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County profile Georgia Metropolitan

Black health in Gwinnett County, Georgia

314,500

Black residents (ACS)

32.72%

Of county population

$74,100

Median household income, Black

16.80%

Uninsured, Black residents

Gwinnett County has one of the fastest-growing Black populations of any US suburban county, roughly 315,000 Black residents, up from under 50,000 in 2000. The county is now majority-minority; its Black population is concentrated in Lawrenceville, Snellville, and the I-85 corridor. Northside Hospital Gwinnett and Northeast Georgia Medical Center Braselton are the two highest-volume obstetric hospitals serving this population.

Gwinnett ranks among the better-resourced counties in Georgia by County Health Rankings, but the Black–white gap in diabetes prevalence and uncontrolled hypertension is wider here than in Fulton or DeKalb, reflecting a Black population that is newer to the county and more often navigating primary-care deserts along the Gwinnett-Barrow county line.

Headline outcomes

Race-stratified county-level figures pulled from CDC WONDER small-area estimates, the annual County Health Rankings, and the CDC NVSS state/county life tables. County values with cell counts below CDC suppression thresholds are marked as data pending.

Life expectancy (Black)

78.60 yrs

At birth, CDC NVSS Small-Area LE

Infant mortality (Black)

9.80

Per 1,000 live births, CDC WONDER

CVD mortality (Black)

319.40

Age-adjusted per 100k, CDC WONDER I00-I99

County Health Rankings

#14

Overall rank in Georgia (lower = better)

Policy context in Gwinnett

Georgia has not adopted Medicaid expansion. Low-income Black adults in this county without dependent children and without employer coverage typically fall into the coverage gap — uninsured by default. Medicaid does not cover doula services in this state. Postpartum Medicaid coverage extends for 12 months after delivery — the federal recommended standard, in place here.

Where to get help in Gwinnett

References & primary sources

  1. Demographics: US Census ACS 5-year 2019–2023, Tables B03002 (race), B01003 (total population), S1903 (median income), B27010B (uninsured by race).
  2. Mortality and life expectancy: CDC WONDER county-level Multiple Cause of Death and Underlying Cause of Death, pooled 2020–2022; CDC NVSS Small-Area Life Expectancy Estimates, 2016–2020 release.
  3. County Health Rankings: University of Wisconsin Population Health Institute & Robert Wood Johnson Foundation, 2024 release.
  4. HRSA shortage-area designations: HRSA HPSA Find and MUA/P Find, current as of 2025.
  5. Rural-Urban Continuum Codes: USDA Economic Research Service, 2023 release.

Data refreshed:

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