Robeson County Health Department

Health Resources & Statistics
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Robeson County 2011 Community Health Assessmentpublichealth.southernregionalahec.org/Robeson/index.htm
North Carolina Institute of Medicine. Healthy North Carolina 2020: A Better
State of Health
US Census Quick Facts http://quickfacts.census.gov.
NCDHHS-NC Division of Medical Assistance http://www.ncdhhs.gov/dma/
pub/index.htm
NCDHHS-Division of Social Services -Food and Nutrition Services http://
www.ncdhhs.gov/dss/stats/fsp.htm
Kids Count Data Center http://www.ncdhhs.gov/dss/stats/fsp.htm
U.S. Bureau of Labor Statistics
WIC Data– Robeson County Health Dept. WIC program
Education Data (from the NC Department of Public Instruction) http://
www.ncpublicschools.org/data/reports/
NC Department of Justice 2012 crime statisticshttp://www.ncdoj.gov/Crime/
View-Crime-Statistics.aspx
NC Department of Health and Human Services Division of Public Health
Annual Report to the North Carolina Medical Society October 2013
Adolescent Pregnancy Prevention Campaign of NC
http://www.appcnc.org/data
Data Related to Child Health and Well-Being (from Action for Children
North Carolina) http://www.ncchild.org
County Health Rankings (Robert Wood Johnson Foundation/University of
Wisconsin Population Health Institute)
BRFSS http://www.schs.state.nc.us/data/brfss/survey.htm
Obesity and Overweight Map-NC Health Atlas Maps-BRFSS http://
www.schs.state.nc.us/data/hsa/brfss.htm
NC-PASS map http://www.eatsmartmovemorenc.com/Data/Texts/
NC Center for Health Statistics-www.schs.state.nc.us
North Carolina Injury and Violence Branch http://www.injuryfreenc.ncdhhs.gov/
DataSurveillance/DataSurveillanceIndex.htm
NC Vital Records-vitalrecords.dhhs.state.nc.us
Robeson County Health Department
460 Country Club Road
Lumberton NC 28360 • Phone: 910-671-3200 • Fax: 910-608-2120
Website: http://publichealth.southernregionalahec.org/Robeson/index.htm
SOTCH Compiled By:
Niakeya Jones, MSM
Health Education Director
Robeson County Health Department
State of the County‘s Health
Presented By
Robeson
County Health
Department
EVERYWHERE. EVERYDAY. EVERYBODY.
20
Purpose
This document provides a
review of the priority health
issues determined during the
2011 Community Health
Assessment compiled and
published by Healthy Robeson.
Over the past few years, Healthy
Robeson, the Robeson County
Health Department and other
community partners have worked
to address several community
concerns. This document
summarizes the status of our
combined efforts.
Healthy Robeson
In 2011 the Robeson County
Partnership for Community Health, a
certified Healthy Carolinians Task
Force since 1997, initiated a phase of
organizational restructuring. As a
result, the group of instrumental
community stakeholders has adopted a
new name, mission and vision
statement. Re-named “Healthy
Robeson”, the mission is “to improve
population health in Robeson County”
and the vision is “to be the healthiest
county in North Carolina.” In order to
successfully fulfill the mission, Healthy
Robeson depends on the
community's input when it comes to
identifying health priorities. In turn,
Healthy Robeson uses the priorities to
aid in designing action plans to
encourage a more collaborative
approach to addressing the identified
health issues.
2
“Individual commitment to a
group effort -- that is what
makes a team work, a
company work, a society
work, a civilization work.”
Co–Chairmen
William Smith
Robeson County
Health Department
Morris Bullock
Southeastern Health
LIGHT (Life skills, Inspiration, God’s will, His word & our Talents)
Project
The Light Project is a Chronic Disease and Diabetes Self-Management education
prevention program targeting minorities through the provision of a 12 week
workshop-based curriculum focusing on lifestyle change, with an emphasis on diet
modifications, and exercise, which is conducted through partnerships with local
churches. One Health Educator and one Parish Nurse are available to teach the
curricula, check blood pressures, and test blood glucose levels. From July to
November 2013 Project LIGHT was conducted at Zion Hill Baptist church. There
were 23 participants enrolled in the Chronic Disease Curriculum and 14
participants in the Diabetes Curriculum. During the Chronic Disease Curriculum
the total weight loss was 18.4 lbs. During the Diabetes Curriculum the total weight
loss was 19.8 lbs. Total weight loss combined for both curriculums was 38.2 lbs.
