Anson County 2020 CHA | Table of Contents
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Anson County
Community Health Assessment
2020
Anson County
Health Department Atrium Health Anson
Author: Janet W. Christy, President of Leverage & Development, LLC
Anson County 2020 CHA | Table of Contents
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Table of Contents
Table of Contents .................................................................................................................................................................... 2
Executive Summary ................................................................................................................................................................. 7
Vision ................................................................................................................................................................................... 7
Leadership ........................................................................................................................................................................... 7
Partnerships ........................................................................................................................................................................ 7
Regional/Contracted Services ............................................................................................................................................. 8
Theoretical Framework/Model ........................................................................................................................................... 9
Collaborative Process Summary ......................................................................................................................................... 9
Key Findings ...................................................................................................................................................................... 10
Health Priorities ................................................................................................................................................................ 11
Next Steps ......................................................................................................................................................................... 14
Overview ............................................................................................................................................................................... 15
Introduction ...................................................................................................................................................................... 15
Process .............................................................................................................................................................................. 18
Next Steps ......................................................................................................................................................................... 19
County Description ............................................................................................................................................................... 20
Economics & Population ................................................................................................................................................... 20
Community Issues ............................................................................................................................................................. 22
Health and Wellness Resources ........................................................................................................................................ 24
Health Data Collection .......................................................................................................................................................... 25
Health Data Results ............................................................................................................................................................... 26
Overall Health Picture ....................................................................................................................................................... 26
Leading Causes of Death ................................................................................................................................................... 28
Public Opinion of Top Health Problems ............................................................................................................................ 30
Priorities Identified through CHA .......................................................................................................................................... 32
Tobacco Use .................................................................................................................................................................. 32
Factors ....................................................................................................................................................................... 32
Lung/Bronchus Cancer .............................................................................................................................................. 33
County Health Rankings ............................................................................................................................................ 34
Public Survey ............................................................................................................................................................. 35
Current Deterrent Efforts .......................................................................................................................................... 41
Hypertension ................................................................................................................................................................. 44
Factors ....................................................................................................................................................................... 44
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Public Survey ............................................................................................................................................................. 45
CDC Rates for Comparison ........................................................................................................................................ 48
Access to Primary Healthcare for Survey Participants diagnosed with Hypertension ............................................. 49
Heart Disease ............................................................................................................................................................ 51
Cerebrovascular Disease (Stroke) ............................................................................................................................. 56
Diabetes .................................................................................................................................................................... 57
Kidney Disease .......................................................................................................................................................... 63
Secondary Priorities ...................................................................................................................................................... 66
Obesity ...................................................................................................................................................................... 66
Mental or Behavioral Health Issues/Disorders ......................................................................................................... 67
Access to Health Care ............................................................................................................................................... 67
Covid – 19 Pandemic Impact ................................................................................................................................................. 72
Lack of Broadband Access ................................................................................................................................................. 72
Testing and Prevention ..................................................................................................................................................... 73
Covid-19 Cases .............................................................................................................................................................. 73
Testing in Anson County ............................................................................................................................................... 73
Indicators from the CHA Public Survey ............................................................................................................................. 74
Steering Committee Input................................................................................................................................................. 75
Data Book .............................................................................................................................................................................. 77
Overview ............................................................................................................................................................................... 77
Population ......................................................................................................................................................................... 77
Economic Factors .............................................................................................................................................................. 80
Life Expectancy.................................................................................................................................................................. 81
Health Indicators ................................................................................................................................................................... 82
County Health Rankings .................................................................................................................................................... 82
Causes of Death .................................................................................................................................................................... 88
Summary of Health Conditions by Race & Gender ............................................................................................................... 90
Diseases of the Heart and Related Conditions...................................................................................................................... 91
Personal Health ................................................................................................................................................................. 94
Access to Primary Healthcare for Survey Participants diagnosed with Heart Disease ..................................................... 96
Cancer ................................................................................................................................................................................... 98
Cerebrovascular Disease ..................................................................................................................................................... 103
Respiratory Diseases ........................................................................................................................................................... 105
Diabetes .............................................................................................................................................................................. 107
County Health Rankings .................................................................................................................................................. 111
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Access to Primary Healthcare for Survey Participants diagnosed with Diabetes ........................................................... 112
Alzheimer’s Disease ............................................................................................................................................................ 113
Septicemia ........................................................................................................................................................................... 114
Kidney Diseases ................................................................................................................................................................... 114
Dialysis ............................................................................................................................................................................ 115
Other Unintentional Injuries ............................................................................................................................................... 117
Hypertension ....................................................................................................................................................................... 119
Personal Health ............................................................................................................................................................... 120
CDC Rates for Comparison .............................................................................................................................................. 123
Hypertension Relationship to Other Health Conditions ................................................................................................. 124
Access to Primary Healthcare for Survey Participants diagnosed with Hypertension ................................................... 124
Pneumonia & Influenza ....................................................................................................................................................... 126
Illegal Drug Use/Substance Abuse, ..................................................................................................................................... 128
Alcoholism/Alcohol Abuse & .............................................................................................................................................. 128
Abuse of Prescription Drugs................................................................................................................................................ 128
County Health Rankings .................................................................................................................................................. 129
Obesity/Overweight ............................................................................................................................................................ 131
County Health Rankings .................................................................................................................................................. 135
Inactivity/Lack of Physical Activity ...................................................................................................................................... 136
County Health Rankings .................................................................................................................................................. 136
Mental or Behavioral Health Issues/Disorders ................................................................................................................... 138
County Health Rankings .................................................................................................................................................. 139
Tobacco Use/Smoking ......................................................................................................................................................... 141
Vaping/E-Cigarettes ............................................................................................................................................................ 141
County Health Rankings .................................................................................................................................................. 142
Public Survey ................................................................................................................................................................... 143
Teenage Pregnancy ............................................................................................................................................................. 149
County Health Rankings .................................................................................................................................................. 151
Dental Health ...................................................................................................................................................................... 153
Communicable Diseases ..................................................................................................................................................... 154
STDs/STIs, HIV, AIDS and Hepatitis ..................................................................................................................................... 154
Births ................................................................................................................................................................................... 160
Infant & Child Mortality ...................................................................................................................................................... 162
Emergency Preparedness.................................................................................................................................................... 163
Social Determinants of Health ............................................................................................................................................ 166
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Introduction ........................................................................................................................................................................ 166
Economic Stability ............................................................................................................................................................... 167
Employment .................................................................................................................................................................... 167
Income ............................................................................................................................................................................ 169
Food Insecurity ................................................................................................................................................................ 172
Housing Instability ........................................................................................................................................................... 175
Poverty ............................................................................................................................................................................ 177
Education ............................................................................................................................................................................ 180
Early Childhood Education and Development ................................................................................................................ 180
Enrollment in Higher Education ...................................................................................................................................... 181
High School Graduation .................................................................................................................................................. 183
Language and Literacy .................................................................................................................................................... 185
Social and Community Context ........................................................................................................................................... 187
Civic Participation ........................................................................................................................................................... 187
Discrimination ................................................................................................................................................................. 189
Incarceration ................................................................................................................................................................... 190
Social Cohesion ............................................................................................................................................................... 190
Health and Health Care ....................................................................................................................................................... 192
Access to Health Care / Access to Primary Care ............................................................................................................. 192
Availability ................................................................................................................................................................... 192
Transportation ............................................................................................................................................................ 196
Ability to Bear Cost of Health Care ............................................................................................................................. 197
Health Literacy ................................................................................................................................................................ 201
Neighborhoods and Built Environment .............................................................................................................................. 205
Access to Foods that Support Healthy Eating Patterns .................................................................................................. 205
Crime & Violence ............................................................................................................................................................ 208
Environmental Conditions .............................................................................................................................................. 212
Quality of Housing ........................................................................................................................................................... 214
Anson County Community Health Assessment 2020 Public Survey Responses ................................................................. 215
Key Informant Interviews Summary ................................................................................................................................... 226
Ordinances, Policies and Efforts to Reduce Tobacco Use and Vaping Appendix ............................................................... 240
Town of Wadesboro ........................................................................................................................................................ 240
South Piedmont Community College .............................................................................................................................. 241
Anson County Schools ..................................................................................................................................................... 242
Anson County Government ............................................................................................................................................ 244
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Anson County Health and Wellness Resource Directory 2020 ........................................................................................... 268
Anson County Health Care Services ................................................................................................................................ 268
Resources for Those in Crisis or Need ............................................................................................................................. 287
Health Careers Education ............................................................................................................................................... 296
Healthy Food Sources ..................................................................................................................................................... 299
Pharmacies ...................................................................................................................................................................... 300
Anson County Services for Home Care, Aging and Rehabilitation .................................................................................. 301
Wellness and Fitness ....................................................................................................................................................... 305
Anson County 2020 CHA | Executive Summary
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Executive Summary
Vision
The Primary Partners of the Anson County CHA along with the Steering Committee share a common vision that
improving the basic health of Ansonians will not only enhance their quality of life, but will also lengthen their lives.
The persons and entities involved in the Community Health Assessment are all of the opinion that improving the
basic health of citizens in the County will:
Decrease their number of poor health days.
Increase their ability to obtain and retain employment.
Increase the ability of youth to regularly attend school and enhance their ability to learn.
Reduce their cost for healthcare.
Reduce their risk of developing serious, life-threatening diseases and health conditions.
Increase their resilience to physically handle unexpected health threats such as an injury or a pandemic.
Increase their ability to care for themselves, their families and their homes.
Position them to better deal with crisis and obstacles such as the loss of a job or an accident.
Leadership
The Anson County Health Department and Atrium Health Anson have a long-established partnership of working to
uncover, understand and meet the health needs of the folks in Anson County. That partnership began in 1997
when Carolinas HealthCare System acquired the Anson County Hospital from Anson County. The partnership has
continued through the migration in 2014 from the original Anson County Hospital building to the hospital and
medical home facility built by Carolinas HealthCare System and through a name change for Carolinas HealthCare
(Carolinas HealthCare Anson) to Atrium Health (Atrium Health Anson).
These two organizations partnered to lead the Anson County Community Health Assessment in 2012 and 2016 and
joined forces again in 2020 to lead the research and development of this CHA.
In Anson these organizations not only represent almost the totality of healthcare, they also represent a large share
of the jobs, since the County Government and Atrium Health Anson are two of the largest employers in the County.
In addition, they are two of the largest business consumers of products and services in the County. These factors
give them a strategic advantage in securing participation, gathering public input and garnering support for a CHA
and the Community Health Improvement Plans (CHIPs) that will follow. Each of these organizations will lead one
of the CHIPs that will be developed from the data in this report.
Partnerships
Anson County Health Department and Atrium Health Anson put together a Steering Committee comprised of
partners that represent the diversity of opinion and need of County citizens. These partners collectively provided
guidance and input. Individually they provided information and functions in concert with their expertise and the
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population or entity that they represent for example: the School District provided details on their No Smoking
policies and the Sandhills Center provided insight on Mental Health Services available in the County.
The following table lists the members of the CHA Steering Committee.
Anson County CHA Steering Committee
Member
Employer/Organization
Title
Aimee Colf
Anson County Cooperative
Extension
Extension Agent
Barron Monroe
Anson County Government
County Manager
Dana Thomas
Anson County Health Department
Nursing Supervisor
Dave Anderson
Atrium Health Anson
Anson Facility Executive
David Fox
Atrium Health
Manager, Client Services
Debbie Seigler
Anson County Health Department
WIC RN
Dinikia Savage
Anson County Health Department
Health Educator
Donald W. Woodburn,
MD
Carolinas Primary Care
Medical Director
Elaine E. Wartinger
Atrium Health Anson
Dietitian Nutritionist
Elizabeth Hamrick
South Piedmont Community College
Executive Assistant to the President
Evonne Burr
Anson County Health Department
Administrative Officer
Fred Thompson
Anson County Health Department
Director
Jill Lucas
Atrium Health Anson
Director, Ancillary & Support Services
Joe West
Anson County Health Department
Environmental Health Coordinator
Liam Brailey
Anson County Government
Intern
Lula Colson-Jackson
Anson County DSS
Key Staff Director
Mary Ratliff
Anson County Schools
Administrator: Student & Administrative
Services
Pamela Munger
Sandhills Center
Community Development Specialist
Penny Carville
HealthQuest
Carolinas Primary Care
Board Member
Senior Manager Ambulatory Services
Sarah L. Dean
Atrium Health Anson
Faith Outreach
Shawn Spohn
Atrium Health
Director, Community Engagement
Shelby Emrich
Anson County Chamber
President/CEO
Teresa Cochran
Atrium Health Anson
Director of Nursing
Stephanie R. Wilson
Atrium Health Anson
Community Health
Regional/Contracted Services
The County Health Department and Atrium Health Anson contracted with the consulting firm Leverage &
Development, LLC to assist in the collection and analysis of the data and in the development of the CHA report. The
contractor worked under the direction of the Leadership and the Steering Committee. All decisions were made by
the Leadership or the Steering Committee. Leverage & Development, LLC assisted the County Health Department
and Atrium Health Anson with the CHAs in 2012 and 2016. The contractor has also worked with several other
counties in North and South Carolina on CHAs or CHNAs including: Rowan County, NC, Union County, NC,
Spartanburg County, SC and Cherokee County, SC.
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Theoretical Framework/Model
The 2020 CHA was conducted in compliance with recommendations and guidance from the NC Division of Public
Health including the collection of personal opinion. A modified version of the MAPP (Mobilizing for Action through
Planning and Partnerships) was used. Certain parts were modified because of the dangers and restrictions on
public meetings due to the Covid-19 Pandemic. Virtual means and methods were developed and used to ensure
the Steering Committee /Partners were kept engaged in all phases of the CHA, particularly the analysis and
determination of priorities. The Health Indicators and 2030 Targets of Healthy North Carolina were used as
guiding factors throughout the CHA process.
Collaborative Process Summary
February
2020
•Initial Planning
•Establishment of Steering Committee
March 3,
2020
•Formal Kick-off Meeting of Steering Committee
•Sharing of guides, past CHAs, tasks and timeline with Steering Committee
April -
August
•Solicitation of Public Survey participation
• Conduction of Key Informant interviewss
•Gathering of data
September -
October
•Analysis of data
•Determination of Priorities
•Gathering of additional data related to Priorities
November
2020
•Confirmation of findings
•Preparation of report and appendices
December
2020
•Editing and final approval of report and appendices by Steering Committee
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Key Findings
The public input, secondary data and other research led the Leadership and CHA Steering Committee to the
following key findings.
Little to no improvement has
been made on basic health
issues since the 2016 CHAs
Tobacco Use has not decreased
since 2015
Hypertension has been a
consistent problem and
continues to contribute to life
threatening health conditions
such as Heart Disease,
Diabetes and Kidney Failure
County Health Rankings &
Roadmaps ranks Anson as less
healthy than 95 of the 100
counties in the State , a 12
point worsening since 2015.
Health Conditions and Issues
continue to be impacted by poverty,
lack of jobs, general lack of
economic growth and development
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Health Priorities
Members of the CHA Steering Committee used the data collected through the CHA – Key Informant Interviews,
Public Survey and Secondary statistical Data – to determine priorities. The selected priorities were further
assessed through the prism of the Healthy North Carolina 2030 Health Indicators/Targets to make certain that
priorities were chosen that not only matched the priorities of the State, but also put Anson County in a position to
capitalize on State funding and resources. The committee members then evaluated the capacity of the resources in
the County to address the priorities. Through this process two principal and several secondary priority areas were
chosen. The two principal priorities are Tobacco Use and Hypertension.
Principal Priorities
Secondary Priorities
Mental or
Behavioral Health
Issues/Disorders
Access to Health
Care
Obesity
Tobacco Use
Hypertension
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Tobacco Use
The use of Tobacco and the resulting health problems is a major issue in Anson County. The primary factors that
cause this to be a major issue are listed below.
Factors
Even though the rate of death from Lung/Bronchus Cancer in Anson County has decreased since 2012, it is
much higher than any other documented cancer type and has been higher for many years. In contradiction
the Lung/Bronchus Cancer incidence rate is and has been the 3
rd
highest – Female Breast and Prostate
Cancer rates have been consistently higher. Lung/Bronchus Cancer is often caused or worsened by
Tobacco Use.
Tobacco Use has consistently been viewed as a Health Problem by Anson County citizens as evidenced in
the Public Surveys during the 2012, 2016 and 2020 CHAs.
Smoking is shown by County Rankings and Roadmaps to be 20% or more of the Anson Adult population
from 2015 through 2020.
Reported personal use of tobacco by CHA Public Survey participants was significant.
Reported exposure to secondhand by CHA Public Survey participants demonstrated that Smoking is still
common.
Vaping, which may involve nicotine, but definitely involves chemicals, is increasing in use.
According to the North Carolina Institute of Medicine (NCIOM): “Tobacco Use is the leading preventable
cause of early death and disease in North Carolina and the nation. Tobacco use and secondhand smoke
exposure are responsible for multiple cases of preventable morbidity and mortality in North Carolina.”
(source: https://nciom.org/wp-content/uploads/2020/01/Tobacco-Use_2.pdf) . This is one of the reasons
that Anson County is prioritizing decrease in Tobacco Use. Reduction of Tobacco Use would aid in meeting
the Healthy NC 2030 Target of Increasing Life Expectancy.
Decreasing Tobacco Use is #11 of the Healthy North Carolina 2030 Indicators. The 2030 Target of Healthy
North Carolina is 15% Tobacco Use by Adults.
Tobacco Use has a direct impact on other health issues that are prevalent in Anson County including
Diabetes, Heart Disease and COPD/Respiratory illness.
Even though there are some restrictions on smoking in government and public buildings, Non-smoking
policies/ordinances in the County are generally lacking.
The Anson County Health Department with guidance and assistance from the State has the means to
address this issue and have a positive impact. Having the means to address/impact an issue was important
to the Steering Committee in determining priorities and choosing issues to address through a Community
Health Improvement Plan (CHIP).
Although there has been improvement in statistics and opinion related to the Use of Tobacco, it has not
been significant. The seriousness of the consequences of Tobacco Use, for instance the Death Rate
compared to the Incidence Rate of Lung/Bronchus Cancer, elevates the need for this issue to be part of any
efforts to improve the health of Ansonians.
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Hypertension
Hypertension and resulting health problems are major issues in Anson County. The primary factors that cause this
to be a major issue are listed below. Details from public input and statistics are provided in graphs and tables in
the report.
Factors
Hypertension plays a role in/is a contributor to serious diseases that greatly impact quality of life and can
result in death. This relationship to diseases with high mortality rates is directly related to the #21 Target
of the Healthy North Carolina 2030 Desired Results: Increase Life Expectancy from 77.6 to 82.0 years. In
Anson County Hypertension it is a contributor to 4 of the 10 Leading Causes of Death:
o Heart Disease, the #1 Cause of Death in Anson County
o Cerebrovascular Disease (Stroke), the #3 Cause of Death in Anson County
o Diabetes, the #5 Cause of Death in Anson County
o Kidney Diseases, the #8 Cause of Death in Anson County
Hypertension has a significant impact on the quality of life because of the diseases to which it contributes,
even if those diseases do not result in death.
The percentage of CHA Public Survey participants who say they have been diagnosed with Hypertension
was similar in 2016 and 2020. Both were higher than in 2012.
o 2012 – 34.6%
o 2016 – 46.0%
o 2020 – 44.1%
The percentage of Key Informants who said Hypertension is a problem has more than doubled since 2012.
o 2012 CHA – 22.0%
o 2016 CHA – 48.0%
o 2020 CHA – 55.8%
Several lifestyle behaviors contribute to the occurrence of Hypertension. Several of these behaviors are
Healthy North Carolina 2030 Health Indicators:
o #7 Access to Exercise Opportunities
o #8 Limited Access to Healthy Food
o #11 Tobacco Use
o #13 Sugar-Sweetened Beverage Consumption
Atrium Health Anson has the capacity to positively impact this issue because they have the following
capabilities or facilities in Anson County. Having the means to address/impact an issue was important to
the Steering Committee in determining priorities and choosing issues to address through a Community
Health Improvement Plan (CHIP).
o Primary Care Practice (Carolina Primary Care)
o Dietitian/Nutritionist on Staff (services offered at no charge to patients)
o Emergency Department
o 15 bed hospital for routine services
o Laboratory and Radiology Services
o Transportation Services for Primary Care Patients
o Telemedicine capability to Specialists
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Next Steps
Share CHA with appropriate organizations.
Publish CHA online.
Publicize link to online CHA.
Develop CHIPs to address the chosen Health Priorities: Tobacco Use and Hypertension. CHIPs to
be completed by September 1, 2021 and submitted to the NC Department of Public Health.
Execute and measure progress on CHIPs during 2021 - 2023.
Anson County 2020 CHA | Overview
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Overview
Introduction
Each local public health department in North Carolina is required by the NC Division of Public Health to lead their
county through a Community Health Assessment (CHA) every 3 or 4 years. The CHA lays the foundation for a
community health planning process because it provides an assessment of the current state of health, an inventory
of resources and a statistical picture of key indicators. The CHA also collects and analyzes public opinion on the
positives, negatives and needs related to health.
In 2020 Anson County Health Department partnered with Atrium Health Anson to lead the CHA process. The
partnership of Anson County Health Department and Atrium Health Anson is an established one that consistently
works to understand and meet the needs of Ansonians. These organizations have partnered to lead both the CHA
and community health planning processes over the last 10 years.
The 2020 CHA was conducted in compliance with recommendations and guidance from the NC Division of Public
Health including the collection of personal opinion. A modified version of the MAPP (Mobilizing for Action through
Planning and Partnerships) was used. Certain parts were modified because of the dangers and restrictions on
public meetings due to the Covid-19 Pandemic. Virtual means and methods were developed and used to ensure
the Steering Committee /Partners were kept engaged in all phases of the CHA, particularly the analysis and
determination of priorities. The Health Indicators and 2030 Targets of Healthy North Carolina were used as
guiding factors throughout the CHA process. An outside consultant, Leverage & Development, LLC was contracted
to assist in the research, analysis and compilation of the CHA data. The Health Department, Atrium Health Anson
and the outside consultant led the CHA process in 2012 and 2016.
Pandemic Impact on CHA
In 2020 adjustments were made to the normal CHA process to ensure that the quality of the CHA did not suffer
in spite of the shut-downs, social distancing and increased workload of healthcare professionals caused by the
Covid-19 Pandemic. Some examples:
To avoid the risk of personal contact the Steering Committee decided not to conduct any focus groups,
but supplemented the gathering of public input with a larger number of Key Informant interviews and
ensuring that the participating Key Informants represented a diversity of groups and populations.
A concerted effort was made to get a greater number of online participants in the public survey so that
solicitation at public places could be avoided.
Extra effort was made to solicit public survey participation from typically under participating
populations. For instance, solicitations were made through the Health Department, the local
newspaper and churches.
Electronic methods were used to facilitate Steering Committee involvement without risking personal
contact or interfering with the increased workload.
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The Anson 2020 CHA primary partners, Anson County Health Department and Atrium Health Anson, formed a
Steering Committee to make certain that the CHA process was community driven. The Steering Committee was
comprised of county leaders, public health agencies, businesses, healthcare providers, academic leaders and other
persons/organizations involved in the community health of Ansonians. The Steering Committee was involved in
all phases of the CHA process as illustrated in the process described in this report.
Anson County CHA Steering Committee
Member
Employer/Organization
Title
Aimee Colf
Anson County Cooperative
Extension
Extension Agent
Barron Monroe
Anson County Government
County Manager
Dana Thomas
Anson County Health Department
Nursing Supervisor
Dave Anderson
Atrium Health Anson
Anson Facility Executive
David Fox
Atrium Health
Manager, Client Services
Debbie Seigler
Anson County Health Department
WIC Coordinator
Dinikia Savage
Anson County Health Department
Health Educator
Donald W. Woodburn,
MD
Carolinas Primary Care
Medical Director
Elaine E. Wartinger
Atrium Health Anson
Dietitian Nutritionist
Elizabeth Hamrick
South Piedmont Community College
Executive Assistant to the President
Evonne Burr
Anson County Health Department
Administrative Officer
Fred Thompson
Anson County Health Department
Director
Jill Lucas
Atrium Health Anson
Director, Ancillary & Support Services
Joe West
Anson County Health Department
Environmental Health Coordinator
Liam Brailey
Anson County Government
Intern
Lula Colson-Jackson
Anson County DSS
Key Staff Director
Mary Ratliff
Anson County Schools
Administrator: Student & Administrative
Services
Pamela Munger
Sandhills Center
Community Development Specialist
Penny Carville
HealthQuest
Carolinas Primary Care
Board Member
Senior Manager Ambulatory Services
Sarah L. Dean
Atrium Health Anson
Faith Outreach
Shawn Spohn
Atrium Health
Director, Community Engagement
Shelby Emrich
Anson County Chamber
President/CEO
Teresa Cochran
Atrium Health Anson
Director of Nursing
Stephanie R. Wilson
Atrium Health Anson
Community Health
Community involvement was not only at the core of the 2020 CHA process, it is permanently an integral element in
the assessment of health needs and healthcare delivery. The County Health Department is assisted by the County
Board of Health. Atrium Health Anson is guided by an Advisory Council.
Anson County Board of Health
Pam Vernon, Chair
General Public Member
Lee Ainsworth
Engineer
Marjorie Cole
General Public Member
Beth Diggs
Nurse
Alexandra Harrington
General Public Member
Holly Kiker, OD
Optometrist
Holly Stegall, MD
Physician
Tommy Taylor
Pharmacist
Jarvis Woodburn
County Commissioner
Danny Wright, DVM
Veterinarian
Carolyn James
General Public Member
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Atrium Health Anson utilizes an Advisory Council made up of individuals involved in the community who have
demonstrated an interest in the health and welfare of the Anson County public. The members during the 2020
CHA process were:
Jarvis Woodburn, Chair
George Truman, ED.D, Vice Chair
Kishia Dunlap
Lisa Hold
Frank Huntley
Michael Railton
Derek James
Michael Freeman
Carly Little
Pastor Iris Tillman
Moshe Usadi, MD
Ann Black Tucker
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Process
Following is an outline of the CHA process steps. The MAPP model was used to guide all efforts.
CHA Process
In February 2020 Partners (Health Department & Atrium Health Anson):
Finalized their agreement to conduct CHA.
Established the Steering Committee.
Contracted with outside consultant.
Anson County Health Department Director provided background information to the Steering Committee
including:
Past CHA reports.
Healthy North Carolina 2030 Targets.
Description of Steering Committee role.
Kickoff Meeting on March 3, 2020 with Steering Committee was held. Committee Members were asked to:
Look over the Public Survey used in 2016 and provide suggested changes.
Suggest methods, places, means for soliciting Public Survey solicitation.
Suggest persons/organizations to participate in focus group or Key Informant interviews
(once shutdowns and social distancing were dictated by the NC Governor it was decided not to hold
focus groups, but to increase the number of Key Informant interviews)
The Public Survey was prepared and made available to gather public input:
2016 survey was modified to reflect input from the Steering Committee.
Online and paper versions were developed.
Steering Committee gave final approval.
Solication began using the following methods: Coverage in the local newspaper, email solicitation
by Steering Committee members and other community leaders, mailings to churches, social media
postings and sharings, solicitation at the County Health Department, solicitation at community
centers where social distancing allowed safe gatherings, solicitation through local organizations
that were conducting video meetings and several other safe methods.
Consultant monitored demographic participation to ensure adequate representation by all
populations
Conducted 44 Key Informant interviews.
Steering Committee assisted in identifying the persons to be interviewed and the list of questions to
be used.
All interviews were conducted by phone because of the Covid-19 Pandemic restrictions and
concerns.
The Directory of Health and Wellness Resources was developed by updating and verifing the 2016
Directory with the assistance of the Steering Committee and the various organizations, agencies and
businesses listed in the Directory.
The Public Survey solicitation and the Key Informant interviews were conducted simultaneously.
Analysis and summarizations were done on the public input from the Public Survey and Key Informant
interviews. This information was shared with the Steering Committee.
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Secondary statistical data was gathered based on CHA Guidelines, Steering Committee input, and issues
identified through public input via the survey and Key Informant interviews.
The Steering Committee was asked to provide input through an online questionnaire to facilitate the
determination of priorities and determine if additional, more in-depth secondary data was needed. This
online method was used in lieu of a work session due to the continued risk of long, in-person meetings
because of the Covid-19 Pandemic. Information provided to the Committee to aid in their virtual priority
setting exercise included:
A Data Book composed of primary and secondary data (this is included as an addendum in the CHA
report).
A report addendum of primary and secondary data related to Social Determinants of Health.
Public Survey results.
Key Informant interview percentage responses.
The additional data identified as needed by the Steering Committee was gathered and the priorities were
set. The Steering Committee chose issues for which they will develop Community Health Improvement
Plans (CHIPs). The Health Department will lead the development and execution of a CHIP for one of the
issues. Atrium Health Anson will be the lead on the other CHIP.
A draft of the report was prepared and shared with the Steering Committee for editing and revisions.
Feedback was provided by the Steering Committee. The final report was completed and readied to be
shared with the County Board of Health, Atrium Health Anson Advisory Council and the County
Commissioners before it was submitted to the NC Division of Public Health.
Next Steps
The two priorities chosen by the Steering Committee are:
Tobacco Use
Hypertension
The CHA report will be shared as follows:
Presented to the County Board of Commissioners
Presented to the Atrium Health Anson Advisory Council
County Health Board
Published online at the Anson County Health Department website
Provide both hard and electronic copies to the Hampton B. Allen Library
Publicize link to the online version through press releases, social media postings and announcements to
civic organizations, churches and other organizations
Community Health Improvement Plans (CHIPs) will be developed for the two priorities before September 2021.
The CHIPs will be executed and measured during 2021 – 2023. The County Health Department will be the lead
agency for the CHIP on Tobacco Use. Atrium Health Anson will lead the CHIP on Hypertension. The County Health
Department will monitor and report to the County and the State on the progress for each CHIP.
Anson County 2020 CHA | County Description
20
County Description
Anson County is located in the south-central area of the State and is approximately 1 hour from Charlotte. It is 67
miles from the County Seat (Wadesboro) to the nearest Interstate (I-85). Since the last CHA was conducted some
positive and some negative changes have occurred in the economics and population of the County. In the following
pages are some comparison between current statistics and those of 2016 when the last CHA was done. Additional
details on these factors are included in the Data Book addendum of this report.
Participants in the 2020 Public Survey were asked how they felt about 5 quality of life statements. Following is a
summary of the survey responses. The highest percentage response for each question is highlighted.
QUALITY OF LIFE STATEMENTS
Strongly
Disagree
Disagree
Agree
Strongly
Agree
Don’t
Know
No
Answer
There are enough jobs & opportunities to
move up in Anson County
40.4%
41.1%
13.1%
1.9%
3.1%
0.4%
Anson County is a good place to raise
children.
12.2%
25.6%
47.0%
10.9%
3.9%
0.4%
Anson County is a good place to grow older.
9.6%
20.9%
49.6%
15.7%
3.4%
0.8%
People in Anson County can get good health
care.
16.7%
36.7%
34.8%
7.4%
3.5%
0.9%
Anson County is a safe place to live.
9.8%
26.3%
53.5%
7.8%
1.7%
0.9%
Economics & Population
Factor
At Time of
2016 CHA
For 2020 CHA
Total Population
26,309
25,306
African American population
49.0%
49.5%
Caucasian population
48.0%
48.5%
Male Population
48.0%
52.5%
Female Population
52.0%
47.5%
Median Household Income
$33,880
$39,216
Households below poverty level
22.1%
16.1%
Households that received Food Stamps/SNAP
26.6%
21.9%
Population with a disability
21.4%
17.8%
Percentage of Families with Female Householder, no husband present
40.4%
40.7%
Households below poverty level with related children under age 18
30.2%
25.0%
Unemployment Rate
5.4%
9.9%
All statistics are from the American Community Survey (ACS) of the US Census Bureau.
Anson County 2020 CHA | County Description
21
The following graphs provide current estimates of Census distribution by Age Group, Education Level and
Household Income. All statistics are from the American Community Survey (ACS) of the US Census Bureau.
5.5%
21.2%
26.4%
13.6%
10.6%
4.6%
1.9%
Census Age Group Distribution
15-19
20-34
35-54
55-64
65-74
75-84
85+
5.3%
14.2%
41.5%
20.7%
8.7%
7.2%
2.4%
Census Education Level Distribution
8th Grade or less
Grade 9, 10 OR 11
High School or Equivalent
Attended college but did not earn a degree
Associate's Degree
Undergraduate Degree
Graduate or Professional Degree
Anson County 2020 CHA | County Description
22
Community Issues
The following table provides the top ten Community Issues according to the Public Survey respondents.
COMMUNITY ISSUES
Major
Problem
Somewhat
of a
Problem
Major +
Somewhat
Not a
Problem
Don’t
Know
No
Answer
Poverty
71.5%
21.3%
92.8%
.7%
1.5%
5.0%
Children in Poverty
71.7%
20.7%
92.4%
1.3%
1.9%
4.4%
Low Pay of Available Jobs
61.0%
28.9%
89.9%
2.2%
3.5%
4.4%
Unemployment
48.0%
40.1%
88.1%
3.1%
4.3%
4.5%
Non-Violent Crime (theft, robbery, etc.)
33.9%
53.1%
87.0%
4.1%
4.8%
1.1%
Access to Specialized Healthcare (Cardiology,
Urology, Neurology, Orthopedic, etc.).
53.7%
32.0%
85.7%
4.8%
5.2%
4.3%
Single-Parent Households
64.6%
20.9%
85.5%
7.8%
2.6%
4.1%
Lack of Recreational Facilities/Programming
43.9%
38.1%
82.0%
9.1%
4.6%
4.3%
Domestic Violence
32.6%
47.8%
80.4%
3.0%
12.6%
4.0%
Racism
31.1%
48.1%
79.2%
9.6%
6.7%
4.5%
Key Informants were also asked about the major non-health related concerns/problems in the County. Following
are the top 10 community concerns and problems according to the Key Informants. Key Informants were asked an
open ended question instead of being given a list to rank as done in the Public Survey. The percentage of the 44
Key Informants interviewed that mentioned the issue as a problem is provided.
Violence – 55.8%
Lack of jobs/high unemployment – 55.8%
Education System – 39.5%
Loss of Walmart – 39.5%
Gangs – 32.6%
Lack of family sustaining wage jobs (good paying) – 32.6%
9.6%
8.7%
15.4%
12.0%
16.4%
15.2%
10.1%
12.6%
Census Income Range Distribution
Less than $10,000
$10,000-$14,999
$15,000-$24,999
$25,000-$34,999
$35,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000 or more
Anson County 2020 CHA | County Description
23
People go out of county for many things and spend their money out of county which further reduces the tax
base – 30.2%
High number of people are disabled and/or dependent on government agencies – 27.9%
Lack of Transportation – 27.9%
Poverty – 25.6%
Anson County 2020 CHA | County Description
24
Health and Wellness Resources
Anson County citizens have seen a decrease in health and wellness resources and services since the 2016 CHA.
Specific negative changes that have had a significant impact are:
Loss of a pharmacy and affordable over-the-counter health products source due to Walmart closing.
Loss of a pharmacy due to Anson Pharmacy closing.
Loss of a Primary Care provider due to Americare Health Primary Care closing.
Loss of some services at the County Health Department due to reduced funding.
Loss of one In-Home Care Service Provider
Loss of one Hospice Provider
Loss of 4 Mental Health and/or Substance Abuse Treatment Providers
A complete inventory of Health and Wellness Resources is provided in the Resource Directory Appendix.
Following is a summary of those resources.
Medical Resources
4 Primary Care Providers*
1 Pediatric Practice
1 General Surgery Provider
1 Asthma Camp
1 Diabetes Educators
1 Dietitian
1 Emergency Department
1 Hospital with 15 In-Patient Beds
1 Medical Imaging Provider
1 Medical Laboratory
1 Mobile Medical Unit
2 Rehabilitative/Therapy Service Providers
3 Dental Care Providers
2 Optometrists
2 Dialysis Providers
2 Medical Transportation Provider
2 Pharmacies
5 In-Home Care Service Providers
3 Long-Term Care/Rehabilitation Providers
3 Hospice
20 Mental Health and/or Substance Abuse Treatment
Providers
*The 4 Primary Care Providers include the following:
One full-time Primary Care , owned by Atrium Health
ARMS (Anson Regional Medical Services, Inc.) which is a Federally Qualified Health Center
One private practice that does not accept Medicaid and has limited acceptance of new patients
Anson County Health Department for limited adult sick visits
No Cost Resources
Faith Community Health Ministry
3 Medication Assistance Providers
1 Women in Crisis Pregnancy Organization
1 Children Services Provider
4 Food Pantries and/or Clothes Closets
1 Domestic Violence and Rape Crisis Organization
1 Crisis Ministry Organization
Anson County 2020 CHA | Health Data Collection
25
Public Health Services
Communicable Disease Testing & Treatment
Environmental Health Services
Family Planning
Immunizations
Low Risk Maternity Care
WIC Services
Physicals
Nutrition Supplement & Education Program
STD/STI Testing
2 Medical Transportation Providers
1 Senior Wellness Resource Provider
Public Health Education Services
Wellness Resources
1 Farmer’s Market
7 Local Food Sources (produce, meat, eggs)
1 Health Food Store
1 Private Fitness Center
2 Athletic Organizations
1 Country Club
Public Parks in all municipalities, except McFarlan
1 Public Swimming Pool
3 Healthy Eating Instruction Programs
Online Nutrition & Fitness programs
2 Youth Safety & Risk Programs
1 Program to provide healthy food on weekends for elementary age children
Health Data Collection
Primary Data was collected in the following ways:
A paper version and an on-line version of the Public Survey were developed. 540 Surveys were collected
primarily through on-line participation. Note: all survey collection occurred during the shutdowns and
scale backs caused by the Covid-19 Pandemic. Anson County was able to collect only 6 less than were
collected during the 2016 CHA process.
Emails encouraging participation in the on-line survey were sent to employees, friends, family,
acquaintances, etc. by Health Department Staff, Atrium Health Anson Staff and other CHA Steering
Committee members.
Paper copies of the survey were collected at community centers that were able to operate safely during the
Covid-19 social distance mandates.
The Health Educator of the Health Department made the survey available to the public by providing paper
copies to patrons of local food pantries and to Health Department clients.
The Health Educator of the Health Department made arrangements for publicity with the local newspaper.
Interviews with 44 Key Informants that represented organizations, agencies, and specific populations were
conducted to gain their input and insights. These interviews were done in lieu of focus groups to ensure no
health risks were taken during the Covid-19 Pandemic. All interviews were done by phone.
Secondary data was gathered using the following sources:
Sources provided/suggested in the CHA Guidelines
Sources suggested by the CHA Steering Committee
Anson County Health Department internal and external sources
Anson County 2020 CHA | Health Data Results
26
Health Data Results
Highlights of collected data, Primary (public input) and Secondary (statistics), are provided in the following pages;
more details and charts are presented in the Appendices to this report – Data Book, Social Determinants of Health
appendix, Survey Results summary and Key Informant Interview summary.
Overall Health Picture
Individual county health rankings (from the County Health Rankings Organization) for the 100 North Carolina
counties is a common measure used by the State of North Carolina and the individual counties. In the following
table are the 2020 ranking for Anson County, its peers and the State of North Carolina on some key measures. The
“best” county is highlighted in green; and the worst county is highlighted in orange.
Health Indicator
Anson
Montgomery
Richmond
Scotland
Stanly
State
Overall Rank out of
100
96
48
93
98
55
N/A
Poor or Fair Health
23%
20%
22%
24%
16%
16%
Poor physical health
days
4.6
4.4
4.8
5.1
3.9
3.9%
Poor mental health
days
4.4
4.3
4.6
4.8
4.0
4.0
Low birthweight
12%
11%
12%
13%
10%
10%
Adult Smoking
20%
18%
21%
23%
17%
17%
Adult Obesity
39%
37%
39%
40%
28%
28%
Physical inactivity
% adults 20 & over reporting
no leisure-time physical
activity
31%
39%
32%
26%
24%
24%
Access to exercise
opportunities
% adults living reasonably
close to physical activity
location
6%
73%
39%
66%
69%
74%
Excessive Drinking
14%
15%
14%
14%
17%
17%
Anson County did not rank best in any measure, except for tying with 2 other counties on Excessive Drinking. It
did rank worst in one measure, but was very close to the worst county in several other measurements.
Anson County 2020 CHA | Health Data Results
27
The following table depicts a six-year trend of Anson County’s ranking in the individual Health Indicators from the
County Health Rankings and Roadmaps.
Health Indicator
2015
2016
2017
2018
2019
2020
Overall
Worsening?
Increase/
Decrease
2015 to 2020
Overall Rank out of 100
84
94
89
90
90
96
Yes
+12 points
Length of Life
83
90
90
91
90
94
Yes
+11 points
Quality of Life
> Poor or fair health percentage
> Poor physical health days
> Poor mental health days
> Low birthweight
> Child & Infant mortality
> Diabetes prevalence
> Life expectancy
73
91
87
85
88
94
Yes
+21 points
Health Factors
88
89
87
87
91
89
Yes
+1 point
Health Behaviors
> Adult Smoking
> Adult obesity
> Food environment index
> Physical inactivity
> Access to exercise opportunity
> Excessive Drinking
> STDs/STIs
> Teen Births
> Limited access to healthy food
63
94
89
89
91
93
Yes
+30 points
Clinical Care
> Uninsured
> Primary care physicians
> Mental health providers
> Preventable hospital stays
> Mammography screening
> Flu vaccinations
49
63
71
73
85
84
Yes
+35 points
Social & Economic Factors
> High school graduation
> Some college
> Unemployment
> Children in poverty
> Income inequality
> Children in single-parent
households
> Violent crime
> Children eligible for free or
reduced price lunch
> Homicides
> Suicides
94
90
85
84
85
85
No
-9 points
Physical Environment
> Air Pollution
> Drinking water violations
> Severe housing problems
> Long commute – driving alone
> Homeownership
> Severe housing cost burden
26
26
49
65
98
99
Yes
+73 points
Anson County 2020 CHA | Health Data Results
28
Trend analysis and comparison between 2015 and 2020 show that Anson County has significantly decreased
during the last 6 years in almost all rankings that reflect the health of its citizens.
Of particular note are the following:
Although the Life Expectancy had some worsening, the worsening of Quality of Life was more significant.
The acute worsening of Health Behaviors and Clinical Care likely show that both access to/availability of
local care and the actions of the citizens have almost equal impact on the worsening of overall health of
Ansonians.
Although Social & Economic Factors actually improved from 2015 to 2020, the Physical Environment
factors worsened drastically. When coupled these two factors could mean that things such as education
and employment have improved, but other factors have had a dramatic worsening, such as:
o People must travel out of the County for employment
o Cost of housing – purchase and maintenance – has outpaced earnings increases
o Because people go outside of the County for most things – employment, healthcare, retail and
increasingly education – they also spend their money outside the County.
Input from the Key Informants that expound on things related to the Health Factors
60.5% said that Healthcare Specialists being out of county complicates accessing healthcare.
39.5% said that there are not enough Primary Care Providers in the County.
25.6% said that people without means to go outside the County to get Primary Care get it in Anson County.
20.9% said that Most/more than half of Ansonians go out of county for Primary Care.
30.2% said that People go out of county for many things and spend their money out of county which further
reduces the tax base.
Leading Causes of Death
The following graph shows the Leading causes of Death according to the 2017 County Health Data Book of the State
Center for Health Statistics. The rate is per 100,000 population.
Leading Causes of Death
288.5
230.0
70.3
65.6
43.5
37.1
36.4
33.2 33.2
28.5
Diseases of the heart
Cancer - All
Cerebrovascular disease
Chronic lower respiratory
diseases
Diabetes mellitus
Alzheimer's disease
Septicemia
Nephritis, nephrotic
syndrom & nephrosis
Other Unintentional
injuries
Pneumonia & influenze
Anson County 2020 CHA | Health Data Results
29
The other 8 Leading Causes of Death vary by Race and by Gender. The Data Book appendix of this report provides
the top ten Leading Causes of Death by Race and by Gender.
The rate of occurrence of disease or health condition varies by Race and Gender. The following table presents the
percentage of Public Survey participants by Race and Gender that have been diagnosed with the Health Conditions
that are the most prevalent and/or have the highest death rate.
Health Condition
African American
Female
Caucasian Female
African American
Male
Caucasian Male
Cancer
6.4%
9.8%
5.1%
11.3%
COPD
6.4%
6.0%
6.8%
5.7%
Depression
21.3%
31.7%
8.5%
15.1%
Diabetes
24.5%
13.1%
12.7%
11.3%
Heart Disease
5.3%
6.6%
12.7%
5.7%
Hypertension
63.8%
37.7%
45.7%
47.2%
High Cholesterol
33.0%
37.7%
43.2%
24.1%
Obesity
55.3%
48.1%
38.1%
35.8%
STD/STI/HIV
8.5%
1.6%
16.9%
0
Orthopedic Issues
29.8%
45.9%
8.5%
24.5%
Red highlight indicates highest percentage of occurrence; lavender highlight indicates lowest percentage of
occurrence.
African American Females have the highest occurrence in 3 of the 10 health conditions and rank lowest in
only one condition. The 3 they rank highest in have an impact on mortality and quality of life.
African American Males have the highest occurrence in 4 of the 10 health conditions and rank lowest in 3
conditions. Two of the 4 ranked highest in have an impact on mortality and quality of life.
Caucasian Females rank highest in 2 of the health conditions and rank lowest in one condition. Neither of
the conditions they rank highest in have a high mortality rate.
Caucasian Males rank highest in only one of the health conditions and rank lowest in 5 of the conditions.
These factors cannot be considered alone. In order to understand these statistics and improve them, they
must be considered in concert with other demographic factors, such as income and education. The ability to
access appropriate resources and care should also be considered in totally understanding this data.
#1 Cause of Death for
Caucasians, African
Americans, Males &
Females is
Diseases of the Heart
#2 Cause of Death
for Caucasians,
African Americans,
Males & Females is
Cancer
Anson County 2020 CHA | Health Data Results
30
Public Opinion of Top Health Problems
The following tables compare the current top ten Health Problems as identified by participants in the Public Survey
and by Key Informants to the top ten identified during the 2016 public survey.
2020 Identified Health Problems
in Public Survey
% of 2020
Survey
Participants that
said it is a
problem
2016 Identified Health
Problems
in Public Survey
% of 2016 Survey
Participants that
said it is a
problem
Illegal Drug Use
93.7%
Illegal Drug Use
92%
Obesity/Overweight
93.1%
Tobacco Use/Smoking
92%
Inactivity/Lack of Physical Activity
91.4%
Obesity/Overweight
90%
Alcoholism/Alcohol Abuse
90.9%
Alcoholism/Alcohol Abuse
88%
Hypertension (High Blood Pressure)
87.9%
Teenage Pregnancy
88%
Diabetes
86.6%
Inactivity/Lack of Physical Activity
84%
Mental or Behavioral Health
85.5%
Diabetes
86%
Heart Disease / Heart Attack
85.0%
Heart Disease
83%
Abuse of Prescription Drugs
82.9%
Abuse of Prescription Drugs
81%
Tobacco Use/Smoking
79.4%
Cancer
80%
2020 Identified Health Problems
in Key Informant Interviews
% of 2020 Key
Informants that
said it is a
problem
2016 Identified Health
Problems
in Key Informant Interviews
% of 2016 Key
Informants that
said it is a
problem
Diabetes
83.7%
Diabetes
81%
Obesity
65.1%
Obesity
59%
Hypertension
55.8%
Heart Disease
48%
Heart Disease / Cardiovascular
Disease
51.2%
Hypertension
48%
Mental Health
46.5%
Misuse of Prescription Drugs
33%
Substance Abuse
34.9%
Kidney Disease
33%
Teen and Adolescent Pregnancy
32.6%
Mental Health
30%
Kidney Disease, Dialysis
32.6%
Illegal Drug Use
30%
Stroke / Cerebrovascular Disease
23.3%
Stroke
26%
Cancer
23.3%
Smoking
19%
Analysis:
Although the ranking of the Health issue varies by year and public input method (survey or interview) the
Health Problems in the top ten are primarily the same.
It is important to note that Hypertension/High Blood Pressure was not offered as an option in the 2016
Public Survey list of Health Problems.
Diabetes was ranked by Key Informants as the #1 Health Problem in 2016 and 2020. It was ranked as #6
in 2020 and #7 in 2016 in the Public Survey. Diabetes was the #5 Leading Cause of Death with a rate of
43.5 per 100,000 population. This is a rate of 245 less than the #1 Cause of Death – Diseases of the Heart.
It is also well under (186.5 lower) the #2 Cause of Death which is Cancer.
Anson County 2020 CHA | Health Data Results
31
The limitation of surveys and time constraints of interviews do not allow for discovery of a person’s
understanding of the interrelationships between health conditions/co-morbidities. Additional qualitative
research would need to be done on the interrelationship understanding of the populous if any type of
action plan is to be developed to address a specific health problem.
Anson County 2020 CHA | Priorities Identified through CHA
32
Priorities Identified through CHA
Members of the CHA Steering Committee used the data collected through the CHA – Key Informant Interviews,
Public Survey and Secondary statistical Data – to determine priorities. The selected priorities were further
assessed through the prism of the Healthy North Carolina 2030 Health Indicators/Targets to make certain that
priorities were chosen that not only matched the priorities of the State, but also put Anson County in a position to
capitalize on State funding and resources. The committee members then evaluated the capacity of the resources in
the County to address the priorities. Through this process two principal and several secondary priority areas were
chosen. The two principal priorities are Tobacco Use and Hypertension.
