Forsyth County, NC

County

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2019 Population
382,295
0.843% 1-year growth
US Senator
Richard Burr
Republican Party
US Senator
Thom Tillis
Republican Party
2019 Median Age
38.4
0.26% 1-year decrease
2019 Poverty Rate
16.8%
4.46% 1-year decrease
2019 Median Household Income
$52,017
5.8% 1-year growth
2019 Median Property Value
$170,200
4.29% 1-year growth
2019 Employed Population
177,326
1.95% 1-year growth

About

In 2019, Forsyth County, NC had a population of 382k people with a median age of 38.4 and a median household income of $52,017. Between 2018 and 2019 the population of Forsyth County, NC grew from 379,099 to 382,295, a 0.843% increase and its median household income grew from $49,166 to $52,017, a 5.8% increase.

The 5 largest ethnic groups in Forsyth County, NC are White (Non-Hispanic) (56.1%), Black or African American (Non-Hispanic) (25.9%), White (Hispanic) (9.91%), Asian (Non-Hispanic) (2.31%), and Other (Hispanic) (2.13%). 0% of the households in Forsyth County, NC speak a non-English language at home as their primary language, and 95.2% of the residents in Forsyth County, NC are U.S. citizens.

The largest universities in Forsyth County, NC are Wake Forest University (2,709 degrees awarded in 2019), Forsyth Technical Community College (1,563 degrees), and Winston-Salem State University (1,178 degrees).

In 2019, the median property value in Forsyth County, NC was $170,200, and the homeownership rate was 61.5%. Most people in Forsyth County, NC drove alone to work, and the average commute time was 22.6 minutes. The average car ownership in Forsyth County, NC was 2 cars per household.

About the photo: Falls at Reynolda House Path

COVID-19

Daily New Cases by Date

Showing data at the state level for North Carolina. Hospitalization data for some states may be delayed or not reported.
Y-Axis

This chart shows the number of COVID-19 daily new cases by date in North Carolina, as a 7-day rolling average, compared with the four states with the most similar number of confirmed cases.

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Unemployment Insurance Claims

Data is only available at the state level. Showing data for North Carolina.

This chart shows weekly unemployment insurance claims in North Carolina (not-seasonally adjusted) compared with the four states with the most similar impact.

The most recent data point uses Advance State Claims data, which can be revised in subsequent weeks.

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Employment by Industry Sector

Data is only available at the state level. Showing data for North Carolina.
Start Year
Y-Axis
8.45%
Year-over-year growth
Employment change between May 2020 and May 2021

As of May 2021, there are 145M people employed in North Carolina. This represents a 8.45% increase in employment when compared to May 2020.

The following chart shows monthly employment numbers for each industry sector in North Carolina.

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Community Mobility

Data is only available at the state level. Showing data for North Carolina.

This chart presents movement trends over time in the state of North Carolina across different categories of places such as retail and recreation, groceries and pharmacies, parks, transit stations, workplaces, and residential.

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Diversity

Forsyth County, NC is home to a population of 382k people, from which 95.2% are citizens. As of 2019, 24.4% of Forsyth County, NC residents were born outside of the country (93.3k people).

In 2019, there were 2.17 times more White (Non-Hispanic) residents (215k people) in Forsyth County, NC than any other race or ethnicity. There were 99k Black or African American (Non-Hispanic) and 37.9k White (Hispanic) residents, the second and third most common ethnic groups.

Race and Ethnicity

Race and Ethnicity

The 3 largest ethnic groups in Forsyth County, NC
  1. White (Non-Hispanic)
    215k ± 395
  2. Black or African American (Non-Hispanic)
    99k ± 2.37k
  3. White (Hispanic)
    37.9k ± 3.24k
13.3%
Hispanic Population
50.8k people

In 2019, there were 2.17 times more White (Non-Hispanic) residents (215k people) in Forsyth County, NC than any other race or ethnicity. There were 99k Black or African American (Non-Hispanic) and 37.9k White (Hispanic) residents, the second and third most common ethnic groups.

13.3% of the people in Forsyth County, NC are hispanic (50.8k people).

The following chart shows the 7 races represented in Forsyth County, NC as a share of the total population.

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Heritage

Foreign-Born Population

24.4%
2019 Foreign-Born Population
93.3k people
8.6%
2018 Foreign-Born Population
32.6k people

As of 2019, 24.4% of Forsyth County, NC residents (93.3k people) were born outside of the United States, which is lower than the national average of 34%. In 2018, the percentage of foreign-born citizens in Forsyth County, NC was 8.6%, meaning that the rate has been increasing.

