MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT Roanoke River Martin County NC Martin County Community Health Needs Assessment 2018 MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT 210 West Liberty Street, Williamston, NC 27892 252-793-1620 www.mtwdistricthealth.org Acknowledgements This report is the culmination of significant work led by Martin-Tyrrell-Washington District Health and Vidant Health in conjunction with key stakeholders from the community: David Bone, Martin County Government, County Manager Tim Manning, Martin County Sheriff’s Office Kyndle Nichols, Martin County Cooperative Extension Wes Gray, MTW District Health, Health Director Charmaine Hardison, Martin County Senior Center Billie Patrick, MTW District Health, Health Educator Clay Wagner, Martin County Schools Joan White-Wagner. Martin General Hospital Vickey Manning, MTW District Health, Social Work Hope Eley - Trillium Kirsten Smith, MTW District Health, Health Educator Crystal Dempsey, Vidant Health Corporate Caroline Edwards, Vidant Health Corporate, Intern Kristi Hassell, MTW District Health, Smart Start Nurse Natalie Wiggins, MTW District Health Support of this document was also provided by many other entities. Martin-Tyrrell-Washington District Health greatly appreciates the help of our vital community stakeholders. Martin County Community Health Needs Assessment 2018 1 Table of Contents Acknowledgements ....................................................................................................................................... 1 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 ............................................................................................................................... 9 Conclusion .............................................................................................................................................. 10 Introduction ................................................................................................................................................. 11 About Health ENC.................................................................................................................................. 11 Member Organizations ....................................................................................................................... 12 Steering Committee ............................................................................................................................ 13 HealthENC.org ....................................................................................................................................... 15 Consultants ............................................................................................................................................. 16 Martin County Community CHNA Collaborative ................................................................................. 17 Community Health Team Structure ........................................................................................................ 17 Distribution ........................................................................................................................................ 18 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 ................................................................................................. 19 Health ENC Region Comparison............................................................................................................ 20 Primary Data Collection & Analysis ...................................................................................................... 20 Community Survey ............................................................................................................................ 21 Focus Group Discussions ................................................................................................................... 24 Data Considerations ................................................................................................................................ 25 Prioritization ........................................................................................................................................... 26 Overview of Martin County ........................................................................................................................ 28 About Martin County .............................................................................................................................. 28 Demographic Profile ............................................................................................................................... 28 Population .......................................................................................................................................... 29 Age and Gender .................................................................................................................................. 31 Birth Rate ........................................................................................................................................... 33 Race/Ethnicity .................................................................................................................................... 34 Tribal Distribution of Population ....................................................................................................... 35 Military Population ............................................................................................................................ 36 Martin County Community Health Needs Assessment 2018 2 Veteran Population ............................................................................................................................. 37 Socioeconomic Profile ............................................................................................................................ 38 NC Department of Commerce Tier Designation ................................................................................ 38 Income ................................................................................................................................................ 38 Poverty ............................................................................................................................................... 41 Housing .............................................................................................................................................. 44 Food Insecurity ................................................................................................................................... 46 Employment ....................................................................................................................................... 47 Educational Profile ................................................................................................................................. 49 Educational Attainment ...................................................................................................................... 49 High School Dropouts ........................................................................................................................ 52 High School Suspension Rate ............................................................................................................ 53 Transportation Profile ................................................................................................................................. 54 Crime and Safety .................................................................................................................................... 56 Violent Crime and Property Crime ...................................................................................................