Tobacco Use
The use of Tobacco and the resulting health problems is a major issue in Anson County. The primary factors that
cause this to be a major issue are listed below. Details from public input and statistics are provided in graphs and
tables in the following pages.
Factors
Even though the rate of death from Lung/Bronchus Cancer in Anson County has decreased since 2012, it is
much higher than any other documented cancer type and has been higher for many years. In contradiction
the Lung/Bronchus Cancer incidence rate is and has been the 3
rd
highest – Female Breast and Prostate
Cancer rates have been consistently higher. Lung/Bronchus Cancer is often caused or worsened by
Tobacco Use.
Tobacco Use has consistently been viewed as a Health Problem by Anson County citizens as evidenced in
the Public Surveys during the 2012, 2016 and 2020 CHAs.
Smoking is shown by County Rankings and Roadmaps to be 20% or more of the Anson Adult population
from 2015 through 2020.
Reported personal use of tobacco by CHA Public Survey participants was significant.
Reported exposure to secondhand in the CHA Public Survey demonstrated that Smoking is still common.
Vaping, which may involve nicotine, but definitely involves chemicals, is increasing in use.
According to the North Carolina Institute of Medicine (NCIOM) “Tobacco Use is the leading preventable
cause of early death and disease in North Carolina and the nation. Tobacco use and secondhand smoke
exposure are responsible for multiple cases of preventable morbidity and mortality in North Carolina.”
(source: https://nciom.org/wp-content/uploads/2020/01/Tobacco-Use_2.pdf) . This is one of the reasons
that Anson County is prioritizing decrease in Tobacco Use. Reduction of Tobacco Use would aid in meeting
the Healthy NC 2030 Target of Increasing Life Expectancy.
Decreasing Tobacco Use is #11 of the Healthy North Carolina 2030 Indicators. The 2030 Target of Healthy
North Carolina is 15% Tobacco Use by Adults.
Tobacco Use has a direct impact on other health issues which are prevalent in Anson County including
Diabetes, Heart Disease and COPD/Respiratory illness.
Even though there are some restrictions on smoking in government and public buildings, Non-smoking
policies/ordinances in the County are generally lacking.
The Anson County Health Department with guidance and assistance from the State has the means to
address this issue and have a positive impact. Having the means to address/impact an issue was important
to the Steering Committee in determining priorities and choosing issues to address through a Community
Health Improvement Plan (CHIP).
Although there has been improvement in statistics and opinion related to the Use of Tobacco, it has not
been significant. The seriousness of the consequences of Tobacco Use, for instance the Death Rate
Anson County 2020 CHA | Priorities Identified through CHA
33
compared to the Incidence Rate of Lung/Bronchus Cancer, elevates the need for this issue to be part of any
efforts to improve the health of Ansonians.
Lung/Bronchus Cancer
2012 – 2016 Rate
2013 – 2017 Rate
2014 – 2018 Rate
Lung/Bronchus Incidence
75.9
70.8
60.2
Lung/Bronchus Death
55.8
51.1
40.6
Source: NC Central Cancer Registry
The table above shows the Incidence Rates and Death Rates of Lung/Bronchus Cancer from 2012 through 2018.
The graphs below compare these rates to the Incidence and Death Rates of other forms of Cancer during the same
time period. All of the information comes from the NC Central Cancer Registry.
Cancer Incidence Rates
Cancer Death Rates
Additional data on Cancer in Anson County is provided in the Data Book appendix to this report.
0
20
40
60
80
100
120
140
160
180
200
2012 -2016 2013 - 2017 2014 - 2018
Colon/
Rectum
Lung/
Bronchus
Female
Breast
Prostate
Melanoma
0
10
20
30
40
50
60
2012 -2016 2013 - 2017 2014 - 2018
Colon/
Rectum
Lung/
Bronchus
Female
Breast
Prostate
Anson County 2020 CHA | Priorities Identified through CHA
34
County Health Rankings
The following statistics about Adult Smoking from the County Health Rankings & Roadmaps shows how Anson
County percentages compare with past years and with its peer counties and the State in 2020.
These statistics show that even though Anson County is not the worst of its peer counties it is still higher than 2
peers and the state and 6% higher than Top US Performers as identified by County Health Rankings. The historic
percentage of Adult Smokers has not really improved in the last 6 years because after an increase for 4 years it
returned to the 2015 percentage. This is additional validation that Anson County has a problem with Tobacco Use.
20%
18%
21%
23%
17% 17%
14%
Anson Montgomery Richmond Scotland Stanly NC State Top US Performers
2020 Adult Smoking Percentages
20%
24%
22% 22% 22%
20%
2015 2016 2017 2018 2019 2020
Adult Smoking Percentages for Anson 2015 - 2020
Anson County 2020 CHA | Priorities Identified through CHA
35
Public Survey
Participants in the Public Surveys of the 2012, 2016 and 2020 CHAs said that Tobacco Use/Smoking is a problem in
Anson County. The following table shows the percentage and rankings of responses.
Year of CHA
Percentage of Participants
that said it is a problem
Rank Among Health Problems
2012
89.7%
#2
2016
92.0%
Tied for #1
2020
79.4%
#10
Participants in the 2020 CHA Public Survey were asked how frequently they Smoke/Use Tobacco, Use Vaping
Products and Are Exposed to Secondhand Smoke. The following graphs show demographic breakdown on those
who said they smoke, vape or are exposed to secondhand smoke.
Survey participants were asked how often they smoke or use tobacco products
o 8.2% said daily
o 4.3% said weekly
o 0.7% said monthly
o 6.1% said occasionally
o 19.3% total that said they smoke at least occasionally
o 72.6% said never
o 8.2% did not provide a response
Survey participants were asked how often they are exposed to secondhand smoke
o 5.4% said daily
o 5.2% said weekly
o 3.3% said monthly
o 20.0% said occasionally
o 33.9% total that said they are exposed to secondhand smoke
o 58.0% said never
o 8.1% did not provide a response
Anson County 2020 CHA | Priorities Identified through CHA
36
Tobacco Use of Public Survey participants by Gender or Race
Total Tobacco Use of Public Survey participants by Gender or Race (Daily + Weekly + Monthly + Occasionally)
Analysis:
Male Adults use Tobacco Products by more than twice the percentage of Females. The total of Adult Male
Tobacco Users is 25.1% higher than Female Users.
A higher percentage of African Americans use Tobacco Products than Caucasians. The difference is 7%.
6.2%
14.1%
9.9%
8.6%
1.0%
11.3%
9.9%
0.4%
0.3%
1.7%
1.9%
0.0%
4.1%
9.6%
8.0%
5.0%
Female Male African American Caucasian
Daily
Weekly
Monthly
Occassionaly
11.6%
36.7%
29.7%
14.0%
Female Male African American Caucasian
Total Adult Tobacco Use Percentages by Gender or Race
Anson County 2020 CHA | Priorities Identified through CHA
37
Tobacco use of Public Survey participants by Age Group
The highest percentage of Tobacco Users was in the 20 to 34 Age Group.
The following chart shows the total percentage of Public Survey participant Tobacco Users (Daily + Weekly +
Monthly + Occasionally) by Age Group.
3.0%
14.3%
9.3%
8.7%
1.7%
12.0%
9.1%
14.3%
2.7%
1.7%
1.7%
0.0%
3.0%
1.1%
1.3%
0.0%
0.0%
0.0%
18.2%
5.5%
8.0%
5.2%
3.4%
0.0%
14 to 19
20 - 34
35 to 54
55 to 64
65 to 74
75 to 84
Daily
Weekly
Monthly
Occasionally
33.3%
35.2%
21.3%
15.6%
6.8%
12.0%
14 to 19 20 to 34 35 to 54 55 to 64 65 to 74 75 to 84
Total Adult Smoking Percentages by Age Group
Anson County 2020 CHA | Priorities Identified through CHA
38
Tobacco Use of Public Survey participants by Education Level
The number of survey participants who responded “Currently in College” and “Completed Grades 9, 10 or 11” were
small, so these statistics should be used with caution.
The following chart shows the total percentage of Public Survey participant Tobacco Users (Daily + Weekly +
Monthly + Occasionally) by Education Level.
2.8%
0.0%
41.7%
16.3%
12.0%
6.7%
7.5%
2.4%
8.3%
6.3%
16.7%
14.0%
2.0%
1.3%
2.8%
0.0%
2.8%
0.0%
0.0%
2.3%
2.0%
0.0%
0.0%
0.0%
16.7%
18.8%
0.0%
3.5%
4.0%
8.0%
7.5%
3.5%
Currently in
High School
Currently in
College
Completed 9,
10 or 11
Completed
High School
Attended
College
Comm.
College
Deg/Dip
Undergrad
Degree
Masters
Degree
Daily
Weekly
Monthly
Occasionally
30.6%
25.1%
58.4%
36.1%
20.0%
16.0%
17.8%
5.9%
Currently in
High School
Currently in
College
Completed 9,
10 or 11
Completed
High School
Attended
College
Comm. College
Deg/Dip
Undergrad
Degree
Masters
Degree
Total Adult Smoking Percentages by Education Level
Anson County 2020 CHA | Priorities Identified through CHA
39
Tobacco Use of Public Survey participants by Household Income Level
The highest percentage of Tobacco Users is in the $10,000 to $14,999 Household Income Level; however, the
Under $10,000 level also has high usage.
The following chart shows the total percentage of Public Survey participant Tobacco Users (Daily + Weekly +
Monthly + Occasionally) by Income Level.
The statistics show that Education and Income Levels along with Race and Gender are factors in the
percentage of Adults that Use Tobacco.
15.4%
7.1%
16.7%
11.8%
6.2%
5.0%
0.0%
5.8%
15.4%
23.8%
5.0%
2.0%
4.6%
1.3%
1.6%
0.0%
3.8%
4.8%
1.7%
0.0%
0.0%
0.0%
0.0%
0.0%
3.8%
9.5%
1.0%
5.9%
1.5%
5.0%
0.0%
7.2%
Under
$10,000
$10,000 -
$14,999
$15,000 -
$24,999
$25,000 -
$34,999
$35,000 -
$49,999
$50,000 -
$74,999
$75,000 -
$99,999
$100,000
or more
Daily
Weekly
Monthly
Occasionally
38.4%
45.2%
24.4%
19.7%
12.3%
11.3%
19.6%
13.0%
Under $10,000 $10,000 -
$14,999
$15,000 -
$24,999
$25,000 -
$34,999
$35,000 -
$49,999
$50,000 -
$74,999
$75,000 -
$99,999
$100,000 or
more
Total Adult Smoking Percentages by Income Level
Anson County 2020 CHA | Priorities Identified through CHA
40
In the Public Survey 10.6% of participants said they use vaping or e-cigarette products.
Survey participants were asked how often they use vaping or e-cigarette products
o 1.9% said daily
o 2.8% said weekly
o 2.2% said monthly
o 3.7% said occasionally
o 10.6% total that said they use vaping or e-cigarette products at least occasionally
o 81.3% said never
o 8.1% did not provide a response
The number of people saying they use vaping or e-cigarette products is not large enough to accurately calculate
percentage in each frequency of use (daily, weekly, monthly or occasionally). Therefore, overall percentages of use
by demographics are presented in the following graphs.
Male Adults use Vaping Products at a much higher percentage than Females. The total of Adult Male Vaping
Product Users is 21.3% higher than Female Users; 15.8% more African Americans use Vaping Products than
Caucasians.
4.1%
25.4%
20.8%
5.0%
Female Male African American Caucasian
Total Adult Vaping Percentages by Gender or Race
42.4%
28.6%
6.0%
3.5%
5.1%
3.2%
14 to 19 20 to 34 35 to 54 55 to 64 65 to 74 75 to 84
Total Adult Vaping Percentages by Age Group
Anson County 2020 CHA | Priorities Identified through CHA
41
As with Smoking/Tobacco Use, the Use of Vaping and E-Cigarette Products appears to be impacted by Gender,
Race, Education Level and Household Income Level. A higher percentage of Youth (Ages 14 – 19) use Vaping
Products than Use Tobacco; the percentage who use Vaping Products is 9.1% higher than the percentage of
Tobacco Users.
Current Deterrent Efforts
Several ordinances and policies exist in Anson County to reduce Tobacco Use and Vaping by Ansonians. Following
is a list with brief descriptions. More detailed information is presented in an appendix to this report.
The Town of Wadesboro has a town-wide ordinance prohibiting smoking in municipal buildings and
vehicles.
South Piedmont Community College has a Tobacco-Free Campus policy.
Anson County School District has policies prohibiting the use of Tobacco Products and Smoking. These
policies align with those of the State of North Carolina.
Anson County Government has a county-wide ordinance prohibiting smoking in county building and
vehicles.
38.9%
12.5%
50.0%
24.4%
8.0%
1.3%
4.7%
1.2%
Currently in
High School
Currently in
College
Completed 9,
10 or 11
Completed
High School
Attended
College
Comm. College
Deg/Dip
Undergrad
Degree
Masters
Degree
Total Adult Vaping Percentages by Education Level
30.8%
40.5%
5.0%
11.8%
4.6%
6.3%
1.6%
2.7%
Under $10,000 $10,000 -
$14,999
$15,000 -
$24,999
$25,000 -
$34,999
$35,000 -
$49,999
$50,000 -
$74,999
$75,000 -
$99,999
$100,000 or
more
Total Adult Vaping Percentages by Household Income Level
Anson County 2020 CHA | Priorities Identified through CHA
42
The Anson County Health Department currently has several efforts designed to curb or prevent Tobacco Use,
Smoking and/or Vaping. Following is a summary of those efforts:
QuitSmart
Anson County Health Department offers free 1-on-1 Quit Smart tobacco cessation sessions. QuitSmart success
rates are high and are proved to be more effective than other methods. QuitSmart also produced impressive
quit rates in published research studies, such as the V.A. Medical Center in Durham North Carolina with a 51%
quit rate over a 6 month period. With QuitSmart, tobacco users are assured of high quality professional help.
The QuitSmart tobacco cessation sessions will be scheduled on a monthly basis.
CATCH My Breath
E-cigarettes have been sold for more than a decade, but reports of vaping-linked illness started increasing this
year. To tackle this emerging trend the Anson County Health Department has been providing a program
called CATCH My Breath to the schools in Anson County since February of this year. The CATCH My Breath is
being provided by Dinikia Savage, the Health Educator and Tobacco Leader of the ACHD.
The CATCH My Breath Youth E-cigarette Prevention Program’s goal is to increase students’ knowledge of E-
cigarettes, vaping, and nicotine and addiction dangers while cutting their intended use of the product in the
future. CATCH My Breath includes active student-centered learning. The program offers in-class activities,
teacher education, online resources, and take-home materials for parents. The program is based on tobacco
awareness and prevention. The curriculum consists of 4 lessons.
Tobacco- Free Anson: Make a Statement. Take a stand.
o Tobacco-Free Anson is a youth club that educates students about the use of tobacco and tobacco
related products. Not only do they receive quality education and training from the Tobacco Control
Region Leaders, but they learn to apply their knowledge to help improve the health of their peers
and the Anson County community.
o The youth committed to Tobacco-Free Anson, become leaders who create activities and events
throughout Anson County to promote awareness and to take a stand against tobacco.
Overview
o Student will be able to identify the following terms related to tobacco products and diseases:
tobacco, nicotine, addictive, tar, bronchi, carbon monoxide.
o Student will understand and recognize the differences between the following tobacco
products: cigarettes, cigars, pipes, specialty, cigarettes, smokeless, tobacco.
o Student will be able to identify the health risks of tobacco and its effects on the body
including the changes to the nervous system, circulatory system, respiratory system,
digestive system.
o Student will be able to identify the cancers related to tobacco product use.
Student will be able to identify the following pieces of tobacco addiction: tolerance, physical
dependence, psychological dependence, breaking the tobacco habit, withdrawal, nicotine
replacement therapies and relapse.
o Student will be able to describe tobacco's many costs to the individual, non-smoker and
unborn child.
o Student will be able to identify why choosing to be tobacco free is an important choice to
make.
o Student will be able to express why teens start using tobacco, why staying tobacco free is
important and what non-smokers rights are.
Anson County 2020 CHA | Priorities Identified through CHA
43
°What is Tobacco/vaping?
°What are the different types of tobacco/vaping?
°What are the health risks of tobacco/vaping use?
°What does tobacco/vaping addiction include?
°What are tobacco's cost to society?
°How to choose to be tobacco/vape free?
Learning Targets
1. I can identify the different types of tobacco/vape.
2. I can describe the health risks of tobacco/vape use.
3. I can identify symptoms of addiction.
4. I can describe reasons to be tobacco/vape free.
Tobacco-Free Website
An Anson County Tobacco-Free website has been created in addition to CATCH My Breath for the youth of the
county to participate in activities, events, and to make a statement and take a stand against the harmful
effects of tobacco and its related products such as vapor, e-cigarettes, and JUUL. Please visit Tobacco-
FreeAnson.com if interested.
Anson County 2020 CHA | Priorities Identified through CHA
44
Hypertension
Hypertension and resulting health problems is a major issue in Anson County. The primary factors that cause this
to be a major issue are listed below. Details from public input and statistics are provided in graphs and tables on
the following pages.
Factors
Hypertension plays a role in/is a contributor to serious diseases that greatly impact quality of life and can
result in death. This relationship to diseases with high mortality rates is directly related to the #21 Target
of the Healthy North Carolina 2030 Desired Results: Increase Life Expectancy from 77.6 to 82.0 years. In
Anson County Hypertension it is a contributor to 4 of the 10 Leading Causes of Death:
o Heart Disease, the #1 Cause of Death in Anson County
o Cerebrovascular Disease (Stroke), the #3 Cause of Death in Anson County
o Diabetes, the #5 Cause of Death in Anson County
o Kidney Diseases, the #8 Cause of Death in Anson County
Hypertension has a significant impact on the quality of life because of the diseases to which it contributes,
even if those diseases do not result in death.
The percentage of CHA Public Survey participants who say they have been diagnosed with Hypertension
was similar in 2016 and 2020. Both were higher than in 2012.
o 2012 – 34.6%
o 2016 – 46.0%
o 2020 – 44.1%
The percentage of Key Informants who said Hypertension is a problem has more than doubled since 2012.
o 2012 CHA – 22.0%
o 2016 CHA – 48.0%
o 2020 CHA – 55.8%
Several lifestyle behaviors contribute to the occurrence of Hypertension. Several of these behaviors are
Healthy North Carolina 2030 Health Indicators:
o #7 Access to Exercise Opportunities
o #8 Limited Access to Healthy Food
o #11 Tobacco Use
o #13 Sugar-Sweetened Beverage Consumption
Some of the circumstances in Anson County that contribute to/impact the occurrence rate of Hypertension
are Healthy North Carolina 2030 Health Indicators:
o #17 Primary Care Clinicians (Anson County rate is 2,080:1 according to the County Health Rankings)
o #18 Early Prenatal Care
o #20 Infant Mortality
Atrium Health Anson has the capacity to positively impact this issue because they have the following
capabilities or facilities in Anson County. Having the means to address/impact an issue was important to
the Steering Committee in determining priorities and choosing issues to address through a Community
Health Improvement Plan (CHIP).
o Primary Care Practice (Carolinas Primary Care)
o Dietitian/Nutritionist on Staff (services offered at no charge to patients)
o Emergency Department
o 15 bed hospital for routine services
o Laboratory and Radiology Services
o Transportation Services for Primary Care Patients
o Telemedicine capability to Specialists
Anson County 2020 CHA | Priorities Identified through CHA
45
Public Survey
Public Survey participants were asked to provide information on their personal health. Following are graphs that
show their responses related to Hypertension.
To better understand the prevalence of Hypertension in the County, demographic breakdown is provided in the
following graphics.
The following chart shows the percentage of survey participants in each geographic area that said they have been
diagnosed with Hypertension.
These percentages should be used with caution because the number of survey participants in some geographic areas
was small and, therefore, the percentages may not be representative of a geographic area.
44.1%
48.9%
7.0%
Diagnosed with Hypertension
Yes
No
Don't Know
52.0%
58.6%
48.2%
40.0%
20.0%
44.4%
43.3%
37.8%
47.3%
48.8%
Ansonville
Burnsville
Gulledge
Lilesville
McFarlan
Morven
Peachland
Polkton
Wadesboro
Other & No Answer
Anson County 2020 CHA | Priorities Identified through CHA
46
The percentage of survey participants in each Household Income Level that said they have been diagnosed with
Hypertension is presented in the following graph.
The number of participants in the lowest 2 Household income Levels was small compared to the others, so these
percentages may not be representative of those Levels.
The following graphs provide Race and Gender details on survey participants that have Hypertension.
Analysis:
The percentage of African Americans/Blacks that have Hypertension is 13.6% higher than that of
Whites/Caucasians.
Females have a slightly higher percentage of Hypertension than Males with Females being 1.3% higher.
34.6%
26.2%
35.0%
68.6%
61.5%
58.8%
42.6%
33.3%
Less than $10,000
$10,000 - $14,999
$15,000 - $24,999
$25,000 - $34,999
$35,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 or more
40.2%
53.8%
White/ Caucasian African American/ Black
Have Hypertension
45.8%
47.1%
Male Female
Have Hypertension
Anson County 2020 CHA | Priorities Identified through CHA
47
To further understand the prevalence of Hypertension in the County additional Race & Gender breakdown is
provided below.
This graph shows that the percentage of African American Females having Hypertension is much greater than any
other Race/Gender grouping. Following are the differences:
18.1% higher than the percentage of African American Males
26.1% higher than the percentage of Caucasian Females
16.6% higher than the percentage of Caucasian Males
Hypertension is commonly thought to occur more often as people get older. Although that is true for people in
Anson County, the following chart shows that it is fairly prevalent in lower Age Groups. This chart provides the
percentage of survey participants in each Age Group that said they have been diagnosed with Hypertension.
African American
Female
African American
Male
Caucasian Female Caucasian Male
63.8%
45.7%
37.7%
47.2%
6.1%
23.1%
48.0%
58.3%
64.4%
84.0%
33.3%
14 to 19
20 to 34
35 to 54
55 to 64
65 to 74
75 to 84
85 and up
Public Survey Participants with Hypertension
Anson County 2020 CHA | Priorities Identified through CHA
48
CDC Rates for Comparison
In October 2017 the Center for Disease Control (CDC) published statistics on the prevalence of Hypertension
among adults during 2015 – 2016 (https://www.cdc.gov/nchs/data/databriefs/db289.pdf). The data from that
report is compared in this section to data from the CHA Public Survey.
The overall prevalence of Hypertension in the United States for adults 18 years or older was 29.0%. This was
15.1% lower than the percentage of Anson CHA Public Survey participants who said they have Hypertension.
Overall, the percentages for men and women according to the CDC report was very close: 30.2% for men; 27.7%
for women.
The following chart shows the percentages from the CDC October 2017 report by Race and Gender.
The following table shows the differences between the Race & Gender percentages from the Anson 2020 CHA
Public Survey comparted to the CDC 2017 report on nation-wide percentages. All percentages are higher for
Anson County.
Anson African American
Females
Anson African American
Males
Anson Caucasian
Females
Anson Caucasian
Males
+23.9%
+5.1%
+12.1%
+17.5%
Although the CDC does not use the same age groupings as the Anson CHA Public Survey, some comparison can
made. Following is a chart showing the age group percentages from the CDC 2017 report.
African American
Female
African American
Male
Caucasian Female Caucasian Male
39.9%
40.6%
25.6%
29.7%
18 - 39 years 40 - 59 years 60 and over
7.5%
33.2%
63.1%
Nation-Wide Percentages
According to CDC Report
Anson County 2020 CHA | Priorities Identified through CHA
49
Hypertension Relationship to Other Health Conditions
The following statistics show the relationship between Hypertension and other major health conditions in the CHA
Public Survey participants.
Access to Primary Healthcare for Survey Participants diagnosed with Hypertension
Because controlling Hypertension is vital to reducing its impact on life threatening diseases, it is extremely
important that those with Hypertension have and utilize access to Primary Healthcare. The following graphics
provide insights into access to Primary Healthcare for survey participants. The graphics show where they get care,
if they have healthcare insurance and their barriers to getting care.
The next table shows where the survey participants with Hypertension get care.
Source of Primary Healthcare for Participants with Hypertension
Percentage
Doctor’s Office IN Anson County
29.7%
Hospital Emergency Room/Department IN Anson County
4.2%
Doctor’s Office NOT in Anson County
42.4%
Hospital Emergency Room/Department NOT in Anson County
1.3%
Urgent Care NOT in Anson County (No Urgent Care Provider in the County)
0.4%
Anson County Health Department
1.7%
Mental Health Provider
0.4%
ARMS
2.1%
94.7% of participants with Heart Disease have Hypertension
78.4% of participants with Diabetes have Hypertension
55.6% of participants with Kidney Disease have Hypertension
72.7% of participants who have had a Stroke have Hypertension
100% of participants who have Heart Disease & Diabetes have Hypertension
Anson County 2020 CHA | Priorities Identified through CHA
50
The following table presents the percentage of survey participants with Hypertension that have specific types of
healthcare insurance. Survey participants were allowed to check all types that applied to them. Healthcare
Insurance is complex, and everyone does not use the same terms. Based on analysis of the Survey responses, it is
possible that participants misinterpreted some of the insurance terms in the Survey.
Healthcare Insurance for Participants
with Hypertension
Percentage
Self-Pay
17.2%
Employer Provided
50.0%
Medicare
23.1%
Medicaid
5.4%
None
6.3%
Other
2.5%
No Answer
16.0%
In the Public Survey a list of potential Barriers to Health and Human Services was presented and participants were
asked to check the ones that applied to them. Following are those barriers that apply to accessing healthcare
related to Hypertension and the percentage of participants who have Hypertension that said that barrier applies to
them.
Barrier to Health and Human Services related to
Healthcare for Hypertension
Percentage of
Participants with
Hypertension
Specialist Care needed not available in Anson County
48.3%
Quality of healthcare in Anson County
32.4%
My/our share of the cost (deductible/co-pay) is too high
24.8%
Cannot afford medication
16.0%
Insurance doesn’t cover what I/we need
13.0%
No Health Insurance
8.4%
Had to wait too long for an appointment
5.5%
Afraid of/concerned about the treatment or medication
4.2%
Cannot/could not get an appointment
3.4%
Doctor will not take my/our insurance or Medicaid
3.0%
Didn’t know where to go
2.1%
No way to get to doctor, dentist, etc.
2.1%
Medication makes me sick
0.4%
Doctor will not take Medicare
0.4%
12.6% of Survey Participants diagnosed with
Hypertension are NOT currently taking
Medication for this condition.
Anson County 2020 CHA | Priorities Identified through CHA
51
Heart Disease
Hypertension is a contributor to Diseases of the Heart. Diseases of the Heart is the #1 Cause of Death in Anson
County for 2014-2018 (according to the 2020 North Carolina County Health Data Book). Because of this a summary
of factors related to Heart Disease are provided here. Additional Details on Diseases of the Heart are presented in
the Data Book Appendix to this report.
Age-Adjusted Cardiovascular Disease Death Rates per 100,000 Residents
Age-Adjusted Heart Disease Death Rates per 100,000 Residents
The data for the above two charts is from the 2020 North Carolina County Health Data Book.
352.3
320.7
310.5
287.1
235.6
217.9
2003 - 2007 2008 - 2012 2013 - 2017
Anson County
North Carolina
232.2
185.6
219.2
209.3
174.4
159.8
2003 - 2007 2008 - 2012 2013 - 2017
Anson County
North Carolina
Anson County 2020 CHA | Priorities Identified through CHA
52
The following charts show the actual number of deaths related to Heart Disease and Hypertensive Disease from
2015 to 2018. The first graph shows the total number of deaths over the four years. The other two charts provide
the breakdown by gender and race for 2018 and 2015 for comparison. The data is from the Detailed Mortality
Statistics from the NC State Center for Health Statistics of the NC Department of Health and Human Services.
Number of Deaths from 2015 to 2018
Number of Deaths by Gender and Race
11
9
11
13
29
29
17
31
54
36
38
37
2015 2016 2017 2018
Hypertensive
Diseases
Other Heart
Diseases
Ischaemic
(Coronary) Heart
Diseases
5
12
6
13
10
1
6
3
1
13
6
5
Ischaemic (Coronary) Heart Disease
Other Heart Diseases
Hypertensive Diseases
White Female
White Male
Black Female
Black Male
18
7
3
19
8
2
9
7
6
8
7
0
Ischaemic (Coronary) Heart Disease
Other Heart Diseases
Hypertensive Diseases
White Female
White Male
Black Female
Black Male
2018
2015
Anson County 2020 CHA | Priorities Identified through CHA
53
The following table provides a comparison of the 2014 -2018 Diseases of the Heart Death Rate (per 100,000
population) between Anson County and its four peer counties. In order to consider the death rates in perspective,
the population for each County is also provided. The Death Rates are from the 2020 County Health Data Book of
the NC Department of Health and Human Services; the population counts are from the American Community
Survey (ACS) of the US Census Bureau.
County
Death Rate
(per 100,000 population)
Population
Anson County
226.1
25,306
Montgomery County
166.9
27,338
Richmond County
241.4
45,189
Scotland County
196.9
35,262
Stanly County
217.4
61,114
Richmond County is the only peer County with a higher Death Rate from Diseases of the Heart than Anson;
Richmond’s population is 19,883 greater than Anson County.
In the Public Survey participants were asked questions related to Heart Disease/Heart Attack and Hypertension
(High Blood Pressure). Following are the responses:
Health Problems
85% of Survey Participants said that Heart Disease/Heart Attack is a problem (48.7% Major, 36.3%
Somewhat). This ranked #8 of the Health Problems included in the Public Survey.
84.9% of Survey Participants said that Hypertension (High Blood Pressure) is a problem (58.5%
Major; 29.4% Somewhat). This ranked #5 of the Health Problems included in the Public Survey.
Personal Health
7.0% of Survey Participants said they have been diagnosed with Heart Disease/Angina.
5.5% of Survey Participants said they are currently on medication for Heart Disease/Angina.
Heart Disease was ranked #9 of the 17 personal health conditions asked about in the survey.
The following tables show the percentage for each race/gender combination of survey participants who said they
have been diagnosed with Heart Disease.
African American Female
Caucasian Female
African American Male
Caucasian Male
5.3%
6.6%
12.7%
5.7%
Pink highlight shows the highest rate, Lavender shows the lowest.
51.2% of Key Informants
said that Heart Disease /
Cardiovascular Disease is
a problem in Anson
94.7% of Public Survey
participants with Heart
Disease have
Hypertension
Anson County 2020 CHA | Priorities Identified through CHA
54
The following graphs provide Race and Gender details on survey participants that have Heart Disease.
The next graphics present demographic details on the survey participants who said they have been diagnosed with
Heart Disease.
The chart below shows the percentage of Survey participants in each geographic area that said they have been
diagnosed with Heart Disease.
These percentages should be used with caution because the number of Survey participants in some geographic areas
was small and, therefore, the percentages may not be representative of a geographic area.
6.7%
9.4%
White/ Caucasian African American/ Black
10.2%
6.2%
Male Female
20.0%
6.9%
0.0%
8.0%
0.0%
11.1%
6.7%
5.4%
6.6%
4.9%
Ansonville
Burnsville
Gulledge
Lilesville
McFarlan
Morven
Peachland
Polkton
Wadesboro
Other & No Answer
Anson County 2020 CHA | Priorities Identified through CHA
55
The percentage of survey participants in each Household Income Level that said they have been diagnosed with
Heart Disease is presented in the following graph.
The number of participants in the lowest 2 Household income Levels was small compared to the others, so these
percentages may not be representative of those Levels.
This chart shows the percentage in each Age Group that said they have Heart Disease.
7.7%
2.4%
8.3%
11.8%
16.9%
6.3%
1.6%
5.8%
Less than $10,000
$10,000 - $14,999
$15,000 - $24,999
$25,000 - $34,999
$35,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 or more
0.0%
0.0%
7.3%
11.3%
10.2%
28.0%
0.0%
14 to 19
20 to 34
35 to 54
55 to 64
65 to 74
75 to 84
85 and up
Anson County 2020 CHA | Priorities Identified through CHA
56
The next table shows where the Survey participants with Heart Disease get Primary Healthcare.
Source of Primary Healthcare for Participants with Heart Disease
Percentage
Doctor’s Office IN Anson County
50.0%
Hospital Emergency Room/Department IN Anson County
2.6%
Doctor’s Office NOT in Anson County
36.8%
Hospital Emergency Room/Department NOT in Anson County
2.6%
Urgent Care NOT in Anson County (No Urgent Care in the County)
2.6%
Anson County Health Department
0
Mental Health Provider
0
ARMS
5.3%
The following table presents the percentage of Survey participants with Heart Disease that have specific types of
healthcare insurance. Survey participants were allowed to check all types that applied to them. Healthcare
Insurance is complex, and everyone does not use the same terms. Based on analysis of the Survey responses, it is
possible that participants misinterpreted some of the insurance terms in the Survey.
Healthcare Insurance for Participants
with Hypertension
Percentage
Self-Pay
10.5%
Employer Provided
47.4%
Medicare
28.9%
Medicaid
5.3%
None
7.9%
Other
2.6%
Cerebrovascular Disease (Stroke)
Although Cerebrovascular Disease (Stroke) is the 3rd highest
Cause of Death in Anson County [according to the 2017
County Health Data Book of the State Center for Health
Statistics], only 11 of the 450 CHA Public Survey Participants
said they have been diagnosed with this condition. Because
of this low number, any breakdown by demographics of
Survey participants would not be reliable.
Anson County 2020 CHA | Priorities Identified through CHA
57
Diabetes
Diabetes was ranked as the 5
th
leading Cause of Death in Anson County for 2014-2018 in the NC County Health
Data Book published in 2020 by the Division of Public Health of the NC Department of Health and Human Services.
Information on Race and Gender demographics of the Age-Adjusted Rate of Death from Diabetes is provided in the
following graphs.
Source: 2014-2018 rates from the 2020 NC County Health Data Book
The following table compares the Anson County Age-Adjusted Rate with its four peer counties.
County
Death Rate from Diabetes
(per 100,000 population)
Population
Anson County
34.2
25,306
Montgomery County
31.5
27,338
Richmond County
44.2
45,189
Scotland County
26.6
35,262
Stanly County
25.3
61,114
Source: 2014-2018 rates from the 2020 NC County Health Data Book
Richmond County is the only peer County with a higher Death Rate than Anson; Richmond’s population is 19,883
greater than Anson County.
Public Survey participants were asked if they thought Diabetes is a Health Problem/Concern in Anson County and
if they have been diagnosed with this condition. Following are the responses.
Health Problems
86.6% of Survey participants said Diabetes is a problem (54.4% Major; 32.2% Somewhat)
Diabetes was ranked as #6 of 25 Health Problems in the County
Personal Health
13.7% of Survey participants said they have been diagnosed with Diabetes
11.7% of Survey participants said they are currently on medication for Diabetes
Diabetes was the 8
th
most common of the 18
Health Conditions
23.0
50.1
White/ Caucasian African American/ Black
Death from Diabetes by Race
39.4
32.8
Male Female
Death from Diabetes by Gender
Anson County 2020 CHA | Priorities Identified through CHA
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The following graphs provide Race and Gender details on survey participants that have Diabetes.
Analysis:
The percentage of African Americans/Blacks that have Diabetes is 5.4% higher than that of
Whites/Caucasians.
Females have a higher percentage of Diabetes than Males with Females being 5.3% higher.
To further understand the distribution of Diabetes in the County additional Race & Gender breakdown is provided
below.
This graph shows that the percentage of African American Females having Diabetes is much greater than any other
Race/Gender grouping. Following are the differences:
11.8% higher than the percentage of African American Males
11.4% higher than the percentage of Caucasian Females
13.2% higher than the percentage of Caucasian Males
12.5%
17.9%
White/ Caucasian African American/ Black
11.9%
17.2%
Male Female
African American
Female
African American
Male
Caucasian Female Caucasian Male
24.5%
12.7%
13.1%
11.3%
Public Survey Participants with Diabetes
Anson County 2020 CHA | Priorities Identified through CHA
59
To better understand the overall picture of Diabetes in the County, demographic breakdown is provided in the
following graphics. The first chart shows the percentage of Survey participants in each geographic area that said
they have been diagnosed with Diabetes.
These percentages should be used with caution because the number of survey participants in some geographic area was small and, therefore the
percentages may not be representative of a geographic area.
The percentage of Survey participants in each Household Income Level that said they have been diagnosed with
Diabetes is presented in the following graph.
The number of participants in the lowest 2 Household income Levels was small compared to the others, so these
percentages may not be representative of those Levels.
12.0%
24.1%
0.0%
8.0%
0.0%
13.9%
20.0%
18.9%
17.4%
9.8%
Ansonville
Burnsville
Gulledge
Lilesville
McFarlan
Morven
Peachland
Polkton
Wadesboro
Other & No Answer
7.7%
9.5%
13.3%
27.5%
16.9%
11.3%
14.8%
11.6%
Less than $10,000
$10,000 - $14,999
$15,000 - $24,999
$25,000 - $34,999
$35,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 or more
Anson County 2020 CHA | Priorities Identified through CHA
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The next graph provides details on Diabetes by Age Group.
The County Health Rankings & Roadmaps defines Diabetes Prevalence as the percentage of adults aged 20
and above with diagnosed diabetes.
0.0%
1.1%
14.0%
19.1%
35.6%
20.0%
33.2%
14 to 19
20 to 34
35 to 54
55 to 64
65 to 74
75 to 84
85 and up
According to the County Health Rankings &
Roadmaps 2020 statistics, the Diabetes
prevalence of Anson County is 19%.
83.5% of Key Informants said
Diabetes is a problem in the
County. They ranked it #1
24.4% of CHA Public Survey
participants have both
Diabetes & Hypertension
Anson County 2020 CHA | Priorities Identified through CHA
61
The charts below show the trend of Diabetes Prevalence (according to the County Health Rankings) in Anson
County from 2015 to 2020 and compares the 2020 percentage with that of the State, Anson’s peer counties and the
Top US Performers.
Analysis:
Anson County has had an increase of 5% from 2015 to 2020 in Diabetes Prevalence.
The prevalence rate was near stable from 2015 to 2019 and then had a drastic increase in 2020.
Anson County ties with 2 of its peer counties for the highest prevalence percentage in 2020.
14% 14%
15%
14% 14%
19%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
2015 2016 2017 2018 2019 2020
Diabetes Prevalence 2015 - 2020
19.0%
15.0%
19.0% 19.0%
10.0%
11.0%
7.0%
Anson Montgomery Richmond Scotland Stanly NC State Top US
Performers
Diabetes Prevalence 2020 By County
Anson County 2020 CHA | Priorities Identified through CHA
62
Because controlling Diabetes is vital to a person’s mortality and quality of life, it is necessary that those with
Diabetes have and utilize access to Primary Healthcare. The following tables show where survey participants get
Primary Healthcare and if they have healthcare insurance.
The next table shows where the survey participants with Diabetes get care.
Source of Healthcare for Participants with Diabetes
Percentage
Doctor’s Office IN Anson County
39.2%
Hospital Emergency Room/Department IN Anson County
5.4%
Doctor’s Office NOT in Anson County
48.6%
Hospital Emergency Room/Department NOT in Anson County
2.7%
Urgent Care NOT in Anson County (No Urgent Care in the County)
0
Anson County Health Department
0
Mental Health Provider
0
ARMS
1.4%
The following table presents the percentage of survey participants with Diabetes that have specific types of
healthcare insurance. Survey participants were allowed to check all types that applied to them. Healthcare
Insurance is complex, and everyone does not use the same terms. Based on analysis of the Survey responses, it is
possible that participants misinterpreted some of the insurance terms in the Survey.
Healthcare Insurance for Participants
with Diabetes
Percentage
Self-Pay
24.3%
Employer Provided
45.9%
Medicare
33.8%
Medicaid
4.1%
None
6.8%
Other
0
No Answer
1.4%
14.9% of Survey Participants diagnosed with
Diabetes are NOT currently taking Medication
for this condition.
Anson County 2020 CHA | Priorities Identified through CHA
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Kidney Disease
Hypertension/High Blood Pressure can be a factor in Kidney/Renal Disease; therefore, providing another reason
that Hypertension is a major issue in the County. Following is data that reinforces the significance of Kidney
Disease and its relationship to Hypertension.
Kidney/Renal Diseases, specifically Nephritis, Nephrotic Syndrome and Nephrosis, were the #8 Cause of
Death (according to the NC 2020 County Health Data Book).
66.7% of Public Survey participants said that Kidney Disease is a problem in the County.
32.6% of Key Informants mentioned Kidney Disease/Dialysis as a Health Problem/Concern. They ranked it
as the #8 Health Problem/Concern.
According to the United States Renal Data System, 2019 Annual Data Report (www.usrds.org)
Hypertension is related to 32.6% of Dialysis patients in Anson County for 2014 – 2017.
Anson County demand for Dialysis Treatment is high enough to support two Dialysis clinics inside the
county. Data was obtained from one of the clinics. Following are statistics on the impact of Hypertension
on that clinic’s current patients.
o 32.6% of Dialysis patients Kidney Failure was caused by Hypertension.
o 58.8% of Dialysis patients Kidney Failure was caused by Hypertension AND Diabetes.
Following are some data points that help understand the picture of Kidney/Renal Disease and Dialysis in Anson
County.
The two charts below provide a breakdown by Race and Gender of the number of Deaths from Nephritis, Nephrotic
Syndrome and Nephrosis. The number of deaths is used instead of the rate of death because the number of deaths
of Caucasians/Whites is too low to accurately calculate a Rate. These are according to the NC 2020 County Health
Data Book published by the Division of Public Health of the NC Department of Health and Human Services.
17
24
White/ Caucasian African American/ Black
Death from Nephritis, Nephrotic
Syndrome & Nephrosis
by Race
23
19
Male Female
Death from Nephritis, Nephrotic
Syndrome & Nephrosis
by Gender
Anson County 2020 CHA | Priorities Identified through CHA
64
The following table compares the Anson County number of deaths with its four peer counties.
County/State
Number of Deaths from
Nephritis, Nephrotic
Syndrome & Nephrosis
Population
Percentage of
Population
Anson County
42
25,306
0.17%
Montgomery County
32
27,338
0.11%
Richmond County
77
45,189
0.17%
Scotland County
49
35,262
0.13%
Stanly County
80
61,114
0.13%
Renal Failure and the need for Dialysis can result from Kidney Disease. Following is data that provides additional
insight on Dialysis in Anson County from the “United States Renal Data System, 2019 Annual Data Report:
Epidemiology of Kidney Disease in the United States, National Institutes of Health, National Institute of Diabetes
and Digestive and Kidney Diseases, Bethesda, MD 20892”(www.usrds.org)
In the USRDS 2019 Annual Data Report (www.usrds.org) the number of Dialysis patients for 2014 – 2017 was
provided. The following table presents the number of Dialysis patients for Anson and each of its peer counties.
County
Number of Dialysis
Patients
2014 -2017
Population
Percentage of
Population
Anson County
430
25,306
1.7%
Montgomery County
359
27,338
1.3%
Richmond County
734
45,189
1.6%
Scotland County
547
35,262
1.5%
Stanly County
480
61,114
0.8%
Following is a graph that shows the percentages of Anson County Dialysis patients (according to the USRDS 2019
Annual Data Report) by Race and Gender compared to the statistics from one of the two Dialysis Clinics in the
County. Although the following information is helpful for understanding the breakdown by Race & Gender it is
important to remember that the data from the United States Renal Data System 2019 Annual Data Report is
historical (2014 – 2017) and the data from the local Dialysis Clinic is current (2020).
21.6%
11.8%
78.4%
88.2%
USRDS 2014 - 2017 Local Dialysis Clinic Currently
Caucasian
African American
Anson County 2020 CHA | Priorities Identified through CHA
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The following graph shows the percentage for Dialysis Patients by Cause. The percentages from the USDRS 2019
report (for 2014 – 2017) are compared to those of the local Dialysis Clinic (2020).
USDRS did not provide data on Dialysis patients that have both Hypertension and Diabetes.
Additional information on Kidney Disease is provided in the Data Book appendix to this report.
32.6%
37.3%
44.0%
2.0%
58.8%
23.4%
2.0%
USRDS 2014 - 2017 Local Dialysis Clinic Currently
Hypertension
Diabetes
Hypertension & Diabetes
Other
Although Kidney Diseases are tied for the 8th highest Cause of Death
in Anson County [according to the 2017 County Health Data Book of
the State Center for Health Statistics], only 18 of the 450 CHA Public
Survey Participants said they have been diagnosed with this condition.
Because of this low number, any breakdown by demographics of
Public Survey participants would not be reliable.
Anson County 2020 CHA | Priorities Identified through CHA
66
Secondary Priorities
Several Health Problems/Concerns merit being categorized as a Secondary Priority because of their impact and
importance as shown by public input (Public Survey and/or Key Informants) and/or by statistical information
(Secondary Data).
Obesity
Following is summary of the information collected during the CHA on Obesity/Overweight. Additional information
is provided in the Data Book appendix of this report.
93.1% of Public Survey participants said Obesity/Overweight is a Health Problem in the County (64.8%
said Major Problem; 28.3% said it is Somewhat of a Problem). Only 2% said it is Not A Problem. This
problem was ranked #2 by Survey participants.
65.1% of Key Informants said that Obesity is a Health Problem in the County
42.4% of Public Survey participants said they had been diagnosed as Obese or Overweight. 7.4% said they
Don’t Know and 13.0% did not answer this question.
The percentages of each Race/Gender combination of those Public Survey participants who have been
diagnosed as Obese or Overweight are as follows:
o 55.3% of African American Females
o 48.4% of Caucasian Females
o 38.1% of African American Males
o 18.5% of Caucasian Males
According to the County Health Rankings & Roadmaps 2020 statistics, 39% of the Anson County
population is Obese. This is 8% higher than the State ranking.
Details on lifestyle behaviors that impact health, particularly Obesity/Overweight, are provided in the Data
Book of this report. These behaviors include the following:
o Participation in physical activity to benefit their health. (34.6% said daily)
o Consumption of fruits and vegetables on a daily basis. (48.5% said daily)
o Consumption frequency of sugary drinks. (14.4% said daily)
62% of Public Survey participants said their diet is mostly healthy.
72% of Public Survey participants said they are generally healthy.
Obesity was seen as a problem by Key Informants and Public Survey participants in past CHAs. The following table
illustrates the trend of concern.
Ranked Obesity/Overweight as a Problem
2012
2016
2020
Public Survey participants
#4
#3
#2
Key Informants
#3
#2
#2
It is expected that Obesity will be positively impacted by the CHIP that will be developed and executed to
address Hypertension.
Anson County 2020 CHA | Priorities Identified through CHA
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Mental or Behavioral Health Issues/Disorders
A summary of key points related to Mental or Behavioral Health Issues/Disorders is presented below. Details,
graphs and tables are provided in the Data Book appendix of this report.
85.5% of Public Survey participants said this issue is a problem in the County (39.8% said Major Problem;
45.7% said it is Somewhat of a Problem).
46.5% of Key Informants mentioned Mental Health as a problem in their interview. They ranked it #7.
20.4% of Public Survey participants said they have been diagnosed with Depression or Anxiety Disorder.
The percentage by Race & Gender follows:
o 31.9% of Caucasian Females
o 21.3% of African American Females
o 14.8% of Caucasian Males
o 8.5% of African American Males
County Health Rankings and Roadmaps 2020 showed that 14% of the Anson population said they have
Frequent Mental Distress.
Access to Health Care
Access to Healthcare is core to the overall health of a county and the individual health and quality of life of its
citizens. The ability of an individual or family to access Health Care involves the following:
Availability of Health Care within a specified or realistic geographic area.
Transportation to get to the Health Care.
Ability to bear the cost of Health Care.
Following is information that summarizes public input opinion (Key Informants and Public Survey) and other
related data about Access to Health Care in Anson County.
Availability of Health Care
This table presents the ratios of Health Care Providers to Population for years 2015 through 2020.
Year
Primary Care
Physician to
Population Ratio
(Based on 2017 Data)
Dentist to Population
Ratio
(Based on 2018 Data)
Mental Health
Provider to
Population Ratio
(Based on 2019 Data)
Other Primary
Care Providers
(Based on 2019
Data)
2015
2,396:1
3,737:1
1,308:1
6,540:1
2016
2,910:1
3,680:1
1,360:1
5,153:1
2017
2,340:1
4,290:1
1,170:1
5,152:1
2018
2,340:1
4,240:1
1,160:1
6,362:1
2019
2,310:1
5,000:1
1,000:1
4,998:1
2020
2,080:1
4,980:1
960:1
3,110:1
The worst ratio per year is highlighted in red; the best ratio is highlighted in purple.
This table shows that the current ratios are the best for most of the provider categories over the six year
period; however, it is very important in looking at these ratios that the decrease in the County population
over the last few years is taken into consideration. There was a decrease in total population of 1,003 from
2016 to 2020 according to the American Community Survey of the US Census.
Anson County 2020 CHA | Priorities Identified through CHA
68
Participants in the Public Survey shared that several issues related to Health Care are problems in Anson County. The
following chart provides details on the survey responses.
COMMUNITY ISSUES
Major
Problem
Somewhat
of a
Problem
Major +
Somewhat
Not a
Problem
Don’t
Know
No
Answer
Access to Specialized Healthcare (Cardiology,
Urology, Neurology, Orthopedic, etc.).
