HOPE Data by State.
DOMAINSINDICATORSRACE & ETHNICITYSTATES
North Carolina
Select State
How does
North Carolina
Perform on Health Opportunity and Equity?

This graphic illustrates how each state compares to other states across various factors that influence health

HEALTH OUTCOMES
41st
Domain score:
62
SOCIAL & ECONOMIC FACTORS
32nd
Domain score:
65
COMMUNITY & SAFETY FACTORS
28th
Domain score:
52
PHYSICAL
ENVIRONMENT
13th
Domain score:
93
ACCESS TO
HEALTH CARE
45th
Domain score:
22
Key State Highlights.
North Carolina ranks among the bottom five states in health care access, while also facing greater socioeconomic challenges than most states across the nation.
  • Black adults in North Carolina have a higher rate of premature mortality than the state rate for all adults and are least likely to live in areas with low physical assault. Black infants are most likely to be born at a low birth weight and are least likely to live to their first birthday compared to all other groups.
  • American Indian/Alaska Native residents are least likely to have adequate access to primary care providers and have the highest rate of premature mortality for adults. They are also least likely to live in opportunity-rich areas that have low crime rates.
  • Hispanic groups in the state face considerable socioeconomic and health care challenges, having the lowest rates of post-secondary education, livable income, health insurance coverage, access to affordable care, and dedicated health care providers. Hispanic adults also are in poorer health, with only 37% reporting excellent or very good health compared to the state rate of 51%.
  • Although generally White and Asian/Pacific Islander groups fare well across measures in North Carolina, White populations are less likely to have access to psychiatric care than the state rate for all groups. Asian/Pacific Islander residents are less likely to live in areas of low robbery than the state rate for all groups.
Adult Health Status
Child Health Status
Infant Mortality
Low Birthweight
Premature Mortality
Affordable Housing
Employment
Livable Income
Post-Secondary Education
Youth in School or Working
Low Homicide
Low Physical Assault
Low Robbery
Low Sexual Assault
Food Security
Home Ownership
Housing Quality
Low Liquor Store Density
Access to Primary Care
Access to Psychiatric Care
Affordable Health Care
Dedicated Healthcare Provider
Health Insurance Coverage
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Youth in School or Working
88%
of young people are in school or working
100%
More young people would need to obtain jobs or enroll in school to achieve the HOPE Goal
146,346
More young people would need to obtain jobs or enroll in school to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Youth in School or Working

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Hope Goal
100%
60%
70%
80%
90%
100%
NC
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Post-Secondary Education
63%
of adults have post-secondary education
83%
More adults would need to attain post-secondary education to achieve the HOPE Goal
1,428,200
More adults would need to attain post-secondary education to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Post-Secondary Education

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Hope Goal
83%
20%
30%
40%
50%
60%
70%
80%
90%
NC
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Premature Mortality
490.94
deaths per 100,000 adults age 25-64
More 25-64 year old adults surviving per year to achieve the HOPE Goals
19,129
More 25-64 year old adults surviving per year to achieve the HOPE Goals
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Premature Mortality

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Hope Goal
241
0
400
800
1200
1600
NC
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Low Sexual Assault
99%
of people live in counties with low sexual assault rates
100%
More people would need to live in counties with low sexual assault rates to achieve the HOPE Goal
148,141
More people would need to live in counties with low sexual assault rates to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Sexual Assault

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Hope Goal
100%
0%
20%
40%
60%
80%
100%
NC
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Low Robbery
60%
of people live in counties with low robbery rates
100%
More people would need to live in counties with low robbery rates to achieve the HOPE Goal
3,952,696
More people would need to live in counties with low robbery rates to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Robbery

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Hope Goal
100%
0%
20%
40%
60%
80%
100%
NC
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Low Physical Assault
70%
of people live in counties with low physical assault rates
100%
More people would need to live in counties with low physical assault rates to achieve the HOPE Goal
2,929,961
More people would need to live in counties with low physical assault rates to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Physical Assault

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Hope Goal
100%
0%
20%
40%
60%
80%
100%
NC
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Low Homicide
67%
of people live in counties with low murder rates
100%
More people would need to live in counties with low murder rates to achieve the HOPE Goal
4,886,625
More people would need to live in counties with low murder rates to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Homicide

Explore data by clicking the dots to select and compare different race and ethnicity groups. Click button to see how Arkansas compares to other states.

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Hope Goal
100%
0%
20%
40%
60%
80%
100%
NC
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Low Liquor Store Density
99%
of people are living in counties with low liquor store density
100%
More people would need to live in counties with low liquor store density to achieve the HOPE Goal
89,404
More people would need to live in counties with low liquor store density to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Liquor Store Density

Explore data by clicking the dots to select and compare different race and ethnicity groups. Click button to see how Arkansas compares to other states.

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Hope Goal
100%
0%
20%
40%
60%
80%
100%
NC
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Livable Income
61%
of adults live in households with livable income
88%
More adults would need to live in households with livable incomes to achieve the HOPE Goal
1,885,905
More adults would need to live in households with livable incomes to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Livable Income

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Hope Goal
88%
20%
30%
40%
50%
60%
70%
80%
90%
NC
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Low Birthweight
9%
of infants are born with low birth weight
5%
Fewer low-weight births would need to happen per year to achieve the HOPE Goal
5,217
Fewer low-weight births would need to happen per year to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Birthweight

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Hope Goal
5%
4%
6%
8%
10%
12%
14%
16%
18%
NC
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Health Insurance Coverage
87%
of people under age 65 have health insurance coverage
98%
More people under the age of 65 would need to obtain health insurance coverage to achieve the HOPE Goal
946,944
More people under the age of 65 would need to obtain health insurance coverage to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Health Insurance Coverage

Explore data by clicking the dots to select and compare different race and ethnicity groups. Click button to see how Arkansas compares to other states.

