 Robeson County 2011 Community Health Assessmentpublichealth.southernregionalahec.org/Robeson/index.htm
 North Carolina Institute of Medicine. Healthy North Carolina 2020: A Better
State of Health
 US Census Quick Facts http://quickfacts.census.gov.
 NCDHHS-NC Division of Medical Assistance http://www.ncdhhs.gov/dma/ pub/index.htm
 NCDHHS-Division of Social Services -Food and Nutrition Services http:// www.ncdhhs.gov/dss/stats/fsp.htm
 Kids Count Data Center http://www.ncdhhs.gov/dss/stats/fsp.htm
 U.S. Bureau of Labor Statistics
 WIC Data– Robeson County Health Dept. WIC program
 Education Data (from the NC Department of Public Instruction) http:// www.ncpublicschools.org/data/reports/
 NC Department of Justice 2012 crime statisticshttp://www.ncdoj.gov/Crime/
View-Crime-Statistics.aspx
 NC Department of Health and Human Services Division of Public Health
Annual Report to the North Carolina Medical Society October 2013
 Adolescent Pregnancy Prevention Campaign of NC http://www.appcnc.org/data
 Data Related to Child Health and Well-Being (from Action for Children
North Carolina) http://www.ncchild.org
 County Health Rankings (Robert Wood Johnson Foundation/University of
Wisconsin Population Health Institute)
 BRFSS http://www.schs.state.nc.us/data/brfss/survey.htm
 Obesity and Overweight Map-NC Health Atlas Maps-BRFSS http:// www.schs.state.nc.us/data/hsa/brfss.htm
 NC-PASS map http://www.eatsmartmovemorenc.com/Data/Texts/
 NC Center for Health Statistics-www.schs.state.nc.us
 North Carolina Injury and Violence Branch http://www.injuryfreenc.ncdhhs.gov/
DataSurveillance/DataSurveillanceIndex.htm
 NC Vital Records-vitalrecords.dhhs.state.nc.us
460 Country Club Road
Lumberton NC 28360 • Phone: 910-671-3200 • Fax: 910-608-2120
Website: http://publichealth.southernregionalahec.org/Robeson/index.htm
SOTCH Compiled By:
Niakeya Jones, MSM
Health Education Director
Robeson County Health Department
20
State of the County‘s Health
EVERYWHERE. EVERYDAY. EVERYBODY.

This document provides a review of the priority health issues determined during the
2011 Community Health
Assessment compiled and published by Healthy Robeson.
Over the past few years, Healthy
Robeson, the Robeson County
Health Department and other community partners have worked to address several community concerns. This document summarizes the status of our combined efforts.
In 2011 the Robeson County
Partnership for Community Health, a certified Healthy Carolinians Task
Force since 1997, initiated a phase of organizational restructuring. As a result, the group of instrumental community stakeholders has adopted a new name, mission and vision statement. Re-named “Healthy
Robeson”, the mission is “to improve population health in Robeson County” and the vision is “to be the healthiest county in North Carolina.” In order to successfully fulfill the mission, Healthy
Robeson depends on the
“Individual commitment to a group effort -- that is what makes a team work, a company work, a society work, a civilization work.”
Co–Chairmen community's input when it comes to identifying health priorities. In turn,
Healthy Robeson uses the priorities to aid in designing action plans to
William Smith
Robeson County
Health Department encourage a more collaborative approach to addressing the identified health issues.
Morris Bullock
Southeastern Health
2
LIGHT (Life skills, Inspiration, God’s will, His word & our Talents)
Project
The Light Project is a Chronic Disease and Diabetes Self-Management education prevention program targeting minorities through the provision of a 12 week workshop-based curriculum focusing on lifestyle change, with an emphasis on diet modifications, and exercise, which is conducted through partnerships with local churches. One Health Educator and one Parish Nurse are available to teach the curricula, check blood pressures, and test blood glucose levels. From July to
November 2013 Project LIGHT was conducted at Zion Hill Baptist church. There were 23 participants enrolled in the Chronic Disease Curriculum and 14 participants in the Diabetes Curriculum. During the Chronic Disease Curriculum the total weight loss was 18.4 lbs. During the Diabetes Curriculum the total weight loss was 19.8 lbs. Total weight loss combined for both curriculums was 38.2 lbs.