53.7%
32.0%
85.7%
4.8%
5.2%
4.3%
Access to Mental Health Services
29.4%
43.9%
73.3%
10.4%
12.0%
2.3%
Access to Dental Care - Adult
23.5%
45.0%
68.5%
17.0%
10.4%
4.1%
Access to Dental Care - Children
19.8%
47.6%
67.4%
17.8%
10.7%
4.1%
Access to Basic Healthcare
21.7%
42.8%
64.5%
24.8%
6.3%
4.4%
Access to Prenatal Care
26.5%
34.4%
60.9%
18.1%
16.7%
4.3%
Availability of Elder Care (Skilled Nursing,
Memory Care, In-Home) – Access or Quality
16.7%
41.1%
57.8%
19.8%
18.1%
4.3%
This graphic shows the perception of Public Survey participants on the quality of healthcare in Anson County.
16.7%
36.7%
34.8%
7.4%
3.5%
0.9%
People in Anson County can get good health care
Strongly
Disagree
Disagree
Agree
Strongly
Agree
Don't Know
No Answer
Public Survey participants ranked
“Specialist Care needed not
available in Anson County”
as the #1 Barrier to Health &
Human Services.
45.2% said it is a Barrier.
Anson County 2020 CHA | Priorities Identified through CHA
69
Key Informants also provided observations about the availability of Health Care and related services in the County.
Key Informant Input on Availability of Health Care
Percentage
of Key
Informants
Specialists being out of county complicates accessing healthcare:
> Make it difficult for families.
> Logistics of using ACTS (Anson County Transportation Services ) makes it difficult to use – all day,
long day to visit doctor.
> Really hard on someone on chemo.
60.5%
Not enough Primary Care Providers, very few options.
(if Provider and patient don’t relate well, patient must go out of county to find another Provider.)
39.5%
Inadequate number of pharmacies:
> Lost Walmart.
> Anson Pharmacy recently closed.
> Only 2 pharmacies, likely cannot handle demand.
23.3%
Most of the Providers at Carolinas Primary Care are mid-levels. Their experience level is inadequate to
deal with the complex, advanced health issues of many Ansonians. The perception is that this results
in more referrals, missed diagnosis and improper attention to patients. People with multiple health
issues take more time and this does not fit the production models of Atrium or any health system.
11..6%
Lack of prenatal care , primarily because it is not available in county.
Less than 5
Key
Informants
People believe they can’t get quality care in the County because anything with any complexity is
referred to a doctor outside the county, so many feel it is useless to go to one in the county.
> Don’t know the value of what is offered and its place in the whole healthcare picture.
> See hospital as “patch” and then on to real care somewhere out of county.
> Bigger is better when it comes to hospitals.
> Do not understand that provision of a service is based on volume of demand.
34.9%
Primary Healthcare Providers do not stay in Anson County for very long so it is difficult to build a
relationship with and trust in them. The relationship and trust are necessary to get good care.
> Providers make less in Anson County than other places.
> Difficult to attract.
18.6%
“Specialists being out of county
complicates access to healthcare”
was the #1 obstacle to being healthy
according to Key Informants.
Anson County 2020 CHA | Priorities Identified through CHA
70
Transportation to get to Health Care
Input from Key Informants about Transportation to Health Care and Health Resources
Key Informant Input on Health-Related Transportation
Percentage
of Key
Informants
Lack of Transportation to Healthcare
> Especially for elderly, they must pay someone to take them
> ACTS does have a cost, must be almost Medicaid eligible to be able to use
> Especially difficult for out of county care/treatment (all specialists are out of county)
> Use ambulance as transport to healthcare
> May have vehicle but cannot afford to keep it in working order or to have auto insurance
55.8%
Transportation to medication, especially elderly
Less than 5
Key
Informants
People without means (transportation, funds, resources, etc.) to go outside the County get primary care
in the county including pediatric care. Many are forced to get care in the County even if that is not their
preference. This includes those that are:
> Elderly
> On Medicaid
> Uninsured
25.6%
More transportation to Healthcare, ACTS (Anson County Transportation System) schedule is limited.
Less than 5
Key
Informants
Atrium health Anson offers transportation to Carolinas Primary Care; however, there is a big problem
with no shows.
11.6%
Ability to Bear Cost of Health Care
Having Health Care insurance is a major factor in being able to bear the cost. In the County Health Rankings and
Roadmaps percentages of Uninsured are given for counties and states. The following graph provides a look at the last 6
years on the percentages of Uninsured in Anson County.
0%
5%
10%
15%
20%
25%
30%
2015 2016 2017 2018 2019 2020
Uninsured - All
Uninsured -
Adults
Uninsured -
Children
Anson County 2020 CHA | Priorities Identified through CHA
71
The following table presents the percentage of survey participants that have specific types of healthcare insurance.
Survey participants were allowed to check all types that applied to them. Healthcare Insurance is complex, and
everyone does not use the same terms. Based on analysis of the Survey responses, it is possible that participants
misinterpreted some of the insurance terms in the Survey.
Healthcare Insurance for Participants
with Hypertension
Percentage
Self-Pay
15.2%
Employer Provided
47.2%
Medicare
16.7%
Medicaid
10.9%
None
9.1%
Other
4.1%
No Answer
7.0%
Public Input on Ability to Bear the Cost of Health Care:
Lack of/ Inadequate Health Insurance was one of the Community Issues that Public Survey participants
were asked to rank as a problem or not in the County. 72.8% of participants said it is a problem.
20.4% of Public Survey participants said that “My/Our share of the cost (deductible/co-pay) is too high.”
48.8% of Key Informants said that the Cost of Healthcare is a barrier to being healthy.
Cost of medication is a problem for some:
o 12.2% of Public Survey participants said they cannot afford medication.
o 11.6% of Key Informants said that the cost of medication is a barrier to being healthy.
Anson County 2020 CHA | Covid – 19 Pandemic Impact
72
Covid – 19 Pandemic Impact
Because of the state of individual health, limited number of Primary Care Providers, number of at-risk population
and the economic situation in Anson County the impact of the Covid-19 Pandemic is pronounced and will likely be
long lasting and far reaching.
Some of the situations that are currently having negative impacts and will for as long as the virus is a risk are
described here.
Lack of Broadband Access
There are areas in Anson County where there is no access to Broadband for Internet and other technical uses. This
impairs the ability of households to use the Internet for distance learning and telemedicine, which are two things
needed during Pandemic closures or reduced interaction. Following are some of the issues.
Because the local school district is and has been delivering much of their education virtually, Broadband
Internet Access is a near imperative. Not having this access is not only affecting the current learning ability
of the County youth, it is likely to have a negative impact going forward.
According to Dr. Mary Ratliff Anson County Schools Administrator of Student & Administrative Services:
“The district is currently operating under an in-person cohort system for all elementary students in grades k-5.
All other students (grades 6-12) are only receiving virtual instruction. Kindergarten students have the option
of coming to school every day for in person learning. A large number of kindergarten students are still
receiving virtual only instruction. However, grades 1 to 5 must participate in a cohort for in-person learning
and rotate attending school on an alternating schedule. For example, Cohort A will attend school Monday
through Thursday on a modified schedule (7:30-12:30) for one week and then stay home for the next two
weeks. Then Cohort B, and Cohort C, will do the same. Broadband access remains an issue.
As is demonstrated throughout this report, Anson citizens do not have local access to Specialist Healthcare
Providers and have limited access to Primary Care because of the small number of Primary Care Providers.
Telemedicine using some type of video is not an option for the households in areas that do not have
Broadband Access. This limitation could be impairing the ability of citizens in the County to get access to
their Healthcare Provider. The local transit vans of the Anson County Transportation System (ACTS) are
the only transportation to Healthcare for many of Anson’s highest risk population. People who would
normally use ACTS may be reluctant to do so during the pandemic or their Healthcare Provider may have
recommended that they not do so. Not using ACTS may mean the only option they have for healthcare is
telemedicine, but without Broadband Access this may not be viable.
A large percentage of Anson County’s population works outside of the County. During the pandemic, many
people have been forced or recommended to work from home. An employee who lives in an area that does
not have Broadband Access is likely not able to work from home. This impairment results in 1) having to
go to the work place (if that is possible) and take the risk of infection, 2) losing their job and going on
unemployment and possibly losing their healthcare insurance, or 3) taking a temporary suspension which
could also mean going on unemployment and losing healthcare insurance.
Anson County 2020 CHA | Covid – 19 Pandemic Impact
73
According to the North Carolina Department of Information Technology (NCDIT) [https://bi.nc.gov/t/DIT-
Broadband/views/2017Indices-CensusTract/NCCensusTractsStory?:isGuestRedirectFromVizportal=y&:embed=y]
the following availability of Broadband applies to Anson County:
73.64% of the population has access to at least 25 Mbps download and 3 Mbps upload
17.2% of the population has access to at least 100 Mbps download and 20 Mbps upload
0.0% of the population has access to fiber optics
0.91% of the population has NO access to Providers
80.51% of the population has access to DSL (Digital Service Line) only
Testing and Prevention
Covid-19 Cases
According to the North Carolina Department of Health and Human Services Weekly Trends Anson County had 826
positive Covid-19 cases as of 11/8/2020. Following is demographic information on these cases:
Race
o African American – 51%
o Other – 4%
o Suppressed – 45%
(NCDHHS defines Suppressed as: When a county has a population of fewer than 500 individuals for a
specific demographic group or fewer than three cases occurred in a week, some data is suppressed to
protect patient privacy. Trend charts will display data of the latest week when that week is complete
and 7 days of data are available.)
Age
o 0 to 1 – 1%
o 2 to 4 – 1%
o 5 to 9 – 2%
o 10 to 14 – 3%
o 15 to 17 – 2%
o 18 to 24 – 10%
o 25 to 49 – 39%
o 50 to 64 – 25%
o 65 to 74 – 10%
o 75 and up – 7%
Gender
o Female – 59%
o Male – 41%
Testing in Anson County
Anson County Health Department tested 288 people for Covid-19 between July 13, 2020 and November 24, 2020.
Of the tests administered 29 were positive.
During the pandemic (up to November 24, 2020) the Emergency Department at Atrium Health Anson has tested
administered 1527 Covid-19 tests – 240 were positive and 1,283 were negative.
Anson County 2020 CHA | Covid – 19 Pandemic Impact
74
Indicators from the CHA Public Survey
In the CHA Public Survey participants were asked questions about preventive health measures. Following is a
summary of the input received. These responses provide some insight into what folks in Anson County are willing
to do to protect their health and may be informative about whether they will seek follow up care if they have had
Covid-19 and/or if they would get the vaccine when it is offered.
Screening or Vaccine
Percentage that
said Yes
Percentage that
said No
Percentage that
did not answer
General Physical Exam (Annual, Sports, Employment)
68.1%
21.3%
10.6%
Flu Vaccine
43.7%
45.4%
10.9%
Shingles Vaccine
9.6%
75.6%
14.8%
Blood Pressure
69.8%
20.2%
10.0%
Blood Sugar
58.3%
31.7%
10.0%
Cholesterol
59.6%
30.6%
9.8%
Colonoscopy
13.7%
72.2%
85.9%
Dental
57.8%
30.4%
11.8%
Hearing
18.0%
68.5%
13.5%
Vision
56.3%
32.2%
11.5%
Next 3 for Women Only
% Of Women
Mammogram
61.5%
N/A
N/A
Pap Smear
51.9%
N/A
N/A
Self-Breast Exam
84.5%
N/A
N/A
Next 2 for Men Only
% Of Men
PSA (prostate cancer screening)
33.3%
N/A
N/A
Digital Rectal Exam
13.0%
N/A
N/A
It is important to remember that the need for some of these screenings is determined by age, risk factors or the
discretion of a Healthcare Provider. All Survey participants were 14 years old or older.
Anson County 2020 CHA | Covid – 19 Pandemic Impact
75
Steering Committee Input
As part of the online questionnaire used in lieu of an in-person work session to determine priorities, the CHA
Steering Committee was asked their opinion about several factors related to fallout/aftermath of the Covid-19
Pandemic in Anson County. Following is a summary of the input.
Factor
Definitely
Likely
Definitely
+ Likely
Not
Likely
No Way
Don’t
Know
Will further endanger the health of people
with co-morbidities or already compromised
health.
45.4%
54.5%
100%
0
0
0
Will have a negative impact on the education
of children.
45.4%
54.5%
100%
0
0
0
Will increase the number of people with
serious health conditions.
27.3%
63.6%
90.9%
9.1%
0
0
Will increase the risks of evictions, utility shut
offs and other things that lessen the quality of
life for Ansonians.
30.0%
70.0%
100%
0
0
0
Will increase job loss/unemployment.
20.0%
80.0%
100%
0
0
0
Will have a negative impact on the Mental
Health of Ansonians.
10.0%
90.0%
100%
0
0
0
Will further tax the existing healthcare
resources in the County, thus decreasing the
availability of primary care.
45.5%
36.4%
81.8%
18.1%
0
0
Will increase the number of people in poverty.
9.1%
63.6%
72.7%
27.3%
0
0
Will position Anson County for more State or
Federal funding for health related
services/projects.
0
54.5%
54.5%
27.3%
9.1%
9.1%
Will increase the number of Ansonians who
get flu, pneumonia or other vaccines and for
Covid-19 vaccine when available.
9.1%
27.3%
36.4%
45.4%
0
18.2%
Will cause more Ansonians to change to a
healthier lifestyle.
0
27.3%
27.3%
63.6%
0
9.1%
Will cause Ansonians to be more diligent
about preventative healthcare.
0
18.2%
18.2%
72.7%
0
9.1%
Anson County 2020 CHA | Covid – 19 Pandemic Impact
76
Anson County
2020
Data Book
An Appendix to the
2020
Community Health Assessment
Anson County 2020 CHA | Data Book
77
Data Book
Overview
Population
The following charts and tables provide details on the population of Anson County, its peer counties and the State of
North Carolina. All of the data used in these charts and tables are from the American Community Survey (ACS) of the US
Census Bureau. This data is presented to facilitate perspective, context and comparison when analyzing or using the
other data presented in the Data Book and other parts of the Anson County 2020 Community Health Assessment.
Anson County population has been decreasing. The following graph shows the decrease from 2016 to 2018 based on
data from the American Community Survey 5 year average.
25,883
25,531
25,306
2016 2017 2018
Total Population
Anson County’s
Total Population
25,306
Anson County 2020 CHA | Overview
78
The following graphs show the Percentage of population by Gender, Race and Age Group.
48.5%
49.5%
2.0%
Population By Race
Caucasian
African
American
Other Race
52.5%
47.5%
Population By Gender
Male
Female
4.7%
5.8%
5.6%
5.5%
21.2%
26.4%
13.6%
10.6%
4.6%
1.9%
Under 5 years
5 to 9 years
10 to 14 years
15 to 19 years
20 to 34 years
35 to 54 years
55 to 64 years
65 to 74 years
75 to 84 years
85 years and over
Population By Age Group
3.9%
96.1%
Ethnicity of Population
Hispanic or Latino
Non- Hispanic
Anson County 2020 CHA | Overview
79
The following table provides a comparison of the Race, Gender and Ethnicity of Anson County’s population with the
populations of its peer counties.
County
Total
Population
Male
Female
African
American
Caucasian
Other Race
Hispanic
Anson
25,306
52.5%
47.5%
49.5%
48.5%
2.0%
3.9%
Montgomery
27,338
49.6%
50.4%
19.5%
77.6%
2.9%
15.3%
Richmond
45,189
49.0%
51.0%
32.5%
63.9%
3.6%
6.4%
Scotland
35,262
49.3%
50.7%
40.1%
46.2%
13.7%
2.9%
Stanly
61,114
49.8%
50.2%
12.2%
85.6%
2.2%
4.1%
Anson is the only County compared to its peer counties with a higher percentage, although slight, of:
Males than Females
African Americans than Caucasians
The distribution of population by geographic area is presented in the following table. The data is from the American
Community Survey (ACS) of the US Census Bureau.
Town
Total
Population
African
American
Caucasian
Other Race
Ansonville
735
89.8%
10.2%
0
Burnsville
1,990
5.2%
87.5%
7.3%
Gulledge*
2,296
54.6%
45.4%
N/A
Lilesville
445
42.9%
57.1%
0
McFarlan
97
8.2%
91.8%
0
Morven
548
72.3%
27.7%
0
Peachland
496
20.2%
76.6%
3.4%
Polkton
1,621
Population count provided here is the non-institutional
population in order to exclude the detention inmates
in the state prisons.
Wadesboro
5,351
67.8%
30.1%
0
* Gulledge statistics are from www.statisticalatlas.com
Although the total county population for Anson is very close to equal between African Americans and Caucasians, the
population distribution by town demonstrates that there is some geographic separation of the Races.
Anson County 2020 CHA | Overview
80
Economic Factors
The following chart compares Anson County’s key economic factors to those of its peer counties. The data is from the
American Community Survey of the US Census Bureau. The following data is provided to also present a picture of the
economics of the geographic area in which Anson County is located.
County
Total Households
Median
Household
Income
Percentage of
Households With
Food Stamp/
SNAP in past 12
months
Percentage of
Families With
Income Below
Poverty Level
past 12 months
Percentage of
Families with
Female
Householder, no
husband present
Anson
9,516
$39,126
21.9%
16.1%
40.7%
Montgomery
10,411
$42,346
15.1%
14.5%
34.7%
Richmond
18,546
$36,091
25.5%
19.8%
37.5%
Scotland
13,113
$35,617
27.3%
24.5%
51.4%
Stanly
23,717
$49,590
14.1%
10.1%
34.5%
State
3,918,597
$45,208
13.2%
11.2%
13.1%
Summary:
Anson County is in the middle for Household Income, Households using SNAP and Families Below Income Poverty Level
compared to its peer counties. Anson is higher than all but one of its peer counties on the Percentage of Families with
Female Householder.
Anson County 2020 CHA | Overview
81
Life Expectancy
Life Expectancy is the average number of additional years that someone at a given age would be expected to live if
current mortality conditions remained constant throughout their lifetime.
The data in the following table and chart are from the North Carolina State Center for Health Statistics.
2018 State of North Carolina and 2016-2018 County Life Expectancy at Birth
Sex
Race
Total
Male
Female
White
African
American
Geographic
Area
Life
Expectancy
Life
Expectancy
Life
Expectancy
Life
Expectancy
Life
Expectancy
Anson
County
74.1
72.4
75.9
75.9
72.7
Montgomery
County
77.4
75.3
79.7
78.4
74.1
Richmond
County
74.0
70.8
77.3
74.5
72.9
Scotland
County
74.2
72.1
76.1
75.6
73.7
Stanly
County
75.9
73.4
78.4
75.9
74.9
State of North
Carolina
77.0
74.1
79.8
77.9
74.5
The two graphs below provide a comparison by Race and Gender for Life Expectancy in Anson County.
Male Female
72.4
75.9
Gender
Caucasian African American
75.9
72.7
Race
Anson County 2020 CHA | Health Indicators
82
Health Indicators
Only 4 Counties in North Carolina were ranked worse that Anson County.
(Edgecombe, Scotland, Vance and Robeson were the bottom 4 Counties)
County Health Rankings
The following graph provides a comparison of Anson County’s rank in 2020 with past years.
Anson County ranked worse in 2020 than any of the past 5 years. There is a 12 point difference in the 2015 ranking
(best of the last 6 years) and the 2020 ranking.
84
94
89
90
90
96
2015 2016 2017 2018 2019 2020
Overall County Health Ranking
Anson County Ranks
96 out of the 100
North Carolina
Counties
According to County Health Rankings
& Roadmaps 2020
Anson County 2020 CHA | Health Indicators
83
The following table compares the rankings of Anson County on key Health Indicators to those of its peer counties.
The rankings are from County Health Ranking & Roadmaps 2020. The orange shading notes the worst county; the
green shading notes the best county.
Health Indicator
Anson
Montgomery
Richmond
Scotland
Stanly
Overall Rank out of 100
96
48
93
98
55
Length of Life
94
29
88
96
64
Quality of Life
> Poor or fair health percentage
> Poor physical health days
> Poor mental health days
> Low birthweight
> Child & Infant mortality
> Diabetes prevalence
> Life expectancy
94
78
95
99
38
Health Factors
89
71
95
99
33
Health Behaviors
> Adult Smoking
> Adult obesity
> Food environment index
> Physical inactivity
> Access to exercise opportunity
> Excessive Drinking
> STDs/STIs
> Teen Births
> Limited access to healthy food
93
64
94
99
23
Clinical Care
> Uninsured
> Primary care physicians
> Mental health providers
> Preventable hospital stays
> Mammography screening
> Flu vaccinations
84
86
97
71
50
Social & Economic Factors
> High school graduation
> Some college
> Unemployment
> Children in poverty
> Income inequality
> Children in single-parent households
> Violent crime
> Children eligible for free or reduced
price lunch
> Homicides
> Suicides
85
60
88
100
19
Anson County 2020 CHA | Health Indicators
84
Health Indicator
Anson
Montgomery
Richmond
Scotland
Stanly
Physical Environment
> Air Pollution
> Drinking water violations
> Severe housing problems
> Long commute – driving alone
> Homeownership
> Severe housing cost burden
99
91
62
84
95
Although Anson only ranked worst compared to its peer counties in one area, it did not rank best in any area.
In the following table are the 2020 rankings for Anson County, its peers and the State of North Carolina on some
key measures from the County Health Rankings. The “best” county is highlighted in green; and the worst county is
highlighted in orange.
Health Indicator
Anson
Montgomery
Richmond
Scotland
Stanly
State
Overall Rank out of
100
96
48
93
98
55
N/A
Poor or Fair Health
23%
20%
22%
24%
16%
16%
Poor physical health
days
4.6
4.4
4.8
5.1
3.9
3.9%
Poor mental health
days
4.4
4.3
4.6
4.8
4.0
4.0
Low birthweight
12%
11%
12%
13%
10%
10%
Adult Smoking
20%
18%
21%
23%
17%
17%
Adult Obesity
39%
37%
39%
40%
28%
28%
Physical inactivity
% adults 20 & over
reporting no leisure-
time physical activity
31%
39%
32%
26%
24%
24%
Access to exercise
opportunities
% adults living
reasonably close to
physical activity
location
6%
73%
39%
66%
69%
74%
Excessive Drinking
14%
15%
14%
14%
17%
17%
Anson County did not rank best in any measure, except for tying with 2 other counties on Excessive Drinking. It ranks
worst in one measure, but was very close to the worst county in several measurements.
Anson County 2020 CHA | Health Indicators
85
The table below depicts a six year trend of Anson County’s ranking in the individual Health Indicators from the County
Health Rankings and Roadmaps.
Health Indicator
2015
2016
2017
2018
2019
2020
Overall
Worsening?
Increase/
Decrease
2015 to 2020
Overall Rank out of 100
84
94
89
90
90
96
Yes
+12 points
Length of Life
83
90
90
91
90
94
Yes
+11 points
Quality of Life
> Poor or fair health
percentage
> Poor physical health days
> Poor mental health days
> Low birthweight
> Child & Infant mortality
> Diabetes prevalence
> Life expectancy
73
91
87
85
88
94
Yes
+21 points
Health Factors
88
89
87
87
91
89
Yes
+1 point
Health Behaviors
> Adult Smoking
> Adult obesity
> Food environment index
> Physical inactivity
> Access to exercise
opportunity
> Excessive Drinking
> STDs/STIs
> Teen Births
> Limited access to healthy
food
63
94
89
89
91
93
Yes
+30 points
Clinical Care
> Uninsured
> Primary care physicians
> Mental health providers
> Preventable hospital stays
> Mammography screening
> Flu vaccinations
49
63
71
73
85
84
Yes
+35 points
Social & Economic Factors
> High school graduation
> Some college
> Unemployment
> Children in poverty
> Income inequality
> Children in single-parent
households
94
90
85
84
85
85
No
-9 points
Anson County 2020 CHA | Health Indicators
86
Health Indicator
2015
2016
2017
2018
2019
2020
Overall
Worsening?
Increase/
Decrease
2015 to 2020
> Violent crime
> Children eligible for free or
reduced price lunch
> Homicides
> Suicides
Physical Environment
> Air Pollution
> Drinking water violations
> Severe housing problems
> Long commute – driving
alone
> Homeownership
> Severe housing cost
burden
26
26
49
65
98
99
Yes
+73 points
Trend analysis and comparison between 2015 and 2020 show that Anson County has significantly decreased during the
last 6 years almost all rankings that reflect the health of its citizens. Of particular note are the following:
Although the Life Expectancy had some worsening, the worsening of Quality of Life was more significant.
The acute worsening of Health Behaviors and Clinical Care likely show that both access to/availability of local
care and the actions of the citizens have almost equal impact on the worsening of overall health of Ansonians.
Although Social & Economic Factors actually improved from 2015 to 2020, the Physical Environment factors had
an extreme worsening. When coupled these two factors could mean that things such as education and
employment have improved, but other factors have had a dramatic worsening, such as:
o People must travel out of the County for employment
o Cost of housing – purchase and maintenance – has outpaced earnings increases
o Because people go outside of the County for most things – employment, healthcare, retail and
increasingly education – they also spend their money outside the County.
Input from the Key Informants that expound on things related to the Health Factors
60.5% said that Healthcare Specialists being out of county complicates accessing healthcare.
39.5% said that there are not enough Primary Care Providers in the County.
25.6% said that people without means to go outside the County to get Primary Care get it in Anson County.
20.9% said that Most/more than half of Ansonians go out of county for Primary Care.
30.2% said that People go out of county for many things and spend their money out of county which further
reduces the tax base.
Anson County 2020 CHA | Health Indicators
87
The following chart provides a visual graph of the trend from 2015 to 2020 for these categorical rankings.
Source: 2020 County Health Rankings
0
20
40
60
80
100
120
2015 2016 2017 2018 2019 2020
Overall Rank out of 100
Length of Life
Quality of Life
Health Factors
Health Behaviors
Clinical Care
Social & Economic Factors
Lower is better
Anson County 2020 CHA | Causes of Death
88
Causes of Death
Ten Leading Causes of Death in Anson County
2014 - 2018
Number
of
Deaths
DEATH RATE
Per 100,000
population
RANK
CAUSE OF DEATH:
1,583
1251.1
0
TOTAL DEATHS --- ALL CAUSES
1
Diseases of the heart
365
288.5
2
Cancer - All Sites
291
230.0
3
Cerebrovascular disease
89
70.3
4
Chronic lower respiratory diseases
83
65.6
5
Diabetes mellitus
55
43.5
6
Alzheimer's disease
47
37.1
7
Septicemia
46
36.4
8
Nephritis, nephrotic syndrome, & nephrosis
42
33.2
Other Unintentional injuries
42
33.2
10
Pneumonia & influenza
36
28.5
Source: North Carolina County Health Data Book – 2020
NC Department of Health and Human Services, Division of Public Health State Center for Health Statistics
The following chart compares the rate for the Ten Leading Causes of Death in the County.
Leading Causes of Death
288.5
230.0
70.3
65.6
43.5
37.1
36.4
33.2 33.2
28.5
Diseases of the heart
Cancer - All
Cerebrovascular disease
Chronic lower respiratory
diseases
Diabetes mellitus
Alzheimer's disease
Septicemia
Nephritis, nephrotic
syndrom & nephrosis
Other Unintentional
injuries
Pneumonia & influenze
Anson County 2020 CHA | Causes of Death
89
The following tables compare the Ten Leading Causes of Death 2014 – 2018 by Race and Gender. The number of Deaths
instead of Rate from the 2020 NC County Health Data Book was used to determine the leading Causes of Death in these
tables because for some Causes the number of Deaths was insufficient to calculate a Rate per 100,000.
Leading Causes of Death by Race
White/Caucasian
Black/African American
Cause of Death
Number of
Deaths
Rank
Cause of Death
Number of
Deaths
Diseases of Heart
206
1
Diseases of Heart
157
Cancer
165
2
Cancer
125
Chronic Lower Respiratory Diseases
65
3
Cerebrovascular Disease
42
Cerebrovascular Disease
47
4
Diabetes
33
Alzheimer’s Disease
31
5
Nephritis, Nephrotic Syndrome, and
Nephrosis
24
All Other Unintentional Injuries
29
6
Homicide
20
Septicemia
27
7
Septicemia
19
Pneumonia and Influenza
26
8
Chronic Lower Respiratory Diseases
17
Diabetes
22
9
Unintentional Motor Vehicle
Injuries
16
Nephritis, Nephrotic Syndrome, and
Nephrosis
17
10
Alzheimer’s Disease
15
Unintentional Motor Vehicle
Injuries
17
Leading Causes of Death by Gender
Males
Females
Cause of Death
Number of
Deaths
Rank
Cause of Death
Number of
Deaths
Diseases of Heart
191
1
Diseases of Heart
174
Cancer
148
2
Cancer
143
Chronic Lower Respiratory Diseases
39
3
Cerebrovascular
52
Cerebrovascular Disease
37
4
Chronic Lower Respiratory Diseases
44
All Other Unintentional Injuries
33
5
Alzheimer’s Disease
34
Diabetes
28
6
Septicemia
29
Unintentional Motor Vehicle
Injuries
24
7
Diabetes
27
Nephritis, Nephrotic Syndrome, and
Nephrosis
23
8
Pneumonia and Influenza
20
Homicide
20
9
Nephritis, Nephrotic Syndrome,
and Nephrosis
19
Septicemia
17
10
Unintentional Motor Vehicle
Injuries
11
Anson County 2020 CHA | Summary of Health Conditions by Race & Gender
90
Summary of Health Conditions by Race & Gender
The following table presents the percentage of Survey participants by Race and Gender that have been diagnosed
with Health Conditions that are the most prevalent and/or have the highest death rate.
Health Condition
African American
Female
Caucasian Female
African American
Male
Caucasian Male
Cancer
6.4%
9.8%
5.1%
11.3%
COPD
6.4%
6.0%
6.8%
5.7%
Depression
21.3%
31.7%
8.5%
15.1%
Diabetes
24.5%
13.1%
12.7%
11.3%
Heart Disease
5.3%
6.6%
12.7%
5.7%
Hypertension
63.8%
37.7%
45.7%
47.2%
High Cholesterol
33.0%
37.7%
43.2%
24.1%
Obesity
55.3%
48.1%
38.1%
35.8%
STD/STI/HIV
8.5%
1.6%
16.9%
0
Orthopedic Issues
29.8%
45.9%
8.5%
24.5%
Red Highlight indicates highest percentage of occurrence; lavender highlight indicates lowest percentage of
occurrence.
African American Females have the highest occurrence in 3 of the 10 health conditions and rank lowest in
only one condition. The 3 they rank highest in have an impact on mortality and quality of life.
African American Males have the highest occurrence in 4 of the 10 health conditions and rank lowest in 3
conditions. Two of the 4 ranked highest in have an impact on mortality and quality of life.
Caucasian Females rank highest in 2 of the health conditions and rank lowest in one condition. Neither of
the conditions they rank highest in have a high mortality rate.
Caucasian Males rank highest in only one of the health conditions and rank lowest in 5 of the conditions.
These factors cannot be considered alone. In order to understand these statistics and improve them, they must be
considered in concert with other demographic factors, such as income and education. The ability to access
appropriate resources and care should also be considered in totally understanding this data.
Anson County 2020 CHA | Diseases of the Heart and Related Conditions
91
Diseases of the Heart and Related Conditions
Diseases of the Heart was the number one Cause of Death for 2014 -2018 in Anson County according to the 2020 North
Carolina County Health Data Book. The following pages provide details related to this specific Cause.
Age-Adjusted Cardiovascular Disease Death Rates per 100,000 Residents
Age-Adjusted Heart Disease Death Rates per 100,000 Residents
The data for the above two charts is from the 2020 North Carolina County Health Data Book.
352.3
320.7
310.5
287.1
235.6
217.9
2003 - 2007 2008 - 2012 2013 - 2017
Anson County
North Carolina
232.2
185.6
219.2
209.3
174.4
159.8
2003 - 2007 2008 - 2012 2013 - 2017
Anson County
North Carolina
Anson County 2020 CHA | Diseases of the Heart and Related Conditions
92
The following charts show the actual number of deaths related to Heart Disease and Hypertension from 2015 to 2018.
The first graph shows the total number of deaths over the four years. The other two charts provide the breakdown by
gender and race for 2018 and 2015 for comparison. The data is from the Detailed Mortality Statistics from the NC State
Center for Health Statistics of the NC Department of Health and Human Services.
Number of Deaths from 2015 to 2018
Number of Deaths by Gender and Race
11
9
11
13
29
29
17
31
54
36
38
37
2015 2016 2017 2018
Hypertensive
Diseases
Other Heart
Diseases
Ischaemic
(Coronary) Heart
Diseases
5
12
6
13
10
1
6
3
1
13
6
5
Ischaemic (Coronary) Heart Disease
Other Heart Diseases
Hypertensive Diseases
White Female
White Male
Black Female
Black Male
18
7
3
19
8
2
9
7
6
8
7
0
Ischaemic (Coronary) Heart Disease
Other Heart Diseases
Hypertensive Diseases
White Female
White Male
Black Female
Black Male
2018
2015
Anson County 2020 CHA | Diseases of the Heart and Related Conditions
93
The following table provides a comparison of the 2014 -2018 Diseases of the Heart Death Rate (per 100,000 population)
between Anson County and its four peer counties. In order to consider the death rates in perspective, the population
for each County is also provided. The Death Rates are from the 2020 County Health Data Book of the NC Department of
Health and Human Services; the population counts are from the American Community Survey (ACS) of the US Census
Bureau.
County
Death Rate
(per 100,000 population)
Population
Anson County
226.1
25,306
Montgomery County
166.9
27,338
Richmond County
241.4
45,189
Scotland County
196.9
35,262
Stanly County
217.4
61,114
Richmond County is the only peer County with a higher Death Rate from Diseases of the Heart than Anson; Richmond’s
population is 19,883 greater than Anson County.
In the Public Survey participants were asked questions related to Heart Disease/Heart Attack and Hypertension (High
Blood Pressure) and the Survey responses on Obesity/Overweight are also presented here because it is a contributing
factor to Heart Disease and Hypertension. Following are the responses:
Health Problems
85% of Survey Participants said that Heart Disease/Heart Attack is a problem (48.7% Major, 36.3%
Somewhat). This ranked #8 of the Health Problems included in the Public Survey.
84.9% of Survey Participants said that Hypertension (High Blood Pressure) is a problem (58.5% Major; 29.4%
Somewhat). This ranked #5 of the Health Problems included in the Public Survey.
Personal Health
7.0% of Survey Participants said they have been diagnosed with Heart Disease/Angina.
5.5% of Survey Participants said they are currently on medication for Heart Disease/Angina.
Heart Disease was ranked #9 of the 17 personal health conditions asked about in the survey.
44.1% of Survey Participants said they have been diagnosed with High Blood Pressure/Hypertension.
37.6% of Survey Participants said they are currently on medication for High Blood Pressure/Hypertension.
High Blood Pressure/Hypertension was #2 of the 17 personal health conditions asked about in the survey (#1
ranked condition was Vision Problems)
35.7% of Survey Participants said they have been diagnosed with High Cholesterol.
25.2% of Survey Participants said they are currently on medication for High Cholesterol.
High Cholesterol was ranked #4 of the 17 personal health conditions asked about in the survey.
Key Informant interviews were conducted with 44 individuals. Each Key Informant was asked “What are the health
problems/concerns in the County?” Following is a summary of the results related to Diseases of the Heart.
55.8% said that Hypertension is a problem. This condition was ranked #3 by Key Informants.
51.2% said that Heart Disease / Cardiovascular Disease is a problem. This condition was ranked #4 by Key
Informants.
65.1% said that Obesity is a problem. This condition was ranked #2.
Less than 5 Key Informants said that High Cholesterol is a problem.
39.5% said that Ansonians do not utilize assistance or access services/resources that are offered (i.e. WIC/SNAP
discounts and vouchers to the Farmer’s Market, walking trails, senior center programs).
34.2% said that people accept the inevitability of poor health and disease (i.e. “In my family”, “Why try, it will
happen anyway”).
37.2% said that people do not make changes even when taught and the needs are explained.
27.9% said that people do not seek care until it is a crisis.
Anson County 2020 CHA | Diseases of the Heart and Related Conditions
94
25.6% said the instability of life in Anson County doesn’t allow for healthy living.
23.3% said people don’t see the need for health prevention, screening and early care.
23.3% said there are many obstacles to preparation of fresh food (I.e. don’t know how to cook it; don’t have
time to prepare, etc.).
20.9% said that the elimination of the Hypertension Clinic and other services at the Health Department due to
reduced funding has had a negative impact.
18.6% said there is a heavy reliance/dependency on food pantries where healthy choices are limited.
18.6% said there is a lack of innovative health education that will stimulate people to change to a healthier
lifestyle.
14.0% said there is an inequity of healthcare between people with no insurance or on Medicaid and people who
have insurance.
Personal Health
The following tables show the percentage for each race/gender combination of Survey participants who said they have
been diagnosed with Heart Disease, Hypertension and High Cholesterol.
Heart Disease
African American Female
Caucasian Female
African American Male
Caucasian Male
5.3%
6.6%
12.7%
5.7%
Pink highlight shows the highest rate, Lavender shows the lowest.
Hypertension
African American Female
Caucasian Female
African American Male
Caucasian Male
63.8%
37.7%
45.7%
47.2%
Pink highlight shows the highest rate, Lavender shows the lowest.
High Cholesterol
African American Female
Caucasian Female
African American Male
Caucasian Male
33.0%
37.7%
43.2%
24.1%
Pink highlight shows the highest rate, Lavender shows the lowest.
The following graphs provide Race and Gender details on survey participants that have Heart Disease.
6.7%
9.4%
White/ Caucasian African American/ Black
10.2%
6.2%
Male Female
Anson County 2020 CHA | Diseases of the Heart and Related Conditions
95
The following graphics provide demographic details on the survey participants who said they have been diagnosed with
Heart Disease.
The following chart shows the percentage of survey participants in each geographic area that said they have been
diagnosed with Heart Disease.
These percentages should be used with caution because the number of Survey participants in some geographic areas was small and,
therefore, the percentages may not be representative of a geographic area.
The percentage of Survey participants in each Household Income Level that said they have been diagnosed with Heart
Disease is presented in the following graph.
The number of participants in the lowest 2 Household income Levels was small compared to the others, so these percentages may not
be representative of those Levels.
20.0%
6.9%
0.0%
8.0%
0.0%
11.1%
6.7%
5.4%
6.6%
4.9%
Ansonville
Burnsville
Gulledge
Lilesville
McFarlan
Morven
Peachland
Polkton
Wadesboro
Other & No Answer
7.7%
2.4%
8.3%
11.8%
16.9%
6.3%
1.6%
5.8%
Less than $10,000
$10,000 - $14,999
$15,000 - $24,999
$25,000 - $34,999
$35,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 or more
Anson County 2020 CHA | Diseases of the Heart and Related Conditions
96
The next chart shows the percentage in each Age Group that said they have Heart Disease.
Access to Primary Healthcare for Survey Participants diagnosed with Heart Disease
It is extremely important that those with Heart Disease have and utilize access to healthcare. The following graphics
provide insights into access to Primary Healthcare for survey participants. The graphs show where survey participants
get Primary Care and if they have healthcare insurance.
The next table shows where the survey participants with Heart Disease get Primary Healthcare.
Source of Primary Healthcare for Participants with Heart Disease
Percentage
Doctor’s Office IN Anson County
50.0%
Hospital Emergency Room/Department IN Anson County
2.6%
Doctor’s Office NOT in Anson County
36.8%
Hospital Emergency Room/Department NOT in Anson County
2.6%
Urgent Care NOT in Anson County (No Urgent Care in the County)
2.6%
Anson County Health Department
0
Mental Health Provider
0
ARMS
5.3%
0.0%
0.0%
7.3%
11.3%
10.2%
28.0%
0.0%
14 to 19
20 to 34
35 to 54
55 to 64
65 to 74
75 to 84
85 and up
Hypertension has a direct relationship to Heart Disease
94.7% of participants with Heart Disease have Hypertension
100% of participants who have Heart Disease & Diabetes have
Hypertension
Anson County 2020 CHA | Diseases of the Heart and Related Conditions
97
The following table presents the percentage of survey participants with Heart Disease that have specific types of
healthcare insurance. Survey participants were allowed to check all types that applied to them. Healthcare Insurance is
complex, and everyone does not use the same terms. Based on analysis of the Survey responses, it is possible that
participants misinterpreted some of the insurance terms in the Survey.
Healthcare Insurance for Participants
with Hypertension
Percentage
Self-Pay
10.5%
Employer Provided
47.4%
Medicare
28.9%
Medicaid
5.3%
None
7.9%
Other
2.6%
Anson County 2020 CHA | Cancer
98
Cancer
Cancer was ranked as the #2 Cause of Death in the 2020 North Carolina County Health Data Book (from the NC
Department of Health and Human Services, Division of Public Health, State Center for Health Statistics). The Death Rate
per 100,000 population was 230.0.
In the following pages are data that provide details and perceptions about the significance of Cancer as a health problem
in Anson County. All rates are from the NC County Health Data Book.
Cancer Incidence Rates in Anson County
(Per 100,000 Population)
Source: NC Central Cancer Registry
Cancer Type
2012 – 2016 Rate
2013 – 2017 Rate
2014 – 2018 Rate
Colon/Rectum
45.9
39.3
35.6
Lung/Bronchus
75.9
70.8
60.2
Female Breast
159.5
175.8
176.4
Prostate
120.4
139.0
149.4
Cervix/Uteri
9.5
*
*
Melanoma
10.8
12.8
13.3
All Cancers
451.3
466.8
458.1
0
20
40
60
80
100
120
140
160
180
200
2012 -2016 2013 - 2017 2014 - 2018
Colon/
Rectum
Lung/
Bronchus
Female
Breast
Prostate
Melanoma
440
445
450
455
460
465
470
2012 -2016 2013 - 2017 2014 - 2018
All Cancers
Anson County 2020 CHA | Cancer
99
Cancer Mortality Rates in Anson County
(Per 100,000 Population)
Cancer Type
2012 – 2016 Rate
2013 – 2017 Rate
2014 – 2018 Rate
Colon/Rectum
19.6
22.6
22.8
Lung/Bronchus
55.8
51.1
40.6
Female Breast
25.8
22.5
26.0
Prostate
35.6
29.8
26.0
Cervix/Uteri
N/A
3.3
*
Melanoma
N/A
2.0
*
All Cancers
189.1
183.5
173.7
0
10
20
30
40
50
60
2012 -2016 2013 - 2017 2014 - 2018
Colon/
Rectum
Lung/
Bronchus
Female
Breast
Prostate
165
170
175
180
185
190
195
2012 -2016 2013 - 2017 2014 - 2018
All Cancers
Anson County 2020 CHA | Cancer
100
The following graph compares the 2014 – 2018 Cancer Incidence and Mortality Rates (per 100,000 population) of Anson
County with the State and the four peer counties.
Summary:
Anson County’s Incident Rate is higher than all of its peer counties except Stanly County; however, Stanly County
has 35,808 more residents than Anson County (Anson – 25,306 / Stanly – 61,114) according to the American
Community Survey (ACS) of the US Census Bureau.
Anson County’s Incidence Rate is in line with the Rate of the State of North Carolina.
Anson County’s Death Rate is “middle of the road” in comparison to the Rate of its peer counties.
Anson County’s Death Rate is somewhat higher than the Rate of the State of North Carolina.
In the Public Survey participants were asked if Cancer is a Health Problem in Anson County and if they had been
diagnosed with some type of Cancer. Following is a summary of the responses:
Health Problems
77.3% of Survey participants said that Cancer is a problem (27.2% Major; 50.1% Somewhat)
Cancer was ranked as #12 of 25 Health Problems in the County
Personal Health
6.7% of Survey participants said they have been diagnosed with Cancer
1.9% of Survey participants said they are currently on medication for Cancer
The following table shows the percentage for each race/gender combination of survey participants who said they have
been diagnosed with cancer.
African American Female
Caucasian Female
African American Male
Caucasian Male
6.4%
9.9%
5.1%
11.1%
Pink highlight shows the highest rate, Lavender shows the lowest.
458.1
420.9
417.0
434.9
487.0
459.1
173.7
158.0
181.4
199.6
165.5
161.4
Anson Montgomery Richmond Scotland Stanly State of NC
Total Cancer
Incident Rate
Total Cancer
Death Rate
Anson County 2020 CHA | Cancer
101
Key Informants were asked what the health problems/concerns in the County are. Key Informants ranked Cancer as the
#10 health problem/concern, 23.3% said that it is a problem.
Cancer Incidence Rate by Type
Anson County’s Incidence Rate for Female Breast Cancer and Prostate Cancer is considerably higher than all of its peer
counties and the State of North Carolina.
Cancer Death Rate by Type
35.6
34.3
35.8
38.4
40.7
35.1
60.2
63.2
73.2
84.6
70.9
63.0
176.4
123.6
113.5
116.5
142.1
158.7
149.4
94.1
94.5
99.8
103.6
113.6
13.3
29.9
17.6
13.7
32.1
25.4
Anson
Montgomery
Richmond
Scotland
Stanly
State of NC
Colon/
Rectum
Lung/
Bronchus
Female
Breast
Prostate
Melonoma
22.8
13.4
15.7
20.9
14.4
13.3
40.6
42.3
47.5
61.0
49.9
44.1
26.0
21.3
21.3
26.4
13.3
20.9
26.0
28.1
20.8
19.9
11.0
19.9
Anson
Montgomery
Richmond
Scotland
Stanly
State of NC
Colon/
Rectum
Lung/
Bronchus
Female Breast
Anson County 2020 CHA | Cancer
102
Relevant responses from the Public Survey
Health Problems
79.4% of Survey participants said that Tobacco Use/Smoking is a problem (44.8% Major; 34.6% Somewhat)
Personal Health
61.5% of Female Survey participants said they have had a Mammogram in the last 12 months
According to the County Health Rankings & Roadmaps the
percentage of female Medicare enrollees ages 65-74
that received an annual mammography screening was 39%.
This was based on 2017 data.
84.5% of Female Survey participants said they have conducted a Self – Breast Exam in the last 12 months
33.3% of Male Survey participants said they have had a PSA (Prostate Cancer Screening) in the last 12 months
13.3% of Male Survey participants said they have had a Digital Rectal Exam in the last 12 months
13.7% of Survey participants said they have had a Colonoscopy in the last 12 months (37.4% of Survey
participants are 55 or older)
Survey participants were asked how often they smoke or use tobacco products
o 8.2% said daily
o 4.3% said weekly
o 0.7% said monthly
o 6.1% said occasionally
o 72.6% said never
o 8.2% did not provide a response
Survey participants were asked how often they are exposed to secondhand smoke
o 5.4% said daily
o 5.2% said weekly
o 3.3% said monthly
o 20.0% said occasionally
o 58.0% said never
o 8.1% did not provide a response
When Key Informants were asked about health problems/concerns in the County they mentioned the following specific
Cancer related responses:
16.3% said that Breast Cancer is a problem (#14).
14.0% said that Smoking is a problem (#15).
Less than 5 Key Informants mentioned Lung Cancer as a problem.
Key Informant input related to Cancer:
60.5% said that having almost no Specialists in the county complicates accessing healthcare, including
chemotherapy.
Key Informants mentioned specific healthcare resources related to particular types of Cancer that are missing
from the County:
o OB/GYN care – 34.9%
o Breast Cancer screening and prevention – 11.6%
o Urologist – 11.6%
o Less than 5 Key Informants mentioned Oncologist, cancer treatment, chemotherapy as missing
resources/services
o Less than 5 Key Informants mentioned Gastroenterology, colonoscopies by a Gastroenterologist
(instead of a General Surgeon) as a missing resource/service
Anson County 2020 CHA | Cerebrovascular Disease
103
Cerebrovascular Disease
According to the 2020 NC County Health Data Book, Cerebrovascular Disease was the third highest Cause of Death in
Anson County for the 2014 – 2018 period. The non-age adjusted rate was 70.3 per 100,000 population. The Age-
Adjusted Rate is 53.4.
The graph below provides a breakdown by Gender and Race using the Age-Adjusted Rates from the 2020 NC County
Health Data Book for the 2014-2018 period.
No Hispanic deaths were reported for this period.
The following table compares the Anson County Age-Adjusted Rate with its four peer counties.
County/State
Death Rate from Cerebrovascular
Disease
(per 100,000 population)
Population
Anson County
53.4
25,306
Montgomery County
38.5
27,338
Richmond County
64.6
45,189
Scotland County
49.6
35,262
Stanly County
47.4
61,114
Richmond County is the only peer County with a higher Death Rate than Anson; Richmond’s population is 19,883 greater
than Anson County.
47.3
61.9
White/ Caucasian African American/ Black
Death from Cerebrovascular Disease
by Race
51.7
51.4
Male Female
Death from Cerebrovascular Disease
by Gender
Anson County 2020 CHA | Cerebrovascular Disease
104
In the Public Survey participants were asked if Cerebrovascular Disease (Stroke) is a Health Problem in Anson County and
if they had been diagnosed with this health condition. Following is a summary of the responses:
Health Problems
75.0% of Survey participants said that Cerebrovascular Disease (Stroke) is a problem (27.2% Major; 47.8%
Somewhat)
Cerebrovascular Disease (Stroke) was ranked as #14 of 25 Health Problems in the County
Personal Health
2.4% of Survey participants said they have been diagnosed with Cerebrovascular Disease (Stroke)
1.1% of Survey participants said they are currently on medication for Cerebrovascular Disease (Stroke)
Stroke was the 15
th
most common of the 18
Health Conditions
Key Informants ranked Stroke/Cerebrovascular Disease as the 9
th
highest Health Problem/Concern in Anson County with
23.3% stating it is a problem.
