Creating a Healthy North Carolina: Developing and Reaching Goals for the 21st Century

Article Figures & Data

TABLE 1.

Healthy North Carolina Measure Characteristics by Decade

Healthy NC Report	Number of Objectives	General Goals Reached	Noted Continuing Challenges
2000	61 among 11 categories	Total teen pregnancy rate; immunization levels among children in kindergarten	Total infant mortality; percent low-weight births; non-white teen pregnancy rate; overweight; non-white syphilis, gonorrhea, and chlamydia; youth tobacco and alcohol use
2010	108	Infant mortality decreased but still high; teen pregnancy rates declined; decline in HIV mortality	Diabetes and obesity; health insurance; unintentional poisonings; gonorrhea, chlamydia, and syphilis; African American infant mortality; tobacco and alcohol use
2020	41 in 13 categories	Alcohol-related traffic crashes; pediatric dental services	Unintentional poisoning mortality rate; unintentional falls mortality rate; infant mortality racial disparity between whites and Blacks
2030	21 in 5 categories	Not applicable as progress but in 2020 there was a trend of increased graduation rates and a reduction of violent crime	In 2020, the state faced challenges in drug overdose deaths, obesity, and youth tobacco use.

Sources. Green LW, Fielding J. The U.S. Healthy People Initiative: its genesis and its sustainability. Annual Review of Public Health. 2011;32(1):451-470.
Surles KB, Blue KP. Assessing the Public’s Health: community diagnosis in North Carolina. Public Health Reports. 1993;108(2):198-203.
Nelson D, Rocco P, Dail K. A short history of community health assessment in North Carolina. Oral presentation at: Community Health Assessment Winter Institute; January, 2018; Raleigh NC.
Jones-Vessy, K, Farmer, A, Avery, M. North Carolina State Center for Health Statistics. Health profile of North Carolinians: 2011 update. Published September 2011. https://schs.dph.ncdhhs.gov/schs/pdf/healthprofile2011_web.pdf Accessed March 15, 2021.

TABLE 2.

Healthy North Carolina Measure Categories by Decade

Categories	2000	2010	2020	2030
Access to Care	-	Access	-	Clinical care
Behavioral Health	Mental health	-	Mental health	Clinical care
Chronic Disease	Chronic disease	Chronic disease	Chronic disease	-
Community Health	-	Community health	-	-
Cross-cutting	-	-	Cross-cutting	Health outcomes; clinical care
Disability	-	Disability	-	-
Environmental Health	Environmental pollution	Environmental health	Environmental health	Physical environment
Immunizations	Immunization	-	-	-
Infant Mortality	Infant death	Infant mortality	Maternal and infant health	Health outcomes
Injury Prevention	Injury	Injury	Injury and violence	-
Healthy Eating	Nutrition	Health promotion	Physical activity and nutrition	Health behaviors & physical environment
Older Adult Health	-	Older adult health	-	-
Oral Health	Dental decay	Oral health	Oral health	-
Physical Activity	Physical fitness	Health promotion	Physical activity and nutrition	Health behaviors & physical environment
Infectious Disease	Sexually transmitted diseases	Infectious disease	Sexually transmitted disease and unintended pregnancy; infectious disease and foodborne illness
Social Determinants of Health	-	-	Social determinants of health	Social and economic factors
Substance Misuse	Abuse of tobacco, alcohol, and other drugs	-	Substance abuse	Health behaviors
Tobacco	Abuse of tobacco, alcohol, and other drugs	-	Tobacco use	Health behaviors