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Research ArticleINVITED COMMENTARIES AND SIDEBARS

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

Amy Belflower Thomas and Kathryn Dail
North Carolina Medical Journal May 2021, 82 (3) 179-183; DOI: https://doi.org/10.18043/ncm.82.3.179
Amy Belflower Thomas
Director of community assessment and strategy, North Carolina Institute for Public Health and adjunct assistant professor, Public Health Leadership Program, University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, North Carolina.
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  • For correspondence: amy.b.thomas@unc.edu
Kathryn Dail
Healthy North Carolina 2030 director, Division of Public Health, North Carolina Department of Health and Human Services, Raleigh, North Carolina.
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  • Article
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Article Figures & Data

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  • FIGURE 1.
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    FIGURE 1.

    North Carolina’s Overall Health Ranking Among the 50 States, 1990-2020

    Source. United Health Foundation. America’s Health Rankings. https://www.americashealthrankings.org/explore/annual/state/NC. Accessed February 2, 2021.

Tables

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    TABLE 1.

    Healthy North Carolina Measure Characteristics by Decade

    Healthy NC ReportNumber of ObjectivesGeneral Goals ReachedNoted 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
    2010108Infant mortality decreased but still high; teen pregnancy rates declined; decline in HIV mortalityDiabetes and obesity; health insurance; unintentional
    poisonings; gonorrhea, chlamydia, and syphilis; African American infant mortality; tobacco and alcohol use
    202041 in 13 categoriesAlcohol-related traffic crashes; pediatric dental servicesUnintentional poisoning mortality rate; unintentional falls mortality rate; infant mortality racial disparity between whites and Blacks
    203021 in 5 categoriesNot applicable as progress but in 2020 there was a trend of increased graduation rates and a reduction of violent crimeIn 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.

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    TABLE 2.

    Healthy North Carolina Measure Categories by Decade

    Categories2000201020202030
    Access to Care-Access-Clinical care
    Behavioral HealthMental health-Mental healthClinical care
    Chronic DiseaseChronic diseaseChronic diseaseChronic disease-
    Community Health-Community health--
    Cross-cutting--Cross-cuttingHealth outcomes; clinical care
    Disability-Disability--
    Environmental HealthEnvironmental pollutionEnvironmental healthEnvironmental healthPhysical environment
    ImmunizationsImmunization---
    Infant MortalityInfant deathInfant mortalityMaternal and infant healthHealth outcomes
    Injury PreventionInjuryInjuryInjury and violence-
    Healthy EatingNutritionHealth promotionPhysical activity and nutritionHealth behaviors & physical environment
    Older Adult Health-Older adult health--
    Oral HealthDental decayOral healthOral health-
    Physical ActivityPhysical fitnessHealth promotionPhysical activity and nutritionHealth behaviors & physical environment
    Infectious DiseaseSexually transmitted diseasesInfectious diseaseSexually transmitted disease and unintended pregnancy; infectious disease and foodborne illness
    Social Determinants of Health--Social determinants of healthSocial and economic factors
    Substance MisuseAbuse of tobacco, alcohol, and other drugs-Substance abuseHealth behaviors
    TobaccoAbuse of tobacco, alcohol, and other drugs-Tobacco useHealth behaviors
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North Carolina Medical Journal: 82 (3)
North Carolina Medical Journal
Vol. 82, Issue 3
May-June 2021
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Creating a Healthy North Carolina: Developing and Reaching Goals for the 21st Century
Amy Belflower Thomas, Kathryn Dail
North Carolina Medical Journal May 2021, 82 (3) 179-183; DOI: 10.18043/ncm.82.3.179

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Creating a Healthy North Carolina: Developing and Reaching Goals for the 21st Century
Amy Belflower Thomas, Kathryn Dail
North Carolina Medical Journal May 2021, 82 (3) 179-183; DOI: 10.18043/ncm.82.3.179
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  • Article
    • Introduction
    • Healthy Carolinians 2000
    • Healthy Carolinians 2010
    • Healthy North Carolina 2020
    • Healthy North Carolina 2030
    • Progress into the 21st Century
    • 2030 and Beyon
    • Acknowledgments
    • References
  • Figures & Data
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  • References
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More in this TOC Section

  • Sidebar: Community-driven Approaches to Preventing Overdoses Among American Indians
  • Sidebar: History Shaping the Future: How History Influences Health in North Carolina Native American Communities
  • Sidebar: Impact of Racial Misclassification of Health Data on American Indians in North Carolina
Show more INVITED COMMENTARIES AND SIDEBARS

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