America's Health Rankings, United Health Foundation Logo


Low Disparities1

  • Between females2 and males3 for unemployment
  • Between those with less than a high school education2 and college graduates3 for asthma
  • Between non-metropolitan2 and metropolitan2 areas for uninsured

High Disparities

  • Between those with less than a high school education2 and college graduates3 for physical inactivity
  • Between Hispanic2 and white3 for child poverty
  • Between females3 and males2 for dedicated health care provider

[1] Low disparities within a state does not indicate that all populations are doing well. Consider rates in comparison to national averages.
[2] Rates worse than national average.
[3] Rates same or better than national average.


  • 21% decrease in Infant Mortality in Black infants between 2003-2006 and 2015-2018 from 15.5 to 12.2 deaths (before age 1) per 1,000 live births
  • 28% decrease in Unemployment in Hispanic civilians between 2005-2009 and 2015-2019 from 7.5% to 5.4%
  • 16% decrease in Smoking in female adults between 2011-2013 and 2017-2019 from 18.6% to 15.6%
  • 18% increase in Low Birthweight in Hispanic infants between 2003-2006 and 2016-2019 from 6.3% to 7.4%
  • 16% increase in Poverty in households headed by a college graduate between 2005-2009 and 2015-2019 from 4.4% to 5.1%
  • 16% increase in Depression in female adults between 2011-2013 and 2017-2019 from 22.4% to 25.9%


Income Inequality

Income inequality measures the ratio of median household income of the 20% richest to the 20% poorest. A high ratio indicates greater income inequality. Research demonstrates an association between greater income disparity and poorer population health.
In North Carolina, income inequality has decreased since 2011. North Carolina’s ratio is currently lower than the national ratio.

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