Additionally, in 2013 Project LIGHT formed a community advisory council and recently enrolled a second church (Union Chapel Holiness Methodist).
Active Routes To Schools
The North Carolina Division of Public Health (Community and Clinical
Connections for Prevention and Health Branch) and the North Carolina
Department of Transportation are partnering to offer a new project: Active Routes
to School. The goal of the project is to increase the number of North Carolinians
that meet the physical activity recommendations by increasing the number of
elementary and middle school students who walk and bike to school. Each
Community Transformation Grant Project (CTGP) region with the inclusion of
Wake and Mecklenburg Counties, received funding to hire one full-time Active
Routes to School Project Coordinator to implement the project in their region for
3 years. The Project Coordinator will work with the regional CTGP Active Living
Lead to coordinate project implementation in their respective regions. Robeson
County will serve as the lead for the Active Routes To School initiative for
Region 8.
Operation Medicine Drop
In 2012 Safe Kids and the Substance Abuse Coalition coordinated the placement of
a permanent prescription drug drop off box at the Robeson County Sheriff’s
Department. An additional box was purchased in 2013 and will be placed in the
newly built Lumberton Police Department. All expired or unused medications
except for liquids or needles can be dropped off at any time of the day or night.
Also, in 2013 two Operation Medicine Drop events were held and a total of 42,784
pills were collected during these take back programs.
Palmer Drug Prevention
In October 2013 Dr. Robin Cummings, a Pembroke native and the deputy
Secretary of Health Services for the N.C. Department of Health and Human
Services spoke at the 16th annual Red Ribbon kick-off luncheon held by Palmer
Prevention and the Robeson County Sheriff's Department. Dr. Cummings
presented state, regional and local data on the causes of unintentional poisoning
deaths. Additionally, he informed the community about the state actions to improve the Controlled Substance Reporting System.
19
Addressing Health Priorities in Robeson
Robeson’s Health Priorities
Obesity Prevention (Physical Activity & Healthy Eating)
Substance Misuse and Abuse (Tobacco, Alcohol & Prescription Drugs)
Community Transformation Grant Project CTGP
In 2012, the North Carolina Division of Public Health (DPH) was awarded
Community Transformation Grant Project (CTGP) funding to implement
policy, systems and environmental changes that support tobacco free living,
active living, healthy eating and high impact evidence-based clinical preventive
services over a five-year period. DPH funded all public health regions across
the State. Our multi-county collaborative includes Bladen, Brunswick,
Columbus, Duplin, New Hanover, Onslow, Pender, Robeson & Sampson
Counties. Robeson serves as the CTGP Lead for Region 8.
In 2013 Region 8 CTGP had the following outcomes: formed regional
collaborative with members representing agencies, community champions, and
partners from 9 county service areas; established memoranda of
understanding with local health departments in each of the 9 county region;
established 3 JUAs (joint use agreements) to increase access to physical activity
and healthy eating opportunities in the region; established smoke free/tobacco
free policies at 50+ multi-unit housing properties in the region; initiated smoke
free/tobacco free policy change with 5 community colleges in the region;
initiated smoke free/tobacco free policy change with government buildings/
grounds in 1 county in the region; and partnered with 3 regional AHECs to
develop a resource directory for providers of community supports for
individuals identified with high blood pressure/cholesterol, and tobacco use.
In 2011 a Community Health Assessment (CHA) team was
established. The team was comprised of individuals from Healthy
Robeson and the community. The Community Health Assessment
team actively participated in the community health assessment
process by providing input, developing a survey, and distributing it
to various groups within Robeson County. Additionally, after all
the surveys were collected, tabulated and analyzed, the team
reviewed the survey results and health statistics and identified
priority health issues of concern for the county’s residents.
