking oil Anti-Freeze Austin, Bethany & Newt Road White goods/Electronics Newt Road only (Electronics include: computers, monitors, keyboards, hard drives, laptops, modems, camcorders, DVD players, radios, tapes, VCRs, typewriters, cell phones, fax machines, telephones & TVs) City of Albemarle landfill – 40592B Stony Gap Road Albemarle, NC 28001 704-982-3302. Household Hazardous Waste collection held once a year in the early spring. Items accepted include old paints, automotive products, household cleaners, computers, batteries (not car) and fertilizers.
Senior Services Community Adult Respite Experience (C.A.R.E.) CARE Café
1003 Meadow St. Albemarle, NC 28001 704-986-CARE (2273) Monday - Thursday 10:00 a.m. - 2:00 p.m.
Respite care for caregivers of older adults with cognitive or physical deficits which require supervision. Provides frail older adults socialization and intellectual stimulation. CARE Cafe' also connects families with community services.
Older Adult Services in Stanly County (O.A.S.I.S.)
172 N. Second St. P.O. Box 957 Albemarle, NC 28002 704-983-6483
Provides adults, 60 and older, with services to maintain their independence. Volunteers provide services that include transportation to medical appointment, yard work, minor home repairs, grocery trips, and medicine pick-up.
Stanly County Senior Services Department
283 N. Third St. Albemarle, NC 28001 704-986-3789 http://www.stanlycountync.gov/senior-services/
Provides services to those 60 years and older. Services include information & assistance, nutrition (congregate and home delivered meals), educational classes, family caregiver support, tax aides and Alzheimer’s support group.
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Agency Access Information Description of Service
Substance Abuse Alcoholics Anonymous 160 North First St. #21
Albemarle, NC 28001 704-983-1600 http://www.45.aa-carolina.org/
Fellowship of men and women whose goal is to help themselves and others to achieve and maintain sobriety.
Bridge to Recovery 7312 Hillford Rd. Oakboro, NC 28129 704-486-0203 https://www.thebridgetorecovery.org/
Short-term Christian based transitional sober house for men and women seeking recovery from alcoholism and/or addiction. It is non-denominational and does not discriminate according to denomination or lack of religious conviction.
Clinical and Consulting Solutions, PLLC
245 Town Centre Dr. Locust, NC 28097 704-433-8064
Provides individual or family counseling. Services include assessment, substance abuse, stress management, grief counseling, depression/ anxiety, trauma and life coaching.
Daymark Recovery Services Stanly Commons 1000 N. First St., Suite 1 Albemarle, NC 28001 704-983-2117 www.daymarkrecovery.org
Provides outpatient treatment to adults and children/adolescents for substance abuse disorders and/or mental health disorders. Also provides referral and psychiatric services.
Monarch 350 Pee Dee Ave., Suite A Albemarle, NC 28001 Local - 704-986-1500 Toll free 1-866-272-7826 https://www.monarchnc.org/
Provides outpatient treatment to adults and/or children/adolescents experiencing substance abuse. Other services provided include Medication Assisted Therapy (for opioid use disorder), DWI services, Outpatient Therapy for mental health issues, co-occurring capable therapy-simultaneously addressing substance use and mental health issues.
Narcotics Anonymous
*Monday, Wednesday & Saturday meetings @ 7:00pm (open to public) Christ Episcopal Church 428 Pee Dee Ave. Albemarle, NC 28001 Tuesday 6:30pm (Closed to public) Friday 6:30pm (open to public) First Methodist Church 509 North First St. Albemarle, NC 28001 www.crna.org
Community-based group counseling that assists those with (any) drug and/or alcohol addiction achieve and maintain sobriety.
Piedmont Community Operations Center/ Cardinal Innovative Healthcare
4855 Milestone Ave. Kannapolis, NC 28081 1-704-939-7590 https://www.cardinalinnovations.org/Contact/Offices
The management organization of all regional mental health and substance abuse service providers. Assist with referrals, locating appropriate services, and reporting concerns of quality of services.
Will’s Place 132 South Second St. P.O. Box 1014 Albemarle, NC 28002 980-581-8001 http://www.willsplacenc.org/
Recovery resource center that provides treatment options and education & awareness programs. Advocated for people and families impacted by addiction.
Transportation B & G Taxi 1970 E. Main St., Suite 7
Albemarle, NC 28001 704-982-8114
Provides taxi services.
Stanly County Umbrella Services (SCUSA)
Stanly Commons 1000 N. First St., Suite 15 Albemarle, NC 28001 704-986-3790 http://www.stanlycountync.gov/transportation/
Provides community transportation services. Services are available on a first come/first serve basis. Schedule ride at least 24 hours in advance. Vehicles available to serve disabled.
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Veterans Services W.G. (Bill) Hefner VA Medical Center
1601 Brenner Ave. Salisbury, NC 28144 1-800-706-9126 https://www.salisbury.va.gov/contact/
Services include the following primary health care, mental health, caregiver support, advanced low vision, extended care and rehabilitation, pharmacy, research, social work, specialty care, and women’s health.
Stanly County Veteran’s Service Office
Stanly Commons 1000 N. First St., Suite 6 Albemarle, NC 28001 704-986-3694 https://www.stanlycountync.gov/veterans-services/
Provides assistance to veterans, their dependents and survivors, apply for benefits and programs. Coordinates the claims process with the NC Division of Veterans Affairs & Veterans Administration
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