41-County Eastern North Carolina Compared to the Rest of the State, 2009 (revised 02/17/12)

In 2009, 20.8% of Eastern North Carolinians reported their health as “poor or fair” compared to 17.04% of citizens in the rest of the state.1

Age-adjusted death rates are substantially greater in Eastern North Carolina than the rest of the state for virtually all major causes of death.2

  • Heart disease mortality is 14% greater
  • Cancer (all sites) mortality is 8% greater
  • Lung cancer mortality is 9.4% greater
  • Colon cancer mortality is 4.7% greater
  • Diabetes mortality is 34% greater
  • Stroke mortality is 7% greater
  • COPD mortality is 6.4% less
  • Unintentional motor vehicle injuries mortality is 37.6% greater
  • Other Unintentional injuries mortality is 4.4% greater
  • Homicide is 42.0% greater
  • Nephritis, nephrotic syndrome, and nephrosis mortality is 15.6% greater
  • Septicemia mortality is 7% greater
  • Pneumonia and influenza mortality is 4% less
  • Suicide is 2.4% less

In terms of premature mortality (i.e., years of life lost before age 75), the 2007 US data3 indicate North Carolina ranks 38th among the 50 states.

If the 41-county Eastern North Carolina region were a state, it would rank 45th; above Oklahoma, Arkansas, West Virginia, Alabama, Louisiana, Mississippi, and the District of Columbia.  If the rest of North Carolina (59 counties) were considered alone, it would rank 32nd, with a rate most similar to Maryland’s.

The rates and ranks for 2007 are as follows:

RegionRateRank
Minnesota516.31st
The rest of NC (59 counties)753.132nd
NC803.338th
ENC (29 counties)929.445th
ENC (41 counties)933.345th
Mississippi1078.851st
District of Columbia1101.9(worse than any state)
United States708.7

1 North Carolina Behavioral Risk Factor Surveillance Survey, 2009.  95% CIs for Eastern NC and Rest of NC are 18.0 – 23.9 and 15.7 – 18.4, respectively.

2 Mortality rates per 100,000 for the year 2009 and age-adjusted to the US 2000 standard million (from NC SCHS’s Vital Statistics accessed via UNC—Chapel Hill’s Odum Institute).

3 Premature mortality (before age 75) rates per 10,000 for the year 2007 and age-adjusted to the US 2000 standard million (from NCHS’s Compressed Mortality Files 1999-2007).