Priorities were selected based upon magnitude, seriousness of
consequences and feasibility of correcting the problem. The CHA
Team agreed to work on the following two priority areas:
(1) Obesity and (2) Substance Misuse/Abuse. These priority areas
were selected because the community indicated on the 2011
CHA that their number one health concern is chronic disease,
number two is drugs/alcohol and number three is obesity.
Because obesity is a major risk factor for chronic diseases, the
team opted to focus on prevention first. Below is a diagram of
Robeson County’s selected priorities.
Robeson County Priorities
Additionally, Region 8 CTGP provided funding through contracts and MOUs to
pilot: a “Healthier Corner Store Initiative” in a food desert in the region; to
enhance 7 Farmers Markets in the region; to support health component
incorporation in comprehensive plans in 10 counties/municipalities; and, to
develop/establish a regional website.
Priority 1
Obesity
Girls on the Run/ Girl on Track
The mission of the Girls on the Run ® (GOTR) is to inspire girls to be joyful,
healthy and confident using a fun, experienced-based curriculum which
creatively integrates running. GOTR® is a life changing, experiential learning
program for girls age eight to thirteen years old. The programs combine
training for a 3.1 mile running event with self-esteem enhancing, uplifting
workouts. Girls on the Run incorporates physical activity to teach very specific
and well defined social and personal skills. Research validates that the
development of these skills prevents at risk activities which include substance/
alcohol use, eating disorders, early onset of sexual activity, sedentary lifestyle,
depression, suicide attempts and confrontations with the juvenile justice system.
In 2013 Townsend Middle joined Littlefield Middle as a second site. Since
implementation of GOTR in Robeson (2012) a total of 54 Girls participated in
the program.
18
Healthy
Eating
3
Active
Living
Priority 2
Substance
Misuse & Abuse
Prescription
Drugs
Tobacco
Alcohol
Healthy North Carolina 2020 Objectives
Every 10 years since 1990, North Carolina has set decennial health objectives with the
goal of making North Carolina a healthier state. One of the primary aims of this
objective-setting process is to mobilize the state to achieve a common set of health
objectives. North Carolina had more than 100 objectives for the year 2010. Although
these objectives formed a comprehensive list of health indicators, the large number of
them made it difficult to focus attention on key objectives that could lead to overall
health improvement. Thus, one of the goals of the Healthy NC 2020 project was to
develop a limited number of health objectives. There are 40 objectives within 13 specific
focus areas for the year 2020. Reaching the 2020 objectives and targets will be a
statewide initiative, and success is possible only through concerted and coordinated
state, regional, and local efforts. The Healthy NC 2020 objectives are intended to
provide motivation, guidance, and focus for public health activities throughout the state.
Below and on the following page are NC 2020 objectives. The objectives with checks
are the ones Robeson county will work on for the next three years. The
process of selecting these objectives is defined on page 5 of this document.
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Robeson’s Emerging Health Concerns
Parents with Children and Youth with
Special Health Care Needs (CYSHCN)
experience a complex system of
uncoordinated services. The aim of the
Innovative Approaches (IA) initiative is
to thoroughly examine and foster
improvement for community-wide
systems of care that will effectively
meet the needs of families of children
and youth with special health care
needs, resulting in increased family
satisfaction with services received and
improved outcomes for children and
youth with special health care needs. Innovative Approaches uses a
systems change approach rather than a program based approach to
address community improvements for families of CYSHCN. Systems
change is the core of Innovative Approaches.
According to the Comprehensive Community Initiative, “Systems
change is a shift in the way that a community makes decisions about
policies, programs, and the allocation of its resources, usually through
regulations, procedures, and protocols set down in formal written
documents, and ultimately, in the way it delivers services to its citizens.
To undertake systems change, a community must build collaborative
bridges among multiple agencies, community members, and other
stakeholders”.
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To bring about community change, the IA initiative encourages an
ongoing and comprehensive analysis to identify all the policies, both
formal and informal, that impact how services are provided, and then
to revise those that pose barriers to the system of care for CYSHCN,
or to create new more supportive policies, procedures, or practices.