Because Hypertension is a factor in Cerebrovascular Disease/Stroke, Public Survey and Key Informant data related to
Hypertensive Diseases/High Blood Pressure is repeated here.
Health Problems
84.9% of Survey Participants said that Hypertension (High Blood Pressure) is a problem (58.5% Major; 29.4%
Somewhat). This ranked #5 of the Health Problems included in the Pubic Survey.
Personal Health
44.1% of Survey Participants said they have been diagnosed with High Blood Pressure/Hypertension.
37.6% of Survey Participants said they are currently on medication for High Blood Pressure/Hypertension.
High Blood Pressure/Hypertension was #2 of the 18 personal health conditions asked about in the survey (#1
ranked condition was Vision Problems)
During Key Informant interviews 55.8% said that Hypertension is a problem in Anson County. This condition was ranked
#3 by Key Informants.
Although Cerebrovascular Disease (Stroke) is the 3rd
highest Cause of Death in Anson County [according to the
2017 County Health Data Book of the State Center for
Health Statistics], only 11 of the 450 CHA Public Survey
Participants said they have been diagnosed with this
condition. Because of this low number, any breakdown
by demographics would not be reliable.
Anson County 2020 CHA | Respiratory Diseases
105
Respiratory Diseases
Chronic Lower Respiratory Diseases was ranked as the 4
th
leading Cause of Death in the 2014-2018 period according to
the NC Department of Health and Human Services County Health Data Book published in 2020. The Non-Age Adjusted
Rate was 65.6.
The breakdown by Race and Gender of the number of deaths is shown in the following two charts. The number of
deaths is used instead of a rate of death because the number of African American/Black deaths was too low to
accurately calculate a death rate.
No Hispanic deaths were reported for this period.
The following table compares the Anson County Age-Adjusted Rate with its four peer counties.
County
Death Rate from Chronic Lower
Respiratory Diseases
(per 100,000 population)
Population
Anson County
50.3
25,306
Montgomery County
52.8
27,338
Richmond County
68.2
45,189
Scotland County
40.6
35,262
Stanly County
45.3
61,114
65
17
White/ Caucasian African American/ Black
Deaths from Chronic Lower Respiratory Diseasese by Race
39
44
Male Female
Deaths for Chronic Lower Respiratory Diseases by Gender
Anson County 2020 CHA | Respiratory Diseases
106
The Public Survey included Lung Diseases (COPD, Emphysema, Asthma, etc.) in the list of Health Problems/Concerns that
participants were asked about. Following is information on the responses.
Health Problems
70.9% of Survey participants said Lung Diseases are a problem (27.2% Major; 47.8% Somewhat)
Lung Diseases were ranked as #18 of 25 Health Problems in the County
79.4% of Survey participants said that Tobacco Use/Smoking is a problem (44.8% Major; 34.6% Somewhat)
72.5% of Survey participants said that Vaping/E-Cigarettes is as problem (36.7% Major; 35.8% Somewhat)
Personal Health
6.5% of Survey participants said they have been diagnosed with COPD/Respiratory Illness
3.9% of Survey participants said they are currently on medication for COPD/Respiratory Illness
COPD/Respiratory Disease was the 15
th
most common of the 18
Health Conditions
Survey participants were asked how often they smoke or use tobacco products
o 8.2% said daily
o 4.3% said weekly
o 0.7% said monthly
o 6.1% said occasionally
o 72.6% said never
o 8.2% did not provide a response
Survey participants were asked how often they are exposed to secondhand smoke
o 5.4% said daily
o 5.2% said weekly
o 3.3% said monthly
o 20.0% said occasionally
o 58.0% said never
o 8.1% did not provide a response
Survey participants were asked how often they use vaping or e-cigarette products
o 1.9% said daily
o 2.8% said weekly
o 2.2% said monthly
o 3.7% said occasionally
o 81.3% said never
o 8.1% did not provide a response
The following table shows the percentage for each race/gender combination of survey participants who said they have
been diagnosed with COPD.
African American Female
Caucasian Female
African American Male
Caucasian Male
6.4%
6.0%
6.8%
5.6%
Pink highlight shows the highest rate, Lavender shows the lowest.
When Key Informants were asked about health problems/concerns in the County they had the following related
responses:
14.0% said that Smoking is a problem (#15)
Less than 5 Key Informants mentioned Vaping as a problem
Anson County 2020 CHA | Diabetes
107
Diabetes
Diabetes was ranked as the 5
th
leading Cause of Death in Anson County for 2014-2018 in the NC County Health Data
Book published in 2020 by the Division of Public Health of the NC Department of Health and Human Services. The Non-
Age Adjusted Rate was 43.5.
Information on Race and Gender demographics of the Age-Adjusted Rate of Death from Diabetes is provided in the
following graphs.
The following table compares the Anson County Age-Adjusted Rate with its four peer counties.
County
Death Rate from Diabetes
(per 100,000 population)
Population
Anson County
34.2
25,306
Montgomery County
31.5
27,338
Richmond County
44.2
45,189
Scotland County
26.6
35,262
Stanly County
25.3
61,114
Richmond County is the only peer County with a higher Death Rate than Anson; Richmond’s population is 19,883 greater
than Anson County.
Public Survey participants were asked if they thought Diabetes is a Health Problem/Concern in Anson County and if they
have been diagnosed with this condition. Following are the responses.
Health Problems
86.6% of Survey participants said Diabetes is a problem (54.4% Major; 32.2% Somewhat)
Diabetes was ranked as #6 of 25 Health Problems in the County
Personal Health
13.7% of Survey participants said they have been diagnosed with Diabetes
11.7% of Survey participants said they are currently on medication for Diabetes
Diabetes was the 8
th
most common of the 18
Health Conditions
24.4% of Survey participants said they have both Diabetes & Hypertension
5.0% of Survey participants said they have Diabetes & Hypertension & Heart Disease
23.0
50.1
White/ Caucasian African American/ Black
Death from Diabetes by Race
39.4
32.8
Male Female
Death from Diabetes by Gender
Anson County 2020 CHA | Diabetes
108
The following graphs provide Race and Gender details on survey participants that have Diabetes.
Analysis:
The percentage of African Americans/Blacks that have Diabetes is 15.4% higher than that of Whites/Caucasians.
Females have a higher percentage of Diabetes than Males with Females being 5.3% higher.
To further understand the distribution of Diabetes in the County additional Race & Gender breakdown is provided
below.
This graph shows that the percentage of African American Females having Diabetes is much greater than any other
Race/Gender grouping. Following are the differences:
11.8% higher than the percentage of African American Males
11.4% higher than the percentage of Caucasian Females
13.2% higher than the percentage of Caucasian Males
12.5%
17.9%
White/ Caucasian African American/ Black
11.9%
17.2%
Male Female
African American
Female
African American
Male
Caucasian Female Caucasian Male
24.5%
12.7%
13.1%
11.3%
Public Survey Participants with Hypertension
Anson County 2020 CHA | Diabetes
109
To better understand the overall picture of Diabetes in the County, demographic breakdown is provided in the following
graphics.
The following chart shows the percentage of survey participants in each geographic area that said they have been
diagnosed with Diabetes.
These percentages should be used with caution because the number of survey participants in some geographic area was small and,
therefore the percentages may not be representative of a geographic area.
The percentage of survey participants in each Household Income Level that said they have been diagnosed with
Diabetes is presented in the following graph.
The number of participants in the lowest 2 Household income Levels was small compared to the others, so these percentages may not
be representative of those Levels.
12.0%
24.1%
0.0%
8.0%
0.0%
13.9%
20.0%
18.9%
17.4%
9.8%
Ansonville
Burnsville
Gulledge
Lilesville
McFarlan
Morven
Peachland
Polkton
Wadesboro
Other & No Answer
7.7%
9.5%
13.3%
27.5%
16.9%
11.3%
14.8%
11.6%
Less than $10,000
$10,000 - $14,999
$15,000 - $24,999
$25,000 - $34,999
$35,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 or more
Anson County 2020 CHA | Diabetes
110
The next graph provides details on Diabetes by Age Group.
Summary of relevant input from Key Informants:
Key Informants ranked Diabetes as the #1 Health Problem/Concern in Anson County; 83.7% of Key Informants
mentioned this health condition as a problem.
Key Informants ranked Obesity/Overweight as the #2 Health Problem/Concern in the County; 65.1% mentioned
this health condition as a problem. Obesity is often a factor in Diabetes.
Input from Key Informants on what keeps people from being healthy that are relevant to Diabetes:
o Limited access to fresh food, healthy food – 76.7% mentioned
o Diet, bad eating habits – 58.1% mentioned
o Fast food consumption – 48.8% mentioned
o Do not understand what healthy is and how to be healthy – 44.2% mentioned
o Lack of exercise – 39.5% mentioned
o Don’t utilize assistance or access services/resources that are offered – 39.5% mentioned
o Acceptance of inevitability of poor health and disease – 37.2% mentioned
o People do not make changes even when taught and the need is explained – 32.6%
o People do not seek care until it is a crisis – 27.9% mentioned
o Obstacles to fresh food preparation – 23.3%
o Heavy reliance/dependency on food pantries – 18.6% mentioned
Input from Key Informants on missing healthcare and wellness resources/services relevant to Diabetes:
o Not enough Primary Care Providers – 60.5% mentioned
o Fresh food access/ Healthy food access, restaurants with healthy food options – 34.9% mentioned
o Diabetes Specialists / Endocrinologist – 20.9% mentioned
Key Informants mentioned several positives related to health and wellness in Anson County that are related to
Diabetes:
o Atrium Nutritionist – 20.9% mentioned
o Walking groups have formed – 20.9% mentioned
o 5 2 1 0 program of Atrium Health in schools, partnership between the School District and Atrium Health
– 16.3% mentioned
o Senior Center Programs – 11.6% mentioned
o Food Pantries – 11.6% mentioned
o Less than 5 Key Informants mentioned the Farmer’s Market
0.0%
1.1%
14.0%
19.1%
35.6%
20.0%
33.2%
14 to 19
20 to 34
35 to 54
55 to 64
65 to 74
75 to 84
85 and up
Anson County 2020 CHA | Diabetes
111
County Health Rankings
The County Health Rankings & Roadmaps defines Diabetes Prevalence as the percentage of adults aged 20 and above
with diagnosed diabetes.
The charts below show the trend of Diabetes Prevalence in Anson County from 2015 to 2020 and compares the 2020
percentage with that of the State, Anson’s peer counties and the Top US Performers.
0%
5%
10%
15%
20%
2015 2016 2017 2018 2019 2020
Diabetes Prevalence 2015 - 2020
19.0%
15.0%
19.0% 19.0%
10.0%
11.0%
7.0%
Anson Montgomery Richmond Scotland Stanly NC State Top US
Performers
Diabetes Prevalence 2020 By County
According to the County Health Rankings &
Roadmaps 2020 statistics, the Diabetes
prevalence of Anson County is 19%.
Anson County 2020 CHA | Diabetes
112
Access to Primary Healthcare for Survey Participants diagnosed with Diabetes
Because controlling Diabetes is vital to a person’s mortality and quality of life, it is necessary that those with Diabetes
have and utilize access to Primary Healthcare. The following tables show where survey participants get Primary
Healthcare and if they have healthcare insurance.
The next table shows where the survey participants with Diabetes get care.
Source of Healthcare for Participants with Hypertension
Percentage
Doctor’s Office IN Anson County
39.2%
Hospital Emergency Room/Department IN Anson County
5.4%
Doctor’s Office NOT in Anson County
48.6%
Hospital Emergency Room/Department NOT in Anson County
2.7%
Urgent Care NOT in Anson County (No Urgent Care in the County)
0
Anson County Health Department
0
Mental Health Provider
0
ARMS
1.4%
The following table presents the percentage of survey participants with Diabetes that have specific types of healthcare
insurance. Survey participants were allowed to check all types that applied to them. Healthcare Insurance is complex,
and everyone does not use the same terms. Based on analysis of the Survey responses, it is possible that participants
misinterpreted some of the insurance terms in the Survey.
Healthcare Insurance for Participants
with Diabetes
Percentage
Self-Pay
24.3%
Employer Provided
45.9%
Medicare
33.8%
Medicaid
4.1%
None
6.8%
Other
0
No Answer
1.4%
14.9% of Survey Participants diagnosed with
Diabetes are NOT currently taking Medication
for this condition.
Anson County 2020 CHA | Alzheimer’s Disease
113
Alzheimer’s Disease
The 6
th
leading Cause of Death in the County for 2014-2018 according to the NC 2020 County Health Data Book
published by the Division of Public Health of the NC Department of Health and Human Services. The Non-Age Adjusted
Rate was 37.1.
The two charts below provide a breakdown by Race and Gender of the number of Deaths from Alzheimer’s Disease. The
number of deaths is used instead of the rate of death because the number of deaths of African Americans/Blacks is too
low to accurately calculate a Rate.
The following table compares the Anson County number of deaths with its four peer counties.
County
Number of Deaths from
Alzheimer’s Disease
Population
Anson County
47
25,306
Montgomery County
108
27,338
Richmond County
125
45,189
Scotland County
91
35,262
Stanly County
208
61,114
Alzheimer’s Disease was not mentioned as a Health Problem/Concern by any of the 44 Key Informants.
Public Survey participants ranked Alzheimer’s Disease as #21 of 25 Health Problems. 63.2% of participants said it is a
problem (11.5% Major; 51.7% Somewhat)
No Public Survey participants said they have been diagnosed with Alzheimer’s Disease.
31
15
White/ Caucasian African American/ Black
Death from Alzheimer's Disease
by Race
13
34
Male Female
Death from Alzheimer's Disease
by Gender
Anson County 2020 CHA | Septicemia
114
Septicemia
Septicemia was the #6 leading Cause of Death in Anson County according to the NC 2020 County Health Data Book.
The Non-Age Adjusted Rate was 36.4.
Kidney Diseases
The NC 2020 County Health Data Book published by the Division of Public Health of the NC Department of Health and
Human Services showed Kidney Diseases (specifically Nephritis, Nephrotic Syndrome & Nephrosis) as the #8 leading
Cause of Death. This Cause of Death was tied with Other Unintentional Injuries”. The Non-Age Adjusted Rate was 33.2.
The two charts below provide a breakdown by Race and Gender of the number of Deaths from Nephritis, Nephrotic
Syndrome and Nephrosis. The number of deaths is used instead of the rate of death because the number of deaths of
Caucasians/Whites is too low to accurately calculate a Rate.
The following table compares the Anson County number of deaths with its four peer counties.
County/State
Number of Deaths from
Nephritis, Nephrotic Syndrome &
Nephrosis
Population
Percentage of
Population
Anson County
42
25,306
0.17%
Montgomery County
32
27,338
0.11%
Richmond County
77
45,189
0.17%
Scotland County
49
35,262
0.13%
Stanly County
80
61,114
0.13%
17
24
White/ Caucasian African American/ Black
Death from Nephritis, Nephrotic
Syndrome & Nephrosis
by Race
23
19
Male Female
Death from Nephritis, Nephrotic
Syndrome & Nephrosis
by Gender
Anson County 2020 CHA | Kidney Diseases
115
Public Survey participants were asked to rank Kidney Disease as a Health Problem/Concern in Anson County. The
participants were also asked if they have been diagnosed with this condition. Following are the responses.
Health Problems
66.7% of Survey participants said Kidney Disease is a problem (24.8% Major; 41.9% Somewhat)
Kidney Disease was ranked #20 of 25 Health Problems/Concerns
Personal Health
3.3% of Survey participants said they have been diagnosed with Kidney Disease
0.7% of Survey participants said they are currently on medication for Kidney Disease
Key Informants ranked Kidney Disease/Dialysis as the 8
th
biggest Health Problem/Concern in the County. 32.6% of Key
Informants mentioned this Health Problem/Concern. Key Informants ranked Nephrology as the #10 missing Health Care
and Wellness Resources/Services – 20.9% mentioned this need in the interviews.
Dialysis
89
Renal Failure and the need for Dialysis can result from Kidney Disease. Following is data that provides additional
insight on Dialysis in Anson County from the “United States Renal Data System, 2019 Annual Data Report:
Epidemiology of Kidney Disease in the United States, National Institutes of Health, National Institute of Diabetes
and Digestive and Kidney Diseases, Bethesda, MD 20892”(www.usrds.org)
In the USRDS 2019 Annual Data Report the number of Dialysis patients for 2014 – 2017 was provided. That number for
Anson was 430. The following table provides the number of Dialysis patients for each of Anson’s peer counties.
County
Number of Dialysis Patients
2014 -2017
Population
Percentage of
Population
Anson County
430
25,306
1.7%
Montgomery County
359
27,338
1.3%
Richmond County
734
45,189
1.6%
Scotland County
547
35,262
1.5%
Stanly County
480
61,114
0.8%
Following are graphs that show percentages of Anson County Dialysis patients by Race and Gender and whether the
cause was Hypertension or Diabetes.
21.6%
78.4%
White/ Caucasian African American/ Black
Percentage of Dialysis Patients
by Race
50.0% 50.0%
Male Female
Percentage of Dialysis Patients
by Gender
Anson County 2020 CHA | Kidney Diseases
116
Data from United State Renal Data System, 2019 Annual Data Report (www.usrds.org)
Specifics on current Dialysis patients were obtained from one of the two Dialysis Clinics in Anson County. This clinic
currently has 51 Dialysis patients. Following is a summary of the statistics on the patients of that clinic.
88.2% of current patients are African American / 11.8% are Caucasian
58.8% of current patients have Kidney Failure caused by Hypertension AND Diabetes
37.3.% of current patients have Kidney Failure caused by Hypertension
2.0% of current patients have Kidney Failure caused by Diabetes
2.0% of current patients have Kidney Failure caused by something other than Hypertension or Diabetes
32.6%
44.0%
23.4%
Percentage of Dialysis Patients by Cause
Hypertension
Diabetes
All Other
Although Kidney Diseases are tied for the 8th highest Cause of
Death in Anson County [according to the 2017 County Health
Data Book of the State Center for Health Statistics], only 18 of
the 450 CHA Public Survey Participants said they have been
diagnosed with this condition. Because of this low number, any
breakdown by demographics would not be reliable.
Anson County 2020 CHA | Other Unintentional Injuries
117
Other Unintentional Injuries
Other Unintentional Injuries was tied with Nephritis, Nephrotic Syndrome & Nephrosis for the #8 leading Cause of Death
in Anson County according to the NC 2020 County Health Data Book. The Non-Age Adjusted Rate was 33.2.
The two charts below provide a breakdown by Race and Gender of the number of Deaths from Other Unintentional
Injuries. The number of deaths is used instead of the rate of death because the number of deaths in some categories
was too low to accurately calculate a Rate.
The following table compares the Anson County number of deaths with its four peer counties.
County/State
Number of Deaths from
Other Unintentional Injuries
Population
Anson County
42
25,306
Montgomery County
40
27,338
Richmond County
92
45,189
Scotland County
45
35,262
Stanly County
153
61,114
29
11
White/ Caucasian African American/ Black
Death from Other Unintentional Injuries
by Race
33
9
Male Female
Death from Other Unintentional Injuries
by Gender
Anson County 2020 CHA | Other Unintentional Injuries
118
The following graph shows the Age-Adjusted Unintentional Injury Death Rates per 100,000 Residents for Anson County
from the Statewide and County Trends in Key Health Indicators from the NC Department of Health and Human Services.
Non-Vehicle Injuries was included in the list of Health Problems in the Public Survey that participants were asked about.
Following are the responses.
Health Problems
35.2% of Survey participants said it is a problem (2.4% Major; 32.8% Somewhat)
It was ranked #25 of 25 Health Problems/Concerns
32.4% of Survey participants said it is Not a Problem
30.6% of Survey participants said they did not know if it was a problem
Key Informants did not mention accidents or unintentional injuries as Health or Non-Health Problems. However, 53.5%
did say that Substandard Housing is a problem. Issues caused by Substandard Housing (use of risky heating sources,
broken flooring, etc.) can result in injuries.
28.6
33.2
25.7
2012 -2016 2013 - 2017 2014 - 2018
Anson County 2020 CHA | Hypertension
119
Hypertension
Hypertension (High Blood Pressure) is an important factor in the health of Ansonians because of its role in and
contribution to serious diseases that greatly impact quality of life and can result in death. The CHA Steering Committee
considers controlling Hypertension to be a priority because it contributes to:
Heart Disease, the #1 Cause of Death in Anson County
Cerebrovascular Disease (Stroke), the #3 Cause of Death in Anson County
Diabetes, the #5 Cause of Death in Anson County
Kidney Diseases, the #8 Cause of Death in Anson County
Hypertension is prevalent in Anson County as demonstrated by the data provided through graphs and tables in the next
few pages.
55.8% of Key Informants said
Hypertension is a Problem. They
ranked it the #3 Health Problem.
87.9% of Public Survey
participants said
Hypertension is a Health
Problem. They ranked it #5.
Anson County 2020 CHA | Hypertension
120
Personal Health
Public Survey participants were asked to provide information on their personal health. Following are graphs that show
their responses related to Hypertension.
To better understand the prevalence of Hypertension in the County, demographic breakdown is provided in the
following graphics.
The following chart shows the percentage of survey participants in each geographic area that said they have been
diagnosed with Hypertension.
These percentages should be used with caution because the number of survey participants in some geographic areas was
small and, therefore, the percentages may not be representative of a geographic area.
44.1%
48.9%
7.0%
Diagnosed with Hypertension
Yes
No
Don't Know
52.0%
58.6%
48.2%
40.0%
20.0%
44.4%
43.3%
37.8%
47.3%
48.8%
Ansonville
Burnsville
Gulledge
Lilesville
McFarlan
Morven
Peachland
Polkton
Wadesboro
Other & No Answer
Anson County 2020 CHA | Hypertension
121
The percentage of survey participants in each Household Income Level that said they have been diagnosed with
Hypertension is presented in the following graph.
The number of participants in the lowest 2 Household income Levels was small compared to the others, so these
percentages may not be representative of those Levels.
The following graphs provide Race and Gender details on survey participants that have Hypertension.
Analysis:
The percentage of African Americans/Blacks that have Hypertension is 13.6% higher than that of
Whites/Caucasians.
Females have a slightly higher percentage of Hypertension than Males with Females being 1.3% higher.
34.6%
26.2%
35.0%
68.6%
61.5%
58.8%
42.6%
33.3%
Less than $10,000
$10,000 - $14,999
$15,000 - $24,999
$25,000 - $34,999
$35,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 or more
40.2%
53.8%
White/ Caucasian African American/ Black
Have Hypertension
45.8%
47.1%
Male Female
Have Hypertension
Anson County 2020 CHA | Hypertension
122
To further understand the prevalence of Hypertension in the County additional Race & Gender breakdown is provided
below.
This graph shows that the percentage of African American Females having Hypertension is much greater than any other
Race/Gender grouping. Following are the differences:
18.1% higher than the percentage of African American Males
26.1% higher than the percentage of Caucasian Females
16.6% higher than the percentage of Caucasian Males
Hypertension is commonly thought to occur more often as people get older. Although that is true for people in Anson
County, the following chart shows that it is fairly prevalent in lower Age Groups. This chart provides the percentage of
survey participants in each Age Group that said they have been diagnosed with Hypertension.
African American
Female
African American
Male
Caucasian Female Caucasian Male
63.8%
45.7%
37.7%
47.2%
6.1%
23.1%
48.0%
58.3%
64.4%
84.0%
33.3%
14 to 19
20 to 34
35 to 54
55 to 64
65 to 74
75 to 84
85 and up
Public Survey Participants with Hypertension
Anson County 2020 CHA | Hypertension
123
CDC Rates for Comparison
In October 2017 the Center for Disease Control (CDC) published statistics on the prevalence of Hypertension among
adults during 2015 – 2016 (https://www.cdc.gov/nchs/data/databriefs/db289.pdf). The data from that report is
compared in this section to data from the CHA Public Survey.
The overall prevalence of Hypertension in the United States for adults 18 years or older was 29.0%. This was 15.1%
lower than the percentage of Anson CHA Public Survey participants who said they have Hypertension. Overall, the
percentages for men and women according to the CDC report was very close: 30.2% for men; 27.7% for women.
The following chart shows the percentages from the CDC October 2017 report by Race and Gender.
The following table shows the differences between the Race & Gender percentages from the Anson 2020 CHA Public
Survey comparted to the CDC 2017 report on nation-wide percentages. All percentages are higher for Anson County.
Anson African American
Females
Anson African American
Males
Anson Caucasian Females
Anson Caucasian
Males
+23.9%
+5.1%
+12.1%
+17.5%
Although the CDC does not use the same age groupings as the Anson CHA Public Survey, some comparison can made.
Following is a chart showing the age group percentages from the CDC 2017 report.
These rates are all lower than those of CHA Public Survey participants.
African American
Female
African American
Male
Caucasian Female Caucasian Male
39.9%
40.6%
25.6%
29.7%
18 - 39 years 40 - 59 years 60 and over
7.5%
33.2%
63.1%
Nation-Wide Percentages
According to CDC Report
Anson County 2020 CHA | Hypertension
124
Hypertension Relationship to Other Health Conditions
The following statistics show the relationship between Hypertension and other major health conditions in the CHA
Public Survey participants.
Access to Primary Healthcare for Survey Participants diagnosed with Hypertension
Because controlling Hypertension is vital to reducing its impact on life threatening diseases, it is extremely important
that those with Hypertension have and utilize access to Primary Healthcare. The following graphics provide insights into
access to Primary Healthcare for survey participants. The graphs show where they get care, if they have healthcare
insurance and their barriers to getting care.
The next table shows where the survey participants with Hypertension get care.
Source of Primary Healthcare for Participants with Hypertension
Percentage
Doctor’s Office IN Anson County
29.7%
Hospital Emergency Room/Department IN Anson County
4.2%
Doctor’s Office NOT in Anson County
42.4%
Hospital Emergency Room/Department NOT in Anson County
1.3%
Urgent Care NOT in Anson County (No Urgent Care in the County)
0.4%
Anson County Health Department
1.7%
Mental Health Provider
0.4%
ARMS
2.1%
94.7% of participants with Heart Disease have Hypertension
78.4% of participants with Diabetes have Hypertension
55.6% of participants with Kidney Disease have Hypertension
72.7% of participants who have had a Stroke have Hypertension
100% of participants who have Heart Disease & Diabetes have Hypertension
Anson County 2020 CHA | Hypertension
125
The following table presents the percentage of survey participants with Hypertension that have specific types of
healthcare insurance. Survey participants were allowed to check all types that applied to them. Healthcare Insurance is
complex, and everyone does not use the same terms. Based on analysis of the Survey responses, it is possible that
participants misinterpreted some of the insurance terms in the Survey.
Healthcare Insurance for Participants
with Hypertension
Percentage
Self-Pay
17.2%
Employer Provided
50.0%
Medicare
23.1%
Medicaid
5.4%
None
6.3%
Other
2.5%
No Answer
16.0%
In the Public Survey a list of potential Barriers to Health and Human Services was presented and participants were asked
to check the ones that applied to them. Following are those barriers that apply to accessing healthcare related to
Hypertension and the percentage of participants who have Hypertension that said that barrier applies to them.
Barrier to Health and Human Services related to
Healthcare for Hypertension
Percentage of
Participants
Specialist Care needed not available in Anson County
48.3%
Quality of healthcare in Anson County
32.4%
My/our share of the cost (deductible/co-pay) is too high
24.8%
Cannot afford medication
16.0%
Insurance doesn’t cover what I/we need
13.0%
No Health Insurance
8.4%
Had to wait too long for an appointment
5.5%
Afraid of/concerned about the treatment or medication
4.2%
Cannot/could not get an appointment
3.4%
Doctor will not take my/our insurance or Medicaid
3.0%
Didn’t know where to go
2.1%
No way to get to doctor, dentist, etc.
2.1%
Medication makes me sick
0.4%
Doctor will not take Medicare
0.4%
12.6% of Survey Participants diagnosed with
Hypertension are NOT currently taking
Medication for this condition.
Anson County 2020 CHA | Pneumonia & Influenza
126
Pneumonia & Influenza
According to the 2020 NC County Health Data Book, Pneumonia & Influenza was the 10th highest Cause of Death in
Anson County for the 2014 – 2018 period. The non-age adjusted rate was 28.5 per 100,000 population. The Age-
Adjusted Rate was 22.4
The two charts below provide a breakdown by Race and Gender of the number of Deaths from Pneumonia and
Influenza. The number of deaths is used instead of the rate of death because the number of in some categories was too
low to accurately calculate a Rate.
The following table compares the Anson County number of deaths with its four peer counties.
County
Number of Deaths from
Pneumonia & Influenza
Population
Anson County
36
25,306
Montgomery County
37
27,338
Richmond County
43
45,189
Scotland County
31
35,262
Stanly County
97
61,114
26
10
White/ Caucasian African American/ Black
Death from Pneumonia & Influenza
by Race
16
20
Male Female
Death from Pneumonia & Influenza
by Gender
Anson County 2020 CHA | Pneumonia & Influenza
127
Participants in the Public Survey were asked if they thought Typical Infectious Diseases (flue, cold, etc.) were a Health
Problem in Anson County. They were also asked if they received a flu vaccine in the last year. Following are the
responses.
Health Problems
72.3% of Survey participants said it is a problem (13.0% Major; 59.3% Somewhat)
It was ranked #16 of 25 Health Problems/Concerns
8.1% of Survey participants think people in the community need more information on Getting flu shots and
other vaccines
Personal Health
43.7% of Survey participants said they had received a Flu Vaccine in the last year
According to the County Health Rankings and Roadmaps 2020 the percentage of fee-for-service (FFS)
Medicare enrollees that had an annual flu vaccination was 45%. This was based on 2017 data.
Pneumonia & Influenza
was not mentioned in
the interviews by Key
Informants as a Health
Problem.
Anson County 2020 CHA | Illegal Drug Use/Substance Abuse,
128
Illegal Drug Use/Substance Abuse,
Alcoholism/Alcohol Abuse &
Abuse of Prescription Drugs
According to the participants in the Public Survey the #1 Health Problem in Anson County is Illegal Drug Use - 93.7% of
participants said it is a problem. The #4 Health Problem as ranked by the Survey participants was Alcoholism/Alcohol
Abuse – 90.9% said it is a problem. The participants also ranked Abuse of Prescription Drugs (Pain, ADHD, Anxiety, etc.)
as the #9 Health Problem – 82.9% said it is a problem.
This graph provides details on the responses in the Public Survey about these 3 Health Problems.
It is clear from these responses that the Survey participants think there is a significant problem with the abuse of mind
altering substances in Anson County.
69.3%
45.7%
35.7%
24.4%
45.2%
47.2%
0.5%
1.7%
2.6%
4.6%
6.5%
13.7%
1.2%
0.1%
0.8%
Substance Abuse/ Illegal Drug
Use
Alcoholism/ Alcohol Abuse Abuse of Prescription Drugs
No Answer
Don't Know
Not a Problem
Somewhat of a
Problem
Major Problem
Anson County 2020 CHA | Abuse of Prescription Drugs
129
Other relevant responses from the Public Survey
Personal Health
Survey participants were asked how often they Use Illegal Drugs
o 0.6% said daily
o 0.4% said weekly
o 0% said monthly
o 5.9% said occasionally
o 84.4% said never
o 8.7% did not provide a response
Survey participants were asked how often they Misuse prescription drugs
o 0.9% said daily
o 0.4% said weekly
o 0.6% said monthly
o 2.0% said occasionally
o 86.7% said never
o 9.4% did not provide a response
Survey participants were asked how often they Drink One or More Alcoholic Beverages
o 5.9% said daily
o 16.1% said weekly
o 5.2% said monthly
o 21.9% said occasionally
o 42.6% said never
o 8.3% did not provide a response
Following is a summary of the responses from the Key Informant interviews:
34.9% said that Substance Abuse is a Health Problem – ranked as #6
18.6% said that Alcohol Abuse is a Health Problem – ranked as #12
Key Informants did not specifically mention Misuse of Prescription Drugs; they did not distinguish types of
Substance Abuse other than Alcohol.
County Health Rankings
The County Health Rankings & Roadmaps recommends that the data they provide on current binge drinking should not
be compared to previous years.
According to the County Health Rankings &
Roadmaps 2020 statistics, the percentage of
adults reporting binge or heavy drinking in
Anson County was 14%.
Based on 2017 data.
Anson County 2020 CHA | Abuse of Prescription Drugs
130
The following graph compares the Excessive Drinking percentage of Anson County with its peer counties, the State and
the Top US Performers.
14%
15%
14% 14%
17% 17%
13%
Anson Montgomery Richmond Scotland Stanly NC State Top US
Performers
Excessive Drinking Percentage 2020
Anson County 2020 CHA | Obesity/Overweight
131
Obesity/Overweight
In the Public Survey 93.1% said that Obesity/Overweight is a Health Problem in Anson County. It was ranked #2 by the
survey participants. Following is a graph that shows the perception of participants about how serious this problem is.
Important factors from the Public Survey about participant perceptions of Health Problems: related to Obesity:
Only 2.0% of participants said that Obesity/Overweight is NOT a Health Problem in Anson County.
The lowest percentage of participants (4.1%) responded Don’t Know on this Problem compared to the other 24
Health Problems listed in the survey.
The lowest percentage of participants (0.8%) did not provide a response on this Problem compared to the other
24 Health Problems.
In the Public Survey participants were also asked questions related to their Personal Health. The graphics on the
following pages summarizes those responses.
64.8%
28.3%
2.0%
4.1%
0.8%
Obesity/Overweight
Major Problem
Somewhat of a
Problem
Not a Problem
Don't Know
No Answer
Anson County 2020 CHA | Obesity/Overweight
132
The following table shows the percentage for each race/gender combination of survey participants who said they have
been diagnosed as Obese or Overweight.
African American Female
Caucasian Female
African American Male
Caucasian Male
55.3%
48.4%
38.1%
18.5%
Because diet and exercise are contributors to Obesity/Overweight the survey responses about related activities is
provided below.
Personal Health Activity
Survey participants were asked how often they participate in physical activity to benefit their health
o 34.6% said daily
o 28.0% said weekly
o 3.7% said monthly
o 23.5% said occasionally
o 2.8% said never
o 7.4% did not provide a response
Survey participants were asked how often they eat fruits and vegetables on a daily basis
o 48.5% said daily
o 27.2% said weekly
o 5.7% said monthly
o 9.4% said occasionally
o 1.3% said never
o 8.2% did not provide a response
Survey participants were asked how often they drink sugary drinks
o 14.4% said daily
o 16.1% said weekly
o 13.3% said monthly
o 31.9% said occasionally
o 16.1% said never
o 8.2% did not provide a response
42.4%
50.2%
7.4%
13.0%
Diagnosed as Obese/Overweight
Yes
No
Don't Know
No Answer
11.1% of participants said they
are currently on medication for
this Health Condition
Anson County 2020 CHA | Obesity/Overweight
133
Survey participants were asked about being healthy. The following graph shows the responses.
Important Note:
The Public Survey responses about Obesity being a Health Problem and the participants stating they have been
diagnosed as Obese/Overweight is contradictory to the responses about the participants’ diets, physical activity and
general health.
The following points are from the Key Informant interviews:
65.1% of Key Informants said Obesity is a Health Problem in the County
Obesity was ranked the #2 Health Problem in Anson County
Key Informants mentioned several things related to Obesity that keep people in the community from being
healthy:
o 76.7% mentioned Limited Access to Fresh Food/Health Food – this was the #1 obstacle to being healthy
o 58.1% mentioned Diet, Bad Eating Habits – this was the #3 obstacle to being healthy
o 48.8% mentioned the prevalence of Fast Food availability and consumption – this was the #5 obstacle to
being healthy
o 39.5% mentioned Lack of Exercise – this was the #8 obstacle to being healthy
o 32.6% mentioned that People Do Not Make Changes Even When Taught and the Need Is Explained
o 23.3% mentioned Obstacles to Fresh Food Preparation (don’t know how to cook; don’t have means to
prepare, etc.)
o 18.6% mentioned a Heavy Reliance/Dependency on Food Pantries
Key Informants shared opinions about missing healthcare and wellness resources that can impact Obesity:
o 55.8% mentioned Lack of Places/Facilities to Exercise – this was the #2 missing resource/service
o 34.9% mentioned Fresh Food Access/Healthy Food Access – this was the #4 missing resource/service
o 30.2% specifically mentioned needing a YMCA equivalent – this was the #6 missing resource/service
o 18.6% mention the Lack of Physical Activity for Kids – this was the #11 missing resource/service
o 11.6% mentioned the following specific missing resources/services that are related to physical activity
Limited Safe Places to Walk
Pool for Recreational Swimming and Aquatic Exercise
Activities for Elderly/Senior – Mind and Body
62.0%
25.0%
13.0%
My diet is mostly healthy
Yes
No
No Answer
72.0%
17.8%
10.2%
I am generally healthy
Yes
No
No Answer
Anson County 2020 CHA | Obesity/Overweight
134
Even though some Key Informants mentioned the lack of resources and services related to healthy food and
physical activity, other key Informants mentioned resources and services in these areas as positives in the
County. Here are the percentage of those responses.
o 44.2% mentioned the Park Trails
o 39.5% mentioned the local gym (Buff Monkey)
o 20.9% mentioned the Nutritionist/Dietitian at Atrium Health Anson
o 20.9% mentioned the Walking Groups that have formed in recent years
o 16.3% mentioned the 5 2 10 Program partnership between Atrium and the School District
o 11.6% mentioned the Senior Center Programs
o 11.6% mentioned the Food Pantries
o 11.6% mentioned County Parks & Recreation
More detailed information
on Key Informant input can
be found in the Summary
of Key Informant
Interviews
Anson County 2020 CHA | Obesity/Overweight
135
County Health Rankings
The following graph shows the percentage of Obese Adults in Anson Country from 2015 to 2020.
In the graph below the 2020 percentage of Obese Adults, according to the County Health Rankings, is compared to the
2020 percentages of its peer counties, the State of North Carolina and the Top US Performers (as supplied by the County
Health Rankings & Roadmaps).
33%
34%
35%
36%
37%
38%
39%
40%
2015 2016 2017 2018 2019 2020
Percentage of Obese Adults 2015 - 2020
39.0%
37.0%
28.0%
40.0%
39.0%
31.0%
26.0%
Anson Montgomery Richmond Scotland Stanly NC State Top US Performers
Percentage of Obese Adults By County
According to the County Health Rankings
& Roadmaps 2020 statistics, 39% of the
Anson County population is Obese.
Anson County 2020 CHA | Inactivity/Lack of Physical Activity
136
Inactivity/Lack of Physical Activity
Inactivity/Lack of Physical Activity was considered a Health Problem by 91.4% of the Public Survey participants. This was
considered the #3 Health Problem in the County by the survey participants. The following chart provides the
breakdown of responses on the severity of this Health Problem.
Because Physical Activity is a major factor in Obesity the other responses from the Public Survey and also from the
responses from Key Informants that are related to Physical Activity or lack of is included in the previous pages about
Obesity.
County Health Rankings
50.7%
40.7%
2.6%
4.4%
1.6%
Inactivity/Lack of Physical Activity
Major Problem
Somewhat of a
Problem
Not a Problem
Don't Know
No Answer
According to the County
Health Rankings &
Roadmaps 2020 statistics,
31% of the Anson County
population reports no
leisure-time physical
activity.
Anson County 2020 CHA | Inactivity/Lack of Physical Activity
137
The following graph shows the percentage of Adults in Anson Country that, according to the County Health Rankings,
report no leisure-time physical activity from 2015 to 2020.
In the graph below the 2020 percentage of inactive Adults, according to the County Health Rankings, is compared to the
2020 percentages of its peer counties, the State of North Carolina and the Top US Performers (as supplied by the County
Health Rankings & Roadmaps).
The following table shows the percentage for each race/gender combination of survey participants who said they have
been diagnosed with Orthopedic Issues. This is provided because people with Orthopedic Issues often are hampered
from being physically active.
African American Female
Caucasian Female
African American Male
Caucasian Male
29.8%
46.2%
8.5%
24.1%
27%
27%
28%
28%
29%
29%
30%
30%
31%
31%
32%
2015 2016 2017 2018 2019 2020
Percentage of Adults Reporting No Leisure-Time Physical Activity 2015 - 2020
31.0%
39.0%
32.0%
26.0%
24.0% 24.0%
20.0%
Anson Montgomery Richmond Scotland Stanly NC State Top US Performers
Percentage of Adults Reporting No Leisure-Time Physical Activity By County
Anson County 2020 CHA | Mental or Behavioral Health Issues/Disorders
138
Mental or Behavioral Health Issues/Disorders
Participants in the Public Survey ranked Mental or Behavioral Health Issues/Disorders as the #7 Health Problem in Anson
County with 85.5% saying that it is a problem.
The following graph provides details on the severity of this problem as viewed by the survey participants.
In the Public Survey participants were also asked questions related to their Personal Health. The following summarizes
those responses.
39.8%
45.7%
3.9%
9.6%
1.0%
Mental or Behavioral Health Issues/Disorders
Major Problem
Somewhat of a
Problem
Not a Problem
Don't Know
No Answer
20.4%
70.7%
8.9%
12.2%
Diagnosed with Depression or Anxiety Disorder
Yes
No
Don't Know
No Answer
13.7% of participants said they
are currently on medication for
this Health Condition
Anson County 2020 CHA | Mental or Behavioral Health Issues/Disorders
139
Personal Health Activity
Survey participants were asked how often feeling sad or worried keeps them from going about normal
business
o 4.3% said daily
o 4.8% said weekly
o 3.1% said monthly
o 24.4% said occasionally
o 55.2% said never
o 8.2% did not provide a response
Personal Health
20.4% of Survey participants said they have been diagnosed with Depression or Anxiety Disorder.
13% of Survey participants said they are currently on medication for Depression or Anxiety Disorder.
The following table shows the percentage for each race/gender combination of survey participants who said they have
been diagnosed with Depression or Anxiety Disorder.
African American Female
Caucasian Female
African American Male
Caucasian Male
21.3%
31.9%
8.5%
14.8%
County Health Rankings
The County Health Rankings & Roadmaps 2020 statistics provides the following:
According to the County Health Rankings 2020 statistics, the percentage of people in Anson County that said they have
Frequent Mental Distress has changed very little since 2016.
13% in 2016 and 2017
14% in 2018, 2019 and 2020
There was little difference in the percentage of Ansonians who say they have Frequent Mental Distress from the
percentage in peer counties, the State and the Top US Performers as reported in the 2020 County Health Rankings.
14% for Montgomery County
15% for Richmond County
16% for Scotland County
13% for Stanly County and the State of North Carolina
11% for the Top US Performers
14% of the
population say they
have Frequent
Mental Distress
The ratio of
population to
mental health
providers is 960:1
Based on 2019 data
Anson County 2020 CHA | Mental or Behavioral Health Issues/Disorders
140
Following are responses from the Key Informants interviews:
Key Informants ranked Mental Health as the #5 Health Problem in the County with 46.5% mentioning it in the
interviews.
Key Informants ranked Mental Health Services and Resources as the #7 missing resource/service; 23.3%
mentioned this in the interviews.
Anson County 2020 CHA | Tobacco Use/Smoking
141
Tobacco Use/Smoking
Vaping/E-Cigarettes
Public Survey participants were asked about Tobacco Use and Vaping. Tobacco Use/Smoking was ranked as the #10
Health Problem. Vaping/E-Cigarettes was ranked #15. Following are details on how severe the survey participants think
these problems are in Anson County.
According to the 2020 County Health Data Book from the NC Department of Health and Human Services of the Division
of Public Health State Center for Health Statistics, Cancer is #2 of the Leading Causes of Death in Anson County. The NC
Central Cancer Registry Cancer offers rates on the Incidence and Death rates (per 100,000 population) for
Lung/Bronchus Cancer.
Year Range
Incident Rate
Death Rate
2012 – 2016
75.9
55.8
2013 – 2017
70.8
51.1
2014 – 2018
60.2
40.6
Tobacco Use/Smoking Vaping/E-Cigarettes
44.8%
36.7%
34.6%
35.8%
12.4%
12.0%
7.0%
14.1%
1.2%
1.4%
No Answer
Don't Know
Not a Problem
Somewhat of a Problem
Major Problem
Anson County 2020 CHA | Vaping/E-Cigarettes
142
County Health Rankings
The following statistics about Adult Smoking from the County Health Rankings & Roadmaps shows how Anson
County percentages compare with past years and with its peer counties and the State in 2020.
20%
18%
21%
23%
17% 17%
14%
Anson Montgomery Richmond Scotland Stanly NC State Top US Performers
2020 Adult Smoking Percentages
20%
24%
22% 22% 22%
20%
2015 2016 2017 2018 2019 2020
Adult Smoking Percentages for Anson 2015 - 2020
According to the County
Health Rankings & Roadmaps
2020 statistics, 20% of Anson
County adults are current
smokers.
Based on 2017 data.
Anson County 2020 CHA | Vaping/E-Cigarettes
143
These statistics show that even though Anson County is not the worst of its peer counties it is still higher than 2
peers and the state and 6% higher than Top US Performers. The historic percentage of Adult Smokers has not
really improved in the last 6 years because after an increase for 4 years it returned to the 2015 percentage. This is
additional validation that Anson County has a problem with Tobacco Use.
Public Survey
Participants in the 2020 CHA Public Survey were asked how frequently they Smoke/Use Tobacco, Use Vaping
Products and Are Exposed to Secondhand Smoke. The following graphs show demographic breakdown on those
who said they smoke, vape or are exposed to secondhand smoke.
In the Public Survey 19.3% said they smoke at least occasionally. In the survey 33.9% said they are Exposed to
Secondhand Smoke.
Survey participants were asked how often they smoke or use tobacco products
o 8.2% said daily
o 4.3% said weekly
o 0.7% said monthly
o 6.1% said occasionally
o 19.3% total that said they smoke at least occasionally
o 72.6% said never
o 8.2% did not provide a response
Survey participants were asked how often they are exposed to secondhand smoke
o 5.4% said daily
o 5.2% said weekly
o 3.3% said monthly
o 20.0% said occasionally
o 33.9% total that said they are exposed to secondhand smoke
o 58.0% said never
o 8.1% did not provide a response
Tobacco Use by Gender or Race
6.2%
14.1%
9.9%
8.6%
1.0%
11.3%
9.9%
0.4%
0.3%
1.7%
1.9%
0.0%
4.1%
9.6%
8.0%
5.0%
Female Male African American Caucasian
Daily
Weekly
Monthly
Occassionaly
Anson County 2020 CHA | Vaping/E-Cigarettes
144
Male Adults use Tobacco Products by more than twice the percentage of Females. The total of Adult Male Tobacco
Users is 25.1% higher than Female Users. A higher percentage of African Americans use Tobacco Products than
Caucasians. The difference is 7%.
Tobacco use by Age Group
The highest percentage of Tobacco Users was in the 20 to 34 Age Group.
11.6%
36.7%
29.7%
14.0%
Female Male African American Caucasian
Total Adult Smoking Percentages by Gender or Race
3.0%
14.3%
9.3%
8.7%
1.7%
12.0%
9.1%
14.3%
2.7%
1.7%
1.7%
0.0%
3.0%
1.1%
1.3%
0.0%
0.0%
0.0%
18.2%
5.5%
8.0%
5.2%
3.4%
0.0%
14 to 19
20 - 34
35 to 54
55 to 64
65 to 74
75 to 84
Daily
Weekly
Monthly
Occasionally
Anson County 2020 CHA | Vaping/E-Cigarettes
145
The following chart shows the total percentage of Tobacco Users (Daily + Weekly + Monthly + Occasionally) by Age
Group.
Tobacco Use by Education Level
The number of survey participants Currently in College and who Completed Grades 9, 10 or 11 were small, so these statistics
should be used with caution.
33.3%
35.2%
21.3%
15.6%
6.8%
12.0%
14 to 19 20 to 34 35 to 54 55 to 64 65 to 74 75 to 84
Total Adult Smoking Percentages by Age Group
2.8%
0.0%
41.7%
16.3%
12.0%
6.7%
7.5%
2.4%
8.3%
6.3%
16.7%
14.0%
2.0%
1.3%
2.8%
0.0%
2.8%
0.0%
0.0%
2.3%
2.0%
0.0%
0.0%
0.0%
16.7%
18.8%
0.0%
3.5%
4.0%
8.0%
7.5%
3.5%
Currently in
High School
Currently in
College
Completed 9,
10 or 11
Completed
High School
Attended
College
Comm.
College
Deg/Dip
Undergrad
Degree
Masters
Degree
Daily
Weekly
Monthly
Occasionally
Anson County 2020 CHA | Vaping/E-Cigarettes
146
The following chart shows the total percentage of Tobacco Users (Daily + Weekly + Monthly + Occasionally) by Education
Level.
Tobacco Use by Household Income Level
The highest percentage of Tobacco Users is in the $10,000 to $14,999 Household Income Level; however, the Under
$10,000 level also has high usage.
