Swain County Health Data
Swain County, North Carolina
Health Score
11/100
Below Avg
Life Expectancy
67.3 yr
Uninsured Rate
19.4%
Health Statistics
Life Expectancy
67.3 yr
State avg 74.4 yr
National avg 77.5 yr
Uninsured Rate
19.4%
State avg 12.5%
National avg 9%
Primary Care Providers
64
per 100K population
National avg 82
Mental Health Providers
417
per 100K population
National avg 350
Data Story
About Health in Swain County, North Carolina
Swain faces severe life expectancy challenges
At 67.3 years, Swain's life expectancy is approximately 10 years below the U.S. average of 77.4 years—the lowest in this county group. More than one in five residents report poor or fair health, reflecting a health crisis within this small mountain community.
Deepest health burden below state average
Swain's 67.3-year life expectancy lags North Carolina's state average of 74.4 years by 7.1 years—a stark disparity. The county's uninsured rate of 19.4% more than doubles the state's 12.5%, the highest in the entire cohort.
Struggling most despite exceptional provider access
Swain's 67.3-year life expectancy is the lowest regionally—10+ years below Transylvania (79.1) and significantly worse than peers like Rutherford (71.9) and Stanly (74.1). Yet the county offers the most robust provider networks: 64 primary care and 417 mental health providers per 100,000—exceptional resources that suggest barriers beyond simple supply.
Abundant providers, massive coverage crisis
Swain leads all counties with 417 mental health providers per 100,000 residents and 64 primary care providers—remarkable capacity that should deliver excellent care. Yet nearly one in five Swain residents lack any health insurance, preventing them from accessing these available resources.
Insurance access is urgent in Swain County
Nearly one in five Swain residents (19.4%) are uninsured—a crisis rate far above state and regional averages. Despite exceptional provider availability, uninsured residents cannot access care; apply for Medicaid or marketplace coverage immediately to connect with the county's abundant health resources.
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Frequently Asked Questions
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Data Sources
Health data sourced from the County Health Rankings & Roadmaps, a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute.
Data is informational only. Not medical or health advice. Coverage varies by county and reporting year.