Bertie County 2019 Community Health Needs Assessment 1 Acknowledgements This report is the culmination of significant work led by Albemarle Regional Health Services and Vidant Bertie Hospital / Vidant Health, in conjunction with key stakeholders from the community: Teresa Beardsley Amanda Betts Kia Boone Erin Brabble Dana Byrum Allen Castelloe Kathy Copeland Sara Davidson Crystal Dempsey Dr. Catherine Edmonds Caroline Edwards Judith Garrett Brian Harvill Kelly Herr Lewis Hoggard LuAnn Joyner Liza Layton Tammy Lee Melissa Roupe Scott Sauer Wanda Stallings Amy Underhill Ron Wesson Brian White Support of this document was also provided by many other entities. Albemarle Regional Health Services and Vidant Bertie Hospital / Vidant Health greatly appreciates the help of our vital community stakeholders. 2 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 ............................................................................................................. 11 Selected Priority Areas ........................................................................................................... 11 Conclusion ............................................................................................................................... 11 Introduction ................................................................................................................................. 12 About Health ENC .................................................................................................................. 12 Member Organizations ....................................................................................................... 13 Steering Committee ............................................................................................................ 14 HealthENC.org ........................................................................................................................ 16 Consultants .............................................................................................................................. 17 Bertie County [Hospital / Health Department / Collaborative].......................................... 18 Community Health Team Structure ................................................................................. 18 Distribution .............................................................................................................................. 18 Evaluation of Progress Since Prior CHNA ............................................................................... 19 Community Feedback on Prior CHNA................................................................................. 19 Methodology ................................................................................................................................ 20 Overview .................................................................................................................................. 20 Secondary Data Sources & Analysis ..................................................................................... 20 Health and Quality of Life Topic Areas ................................................................................ 21 Health ENC Region Comparison .......................................................................................... 21 Primary Data Collection & Analysis ..................................................................................... 21 Community Survey ............................................................................................................. 22 Focus Group Discussions .................................................................................................... 25 Data Considerations................................................................................................................ 27 Prioritization ........................................................................................................................... 27 Overview of Bertie County ......................................................................................................... 28 About Bertie County ............................................................................................................... 28 Demographic Profile ............................................................................................................... 28 Population ............................................................................................................................ 28 Age and Gender................................................................................................................... 30 3 Birth Rate ............................................................................................................................ 33 Race/Ethnicity ..................................................................................................................... 33 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 Employment......................................................................................................................... 46 SocioNeeds Index ................................................................................................................ 46 Educational Profile ................................................................................................................. 48 Educational Attainment ..................................................................................................... 48 High School Dropouts ......................................................................................................... 49 High School Suspension Rate ............................................................................................. 50 Environmental Profile ............................................................................................................ 52 Transportation Profile ............................................................................................................ 53 Crime and Safety..................................................................................................................... 55 Violent Crime and Property Crime................................................................................... 55 Juvenile Crime .................................................................................................................... 57 Child Abuse ......................................................................................................................... 59 Incarceration ....................................................................................................................... 60 Access to Healthcare, Insurance and Health Resources Information ................................ 61 Health Insurance ................................................................................................................. 61 Civic Activity ........................................................................................................................... 63 Political Activity .................................................................................................................. 63 Findings ........................................................................................................................................ 65 Secondary Data Scoring Results ............................................................................................ 65 Primary Data