Additionally, in 2013 Project LIGHT formed a community advisory council and recently enrolled a second church (Union Chapel Holiness Methodist).
Active Routes To Schools
The North Carolina Division of Public Health (Community and Clinical
Connections for Prevention and Health Branch) and the North Carolina
Department of Transportation are partnering to offer a new project: Active Routes to School. The goal of the project is to increase the number of North Carolinians that meet the physical activity recommendations by increasing the number of elementary and middle school students who walk and bike to school. Each
Community Transformation Grant Project (CTGP) region with the inclusion of
Wake and Mecklenburg Counties, received funding to hire one full-time Active
Routes to School Project Coordinator to implement the project in their region for
3 years. The Project Coordinator will work with the regional CTGP Active Living
Lead to coordinate project implementation in their respective regions. Robeson
County will serve as the lead for the Active Routes To School initiative for
Region 8.
Operation Medicine Drop
In 2012 Safe Kids and the Substance Abuse Coalition coordinated the placement of a permanent prescription drug drop off box at the Robeson County Sheriff’s
Department. An additional box was purchased in 2013 and will be placed in the newly built Lumberton Police Department. All expired or unused medications except for liquids or needles can be dropped off at any time of the day or night.
Also, in 2013 two Operation Medicine Drop events were held and a total of 42,784 pills were collected during these take back programs.
Palmer Drug Prevention
In October 2013 Dr. Robin Cummings, a Pembroke native and the deputy
Secretary of Health Services for the N.C. Department of Health and Human
Services spoke at the 16th annual Red Ribbon kick-off luncheon held by Palmer
Prevention and the Robeson County Sheriff's Department. Dr. Cummings presented state, regional and local data on the causes of unintentional poisoning deaths. Additionally, he informed the community about the state actions to improve the Controlled Substance Reporting System.
19

Obesity Prevention (Physical Activity & Healthy Eating)
Substance Misuse and Abuse (Tobacco, Alcohol & Prescription Drugs)
Community Transformation Grant Project CTGP
In 2012, the North Carolina Division of Public Health (DPH) was awarded
Community Transformation Grant Project (CTGP) funding to implement policy, systems and environmental changes that support tobacco free living, active living, healthy eating and high impact evidence-based clinical preventive services over a five-year period. DPH funded all public health regions across the State. Our multi-county collaborative includes Bladen, Brunswick,
Columbus, Duplin, New Hanover, Onslow, Pender, Robeson & Sampson
Counties. Robeson serves as the CTGP Lead for Region 8.
In 2013 Region 8 CTGP had the following outcomes: formed regional collaborative with members representing agencies, community champions, and partners from 9 county service areas; established memoranda of understanding with local health departments in each of the 9 county region; established 3 JUAs (joint use agreements) to increase access to physical activity and healthy eating opportunities in the region; established smoke free/tobacco free policies at 50+ multi-unit housing properties in the region; initiated smoke free/tobacco free policy change with 5 community colleges in the region; initiated smoke free/tobacco free policy change with government buildings/ grounds in 1 county in the region; and partnered with 3 regional AHECs to develop a resource directory for providers of community supports for individuals identified with high blood pressure/cholesterol, and tobacco use.
Additionally, Region 8 CTGP provided funding through contracts and MOUs to pilot: a “Healthier Corner Store Initiative” in a food desert in the region; to enhance 7 Farmers Markets in the region; to support health component incorporation in comprehensive plans in 10 counties/municipalities; and, to develop/establish a regional website.