30.6%
25.1%
58.4%
36.1%
20.0%
16.0%
17.8%
5.9%
Currently in
High School
Currently in
College
Completed 9,
10 or 11
Completed
High School
Attended
College
Comm. College
Deg/Dip
Undergrad
Degree
Masters
Degree
Total Adult Smoking Percentages by Education Level
15.4%
7.1%
16.7%
11.8%
6.2%
5.0%
0.0%
5.8%
15.4%
23.8%
5.0%
2.0%
4.6%
1.3%
1.6%
0.0%
3.8%
4.8%
1.7%
0.0%
0.0%
0.0%
0.0%
0.0%
3.8%
9.5%
1.0%
5.9%
1.5%
5.0%
0.0%
7.2%
Under
$10,000
$10,000 -
$14,999
$15,000 -
$24,999
$25,000 -
$34,999
$35,000 -
$49,999
$50,000 -
$74,999
$75,000 -
$99,999
$100,000
or more
Daily
Weekly
Monthly
Occasionally
Anson County 2020 CHA | Vaping/E-Cigarettes
147
The following chart shows the total percentage of Tobacco Users (Daily + Weekly + Monthly + Occasionally) by Education
Level.
The statistics show that Education and Income Levels along with Race and Gender play roles in the percentage of Adults
that Use Tobacco.
In the Public Survey 10.6% of participants said they use vaping or e-cigarette products.
Survey participants were asked how often they use vaping or e-cigarette products
o 1.9% said daily
o 2.8% said weekly
o 2.2% said monthly
o 3.7% said occasionally
o 10.6% total that said they use vaping or e-cigarette products at least occasionally
o 81.3% said never
o 8.1% did not provide a response
The number of people saying they use vaping or e-cigarette products is not large enough to accurately calculate
percentage in each frequency of use (daily, weekly, monthly or occasionally). Therefore, overall percentages of use by
demographics are presented in the following graphs.
Male Adults use Vaping Products at a much higher percentage than Females. The total of Adult Male Vaping
Product Users is 21.3% higher than Female Users; 15.8% more African Americans use Vaping Products than
Caucasians.
38.4%
45.2%
24.4%
19.7%
12.3%
11.3%
19.6%
13.0%
Under $10,000 $10,000 -
$14,999
$15,000 -
$24,999
$25,000 -
$34,999
$35,000 -
$49,999
$50,000 -
$74,999
$75,000 -
$99,999
$100,000 or
more
Total Adult Smoking Percentages by Household Income Level
4.1%
25.4%
20.8%
5.0%
Female Male African American Caucasian
Total Adult Vaping Percentages by Gender or Race
Anson County 2020 CHA | Vaping/E-Cigarettes
148
As with Smoking/Tobacco Use, the Use of Vaping and E-Cigarette Products appears to be impacted by Gender, Race,
Education Level and Household Income Level. A higher percentage of Youth (Ages 14 – 19) use Vaping Products than
Use Tobacco; the percentage who use Vaping Products is 9.1% than the percentage of Tobacco Users.
42.4%
28.6%
6.0%
3.5%
5.1%
3.2%
14 to 19 20 to 34 35 to 54 55 to 64 65 to 74 75 to 84
Total Adult Vaping Percentages by Age Group
38.9%
12.5%
50.0%
24.4%
8.0%
1.3%
4.7%
1.2%
Currently in
High School
Currently in
College
Completed 9,
10 or 11
Completed
High School
Attended
College
Comm. College
Deg/Dip
Undergrad
Degree
Masters
Degree
Total Adult Vaping Percentages by Education Level
30.8%
40.5%
5.0%
11.8%
4.6%
6.3%
1.6%
2.7%
Under $10,000 $10,000 -
$14,999
$15,000 -
$24,999
$25,000 -
$34,999
$35,000 -
$49,999
$50,000 -
$74,999
$75,000 -
$99,999
$100,000 or
more
Total Adult Vaping Percentages by Household Income Level
Anson County 2020 CHA | Teenage Pregnancy
149
Teenage Pregnancy
Public Survey Participants ranked Teenage Pregnancy as #11 of the Health Problems in Anson County –77.4% said it is a
problem.
The graph below provides the details on the perception by survey participants of how serious the problem is.
The following graph provides a comparison of the Rate (per 1,000 Female Residents) of Teen Births (Ages 15 – 19) as
reported by the NC Department of Health and Human Services in the North Carolina County Trends Reports published in
February 2019.
Although the Teen Pregnancy rate for Anson County has gone down, it remains much higher than the State rate.
35.0%
42.4%
11.1%
10.0%
1.5%
Teenage Pregnancy
Major Problem
Somewhat of a
Problem
Not a Problem
Don't Know
No Answer
63.5
54.7
37.6
47.5
39.2
24.0
2003 - 2007 2008 - 2012 2013 - 2017
Anson
County
North
Carolina
Anson County 2020 CHA | Teenage Pregnancy
150
This graph shows the percentage of Teen Births (Ages 15 – 19) that were Repeat Pregnancies. This data is also from the
County Trends Reports published in 2019.
The Anson County rate of Repeat Births to Teens was initially slightly better than the State, but is now slightly worse.
The County Health Data Book for 2020 from the NC Department of Health and Human Services provides the following
data about births to Teen Mothers in Anson County during 2018.
There were 5 births to mothers under 18; this was 1.9% of the total births in Anson County
There was 1 birth to a White/Caucasian mother under 18; this was 0.8% of the births to White/Caucasian
mothers
There were 4 births to Black/African American mothers under 18; this was 3.1% of the births to Black/African
American mothers
There were no births to mothers under 18 of Hispanic Ethnicity
The following graph compares the percentage of Births to Teen mothers (Under 18 Years) to that of its peer counties
and the State as published in the NC County Health Data Book of 2020.
It is important to note that Anson’s African American population is a much higher percentage of its total population
than any of its peer counties.
27.6%
21.3%
23.4%
28.0%
25.8%
22.4%
2003 - 2007 2008 - 2012 2013 - 2017
Anson
County
North
Carolina
1.9%
0.7%
2.0%
2.3%
1.3%
1.4%
0.8%
0.6%
2.2%
3.1%
1.0% 0.8%
3.1%
0.0%
2.4%
0.5%
3.4%
2.0%
Anson Montgomery Richmond Scotland Stanly State
African
American
Teen Births
White Teen
Births
Total Teen
Births
Anson County 2020 CHA | Teenage Pregnancy
151
County Health Rankings
The graph below shows the trend of Teen Pregnancies, according to the County Health Rankings, from 2015 through
2020 for Anson County.
0
10
20
30
40
50
60
70
2015 2016 2017 2018 2019 2020
Teen Birth Rate (Per 1,000 Females)
According to the County Health Rankings
& Roadmaps 2020 statistics, the Teen Birth
Rate (births per 1,000 female population
ages 15-19) in Anson County was 37.
Anson County 2020 CHA | Teenage Pregnancy
152
In the following graph the 2020 Teen Birth Rate, according to the County Health Rankings, is compared to the 2020 rates
of Anson’s peer counties, the State of North Carolina and the Top US Performers (as supplied by the County Health
Rankings & Roadmaps).
Related input from the Public Survey:
People in the County need more information on:
o Preventing Pregnancy – 12.0%
o Getting prenatal care during pregnancy – 5.7%
36.0% of participants said that Birth Defects is a problem in the County (#24 out of #25 Health Problems)
60.9% of participants said that Access to Prenatal Care is a Problem (#30 of 34 Community Issues)
Key Informants provided input related to Teen Pregnancy during the interviews:
32.6% of Key Informants mentioned Teen & Adolescent Pregnancy as a Health Problem – ranked #7 of Health
Problems/Concerns.
34.9% of Key Informants mentioned that OB/GYN care is missing from the County – ranked #5 in Missing Health
Care and Wellness Resources/Services.
The Prenatal classes at the Health Department were mentioned as one of the positives at the Health
Department.
37
44
43
48
29
24
13
Anson Montgomery Richmond Scotland Stanly NC State Top US Performers
Teen Birth Rate By County
Anson County 2020 CHA | Dental Health
153
Dental Health
Public Survey participants and Key Informants acknowledged that Dental Health is important; however, compared to
most other health problems and needs in Anson County they did not see it as a priority. Following are the main points
from the Primary Data research.
Public Survey
77.2% of Public Survey participants said it is a problem (30.9% Major, 47.2% Somewhat)
Dental Health was ranked #13 of the 25 Health Problems listed in the survey
When asked if they had had a Dental Screening in the past year, the participants responded as follows:
o Yes – 57.8%
o No – 30.4%
o No Answer – 11.8%
Responses about Insurance factors associated with Dental Care were:
o Lack of Dental Insurance – 10.0%
o Medicare does not cover Dental care – 6.1%
6.5% of participants said people in the County need more information about Dental care
Key Informants
Dental Health was mentioned as a problem/concern by less than 5 Key Informants
23.3% said that people not getting dental care is one of the things that Keeps People From Being Healthy
Less than 5 Key Informants mentioned Lack of Dental Insurance as an obstacle to health
There is limited dental care available in the County:
2 Dental Practices, one offers family and pediatric dentistry
Anson Regional Medical Services, Inc. (ARMS) offers dental care for adults and children
Anson County Public School System provides dental screening services
According to the NC Statewide and County Trends in Key Health Indicators from the NC Department of Health
and Human Services, the number of Dentists continues to decrease. Following is a graph that illustrates the
Number of Dentists per 10,000 Residents.
1.6
1.5
1.2
4.3
4.6
5
2007 2012 2017
Anson
State
Anson County 2020 CHA | Communicable Diseases
154
Communicable Diseases
STDs/STIs, HIV, AIDS and Hepatitis
Public Survey participants and Key Informants saw that STDs, STIs, HIV and AIDS are concerns; however, they did not
rank them in the top 10 Health Problems in Anson County.
Input from the Public Survey
When asked if STDs, STIs, HIV, AIDS is a problem, the participants responded as follows.
o 67.8% of participants said that STDs, STIs, HIV, AIDS is a problem (33.0% Major, 34.8% Somewhat)
o 4.3% of participants said these health conditions are not a problem
o 27.7% of participants said they Don’t Know or did not provide a response on these health conditions
o This Health Condition was ranked #19 of the 25 listed in the survey
Survey participants were asked if they had been diagnosed with a STD/STI/HIV
o Yes – 5.7%
o No – 86.3%
o Don’t Know – 8.0%
o No response – 13.3%
o Currently on medication for – 2.4%
The following table shows the percentage for each race/gender combination of survey participants who said they have
been diagnosed with STD/STI/HIV.
African American Female
Caucasian Female
African American Male
Caucasian Male
8.5%
1.6%
16.9%
0
Key Informants ranked STDs/STIs as the #11 Health Problem/Concern in the County; 18.6% mentioned in the interviews.
The following charts provide a graphic description of the Surveillance Reports from the HIV/STD/Hepatitis Surveillance
Unit of the Division of Public Health of the NC Department of Health and Human Services published in August 2019 and
revised on February 10, 2020. The Anson County rates are compared to the peer counties and the State. The Rates are
expressed per 100,000 population.
Anson County 2020 CHA | STDs/STIs, HIV, AIDS and Hepatitis
155
Trend of Newly Diagnosed Chlamydia Annual Rates 2014 – 2018
Trend of Newly Diagnosed Gonorrhea Annual Rates 2014 – 2018
681.5
667.4
691.0
667.3
727.6
0.0
200.0
400.0
600.0
800.0
1000.0
1200.0
2014 2015 2016 2017 2018
Anson
Montgomery
Richmond
Scotland
Stanly
State
269.5
374.7
393.1
249.2
277.4
0.0
50.0
100.0
150.0
200.0
250.0
300.0
350.0
400.0
450.0
500.0
2014 2015 2016 2017 2018
Anson
Montgomery
Richmond
Scotland
Stanly
State
Anson County 2020 CHA | STDs/STIs, HIV, AIDS and Hepatitis
156
Trend of Newly Diagnosed Early Syphilis Annual Rates 2016 – 2018 and Average Rate of 2016-2018
Summary of STDs/STIs in Anson County:
Was consistently higher than the State and 2 of its peer counties in new Chlamydia Annual Rates
Had a higher rate in 2018 than any of the 4 previous years in new Chlamydia Annual Rates
Was consistently higher than the State and 3 of its peer counties in Newly Diagnosed Gonorrhea Annual Rates
Had dramatic increases and decreases over the 5-year period in Newly Diagnosed Gonorrhea Annual Rates
Ended up with a lower Early Syphilis Annual Rate in 2018 than in 2016 after a decrease in 2017 and an increase
in 2018.
Trend of Newly Diagnosed HIV Annual Rates Among Adults and Adolescents 2016 – 2018
15.9
12.1
16.1
14.7
0.0
5.0
10.0
15.0
20.0
25.0
30.0
2016 2017 2018 Avg 2016-2018
Anson
Montgomery
Richmond
Scotland
Stanly
State
23.0
18.7
14.0
18.5
0.0
5.0
10.0
15.0
20.0
25.0
2016 2017 2018 Avg 2016-2018
Anson
Montgomery
Richmond
Scotland
Stanly
State
Anson County 2020 CHA | STDs/STIs, HIV, AIDS and Hepatitis
157
Trend of Newly Diagnosed AIDS (Stage 3) Annual Rates 2016 – 2018
As illustrated in the above charts, Annual Rates can vary drastically. Therefore, to make a comparison of Anson County
to its peer counties and the State, the following graph is provided to compare the Average Rate of years 2016 – 2018.
4.6
4.7
9.3
0.0
5.0
10.0
15.0
20.0
25.0
2016 2017 2018
Anson
Montgomery
Richmond
Scotland
Stanly
State
18.5
6.2
4.3
2.9
18.6
10.6
5.2
3.8
10.3
13.7
15.1
6.6
HIV Average AIDS Average
Anson
Montgomery
Richmond
Stanly
Scotland
State
Anson County 2020 CHA | STDs/STIs, HIV, AIDS and Hepatitis
158
Trend of Acute Hepatitis B Annual Rates 2014 – 2018
The specific Rates by year for Anson County are noted in the above chart.
Perspective: The Rate used by the Surveillance Unit is “per 100,000 population”. For a county with a population the size
of Anson, a small number of cases results in a high rate. To put the Rates for Anson County into perspective, the
following table provides the number of actual cases.
Year
Cases
Rate
2014
1
3.9
2015
0
0
2016
1
4.0
2017
4
16.1
2018
0
0
3.9
0.0
4.0
16.1
0.0
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
18.0
2014 2015 2016 2017 2018
Anson
Montgomery
Richmond
Scotland
Stanly
State
Anson County 2020 CHA | STDs/STIs, HIV, AIDS and Hepatitis
159
Trend of Acute Hepatitis C Annual Rates 2014 – 2018
The specific Rates by year for Anson County are noted in the above chart.
Perspective: The Number of Cases in Anson County for each year is provided in this table.
Year
Cases
Rate
2014
0
0
2015
1
3.9
2016
1
4.0
2017
0
0
2018
0
0
The reason the Rate differs between 2015 and 2016, even though the number of cases is the same, is that the total
County population decreased.
0.0
3.9
4.0
0.0
0.0
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
2014 2015 2016 2017 2018
Anson
Montgomery
Richmond
Scotland
Stanly
State
Anson County 2020 CHA | Births
160
Births
The following graphs are from the North Carolina County Trends Reports published 2019. This report is from the NC
Department of Health and Human Services of the Division of Public Health State Center for Health Statistics.
Percentage of Resident Live Births Classified As Low Birthweight (Less than 5 lbs. 8 ozs.)
Percentage of Resident Live Births Classified as Very Low Birthweight (Less than 3 lbs. 4ozs.)
Percentage of Resident Live Births That Were Premature (Less than 37 Weeks Gestation)
11.1%
11.0%
12.2%
9.1%
9.0%
9.1%
2003 - 2007 2008 - 2012 2013 - 2017
Anson County
North Carolina
2.3%
2.1%
1.9%
1.9%
1.8%
1.7%
2003 - 2007 2008 - 2012 2013 - 2017
Anson County
North Carolina
11.9%
10.3%
12.5%
11.3%
10.4%
10.1%
2003 - 2007 2008 - 2012 2013 - 2017
Anson County
North Carolina
Anson County 2020 CHA | Births
161
Percentage of Resident Live Births Delivered by Cesarean Section
36.2%
35.1%
30.5%
29.6%
31.1%
29.6%
2003 - 2007 2008 - 2012 2013 - 2017
Anson County
North Carolina
34.9% of Key Informants
said that OB/GYN care is
one of the services
missing from the County.
Anson County 2020 CHA | Infant & Child Mortality
162
Infant & Child Mortality
The following graphs are from the North Carolina County Trends Reports published 2019. This report is from the NC
Department of Health and Human Services of the Division of Public Health State Center for health Statistics.
Infant Death per 1,000 Live Births (Healthy NC 2020 Target was 6.3)
Child Deaths per 100,000 Residents Ages 0 – 17
Anson County has not had any improvement in Infant Deaths and remains considerably higher than the State rate. The
County has had improvement in Child Deaths, but is still much higher than the State rate.
12.0
7.2
11.2
8.4
7.5
7.1
2003 - 2007 2008 - 2012 2013 - 2017
Anson County
North Carolina
107.3
88.2
89.6
74.6
61.7
57.8
2003 - 2007 2008 - 2012 2013 - 2017
Anson County
North Carolina
Anson County 2020 CHA | Emergency Preparedness
163
Emergency Preparedness
Participants in the Public Survey were asked about several emergency preparedness issues that impact a community.
The following graphs present the responses.
Survey participants were asked to choose 1 response.
Survey participants were asked to choose 2 responses.
81.7%
8.5%
5.9%
2.4%
1.1%
0.4%
Main Method of Communication During Large Scale Disaster/Emergency
Cell Phones/
Texting
No Response
Regular Home
Telephones
Social Media
Email
Other
38.5%
39.6%
5.7%
30.4%
3.9%
47.0%
10.7%
8.5%
0.6%
Main Method For Getting Information From Authorities In A Large Scale Disaster
Social Media
Television
Radio
Internet
Newspaper/ Print
Media
Text Alerts
Neighbors
No Answer
Other
Anson County 2020 CHA | Emergency Preparedness
164
Participants were asked to check all that apply.
34.6%
28.8%
14.4%
11.7%
39.4%
5.7%
7.2%
28.0%
4.6%
18.1%
Main Reasons Would NOT Evacuate If Asked To Do So
Concern about
leaving property
behind
Concern about
Personal Safety
Concern about
traffic jams &
ability to get out
Lack of trust in
Public Officials
Concern about
Family Safety
Health problems
Lack of
Transportation
Concern about
leaving pets
Other
No Response
Anson County 2020 CHA | Emergency Preparedness
165
Anson County
2020
Social Determinants of
Health
An Appendix to the
2020
Community Health Assessment
Anson County 2020 CHA | Social Determinants of Health
166
Social Determinants of Health
Introduction
Social Determinants of Health are conditions in the places where people live, learn, work, and play that affect a wide
range of health risks and outcomes.
Definition from the Centers for Disease Control and Prevention (CDC)
Graph is from www.healthypeople.gov
In this section details about the Social Determinants of Health in Anson County are provided through input from the
Public Survey and Key Informant interviews and from statistical data.
Anson County 2020 CHA | Economic Stability
167
Economic Stability
Employment
The following statistics are from the American Community Survey (ACS) of the US Census Bureau. These statistics are
from a 5 year average.
Total Population
25,307
Population 16 years and over
20,986
54.8% of population 16
years and over are in the
Labor Force
49.3% of
Population is
Employed
Unemployment
Rate is
9.9%
25.6% of Key Informants said that:
The instability of life in Anson County
doesn’t allow for healthy living.
Anson County 2020 CHA | Economic Stability
168
The following graph provides a comparison between Anson and its peer counties on Unemployment Rates.
88.1% of Public Survey participants said that Unemployment is a problem in Anson County. Unemployment was
identified as #4 of 32 Community Issues by survey participants. The graph below provides the breakdown on responses.
9.9%
4.8%
9.6%
12.5%
6.2%
Unemployment Rate
Anson
Montgomery
Richmond
Scotland
Stanly
48.0%
40.1%
3.1%
4.3%
4.5%
Unemployment
Major Problem
Somewhat of a
Problem
Not a Problem
Don't Know
No Response
Anson County 2020 CHA | Economic Stability
169
Income
The following statistics on Income for Anson County citizens are from a 5-year average from the American Community
Survey (ACS) of the US Census Bureau.
Median
Household
Income
$39,126
45.7% of
Households
have Income
less than
$35,000
9,516
Households
54.3% of
Households
have Income
more than
$35,000
16.1% of Families had
Income in the past 12
months below the
Poverty Level
Key Informants ranked Lack of
Jobs/High Unemployment as the #2
non-health related problem.
55.8% mentioned it in the interviews.
Anson County 2020 CHA | Economic Stability
170
This table compares the number of Households, Median Household Income and Percentage of Families with Income
Below Poverty Level of Anson County with its peer Counties and the State.
County
Total Households
Median Household Income
Percentage of Families With
Income Below Poverty Level
past 12 months
Anson
9,516
$39,126
16.1%
Montgomery
10,411
$42,346
14.5%
Richmond
18,546
$36,091
19.8%
Scotland
13,113
$35,617
24.5%
Stanly
23,717
$49,590
10.1%
State
3,918,597
$45,208
11.2%
Of Anson and its peer counties, Scotland had the lowest Median Household Income and Highest percentage of Families
with Income Below Poverty Level. Stanly County had the best statistics in both areas.
The County Health Rankings & Roadmaps 2020 provides an Income Inequality Ratio (Ratio of household income at the
80th percentile to income at the 20th percentile) on counties, states and US Top Performers. The following graph
provides a comparison for the Anson County Ratio to its peer counties, the State and Top US Performers.
5.0
4.5
5.1
5.7
4.1
4.5
3.7
Income Inequality
Anson
Montgomery
Richmond
Scotland
Stanly
State
Top US Performers
Anson County 2020 CHA | Economic Stability
171
The next chart shows the trend of Income Inequality for Anson County from 2015 to 2018.
89.9% of Public Survey participants said the Low Pay of Available Jobs is a problem in the County. This issue was #3 out
of 32 Community Issues. Following is a graph that shows the survey participants about the severity of this problem.
4.5
4.7
4.8 4.8
5.1
5.0
2015 2016 2017 2018 2019 2020
Anson County Income Inequality
61.0%
28.9%
2.2%
3.5%
4.4%
Low Pay of Available Jobs
Major Problem
Somewhat of a
Problem
Not a Problem
Don't Know
No Response
Anson County 2020 CHA | Economic Stability
172
Key Informants during interviews mentioned two factors that impact Income in the County.
Key Informant Input
Percentage
that
mentioned
Lack of family sustaining wage jobs (good paying)
32.6%
High number of people are disabled and/or dependent on government agencies, resulting in:
> Being disabled is the “job” of a high number of people
> Food pantries have a lot of long-term clients, 10 years or more
> The existing available “decent” paying jobs are very hard on the body, cause disabling injuries
> Families get disability benefits for children diagnosed with ADHD and doctors are liberal with diagnosis
27.9%
Food Insecurity
In the following graphs and tables information related to Food Insecurity in Anson County from the County Health
Rankings & Roadmaps 2020 is presented.
The County Health Rankings defines Food Insecurity as Percentage of population who lack adequate access to food.
The following chart presents the trends in Anson County of Food Insecurity from 2015 to 2020.
21%
15%
20%
23%
14%
15%
9%
Food Insecurity
Anson
Montgomery
Richmond
Scotland
Stanly
State
Top US Performers
23% 23%
22%
23%
22%
21%
2015 2016 2017 2018 2019 2020
Food Insecurity
Anson County 2020 CHA | Economic Stability
173
The American Communities Survey (ACS) of the US Census Bureau provides a percentage of Households receiving Food
Stamp/SNAP benefits in the past 12 months. The following graph shows that percentage for Anson County and its peer
Counties.
In the Public Survey 68.9% of participants said that Access to Healthy Food is a problem. It was ranked #20 out of 32
Community Issues. The breakdown of responses is provided in the graph below.
Percentage of households receiving Food Stamp/ SNAP benefits in the
past 12 months
21.9%
15.1%
25.5%
27.3%
14.1%
Anson
Montgomery
Richmond
Scotland
Stanly
23.0%
45.9%
22.4%
4.4%
4.3%
Access to Healthy Food
Major Problem
Somewhat of a
Problem
Not a Problem
Don't Know
No Response
Anson County 2020 CHA | Economic Stability
174
During interviews Key Informants provided input on several issues that are related to Food Insecurity.
Key Informant Input
Percentage
that
mentioned
Limited access to fresh food, healthy food:
> Only 2 grocery stores, often run out of produce
> Difficult for elderly to access food, especially healthy food
> No sit-down restaurants
> Stores used instead as substitute for grocery stores: Dollar General in Wadesboro, Lilesville, Polkton
Family Dollar in Wadesboro, Morven (also Marshville in Union, Rockingham in Richmond
Chesterfield, SC, Dollar Tree in Wadesboro
> Eat what can get/afford
76.7%
Diet, bad eating habits:
> Parents do things with their children that set up life-time bad habits such as giving them soda in a
bottle.
> Parents tend to feed babies very early what they eat because they cannot afford formula and/or it is
easier. Especially true if baby needs special type of formula.
> Fighting against a long-term culture.
> Nutrition is a foreign concept.
> Parents work so adolescents and teens buy food for self and purchase/eat what they like and what
they can get at convenience stores or Dollar General/Family Dollar.
> Eat for comfort.
58.1%
Fast food:
> consume lots
> easy, convenient
> cheap
48.8%
Anson County 2020 CHA | Economic Stability
175
Housing Instability
The County Health Rankings and Roadmaps 2020 provides several Factors that indicate the level of Housing Instability in
counties and states. The County Health Rankings defines the Housing Instability Factors as follows:
Severe Housing Problems as Percentage of households with at least 1 of 4 housing problems: Overcrowding, high
housing costs, lack of kitchen facilities, or lack of plumbing facilities.
Home Ownership as Percentage of occupied housing units that are owned.
Severe Housing Cost Burden as Percentage of households that spend 50% or more of their household income on
housing.
The graph below compares Anson to its peer counties, the State and Top US Performers on these Factors.
16%
15%
67%
16%
12%
73%
16%
21%
18%
61%
16%
12%
74%
16%
7%
81%
9%
7%
81%
Severe Housing Problems
Severe Housing Cost
Burden
Homeownership
Top US
Performers
State
Stanly
Scotland
Richmond
Montgomery
Anson
16%
17%
16%
17%
17%
16%
2015 2016 2017 2018 2019 2020
Severe Housing Problems Trend 2015 - 2020
Anson County 2020 CHA | Economic Stability
176
Substandard/Unaffordable Housing was said to be a problem by 76.3% of the Public Survey Participants. This
Community Issue was ranked #14 out of 32. The details on responses are provided in the pie chart below.
Input on Housing was provided by Key Informants. Following are the points they made.
Key Informant Input
Percentage
that
mentioned
Sub Substandard housing
> People can’t afford the upkeep of houses if own.
> Many rental properties are costly but not fit to live in.
> This is especially hard on elderly and people with low income.
> There are houses and mobile homes with no electricity and/or water.
> People even use cardboard over broken windows.
> There are houses with no working appliances – stove, refrigerator.
> Some people are forced to heat by fire, but this is a problem for asthma victims.
> People who complain get evicted or rent increased.
> Lack of housing maintenance assistance for seniors.
> Very little enforcing of building codes.
53.5%
Lack of safe affordable housing throughout the County
18.6%
31.7%
44.6%
8.1%
11.1%
4.5%
Substandard/Unaffordable Housing
Major Problem
Somewhat of a
Problem
Not a Problem
Don't Know
No Response
Anson County 2020 CHA | Economic Stability
177
Poverty
The County Health Rankings and Roadmaps 2020 provides some indicators on Poverty for all counties and states and for
Top US Performers. Here are the indicators and how County Health Rankings defines them.
Children in Poverty as Percentage of people under age 18 in poverty.
Children in single-parent households as Percentage of children that live in a household headed by single parent.
Children eligible for free or reduced price lunch as Percentage of children enrolled in public schools that are
eligible for free or reduced price lunch.
The following graph compares the poverty factors from the County Health Rankings in Anson County to those of its peer
counties, the State and Top US Performers.
The graph on the following page shows the 2015 – 2020 trend in Anson County for the Poverty Factors from the 2020
County Health Rankings.
32%
41%
98%
26%
35%
72%
31%
55%
99%
42%
55%
98%
19%
33%
48%
20%
35%
56%
11%
20%
32%
Children in Poverty
Children in Single-Parent
Households
Children Eligible for Free
or Recuced Price Lunch
Top US
Performers
State
Stanly
Scotland
Richmond
Montgomery
Anson
Anson County 2020 CHA | Economic Stability
178
Public Survey Participants ranked Poverty as the #1 Community Issue (out of 32 issues). 92.8% of participants said this is
a problem in Anson. The graph below shows the survey participants’ opinion of severity.
38%
36% 36% 36%
33%
32%
56%
58%
53%
46%
42%
41%
69%
71%
76%
99%
98%
98%
2015 2016 2017 2018 2019 2020
Poverty Factor Trends 2015 - 2020
Children in
Poverty
Children in
Single-Parent
Households
Children Eligible
for Free or
Reduced Lunch
71.5%
21.3%
0.7%
1.5%
5.0%
Poverty
Major Problem
Somewhat of a
Problem
Not a Problem
Don't Know
No Response
Anson County 2020 CHA | Economic Stability
179
Children in Poverty was the #2 Community Issue as ranked by the Public Survey participants. 92.4% said this is a
problem. Following is a pie chart that shows how severe the survey participants think this problem is in Anson County.
71.7%
20.7%
1.3%
1.9%
4.4%
Children in Poverty
Major Problem
Somewhat of a
Problem
Not a Problem
Don't Know
No Response
37.2% of Key Informants said that Poverty is
an obstacle to getting healthcare. People
have low income jobs that keep them from
qualifying for Medicaid, but don’t cover
healthcare expenses.
25.6% of Key Informants said that Poverty
is a major non-health related problem.
Anson County 2020 CHA | Education
180
Education
Early Childhood Education and Development
In the Public Survey participants were asked questions about the Quality of Life in Anson County. When asked if Anson
County is a good pace to raise children the participants responded as follows:
Survey participants were asked to express their opinion about 32 Community Issues that could be a problem in any
county. Several of the Issues are related to Early Childhood. Following are details about the survey participants’
responses on these issues.
12.2%
25.6%
47.0%
10.9%
3.9%
0.4%
Strongly Disagree Disagree Agree Strongly Agree Don't Know No Answer
Anson is a good place to raise children
33.0%
32.4%
19.6%
45.9%
45.0%
37.4%
3.9%
11.7%
34.3%
13.0%
6.7%
11.7%
4.2% 4.2%
4.0%
Child Abuse & Neglect Child Care - Access & Quality Quality of Education Grades K - 6
Major
Problem
Somewhat
of a
Problem
Not a
Problem
Don't
Know
No Answer
Anson County 2020 CHA | Education
181
Key Informants expressed opinions that are directly related to Early Childhood Education and Development.
Key Informant Input
Mentioned
By
Parenting/Families
> Poor parenting contributes to thwarted development in children.
> Parents only provide for minimal needs.
> Parents don’t realize that all actions and decisions they make impact a child no matter the age of
the child.
> Just don’t parent, don’t care.
> Hopelessness breads hopelessness.
> Unwanted children.
> Grandparents raising children are not able to afford and/or access healthcare and fitness.
> Broken families.
16.3%
Parents are not aware of developmental milestones so do not know when to seek help. Childcare
workers are afraid to say anything to parents. Many children are not seen by pediatricians so
professionals don’t have opportunity to determine if there are developmental delays.
Less than 5 Key
Informants
Lack of/poor parenting
> Untended children
> Grandparents raising grandchildren (impacts children and the older person)
11.6%
Children in homes with adults making poor decisions that result in the cut-off of utilities, poor
maintenance of the home structure
Less than 5 Key
Informants
Enrollment in Higher Education
The County Health Rankings and Roadmaps provides a percentage of adults ages 25-44 with some post-secondary
education. The following graph compares the percentage in Anson County with that of its peer counties, the State and
the Top US Performers.
Percentage With Some College
46.0%
44.0%
50.0%
50.0%
56.0%
67.0%
73.0%
Anson
Montgomery
Richmond
Scotland
Stanly
North Carolina
Top US Performers
Anson County 2020 CHA | Education
182
The following Educational Attainment statistics are from the American Community Survey (ACS) of the US Census
Bureau.
Education Level
Percent of Population 25 years and over
Some College, No Degree
20.7%
Associate’s Degree
8.7%
Bachelor’s Degree
7.2%
Graduate or Professional Degree
2.4%
TOTAL
39.0%
In the Community Issues section of the Public Survey participants were asked to say if Access and Affordability to Higher
Education was a problem or not. 67.1% said it is a problem. The next graph shows the breakdown of responses.
23.7%
43.4%
22.6%
6.9%
3.4%
Higher Education Access & Affordability
Major Problem
Somewhat of a
Problem
Not a Problem
Don't Know
No Response
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High School Graduation
Community Input provided insight into the perception of Ansonians on Middle & High School Education and Youth
Engagement in the County. That input is detailed in the following graphs and tables.
39.5% of Key Informants expressed concern about the local education system.
Following are the specific comments from Key Informants on the local education system:
School District does best they can with what they have, but funding is a problem, is limiting. In the 2020/21
fiscal year funding will be cut due to the loss of Walmart tax revenue.
Many families are sending their children to private or out of county public schools; this compounds the existing
problems for those who remain.
Early college high school is a positive.
Teachers don’t stay.
Restriction on disciplining.
Difficult to attract quality teachers.
Students do not take advantage of opportunities.
23.7%
40.7%
24.4%
6.9%
4.3%
Quality of Education Grades 7 - 12
Major
Problem
Somewhat of
a Problem
Not a Problem
Don't Know
No Answer
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The 2020 County Health Rankings and Roadmaps provides a High School Graduation percentage. They define this factor
as Percentage of ninth-grade cohort that graduates in four years. The following chart compares the percentage from
2017 - 2018 in Anson County to the percentage in its peer counties, the State and the Top US Performers.
The North Carolina Department of Public Instruction does annual reporting on dropout rates. The following dropout
details are from the 2018-2019 High School Dropout Report at https://www.dpi.nc.gov/data-reports/dropout-and-
discipline-data/discipline-alp-and-dropout-annual-reports
84.0%
90.0%
81.0%
87.0%
89.0%
86.0%
96.0%
High School Graduation
Anson
Montgomery
Richmond
Scotland
Stanly
State
Top US Performers
34 Anson County Schools 2018/19 Year Dropouts
Female – 16
Male – 18
Black – 16
Hispanic – 2
Two or More Races – 3
White - 13
Anson County 2020 CHA | Education
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The following graph shows the Dropout trend for the past 5 school years.
Language and Literacy
The County Health Rankings and Roadmaps provides on counties and states a measure on Language and two measures
on Literacy. In the graph below Anson County’s measures are compared to those of its peers and the State.
From 2020 County Health Rankings
This graph compares the percentage of county residents that are not proficient in English from 2015 to 2020.
41
51
49
42
34
3.75
4.57
4.49
3.70
3.33
2014/15 2015/16 2016/17 2017/18 2018/19
Number of
Dropouts
Dropout Rate
1%
4%
2%
1% 1%
2%
Not proficient in English
Anson
Montgomery
Richmond
Scotland
Stanly
State
0.9%
1.0% 1.0% 1.0%
1.0%
1.0%
2015 2016 2017 2018 2019 2020
Percent Not Proficient in English 2015 -2020
Anson County 2020 CHA | Education
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County Health Rankings provides a Rate on Reading and Math Scores based on 2016 scores. They define the rates as:
Reading Scores - Average grade level performance for 3rd graders on English Language Arts standardized tests.
Math Scores - Average grade level performance for 3rd graders on math standardized tests.
Anson County ranked lower than all but one peer county on Reading and lower than all peer counties in Math Scores.
2.9
2.6
3.0
2.9
3.0 3.0
2.9
3.1
3.2
3.0
3.2
3.1
3.4 3.4
Reading Scores Math Scores
Anson
Montgomery
Richmond
Scotland
Stanly
State
Top US Performers
Anson County 2020 CHA | Social and Community Context
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Social and Community Context
Civic Participation
County Rankings and Roadmaps provides a measure related to Civic Participation. The individual county rankings show
Social Associations: the number of membership associations per 10,000 population.
This graph compares the Social Associations of Anson County to that of its peer counties, the State of North Carolina and
Top US Performers.
The next graph shows the trend from 2015 to 2020 of Social Associations in Anson County.
Key Informants had some comments related to Civic Participation during the interviews for the CHA. Here are those
observations. Unless noted, the observation was mentioned by less than 5 Key Informants.
Atrium Staff involvement in the community is a positive. Their involvement includes serving on local boards,
offering internships for high school students and participating in the Rotary Club.
Lack of qualified people of integrity willing to serve on boards, help with efforts and run for elected office is a
problem in the County.
Many people receive help, but don’t give back to the community.
The strong sense of community, neighbors helping each other is a positive.
It is difficult to get churches involved, supportive, and active in community and health related issues.
Two positives are the Faith Based ministry of Atrium Health and churches doing things to help people be healthy
including transportation, fitness and crisis help – mentioned by 14% of Key Informants.
10.0
8.7
14.1
12.5
17.6
11.5
18.4
Social Associations per 10,000 population
Anson
Montgomery
Richmond
Scotland
Stanly
State
Top US Performers
10.2
10.7
10.5
11.3
10.2
10.0
2015 2016 2017 2018 2019 2020
Social Associations per 10,000 Population 2015 -2020
Anson County 2020 CHA | Social and Community Context
188
Young people leave and don’t return – mentioned by 16.3% of Key Informants.
Nothing for kids to do – mentioned by 14.0% of Key Informants.
Those who contribute the least consume the most – don’t pay taxes but use ER and EMS.
In the Public Survey participants were asked to rate Community Issues as a Major Problem, Somewhat of a Problem, Not
a Problem or Don’t Know. Following is a list of the issues and the percentage of participants who said the issue is a
Problem, said they Don’t Know or did not provide a response on the specific issue. The table lists the issues in order of
Don’t Know; whereas, the list in the original survey was in alphabetical order. This information is provided to illustrate
the awareness of Anson County citizens on community issues.
COMMUNITY ISSUES
Seen as a
Problem
(Major +
Somewhat)
Don’t Know
No
Answer
Elder Abuse & Neglect
57.4%
26.7%
3.9%
Hopelessness, Complacency
62.4%
19.6%
4.7%
Homelessness
65.4%
18.3%
4.6%
Availability of Elder Care (Skilled Nursing, Memory
Care, In-Home) – Access or Quality
57.8%
18.1%
4.3%
Access to Prenatal Care
60.9%
16.7%
4.3%
Lack of/Inadequate Health Insurance
72.8%
14.6%
4.5%
Gangs
70.5%
14.6%
4.2%
Child Abuse & Neglect (physical, emotional & sexual)
78.9%
13.0%
4.2%
Domestic Violence
80.4%
12.6%
4.0%
Access to Mental Health Services
73.3%
12.0%
2.3%
Environmental Issues (Air, Water, Soil Pollution)
50.0%
11.7%
4.0%
Substandard/Unaffordable Housing
76.3%
11.1%
4.5%
Access to Dental Care - Children
67.4%
10.7%
4.1%
Access to Dental Care - Adult
68.5%
10.4%
4.1%
Violent Crime (murder, assault, rape, etc.)
77.0%
9.6%
4.7%
Lack of Public Transportation
71.1%
7.0%
4.3%
Quality of Education Grades K – 6
57.0%
7.0%
4.9%
Higher Education – Access and Affordability
67.1%
6.9%
3.4%
Quality of Education Grades 7 – 12
64.4%
6.9%
4.3%
Racism
79.2%
6.7%
4.5%
Child Care – Access, Quality
77.4%
6.7%
4.2%
Access to Basic Healthcare
64.5%
6.3%
4.4%
Access to Specialized Healthcare (Cardiology, Urology,
Neurology, Orthopedic, etc.).
85.7%
5.2%
4.3%
Quality of Healthcare in the County
69.3%
5.2%
3.8%
Non-Violent Crime (theft, robbery, etc.)
87.0%
4.8%
1.1%
Lack of Recreational Facilities/Programming
82.0%
4.6%
4.3%
Access to Healthy Food
68.9%
4.4%
4.3%
Unemployment
88.1%
4.3%
4.5%
Low Pay of Available Jobs
89.9%
3.5%
4.4%
Single-Parent Households
85.5%
2.6%
4.1%
Children in Poverty
92.4%
1.9%
4.4%
Poverty
92.8%
1.5%
5.0%
Anson County 2020 CHA | Social and Community Context
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Discrimination
In the Public Survey list of Community Issues that participants were asked to rank as a problem or not, Racism was
included. Although Racism is not exactly the same as Discrimination, people’s perceptions of the existence of Racism in
a given community usually indicates whether those people think that Discrimination is occurring or not.
The following chart shows the percentage of responses about Racism being a problem in Anson County. The percentage
of all participants and the breakdown by African American and Caucasian are provided.
Not all survey participants identified their Race.
Summary of response differences:
14.8% more identified African Americans than identified Caucasians think that Racism is a Major Problem.
3.4% more identified African Americans than identified Caucasians think that Racism is Somewhat of a Problem.
11.0% more identified Caucasians than identified African Americans think that Racism is Not a Problem.
7.2% more identified Caucasians than identified African Americans did not express an opinion on Racism being a
problem in Anson County.
31.1%
40.6%
25.8%
48.1%
53.8%
50.4%
9.6%
2.8%
13.8%
11.2%
2.8%
10.0%
All Participants African American Caucasian
Don't Know/ No
Answer
Not a Problem
Somewhat of a
Problem
Major Problem
Anson County 2020 CHA | Social and Community Context
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Incarceration
The only mention of incarceration by Key Informants was that Incarcerated Parents is a Major Concern. This was
mentioned by 2 Key Informants.
Social Cohesion
Community input was provided by Key Informants. The following table includes the input shared by Key Informants that
is related to Social Cohesion.
Mentioned by Key Informants
Percentage
of Key
Informants
Don’t utilize assistance or access services/resources that are offered
> Discounts, vouchers to Farmer’s Market (i.e. WIC, SNAP).
> Say not available, but is excuse.
> Exercise options such as walking trails and senior center programs.
> Services at Atrium Anson.
39.5%
Acceptance of inevitability of poor health and disease
> “In my family”.
> Why try, it will happen anyway.
> Generational problem of ignoring and not even considering going to the doctor.
> Not engaged in own health.
> Low life expectancy.
> Acceptable to be disabled.
> No focus on being healthy.
37.2%
People do not make changes even when taught and the need is explained
> Families do not implement 5 2 1 0 Program in homes.
> Programs flame out.
> Make changes, but revert to previous practices.
> Get discouraged easily.
> People are not willing to make a lifestyle change.
> Don’t accept personal responsibility for health and wellness.
32.6%
Lack of trust in institutions including healthcare
> Feel that closing the old hospital and opening something new and different was a conspiracy.
> People personalize things, i.e. feel that the person at the Hospital, Health Department, etc. did or said something,
not that what was done or said is a policy, law, etc.
> Feel that will be punished if register a complaint or ask a question.
18.6%
Inequity of healthcare:
> People with no insurance and no/low income are pushed to back burner.
> Medicaid patients get less attention and lower quality of healthcare, doctor spends less time with them.
14.0%
ARMS (Anson Regional Medical Services) is not easily accessed and does not participate in the
community. Negative reviews of care. Hard to keep providers.
44.2%
According to the North Carolina Department of Public Safety
Office of Research and Planning:
87 Anson County residents entered prison
Between 9/1/2019 and 8/31/2020.
Anson County 2020 CHA | Social and Community Context
191
Mentioned by Key Informants
Percentage
of Key
Informants
People are not aware of the Health and Wellness services and resources that are available in the county.
Some examples that are available, but appear to not be well known:
> Orthopedics
> Nutritionist
> Telehealth access to Specialists
> OB/GYN at Atrium Anson a few days a week
> General surgery can be done at Atrium Anson
14.0%
Anson Record’s willingness to provide information about health and wellness resources and initiatives in
their publications.
Less than 5
Key
Informants
People go out of county for many things and spend their money out of county, which further reduces the
tax base. While out of county for one thing people are likely to spend money on other things, also. Go
out of county for:
> Healthcare
> Exercise
> Dining out
> Groceries
> Medications
> Clothing and other retail
> Entertainment
> Education
> Activity – there are no natural attractions (lake, beach, mountains, etc.)
30.2%
People believe their own bad press about how bad things in Anson County are and that things cannot be
improved. People say “We are a Tier One County, What do you expect?”
Less than 5
Key
Informants
County leadership and agencies do not work well with or accept help from outside organizations and
agencies.
Less than 5
Key
Informants
Addressing big issues continually gets postponed
Less than 5
Key
Informants
Addressing big issues continually gets postponed
Less than 5
Key
Informants
Nothing to attract people to move here
Less than 5
Key
Informants
Declining Population
Less than 5
Key
Informants
Competition between County Parks & Rec and Field of Dreams
Less than 5
Key
Informants
Don’t capitalize on through traffic to beach and other destinations
Less than 5
Key
Informants
SPCC puts all money into Union County, very little trade offerings, can’t get classes in Anson
Less than 5
Key
Informants
SPCC is strong
Less than 5
Key
Informants
Anson County 2020 CHA | Health and Health Care
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Health and Health Care
Access to Health Care / Access to Primary Care
The ability of an individual or family to access Health Care involves the following:
Availability of Health Care within a specified or realistic geographic area
Transportation to get to the Health Care
Ability to bear the cost of Health Care
Availability
The County Health Rankings and Roadmaps provides ratios on Health Care Providers to Citizens. Following are the ratios
for Primary Care Physicians, Dentists and Mental Health Providers in Anson County compared to its peer counties, the
State and Top US Performers.
Entity
Primary Care
Physician to
Population Ratio
(Based on 2017 Data)
Dentist to Population
Ratio
(Based on 2018 Data)
Mental Health
Provider to
Population Ratio
(Based on 2019 Data)
Other Primary
Care Providers
(Based on 2019
Data)
Anson County
2,080 : 1
4,980 : 1
960 : 1
3,110 : 1
Montgomery County
3,920 : 1
6,820 : 1
830 : 1
1,704 : 1
Richmond County
3,450 : 1
3,450 : 1
620 : 1
2,244 : 1
Scotland County
1,600 : 1
3,480 : 1
560 : 1
645 : 1
Stanly County
2,670 : 1
2,960 : 1
460 : 1
1.267 : 1
State of North Carolina
1,410 : 1
1,780 : 1
410 : 1
801 : 1
Top US Performers
1,030 : 1
1,240 : 1
290 : 1
665 : 1
The following graph shows the trend of Health Care Provider Ratios over the last 6 years (2015 to 2020) as provided by
the County Health Rankings and Roadmaps.
0
1000
2000
3000
4000
5000
6000
7000
2015 2016 2017 2018 2019 2020
Primary Care
Physicians
Dentists
Other Primary
Care Providers
Mental Health
Provider
Anson County 2020 CHA | Health and Health Care
193
The North Carolina Statewide and County Trends in Key Health Indicators report of February 2019 also provides Ratios of
Health Care Providers. This report shows the number of Providers /Nurses per 10,000 residents from 2007 to 2017.
0
2
4
6
8
10
2007 2012 2017
Primary Care Physicians Anson
Primary Care Physicians State
0
2
4
6
8
2007 2012 2017
Physician Assistants Anson
Physician Assistants State
0
20
40
60
80
100
120
2007 2012 2017
Registered Nurses Anson
Registered Nurses State
0
1
2
3
4
5
6
2007 2012 2017
Dentists Anson
Dentists State
Anson County 2020 CHA | Health and Health Care
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Participants in the Public Survey shared that several issues related to Health Care are problems in Anson County. The
following chart provides details on the survey responses.
COMMUNITY ISSUES
Major
Problem
Somewhat
of a
Problem
Major +
Somewhat
Not a
Problem
Don’t
Know
No
Answer
Access to Specialized Healthcare (Cardiology,
Urology, Neurology, Orthopedic, etc.).
53.7%
32.0%
85.7%
4.8%
5.2%
4.3%
Access to Mental Health Services
29.4%
43.9%
73.3%
10.4%
12.0%
2.3%
Access to Dental Care - Adult
23.5%
45.0%
68.5%
17.0%
10.4%
4.1%
Access to Dental Care - Children
19.8%
47.6%
67.4%
17.8%
10.7%
4.1%
Access to Basic Healthcare
21.7%
42.8%
64.5%
24.8%
6.3%
4.4%
Access to Prenatal Care
26.5%
34.4%
60.9%
18.1%
16.7%
4.3%
Availability of Elder Care (Skilled Nursing,
Memory Care, In-Home) – Access or Quality
16.7%
41.1%
57.8%
19.8%
18.1%
4.3%
The opinions documented in this chart are from the Public Survey participants.
16.7%
36.7%
34.8%
7.4%
3.5%
0.9%
People in Anson County can get good health care
Strongly
Disagree
Disagree
Agree
Strongly
Agree
Don't Know
No Answer
Public Survey participants ranked
Specialist Care needed not
available in Anson County as the
#1 Barrier to Health & Human
Services.
45.2% said it is a Barrier.
Anson County 2020 CHA | Health and Health Care
195
Key Informants also provided observations about the availability of Health Care and related services in the County.
Key Informant Input on Availability of Health Care
Percentage
of Key
Informants
Specialists being out of county complicates accessing healthcare:
> Make it difficult for families.
> Logistics of using ACTS (Anson County Transportation Services ) makes it difficult to use – all day, long
day to visit doctor.