IA engages decision-makers to look at the total service delivery system,
identifying gaps, duplication, and overlaps in services. Working from
this information, leaders of the IA initiative can set up mechanisms to
facilitate inter-agency communication and coordination; such as wrap
around services, joint decision making, unified assessment and intake
processes, and shared information systems. These system
improvements will help ensure that families of CYSHCN encounter a
seamless path through the services they need.
The Robeson County Department of Public Health is one of five local
health departments awarded a Innovative Approaches grant from the
NC Division of Public Health Children and Youth Branch.
4
17
2007-2011
Ten Leading Causes of Death
Rates per 100,000 Population
# OF
DEATHS
DEATH
RATE

State Center for Health Statistics
Rank
CAUSE OF DEATH:TOTAL
DEATHS --- ALL CAUSES
5,949
1002.5
1
Diseases of the heart
1,321
226.7
2
Cancer - All Sites
1,224
197.4
3
Diabetes mellitus
288
48.8
4
Cerebrovascular disease
267
47.1
5
Alzheimer's disease
224
43.8
6
Chronic Lower Respiratory Diseases
242
41.7
7
Unintentional Motor Vehicle
Injuries
235
36.4
8
Nephritis, nephrotic syndrome, &
nephrosis
177
31.1
9
Other Unintentional injuries
178
28.6
10
Homicide
143
22.1
This map shows the 2007-2011 Age Adjusted Coronary Heart Disease Death
Rates by N.C. counties. Robeson County heart disease death rate during this
time frame was 226.7. Robeson’s death rate during the years of 2002-2006
was 297.9 this is a decrease of 71.2. In 1993 Southeastern Health, our local
hospital entered into a partnership with Duke University Medical Center,
which gave the hospital’s heart center two life-care vehicles and a
catheterization lab. This partnership was established in an effort to treat the
“tremendous heart disease problem” in Robeson County.
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5
Robeson County At-A-Glance
Demographics
 2012 population estimate135,496
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2012 demographic makeup39% Native American,
27%,White, 24.7% black, and
8.2 of Hispanic ethnicity
Economic and Social Data
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Rate
Age
Number
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2010-2011 Drop Out Rate:
Robeson-3.48%, N.C-3.43%
compared to 2006 – 2007 rate of
Robeson-6.46% , N.C 5.27%.
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Bachelor's degree or higher, percent of
persons age 25+ (2007-2011),
Robeson –12.5% , N.C -26.5%
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Annual Measurable Objectives (AMO)
are targets set for student attendance,
graduation rates and performance on
state standardized tests. In 2011-2012
our district met only 50 of the 79
targets or 63%
Harnett
Hoke
Lee
Montgomery
Moore
Richmond
Robeson
Scotland
Regional
State
157.6
93.4
211.1
101.2
167.9
253.2
267.9
164.5
191.4
127.7
0-14
15-24
25-34
35-44
45-54
55-64
65+
10
60
70
61
75
38
49
Sex
Number
Male
Female
146
217
37,898 residents received food
and nutrition services (June
2013). There was a net gain of
11,926 participants from
January 2005– June 2013
The four-year cohort high school
graduation rate reflects the percentage
of ninth graders who graduated from
high school four years later. Robeson
cohort rate –82.6% , N.C –80.2%
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Average sum of Critical Reading and
Mathematics SAT scores (out of 1600)
Robeson-849, NC-997
Unemployment rate (July 2013)
Robeson-13.3, NC– 8.8
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Children enrolled in the free
and reduced lunch program
(2011-2012) Robeson 83.8%,
NC– 56%
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9.8% of children 0-18 (2nd
highest in NC) & 25.4% of
adults 19-64 were uninsured in
2011.
6
County
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Education
Persons below poverty level,
percent, (2007-2011) Robeson30.6% NC-16.1%
Per capita income in the past
12 months (2007-2011)
Robeson-$15,689, NC-$25,256
Percent of total population
enrolled in Medicaid (2010)
Robeson-39.5, NC-22.2
43.1% of children living in
poverty in 2011– highest in
NC.
In October 2013, WIC was at
94.15% of its base caseload
(Base caseload is 5,313. WIC
serves an average of 5002
participants per month).