Girls on the Run/ Girl on Track
The mission of the Girls on the Run ® (GOTR) is to inspire girls to be joyful, healthy and confident using a fun, experienced-based curriculum which creatively integrates running. GOTR® is a life changing, experiential learning program for girls age eight to thirteen years old. The programs combine training for a 3.1 mile running event with self-esteem enhancing, uplifting workouts. Girls on the Run incorporates physical activity to teach very specific and well defined social and personal skills. Research validates that the development of these skills prevents at risk activities which include substance/ alcohol use, eating disorders, early onset of sexual activity, sedentary lifestyle, depression, suicide attempts and confrontations with the juvenile justice system.
In 2013 Townsend Middle joined Littlefield Middle as a second site. Since implementation of GOTR in Robeson (2012) a total of 54 Girls participated in the program.
18
In 2011 a Community Health Assessment (CHA) team was established. The team was comprised of individuals from Healthy
Robeson and the community. The Community Health Assessment team actively participated in the community health assessment process by providing input, developing a survey, and distributing it to various groups within Robeson County. Additionally, after all the surveys were collected, tabulated and analyzed, the team reviewed the survey results and health statistics and identified priority health issues of concern for the county’s residents.
Priorities were selected based upon magnitude, seriousness of consequences and feasibility of correcting the problem. The CHA
Team agreed to work on the following two priority areas:
(1) Obesity and (2) Substance Misuse/Abuse. These priority areas were selected because the community indicated on the 2011
CHA that their number one health concern is chronic disease, number two is drugs/alcohol and number three is obesity.
Because obesity is a major risk factor for chronic diseases, the team opted to focus on prevention first. Below is a diagram of
Robeson County’s selected priorities.
Priority 1
Obesity
Priority 2
Substance
Misuse & Abuse
3
Healthy
Eating
Active
Prescription
Living
Drugs
Tobacco Alcohol

Every 10 years since 1990, North Carolina has set decennial health objectives with the goal of making North Carolina a healthier state. One of the primary aims of this objective-setting process is to mobilize the state to achieve a common set of health objectives. North Carolina had more than 100 objectives for the year 2010. Although these objectives formed a comprehensive list of health indicators, the large number of them made it difficult to focus attention on key objectives that could lead to overall health improvement. Thus, one of the goals of the Healthy NC 2020 project was to develop a limited number of health objectives. There are 40 objectives within 13 specific focus areas for the year 2020. Reaching the 2020 objectives and targets will be a statewide initiative, and success is possible only through concerted and coordinated state, regional, and local efforts. The Healthy NC 2020 objectives are intended to provide motivation, guidance, and focus for public health activities throughout the state.
Below and on the following page are NC 2020 objectives. The objectives with checks are the ones Robeson county will work on for the next three years.
The process of selecting these objectives is defined on page 5 of this document.


Parents with Children and Youth with
Special Health Care Needs (CYSHCN) experience a complex system of uncoordinated services. The aim of the
Innovative Approaches (IA) initiative is to thoroughly examine and foster improvement for community-wide systems of care that will effectively meet the needs of families of children and youth with special health care needs, resulting in increased family satisfaction with services received and improved outcomes for children and youth with special health care needs. Innovative Approaches uses a systems change approach rather than a program based approach to address community improvements for families of CYSHCN. Systems change is the core of Innovative Approaches.
According to the Comprehensive Community Initiative, “Systems change is a shift in the way that a community makes decisions about policies, programs, and the allocation of its resources, usually through regulations, procedures, and protocols set down in formal written documents, and ultimately, in the way it delivers services to its citizens.
To undertake systems change, a community must build collaborative bridges among multiple agencies, community members, and other stakeholders”.
To bring about community change, the IA initiative encourages an ongoing and comprehensive analysis to identify all the policies, both formal and informal, that impact how services are provided, and then to revise those that pose barriers to the system of care for CYSHCN, or to create new more supportive policies, procedures, or practices.