> Really hard on someone on chemo.
60.5%
Not enough Primary Care Providers, very few options.
(if Provider and patient don’t relate well, patient must go out of county to find another Provider.)
39.5%
Inadequate number of pharmacies:
> Lost Walmart.
> Anson Pharmacy recently closed.
> Only 2 pharmacies, likely cannot handle demand.
23.3%
Most of the Providers at Carolinas Primary Care are mid-levels. Their experience level is inadequate to
deal with the complex, advanced health issues of many Ansonians. The perception is that this results in
more referrals, missed diagnosis and improper attention to patients. People with multiple health issues
take more time and this does not fit the production models of Atrium or any health system.
11..6%
Lack of prenatal care , primarily because it is not available in county.
Less than 5
Key
Informants
People believe they can’t get quality care in the County because anything with any complexity is referred
to a doctor outside the county, so many feel it is useless to go to one in the county.
> Don’t know the value of what is offered and its place in the whole healthcare picture.
> See hospital as “patch” and then on to real care somewhere out of county.
> Bigger is better when it comes to hospitals.
> Do not understand that provision of a service is based on volume of demand.
34.9%
Primary Healthcare Providers do not stay in Anson County for very long so it is difficult to build a
relationship with and trust in them. The relationship and trust are necessary to get good care.
> Providers make less in Anson County than other places.
> Difficult to attract.
18.6%
Specialists being out of county
complicates access healthcare
was the #1 obstacle to being healthy
according to Key Informants.
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196
Transportation
Input from Key Informants about Transportation to Health Care and Health Resources
Key Informant Input on Health-Related Transportation
Percentage
of Key
Informants
Lack of Transportation to Healthcare
> Especially for elderly, they must pay someone to take them
> ACTS does have a cost, must be almost Medicaid eligible to be able to use
> Especially difficult for out of county care/treatment (all specialists are out of county)
> Use ambulance as transport to healthcare
> May have vehicle but cannot afford to keep it in working order or to have auto insurance
55.8%
Transportation to medication, especially elderly
Less than 5
Key
Informants
People without means (transportation, funds, resources, etc.) to go outside the County get primary care
in the county including pediatric care. Many are forced to get care in the County even if that is not their
preference. This includes those that are:
> Elderly
> On Medicaid
> Uninsured
25.6%
More transportation to Healthcare, ACTS (Anson County Transportation System) schedule is limited.
Less than 5
Key
Informants
Atrium health Anson offers transportation to Carolinas Primary Care; however, there is a big problem
with no shows.
11.6%
71.1% of Public Survey
participants said that Lack of
Public Transportation is a
problem in Anson County
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197
Ability to Bear Cost of Health Care
Having Health Care insurance is a major factor in being able to bear the cost. In the County Health Rankings and
Roadmaps percentages of Uninsured are given for counties and states. The 2020 percentages on total Uninsured and
those on Adults and Children in Anson, its peer counties and the State are presented in the graph below.
The next graph provides a look at the last 6 years on the percentages of Uninsured in Anson County.
13%
16%
4%
16%
21%
6%
15%
18%
5%
14%
18%
5%
13%
16%
5%
13%
16%
5%
6%
7%
3%
Uninsured - All
Uninsured - Adults
Uninsured - Children
Top US
Performers
State
Stanly
Scotland
Richmond
Montgomery
Anson
0%
5%
10%
15%
20%
25%
30%
2015 2016 2017 2018 2019 2020
Uninsured - All
Uninsured -
Adults
Uninsured -
Children
Anson County 2020 CHA | Health and Health Care
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Lack of/ Inadequate Health Insurance was one of the Community Issues that Public Survey participants were asked to
rank as a problem or not in the County. 72.8% of participants said it is a problem. The pie chart below shows the details
on the participants’ responses.
31.5%
41.3%
8.1%
14.6%
4.5%
Lack of / Inadequate Health Insurance
Major
Problem
Somewhat of
a Problem
Not a Problem
Don't Know
No Answer
Anson County 2020 CHA | Health and Health Care
199
Public Survey participants were asked about Barriers to Health & Human Services for them and their families. The
Survey provided a list of 21 Barriers and participants were asked to note which barriers affect them. Following are the
responses on barriers related to Insurance and cost of Health Care.
My/Our share of the cost (deductible/co-pay) is too high
20.4%
Insurance doesn't cover what I/we need
14.3%
Cannot afford medication
12.2%
No Health Insurance
11.5%
No Dental Insurance
10.0%
Medicare does not cover Dental Care
6.1%
Doctor will not take my/our insurance
or Medicaid
5.0%
Dentist will not take Medicaid
4.4%
Doctor will not take
Medicare
1.5%
Anson County 2020 CHA | Health and Health Care
200
The following table provides the response percentages from Public Survey participants on Health Care Insurance.
(Participants were allowed to check more than one type)
Health Coverage Type
Percentage of Survey Participants
Self-Pay/Private Insurance
(Affordable Care Act, Medicare Supplement, etc.)
15.2%
Employer Provided Insurance
47.2%
Medicare
16.7%
Medicaid
10.9%
None
9.1%
Other
4.1%
No Answer
7.0%
During the interviews with Key Informants they shared insights on the ability of Ansonians to bear the cost of Health
Care. Following is the input.
Key Informant Input on Health Care Insurance and Cost
Percentage
of Key
Informants
Cost of Healthcare
> Can’t afford deductible/copays.
> Personal responsibility for costs such as colonoscopy prep supplies.
> Facility charge for non-emergency services at Atrium Anson.
> No
48.8%
Lack of insurance, underinsured
> Cost for employers and individuals too high.
32.6%
Lack of Dental Insurance
Less than 5 Key
Informants
Cost of medication
> Cannot afford, but do not qualify for HealthQuest.
11.6%
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201
Health Literacy
Public Survey participants were asked what Healthy Behaviors they thought people in the community need more
information on. Following are those response percentages.
Healthy Behavior
Percentage of
Participants
Eating well/nutrition
34.4%
Substance abuse prevention (drugs & alcohol)
27.4%
Exercising/fitness/physical activity
26.5%
Managing Diabetes
21.9%
Managing long-term/chronic medical conditions (high blood pressure, high cholesterol, obesity)
16.1%
Managing/losing weight
15.2%
Preventing STDs/STIs
15.0%
Quitting smoking/vaping/tobacco use
12.2%
Preventing Pregnancy
12.0%
Dangers of childhood obesity
11.9%
No Answer
11.1%
Importance of annual physical check-ups
10.9%
Child care/parenting
10.9%
Stress management
9.4%
Domestic Violence prevention
9.3%
Getting flu shots and other vaccines
8.1%
Developmental milestones for young children
8.0%
Preparing for an emergency/disaster
7.6%
Elder care
6.7%
Anger management
6.7%
Importance of Dental care
6.5%
Caring for family members with special needs/disabilities
6.1%
Getting prenatal care during pregnancy
5.7%
Using child safety seats
4.4%
Suicide prevention
3.5%
Driving safely
3.3%
Rape/sexual abuse prevention
2.8%
Using seat belts
2.4%
Other
1.7%
Public Survey participants were asked about Barriers to Health & Human Services. Some of the barriers in the list
provided in the survey applied to Health Literacy or to confidence (which can demonstrate understanding) in Healthcare
in Anson. Following are the responses.
Quality of healthcare in Anson County
34.6%
Didn’t know where to go
4.8%
Afraid of/concerned about the treatment or medication
4.8%
Medication makes me sick
1.7%
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One factor that was mentioned by many Key Informants during the interviews was the use of Hospital Emergency
Room/Department for non-emergency care. The following input from Key Informants provides some insight on this
issue and demonstrates some of the understanding and Health Literacy of Anson County citizens.
Question
Input
Percentage
of Key
Informants
What keeps people
in your community
from being healthy?
People use Emergency Department for primary care because:
> Always have
> Think they get better care
> Hours of primary care providers
> Can’t get off work
> Cannot afford to miss work
> No urgent care in county
25.6%
Do you have any
concerns about the
quality of health care
in the County?
ER (Emergency Room/Department) is used for non-emergency care
> Pain
> STD/STI testing
> Can’t get appointment with primary care
> Can’t go to primary care during hours of operation
> People know when to go and what to say to avoid getting referred to Carolinas
Primary Care, they actively avoid getting referred anywhere
> No insurance
> Homeless
> Are not interested in follow up, want immediate diagnosis and cure
> Realize will get care even if can’t pay
51.2%
Where do most
people in your
community get
health care services?
People do not seek care until it is a crisis
> Don’t have a doctor so usually end up in hospital Emergency Department (ED)
> Crisis is bad enough to cause them to have to go to ED (heart attack, diabetic
coma, stroke, etc.)
> Denial (Doctor says I have the sugars but I’m not gonna claim that)
27.9%
86.1% of Public Survey participants think
they know what it takes to be healthy.
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Public Survey participants were asked two questions about their Personal Health that are related to Health Literacy. The
following graphs provide the responses.
Participants could give more than one response.
Participants could only give one answer.
8.9%
24.6%
46.7%
3.9%
6.7%
24.8%
8.1%
10.2%
51.3%
8.5%
10.2%
2.2%
Where do you get most of your health-related information?
26.9%
48.7%
7.8%
1.7%
2.6%
1.7%
0.2%
2.4%
Doctor's Office
IN Anson County
Doctor's Office
NOT in Anson
County
Hospital ER IN
Anson County
Hospital /ER NOT
in Anson County
Urgent Care
Center out of
Anson County
Anson County
Health
Department
Mental Health
Services
ARMS
Where do you go most often when you are sick or need advice about your health?
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Key Informants provided input on the Health Literacy of Ansonians during the interviews. Following is their related
input.
What keeps people in your community from being healthy?
Percent of
Key
Informants
Do not understand what healthy is and how to be healthy
> Don’t take medication consistently (non-compliant).
> Stop taking medication when feel better.
> Share medication with others.
> Try to stretch medication, especially for diabetes, because of cost.
> Think if take medication can do what want.
> Many people say “not enough education on”.
> Get wrapped up in relying on faith and don’t see that must do something themselves and/or get help
from healthcare.
44.2%
Don’t utilize assistance or access services/resources that are offered
> Discounts, vouchers to Farmer’s Market (i.e. WIC, SNAP).
> Say not available, but is excuse.
> Exercise options such as walking trails and senior center programs.
> Services at Atrium Anson.
39.5%
Acceptance of inevitability of poor health and disease
> “In my family”.
> Why try, it will happen anyway.
> Generational problem of ignoring and not even considering going to the doctor.
> Not engaged in own health.
> Low life expectancy.
> Acceptable to be disabled.
> No focus on being healthy.
37.2%
People do not make changes even when taught and the need is explained
> Families do not implement 5 2 1 0 Program in homes.
> Programs flame out.
> Make changes, but revert to previous practices.
> Get discouraged easily.
> People are not willing to make a lifestyle change.
> Don’t accept personal responsibility for health and wellness.
32.6%
People don’t see need for health prevention, screening, early care.
23.3%
Don’t understand how to navigate the healthcare system, including accessing medications and Mental
Health Services/Resources.
18.6%
Lack of trust in institutions including healthcare
> Feel that closing the old hospital and opening something new and different was a conspiracy.
> People personalize things, i.e. feel that the person at the Hospital, Health Department, etc. did or said
something, not that what was done or said is a policy, law, etc.
> Feel that will be punished if register a complaint or ask a question.
18.6%
Lack of acceptance of seeking help for Mental and Behavioral Health issues, don’t see as a health issue.
Less than 5
Key
Informants
Parents are not aware of developmental milestones so do not know when to seek help. Childcare
workers are afraid to say anything to parents. Many children are not seen by pediatricians, so
professionals don’t have opportunity to determine if there are developmental delays.
Less than 5
Key
Informants
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A measure in the County Health Rankings and Roadmaps helps understand the Health Literacy of Anson County citizens.
The County Health Rankings provide a Rate of preventable hospital stays for ambulatory-care sensitive conditions per
100,000 Medicare enrollees. The 2020 County Health Rankings used data from 2017 for this measure. The following
graph provides a comparison between Anson County and its peer counties. The population for each county is provided
in order to put the number of preventable hospital stays in perspective.
County
Preventable Hospital Stays
Population
Anson County
5,927
25,306
Montgomery County
5,059
27,338
Richmond County
8,406
45,189
Scotland County
6,333
35,262
Stanly County
5,381
61,114
Neighborhoods and Built Environment
Access to Foods that Support Healthy Eating Patterns
The County Health Rankings and Roadmaps provides a percentage of the county population that has Limited Access to
Healthy Foods. This is defined as Percentage of population who are low-income and do not live close to a grocery store.
This graph shows the percentage for Anson County compared to its peer counties, the State and Top US Performers.
4%
1%
6%
8%
2%
7%
2%
Limited Access to Healthy Foods
Anson
Montgomery
Richmond
Scotland
Stanly
State
Top US Performers
Anson County 2020 CHA | Neighborhoods and Built Environment
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This chart provides a look at the trend over the last 6 years for Anson County.
68.9% of Public Survey participants said that Access to Healthy Food is a problem in the County. Following is a
breakdown on the responses.
3% 3% 3%
4%
4%
4%
2015 2016 2017 2018 2019 2020
Limited Access to Healthy Foods
23.0%
45.9%
22.4%
4.4%
4.3%
Lack of Access to Healthy Food
Major
Problem
Somewhat of
a Problem
Not a Problem
Don't Know
No Answer
62% of Survey Participants consider their diet to be mostly healthy
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Key Informants provided the following input on Access to Healthy Food in Anson County.
Comments on Lack of Access to Healthy Food
Percentage
of Key
Informants
Limited access to fresh food, healthy food
> Only 2 grocery stores, often run out of produce.
> Difficult for elderly to access food, especially healthy food.
> No sit-down restaurants.
> Stores used instead as substitute for grocery stores: Dollar General in Wadesboro, Lilesville, Polkton
Family Dollar in Wadesboro, Morven (also Marshville in Union, Rockingham in Richmond
Chesterfield, SC, Dollar Tree in Wadesboro.
> Eat what can get/afford.
76.7%
Diet, bad eating habits
> Parents do things with their children that set up life-time bad habits such as giving them soda in a
bottle.
> Parents tend to feed babies very early what they eat because cannot afford formula and/or it is easier.
Especially true if baby needs special type of formula.
> Fighting against a long-term culture.
> Nutrition is a foreign concept.
> Parents work so adolescents and teens buy food for self and purchase/eat what they like and what
they can get at convenience stores or Dollar General/Family Dollar.
> Eat for comfort.
58.1%
Cost of healthy food.
23.3%
Obstacles to fresh food preparation
> Don‘t recognize produce.
> Don’t know how to cook fresh produce.
> Don’t have means to prepare – lack of electricity and/or appliances (stove, refrigerator).
> Don’t have time.
> Cost.
23.3%
Heavy reliance/dependency on food pantries
> Patrons get what is available regardless of nutritional value.
> Often items are high in sugar and/or sodium.
> Recent closure of businesses has increased the number of clients.
18.6%
Transportation to healthy food sources.
Less than 5
Key
Informants
Fresh food access / Healthy food access, restaurants with healthy food options.
34.9%
Limited Access to Fresh Food, Healthy Food was ranked as the #1
obstacle to being healthy by Key Informants
Fresh food access / Healthy food access, restaurants with healthy food
options was ranked by Key Informants as the #3 missing health care and
wellness resource in Anson County.
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Crime & Violence
Several measures on Crime and Violence are offered by the County Health Rankings and Roadmaps. Following are those
measures and how they are defined by County Health Rankings:
Violent Crime - Number of reported violent crime offenses per 100,000 population.
Homicides - Number of deaths due to homicide per 100,000 population.
Suicides - Number of deaths due to suicide per 100,000 population.
Firearm Fatalities - Number of deaths due to firearms per 100,000 population.
Juvenile Arrests - Rate of delinquency cases per 1,000 juveniles.
The following graphs provide data on these measures for Anson County, its peers, the State of North Carolina and Top
US Performers in the 2020 County Health Rankings.
18
14
25
15
6
11
15
14
11
12
17
19
15
11
19
20
5
16
16
12
6
13
13
16
2
11
8
Not Available
Homicides
Suicides
Firearm Fatalities
Juvenile Arrests
Top US
Performers
State
Stanly
Scotland
Richmond
Montgomery
Anson
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Using the measure on Violent Crime from the County Health Rankings and Roadmaps, the following chart shows the
trend from 2015 to 2020 in Anson County.
428
237
494
694
266
351
63
Violent Crimes
Top US Performers
State
Stanly
Scotland
Richmond
Montgomery
Anson
477
477
514
514
428
428
2015 2016 2017 2018 2019 2020
Violent Crime in Anson County 2015 - 2020
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There were several Community Issues listed in the Public Survey that are related to Crime and Violence. Following are
the responses about those issues being a problem in Anson County.
Rank
Among all
Community
Issues
COMMUNITY ISSUES
Major
Problem
Somewhat
of a
Problem
Major +
Somewhat
Not a
Problem
Don’t
Know
No
Answer
5
Non-Violent Crime (theft,
robbery, etc.)
33.9%
53.1%
87.0%
4.1%
4.8%
1.1%
9
Domestic Violence
32.6%
47.8%
80.4%
3.0%
12.6%
4.0%
11
Child Abuse & Neglect
(physical, emotional &
sexual)
33.0%
45.9%
78.9%
3.9%
13.0%
4.2%
13
Violent Crime (murder,
assault, rape, etc.)
25.0%
52.0%
77.0%
8.7%
9.6%
4.7%
18
Gangs
28.1%
42.4%
70.5%
10.7%
14.6%
4.2%
24
Homelessness
19.3%
46.1%
65.4%
11.7%
18.3%
4.6%
30
Elder Abuse & Neglect
16.5%
40.9%
57.4%
12.0%
26.7%
3.9%
There were 32 Community Issues listed in the Public Survey.
Public Survey participants were asked what Health Behaviors they think people need more information on. In the
following chart are the responses on Behaviors related to Crime and Violence.
57.4%
9.3%
6.7%
3.5%
2.8%
Anson County Citizens Need More Information on
Substance abuse prevention
Domestic Violence Prevention
Anger Management
Suicide Prevention
Rape/Sexual Abuse Prevention
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Key Informants identified Crime and Violence related problems when asked about non-health problems and concerns in
the County during the interviews. Following are the inputs shared by the Key Informants.
What are the major non-health related concerns/problems in the County?
Percentage
of Key
Informants
Violence
> Shootings
> Unsolved Murders
> People won’t or are afraid to provide information
> Children are normalizing
55.8%
Gangs
> Shootings
> Retaliation
> Impact on children
32.6%
Domestic Violence
11.6%
Theft
>Occurs at food pantries
> Rumored to have been partial cause of Walmart closing
Less than 5
Key
Informants
Middle School
> Need funding for new , maintenance of current (built in 1968) is extremely costly
> Many parents feel their children are at risk because of drugs and violence, send them to private or
out of county
Less than 5
Key
Informants
Young people do things that are illegal to make ends meet and to have things and to look important.
Less than 5
Key
Informants
Human Trafficking
Less than 5
Key
Informants
Homelessness, lack of shelter
Less than 5
Key
Informants
Reckless Driving
Less than 5
Key
Informants
Drugs
Less than 5
Key
Informants
Elder abuse and neglect
Less than 5
Key
Informants
Gambling
Less than 5
Key
Informants
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Environmental Conditions
The County Health Rankings and Roadmaps provides several indicators about the Physical Environment of individual
counties, states and of Top US Performers. The measurements used for the indicators vary, so the information on
Anson, its peer counties, North Carolina and Top US Performers is presented in table form below.
The indicator measurements are defined by County Health Rankings as follows:
Drinking Water Violations - Indicator of the presence of health-related drinking water violations. 'Yes' indicates
the presence of a violation, 'No' indicates no violation.
Air Pollution - Average daily density of fine particulate matter in micrograms per cubic meter (PM2.5).
Driving alone to work - Percentage of the workforce that drives alone to work.
Long commute, driving alone - Among workers who commute in their car alone, the percentage that commute
more than 30 minutes.
Indicator
Anson
Montgomery
Richmond
Scotland
Stanly
NC
Top US
Performers
Drinking
Water
Violations
Yes
Yes
No
No
Yes
N/A
N/A
Air pollution
– particulate
matter
10.2
9.7
10.2
10.2
10.5
9.8
6.1
Driving
Alone to
Work
87%
88%
87%
88%
84%
84%
72%
Long
commute –
driving alone
44%
30%
28%
24%
39%
39%
16%
Even though Anson County’s Air pollution – particulate matter measure is comparable to most of its peer counties, it is
still higher than the State level and considerably higher than the Top US Performers.
On most of the Indicators, Anson scores very similar to its peer counties and the State of North Carolina. However,
Anson’s percentage of the Labor Force that has a long commute and drives alone is 5% higher than the State and
considerably higher than all of its peer counties (between 5% and 20%). The circumstance that citizens must leave the
County for major things is a factor in not only Environmental Conditions, but also in several others – receiving
healthcare, making a large amount of purchases and even exercise and fitness.
The next table provides a look at the trends of these Indicators from 2015 to 2020.
Indicator
2015
2016
2017
2018
2019
2020
Drinking Water Violations
No
No
No
No
Yes
Yes
Air pollution – particulate
matter
12.4
12.4
9.5
9.5
10.2
10.2
Driving Alone to Work
80%
82%
84%
84%
86%
84%
Long commute – driving
alone
29%
32%
36%
39%
43%
44%
In addition to being an Indicator on the Physical Environment, the long commute percentage is also indicative of the
need for people in the labor force to leave the County for employment.
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213
Many people in Anson County, as shown in Public Survey responses and Key Informant interviews, feel that the
environment in the County is much better than Union and Mecklenburg because of the differences in quantity of
industry, population and automobiles. However, the Air pollution – particulate matter measures do not bear out that
opinion. Here are the measures for Union and Mecklenburg Counties by the 2020 County Health Rankings and
Roadmaps:
Union County – 10.9
Mecklenburg – 11.3
Following is the input from Key Informants on non-health issues related to the environment.
What environmental concerns are there in the County?
Percentage
of Key
Informants
Poor Water quality
> Users receive notices regularly about irregularities in testing/compliance.
> Water is drinkable and not dangerous, but many feel that is not adequate.
> Some think quality is questionable.
> Some reported a bad taste.
>Many people use bottled water for drinking.
34.9%
Old, abandoned, dilapidated buildings – houses and commercial
27.9%
Litter, Trash Dumping
27.9%
Landfill
> Smell
> Concern about impact on environment.
> Worry about seepage.
14.0%
Less than 5 Key Informants mentioned the following
Odor from poultry plant and chicken houses.
Many older building still in use have problems and toxins:
> Mold
> Asbestos
> Lead paint
Poor air quality impacts asthma patients.
Widespread use of wells is opportunity for exposure to toxins.
Septic tank issues .
Long Term pollution of textile plants to soil and water, vacant plants could be leaking toxins.
Chicken farming soil pollution.
Environmental Issues (Air, Water,
and Soil Pollution) was ranked as
the lowest of the 32
Community Issues.
50% of survey participants said it is
a problem.
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214
Quality of Housing
Although Quality of Housing is commonly included in the Neighborhood and Built Environment determinant area, this
report included it in the Housing Instability area of Economic Stability. This was done because in Anson County the
quality of housing and the severity of housing problems are much intertwined. Please refer to the Housing Instability
section in earlier pages of this report for the data on Quality of Housing.
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215
Anson County Community Health Assessment 2020 Public Survey Responses
We received 540 Public Survey responses. Following are the statistics from those responses. Further
breakdown by demographics will be done on many of the responses in order to more fully understand the state
of health and healthcare in the county.
Quality of Life
QUALITY OF LIFE STATEMENTS
Strongly
Disagree
Disagree
Agree
Strongly
Agree
Don’t
Know
No
Answer
There are enough jobs & opportunities to
move up in Anson County
40.4%
41.1%
13.1%
1.9%
3.1%
0.4%
Anson County is a good place to raise
children.
12.2%
25.6%
47.0%
10.9%
3.9%
0.4%
Anson County is a good place to grow
older.
9.6%
20.9%
49.6%
15.7%
3.4%
0.8%
People in Anson County can get good
health care.
16.7%
36.7%
34.8%
7.4%
3.5%
0.9%
Anson County is a safe place to live.
9.8%
26.3%
53.5%
7.8%
1.7%
0.9%
Health Problems
In order of frequency of participants that said it is a Major Problem or Somewhat of a Problem.
HEALTH PROBLEMS
Major
Problem
Somewhat
of a Problem
Major +
Somewhat
Not a
Problem
Don’t
Know
No
Answer
Illegal Drug Use
69.3%
24.4%
93.7%
.5%
4.6%
1.2%
Obesity/Overweight
64.8%
28.3%
93.1%
2.0%
4.1%
0.8%
Inactivity/Lack of Physical Activity
50.7%
40.7%
91.4%
2.6%
4.4%
1.6%
Alcoholism/Alcohol Abuse
45.7%
45.2%
90.9%
1.7%
6.5%
.09%
Hypertension (High Blood Pressure)
58.5%
29.4%
87.9%
1.1%
10.4%
0.6%
Diabetes
54.4%
32.2%
86.6%
1.7%
10.0%
1.7%
Mental or Behavioral Health Issues/Disorders
39.8%
45.7%
85.5%
3.9%
9.6%
1.0%
Heart Disease / Heart Attack
48.7%
36.3%
85.0%
1.3%
13.0%
0.7%
Abuse of Prescription Drugs (Pain, ADHD, Anxiety, etc.)
35.7%
47.2%
82.9%
2.6%
13.7%
0.8%
Tobacco Use/Smoking
44.8%
34.6%
79.4%
12.4%
7.0%
1.2%
Teenage Pregnancy
35.0%
42.4%
77.4%
11.1%
10.0%
1.5%
Cancer
27.2%
50.1%
77.3%
3.3%
18.5%
.09%
Dental Health
30.0%
47.2%
77.2%
9.6%
11.7%
1.5%
Cerebrovascular Disease (Stroke)
27.2%
47.8%
75.0%
3.5%
20.4%
1.1%
Vaping/E-Cigarettes
36.7%
35.8%
72.5%
12.0%
14.1%
1.4%
Typical Infectious Diseases (flu, cold, etc.)
13.0%
59.3%
72.3%
15.4%
10.9%
1.4%
Critical Infectious Diseases (Coronavirus, Swine Flu,
Ebola)
26.5%
45.2%
71.7%
14.8%
12.4%
1.1%
Lung Diseases (COPD, Emphysema, Asthma, etc.)
22.4%
48.5%
70.9%
8.7%
19.3%
1.1%
STDs, STIs, HIV AIDS
33.0%
34.8%
67.8%
4.3%
26.1%
1.6%
Kidney Disease (Dialysis, Renal Failure, etc.)
24.8%
41.9%
66.7%
12.4%
19.8%
1.1%
Alzheimer’s/Dementia
11.5%
51.7%
63.2%
11.9%
23.5%
1.4%
Motor Vehicle Injuries
4.8%
43.1%
47.9%
30.9%
19.4%
1.8%
Suicide
6.1%
34.8%
40.9%
24.6%
33.0%
1.5%
Birth Defects
4.1%
31.9%
36.0%
21.5%
41.1%
1.4%
Non-vehicle Injuries (drowning, choking, etc.)
2.4%
32.8%
35.2%
32.4%
30.6%
1.8%
Anson County 2020 CHA | Anson County Community Health Assessment 2020 Public Survey Responses
216
COMMUNITY ISSUES
In order of frequency of participants that said it is a Major Problem or Somewhat of a Problem.
14 of the 32 issues (almost half) were seen as a problem by more than 75% of the participants. None of the 32
issues was seen as a problem by less than 50% of participants.
COMMUNITY ISSUES
Major
Problem
Somewhat
of a
Problem
Major +
Somewhat
Not a
Problem
Don’t
Know
No
Answer
Poverty
71.5%
21.3%
92.8%
.7%
1.5%
5.0%
Children in Poverty
71.7%
20.7%
92.4%
1.3%
1.9%
4.4%
Low Pay of Available Jobs
61.0%
28.9%
89.9%
2.2%
3.5%
4.4%
Unemployment
48.0%
40.1%
88.1%
3.1%
4.3%
4.5%
Non-Violent Crime (theft, robbery, etc.)
33.9%
53.1%
87.0%
4.1%
4.8%
1.1%
Access to Specialized Healthcare
(Cardiology, Urology, Neurology,
Orthopedic, etc.).
53.7%
32.0%
85.7%
4.8%
5.2%
4.3%
Single-Parent Households
64.6%
20.9%
85.5%
7.8%
2.6%
4.1%
Lack of Recreational Facilities/Programming
43.9%
38.1%
82.0%
9.1%
4.6%
4.3%
Domestic Violence
32.6%
47.8%
80.4%
3.0%
12.6%
4.0%
Racism
31.1%
48.1%
79.2%
9.6%
6.7%
4.5%
Child Abuse & Neglect (physical, emotional
& sexual)
33.0%
45.9%
78.9%
3.9%
13.0%
4.2%
Child Care – Access, Quality
32.4%
45.0%
77.4%
11.7%
6.7%
4.2%
Violent Crime (murder, assault, rape, etc.)
25.0%
52.0%
77.0%
8.7%
9.6%
4.7%
Substandard/Unaffordable Housing
31.7%
44.6%
76.3%
8.1%
11.1%
4.5%
Access to Mental Health Services
29.4%
43.9%
73.3%
10.4%
12.0%
2.3%
Lack of/Inadequate Health Insurance
31.5%
41.3%
72.8%
8.1%
14.6%
4.5%
Lack of Public Transportation
36.1%
35.0%
71.1%
17.6%
7.0%
4.3%
Gangs
28.1%
42.4%
70.5%
10.7%
14.6%
4.2%
Quality of Healthcare in the County
28.9%
40.4%
69.3%
21.7%
5.2%
3.8%
Access to Healthy Food
23.0%
45.9%
68.9%
22.4%
4.4%
4.3%
Access to Dental Care - Adult
23.5%
45.0%
68.5%
17.0%
10.4%
4.1%
Access to Dental Care - Children
19.8%
47.6%
67.4%
17.8%
10.7%
4.1%
Higher Education – Access and Affordability
23.7%
43.4%
67.1%
22.6%
6.9%
3.4%
Homelessness
19.3%
46.1%
65.4%
11.7%
18.3%
4.6%
Access to Basic Healthcare
21.7%
42.8%
64.5%
24.8%
6.3%
4.4%
Quality of Education Grades 7 – 12
23.7%
40.7%
64.4%
24.4%
6.9%
4.3%
Hopelessness, Complacency
25.2%
37.2%
62.4%
13.3%
19.6%
4.7%
Access to Prenatal Care
26.5%
34.4%
60.9%
18.1%
16.7%
4.3%
Availability of Elder Care (Skilled Nursing,
Memory Care, In-Home) – Access or
Quality
16.7%
41.1%
57.8%
19.8%
18.1%
4.3%
Elder Abuse & Neglect
16.5%
40.9%
57.4%
12.0%
26.7%
3.9%
Quality of Education Grades K – 6
19.6%
37.4%
57.0%
31.1%
7.0%
4.9%
Environmental Issues (Air, Water, Soil
Pollution)
14.3%
35.7%
50.0%
34.3%
11.7%
4.0%
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PERSONAL HEALTH
Where people get most of their health-related information? Participants were asked to pick the two they use
most..
8.9%
Books/Magazines
6.7%
Church
51.3%
Doctor/Nurse
24.6%
Friends & Family
24.8%
Social Media (Facebook,
Twitter, Instagram, etc.)
8.5%
Hospital
46.7%
Internet
8.1%
Pharmacist
10.2%
Radio/TV
3.9%
School
10.2%
Health Department
2.2%
Mailings
Where people go most often when sick or need advice about health?
26.9%
Doctor’s Office IN
Anson County
(Including
Carolinas Primary
Care)
48.7%
Doctor’s Office NOT
in Anson County
2.6%
Urgent Care
Center out of
Anson County
0.2%
Mental Health
Services
7.8%
Hospital/ER IN
Anson County
1.7%
Hospital/ER NOT in
Anson County
1.7%
Anson County
Health
Department
2.4%
ARMS
Health conditions of Survey Participants in order of frequency
HEALTH CONDITION
Yes
No
Don’t Know +
No Answer
Are you currently on
Medication for this?
Vision Problems
46.7%
45.6%
7.7%
10.7%
High Blood Pressure/Hypertension
44.1%
48.9%
7.0%
37.6%
Obesity/Overweight
42.4%
50.2%
7.4%
11.1%
High Cholesterol
35.7%
56.9%
7.4%
25.2%
Orthopedic issues (Arthritis, joint
replacement, Osteoporosis, etc.)
28.5%
63.7%
7.8%
11.5%
Depression or anxiety disorder
20.4%
70.7%
8.9%
13.7%
Dental problems
18.1%
73.1%
8.8%
3.9%
Diabetes (not during pregnancy)
13.7%
78.1%
8.2%
11.7%
Asthma
12.0%
80.2%
7.8%
7.8%
Heart Disease/ Angina
7.0%
84.1%
8.9%
5.4%
Cancer
6.7%
85.4%
7.9%
1.9%
COPD/Respiratory Illness
6.5%
85.4%
8.1%
3.9%
STD/STI/HIV
5.7%
86.3%
8.0%
2.4%
Kidney Disease (Dialysis, Renal Failure,
etc.)
3.3%
88.3%
17.0%
0.7%
Stroke
2.4%
90.2%
7.4%
1.1%
Sickle Cell Anemia
0.6%
91.3%
8.1%
0%
Opioid addiction
0.4%
91.7%
7.9%
0.2%
Alzheimer’s Disease
0
92.0%
8.0%
0.2%
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Preventive Healthcare in the last year received by participants.
Screening or Vaccine
Percentage of
Participants
General Physical Exam (Annual, Sports, Employment)
68.1%
Flu Vaccine
43.7%
Shingles Vaccine
9.6%
Blood Pressure
69.8%
Blood Sugar
58.3%
Cholesterol
59.6%
Colonoscopy
13.7%
Dental
57.8%
Hearing
18.0%
Vision
56.3%
Next 3 for Women Only
% Of Women
Mammogram
61.5%
Pap Smear
51.9%
Self-Breast Exam
84.5%
Next 2 for Men Only
% Of Men
PSA (prostate cancer screening)
33.3%
Digital Rectal Exam
13.0%
13.4% of Survey respondents did not provide a gender
Activities that impact the Health of participants in the last year.
Activity
Daily
Weekly
Monthly
Occasionally
Never
No
Answer
Participate in physical activity to benefit
your health
34.6%
28.0%
3.7%
23.5%
2.8%
7.4%
Have physical pain or health problems that
make it hard for you to do your usual
activities
12.4%
5.9%
2.2%
35.0%
37.0%
7.5%
Feeling sad or worried keeps you from
going about your normal business
4.3%
4.8%
3.1%
24.4%
55.2%
8.2%
Drink one or more alcoholic beverages
5.9%
16.1%
5.2%
21.9%
42.6%
8.3%
Smoke or use tobacco products
8.1%
4.3%
0.7%
6.1%
72.6%
8.2%
Use vaping or e-cigarette products
1.9%
2.8%
2.2%
3.7%
81.3%
8.1%
Exposed to secondhand smoke
5.4%
5.2%
3.3%
20.0%
58.0%
8.1%
Use illegal drugs
0.6%
0.4%
0
5.9%
84.4%
8.7%
Misuse prescription drugs
0.9%
0.4%
0.6%
2.0%
86.7%
9.4%
Eat fruits and vegetables on a daily basis
48.5%
27.2%
5.7%
9.4%
1.3%
7.9%
Drink sugary drinks (Soda, Energy, Latte,
etc.)
14.4%
16.1%
13.3%
31.9%
16.1%
8.2%
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Personal Health Assessment
Do you
Yes
Consider your diet to be mostly healthy?
62.0%
Consider yourself to be generally healthy?
72.0%
Think you know what it takes to be healthy?
86.1%
Think you do what it takes to be healthy?
57.8%
Health Coverage
(Participants were allowed to check more than one type)
Health Coverage Type
Percentage of Survey Participants
Self-Pay/Private Insurance
(Affordable Care Act, Medicare Supplement, etc.)
15.2%
Employer Provided Insurance
47.2%
Medicare
16.7%
Medicaid
10.9%
None
9.1%
Other
4.1%
No Answer
7.0%
EMERGENCY PREPAREDNESS
Method of Communication during a large scale disaster or emergency:
Regular Home Telephones
Email
Cell Phones/Texting
Social Media
Other
No Answer
5.9%
1.1%
81.7%
2.4%
.4%
8.5%
Method of getting information from authorities in a large-scale disaster or emergency
In order of frequency
Method
Percentage of Survey Participants
Text Alerts
47.0%
Television
39.6%
Social Media (Facebook, Twitter, etc.)
38.5%
Internet (for example: Government, hospital,
emergency, neighborhood websites)
30.4%
Neighbors
10.7%
No Answer
8.5%
Radio
5.7%
Newspaper, print media
3.9%
Others
0.6%
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Main reasons people would NOT evacuate if asked to do so
In order of frequency
Reason
Percentage of Survey Participants
Concern about Family Safety
39.4%
Concern about Leaving Property Behind
34.6%
Concern about Personal Safety
28.8%
Concern about Leaving Pets
28.0%
No Answer
18.1%
Concern about Traffic Jams & Inability to Get Out
14.4%
Lack of Trust in Public Officials
11.7%
Lack of Transportation
7.2%
Health problems (could not be moved)
5.7%
Other
4.6%
.
BARRIERS TO HEALTH & HUMAN SERVICES
In order of frequency. Participants were asked to check all that applied to them and their families.
Barrier to Health and Human Services
Percentage of
Participants
Specialist Care needed not available in Anson County
45.2%
Quality of healthcare in Anson County
34.6%
My/our share of the cost (deductible/co-pay) is too high
20.4%
No Answer
18.0%
Insurance doesn’t cover what I/we need
14.3%
Cannot afford medication
12.2%
No Health Insurance
11.5%
Had to wait too long for an appointment
10.4%
No Dental Insurance
10.0%
Lack of access to Mental Health services and resources
7.2%
Other
7.2%
Medicare does not cover Dental care
6.1%
Doctor will not take my/our insurance or Medicaid
5.0%
Lack of Mental/Behavioral Health or Developmental services and resources
for my child
5.0%
Didn’t know where to go
4.8%
Afraid of/concerned about the treatment or medication
4.8%
Dentist will not take Medicaid
4.4%
Cannot/could not get an appointment
4.4%
Medication makes me sick
1.7%
Doctor will not take Medicare
1.5%
No way to get to doctor, dentist, etc.
1.5%
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Healthy Behaviors participants think people in the community need more information on
In order of frequency
Healthy Behavior
Percentage of
Participants
Eating well/nutrition
34.4%
Substance abuse prevention (drugs & alcohol)
27.4%
Exercising/fitness/physical activity
26.5%
Managing Diabetes
21.9%
Managing long-term/chronic medical conditions (high blood pressure, high
cholesterol, obesity)
16.1%
Managing/losing weight
15.2%
Preventing STDs/STIs
15.0%
Quitting smoking/vaping/tobacco use
12.2%
Preventing Pregnancy
12.0%
Dangers of childhood obesity
11.9%
No Answer
11.1%
Importance of annual physical check-ups
10.9%
Child care/parenting
10.9%
Stress management
9.4%
Domestic Violence prevention
9.3%
Getting flu shots and other vaccines
8.1%
Developmental milestones for young children
8.0%
Preparing for an emergency/disaster
7.6%
Elder care
6.7%
Anger management
6.7%
Importance of Dental care
6.5%
Caring for family members with special needs/disabilities
6.1%
Getting prenatal care during pregnancy
5.7%
Using child safety seats
4.4%
Suicide prevention
3.5%
Driving safely
3.3%
Rape/sexual abuse prevention
2.8%
Using seat belts
2.4%
Other
1.7%
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DEMOGRAPHICS
Place of residence
Location
Percentage of those who
responded
Percentage of Population
Ansonville
9.3%
2.9%
Burnsville
5.4%
7.9%
Gulledge
5.7%
9.1%
Lilesville
9.3%
1.8%
McFarlan
0.9%
0.4%
Morven
6.7%
2.2%
Peachland
5.6%
2.0%
Polkton
6.9%
6.4%
Wadesboro
30.9%
21.1%
Outside Anson County
5.9%
-
Other
1.7%
-
No Answer
11.9%
-
People in Anson County identify as a resident of a specific town. This accounts for the higher
percentage of Survey participants in each town than the percentage of population in that town.
Gender
Gender
Percentage of those who
responded
Percentage of Population
Female
53.9%
47.5%
Male
32.8%
52.5%
Prefer Not Answer
0%
-
Prefer to Self-Describe
1.9%
-
No Answer
11.5%
-
Primary racial and ethnic identity
Race/Ethnicity
Percentage of those who
responded
Percentage of Population
African American
39.3%
49.5%
Caucasian
44.4%
48.5%
More Than One Race
0.9%
0%
Prefer Not to Answer
3.7%
NA
Other Race
0.4%
2.5%
No Answer
11.3%
-
Hispanic/Latino participants was .4% -- Census shows 3.3% of population is Hispanic/Latino
Anson County 2020 CHA | Anson County Community Health Assessment 2020 Public Survey Responses
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Age Group
Age Range
Percentage of those who
responded
Percentage of Population
14 to 19
6.1%
5.5%
20 to 34
16.9%
21.2%
35 to 54
27.8%
26.4%
55 to 64
21.3%
13.6%
65 to 74
10.9%
10.6%
75 to 84
4.6%
4.6%
85 or older
0.6%
1.9%
No Answer
11.8%
-
Education
Education Level
Percentage of
Participants
Currently in High School
6.3%
Currently Home Schooled
0.4%
Currently in College (including Community College)
3.0%
Never attended school
0
8
th
Grade or less
0.2%
Grade 9, 10 or 11
2.2%
High School or Equivalent (GED)
15.9%
Attended college but did not earn a degree
9.3%
Diploma or Degree from Community or Technical
College
13.9%
Undergraduate Degree
19.8%
Master’s Degree
15.7%
Doctoral Degree
1.3%
No Answer
12.0%
Relationship Status
Relationship Status
Percentage of
Participants
Single/Never Married
22.0%
Married/Domestic Partner
46.1%
Widowed
5.9%
Divorced
6.5%
Separated
2.6%
Prefer not to answer
5.0%
No Answer
11.9%
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Number of people in household
Number in Household
Percentage of those who
responded
1
13.9%
2
29.8%
3
18.7%
4
17.0%
5 or more
8.1%
No Answer
12.5%
Income
Income Range
Percentage of those who
responded
Percentage of Population
Less than $10,000
4.8%
9.6%
$10,000 - $14,999
7.8%
8.7%
$15,000 - $24,999
11.1%
15.4%
$25,000 - $34,999
9.4%
12.0%
$35,000 - $49,999
12.0%
16.4%
$50,000 - $74,999
14.8%
15.2%
$75,000 - $99,999
11.3%
10.1%
$100,000 or more
12.8%
12.6%
No Answer
16.0%
-
Employment
Employment Status
Percentage of
Participants
Employed Full-time
45.2%
Employed Part-Time
8.0%
Retired
16.5%
Disabled
3.3%
Student
7.7%
Homemaker
1.7%
Self-Employed
3.3%
Unemployed
7.2%
Social Security
13.0%
Armed Forces Full-time
0
Armed Forces Reserves
0
Other
0.5%
No Answer
12.4%
Participants could provide more than one response.
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Currently Receiving/using government/social assistance or subsidies
Assistance or Subsidy
Percentage of
Participants
Medicaid
11.3%
WIC (Women, Infants and Children Nutrition Assistance)
4.1%
SNAP (Food Stamps)
11.5%
TANF (Temporary Assistance for Needy Family)
0
AFDC (Aid to Families with Dependent Children)
0.6%
Housing Assistance or Live in Housing Authority Property
0.9%
Childcare Assistance
0.6%
Get food or medications from a Food Bank at least once a month
7.4%
HealthQuest for medication assistance
5.2%
Other
7.6%
Anson County 2020 CHA | Key Informant Interviews Summary
226
Key Informant Interviews Summary
Interviews were conducted with 44 Key Informants identified by the CHA Steering Committee. An increased number of
Key Informant interviews was conducted in lieu of holding any Focus Groups. This was done because of the risk of
holding large and prolonged public meetings during the Covid-19 Pandemic. Virtual/video conferencing means of
holding Focus Groups do not lend themselves well to getting input from all participants; whereas an individual interview
insures that each person has an opportunity to provide their input. Individual interviews also facilitate measuring the
level/degree of factors by the frequency of Key Informants that mention it.
What are the health problems/concerns in the County?
%
Diabetes
83.7%
Obesity
65.1%
Hypertension
55.8%
Heart Disease / Cardiovascular Disease
51.2%
Mental Health
46.5%
Substance Abuse
34.9%
Teen and Adolescent Pregnancy
32.6%
Kidney Disease, Dialysis
32.6%
Stroke /Cerebrovascular Disease
23.3%
Cancer
23.3%
STDs / STIs
18.6%
Alcohol Abuse
18.6%
Obesity – childhood
16.3%
Breast Cancer
16.3%
Smoking
14.0%
The Following Were Mentioned By Less Than 5 Key Informants
COPD / Emphysema
Dental
Morbidities increasing in people in 30s and 40s
Lung Cancer
Co-morbidities put people in danger for long-term and at high risk during pandemic
Diabetes in children, teens, early adulthood
Vaping
Sickle Cell Anemia
Sexually Active at young age
Age Related Conditions/Illnesses
Prenatal care
Malnutrition / Poor nutrition
Arthritis
Disability
(People who are disabled because of health conditions, sometimes related to past employment, are not employable
and therefore are at risk for having additional health problems due to lack of income and insurance)
Sleep Disorders
High Cholesterol
Anson County 2020 CHA | Key Informant Interviews Summary
227
What keeps people in your community from being healthy?
%
Limited access to fresh food, healthy food
> Only 2 grocery stores, often run out of produce
> Difficult for elderly to access food, especially healthy food
> No sit down restaurants
> Stores used instead as substitute for grocery stores: Dollar General in Wadesboro, Lilesville, Polkton
Family Dollar in Wadesboro, Morven (also Marshville in Union, Rockingham in Richmond
Chesterfield, SC, Dollar Tree in Wadesboro
> Eat what can get/afford
76.7%
Specialists being out of county complicates accessing healthcare:
> Make it difficult for families
> Logistics of using ACTS makes it difficult to use – all day, long day to visit doctor
> Really hard on someone on chemo
60.5%
Diet, bad eating habits
> Parents do things with their children that set up life-time bad habits such as giving them soda in a
bottle
> Parents tend to feed babies very early what they eat because cannot afford formula and/or it is easier.
Especially true if baby needs special type of formula.
> Fighting against a long-term culture
> Nutrition is a foreign concept
> Parents work so adolescents and teens buy food for self and purchase/eat what they like and what
they can get at convenience stores or Dollar General/Family Dollar
> Eat for comfort
58.1%
Lack of Transportation to Healthcare
> Especially for elderly, they must pay someone to take them
> ACTS does have a cost, must be almost Medicaid eligible to be able to use
> Especially difficult for out of county care/treatment (all specialists are out of county)
> Use ambulance as transport to healthcare
> May have vehicle but cannot afford to keep it in working order or to have auto insurance
55.8%
Fast food
> consume lots
> easy, convenient
> cheap
48.8%
Cost of Healthcare
> Can’t afford deductible/copays
> Personal responsibility for costs such as colonoscopy prep supplies
> Facility charge for non-emergency services at Atrium Anson
> No
48.8%
Do not understand what healthy is and how to be healthy
> Don’t take medication consistently (non-compliant)
> Stop taking medication when feel better
> Share medication with others
> Try to stretch medication, especially for diabetes, because of cost
> Think if take medication can do what want
> Many people say “not enough education on”
> Get wrapped up in relying on faith and don’t see that must do something themselves and/or get help
from healthcare
44.2%
Lack of exercise
> Not enough places
> What to do with children while exercise
39.5%
Anson County 2020 CHA | Key Informant Interviews Summary
228
What keeps people in your community from being healthy?
%
> Lack of access to facilities/means
> Cost
> Choose not to, sedentary life style
Don’t utilize assistance or access services/resources that are offered
> Discounts, vouchers to Farmer’s Market (i.e. WIC, SNAP)
> Say not available, but is excuse
> Exercise options such as walking trails and senior center programs
> Services at Atrium Anson
39.5%
Not enough Primary Care Providers, very few options
(if Provider and patient don’t relate well, patient must go out of county to find another Provider)
39.5%
Acceptance of inevitability of poor health and disease
> “In my family”
> Why try, it will happen anyway
> Generational problem of ignoring and not even considering going to the doctor
> Not engaged in own health
> Low life expectancy
> Acceptable to be disabled
> No focus on being healthy
37.2%
Poverty, low income, many people have low income, but don’t qualify for Medicaid
37.2%
People do not make changes even when taught and the need is explained
> Families do not implement 5-2-1-0 Program in homes
> Programs flame out
> Make changes, but revert to previous practices
> Get discouraged easily
> People are not willing to make a lifestyle change
> Don’t accept personal responsibility for health and wellness
32.6%
Lack of insurance, underinsured
> Cost for employers and individuals too high
32.6%
People do not seek care until it is a crisis
> Don’t have a doctor so usually end up in hospital Emergency Department (ED)
> Crisis is bad enough to cause them to have to go to ED (heart attack, diabetic coma, stroke, etc.)
