Black Health Profile
Black health in North Carolina
2,216,316
Black residents (ACS)
20.90%
Of state population
North Carolina has 2.2 million Black residents. Duke University and the University of North Carolina at Chapel Hill anchor the state's academic medicine; the Wake Forest University Baptist Medical Center extends this footprint into the Piedmont Triad. North Carolina adopted Medicaid expansion in December 2023 — among the last Southern states to do so.
The largest Black health disparity tracked on these pages varies by metric. Use the ten topic pages below to see each one cited against the state's primary-source dataset.
On the positive side, every US state now has CDC-funded maternal mortality review committees, and most have at least one HRSA-designated federally qualified health center serving low-income Black residents. The ten facet pages below point to state-specific programs and providers.
Key takeaways
- Black residents: 2,216,316 (20.9% of the state).
- Medicaid expansion adopted.
- Medicaid does not cover doula services.
- Certified nurse-midwife scope-of-practice recognized by Medicaid.
- 12-month postpartum Medicaid extension active.
Health outcomes & coverage
Ten race-stratified indicators drawn from CDC, Census, KFF, and SAMHSA primary sources. Each page links the underlying dataset, compares to the national average, and frames the state-specific drivers and policy levers.
maternal mortality
Black women in North Carolina die from pregnancy-related causes at 38.9 per 100,000 live births — 2.0× the US national rate of 19.
Read the maternal mortality breakdown
infant mortality
Black infants in North Carolina die before age one at 12.9 per 1,000 live births — compared to the US all-race rate of 5.4.
Read the infant mortality breakdown
cardiovascular mortality
Age-adjusted cardiovascular mortality among Black residents of North Carolina: 351 deaths per 100,000 (CDC WONDER, ICD-10 I00-I99).
Read the cardiovascular mortality breakdown
diabetes prevalence
15.4% of Black adults in North Carolina have been diagnosed with diabetes — compared to the US all-race rate of 11.6%.
Read the diabetes prevalence breakdown
breast cancer mortality
Age-adjusted breast cancer mortality among Black women in North Carolina: 29.6 per 100,000 (CDC WONDER, ICD-10 C50).
Read the breast cancer mortality breakdown
prostate cancer mortality
Age-adjusted prostate cancer mortality among Black men in North Carolina: 42 per 100,000 (CDC WONDER, ICD-10 C61).
Read the prostate cancer mortality breakdown
life expectancy
Life expectancy at birth for Black residents of North Carolina: 73 years (US all-race: 77.5).
Read the life expectancy breakdown
uninsured rate
10.4% of Black residents of North Carolina have no health insurance coverage — vs. a US all-race uninsured rate of 8%.
Read the uninsured rate breakdown
Medicaid coverage
About 26% of Black residents of North Carolina receive Medicaid coverage. North Carolina is a Medicaid expansion state.
Read the Medicaid coverage breakdown
mental health access
58.8% of Black adults in North Carolina who experienced a past-year mental health need reported not receiving the treatment they needed (SA…
Read the mental health access breakdown
Policy context in North Carolina
North Carolina has adopted Medicaid expansion under the Affordable Care Act. Medicaid does not currently cover doula services. Postpartum Medicaid coverage extends for 12 months after delivery, the federal recommended standard.
North Carolina adopted Medicaid expansion effective December 1, 2023 under HB 76 (2023). Postpartum Medicaid extension to 12 months took effect in 2022. Doula Medicaid coverage has been piloted through the state's Healthy Opportunities Pilot (HOP) program.
Find Black health providers & resources in North Carolina
Counties in North Carolina
County-level Black Health profiles for the 1 North Carolina county with the fullest race-stratified data and editorial coverage.
Data sources & refresh cadence
- US Census ACS 5-year 2019–2023, Table B02001 (race) & S1903 (income).
- CDC WONDER Multiple Cause of Death (D69) & Underlying Cause of Death (D76), 2018–2022 release.
- KFF Medicaid expansion and state coverage trackers, Q1 2026.
- SAMHSA National Survey on Drug Use and Health, 2022 state annual.
- HRSA NHSC workforce data, 2024.
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