Women and Children

  • In 2012, black mothers were three times more likely to deliver a stillborn fetus than white mothers (Buncombe County Report Card).
  • From 2008 to 2012, 15.3% of black babies were born with low, or very low, birth weights, compared to 7.3% of white babies born with low or very low birth weights (2014 NC County Health Data Book).


  • 29% of black households have no access to a vehicle, whereas only 7% of white households have no access to a vehicle (2010 American Community Survey).
  • In North Carolina, 21.5% of the total population is black, yet: 40% of pedestrian crash victims are black, 32.3% of pedestrian fatalities are black, and 50% of child pedestrian crash victims are black (2010 American Community Survey).

Disease Related Risk Factors

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

Health Care Coverage and Providers

  • In 2009 there were 2,374 physicians in hospitals, of which 2,098 were white and 276 were minorities. There were also 20 physicians who did not practice in the hospital. Of those 19 where white and one was a minority (Spires, Samuels, Graham, Cistola, 2014).
  • In 2012, 23.1% of blacks in Buncombe County had no health insurance coverage.
  • 15.7% of white adults stated that they were in fair or poor health, while 21.6% of black adults gave the same statement (Spires, Samuels, Graham, Cistola, 2014).