> Denial (Doctor says I have the sugars but I’m not gonna claim that)
27.9%
The instability of life in Anson County doesn’t allow for healthy living
25.6%
Cost of healthy food
23.3%
People don’t see need for health prevention, screening, early care
23.3%
Inadequate number of pharmacies
> Lost Walmart
> Anson Pharmacy closed
> Only 2 pharmacies, likely cannot handle demand
23.3%
Don’t get dental care
> Not enough dentists
> Can’t afford
> Don’t understand importance and relativity to good health
> Dentists don’t take Medicare
> Dentists don’t take Medicaid
> No sliding fee scale
23.3%
Obstacles to fresh food preparation
> Don ‘t recognize produce
> Don’t know how to cook (often at all)
> Don’t have means to prepare – lack of electricity and/or appliances (stove, refrigerator)
23.3%
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229
What keeps people in your community from being healthy?
%
> Don’t have time
> Cost
Don’t understand how to navigate the healthcare system, including accessing medications and Mental
Health Services/Resources
18.6%
Lack of trust in institutions including healthcare
> Feel that closing the old hospital and opening something new and different was a conspiracy
> People personalize things, i.e. feel that the person at the Hospital, Health Department, etc. did or said
something, not that what was done or said is a policy, law, etc.
> Feel that will be punished if register a complaint or ask a question
18.6%
Heavy reliance/dependency on food pantries
> Patrons get what is available regardless of nutritional value
> Often items are high in sugar and/or sodium
> Recent closure of businesses has increased the number of clients
18.6%
Illiteracy, cannot read instruction or prescription labels
18.6%
Parenting/Families
> Poor parenting contributes to thwarted development in children
> Parents only provide for minimal needs
> Parents don’t realize that all actions and decisions they make impact a child no matter the age of the
child
> Just don’t parent, don’t care
> Hopelessness breads hopelessness
> Unwanted children
> Grandparents raising children are not able to afford and/or access healthcare and fitness
> Broken families
16.3%
Inequity of healthcare:
> People with no insurance and no/low income are pushed to back burner
> Medicaid patients get less attention and lower quality of healthcare, doctor spends less time with them
14.0%
Cost of medication
> Cannot afford, but do not qualify for HealthQuest
11.6%
Most of the Providers at Carolinas primary Care are mid-levels. Their experience level is inadequate to
deal with the complex, advanced health issues of many Ansonians. The perception is that this results in
more referrals, missed diagnosis and improper attention to patients. People with multiple health issues
take more time and this does not fit the production models of Atrium or any health system.
11..6%
The Following Were Mentioned By Less Than 5 Key Informants
Transportation to healthy food sources
Lack of physical activity opportunities for kids
Transportation to medication
> especially elderly
Lack of acceptance of seeking help for Mental and Behavioral Health issues, don’t see as a health issue
Parents are not aware of developmental milestones so do not know when to seek help. Childcare
workers are afraid to say anything to parents. Many children are not seen by pediatricians so
professionals don’t have opportunity to determine if there are developmental delays.
Lack of Dental Insurance
Increased tolerance by Law Enforcement of Marijuana use
Lack of prenatal care , primarily because not available in county
Difficult to get churches involved, supportive, active
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Do you have any concerns about the quality of health care in the County?
%
ARMS (Anson Regional Medical Services) is not easily accessed and does not participate in the
community. Negative reviews of care. Hard to keep providers.
44.2%
People believe they can’t get quality care in the County because anything with any complexity is
referred to a doctor outside the county, so many feel it is useless to go to one in the county.
> Don’t know the value of what is offered and its place in the whole healthcare picture.
> See hospital as “patch” and then own to real care somewhere out of county
> Doesn’t look like “real” hospital, compare to Urgent Care
> bigger is better
> Do not understand that provision of a service is based on volume of demand
34.9%
People use Emergency Department for primary care because:
> Always have
> Think they get better care
> Hours of primary care providers
> Can’t get off work
> Cannot afford to miss work
> No urgent care in county
25.6%
Primary Healthcare Providers do not stay in Anson County for very long so it is difficult to build a
relationship with and trust in them. The relationship and trust are necessary to get good care.
> Providers make less in Anson County than other places
> Difficult to attract
18.6%
People are not aware of the Health and Wellness services and resources that are available in the
county. Some examples that are available, but appear to not be well known:
> Orthopedics
> Nutritionist
> Telehealth access to Specialists
> OB/GYN at Atrium Anson a few days a week
> General surgery can be done at Atrium Anson
14.0%
Old reputation of former hospital still influences opinion of current facility
11.6%
The Following Were Mentioned By Less Than 5 Key Informants
Waiting time at Atrium Anson is unreasonable, wait time at old hospital was not as long
Most people who have negative opinions about the Atrium Anson have not sought or gotten care at
the facility
Atrium Anson looks like a hospital, Carolinas Primary Care facilities do not feel like a doctor’s office,
not welcoming, feels like an ER
Customer Service surveys drive the behavior of Healthcare Systems and Providers
Those who contribute the least consume the most – don’t pay taxes, but use ER and EMS
Anson County 2020 CHA | Key Informant Interviews Summary
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Where do most people in your community get health care services?
%
ER (Emergency Room/Department) is used for non-emergency care
> Pain
> STD/STI testing
> Can’t get appointment with primary care
> Can’t go to primary care during hours of operation
> People know when to go and what to say to avoid getting referred to Carolinas Primary Care, they
actively avoid getting referred anywhere
> No insurance
> Homeless
> Are not interested in follow up, want immediate diagnosis and cure
> Realize will get care even if can’t pay
51.2%
People without means (transportation, funds, resources, etc.) to go outside the County get primary care
in the county including pediatric care. Many are forced to get care in the County even if that is not their
preference. This includes those that are:
> Elderly
> On Medicaid
> Uninsured
25.6%
Most/more than half of Ansonians go out of county for primary care
20.9%
Because people have established primary and specialty care out of county due to the lack of availability
in the county, they would be reluctant to change to in county care if available without an incentive. It
will take time to transition if/when the care or treatment becomes available.
18.6%
Most get basic care in county
16.3%
People get primary care nearest to where they live even if it is out of county or in South Carolina
14.0%
People with means go out of the County for primary care including pediatric care for their children
14.0%
The classification of the Atrium Anson facility results in additional cost and forces many people to go out
of county or forego care if they can’t afford the additional cost or don’t have means to go out of county.
Some of the critical types of care mentioned that is impacted by this additional charge:
> Colonoscopy
> Additional facility charge for primary care
> Additional facility charge for tests (labs, CT Scan, x-rays, etc.)
11.6%
The Following Were Mentioned By Less Than 5 Key Informants
Lots/many or half of Ansonians get care in the county
Many get dental care out of county because there are very few dentists in the county, many choose by
proximity to home or work.
Atrium Mobile Unit for blood pressure and blood sugar testing
Slow increase of people getting care in the county and acceptance of the “new” hospital
Veterans have to go out of county to get basic and other care
Some people establish primary care out of county because they have to get specialist care out of county
Anson County 2020 CHA | Key Informant Interviews Summary
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What health care and wellness resources/services are missing from the County?
%
Not enough primary care providers
> Takes a long time to get an appointment
> Some not taking new patients
60.5%
Places / facilities to exercise
> People go out of County to facilities and spend their money there
> Place for special needs kids to be active
> Need affordable or free
55.8%
Cardiology care, including cardiac rehab
37.2%
Fresh food access / Healthy food access, restaurants with healthy food options
34.9%
OB/GYN care
34.9%
YMCA or equivalent, place where parents and kids can both be active
30.2%
Mental Health Services and Resources
23.3%
Diabetes Specialists / Endocrinologist
20.9%
Programs and services at Health Department that have been cut due to reduced funding, such as:
> Hypertension Clinic
> Diabetes Clinic
> Resources to make people more aware of what the Health Department does/offers
> Keeping the Department better prepared to deal with epidemics/ crisis
20.9%
Nephrology
20.9%
Physical activity for kids (structured activity, recreation opportunities, existing options are too limited)
18.6%
Lack of innovative health education that will stimulate people to change. Need more emphasis on
benefits and understanding of the importance of prevention and compliance.
18.6%
Not enough dentists. Only one dentist sees children.
14.0%
Not enough pediatricians
14.0%
Breast cancer screening and prevention
11.6%
Urologist
11.6%
Limited safe places to walk, no sidewalks from uptown Wadesboro to Atrium Anson
11.6%
Pool for recreational swimming and aquatic exercise
11.6%
Activities for elderly/seniors – mind and body
11.6%
The Following Were Mentioned By Less Than 5 Key Informants
Extended (evening, weekend) hours of operation for Primary Care providers
Neurology
Oncologist, cancer treatment, chemotherapy
Orthopedics
Gastroenterology, colonoscopies by Gastroenterologist
More united, holistic, coordinated efforts of entire healthcare community in the county
Expanded care/services on mobile unit
> Provider
> Physicals
> Prescriptions
Pulmonology
Reputable skilled nursing facilities, elder care
Need more ambulances
Limitations of Meals on Wheels
Substance Abuse/Addiction Treatment
Sickle Cell Anemia Treatment
Not prepared for pandemic testing
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Home Health
Hospice
Partnership with health related programs at Wingate University (Nursing, Physician’s Assistant, graduate
programs)
More transportation to Healthcare, ACTS schedule is limited
Allergist
Resources for those with special needs
Rheumatology
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What are the positives in the County that related to health and wellness?
%
Atrium Anson
> Model of combining emergency and primary care
> Has taken time for acceptance, but improving
> Staff
> Services: lab, x-ray, etc.
62.8%
Park trails
> One in each town
> No cost use
44.2%
Local gym
39.5%
Health Department, especially:
> Prenatal classes
> WIC Staff
> Health Educator
> inspections and controls
> Work on pandemic
37.2%
Dr. Lincoln
23.3%
Atrium Nutritionist/Dietitian
20.9%
Walking groups have formed, people are walking, people walk on Morven Road
20.9%
Ability of Atrium Emergency to stabilize critical patients , deliver babies in emergency
18.6%
5-2-1-0 program of Atrium in schools, partnership between the school district and Atrium
16.3%
Telemedicine opportunities at Atrium Anson
14.0%
Faith Based ministry of Atrium, churches doing things to help people be healthy including:
transportation, fitness, crisis help
14.0%
HOLLA
11.6%
Senior Center Programs
> Exercise
> Health education, diabetes education
> Meals
> Socializing
11.6%
Pediatrician
11.6%
Food Pantries
11.6%
Carolinas Primary Care (most people couple CPC with hospital instead of mentioning it separately)
11.6%
HealthQuest
11.6%
Atrium transport van (however, there is a big problem with no shows)
11.6%
County Parks & Recreation
11.6%
Water Quality is Good
11.6%
The Following Were Mentioned By Less Than 5 Key Informants
Mental Health & Behavioral Health at Atrium, some is telehealth
Physical Therapy provided locally
Farmer’s Market
Strong sense of community, neighbors help each other
Atrium Mobile Unit
ACTS
Pediatric Dentist
Employers paying attention to health:
>Wade Mill has a physician/provider on staff at the plant
> Extension Program gives time to walk or exercise during the work day
Dentist at ARMS
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Airport, base for hospital
Extension Service provides recipes on website for seasonal produce
Daymark
General Surgery at Atrium Anson
Peaches & Cream
Atrium staff involvement in the community:
> internships for high school students
> Serve on local boards
> Hosts Career Days
> Participate in the Rotary Club
Burnsville Learning Center
Dental and Visions screenings coordinated by HeadStart
Supplements for children with Special Needs to insure quality day care
Ball Fields
Open space, rurality
Races work together
Programs for kids to help with literacy
Smart Start
Local doctors know the situation/circumstances of the county and the population so can address
specifics of the citizens
Local organizations work collaboratively
Eat Smart / Move More
Hospice
Field of Dreams
Optometrists
Hope Pregnancy Center services including mobile van to do ultrasounds
Anson Record’s willingness to provide information about health and wellness resources and initiatives in
their publications
Expansion Programming working with commercial and small farmers that do direct sales to consumers
Anson County 2020 CHA | Key Informant Interviews Summary
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What environmental concerns are there in the County?
%
Substandard housing
> People can’t afford the upkeep of houses if own
> Many rental properties are costly but not fit to live in
> This is especially hard on elderly and people with low income
> There are houses and mobile homes with no electricity and/or water
> People even use cardboard over broken windows
> There are houses with no working appliances – stove, refrigerator
> Some people are forced to heat by fire, but this is a problem for asthma victims
> People who complain get evicted or rent increase
> Lack of housing maintenance assistance for seniors
> Very little enforcing of building codes
53.5%
Poor Water quality
> Users receive notices regularly about irregularities in testing/compliance
> Water is drinkable and not dangerous, but many feel that is not adequate
> Some think quality is questionable
> Some reported a bad taste
>Many people use bottled water for drinking
34.9%
Old, abandoned, dilapidated buildings – houses and commercial
There are probably 70 to 80 houses in Wadesboro that need to be torn down. Cost of process
(notifications, testing, etc.) is $500 to $12,000 each. Town can only afford to condemn and tear down a
few per year. )
27.9%
Litter, Trash Dumping
27.9%
Landfill
> Smell
> Concern about impact on environment
> Worry about seepage
14.0%
The Following Were Mentioned By Less Than 5 Key Informants
Odor from poultry plant and chicken houses
Many older building still in use have problems and toxins:
> Mold
> Asbestos
> Lead paint
Some people do not trust, are reluctant to use telemedicine
Poor air quality impacts asthma patients
Widespread use of wells is opportunity for exposure to toxins
Septic tank issues
Long Term pollution of textile plants to soil and water, vacant plants could be leaking toxins
Chicken farming soil pollution
Anson County 2020 CHA | Key Informant Interviews Summary
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What are the major non-health related concerns/problems in the County?
%
Violence
> Shootings
> Unsolved Murders
> People won’t or are afraid to provide information
> Children are normalizing
55.8%
Lack of jobs / high unemployment
55.8%
Education System:
>School District does best they can with what they have, but funding is a problem, is limiting. In the
2020/21 fiscal year funding will be cut due to loss of Walmart tax revenue.
> Many families are sending their children to private or out of county public schools; this compounds the
existing problems for those who remain.
> Early college high school is a positive
> Teachers don’t stay
> Restriction on disciplining
> Difficult to attract quality teachers
> Students do not take advantage of opportunities
39.5%
Loss of Walmart
> especially hard on seniors because of the loss of one-stop for many things (food, medication, toiletries)
> loss of donations to schools
39.5%
Gangs
> Shootings
> Retaliation
> Impact on children
32.6%
Lack of family sustaining wage jobs (good paying)
32.6%
People go out of county for many things and spend their money out of county which further reduces the
tax base. While out of county for one thing are likely to spend money on other things, also. Go out of
county for:
> Healthcare
> Exercise
> Dining out
> Groceries
> Medications
> Clothing and other retail
> Entertainment
> Education
> Activity – there are no natural attraction (lake, beach, mountains, etc.)
30.2%
High number of people are disabled and/or dependent on government agencies, resulting in:
> Being disabled is the “job” of a high number of people
> Food pantries have a lot of long-term clients, 10 years or more
> The existing available “decent” paying jobs are very hard on the body, cause disabling injuries
> Families get disability benefits for children diagnosed with ADHD and doctors are liberal with diagnosis
27.9%
Lack of Transportation
27.9%
Poverty
25.6%
Hopelessness:
> People don’t have a good sense of self-worth
> Being poor and without is all they know
> Don’t try, stop caring
> People enter adulthood without being prepared for it
23.3%
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> People are living day-to-day, pay check-to pay-check
> Causes people to live for the moment, immediate gratification
Tax Base
> Decreasing
> Primarily Residential (population is decreasing)
> Decreased by loss of Walmart
20.9%
Lack of Internet Access / Broadband
20.9%
Lack of safe affordable housing throughout the County
18.6%
Limited access to retail, especially clothing
18.6%
Young people leave and don’t return
16.3%
Single-female heads of household
16.3%
Nothing for kids to do
14.0%
Needs of an aging population
14.0%
County Board of Commissioners
> Self-serving actions
> Micromanaging of departments and services
> Out of touch with actual needs
> Not enough effort and flexibility in recruiting businesses
11.6%
Domestic Violence
11.6%
Lack of/poor parenting
> Untended children
> Grandparents raising grandchildren (impacts children and the older person)
11.6%
The Following Were Mentioned By Less Than 5 Key Informants
Lack of qualified people of integrity willing to serve on boards, help with efforts and run for elected office
Literacy levels, illiteracy
Theft
>Occurs at food pantries
> Rumored to have been partial cause of Walmart closing
Vulnerable seniors living alone
> Can’t take care of house
> Taken advantage of, scams
> No transportation
> No local support
Lack of housing development
> Deterrent to attracting teachers
> Deterrent to keeping young people
Middle School
> Need funding for new , maintenance of current (built in 1968) is extremely costly
> Many parents feel their children are at risk because of drugs and violence, send them to private or out
of county
Young people do things that are illegal to make ends meet and to have things and to look important
People living long-term at motels
> Crime
> Drugs
> Not safe or attractive for visitors to county
People believe their own bad press about how bad things in Anson County are and that things cannot be
improved
People say “We are a Tier One County, what do you expect?”
Human Trafficking
County leadership and agencies do not work well with or accept help from outside organizations and
Anson County 2020 CHA | Key Informant Interviews Summary
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agencies
People who don’t give back, don’t volunteer
Incarcerated Parents
Secondary road system
Homelessness, lack of shelter
Reckless Driving
Lack of Education / High Dropout rate
Children in homes with adults making poor decisions that result in the cut-off of utilities, poor
maintenance of the home structure
Inadequate number of police officers
Addressing big issues continually gets postponed
Inadequate shelter for children
Nothing to attract people to move here
Drugs
Elder abuse and neglect
Gambling
Declining Population
Competition between County Parks & Rec and Field of Dreams
Not near a major city
Don’t capitalize on through traffic to beach and other destinations
Inadequate quality childcare/daycare
SPCC puts all money into Union County, very little trade offerings, can’t get classes in Anson
SPCC is strong
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Ordinances, Policies and Efforts to Reduce Tobacco Use and Vaping Appendix
Following are the published policies regarding smoking and tobacco use in the facilities of public institutions in
Anson County.
Town of Wadesboro
Chapter 14 - ENVIRONMENT
[1]
ARTICLE I. - IN GENERAL
Sec. 14-1. - Smoking in municipal buildings and vehicles.
(a) Definition. As used in this section, the term "smoking" means the inhaling, exhaling, burning or carrying of a lighted
pipe, cigar, cigarette or other combustible tobacco product.
(b) Smoking prohibited in municipal buildings. It shall be unlawful for any person to smoke in any building or facility or
portion of a building or facility now or hereafter owned, leased, operated, occupied, managed or controlled by the town.
(c) Smoking regulated in municipal building. It shall be unlawful for any person to smoke in any building or facility or
portion of a building or facility now or hereafter owned, leased, operated, occupied, managed or controlled by the town,
except in specially designated smoking areas. The town council shall have the authority to designate smoking areas
within each town building or facility. An area within any building or facility may be designated as a smoking area only if
the ventilation of such area is sufficient, any adverse impact on municipal employees and members of the public is
minimal, and no fire or other safety hazard will be created by smoking in such area.
(d) Smoking prohibited in municipal vehicles. It shall be unlawful for any person to smoke in any vehicle now or hereafter
owned or leased by the town.
(e) Penalty. Violation of this section shall subject the offender to a civil penalty in the amount of $50.00 to be recovered
by the town. Violators shall be issued a written citation which must be paid to the town within 48 hours. Violation of this
section shall not constitute a misdemeanor or infraction punishable under G.S. 14-4.
(Ord. of 9-13-1993, §§ 1—5)
Source:
https://library.municode.com/nc/wadesboro/codes/code_of_ordinances?nodeId=PTIICOOR_CH14EN_ARTIINGE_S14-
1SMMUBUVE
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South Piedmont Community College
Smoking/Tobacco-Free
Campus
Policy:
South Piedmont Community College recognizes that the use of tobacco products is a health, safety, and environmental
hazard for students, employees, visitors, and college facilities.
No student, employee, or college visitor is permitted to use any tobacco product or any comparable smoking or
personal vapor-generating device, such as e-cigarettes, at any time, including during non- college hours,
in any building, facility, or vehicle owned or leased by South Piedmont Community College
on any college grounds or property – including athletic fields and parking lots – owned or
leased by South Piedmont Community College
at any College-sponsored or College-related event, on campus or off campus
Revisions:
Initially approved August 14, 2012
Revised June 10, 2014
Revised October 14, 2014
References:
NC General Statute 115D-20.1
SPCC Procedure: 6.13 Smoking-Tobacco Free Procedure
Procedure:
The College believes that the use of tobacco products on college grounds, in college buildings and facilities, on college
property, and at college-sponsored events is detrimental to the health and safety of students, employees, and visitors.
The College takes seriously its obligation to provide a healthy learning and working environment, free from unwanted
smoke and tobacco use, for students, employees, and visitors on the South Piedmont campuses.
No student, employee, or college visitor is permitted to use any tobacco product at any time, including during non-
college hours,
in any building, facility, or vehicle owned or leased by South Piedmont Community College;
on any college grounds or property – including athletic fields and parking lots – owned or leased
by South Piedmont Community College; or
at any college-sponsored or college-related event, on campus or off campus.
In addition, college employees, volunteers, contractors, or other persons performing services on behalf of the College
are prohibited from using tobacco products at any time while on duty and in the presence of students, either on or off
college grounds.
Further, no students are permitted to possess a tobacco product while in any college building, on college grounds or
property, at a college-sponsored or college-related event, or at any other time during which students are under the
authority of college personnel.
Tobacco products may be included in instructional or research activities in college buildings if the activity is
conducted or supervised by the faculty member overseeing the instruction or research and if the activity does not
include smoking, chewing, or otherwise ingesting the tobacco product.
Definitions
For the purposes of this policy, “tobacco products” are defined as cigarettes, cigars, blunts, pipes, chewing tobacco,
snuff, and any other items containing or reasonably resembling tobacco or tobacco products. “Tobacco use”
includes smoking, chewing, dipping, or any other use of tobacco products.
Anson County 2020 CHA | Ordinances, Policies and Efforts to Reduce Tobacco Use and Vaping Appendix
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Anson County Schools
Policy Code: 4320 Tobacco Products – Students
The board is committed to creating safe, orderly, clean and inviting schools for all students and staff. To this
end, the board supports state laws that prohibit the sale or distribution of tobacco products to minors and that
prohibit the use of tobacco products by minors. The board also supports state and federal laws that prohibit
the use of tobacco products in school buildings, on school campuses, and in or on any other school property
owned or operated by the school board. For the purposes of this policy, the term “tobacco product” means any
product that contains or that is made or derived from tobacco and is intended for human consumption,
including all lighted and smokeless tobacco products, as well as electronic cigarettes, vaporizers, and other
electronic smoking devices even if they do not contain tobacco or nicotine.
A. Prohibited Behavior
In support of the board’s commitments and state and federal law, students are prohibited from using or
possessing any tobacco product (1) in any school building, on any school campus, and in or on any
other school property owned or operated by the school board, including school vehicles; (2) at any
school-related activity, including athletic events; or (3) at any time when the student is subject to the
supervision of school personnel, including during school trips.
Nothing in this policy prohibits the use or possession of tobacco products for an instructional or research
activity conducted in a school building, provided that the activity is conducted or supervised by a faculty
member and that the activity does not include smoking, chewing or otherwise ingesting tobacco.
B. Consequences
The disciplinary consequences for violations of this policy shall be consistent with Section D of policy
4300, Student Behavior Policies. The superintendent or designee shall list in the Code of Student
Conduct the specific range of consequences that may be imposed on a student for violations of this
policy.
In determining appropriate consequences for violations of this policy, school officials are encouraged to
identify programs or opportunities that will provide students with a greater understanding of the health
hazards of tobacco use, the hazards of secondhand smoke, and the impact of tobacco use on efforts to
provide a safe, orderly, clean and inviting school environment.
C. Services for Students
The administration shall consult with the county health department and other appropriate organizations
to provide students with information and access to support systems and programs to encourage
students to abstain from the use of tobacco products. The school system may, from time to time,
provide free non-smoking programs and services to its students.
D. Notice
Students will be provided with notice of the information in this policy through the Code of Student
Conduct, student handbooks or other means identified by the principal. In addition, the principal shall
post signs in a manner and at locations that adequately notify students, school personnel, and visitors
about prohibitions against the use of tobacco products in all school facilities, on all school grounds, and
at all school-sponsored events.
Legal References: Pro-Children Act of 1994, 20 U.S.C. 6081et seq.; 21 U.S.C. 321(rr); 21 C.F.R. 1100et seq.; G.S. 14-
313; 115C-47, -288, -307, -390.2, -407
Cross References: Student Behavior Policies (policy 4300), Smoking and Tobacco Products (policy 5026/7250)
Adopted: July 25, 2011
Revised: November 23, 2015; October 30, 2017
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Anson County Schools
Policy Code: 5026/7250 Smoking and Tobacco Products
The board of education promotes the health and safety of all students and staff and the cleanliness of all
school facilities. The board believes that the use of tobacco products on school grounds, in school buildings
and facilities, in or on any other school property owned or operated by the school board, or at school-related or
school-sponsored events is detrimental to the health and safety of students, staff and school visitors. To this
end, and to comply with state and federal law, the board adopts this tobacco-free policy that prohibits smoking
and the use of tobacco products as follows. For the purposes of this policy, the term “tobacco product” means
any product that contains or is made or derived from tobacco and is intended for human consumption,
including all lighted and smokeless tobacco products, as well as electronic cigarettes, vaporizers, and other
electronic smoking devices even if they do not contain tobacco or nicotine. “Tobacco use” includes smoking,
inhaling, chewing, dipping or any other use of tobacco products.
1. All employees and other persons performing services or activities on behalf of the school system,
including volunteers and contractors, as well as students and visitors, are prohibited from using any
tobacco products at any time in any school building, in any school facility, on school campuses, and in or
on any other school property owned or operated by the school board.
2. In addition, persons attending a school-sponsored event at a location not specified in subsection 1
above are prohibited from using tobacco products when (a) in the presence of students or school
personnel, or (b) in an area where use of tobacco products is otherwise prohibited by law.
3. Consequences for employees who violate this policy will be in accordance with other personnel
policies and may include a verbal warning, written reprimand, suspension or dismissal.
4. Visitors who violate this policy will be asked to refrain from using tobacco products while on school
property or to leave the premises. As a last resort, law enforcement officers may be contacted to escort
the person off the premises or to cite the individual for trespassing if he or she refuses to leave the
school property.
5. Nothing in this policy prohibits the use of tobacco products for an instructional or research activity
conducted in a school building, provided that such activity is conducted or supervised by a faculty
member and that the activity does not include smoking, chewing or otherwise ingesting tobacco.
6. The administration will consult with the county health department and other appropriate organizations
to provide employees with information about support systems and programs to encourage employees to
abstain from the use of tobacco products. The school system may, from time to time, provide free non-
smoking programs and services to employees of the school system after the regular school day.
7. The principal of each school and other school personnel responsible for school facilities shall post
signs in system facilities in a manner and location that adequately notify staff, students and visitors that
the use of tobacco products by any person is prohibited at all times in or on school property.
8. The superintendent and designees shall ensure that adequate notice of this policy is provided to
students, parents, school personnel, and the public.
9. All school personnel are required to adhere to and enforce this policy and other policies, rules or
regulations addressing the use of tobacco products.
Legal References: Pro-Children Act of 1994, 20 U.S.C. 6081et seq.; 21 U.S.C. 321(rr); 21 C.F.R. 1100et seq.; G.S. 14-313; 115C-
47(18), -407
Cross References: Tobacco Products – Students (policy 4320)
Adopted: October 29, 2012
Revised: November 23, 2015; October 30, 2017
Anson County 2020 CHA | Ordinances, Policies and Efforts to Reduce Tobacco Use and Vaping Appendix
244
Anson County Government
ARTICLE II. SMOKING ON COUNTY PROPERTY
Sec. 28-22. Purpose.
The Purpose of this article is to protect and promote the public health and safety of citizens and to safeguard county
property by limiting the smoking of tobacco, clove and other herbal products in county buildings and vehicles.
(Ord. of 10-15-1993, § 1)
Sec. 28 – 23. Definitions.
The following words, terms and phrases, when used in this article, shall have the meanings ascribed to them in this
section, except where the context clearly indicates a different meant:
Smoking means the inhaling, exhaling, burning, or carrying of a lighted pipe, cigar, cigarette or other combustible
tobacco, clove or other herbal product.
Ord. of 10-15-1993 § 2)
Sec. 28-24. Prohibited in county buildings and vehicles.
(a) Buildings. It shall be unlawful for any person to smoke inside any building or facility or portion of a building or facility
now or hereafter owned, leased, operated, occupied, managed, or controlled by the county.
(b) Vehicles. It shall be unlawful for any person to smoke in any vehicle now or hereafter owned or leased by the county.
(Ord of 10-15-2993, § § 3, 4)
Sec. 28-25. Posting of signs required.
The international “No Smoking” symbol, a pictorial representation of a burning cigarette enclosed in a red circle with a
red bar across it, shall be clearly, sufficiently, and conspicuously posted in every facility and vehicle where smoking is
regulated by this article. The removal or defacement of such signs shall constitute a violation of this article.
(Ord. of 10-15-1993. § 5)
Sec. 28-26. Enforcement penalties.
(a) Any person who violates any provision of this article during the first 60 days from the effective date of the ordinance
from which it is derived shall be given a warning of violation only. Thereafter, any violator shall be subject to payment of
a civil penalty of $25.00 for each violation.
(b) A person duly authorized by the board of county commissioners shall be authorized to send a civil penalty citation to
the violator by certified mail or personally deliver such citation to the violator stating the nature of the violation, the
amount of the penalty, and directing that the violator pay the penalty to the county tax collector’s office within 14 days
of receipt of the citation.
(Ord. of 10-15-1993, § 6)
CD28-3
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Anson County Health and Wellness Resource Directory 2020
Anson County Health Care Services
Family Medicine
Name
Population
Served
Services
Accept
Days & Hours
of Operation
Address
Phone
Website/
Email
Americare Health PC –
Anson Medical Center
Anyone
over 6
months of
age
Internal Medical
Services, Urgent care,
Bone Density testing,
general blood work,
physicals
Medicare
Medicaid
Insurance
Private Pay
Tuesday & Thursday
9am to 6pm
(walk-ins accepted before
4:00 pm)
Due to Covid-19 only every
other Tues as of
8/28/20
608 Salisbury Street
Wadesboro, NC 28170
704-535-0400
americarehe
althwadesbo
ro@windstr
eam.net
Anson Regional Medical
Services, Inc.
(ARMS)
Serves Anson, Union and
Richmond Counties
according to website
Is a Federally Qualified
Health Center
Anyone
>Chronic Disease
diagnosis and
management
> Employment/Foster
Parent/Adoptive Parent
and Sports Physicals
> CLIA waived on site
contractual laboratory
services
> Chronic pain
management
coordination/referral
> Referral/Coordination
for specialty
consultation services
> Referral/Facilitation
for Indigent Drug
Program Services
>Well and sick child
care/Pediatric Primary
Care
> Immunizations
> Family Planning and
Gynecological Services
> Obstetrical Service
Referrals
> X-Rays
Medicare
Medicaid
Insurance
Private Pay
Offer a
Sliding Fee
Discount
Program for
health care
services to all
patients. The
scale is
updated
annually and is
based on the
most recently
published
Federal
Poverty
Guidelines.
Eligibility will
be determined
based upon the
income of all
persons
residing in the
household
M,W,Th,F
8am to 5pm
Closed from 12:00 to
1:00 pm for lunch
Tuesday
8am to 7:30pm
Closed from 2:00 to
3:00 pm for lunch
203 Salisbury Street
Wadesboro, SC
Also have a location in
City of Monroe in
Union County
704-694-6700
https://ww
w.arms-
chc.org/
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
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Name
Population
Served
Services
Accept
Days & Hours
of Operation
Address
Phone
Website/
Email
Lincoln Family Medicine
Michael Lincoln MD
Anyone
over 5
years of
age
Family Medical
Practice services
Limited acceptance of new
patients.
Medicare
Some Ins.
Private Pay
M,T,Th,
8:30-5:30pm
Wed 8:30 am to 4pm
Friday 8:30am-12
9191 US Highway 52 N
Ansonville, NC 28170
704-826-8370
Carolinas Primary Care
[Owned by Atrium
Health Anson)
co-located within the
hospital
Providers:
Donald Woodburn,
MD
Daniel Tagge, MD
Lucy Crump, FNP-C,
MSN
Kelly Horne, FNP-C,
MSN
Sandra Teal, FNP-C,
MSN
All Ages -
Pediatric,
Adult, and
Geriatric
Preventive Care,
Immunizations,
Physical Exams for
school, sports &
employment, Minor
Injuries, Well & Sick
Child Visits, Chronic
Disease Mgt,
Same-day sick
appointments, work
related injuries,
alcohol tests,
Diabetes one-one-
one instruction.
Medicare,
Medicaid,
Insurances,
and
Private Pay
Monday through
Friday
8am to 6 pm
2301 US Highway 74
W, Wadesboro, NC
28170
704-994-4500
www.Atrium
Health.org/C
arolinas-
Primary-
Care
Health Department
21 and
over
Treatment of
common illnesses:
cold, virus, minor
injuries, etc.
Routine Lab work
Medicare
Medicaid
Private Pay
Some
Insurances
Mon-Thu
8:30am – noon
1:00pm – 5:00pm
110 Ashe Street
Wadesboro, NC
704-694-5188
www.anson
health.org
www.co.ans
on.nc.us/he
alth/
School Nurse at Anson
County Public School
System
Students
At school:
Assessment, treatment
based on doctor’s
orders, administer
prescription
medication
No charge
School hours
School System Office
320 Camden Road
Wadesboro, NC 28170
704-690-4417
www.ansons
chools.org
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Specialists
Name
Population
Served
Services
Accept
Days &
Hours
of Operation
Address
Phone
Website/
Email
Anson Pediatrics
Dr. Olivia Peters
Dr. Sarah Elliott
Children 0
to 20 years
Pediatric preventative and
medical care
Medicaid
Insurance
Private Pay
(offer sliding
scale fees
based on
income)
M-Th
8:30am-6pm
Friday
8am-5pm
904 Morven Road
Wadesboro, NC 28170
704-994-2300
http://www.
ansonpeds.c
om/
Carolinas Primary Care
Surgery
Adult and
Geriatric
General Surgery and
Endoscopy
Medicare
Medicaid
Insurances
Private pay
Tuesday,
Wednesday,
Thursday,
and Friday
8am to 1 pm
2301 US Hwy 74 W
Wadesboro, NC 28170
704-994-4500
www.Atrium
Health.org/C
arolinas-
Primary-
Care
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271
Atrium Health Anson
Service
Population
Served
Services
Accept
Days &
Hours
of
Operation
Address
Phone
Website/ Email
Asthma Camp
Children 5 to
12 years
diagnosed
with Asthma
Camp provides a peak
flow meter and spacer for
inhalers. Talks by local
physicians to help
campers understand
Asthma and learn how to
cope with it. Campers
participate in healthy
activities such as
swimming.
Free
One Week
Summer
Camp
919 East Caswell St.
Wadesboro, NC 28170
704-994-4500
https://atriumhealt
h.org/locations/det
ail/atrium-health-
anson
Cardio-Pulmonary
Services
Anyone
Respiratory Services,
Pulmonary function tests,
EKG, Blood gasses,
Echocardiograms, Stress
Tests, Portable Monitors
(Holter), Education about
dangers of Tobacco Use.
Medicare
Medicaid
Insurance
Private Pay
Mon-Fri
8am to 5pm
2301 US Hwy 74 W
Wadesboro, NC
28170
704-994-4500
https://atriumhealt
h.org/locations/det
ail/atrium-health-
anson
Carolinas Primary
Care
Anyone
General Family Services,
Adult Services, Women’s
Health, Immunizations,
Routine Physicals,
Welcome to Medicare
Physicals.
Medicare
Medicaid
Insurance
Private Pay
Mon-Fri
8am-5pm
Some
Extended
Hours
2301 US Hwy 74 W
Wadesboro, NC 28170
704-994-4900
https://atriumhealt
h.org/locations/det
ail/atrium-health-
anson
Diabetes Educator
and Registered
Dietitian
Nutritionist
Anyone with
Diabetes or
other diet
related
concerns/
needs
Education for patients and
their families on diet and
nutrition related to health
conditions, referrals to
specialists, instruction on
meal planning, counseling.
Medicare
Medicaid
Insurance
Private Pay
Mon – Fri
8am-5pm
2301 US Hwy 74 W
Wadesboro, NC 28170
704-994-4500
https://atriumhealt
h.org/locations/det
ail/atrium-health-
anson
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Service
Population
Served
Services
Accept
Days &
Hours
of
Operation
Address
Phone
Website/ Email
Emergency
Department
Anyone
Work with any emergency
patient that comes to the
hospital. Patients will be
treated or stabilized and
moved to a hospital with
the appropriate staff and
facilities.
Medicare
Medicaid
Insurance
Private Pay
365 days a
year
7 days a
week
2301 US Hwy 74 W
Wadesboro, NC 28170
704-994-4500
https://atriumhealt
h.org/locations/det
ail/atrium-health-
anson
Faith Community
Health Ministry
Faith
Communities
Collaborates with faith
communities throughout
the region to promote
health and wholeness of
mind, body, and spirit
within the faith
community.
Any Faith
Organization
Varies
919 East Caswell St
Wadesboro, NC 28170
704-994-4970
Sarah.Dean@caroli
nashealthcare.org
Health Quest
Uninsured/
Underinsured
Provides assistance with
maintenance medications,
some medical supplies,
and provides education.
(Atrium Health Anson
building)
$20 Monthly
Donation
Mon - Fri
8am - 5pm
2301 US Hwy 74 W
Wadesboro, NC 28170
704-226-2050
http://www.health
questpharmacy.org
In Hospital Care
Anyone
Physician care while in
Atrium Health Anson,
Sanger Cardiology
(Virtual).
Medicare
Medicaid
Insurance
Private Pay
365 days a
year
7 days a
week
2301 US Hwy 74 W
Wadesboro, NC 28170
704-994-4500
https://atriumhealt
h.org/locations/det
ail/atrium-health-
anson
Cardiac Care
Sanger Cardiology (Virtual)
at Atrium Health Anson
https://atriumhealt
h.org/locations/det
ail/atrium-health-
anson
Laboratory
Services
Anyone
Performs Outpatient and
Inpatient lab tests per
Doctor’s order.
Medicare
Medicaid
Insurance
Private Pay
365 days a
year
7 days a
week
Outpatient
M-F 8am-
5pm
2301 US Hwy 74 W
Wadesboro, NC 28170
704-994-4500
https://atriumhealt
h.org/locations/det
ail/atrium-health-
anson
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Service
Population
Served
Services
Accept
Days &
Hours
of
Operation
Address
Phone
Website/ Email
Medical Imaging
Services
Anyone
Provides out-patient, in-
patient and Emergency
imaging services including:
Ultrasound, CT,
Mammography screening
and diagnosis,
fluoroscopy, MRI and
diagnostic radiography.
Medicare
Medicaid
Insurance
Private Pay
365 days a
year
7 days a
week
(In-patient
and
Emergency
take priority
after
5 pm Mon-
Fri
& on
weekends)
2301 US Hwy 74 W
Wadesboro, NC 28170
704-994-4500
https://atriumhealt
h.org/locations/det
ail/atrium-health-
anson
Mobile Medical
Unit
Anyone
Education, Blood Sugar,
Blood Pressure
Free
Varies
919 East Caswell St.
Wadesboro, NC 28170
704-994-4972
Stephanie.r.wilson
@carolinashealthca
re.org
Pharmacy Services
Hospital
Patients
All pharmacy services for
patients in the hospital
including IV therapy,
dosing, drug monitoring
for interactions and
appropriateness.
Medicare
Medicaid
Insurance
Private Pay
Mon-Fri
8:30am-
5pm
Sat/Sun
8:30am-
4pm
On call 24
hours a day
2301 US Hwy 74 W
Wadesboro, NC 28170
704-994-4500
http://www.carolin
ashealthcare.org/lo
cations/carolinas-
healthcare-system-
anson
Rehabilitative
Services
Anyone
referred by a
Physician
Occupational Therapy
(OT), Physical Therapy
(PT), Speech Therapy
including cognition,
swallowing and speech for
Out-Patients, In-Hospital
Patients and Long-Term
Care.
Medicare
Medicaid
Insurance
Private Pay
Hospital &
Long-Term
Care
Mon-Fri
8am – 5pm
Available on
Weekends
at Long-
Term Care
919 East Caswell St.
Wadesboro, NC 28170
704-994-4955
https://atriumhealt
h.org/locations/det
ail/atrium-health-
anson
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274
Service
Population
Served
Services
Accept
Days &
Hours
of
Operation
Address
Phone
Website/ Email
Surgical Services
Anyone
scheduled by
a Physician
General Surgery (including
breast biopsy, hernia,
lesion removal,
gallbladder, appendix);
Upper & Lower Endoscopy
(including colonoscopy)
Medicare
Medicaid
Insurance
Private Pay
Tuesday,
Wednesday,
Thursday,
and Friday
8 am to 1
pm
2301 US Hwy 74 W
Wadesboro, NC 28170
704-994-4500
https://atriumhealt
h.org/locations/det
ail/atrium-health-
anson
Health Department
Service
Population Served
Services
Communicable Diseases
Anyone
Testing for communicable diseases such as TB, Hepatitis, Pertussis, Covid-
19 etc. Conduct in depth interviews to identify source of contamination
and determine if other individuals may have been infected. Inform
possible contamination victims. Refer patients to appropriate care
provider. Report to state and federal agencies as appropriate.
Environmental Health and Animal Control
Anyone
Protect public health and minimize health and safety hazards through
testing and enforcement of NC General Statues/rules and regulations.
Including inspection and grading of food facilities, child care centers,
swimming pools, nursing homes, etc. Investigating public health
nuisances and complaints, sampling of drinking wells, inspection of onsite
sewage treatment & disposal systems and implementing disease control.
Enforce NC General Statutes on Rabies Control.
Family Planning
Females of child-bearing age,
Cervical Cancer screening, and
referrals for Mammograms
Provide services to help prevent unwanted pregnancies and/or space
pregnancies apart to maintain the reproductive health of the mother.
Services include: reproductive life planning, well woman checkup,
prescription for or provision of birth control including: pills, patches, ring
and implants. Refers patients with problems or that want a tubal ligation
(tubes tied) to Gynecologists outside the County (No GYN in county).
Some minor conditions can be treated by visiting OB/GYN doctor that
comes to Health Department once or twice a month.
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275
Service
Population Served
Services
Immunizations
Medicaid
American Indian/Alaska Native
Uninsured
Under-Insured (people who have
health insurance that does not
cover immunization)
Offer the following immunizations: DTP/DTaP, HepA, HepB, Hib, HPV, Flu,
Meningococcal, ACYW+B, MMR, Pneumonia, Polio, Rotavirus, Td,
Tdap/Pertussis, Varicella
Maternity
Pregnant Females
Provide prenatal care for low risk pregnant patients up to delivery.
Periodically send records to
CHS-Union. Refer high risk pregnant patients to Union Ob/GYN.
Physicals
Ages 21 and Over
Physical Checkups for women who are post-menopausal or no longer able
to bear children and for men. If patient has diabetes or cardio-vascular
(heart) problems refer them to a physician. Provide physicals for college
entrance, sports participation and employment.
Nutrition Supplement and Education Program
Infants and children up to age 5 that
qualify because of household income
and nutritional risk
Qualifying Post-partum women for up
to 6 months,
1 year if breastfeeding.
Qualifying
Pregnant Women no matter the
number of pregnancies.
WIC (Women Infant and Children) Program provides nutritional education
and vouchers to purchase food – the Program specifies the items,
quantity, number, size and sometimes even the brand.
Participants must meet with WIC Staff every 3 months to receive
instruction and counseling on nutrition and to get food vouchers.
Sexually Transmitted Diseases (STDs)
Anyone
Testing for STDs, conduct interview to determine history, sites of
exposure and partners. Provide treatment and does appropriate follow
up for those who test positive. Partner notification cards given for
positive STD’s. For those + HIV /+ Syphilis report to NCDHHS, DLS Regional
Consultant. Report to NCEDSS +STD’s into (GC/CT/NGU/PID). Test for HIV,
provide counseling to those who test positive and refer them to an
infectious disease care giver outside the county (none available in the
county).
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
276
Dental
Name
Population
Served
Services
Accept
Days &
Hours
of Operation
Address
Phone
Website/
Email
Anson Regional
Medical Services, Inc.
(ARMS)
Anyone
Preventative and Restorative
Child/Adult Family Dentistry
including:
>Sealants, X-rays
>Exams/Fluoride Treatments
>Prophylactics (Cleaning)
>Simple Extractions
>Fillings
Medicare
Medicaid
Insurance
Private Pay
Offer a
Sliding Fee
Discount
Program
Call for
appointment
203 Salisbury Street
Wadesboro, SC
704-695-6700
https://ww
w.arms-
chc.org/
Anson County Family &
Pediatric Dentistry
Charles Casher, DDS
(part of NC Pediatric
Dentistry) *
Anyone
Family Dentistry, Cosmetic
Dentistry, Clear Correct
(invisible braces)
Medicaid
Insurance
Private Pay
Financing
Mon-Thurs
8:00am-5pm
Friday by
Appointment
148 E Morgan Street
Wadesboro, NC 28170
704-695-1588
www.acfpde
ntistry.com
Supreme Dental of
Wadesboro
Dr. Diego H. Gonzalez,
DDS
Dr. Daniel N. Williams,
DDS
Anyone
Fillings, root canals, tooth
extractions, general
treatment, complete
dentures, crowns, sealants,
cleaning, whitening,
Invisalign.
Medicaid
Insurance
Private Pay
CareCredit
Sliding Fee
Scale for
uninsured
M, Tu & Th
9am to 5pm
Friday
9am to 2 pm
307 N Greene St.
Wadesboro, NC 28170
704-465-2210
https://supr
emedentaln
c.com/
Anson County Public
School System
Elementary
Students
Dental screening services
and referrals to Dentists
Funded by
outside
resources
Varies
School System Office
320 Camden Road
Wadesboro, NC 28170
704-694-4417
www.ansons
chools.org
* Information is from the practice’s website and may not be complete.
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277
Optical
Name
Population
Served
Services
Accept
Days &
Hours
of Operation
Address
Phone
Website/
Email
Anson Family
Optometric, PLLC
Dr. Holly Kiker
Anyone
Eye Care
Medicare
Medicaid
Insurance
Private Pay
Mon – Thu
8:30am-5pm
1134 Holly Street
Wadesboro, NC 28170
704-694-3618
https://www.fa
cebook.com/A
nson-Family-
Optometric-
PLLC-
135577346633
100/
Carolinas Eye
Associates, P.A.
Formerly Covington
Optometric Eye Clinic
Anyone
Complete routine vision
exams, glasses and contact
lens services, eye exams for
diabetes and cataracts,
management of eye diseases
Medicare
Medicaid
Insurance
Private pay
Mon – Thu
8 am to 5 pm
Fri
8 am to 2 pm
310 North Greene Street
Wadesboro, NC 28170
704-694-6799
www.coving
toneye.com
Anson County Public
School System
Varies
Screening for all students,
referrals
Funded by
outside
resources
Varies
School System Office
320 Camden Road
Wadesboro, NC 28170
704-694-4417
www.ansons
chools.org
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278
Mental Health/Substance Abuse
Name
Population
Served
Services
Accept
Days &
Hours
of
Operation
Address
Phone
Website/ Email
Monarch
Anson Home:
Supervised home for
adults with intellectual
and developmental
disabilities
Ansonville Home:
Intermediate Care
Facility (ICF) for adults
with intellectual and
developmental
disabilities. 24-hour
awake staff supervision
is provided.
Medicaid
365 days /
24 hours
365 days /
24 hours
405 Burns St.
Wadesboro, NC
28170
1215 Ansonville/Polkton
Ansonville, NC 28007
704-694-4069
704-826-6233
www.Monarchnc.org
ARJ, LLC
Information from
http://shcextweb.sa
ndhillscenter.org/sh
c_providersdirector
y/
Adults
Children
>Assessment,
Evaluation,
Management
>Outpatient Crisis
>Outpatient Group
Therapy
>Outpatient Therapy
>Trauma Focused
Services
Medicaid
Varies
7580 US Hwy 74 W
Polkton, NC 28135
704-272-7755
704-910-5395
Corporate
Office
www.arjcares.com
Anson Children’s
Center
RHA Health Services
NC
Children
Birth to 5
years
Developmental Therapy
Daycare
NC Pre-K Programs
State
Funded –
Must have
referral
Mon – Fri
8:30 am to
3:00 pm
383 Cotton St.
Polkton, NC 28135
704-272-7076
www.rhahealthservices.org
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279
Name
Population
Served
Services
Accept
Days &
Hours
of
Operation
Address
Phone
Website/ Email
Anson Regional
Medical Services,
Inc.