Hospital Discharges Due to Acute Poisoning from Drugs
in Robeson County
(2011 North Carolina Injury and Violence Branch )
Crime
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Homicides, 2007-2011(Deaths per
100,000 [age-adjusted]) Robeson rate
22.1, NC-6.3, US-5.3. Robeson has
the second highest homicide rate in
NC. A neighboring county - Scotland has the highest rate of 23.6
Health Data
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life expectancy (2009-2011) Robeson –
age 74.3 NC– age 78
Persons per primary care physician
(2011) Robeson-1,594 NC-1,158
Persons per primary care nurse
practitioners and physician assistants
(2011) Robeson-926, NC-714
The hospital discharge rate due to acute drug poisonings in 2011 was
the highest in Robeson County compared to all other counties in the
region, and was twice the state rate. Sixty Percent of the discharges
due to acute drug poisonings were females.
Emergency Department Admissions Due to Acute
Poisoning from Drugs, Robeson County
(2011 North Carolina Injury and Violence Branch )
County
Rate
Age
Number
Harnett
Hoke
Lee
Montgomery
Moore
Richmond
Robeson
Scotland
Regional
State
124.9
119.7
211.1
112.0
205.9
175.9
206.6
449.0
190.3
167.9
0-14
15-24
25-34
35-44
45-54
55-64
65+
61
46
43
42
35
28
25
Sex
Number
Male
Female
112
168
The rate of ED visits in Robeson county due to acute drug poisonings
in 2011 was higher than the state rate but lower than some of the
other counties in the region. Nearly 40% of visits to the ED for acute
poisonings from drugs involved residents under the age of 24.
15
Number of Unintentional Drug-Related Overdose
Deaths By Year, Robeson County, N.C.,
(2003-2012 North Carolina Injury and Violence Branch )
Robeson County At-A-Glance
Health Data Continued
 Persons per registered nurse (2011)
Robeson-146, NC-101
 Persons per dentist (2011)Robeson5,019, NC-2,296
 2011 Hospital use rate (per1,000
population)Robeson-167, NC-114
 Percent of Births to Medicaid
Mothers (2010) Robeson-83.0, NC53.8
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The pregnancy rates for ages 15-19
decreased from 98.7 in 2009 to 61.8
in 2012, which is a 36.9 decease. In
2012 the pregnancy rate was 31.5 for
ages 15 to 17 and 100.4 for ages 18
and 19.
In 2012, 18 and 19 year olds
accounted for 71.4% of all teenage
pregnancies in Robeson county.
See graph below
As shown above, the number of unintentional drug-related overdose
deaths in Robeson county peaked in 2011.
Unintentional Drug-Related Overdose Death by Age,
Race, and Sex in Robeson County
(2003-2012 North Carolina Injury and Violence Branch )
Race
Number
Age
Number
White
34
0-14
0
African American
7
15-24
8
American Indian
59
25-34
27
Asian
0
35-44
23
Other/Unknown
0
45-54
55-64
Sex
Number
65+
31
5
4
Male
48
Female
52
During the time frame of 2003-2012 59% of the unintentional
drug-related deaths in Robeson County were in American Indians
(n=59) and of all these American Indian drug overdose deaths,
62% percent were female (n=37).
14
Adolescent Pregnancy Prevention Campaign of NC
How do social and economic factors affect the community’s health?
A person’s income, wealth, educational achievement, race and ethnicity,
workplace, and community can have profound health effects. These social
determinants are among the best predictors of health status. People with
higher incomes or personal wealth, more years of education, and who live in
healthy and safe environments have, on average, longer life expectancies and
better overall health outcomes. Conversely, those with fewer years of
education, lower incomes, less accumulated wealth, living in less safe
neighborhoods, or substandard housing conditions have worse health outcomes.
Identifying and creating policies and interventions aimed at reducing disparities
(whether they are related to income, education, or race and ethnicity) will aid in
improving the health of Robeson County.
7
Unintentional Poisoning Deaths for Select Locations and the
Percent that are Drug/Medication-Related Overdoses
(2003-2012 North Carolina Injury and Violence Branch )
Robeson County At-A-Glance
2013 County Health Rankings
The 2013 County Health Rankings report ranks North Carolina
counties according to their summary measures of health outcomes and
health factors. Those having high ranks (e.g., 1 or 2) are estimated to
be the “healthiest.” Health outcomes represent how healthy a county is
while health factors represent what influences the health of the county.