IA engages decision-makers to look at the total service delivery system, identifying gaps, duplication, and overlaps in services. Working from this information, leaders of the IA initiative can set up mechanisms to facilitate inter-agency communication and coordination; such as wrap around services, joint decision making, unified assessment and intake processes, and shared information systems. These system improvements will help ensure that families of CYSHCN encounter a seamless path through the services they need.
The Robeson County Department of Public Health is one of five local health departments awarded a Innovative Approaches grant from the
NC Division of Public Health Children and Youth Branch.
17
4

3
4
1
2
5
6
7
8
Rank
9
10
2007-2011
Ten Leading Causes of Death
Rates per 100,000 Population
State Center for Health Statistics
CAUSE OF DEATH:TOTAL
DEATHS --- ALL CAUSES
Diseases of the heart
Cancer - All Sites
Diabetes mellitus
Cerebrovascular disease
Alzheimer's disease
Chronic Lower Respiratory Diseases
# OF
DEATHS
Unintentional Motor Vehicle
Injuries
Nephritis, nephrotic syndrome, & nephrosis
Other Unintentional injuries
Homicide
5,949
1,321
1,224
288
267
224
242
235
177
178
143
DEATH
RATE
1002.5
36.4
31.1
28.6
22.1
226.7
197.4
48.8
47.1
43.8
41.7

This map shows the 2007-2011 Age Adjusted Coronary Heart Disease Death
Rates by N.C. counties. Robeson County heart disease death rate during this time frame was 226.7. Robeson’s death rate during the years of 2002-2006 was 297.9 this is a decrease of 71.2. In 1993 Southeastern Health, our local hospital entered into a partnership with Duke University Medical Center, which gave the hospital’s heart center two life-care vehicles and a catheterization lab. This partnership was established in an effort to treat the
“tremendous heart disease problem” in Robeson County.
16
5

Demographics
 2012 population estimate-
135,496
 2012 demographic makeup-
39% Native American,
27%,White, 24.7% black, and
8.2 of Hispanic ethnicity
Economic and Social Data
 Persons below poverty level, percent, (2007-2011) Robeson-
30.6% NC-16.1%
 Per capita income in the past
12 months (2007-2011)
Robeson-$15,689, NC-$25,256
 37,898 residents received food and nutrition services (June
2013). There was a net gain of
11,926 participants from
January 2005– June 2013
 Percent of total population enrolled in Medicaid (2010)
Robeson-39.5, NC-22.2
 43.1% of children living in poverty in 2011– highest in
NC.
 Unemployment rate (July 2013)
Robeson-13.3, NC– 8.8
 Children enrolled in the free and reduced lunch program
(2011-2012) Robeson 83.8%,
NC– 56%
 9.8% of children 0-18 (2nd highest in NC) & 25.4% of adults 19-64 were uninsured in
2011.
 In October 2013, WIC was at
94.15% of its base caseload
(Base caseload is 5,313. WIC serves an average of 5002 participants per month).
Education
 2010-2011 Drop Out Rate:
Robeson-3.48%, N.C-3.43% compared to 2006 – 2007 rate of
Robeson-6.46% , N.C 5.27%.