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Hope Goal
98%
50%
60%
70%
80%
90%
100%
NC
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Infant Mortality
6.7
infant deaths per 1,000 live births
2.5
More infants surviving to their first birthday per year to achieve the HOPE Goal
502
More infants surviving to their first birthday per year to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Infant Mortality

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Hope Goal
2.5
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
NC
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Housing Quality
84%
of households have good housing quality
92%
More households would need to have good housing quality to achieve the HOPE Goal
294,628
More households would need to have good housing quality to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Housing Quality

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Hope Goal
92%
55%
60%
65%
70%
75%
80%
85%
90%
95%
NC
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Home Ownership
67%
of households live in a home they own
81%
More households would need to own their homes to achieve the HOPE Goal
527,949
More households would need to own their homes to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Home Ownership

Explore data by clicking the dots to select and compare different race and ethnicity groups. Click button to see how Arkansas compares to other states.

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Hope Goal
81%
0%
20%
40%
60%
80%
100%
NC
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Food Security
68%
of people with food security
97%
More people would need to have food security to achieve the HOPE Goal
3,173,017
More people would need to have food security to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Food Security

Explore data by clicking the dots to select and compare different race and ethnicity groups. Click button to see how Arkansas compares to other states.

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Hope Goal
97%
30%
40%
50%
60%
70%
80%
90%
100%
NC
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Employment
92%
of people in the labor force are employed
99%
More people in the labor force would need to be employed to achieve the HOPE Goal
359,953
More people in the labor force would need to be employed to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Employment

Explore data by clicking the dots to select and compare different race and ethnicity groups. Click button to see how Arkansas compares to other states.

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Hope Goal
99%
75%
80%
85%
90%
95%
100%
NC
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Dedicated Healthcare Provider
82%
of adults have a usual source of care
92%
More adults would need to report having a dedicated health care provider to achieve the HOPE Goal
703,290
More adults would need to report having a dedicated health care provider to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Dedicated Healthcare Provider

Explore data by clicking the dots to select and compare different race and ethnicity groups. Click button to see how Arkansas compares to other states.

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Hope Goal
96%
40%
50%
60%
70%
80%
90%
100%
NC
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Child Health Status
89%
of children in very good or excellent health
98%
More children would need to be in very good or excellent health to achieve the HOPE Goal
More children would need to be in very good or excellent health to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Child Health Status

Explore data by clicking the dots to select and compare different race and ethnicity groups. Click button to see how Arkansas compares to other states.

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NC
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Adult Health Status
51%
of U.S. adults are in very good or excellent health
73%
More adults would need to be in very good or excellent health to achieve the HOPE Goal
1,530,597
More adults would need to be in very good or excellent health to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Adult Health Status

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Hope Goal
73%
20%
30%
40%
50%
60%
70%
NC
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Affordable Housing
68%
of households with affordable housing
87%
More households would need affordable housing to achieve the HOPE Goal
518,646
More households would need affordable housing to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Affordable Housing

Explore data by clicking the dots to select and compare different race and ethnicity groups. Click button to see how Arkansas compares to other states.

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Hope Goal
87%
30%
40%
50%
60%
70%
80%
NC
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Affordable Health Care
88%
of adults with affordable health care
96%
More adults would need to have affordable health care to achieve the HOPE Goal
585,509
More adults would need to have affordable health care to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Affordable Health Care

Explore data by clicking the dots to select and compare different race and ethnicity groups. Click button to see how Arkansas compares to other states.

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Hope Goal
97%
50%
60%
70%
80%
90%
100%
NC
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Access to Psychiatric Care
67%
of people live in counties with access to psychiatric care
100%
More people would need to live in counties with access to psychiatric care to achieve the HOPE Goal
3,412,408
More people would need to live in counties with access to psychiatric care to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Access to Psychiatric Care

Explore data by clicking the dots to select and compare different race and ethnicity groups. Click button to see how Arkansas compares to other states.

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Hope Goal
100%
20%
30%
40%
50%
60%
70%
80%
90%
100%
NC
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Access to Primary Care
66%
of people live in counties with access to primary care
100%
More people would need to live in counties with access to primary care to achieve the HOPE Goal
3,518,576
More people would need to live in counties with access to primary care to achieve the HOPE Goal
How Does 
North Carolina
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Access to Primary Care

Explore data by clicking the dots to select and compare different race and ethnicity groups. Click button to see how Arkansas compares to other states.

View All States
Hope Goal
100%
20%
30%
40%
50%
60%
70%
80%
90%
100%
NC
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Health Outcomes
Adult Health Status
Child Health Status
Infant Mortality
Low Birthweight
Premature Mortality
Social & Economic Factors
Affordable Housing
Employment
Livable Income
Post-Secondary Education
Youth in School or Working
Community & Safety Factors
Low Homicide
Low Physical Assault
Low Poverty Concentration
Low Robery
Low Sexual Assault
Physical Environment
Food Security
Home Ownership
Housing Quality
Low Liquor Store Density
Access to Health Care
Access to Primary Care
Access to Psychiatric Care
Affordable Health Care
Dedicated Health Care Provider
Adult Health Status
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