(ARMS)
Anyone
>Mental Health
Counseling
> Behavioral Health
Services
>Substance/Alcohol
Abuse Counseling
Referral
Medicare
Medicaid
Insurance
Private
Pay
Offer a
Sliding Fee
Discount
Program
M,W,Th,F
8am to 5pm
Closed from
12:00 to 1:00
pm for lunch
Tuesday
8am to
7:30pm
Closed from
2:00 to 3:00
pm for lunch
203 Salisbury
Street
Wadesboro, SC
704-695-6700
https://www.arms-chc.org/
Atrium Health
Anson
Anyone
Emergency Assessment
& Evaluation in person
or via telemedicine
(video conferencing)
Medicaid
Medicare
Insurance
Private Pay
365 / 24
hours
2301 US Hwy 74 W
Wadesboro, NC
28170
704-994-4500
https://atriumhealth.org/loc
ations/detail/atrium-health-
anson
Beyond
Expectations
Comprehensive
Services
Information from
http://shcextweb.san
dhillscenter.org/shc_p
rovidersdirectory/
Adults
Children
>Assessment
>Crisis Services
>Outpatient Group
Therapy
>Outpatient Therapy
Medicaid
Medicare
Insurance
VA
Benefits
Private
Pay
Mon – Fri
9 am – 5pm
117 Wortham Dr.
Suite 12
Wadesboro, NC
28170
704-626-7439
Carolina Solutions
Adults
Daily Living Skills
Medicaid
Mon – Thur
9:30 am to
3:30 pm
501 N. Greene St.
Wadesboro, NC
28170
704-994-9003
https://www.csraeford.com
/
Corner Stone
Psychiatric
Residential
Treatment Facility
Female
Children
ages 9 to 18
Clinical assessments,
mentor guidance;
Residential psychiatric
treatment; therapy for
sexual behaviors,
mental behaviors &
substance abuse.
Medicaid
Insurance
Private
Pay
(Offer a
sliding
scale fee)
364 days a
year
24 hours a
day
129 Wallace Road
Wadesboro, NC
28170
704-695-0601
www.ncprtf.com
Information from
http://shcextweb.sandhillscenter.o
rg/shc_providersdirectory/
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
280
Name
Population
Served
Services
Accept
Days &
Hours
of
Operation
Address
Phone
Website/ Email
Day by Day Family
Services LLC
Information from
http://shcextweb.sa
ndhillscenter.org/sh
c_providersdirector
y/
Adults
Children
>Diagnostic Assessment
>Intensive In-Home
Services
>Community Support
Team
>SACOT (Substance
Abuse Comprehensive
Outpatient Treatment)
>SAIOP (Substance
Abuse Intensive
Outpatient Program)
>DWI Services
Medicaid
Mon – Fri
9am – 5pm
303 E. View Street
Wadesboro, NC
28170
704-694-4306
www.daybydayfamilyservice
s.com
Daymark Recovery
Information from
http://shcextweb.sa
ndhillscenter.org/sh
c_providersdirector
y/
Adults
Children
>Substance Abuse
Outpatient Treatment
>Mental Health
Outpatient Treatment
>Psychiatric
Services/Medical
Services
>Emergency Services
>Intensive In-Home
Treatment
Medicare
Medicaid
Insurance
Private
Pay
(Offer a
sliding
scale fee,
funding
available
for
indigent)
Mon – Fri
8 am to 5
pm
704 Old Lilesville
Road
Wadesboro, NC
28170
704-694-6588
https://www.daymarkrecov
ery.org/locations/anson-
center
Diligent Care Inc.
Information from
http://shcextweb.sa
ndhillscenter.org/sh
c_providersdirector
y/
> Crisis Services
> Respite
> Residential Services
Medicaid
515 Burns St.
Wadesboro, NC
28170
910-944-7500
http://diligentcareinc.com/
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
281
Name
Population
Served
Services
Accept
Days &
Hours
of
Operation
Address
Phone
Website/ Email
Gaining Ground
Cyvonne E. Gaines,
LCAS
Information from
http://shcextweb.sa
ndhillscenter.org/sh
c_providersdirector
y/
Adults
Children
> Counseling/
Outpatient Therapy
> Children
PTSD
Medicaid
148 E. Morgan St.
Ste C
Wadesboro, NC
28170
704-244-6553
I Innovations, Inc.
Information from
http://shcextweb.sa
ndhillscenter.org/sh
c_providersdirector
y/
Innovations Services
Medicaid
1221 E. Caswell St.
Wadesboro, NC
28170
919-770-9903
Kennedy Intensive
In Home
Information from
http://shcextweb.sa
ndhillscenter.org/sh
c_providersdirector
y/
> Adults
> Intellectual/
Developmental
Disability
> Sexual &
Gender
Identity Issues
> Dual
Diagnosis
> Mental
Health
> Counseling/
Outpatient Therapy
> Methadone/Opioid
Treatment
> Psychosocial Rehab
> Medication
Management
> Psychological Testing
Medicaid
Mon – Fri
9:30 am to
4:30 pm
121 N. Greene St.
Wadesboro, NC
28170
704-695-0676
www.kennedymentalhealth.
com
New Horizon Group
Home LLC
Information from
http://shcextweb.sa
ndhillscenter.org/sh
c_providersdirector
y/
Adults
> Group Home
> Counseling/
Outpatient Therapy
> Psychological Testing
> Medication
Management
Medicaid
103 Rutherford St.
Wadesboro, NC
28170
910-536-3502
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
282
Name
Population
Served
Services
Accept
Days &
Hours
of
Operation
Address
Phone
Website/ Email
No Bounds Care Inc.
Information from
http://shcextweb.sa
ndhillscenter.org/sh
c_providersdirector
y/
> Adults
< Dual
Diagnosis
> Intellectual/
Development
al Disability
> Children
> Eating
Disorders
> Mental
Health
> Assertive Community
treatment Team (ACTT)
> Counseling/
Outpatient Therapy
> Innovations Services
> Community Support
Team (CST)
> Crisis Services
> Intensive In-Home
Therapy
Medicaid
Medicare
Tri-Care
BCBS
Health-
Choice
Private
Pay
(Offer a
sliding
scale fee)
514 N. Washington
St.
Wadesboro, NC
28170
980-999-5006
S.T.E.P’S
Developmental
Academy, Inc.
Information from
http://shcextweb.sa
ndhillscenter.org/sh
c_providersdirector
y/
Children
Innovations Services
Medicaid
280 Sandy Ridge
Church Road
Morven, NC 28119
704-851-3001
http://www.stepsacademy.c
om/
Sandhills Behavioral
Center, Inc.
Adults
Children
>DWI Services
>Substance Abuse
Intensive Outpatient
Program
>Outpatient Mental
Health Treatment
>Sex Offender
Treatment
>Substance Abuse
Prevention Program
Medicaid
Private
Pay
BCBS
Mon – Fri
8:30 am to
5:30 pm
146 Stanbackferry
Ice Plant Rd.
Wadesboro, NC
28170
1-800-256-
2452
www.sandhillsbc.com
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
283
Name
Population
Served
Services
Accept
Days &
Hours
of
Operation
Address
Phone
Website/ Email
Therapeutic Focus,
LLC
Elizabeth >
Vasquez, LPC
Information from
http://shcextweb.sa
ndhillscenter.org/sh
c_providersdirector
y/
Adults
Children
>Assessment
>Crisis Services
>Outpatient Crisis
>Outpatient Group
Therapy
>Outpatient Therapy
>Anger Management
>Anxiety / Phobias
>ADHD
Medicaid
117 Wortham St.
Ste 6
Wadesboro, NC
28170
910-904-6981
Walker’s Group
Homes PRTP
Information from
http://shcextweb.sa
ndhillscenter.org/sh
c_providersdirector
y/
> Adults
> Intellectual/
Developmental
Disability
> Sexual &
Gender
Identity Issues
> Dual
Diagnosis
> Mental
Health
> Substance
Abuse
>ACT/IDDT
> Assertive Community
Treatment – ACTT
> Innovations Services
> Psychological Testing
> Counseling/ Outpatient
Therapy
/ Medication
Management
> Psychosocial Rehab
Medicaid
117 Wortham St.
Wadesboro, NC
28170
252-432-6308
Anson County
Public School
System
Students
Psychologist, Social
Worker & School
Counselor, based on
referral
No Cost
Varies
School System
Office
320 Camden Road
Wadesboro, NC
28170
704-694-4417
www.ansonschools.org
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
284
Dialysis
Name
Population
Served
Services
Accept
Days &
Hours
of Operation
Address
Phone
Website/
Email
DaVita Dialysis Care of
Anson County
Anyone
over 18 on
dialysis
In-center Hemodialysis
Medicare
Medicaid
Insurance
Private Pay
M, W, F
5 am -5 pm
Tu, Th, Sat
5am – 12pm
280 Walton St
Wadesboro, NC 28170
980-575-0145
www.Davita.
com
Fresenius Kidney Care
of Anson County
Anyone
over 18 on
dialysis
In-center Hemodialysis
Medicare
Medicaid
Insurance
Private Pay
M – Sat
6:30 am –
5:00 pm
2349 US Hwy 74 West
Wadesboro, NC 28170
704-695-1460
www.Freseni
usmedicalcar
e.com
Chiropractic and Therapy
Name
Population
Served
Services
Accept
Days &
Hours
of Operation
Address
Phone
Website/
Email
Anson County Public
School System
Students
Speech Therapy based on
process that identifies
qualified students.
Occupational Therapy,
Physical Therapy,
Audiologist, Orientation &
Mobility.
No cost
Varies
School System Office
320 Camden Road
Wadesboro, NC 28170
704-694-4417
www.ansons
chools.org
Bounce Back
Therapeutic Massage
(LaKisha Streater)
Adults
Therapeutic Massage
Private pay
By
appointment
112S Greene St.
Wadesboro, NC 28170
704-690-3597
https://bounc
ebacktherape
uticmassage.a
mtamembers.
com/
Atrium Rehabilitative
Services
Anyone
referred by
a Physician
Occupational Therapy (OT),
Physical Therapy (PT),
Speech Therapy including
cognition, swallowing and
speech for Out-Patients, In-
Hospital Patients and Long-
Term Care.
Medicare
Medicaid
Insurance
Private Pay
Hospital &
Long-Term
Care
Mon-Fri
8am – 5pm
Available on
Weekends at
Long-Term Care
919 East Caswell St.
Wadesboro, NC 28170
704-994-4955
http://www.c
arolinashealt
hcare.org/loc
ations/carolin
as-
healthcare-
system-anson
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
285
Family Services
Service/Program
Population
Served
Agency
Fee
Days &
Hours
Address
Phone
Website/
Email
Pregnancy Services:
> Pregnancy testing
> Limited Ultrasounds
> Parenting, prenatal
and other classes
> Counseling
> Information about
pregnancy, abortion
facts, adoption, fetal
development and
parenting
> Information and
support for men in
relation to pregnancy
issues
> Abstinence
counseling
> Post-abortive support
services
Clothing ministry for
young children and
women
Women in
Crisis
Pregnancies
HOPE Pregnancy Resource
Center
N/A
Mon – Wed
11am to 5pm
Thursday
3pm to 7pm
101 Moore’s Lake Rd.
Wadesboro, NC 28170
704-690-6689
http://hprc-
anson.org/
Car Seat Installation
Training
Parents
Anson County Partnership
for Children
Free
By
Appointment
117 S Greene Street
Wadesboro, NC 28170
704-694-4036
http://ansonc
hildren.org/
Car Seat Distribution
Infants and
Young
Children on
any form of
public
assistance
Anson County Partnership
for Children
$10 per
seat
By
Appointment
117 S Greene Street
Wadesboro, NC 28170
704-694-4036
http://ansonc
hildren.org/
Diaper Distributions
Infants and
Young
Children on
Medicaid
Anson County Partnership
for Children
Free
Daily through
referrals
from DSS and
Health Dept.
117 S Greene Street
Wadesboro, NC 28170
704-694-4036
http://ansonc
hildren.org/
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
286
Service/Program
Population
Served
Agency
Fee
Days &
Hours
Address
Phone
Website/
Email
Training on nutrition
for children
Day Cares
Anson County Partnership
for Children
Free
As Needed
117 S Greene Street
Wadesboro, NC 28170
704-694-4036
http://ansonc
hildren.org/
Simply Herbal
Anyone
Herbal and homeopathic
products. Counseling on
breastfeeding, doula and
labor support services.
Retail and
Counseling
Store hours:
Tue -Fri
10 am-6 pm
Sat 10am -
3pm
35 W. Passiac Street
Peachland, SC
704-272-0890
www.simplyh
erbalorganics
.co/
Burnsville Recreations
& Learning Center
Families in
Anson
County and
borderline
neighbors in
Union and
Stanly
Counties
Computer skills to help
adults that have little or no
knowledge of the technical
skills.
Free
Mon, Tue &
Thursday
10:00 am to
2:00 pm
13349 Highway 742 N
Polkton, NC 28135
Carol Smith,
Director
704-826-8737
burnsvillelc@
gmail.com
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
287
Resources for Those in Crisis or Need
Medication Assistance
Name
Population
Served
Services
Fees
Days &
Hours
of Operation
Address
Phone
Website/
Email
Anson Crisis Ministry
Ill citizens
in crisis
Medication purchases on
rare occasions in emergency
situations. Decision made on
case by case basis.
None
Office Hours
M, T, W, F
8am to 1pm
117 N Rutherford St
Wadesboro, NC 28170
704-694-2445
www.anson
crisisministr
y.org
HealthQuest
Uninsured/
Underinsur
ed
Provides assistance with free
prescription medications and
diabetic supplies for enrolled
clients.
$20
Monthly
Donation
Mon - Fri
10am to
4:30pm
2301 US Hwy 74 W
Wadesboro, NC 28170
704-994-4720
http://www.
healthquest
pharmacy.or
g
MedAssist
NC resident
uninsured
persons that
do not
qualify for
Medicaid or
Medicare
and have
income at or
below 200%
FPL
Free prescriptions by mail
None
Mon – Fri
8am–4:30pm
4428 Taggart Creek Rd.
Suite 101
Charlotte, NC 28208
866-331-1348
www.medas
sist.org
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
288
Health Care Assistance
Name
Population
Served
Services
Eligibility
Requirements
Days &
Hours
of
Operation
Address
Phone
Website/
Email
Adult Medicaid
Disabled
citizens
aged 19-64
and
disabled
children
under 19.
Helps pay medical bills for
some people who have low
income and cannot afford
health care. Helps provide
medical care for the elderly,
people who are blind or
disabled and people who
need help with rest home
and nursing home costs -
Private Living Assistance,
Long-Term Care (LTC).
Medicare Savings Program –
helps pay Medicare
premiums, copays,
deductibles
Singles must
have assets of
$200 or
under, $3000
for couples to
receive
complete
benefits
DSS office
is open
Mon – Fri
8:30 to 5
Anson County DSS
118 North Washington St
Wadesboro, NC 28170
704-694-9531
http://nc-
ansoncount
y.civicplus.c
om/182/Soc
ial-Services
Family and children
Medicaid
Anyone in
County who
meets the
requirements
DSS administers several
Medicaid programs to help
families and children:
> MIC (Medicaid for Infants &
Children) for 0 to 18 years
covers cost of medical
services
> MIPW (Medicaid for
Pregnant Women)
> FPW (Family Planning
Waiver/Medicaid for Adult
Families) for ages 18-46 for
women, 18-65 for men –
provides a yearly physical &
birth control
> MAF (Medicaid for Adult
Families) where there is a
caretaker in the home of a
child or children under 18
> MAFM (Medicaid for Adults
Varies by
program,
normally
based on
income and
age
DSS office
is open
Mon – Fri
8:30 to 5
Anson County DSS
118 North Washington St
Wadesboro, NC 28170
704-694-9531
http://nc-
ansoncount
y.civicplus.c
om/182/Soc
ial-Services
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
289
Name
Population
Served
Services
Eligibility
Requirements
Days &
Hours
of
Operation
Address
Phone
Website/
Email
with Families) help for the
medical needy
> MAFN Medicaid for Ages 19
– 20 who don’t have children
and qualify based on income
NC Health Choice
Administered by DSS
Children
Ages 6-18
Health insurance (not
Medicaid) for uninsured
children ages 6-18.
There is a
charge based
on income
criteria with a
cap on cost to
a single
family.
DSS office
is open
Mon – Fri
8:30 to 5
Anson County DSS
118 North Washington St
Wadesboro, NC 28170
704-694-9531
http://nc-
ansoncount
y.civicplus.c
om/182/Soc
ial-Services
Burnsville Recreation
and Learning Center
Families in
Anson
County and
borderline
neighbors
in Union
and Stanly
Counties
Health Screenings
No cost
Wed
8:30am to
12 noon
Sat varies
usually
9am to
2pm
13349 Highway 742 N
Polkton, NC 28135
Carol Smith,
Director
704-826-8737
burnsvillelc
@gmail.com
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
290
Food/Nutrition Assistance
Name
Population
Served
Services
Eligibility
Requirements
Days &
Hours
of
Operation
Address
Phone
Website/
Email
SNAP (Supplemental
Nutritional Assistance
Program) from USDA
(US Department of
Agriculture).
Administered by DSS.
Adults age 65
or older who
receive SSI
and are a
one- person
household
Participants receive an
Electronic Benefit Transfer
(EBT) card that can be used
to purchase food.
Used to be called Food
Stamp Program.
Income is
200% below
poverty level
or under
$1,354 per
month.
Card can
be used
anytime.
DSS office
is open
Mon – Fri
8:30 to 5
Anson County DSS
118 North Washington St
Wadesboro, NC 28170
704-694-9531
http://nc-
ansoncount
y.civicplus.c
om/182/Soc
ial-Services
Anson County School
System Free
Lunch/Breakfast
Program
Students
All students receive free
breakfast and lunch upon
request.
No Cost
School
Hours
& Home
Delivery or
Pick-up of
meals at
the
student’s
assigned
school site
School System Office
320 Camden Road
Wadesboro, NC 28170
704-694-4417
www.ansons
chools.org
Anson Crisis Ministry
Anyone who
qualifies
>Food voucher for a grocery
cart full of groceries pulled
from crisis shelves and
packaged for client to pick
up; individuals can return
every 30 days for new
voucher
>Food from USDA free food
program provided once a
month
Varies by
program
M,T,W,F
8am to
1pm
117 N Rutherford St
Wadesboro, NC 28170
704-694-2445
www.anson
crisisministr
y.org
Feed My Lambs
Anyone who
qualifies
Food & clothing ministry for
people in crisis.
Income
and/or crisis
such as
burnout,
sickness
Varies
500 E. Caswell St.
Wades, NC 28170
704-694-3539
https://ww
w.facebook.
com/search/
top/?q=Fee
d%20My%2
0Lambs
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
291
Name
Population
Served
Services
Eligibility
Requirements
Days &
Hours
of
Operation
Address
Phone
Website/
Email
Burnsville Recreation
& Learning Center
Families in
Anson County
and
borderline
neighbors in
Union and
Stanly
Counties
Distribution of food for
families. During Summer
2020 provided prepared
carry out plate lunches 2
days a week for
underserved and senior
citizens. Hope to get
kitchen permitted to provide
meals year-round.
Varies by
program
Varies
13349 Highway 742 N
Polkton, NC 28135
Carol Smith,
Director
704-826-8737
burnsvillelc
@gmail.com
Helping Hands Food
Distribution
People in
emergency
need of food
Food Distribution
Friday
9 to 11 am
Part of Harvest Ministries
Outreach Center @
1134 E. Caswell St.
Wadesboro, NC 28170
704-695-2879
http://www.
harvestmin.
com/site/pa
ge.asp?id=3
2&t=outreac
h_ministries
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
292
Crisis/Emergency
Name
Population
Served
Services
Fees
Days &
Hours
of
Operation
Address
Phone
Website/
Email
Anson County
Domestic Violence
Coalition and Rape
Crisis Center
Non-Offender
Victims and
survivors of
domestic
violence,
family
violence, and
sexual assault
24-hour safe, non-
judgmental and confidential
crisis line
24-hour safe, non-
judgmental and confidential
counseling
Hospital accompaniment-
health advocacy
Court accompaniment-legal
advocacy
Liaison with victims and all
systems in our community;
Emergency transportation
Help with appropriate
emergency shelter
Sexual assault advocacy
Child advocacy
1-1 sessions with clients
Support group
None
Someone is
on call 24
hours a day
365 days a
year
Office
Hours:
Mon – Fri
8am to
4pm
204 E. Wade St.
Wadesboro, SC 28170
Office:
704-694-4499
24 Hour Crisis
Line:
704-690-0362
https://ww
w.acdvrcc.or
g/
Anson County Public
School System
Students
Emergency Care/First Aid
No Cost
School
Hours
School System Office
320 Camden Road
Wadesboro, NC 28170
704-694-4417
www.ansons
chools.org
Anson County
Emergency Medical
Services (EMS)
Anyone
Paramedic Level Emergency
Care, Emergency Transport to
Hospital, Inter-Medical Facility
Transport
Accepts:
Medicare,
Medicaid, Ins. &
Private Pay
365 days a
year
7 days a wk
605 McLaurin Street
Wadesboro, NC 28170
911 for
Emergencies:
911 Office:
704-694-5342
Anson Crisis Ministry
All who
qualify
>Blankets in winter to anyone
in need while supply lasts
>Anson Crisis thrift store
offering clothing and shoes at
extremely low prices
>Clothing and Shoe vouchers
in organization store for fire
victims and persons newly
released from prison
>Furniture free or at reduced
prices based on circumstances
Office
hours
M,T,W,F
8am to
1pm
117 N Rutherford St
Wadesboro, NC 28170
704-694-2445
www.anson
crisisministr
y.org
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
293
Name
Population
Served
Services
Fees
Days &
Hours
of
Operation
Address
Phone
Website/
Email
American Red Cross
Anyone
Eligible
Disaster response, service for
Armed Forces, Community
Education including health and
safety classes and how to
respond to a disaster
No charges for
disaster, class
costs start at
$70.
Scholarships
available.
N/A
125 Pedro St.
Monroe, NC 28110
704-694-3514
704-283-7402
(24 hours)
Child Protective
Services
Children
under the age
of 18
Assist, guide, protect and
respond to children whose
families are not providing or
meeting basic needs
Child alleged
to be abused,
neglected or
dependent.
24 hours
per day.
DSS office
is open
Mon – Fri
8:30 to 5
Anson County DSS
118 North Washington St
Wadesboro, NC 28170
704-694-9351
http://nc-
ansoncount
y.civicplus.c
om/182/Soc
ial-Services
Adult Protective
Services
Disabled
adults age 18
and older
Assist, guide, protect and
respond to disabled adults
whose basic needs are not
being met
Disabled Adult
alleged to be
abused,
neglected or
exploited.
24 hours
per day.
DSS office
is open
Mon – Fri
8:30 to 5
Anson County DSS
118 North Washington St
Wadesboro, NC 28170
704-694-9351
http://nc-
ansoncount
y.civicplus.c
om/182/Soc
ial-Services
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
294
Transportation Assistance
Name
Population
Served
Services
Accept
Days &
Hours
of
Availability
Address
Phone
Website/
Email
Anson County
Emergency Medical
Services (EMS)
Anyone
Inter-Medical Facility
Transport
Accepts:
Medicare,
Medicaid,
Insurance and
Private Pay
365 days a
year
7 days a
week
605 McLaurin Street
Wadesboro, NC 28170
911 for
Emergencies
Office:
704-694-9332
Anson County
Transportation
System (ACTS)
Whole
County
Offer two types of
transportation - Regular
scheduled routes and
demand response.
Regularly scheduled routes
transport individuals to the
same destination on a
consistent basis. Our
regularly scheduled routes
consist of nutritional routes
for the elderly to the
Peachland, Wadesboro and
Morven meal sites,
employment training routes
to the McLaurin Vocational
Rehabilitation Center in
Hamlet NC , dialysis
treatment, and employment
routes throughout Anson
County.
Demand response
transportation is flexible and
is accessible by calling at
least 24 hours in advance to
schedule.
>Cash
>Medicaid
>Monthly
payments by
established
agencies
>Limited
Funds through
Elderly &
Disabled
Transportatio
n Grant
Mon – Fri
8:30 – 5
P O Box 672
Wadesboro, NC 28170
704-694-2596
http://www.
co.anson.nc.
us/content/i
ndex.php?ac
ts
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
295
Carolinas Health Care
– Anson
Anywhere in
County
Transportation for Anson
patients to Carolinas
Primary Care, Diabetes
Counseling/Training,
Dietitian and other CHS
Anson services.
No Cost
Varies
2301 US Hwy 74 S
Wadesboro, NC 28170
704-994-4500
http://www.
carolinashea
lthcare.org/l
ocations/car
olinas-
healthcare-
system-
anson
Non-Emergency
Medicaid
Transportation
Medicaid
Recipients
Transportation to and from
medical appointments for
Medicaid covered services
provided by a qualified
Medicaid provider.
No Cost
Requests
can be at
any time
using a 24
hour
phone line.
DSS office
is open
Mon – Fri
8:30 to 5
Anson County DSS
118 North Washington St
Wadesboro, NC 28170
704-994-3454
http://nc-
ansoncount
y.civicplus.c
om/182/Soc
ial-Services
Teen Pregnancy
Service/Program
Population
Served
Agency
Fee
Days &
Hours
Address
Phone
Website/
Email
Anson County Public
School System
Students
Social Workers/ School
Counselors make referrals
No Cost
Varies
School System Office
320 Camden Road
Wadesboro, NC 28170
704-694-4417
www.ansons
chools.org
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
296
Health Careers Education
Anson County Public Schools
Type
Population
Served
Topics
Cost
Days &
Hours
of Operation
Address
Phone
Website/
Email
Workshops & Seminars
Faculty and
Staff
CPR/First Aid, Blood
Disorders
N/A
Varies/
Remote
learning using
https://anson-
nc.safeschools
.com/login
School System Office
320 Camden Road
Wadesboro, NC 28170
704-694-4417
www.ansons
chools.org
Seminars
Students
Disease Transmission,
Hygiene, Healthy Nutrition
N/A
Varies/
Remote using
ZOOM and
https://anson-
nc.safeschools
.com/login
School System Office
320 Camden Road
Wadesboro, NC 28170
704-694-4417
www.ansons
chools.org
Health Careers courses
9 – 12
grade
Students
>Project Lead the Way Bio-
Medical (4 Step) Program
>Internships
There are
no costs to
students
Varies/
Online
School System Office
320 Camden Road
Wadesboro, NC 28170
704-694-4417
www.ansons
chools.org
Optional Health Class
9 – 12
grade
Students
Family & Consumer Sciences
(Nutrition)
N/A
Varies/Onlin
e
School System Office
320 Camden Road
Wadesboro, NC 28170
704-694-4417
www.ansons
chools.org
South Piedmont Community College (SPCC)
Health Careers Education
Course
Degree/
Certificate
Classroom
or Online
Involves
Clinical
Activities
Location
Phone
Website/ Email
Associate Degree Nursing (RN)
Associate Degree
Classroom
Yes
Union County Campus
704-290-5826
Associate Degree Nursing
Practical Nursing (LPN)
Diploma
Classroom
Yes
Union County Campus
704-290-5826
Practical Nursing
Licensed Practical Nurse Refresher
Certificate
Online
Yes
N/A
704-290-5826
Medical Sonography
Degree
Classroom
Yes
Union County Campus
704-290-5209
Medical Sonography
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
297
Course
Degree/
Certificate
Classroom
or Online
Involves
Clinical
Activities
Location
Phone
Website/ Email
Medical Office Administration
Degree or
Certificate
Classroom
No
Both Campuses
704-290-5558
Medical Office
Administration
Medical Insurance Coding
Diploma
Classroom
No
Both Campuses
704-290-5858
Medical Insurance Coding
Medication Aide
Certificate
Classroom
No
Union County Campus
704-290-5217
Medication Aide
Medical Assisting
Degree or
Diploma
Classroom
Yes
Union County Campus
704-290-5825
Medical Assisting
Medical Laboratory Assistant
Certificate
Classroom
Yes
Union County Campus
704-290-5825
Medical Assisting
Nurse Assistant I (CNA)
License
Preparation
Classroom
Yes
Both Campuses
704-290-5217
Nurse Aide
Nurse Assistant II (CNA)
License
Preparation
Classroom
Yes
Both Campuses
704-290-5217
Nurse Aide
Medical Coding Specialist
Certificate
Online
No
N/A
704-290-5212
Medical Coding
Medical Administrative Assistant
Certificate
Online
No
N/A
704-290-5212
Medical Administrative
Assistant
Therapeutic Massage
License
Preparation
Classroom
Yes
Union County Campus
704-290-5867
Therapeutic Massage
EMT – Basic Certification
(Emergency Medical Technician)
Certificate
Classroom
No
Both campuses
704-290-5870
EMT Basic Certification
EMT – Paramedic Certification
(Emergency Medical Technician)
Certificate
Classroom
No
Union County Campus
704-290-5870
EMT Paramedic
Certification
CPR Training
Certificate
Classroom
No
Union County Campus
704-290-5870
CPR
Advanced Cardio Vascular Life
Support
Certificate
Classroom
No
Union County Campus
704-290-5870
Advanced Life Support
Pediatric Advanced Life Support
(PALS)
Certificate
Classroom
No
Union County Campus
704-290-5870
Pediatric Advanced Life
Support
EMS – Bridge
Degree
Classroom
No
Online
704-290-5817
EMS Bridge
MRI
Certificate
Classroom
Yes
Union County Campus
704-290-5870
MRI
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Wingate University
Course
Degree/
Certificate
Classroom
or Online
Involves
Clinical
Activities
Location
Phone
Course
School of Pharmacy
Doctorate
Classroom
Yes
Wingate University
515 North Main Street
Wingate, NC 28174
704-233-8343
www.wingate.edu
Pre-Professional Programs for
Health Careers
Varies
Classroom
Yes
Wingate University
515 North Main Street
Wingate, NC 28174
704-233-8343
www.wingate.edu
Physical Therapy
Doctorate
Classroom
Yes
Wingate University
515 North Main Street
Wingate, NC 28174
704-233-8343
www.wingate.edu
Physician Assistant
Master’s
Classroom
Yes
Wingate University
515 North Main Street
Wingate, NC 28174
704-233-8343
www.wingate.edu
Nursing
Bachelor’s
Classroom
Yes
Wingate University
515 North Main Street
Wingate, NC 28174
704-233-8343
www.wingate.edu
Occupational Therapy
Doctorate
Classroom
Yes
Wingate University
515 North Main Street
Wingate, NC 28174
704-233-8343
www.wingate.edu
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
299
Healthy Food Sources
Name
Type of
Outlet
Services/Products
Days & Hours
of Operation
Address
Phone
Website/ Email
Anson County Farmers
Market
Farmer’s
Market
Outlet for local farm produce
and meats
June to Nov.
Wed & Sat
7 am to 1 pm
1736 US Highway 52 S
Wadesboro, NC 28170
704-964-3516
Brown Creek
Creamery
Dairy
Small family dairy providing
dairy & beef products. Offer
herd share and online ordering
with farm pickup.
Varies, see
website
4747 Brown Creek
Church Rd
Wadesboro, NC 28170
704-695-1851
www.browncreek
creamery.com
Bountiful Harvest
Farm
Individually
Owned Farm
Free-Range Chickens, Eggs &
Turkeys, Shiitake mushrooms,
blueberries and figs.
Purchase
by phone or
online
2001 Cedar Grove
Church Rd
Polkton, NC 28135
704-258-2266
www.bountifulhar
vestfarmnc.com
Greene Farm Beef
Individually
Owned Farm
Direct sale of locally raised beef
products
Order by
phone or
online
1747 Lanier Rd.
Peachland, NC 28133
704-272-9098
704-221-5227
www.greenefarm
beef.com
Kingdom Produce and
Poultry
16 week CSA
offered by a
small family
farm
Offer organic and free-range
produce and poultry
May – Sept
Family Share
$450 to $810 per
year
Half Share $295
to $355 per year
134 Sonata Rd.
Wadesboro, NC 28170
704-694-9780
https://www.local
harvest.org/kingd
om-produce-and-
poultry-M62033
Pee Dee Orchards
Individually
Owned
Stand
Fresh Peaches and Homemade
Peach ice cream
Mid May –
Mid October
Daily
8am-7pm
11279 US Highway 74 E
Lilesville, NC 28091
704-848-4801
https://www.visit
nc.com/listing/Rr6
D/pee-dee-
orchards
Peaches ‘n’ Cream
Individually
Owned
Stand
Local peaches, fresh produce,
ice cream, jellies, jams, ciders
and syrups. Dairy products from
Brown Creek Creamery.
May – Sep
Daily 9am-9pm
Varies during
other months
2735 US Highway 74 W
Wadesboro, NC 28170
704-694-2522
www.peachesand
creamnc.com/
Rayfield Meat Center
Individually
Owned
Company
All-natural pork products
4450 Hwy. 109 S
Wadesboro, NC 28170
704-694-4384
www.rayfieldmeat
.com/index.html
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
300
Pharmacies
Name
Accept SNAP
(formerly
called Food
Stamps)
Approved
for WIC
Deliver
Address
Phone
CVS Pharmacy
No
No
No
1156 E Caswell
Street
Wadesboro, NC
704-694-2135
Parson Drugs
No
Yes for
special infant
formulas
Yes
100 S Greene Street
Wadesboro, NC
704-694-2310
Anson Regional Medical
Services, Inc. (ARMS)
https://www.arms-
chc.org/
Is a Federally Qualified
Health Center
N/A
N/A
No
203 Salisbury Street
Wadesboro, SC
704-694-6700
HealthQuest
Uninsured/
Underinsured
Provides
assistance
with free
prescription
medications
and diabetic
supplies for
enrolled
clients.
$20
Monthly
Donation
2301 US Hwy 74 W
Wadesboro, NC
28170
http://www.healthquestpharmacy.org
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301
Anson County Services for Home Care, Aging and Rehabilitation
Home Care
Name
Population
Served
Services
Accept
Days &
Hours
of Operation
Address
Phone
Website/
Email
Council on Aging In
Home Services
(Non-Profit)
County residents
over 60 who
have physical
limitations and
no one in the
home to help
Respite care for Care
Providers; in home aid,
home management Level 1
– housekeeping, but not
personal care.
All services
are free
Mon – Fri
8:30am-5pm
119 Hwy 742 South
Wadesboro, NC
28170
704-694-6217
Essential Living Home
Care Services, LLC
Anyone referred
by
Physician
includes:
Disabled, injured,
post-surgery
recovery, elderly
Personal daily living care
including: bathing, tidying
up home, help with
exercise, medication
reminders, run errands.
Follow CDC safety
guidelines.
Medicaid
Private Ins
Private Pay
Mon – Fri
8:30am-4pm
(on call 7am
to 7pm 7
days a week)
107C E. Wade St.
Suite D
Wadesboro, NC
28170
704-994-2797
Gentle Touch Home
Care, LLC*
Anyone who
meets
requirement – no
one in home to
provide care
In home care: bathing,
personal needs, light
housekeeping, medication
reminder, errands, oral
hygiene, laundry, meal
preparation.
Medicaid
Long-Term
Insurance
Private Pay
Mon – Fri
Daytime
(According to
client needs)
1248 E. Caswell St.
Wadesboro, NC
28170
704-994-2361
http://ncho
mecare.com
/
Liberty Home Health &
Hospice*
Any adult 18 or
over
Home Care
Hospice Care
Advanced Wound Care
Cardiac Care
Tele monitoring
Medicare
Medicaid
Private Pay
Primarily
Mon – Fri
8 am to 5 pm
119 W. Wade St.
Wadesboro, NC
28170
704-694-5992
https://ww
w.libertyho
mecare.com
/service-
area-
location/wa
desboro/
Neighborhood Nurses
Health Care Services
Anyone
Private nursing, In-Home Aid,
CAP-C Community Alternative
Program – Children) CAP-DA
(Community Alternative
Program – Disabled Adults),
Personal Care Services
Medicaid
Private Pay
Worker’s
Comp
VA Benefits
Long-Term
Care Ins.
As needed by
clients
217 Leak Ave.
Wadesboro, NC
28170
704-695-9171
* Information is from website or other source and may be incomplete.
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
302
Nursing Homes/Long-Term Care/Rehabilitation
Name
Population
Served
Services
Accept
Days &
Hours
of Operation
Address
Phone
Website/
Email
Anson Health &
Rehabilitation*
Adults
requiring
long-term
skilled
nursing
care
>Long-Term skilled nursing
care
>Rehabilitation
> Physical Therapy
> Occupational Therapy
> Speech Therapy
>Wound & Skin Care
>Nutritional Care
Medicare
Medicaid
Insurance
Private Pay
365 days a
year
7 days a
week
405 South Greene Street
Wadesboro, NC 28170
704-695-3301
https://www
.sanstonehe
alth.com/loc
ations/anson
-health/
Meadow View Terrace
of Wadesboro
Assisted Living*
Persons 60
and older
that are
eligible,
able to bear
weight and
not
bedridden
>Companion and Private Rooms
>Furnished or Unfurnished
Rooms
>On-Site Beauty Salon & Barber
Shop
>Complete Dining Program with
special diets as needed
>Transportation
>Full-Service Housekeeping
>On-Call Physician Services
>Comprehensive Activities and
Social Program
Medicare
Medicaid
Private Pay
365 days a
year
7 days a
week
123 Anson High School
Road
Wadesboro, NC 28170
704-994-9050
https://wad
esborosenior
s.com/
Wadesboro Health and
Rehabilitation Center*
Anyone age
16+
requiring
skilled
nursing,
therapy or
outpatient
rehab
Nursing Home providing
Skilled Nursing Care and
Rehabilitation Services
Medicare
Medicaid
Insurance
Private Pay
365 days a
year
7 days a
week
2051 Country Club Rd
Wadesboro, NC 28170
704-694-4106
www.oriann
a.com/store-
page/ambas
sador-
rehabilitatio
n-and-
healthcare-
center/
* Information is from website or other source and may be incomplete.
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
303
Organizations
Name
Population
Served
Services
Accept
Days &
Hours
of Operation
Address
Phone
Website/
Email
Council on Aging
60 and
older with
target on
most in
need
Transportation, in-home aid,
nutrition at 3 sites, home-
delivered meals, liquid
meals, respite services for
care givers, incontinent
supplies, educational &
recreational activities, health
promotion for chronic
diseases. Evidence based
classes including: Matter of
Balance, Living Healthy and
Living Healthy with Diabetes.
Senior Citizen Health Fair
that provides screening and
awareness.
Seniors
Mon- Fri
8:30 to 5
199 Hwy 742 South
Wadesboro, NC 28170
704-694-6616
http://www
old.co.anson
.nc.us/conte
nt/index.ph
p?councilon
aging
Hospice
Name
Population
Served
Services
Accept
Days & Hours
of Operation
Address
Phone
Website/
Email
Anson Community
Hospice
(Division of Richmond
County Hospice, Inc.)*
Terminally
ill and their
caregivers
and family
members
Non-profit, community
based hospice care
Medicare
Medicaid
Insurance
Private Pay
(Can help
indigent
patients
with cost if
meet all
criteria)
N/A
108 S Greene Street
Wadesboro, NC 28170
704-694-1595
www.richmo
ndcountyhos
pice.com
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
304
Hospice of Anson
County
Anyone
terminally
ill 18 and
over
Hospice Care Services:
> Skilled nursing services
> 24 hour-a-day on-call registered
nurse
> Bathing and personal care
assistance
> Coordination of care plan
> Caregiver support
> Review and assistance with
medication and equipment (related
to diagnosis)
> Grief support
> Spiritual care services
> Volunteer visits to provide
companionship and support
> Psycho-social and counseling
support
> Pet visits through our
Comforting Paws program
> Integrative care, such as
aromatherapy, guided imagery,
relaxation techniques, music, art,
comforting touch and healing
energy
Pallilative Care Services:
> Expert treatment of symptoms
associated with advanced illness
> Counseling
> Assistance in identifying goals of
care
> Coping strategies for caregivers
Medicare
Medicaid
Insurance
Private Pay
(Indigent
can apply
for sliding
scale fee
and
community
funding)
Office hours 9
am to 5 pm
Mon – Fri.
On call
availability 24
hours a day.
919 East Caswell Street
Wadesboro, NC 28170
704-694-4880
https://atriu
mhealth.org
/medical-
services/spe
cialty-
care/other-
specialty-
care-
services/hos
pice-
palliative-
care/union-
county
Liberty Home Care and
Hospice*
Adults 16
years or
older
All traditional hospice care
for the terminally ill
Medicare
Medicaid
Insurance
Private Pay
Office hours
Mon – Fri
8 am to 5 pm
On Call
Patient/family
services 24/7
119 W. Wade St.
Wadesboro, NC 28170
704-695-1421
https://www
.libertyhome
care.com/ho
spice-
services/
* Information is from website or other source and may be incomplete.
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
305
Wellness and Fitness
Private Fitness
Name
Population
Served
Services
Fee
Days &
Hours
of Operation
Address
Phone
Website/
Email
Anson Athletic Youth
Association*
Youth ages 4
to 15
Baseball, Softball, T-Ball,
Kickball
Has 3 fields at Field of
Dreams
Varies
Varies
P O Box 39
Polkton, NC 28135
http://www.s
portsmanager
.us/aaya.htm
Boy Scouts of America
Pee Dee District –
Richmond and Anson
Counties*
Boys 7 to 18
years of age
Cub Scout Troup
Varies
Pack 350 in
Peachland
meets every
Thursday at
7:00 pm at the
Peachland
United
Methodist
Church
Melissa Alexander-
Ewing
Melissa.Eqing@Scouting
.org
910-334-2050
www.central
nccouncilbsa.
com
http://peachland
pack530.scoutla
nder.com/public
site/unithome.as
px?UID=2615
Buff Monkey Fitness
Co.*
Primarily
Adults
Cardio Workouts
Weightlifting
Fitness Development
Fitness Classes & Groups
Varies
123 E Martin St.
Suite 600
Wadesboro, NC 28170
704-694-0199
http://www.fa
cebook.com/p
ages/Buff-
Monkey-
Fitness-
Co/191780191
169
HOLLA
(Helping Our Loved
Ones Learn and
Achieve)*
Anyone
Tennis
5K Walk/Run
Varies
Varies
229 E Main Street
Morven, NC 28119
704-994-3281
or
704-695-4968
www.holla.ws
Twin Valley Country
Club*
Anyone
18 hole golf course
Varies
Varies
2305 Country Club Rd.
Wadesboro, NC 28170
704-694-2336
www.twinvall
eycc.com
* Information is from website or other source and may be incomplete.
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306
Private Wellness
Name
Population
Served
Services/Products
Accept
Days &
Hours
of Operation
Address
Phone
Website/
Email
Simply Herbal*
Anyone
Herbal and homeopathic
products and healthy foods
(whole foods, organic,
gluten free), nutrition
counseling.
Store hours:
Tue -Fri
10 am-6 pm
Sat 10am to
3pm
35 W. Passiac Street
Peachland, SC
704-272-0890
www.simplyh
erbalorganics.
co/
* Information is from website or other source and may be incomplete.
Public Fitness
Municipalities
Facility/Park/Trail
Population
Served
Services/Facilities
Fee
Days &
Hours
of
Operation
Location
Phone
Website/ Email
Wadesboro City
Park – Town of
Wadesboro
Open to
Public
.8 mile walking trail, 2
picnic shelters,
playground and
restrooms.
Access if
free; fees
are
charged
for use of
picnic
shelter
April – Oct
5am -10pm
Nov-Mar
6am-8pm
Entrance on
Gatewood Dr.
704-694-5171
http://www.ityofwadesboro.org/pa
rk.html
City Pond – Town of
Wadesboro
Open to
Public
Bank fishing, boating,
screened-in picnic
shelter, playground.
Access is
free;
fees are
charged
for
fishing,
boat
rental use
of picnic
shelter
Fri 2pm to
7:30 pm
Sat 7am to
7:30 pm
Sun 1pm to
7pm
Facility will
close at sunset
if it occurs
before
advertised
closing time.
NC Hwy 742 S.
704-694-4245
Ext. 3
http://www.ityofwadesboro.org/pa
rk.html
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
307
Facility/Park/Trail
Population
Served
Services/Facilities
Fee
Days &
Hours
of
Operation
Location
Phone
Website/ Email
Peachland Park
Open to
Public
Includes a paved
walking trail,
a baseball field, a
soccer field,
playground
equipment,
restrooms and
picnic shelters.
Some
fees for
restroom
key and
picnic
shelters
Highway 74 in
Peachland
704-272-7781
http://www.townofpeachland.org/r
ecreation.html
Polkton Parks
Mayors Park and
Walking Trail
East Polkton Park
Open to
Public
Walking Trails
Green space
None
Fees may
apply for
use
157 S Williams
St., Polkton
211 Crump St.,
Polkton
704-272-7463
http://www.townofpolkton.org/rec
reation--events.html
Anson County
Facility/Park/Trail
Population
Served
Services/Facilities
Fee
Days &
Hours
of
Operation
Location
Phone
Website/ Email
Anson County
Public School
System
Anyone
Gyms can be rented.
Varies
Insurance
is
required
After
school,
during
summer
School System
320 Camden Rd
Wadesboro, NC
28170
704-694-4417
www.ansonschools.org
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308
Facility/Park/Trail
Population
Served
Services/Facilities
Fee
Days &
Hours
of
Operation
Location
Phone
Website/ Email
Little Park
Open to
Public
County-maintained
recreational
facility offering ballfield
s, soccer fields, tennis
courts, playground,
picnic shelters,
swimming pool, walking
trail and 2 acre pond.
Varies
Varies
845 Airport Rd
Wadesboro, NC
704-695-5868
Swimming
Open to
Public
75X42 foot swimming
pool, swim lessons
$1 per
person
pool
admission
Lesson
$18 per
person
Tues, Wed,
Thurs, Sat,
Sun
2-5 pm,
Adult Open
Swim Tues
& Thurs
6-7:30 pm,
Class times
vary
In Little Park on
Airport Road in
Wadesboro
704-695-2550
http://www.co.anson.nc.us/175/Pa
rks-Recreation
Open to
Public
Basketball
Aquatics
Baseball
Tee Ball
Volleyball
Football
$Varies
Varies by
program
Varies by
Program
704-695-2550
http://www.co.anson.nc.us/175/Pa
rks-Recreation
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309
Cooperative Extension Service & 4-H
Resource
Population
Served
Program
Fee
Program
Length
Location
Phone
Website/ Email
Facebook page
Everyone
Information &
Instruction on health
and fitness
Free
N/A
N/A
704-694-2915
https://www.facebook.com/
ansoncoopextension
Facebook page
Youth
Information about
youth development
Free
N/A
N/A
704-694-2915
https://www.facebook.com/
anson4h/
YouTube Page
Everyone
Education materials for
all program areas
Free
N/A
N/A
704-694-2915
https://www.youtube.com/c
hannel/UCP3MqpyW7D7WE
fmgtVgNluw
Virtual Fitness
Adults
LIFT (Lifelong
Improvement through
Fitness Together)
Free
8 weeks/16
sessions
(2 1-hour
sessions per
week)
Virtual
704-694-2915
http://anson.ces.ncsu.edu/
Pressure canning
safety testing
Anyone
Tests personal pressure
canning machines to
insure safety
Free
N/A
501 McLaurin St.,
Wadesboro, NC
704-694-2915
http://anson.ces.ncsu.edu/
Youth
Development
Summer Day Camp
Youth ages
5 to 7
4H Cloverbud Camp
$30
3 days
501 McLaurin St.,
Wadesboro, NC
704-694-2915
http://anson.ces.ncsu.edu/
Youth
Development
Summer Day Camp
Youth ages
8 to 12
4H Jr. Camp
$30
3 days
501 McLaurin St.,
Wadesboro, NC
704-694-2915
http://anson.ces.ncsu.edu/
Back Pack Buddies
Children at
Wadesboro
& Morven
Elementary
Schools
Program to provide
non-perishable food
items for the weekend
to children that do not
have access to healthy
food.
Free for
children
chosen by
the School
Social
Worker
School Year
Wadesboro
Elementary
704-694-2915
http://anson.ces.ncsu.edu/
4-H Youth Promise
Program
At Risk Youth
ages 6 to 17
& 18 year
olds under
certain
circumstances
After school program for
adjudicated youth
includes lessons on
dangers & consequences
of smoking, drinking &
alcohol abuse, pill &
prescription abuse
N/A
Varies
Department of
Public Safety
704-694-2915
http://anson.ces.ncsu.edu/
Anson County 2020 CHA | Anson County Health and Wellness Resource Directory 2020
310
Anson County Public School System
Activity
Grade Level
Days & Hours
Location
Recess – unstructured physical activity
K-5
Varies
Respective School
Physical Education – structured and taught by certified teachers. Required
by State
K-8
>30 to 40 minutes
daily Grades 7-8
>30 minutes daily
grades K-6
Respective School
Health and Physical Education – structured and taught by certified teachers.
State requires all high school students to take this at some point.
9
– 12
Varies
Respective School
Physical Education – structured and taught by certified teachers. Optional
elective.
10 – 12
Varies
Respective School
Optional Fitness classes at High Schools: Physical Fitness, Introduction to
Weightlifting, Advanced Weight Lifting
9 – 12
Varies
Respective School
Public Wellness
Anson County Schools
Program/Service
Population Served
Schools
Cost
Days &
Hours
Address
Phone
Website/
Email
Nutritionally Balanced
Meals
All Students
All
No cost
Breakfast &
Lunch
All Schools
704-694-4417
www.ansonsc
hools.org
Accommodation for
Students with Special
Medical Nutritional
Needs
Students who qualify
All
N/A
Breakfast,
Lunch &
Snack if
needed
All Schools
704-694-4417
www.ansonsc
hools.org