Region
Rank
1
2
3
4
5
Health Outcomes
Health Factors
Rank
County
Rank
County
95
Vance
95
Halifax
96
Swain
96
Vance
97
Robeson
97
Richmond
98
Bladen
98
Edgecombe
99
Halifax
99
Scotland
100
Columbus
100
Robeson
Health outcomes
rankings are based on
an equal weighting of
mortality and morbidity
measures.
Health factors rankings
are based on weighted
scores of four types of
factors: behavioral,
clinical, social and
economic, and
environmental.
6
7
8
National
Benchmark*
NC
Health Outcomes
Drug-related
Richmond
Scotland
Lee
Montgomery
82
40
63
27
17.8
11.0
11.0
9.8
91%
93%
87%
93%
Harnett
Moore
Robeson
Hoke
Regional
State
101
79
113
33
538
9,333
9.2
9.3
8.7
7.6
10.1
10.2
87%
86%
88%
91%
89%
92%
The thirteen remaining unintentional poisoning deaths that were not
related to drugs/medications were due to: Alcohol (9 deaths), Gases or
other vapors (3 deaths) & Other chemicals or substances like glue, paint,
soap (1 death).
Leading Causes of Unintentional Drug-Related
Overdose Death, Robeson County
(2003-2012 North Carolina Injury and Violence Branch )
Rank
(of 100)
98
11,614
7,480
5,317
Morbidity
93
Poor or fair health
27%
18%
10%
Poor physical health days
4.8
3.6
2.6
Poor mental health days
3.9
3.4
2.3
Low birth weight
11.1%
9.1%
6.0%
8
Rate
97
Mortality
Premature death
Number
During the time frame of 2003-2012, 88% of Robeson County
unintentional poisonings deaths were drug/medication-related.
Sixty-five percent were due to narcotics and hallucinogens (Methadone,
Cocaine, Lysergide (LSD), Codeine, Morphine &Heroin)
In 2012 Robeson County ranked number 99 in health factors and 100
in health outcomes out of 100 counties in North Carolina. In 2013
Robeson is ranked number 97 in health factors and remains 100 in
health outcomes. The chart below and on the following page
summarizes the outcomes.
Robeson
County
In Robeson County Cocaine contributed to the most unintentional
overdose deaths (n=40). Opioid analgesics (methadone, other
opioids, synthetic narcotics) contributed for a total of 55 deaths .
13
Percentage of People Exposed to Secondhand Smoke in the Workplace in the Past Seven Days North Carolina & Robeson County vs.
HNC 2020 Target
Workplace secondhand smoke
exposure estimates are based
on self-reported responses to
the question: "On how many
of the past seven days, did
anyone smoke in your indoor
workplace while you were
there?" This question is only
asked of respondents who are
employed for wages or
self-employed and those who
report working indoors most of
the time.
2008 & 2009 Behavioral Risk
Factor Surveillance Survey
The graph above shows the percentage of people exposed to secondhand smoke in the
workplace in the past seven days. In 2008 Robeson County had 22.6 percent exposed and
in 2010 this percent decreased to 14.6. The decrease can be attributed to the N.C. General
Statute 130A-497, otherwise known as North Carolina’s Smoke-Free Restaurants and Bars
Law that was implemented on January 2, 2010. Robeson’s 2010 percentage is still higher
than North Carolina’s percentage . The Healthy NC goal for 2020 is 0 percent exposure.
