Chowan County 2019 Community Health Needs Assessment 1 Acknowledgements This report is the culmination of significant work led by Albemarle Regional Health Services and Vidant Chowan Hospital, in conjunction with key stakeholders from the community. Support of this document was also provided by many other entities. Our CHNA Leadership Team greatly appreciates the help of our vital community stakeholders. 2 Table of Contents List of Figures .................................................................................................................................. 6 List of Tables .................................................................................................................................... 8 Executive Summary .......................................................................................................................... 9 Service Area ...................................................................................................................................................... 9 Methods for Identifying Community Health Needs ............................................................................................ 9 Secondary Data ..................................................................................................................................................... 9 Primary Data ......................................................................................................................................................... 9 Summary of Findings ...................................................................................................................................... 10 Selected Priority Areas .................................................................................................................................... 10 Conclusion ...................................................................................................................................................... 10 Introduction .................................................................................................................................... 11 About Health ENC ............................................................................................................................................ 11 Member Organizations ........................................................................................................................................ 12 Steering Committee ............................................................................................................................................. 13 HealthENC.org ................................................................................................................................................. 15 Consultants ..................................................................................................................................................... 16 Community CHNA Collaborative ...................................................................................................................... 17 Community Health Team Structure ..................................................................................Error! 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Distribution ..................................................................................................................................................... 17 Methodology ................................................................................................................................... 18 Overview ......................................................................................................................................................... 19 Secondary Data Sources & Analysis ................................................................................................................. 19 Health and Quality of Life Topic Areas ............................................................................................................ 20 Health ENC Region Comparison ...................................................................................................................... 20 Primary Data Collection & Analysis ................................................................................................................. 20 Community Survey .............................................................................................................................................. 21 Focus Group Discussions ..................................................................................................................................... 24 Data Considerations ........................................................................................................................................ 25 Prioritization .................................................................................................................................................. 26 Overview of Chowan County ............................................................................................................ 27 About Chowan County ..................................................................................................................................... 27 Demographic Profile ....................................................................................................................................... 28 Population .......................................................................................................................................................... 28 Age and Gender ................................................................................................................................................... 30 Birth Rate ............................................................................................................................................................ 32 Race/Ethnicity ..................................................................................................................................................... 32 Tribal Distribution of Population ......................................................................................................................... 34 Military Population ............................................................................................................................................. 34 Veteran Population.............................................................................................................................................. 35 Socioeconomic Profile ..................................................................................................................................... 36 NC Department of Commerce Tier Designation .................................................................................................... 36 Income ................................................................................................................................................................ 36 Poverty ................................................................................................................................................................ 39 Housing .............................................................................................................................................................. 41 Food Insecurity ................................................................................................................................................... 44 SocioNeeds Index ................................................................................................................................................ 45 Educational Profile ......................................................................................................................................... 47 Educational Attainment ....................................................................................................................................... 47 High School Dropouts .......................................................................................................................................... 49 High School Suspension Rate ............................................................................................................................... 50 Environmental Profile ...................................................................................................................................... 51 Transportation Profile .................................................................................................................................... 52 Crime and Safety ............................................................................................................................................. 54 Violent Crime and Property Crime ....................................................................................................................... 54 Juvenile Crime .................................................................................................................................................... 56 3 Child Abuse ......................................................................................................................................................... 58 Incarceration ...................................................................................................................................................... 59 Access to Healthcare, Insurance and Health Resources Information