 Bachelor's degree or higher, percent of persons age 25+ (2007-2011),
Robeson –12.5% , N.C -26.5%
 Annual Measurable Objectives (AMO) are targets set for student attendance, graduation rates and performance on state standardized tests. In 2011-2012 our district met only 50 of the 79 targets or 63%
 The four-year cohort high school graduation rate reflects the percentage of ninth graders who graduated from high school four years later. Robeson cohort rate –82.6% , N.C –80.2%
 Average sum of Critical Reading and
Mathematics SAT scores (out of 1600)
Robeson-849, NC-997
Crime
 Homicides, 2007-2011(Deaths per
100,000 [age-adjusted]) Robeson rate
22.1, NC-6.3, US-5.3. Robeson has the second highest homicide rate in
NC. A neighboring county - Scotland has the highest rate of 23.6
Health Data
 life expectancy (2009-2011) Robeson – age 74.3 NC– age 78
 Persons per primary care physician
(2011) Robeson-1,594 NC-1,158
 Persons per primary care nurse practitioners and physician assistants
(2011) Robeson-926, NC-714
6
Hospital Discharges Due to Acute Poisoning from Drugs in Robeson County
County Rate Age Number
Harnett
Hoke
157.6
93.4
Lee 211.1
Montgomery 101.2
Moore
Richmond
Robeson
Scotland
Regional
167.9
253.2
267.9
164.5
State
191.4
127.7
0-14
15-24
25-34
35-44
45-54
55-64
65+
Sex
Male
Female
10
60
70
61
75
38
49
Number
146
217
The hospital discharge rate due to acute drug poisonings in 2011 was the highest in Robeson County compared to all other counties in the region, and was twice the state rate. Sixty Percent of the discharges due to acute drug poisonings were females.
Emergency Department Admissions Due to Acute
Poisoning from Drugs, Robeson County
(
Rate County
Harnett
Hoke
Lee
Montgomery
Moore
Richmond
Robeson
Scotland
Regional
State
124.9
119.7
211.1
112.0
205.9
175.9
206.6
449.0
190.3
167.9
Age
0-14
15-24
25-34
35-44
45-54
55-64
65+
Sex
Male
Female
Number
35
28
25
61
46
43
42
Number
112
168
The rate of ED visits in Robeson county due to acute drug poisonings in 2011 was higher than the state rate but lower than some of the other counties in the region. Nearly 40% of visits to the ED for acute poisonings from drugs involved residents under the age of 24.
15

Health Data Continued
 Persons per registered nurse (2011)
Robeson-146, NC-101
 Persons per dentist (2011)Robeson-
5,019, NC-2,296
 2011 Hospital use rate (per1,000 population)Robeson-167, NC-114
 Percent of Births to Medicaid
Mothers (2010) Robeson-83.0, NC-
53.8
 The pregnancy rates for ages 15-19 decreased from 98.7 in 2009 to 61.8 in 2012, which is a 36.9 decease. In
2012 the pregnancy rate was 31.5 for ages 15 to 17 and 100.4 for ages 18 and 19.
 In 2012, 18 and 19 year olds accounted for 71.4% of all teenage pregnancies in Robeson county.
 See graph below
As shown above, the number of unintentional drug-related overdose deaths in Robeson county peaked in 2011.
Unintentional Drug-Related Overdose Death by Age,
Race, and Sex in Robeson County
(
)
Race Number Age Number
White
African American
American Indian
Asian
Other/Unknown
Male
Female
34
7
59
0
0
0-14 0
15-24 8
25-34 27
35-44 23
45-54 31
55-64 5
65+
48
4
52
During the time frame of 2003-2012 59% of the unintentional drug-related deaths in Robeson County were in American Indians
(n=59) and of all these American Indian drug overdose deaths,
62% percent were female (n=37).
Adolescent Pregnancy Prevention Campaign of NC
How do social and economic factors affect the community’s health?
A person’s income, wealth, educational achievement, race and ethnicity, workplace, and community can have profound health effects. These social determinants are among the best predictors of health status. People with higher incomes or personal wealth, more years of education, and who live in healthy and safe environments have, on average, longer life expectancies and better overall health outcomes. Conversely, those with fewer years of education, lower incomes, less accumulated wealth, living in less safe neighborhoods, or substandard housing conditions have worse health outcomes.
Identifying and creating policies and interventions aimed at reducing disparities
(whether they are related to income, education, or race and ethnicity) will aid in improving the health of Robeson County.
