Duplin County 2018 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 Socioeconomic Profile ..................................................................................................................................... 34 NC Department of Commerce Tier Designation .................................................................................................... 34 Income ................................................................................................................................................................ 34 Poverty ................................................................................................................................................................ 36 Housing .............................................................................................................................................................. 39 Food Insecurity ................................................................................................................................................... 40 Employment ........................................................................................................................................................ 41 SocioNeeds Index ................................................................................................................................................ 42 Educational Profile ......................................................................................................................................... 43 2 Educational Attainment ....................................................................................................................................... 43 High School Dropouts .......................................................................................................................................... 44 High School Suspension Rate ............................................................................................................................... 45 Environmental Profile ..................................................................................................................................... 46 Crime and Safety ............................................................................................................................................