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

What is the health ranking of Swain County, NC?
Swain County has a health score of 11/100, rated "Below Average." It ranks #99 out of 100 counties in North Carolina (1 = healthiest). The score is based on CDC County Health Rankings data, combining life expectancy, uninsured rates, provider access, and behavioral health indicators.
What is the life expectancy in Swain County?
Life expectancy in Swain County is 67.3 years. The North Carolina state average is 74.4 years, making Swain County below the state average.
How does Swain County health compare to the North Carolina average?
Swain County's health score of 11/100 is below the North Carolina average of 41/100. Life expectancy is 67.3 years vs. the state average of 74.4 years. The uninsured rate is 19.4% vs. 12.5% statewide.
What health factors affect Swain County?
Key health factors for Swain County include: life expectancy (67.3 years), uninsured rate (19.4%), and primary care physician access (64:1 (population to primary care physicians)). Mental health provider access is 417:1 population-to-provider ratio. These metrics are sourced from the CDC County Health Rankings & Roadmaps program.
Is Swain County a healthy place to live?
With a health score of 11/100 ("Below Average"), Swain County faces health challenges compared to other counties in North Carolina. Residents have a life expectancy of 67.3 years. 19.4% of adults lack health insurance. Factors like healthcare access, environmental quality, and socioeconomic conditions all contribute to these outcomes.
What are the biggest health challenges in Swain County?
Swain County's health score of 11/100 is below the North Carolina average of 41/100. The uninsured rate of 19.4% means a significant portion of residents may face barriers to healthcare. Improving health outcomes often requires investment in healthcare infrastructure, insurance coverage expansion, and community health programs.

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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.