14
7

The 2013 County Health Rankings report ranks North Carolina counties according to their summary measures of health outcomes and health factors. Those having high ranks (e.g., 1 or 2) are estimated to be the “healthiest.” Health outcomes represent how healthy a county is while health factors represent what influences the health of the county.
Rank
95
96
County
Vance
Swain
Rank
95
96
County
Halifax
Vance
Health outcomes rankings are based on an equal weighting of mortality and morbidity measures.
97
98
99
Robeson
Bladen
Halifax
97
98
99
Richmond
Edgecombe
Scotland
Health factors rankings are based on weighted scores of four types of factors: behavioral, clinical, social and economic, and environmental.
100 Columbus 100 Robeson
In 2012 Robeson County ranked number 99 in health factors and 100 in health outcomes out of 100 counties in North Carolina. In 2013
Robeson is ranked number 97 in health factors and remains 100 in health outcomes. The chart below and on the following page summarizes the outcomes.
National
Benchmark*
NC Robeson
Mortality
Premature death 11,614
Morbidity
Poor or fair health
Poor physical health days
Poor mental health days
27%
4.8
3.9
Low birth weight 11.1%
7,480
18%
3.6
3.4
9.1%
5,317
10%
2.6
2.3
6.0%
Rank
(of 100)
98
93
8
5
6
7
8
2
3
4
Region
Rank
1
County
Richmond
Scotland
Lee
Montgomery 27
Harnett
Moore
Robeson
Hoke
Regional
State
Number
82
40
63
101
79
113
33
538
9,333
Rate
17.8
11.0
11.0
9.8
9.2
9.3
8.7
7.6
10.1
10.2
Drug-related
91%
93%
87%
93%
87%
86%
88%
91%
89%
92%
During the time frame of 2003-2012, 88% of Robeson County unintentional poisonings deaths were drug/medication-related.
Sixty-five percent were due to narcotics and hallucinogens (Methadone,
Cocaine, Lysergide (LSD), Codeine, Morphine &Heroin)
The thirteen remaining unintentional poisoning deaths that were not related to drugs/medications were due to: Alcohol (9 deaths), Gases or other vapors (3 deaths) & Other chemicals or substances like glue, paint, soap (1 death).
Leading Causes of Unintentional Drug-Related
Overdose Death, Robeson County
(2003-2012 North Carolina Injury and Violence Branch )
In Robeson County Cocaine contributed to the most unintentional overdose deaths (n=40). Opioid analgesics (methadone, other opioids, synthetic narcotics) contributed for a total of 55 deaths .
13

Percentage of People Exposed to Secondhand Smoke in the Workplace in the Past Seven Days North Carolina & Robeson County vs.
HNC 2020 Target
Workplace secondhand smoke exposure estimates are based on self-reported responses to the question: "On how many of the past seven days, did anyone smoke in your indoor workplace while you were there?" This question is only asked of respondents who are employed for wages or self-employed and those who report working indoors most of the time.
2008 & 2009 Behavioral Risk
Factor Surveillance Survey
The graph above shows the percentage of people exposed to secondhand smoke in the workplace in the past seven days. In 2008 Robeson County had 22.6 percent exposed and in 2010 this percent decreased to 14.6. The decrease can be attributed to the N.C. General
Statute 130A-497, otherwise known as North Carolina’s Smoke-Free Restaurants and Bars
Law that was implemented on January 2, 2010. Robeson’s 2010 percentage is still higher than North Carolina’s percentage . The Healthy NC goal for 2020 is 0 percent exposure.
Crashes that Involved Alcohol, 2007-2011, North Carolina Alcohol
Facts (NCAF)
Total Crashes Alcohol Involved Crashes Percent Alcohol Involved
Robeson
NC
16,737
1,070,442
1,195
56,548
7.1%
5.3%
The map and chart above shows the crashes that involved alcohol in North Carolina from
2007-2011. Robeson County had 16,737 during this time frame and 7.1 percent of those crashes were alcohol related. This percent is higher than North Carolina’s and is in the highest range for the state of NC.
