Camden County 2018 Community Health Needs Assessment 1 2 Acknowledgements This report is the culmination of significant work led by Albemarle Regional Health Services, Sentara Albemarle Medical Center, Vidant Chowan Hospital, Vidant Bertie Hospital, Vidant Roanoke Chowan Hospital, and Vidant Health, in conjunction with key stakeholders from the community. Support of this document was also provided by many other entities. Albemarle Regional Health Services, Sentara Albemarle Medical Center, Vidant Chowan Hospital, Vidant Bertie Hospital, Vidant Roanoke Chowan Hospital, and Vidant Health greatly appreciate the help of our vital community stakeholders. Special thanks goes to Amanda Betts for proofing/editing this document. 3 Table of Contents List of Figures ................................................................................................................................... 7 List of Tables .................................................................................................................................... 9 Executive Summary ......................................................................................................................... 10 Service Area .................................................................................................................................................... 10 Methods for Identifying Community Health Needs .......................................................................................... 10 Secondary Data ................................................................................................................................................... 10 Primary Data ....................................................................................................................................................... 10 Summary of Findings ...................................................................................................................................... 10 Selected Priority Areas ..................................................................................................................................... 11 Conclusion ....................................................................................................................................................... 11 Introduction .................................................................................................................................... 12 About Health ENC ............................................................................................................................................12 Member Organizations ........................................................................................................................................ 13 Steering Committee ............................................................................................................................................. 14 HealthENC.org ................................................................................................................................................. 15 Consultants ..................................................................................................................................................... 16 Community CHNA Collaborative ...................................................................................................................... 17 Community Health Team Structure ......................................................................................................................17 Distribution .................................................................................................................................................... 18 Methodology ................................................................................................................................... 19 Overview ......................................................................................................................................................... 19 Secondary Data Sources & Analysis ................................................................................................................. 19 Health and Quality of Life Topic Areas ............................................................................................................ 19 Health ENC Region Comparison ...................................................................................................................... 20 Primary Data Collection & Analysis ................................................................................................................. 20 Community Survey .............................................................................................................................................. 20 Focus Group Discussions ..................................................................................................................................... 24 Data Considerations ........................................................................................................................................ 25 Prioritization .................................................................................................................................................. 26 Overview of Camden County ........................................................................................................... 28 About Camden County ..................................................................................................................................... 28 Demographic Profile ....................................................................................................................................... 29 Population .......................................................................................................................................................... 29 Age and Gender ................................................................................................................................................... 31 Birth Rate ............................................................................................................................................................ 33 Race/Ethnicity ..................................................................................................................................................... 34 Tribal Distribution of Population ......................................................................................................................... 35 Military Population ............................................................................................................................................. 35 Veteran Population.............................................................................................................................................. 36 Socioeconomic Profile ..................................................................................................................................... 37 NC Department of Commerce Tier Designation .................................................................................................... 37 Income ................................................................................................................................................................ 37 Poverty ................................................................................................................................................................ 40 Housing .............................................................................................................................................................. 43 Food Insecurity ................................................................................................................................................... 45 SocioNeeds Index ................................................................................................................................................ 46 Educational Profile ......................................................................................................................................... 48 Educational Attainment ....................................................................................................................................... 48 High School Dropouts .......................................................................................................................................... 50 High School Suspension Rate ............................................................................................................................... 51 Environmental Profile ..................................................................................................................................... 52 Transportation Profile .................................................................................................................................... 53 Crime and Safety ............................................................................................................................................. 55 Violent Crime and Property Crime ....................................................................................................................... 55 Juvenile Crime .................................................................................................................................................... 57 4 Child Abuse ........................................................................................................................................................