Duplin County 2019 Community Health Needs Assessment 1 Table of Contents List of Figures ................................................................................................................................................................................. 5 List of Tables ................................................................................................................................................................................... 7 Executive Summary ........................................................................................................................................................................ 8 Service Area ....................................................................................................................................................................................................... 9 Methods for Identifying Community Health Needs ........................................................................................................................................ 9 Secondary Data .......................................................................................................................................................................................................... 9 Primary Data.............................................................................................................................................................................................................. 9 Summary of Findings ...................................................................................................................................................................................... 10 Demographics .......................................................................................................................................................................................................... 10 Socioeconomic .......................................................................................................................................................................................................... 10 Education ................................................................................................................................................................................................................. 10 Health Outcomes ...................................................................................................................................................................................................... 10 Access to Health Services ........................................................................................................................................................................................ 11 Access to Transportation Services .......................................................................................................................................................................... 11 Selected Priority Areas .................................................................................................................................................................................... 12 Conclusion ........................................................................................................................................................................................................ 12 Introduction .................................................................................................................................................................................. 13 Duplin County Health Department and Vidant Duplin Hospital................................................................................................................. 13 Community Health Team Structure ....................................................................................................................................................................... 13 About Health ENC .......................................................................................................................................................................................... 14 Member Organizations ............................................................................................................................................................................................ 15 Steering Committee ................................................................................................................................................................................................. 16 HealthENC.org ................................................................................................................................................................................................ 17 Distribution ...................................................................................................................................................................................................... 17 Evaluation of Progress Since Prior CHNA ................................................................................................................................. 18 Community Feedback on Prior CHNA .......................................................................................................................................................... 18 Methodology .................................................................................................................................................................................. 19 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 ......................................................................................................................................................................................... 25 Data Considerations ........................................................................................................................................................................................ 26 Prioritization .................................................................................................................................................................................................... 27 Overview of Duplin County.......................................................................................................................................................... 29 About Duplin County ...................................................................................................................................................................................... 29 Demographic Profile ....................................................................................................................................................................................... 29 Population ................................................................................................................................................................................................................ 29 Age and Gender ....................................................................................................................................................................................................... 31 Life Expectancy at Birth ......................................................................................................................................................................................... 32 Birth Rate ................................................................................................................................................................................................................. 32 Race/Ethnicity .......................................................................................................................................................................................................... 32 Military Population ................................................................................................................................................................................................. 33 Veteran Population .................................................................................................................................................................................................. 33