12
Robeson
Health Behaviors
Adult smoking
Adult obesity
Physical inactivity
Excessive drinking
Motor vehicle crash death rate
Sexually transmitted infections
Teen birth rate
Clinical Care
Uninsured
Dentist
Primary care physicians
Preventable hospital stays
Diabetic screening
Mammography screening
27%
2,401:1
5,543:1
99
82%
63%
Social & Economic Factors
High school graduation 83%
Some college
Unemployment
40%
13.9%
26%
41%
39%
9%
38
761
77
43%
30%
57%
Children in poverty
Inadequate social support
Children in single-parent households
Violent crime rate
Physical Environment
Air pollution-particulate matter days
Air pollution-ozone days
Access to recreational facilities
Limited access to healthy foods
Fast food restaurants
9
924
13.1
0%
7
6%
55%
3%
11
7%
49%
21%
29%
25%
13%
17
441
46
80%
62%
10.5%
25%
21%
35%
19%
1,480:1
2,171:1
63
88%
69%
National
Benchmark*
NC Rank
(of 100)
13%
25%
21%
7%
10
92
21
11%
1,067:1
99
100
1,516:1
47
90%
73%
70%
5.0%
98
14%
14%
20%
411 66
12.9 8.8
75
0%
16
1%
27%

Percentage of Adults that Consume the Recommended Amount of Fruits and
Carolina & Robeson County vs. HNC 2020 Target
Percent of North Carolina Adults Who Are Overweight or Obese BMI* >25 by
Area Health Education Center (AHEC) Regions,
2011 NC Health Atlas Maps-Behavioral Risk Factor Surveillance System
Percentage of people who responded yes when asked if they consumed five or more servings of fruits or vegetables per day. Adults are counted as meeting the recommendation if they indicate that they engage in moderate physical activity for 30 or more minutes per day, five or more days per week or vigorous physical activity for 20 or more minutes per day, three or more days per week.
60.3
60.4-62.4
62.5-65.0
65.1-71.4
2009 Behavioral Risk
Factor Surveillance Survey
Obesity increases an individual's risk for a host of chronic diseases, including heart disease, stroke, and certain cancers. It also increases the risk for premature death. The map above shows the percent of North Carolina Adults who have a body mass index greater than 25
(overweight or obese) by Area Health Education Center (AHEC) Regions. The Southern
Region has 71.4 percent of adults that are overweight or obese. This is the highest percentage in North Carolina.
The graph above shows the percentage of adults that consume the recommended amount of fruits and vegetables per day and receive the recommended amount of physical activity per day.
Robeson County percentages in both areas are lower then the state’s percentages. The 2020 target for fruits and vegetables intake is 29.3% and physical activity is 60.6%.
Percentage of Obese1 Children, 2 - 4 Years of Age 2011 NC-NPASS
(NC Nutrition and Physical Activity Surveillance System)
Percentage of Adults Who Are Current Smokers North Carolina & Robeson County vs. HNC 2020 Target
Current smoking prevalence represents the percent of survey respondents who report that they currently smoke "every day" or "most days" and have smoked at least 100 cigarettes in their lifetime.
2010 Behavioral Risk
Factor Surveillance Survey
The map above shows the geographic distribution of obesity by county. NC Nutrition and
Physical Activity Surveillance System (NC-PASS) provides data for children seen in public health sponsored WIC and child health clinics, as well as some school based health centers.
In 2011 the percent of children reported obese in Robeson County was 21%. Out of 100 counties Robeson is ranked number 95 for childhood obesity in NC.
10
The graph above shows the percentage of adults who are current smokers. Robeson County’s percentage of 24.8% is higher than the state percentage of 19.8%. The Healthy NC goal for 2020 is to decrease North Carolina’s percentage of adult smokers to 13%.
11