To be included: Narrative about the Jim Crow era state-sanctioned but locally determined policies of segregation as is evident in the 2 different hospitals for the white and black populations, the discriminatory care provided by physicians in private practices, and discriminatory public health care policies

 

Fast Facts & Data

State of North Carolina and Buncombe County collect data based on mortality (life expectancy) and morbidity (major causes of death) and this data is following a similar structure

 

Life expectancy (Mortality)

 

Infant Mortality

All statistics are shown by death rate — the number of deaths divided by the population group times 1000.

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Healthcare

Infant Mortality: Fetal

This figure shows consistently higher fetal death among African-American mothers than white mothers. It is significant to note that there are significant spikes in fetal deaths among the African-American community in 2012-2016 where fetal deaths were nearly six times higher.

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Children & FamiliesInfant MortalityMortality & Morbidity
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Healthcare

Infant Mortality: Infant (3 months – 1 year)

The following data shows the percentages of children among the African American and white communities that died within the first year.

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Children & FamiliesIn ProductionInfant MortalityMortality & Morbidity
 

Maternal Mortality

Reports still needed

 

Top 10 diseases for African Americans and Whites

Reports still needed: Found in the NC state health report by County

 

Cancer Rates

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Healthcare

Breast Cancer in North Carolina 2010 – 2014

This figure shows the average yearly incidence and mortality rate for all females diagnosed with breast cancer between 2010 and 2014 in North Carolina.

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CancerMortality & MorbidityWomen's Health
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Healthcare

Buncombe County 2015 cancer deaths by site (and 2017 projected)

Buncombe County 2015 Cancer Deaths by Site / 2017 Projected Cancer Cases for Buncombe County and North Carolina

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CancerMortality & Morbidity
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Healthcare

Prostate Cancer in North Carolina 2010 – 2014

This figure shows the average yearly incidence and mortality rate for all males diagnosed with prostate cancer between 2010 and 2014 in North Carolina.

Sources

  1. Incidence Rate Report for North Carolina by County | Prostate, 2011-2015 | All Races (includes Hispanic), Male, All Ages
  2. Incidence Rate Report for North Carolina by County | Prostate, 2011-2015 | All Races (includes Hispanic), Male, All Ages (CSV Download) incd
  3. Incidence Rate Report for North Carolina by County | Prostate, 2011-2015 | White Non-Hispanic, Male, All Ages
  4. Incidence Rate Report for North Carolina by County | Prostate, 2011-2015 | White Non-Hispanic, Male, All Ages incd (1)

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CancerMen's HealthMortality & Morbidity
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Healthcare

Stage of disease at diagnosis for cervical cancer in NC in 2014 (African American and White)

This figure analyzes the stage of disease at diagnosis for cervical cancer in North Carolina diagnosed in 2014

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CancerMortality & MorbidityWomen's Health
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Healthcare

Fast Fact: Disease Related Risk Factors

  • In an aggregate of 2007 - 2011 data, the cancer mortality rate per 100,000 in Buncombe County was 208 for white males, 145.4 for white females, 288.6 for black males, and 205.3 for black females.
  • Of the aggregate data, the greatest disparity between races was for lung cancer. The mortality rate per 100,000 was as follows: white males 67.4; white females, 38.4; black males, 82.0; and black females, 53.5 (WNC Healthy Impact Survey, 2013).

Sources

  1. WNC Healthy Impact Survey, 2013
 

North Carolina Cancer Incidence and Mortality Rates (2010-2014)

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Buncombe County incidence and mortality rate ratios 2010 – 2014

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Buncombe County incidence and mortality rates 2010 – 2014

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Mental Health Care

Reports still needed

 

 

Dental Health Care

Reports still needed

 

Opioid Epidemic

Reports still needed

 

Highlighted Areas of Concern

  • Lack of access for African Americans to culturally competent and adequate mental health care
  • Lack of access for African Americans to non-traditional medicine and care
  • On the list of the top 10 reasons for death for African Americans is violence. This is a public health concern, what can be done about this? How does this link to criminal justice?
  • Each of the other pages of the website are Social Indicators of Health and therefore heavily influence the health of African Americans in Asheville. This fact needs to be highlighted and referenced when addressing healthcare needs.
  • Medicaid and Medicare and insurance coverage
 

Factors of Resiliency and Self-Sufficiency

  • Local churches and grassroots programs offer various educational and support programs that promote healthcare. This includes programs like cooking, weight reduction, medical screenings, etc. Reports are need to be highlight and amplify these efforts.
  • Mutual Aid Societies — Neighbors and friends and churches and families would contribute to a common pool of money and that money was to be used for major illnesses and burials. These don’t currently exist.
  • Multi generational households were characterized by grandparents and great grandparents living in the same homes and being cared for when infirmed by younger generations and also caring for children whose parents were not present. Traditional systems of care appear to be under severe stress at this time as is evident by one of the the fastest growing populations of homeless are African American elders.

 

 

Areas for further research

  • Reports need for the other 7 top 10 killers (causes for morbidity) of African Americans in Buncombe County and illustrate the disparities between Black and white
  • Mental health data
  • Determinants of health such as environmental conditions and nutrition
  • Elder care
  • Data by race, gender, and age of the health of African Americans in Western NC and Buncombe County based on Medicaid and Medicare and supplemental insurance coverage
  • Data by race and gender of users of Wic and food assistance meeting (or not meeting) the nutritional needs of the community
 

Responsible Governing Bodies and Nonprofit Affiliates

This section is a work-in-progress. We will be identifying government and NGO agencies that operate in the fields pertinent to this data section.
 

Podcasts & Videos

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