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Center for Health Systems Research & Development


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Regional Health Status:
Eastern North Carolina Compared to the Rest of the State, 2006 (rev. 03/11/08)

The eastern region of North Carolina continues to be less healthy than the rest of the state. In 2006, 20.0 % of Eastern North Carolinians reported their health as "poor or fair" compared to 17.0% of citizens in the rest of the state.1 Age-adjusted death rates are substantially greater in the 41-county Eastern North Carolina region than the rest of the state (59 counties) for virtually all major causes of death.2

Cause of Death
ENC41 to RNC59
ENC29 to RNC71
All Causes
10% greater
8% greater
Heart Disease
20% greater
13% greater
-Coronary Heart Disease
24% greater
12% greater
Cancer All Sites
8% greater
9% greater
-Cancer Trachea, Bronchus, Lung
6% greater
4% greater
-Cancer Colon, Rectum, Anus
8% greater
16% greater
-Cancer Female Breast
18% greater
18% greater
-Cancer Prostate
27% greater
27% greater
-Cancer Cervical
61% greater
27% greater
Stroke
6% greater
8% greater
COPD
6% lesser
11% lesser
Diabetes Mellitus
43% greater
29% greater
Other Unintentional Injuries
3% lesser
5% lesser
Unintentional Motor Vehicle Injuries
48% greater
21% greater
Nephritis, nephrotic syndrome, nephrosis
20% greater
8% greater
Pneumonia and Influenza
22% lesser
8% lesser
Septicemia
19% greater
21% greater
Suicide
10% lesser
same
Homicide
36% greater
12% greater
HIV
44% greater
51% greater

In terms of premature mortality (i.e. years of life lost before age 75), the 2004 US data3 indicates North Carolina ranks 40th among the 50 states. With the exception of Virginia, North Carolina ranks above the other southern states (including Oklahoma).

If the 41-county Eastern North Carolina region were a state, it would rank 47th and would rank above Arkansas, Alabama, Mississippi, Louisiana, and the District of Columbia. If the rest of North Carolina (59 counties) were considered alone, it would rank 34th, with a rate most similar to Maryland's.

The rates and ranks for 2004 are as follows:



Rate

Rank
 
Minnesota  
526.7
 
1st

The rest of NC (59 counties)  
777.6
 
34th

NC  
829.5
 
40th
 
ENC (41 counties)  
955.7
 
47th

ENC (29 counties)  
970.2
 
48th
 
Louisiana  
1064.1
 
51st
 
District of Columbia  
1252.1
 
(worse than any state)
 
United States  
726.9
 

         

1 North Carolina Behavioral Risk Factor Surveillance Survey, 2006. Statistically significant at p=.05, 95% CIs for Eastern NC and Rest of NC are 18.6 - 22.5 and 16.1 - 18.0, respectively.
2 Mortality rates per 100,000 for the year 2006 and age-adjusted to the US 2000 standard million (from NCHS's Compressed Mortality Files 1999-2004).
3 Premature mortality (before age 75) rates per 10,000 for the year 2004 and age-adjusted to the US 2000 standard million (from NCHS's Compressed Mortality Files 1999-2004).