Cumberland County 2019 Community Health Needs Assessment 1 Table of Contents List of Figures ................................................................................................................................... 5 List of Tables ..................................................................................................................................... 7 Executive Summary .......................................................................................................................... 8 Service Area ...................................................................................................................................................... 8 Methods for Identifying Community Health Needs ............................................................................................ 8 Secondary Data ..................................................................................................................................................... 8 Primary Data ......................................................................................................................................................... 8 Summary of Findings ........................................................................................................................................ 8 Selected Priority Areas ...................................................................................................................................... 9 Conclusion ........................................................................................................................................................ 9 Introduction .................................................................................................................................... 10 About Health ENC ........................................................................................................................................... 10 Member Organizations ......................................................................................................................................... 11 Steering Committee ............................................................................................................................................. 12 HealthENC.org .................................................................................................................................................13 Consultants ..................................................................................................................................................... 14 Cumberland County Collaborative.................................................................................................................... 15 Community Health Team Structure ..................................................................................................................... 15 Distribution ..................................................................................................................................................... 15 Evaluation of Progress Since Prior CHNA ........................................................................................ 17 Community Feedback on Prior CHNA .............................................................................................................. 17 Methodology ................................................................................................................................... 17 Overview .......................................................................................................................................................... 17 Secondary Data Sources & Analysis .................................................................................................................. 17 Health and Quality of Life Topic Areas ............................................................................................................ 18 Health ENC Region Comparison ...................................................................................................................... 19 Primary Data Collection & Analysis ................................................................................................................. 19 Community Survey .............................................................................................................................................. 19 Focus Group Discussions ..................................................................................................................................... 22 Data Considerations ........................................................................................................................................ 24 Prioritization .................................................................................................................................................. 24 Overview of Cumberland County ..................................................................................................... 27 About Cumberland County .............................................................................................................................. 27 Demographic Profile ....................................................................................................................................... 29 Population .......................................................................................................................................................... 29 Age and Gender ................................................................................................................................................... 31 Birth Rate ............................................................................................................................................................ 33 Race/Ethnicity ..................................................................................................................................................... 34 Tribal Distribution of Population ......................................................................................................................... 35 Military Population ............................................................................................................................................. 36 Veteran Population.............................................................................................................................................. 37 Socioeconomic Profile ..................................................................................................................................... 38 NC Department of Commerce Tier Designation .................................................................................................... 38 Income ................................................................................................................................................................ 38 Poverty ................................................................................................................................................................ 42 Housing .............................................................................................................................................................. 45 Food Insecurity ................................................................................................................................................... 47 Employment ........................................................................................................................................................ 48 SocioNeeds Index ................................................................................................................................................ 49 Educational Profile ......................................................................................................................................... 52 Educational Attainment ....................................................................................................................................... 52 High School Dropouts .......................................................................................................................................... 54 High School Suspension Rate ............................................................................................................................... 55 Environmental Profile ..................................................................................................................................... 56 Transportation Profile .................................................................................................................................... 56 2 Crime and Safety ............................................................................................................................................. 58 Violent Crime and Property Crime ....................................................................................................................... 58 Juvenile Crime .................................................................................................................................................... 61 Child Abuse ......................................................................................................................................................... 63 Incarceration .....................................................................................................................................................