Crashes that Involved Alcohol, 2007-2011, North Carolina Alcohol
Facts (NCAF)
Robeson
National
Benchmark*
NC
Health Factors
100
Health Behaviors
100
Adult smoking
26%
21%
13%
Adult obesity
41%
29%
25%
Physical inactivity
39%
25%
21%
Excessive drinking
9%
13%
7%
Motor vehicle crash death rate
38
17
10
Sexually transmitted infections
761
441
92
Teen birth rate
77
46
21
Uninsured
27%
19%
11%
Dentist
2,401:1
1,480:1
1,067:1
Primary care physicians
5,543:1
2,171:1
1,516:1
Preventable hospital stays
99
63
47
Diabetic screening
82%
88%
90%
Mammography screening
63%
69%
73%
Clinical Care
99
Social & Economic Factors
98
High school graduation
83%
80%
Some college
40%
62%
70%
Unemployment
13.9%
10.5%
5.0%
Children in poverty
43%
25%
14%
Inadequate social support
30%
21%
14%
Children in single-parent
households
57%
35%
20%
Violent crime rate
924
411
66
Physical Environment
75
Total Crashes
Alcohol Involved Crashes
Percent Alcohol Involved
12.9
8.8
16,737
1,195
7.1%
Air pollution-particulate matter
days
13.1
Robeson
NC
1,070,442
56,548
5.3%
Air pollution-ozone days
0%
3%
0%
Access to recreational facilities
7
11
16
Limited access to healthy foods
6%
7%
1%
Fast food restaurants
55%
49%
27%
The map and chart above shows the crashes that involved alcohol in North Carolina from
2007-2011. Robeson County had 16,737 during this time frame and 7.1 percent of those
crashes were alcohol related. This percent is higher than North Carolina’s and is in the
highest range for the state of NC.
12
Rank
(of 100)
9
Robeson’s Health Priorities & Trends:
Obesity Prevention (Physical Activity & Healthy Eating)
Percentage of Adults that Consume the Recommended Amount of Fruits and
Vegetables and Get the Recommended Amount of Physical Activity Per Day North
Carolina & Robeson County vs. HNC 2020 Target
Percentage of people who
responded yes when asked if
they consumed five or more
servings of fruits or
vegetables per day. Adults
are counted as meeting the
recommendation if they
indicate that they engage in
moderate physical activity
for 30 or more minutes per
day, five or more days per
week or vigorous physical
activity for 20 or more
minutes per day, three or
more days per week.
Percent of North Carolina Adults Who Are Overweight or Obese BMI* >25 by
Area Health Education Center (AHEC) Regions,
2011 NC Health Atlas Maps-Behavioral Risk Factor Surveillance System
60.3
60.4-62.4
62.5-65.0
65.1-71.4
Obesity increases an individual's risk for a host of chronic diseases, including heart disease,
stroke, and certain cancers. It also increases the risk for premature death. The map above
shows the percent of North Carolina Adults who have a body mass index greater than 25
(overweight or obese) by Area Health Education Center (AHEC) Regions. The Southern
Region has 71.4 percent of adults that are overweight or obese. This is the highest
percentage in North Carolina.
2009 Behavioral Risk
Factor Surveillance Survey
The graph above shows the percentage of adults that consume the recommended amount of
fruits and vegetables per day and receive the recommended amount of physical activity per day.
Robeson County percentages in both areas are lower then the state’s percentages. The 2020
target for fruits and vegetables intake is 29.3% and physical activity is 60.6%.
Robeson’s Health Priorities & Trends:
Substance Misuse and Abuse
(Tobacco, Alcohol & Prescription Drugs)
Percentage of Obese1 Children, 2 - 4 Years of Age 2011 NC-NPASS
(NC Nutrition and Physical Activity Surveillance System)
Percentage of Adults Who Are Current Smokers North Carolina & Robeson County
vs. HNC 2020 Target
Current smoking prevalence
represents the percent of survey
respondents who report that they
currently smoke "every day" or "most
days" and have smoked at least 100
cigarettes in their lifetime.
2010 Behavioral Risk
Factor Surveillance Survey
The map above shows the geographic distribution of obesity by county. NC Nutrition and
Physical Activity Surveillance System (NC-PASS) provides data for children seen in public
health sponsored WIC and child health clinics, as well as some school based health centers.
In 2011 the percent of children reported obese in Robeson County was 21%. Out of 100
counties Robeson is ranked number 95 for childhood obesity in NC.
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The graph above shows the percentage of adults who are current smokers. Robeson County’s
percentage of 24.8% is higher than the state percentage of 19.8%. The Healthy NC goal for 2020
is to decrease North Carolina’s percentage of adult smokers to 13%.
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