The following chart shows the percentage of foreign-born residents in Forsyth County, NC compared to that of it's neighboring and parent geographies.

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Age by Nativity

38
Median Native-Born Age
± 0.5
41
Median Foreign-Born Age
± 0.7

In 2019, the median age of all people in Forsyth County, NC was 38.4. Native-born citizens, with a median age of 38, were generally younger than foreign-born citizens, with a median age of 41. But people in Forsyth County, NC are getting getting younger. In 2018, the average age of all Forsyth County, NC residents was 39.

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Global Diversity

The PUMS dataset is not available at the County level, so we are showing data for North Carolina.
Most Common Origin
  1. Mexico
    220,441 ± 11,405 people
  2. India
    77,725 ± 6,819 people
  3. Honduras
    43,980 ± 5,138 people

In 2019, the most common birthplace for the foreign-born residents of North Carolina was Mexico, the natal country of 220,441 North Carolina residents, followed by India with 77,725 and Honduras with 43,980.

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Citizenship

95.2%
2019 Citizenship
93.6%
2018 Citizenship

As of 2019, 95.2% of Forsyth County, NC residents were US citizens, which is higher than the national average of 93.4%. In 2018, the percentage of US citizens in Forsyth County, NC was 93.6%, meaning that the rate of citizenship has been increasing.

The following chart shows US citizenship percentages in Forsyth County, NC compared to that of it's neighboring and parent geographies.

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Military

Veterans

Most Common Service Period
  1. Vietnam
    4,871 ± 935
  2. Gulf War (1990s)
    3,240 ± 1,044
  3. Gulf War (2001-)
    2,835 ± 801

Forsyth County, NC has a large population of military personnel who served in Vietnam, 1.5 times greater than any other conflict.

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Economy

Median household income in Forsyth County, NC is $52,017. In 2019, the tract with the highest Median Household Income in Forsyth County, NC was Census Tract 25.01 with a value of $188,214, followed by Census Tract 39.08 and Census Tract 39.06, with respective values of $132,986 and $128,529.

Males in North Carolina have an average income that is 1.33 times higher than the average income of females, which is $48,401. The income inequality in North Carolina (measured using the Gini index) is 0.472, which is lower than than the national average.

The economy of Forsyth County, NC employs 177k people. The largest industries in Forsyth County, NC are Health Care & Social Assistance (29,794 people), Retail Trade (23,868 people), and Manufacturing (20,755 people), and the highest paying industries are Public Administration ($61,108), Professional, Scientific, & Technical Services ($54,415), and Finance & Insurance ($50,541).

Wages

Median Household Income

$52,017
2019 value
± $2,610
5.8%
1 Year Growth
± 6.24%

Households in Forsyth County, NC have a median annual income of $52,017, which is less than the median annual income of $65,712 across the entire United States. This is in comparison to a median income of $49,166 in 2018, which represents a 5.8% annual growth.

The following chart shows how the median household income in Forsyth County, NC compares to that of its neighboring and parent geographies.

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Wage by Gender in Common Jobs

The PUMS dataset is not available at the County level, so we are showing data for North Carolina.
$64,597
Average Male Salary in North Carolina
± $1,174
$48,401
Average Female Salary in North Carolina
± $831

In 2019, full-time male employees in North Carolina made 1.33 times more than female employees.

This chart shows the gender-based wage disparity in the 5 most common occupations in North Carolina by number of full-time employees.

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Wage by Race and Ethnicity in Common Jobs

The PUMS dataset is not available at the County level, so we are showing data for North Carolina.
Highest Average Salaries by Race & Ethnicity in North Carolina
  1. Asian
    $65,628 ± $4,429
  2. White
    $54,443 ± $852
  3. Two or More Races
    $37,867 ± $3,715

In 2019 the highest paid race/ethnicity of North Carolina workers was Asian. These workers were paid 1.21 times more than White workers, who made the second highest salary of any race/ethnicity in North Carolina.

This chart shows the race- and ethnicity-based wage disparities in the 5 most common occupations in North Carolina by number of full-time employees.

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Wage Distribution

The closest comparable wage GINI for Forsyth County, NC is from North Carolina.
0.472
2019 Wage GINI in North Carolina
0.47
2018 Wage GINI in North Carolina

In 2019, the income inequality in North Carolina was 0.472 according to the GINI calculation of the wage distribution. Income inequality had a 0.426% growth from 2018 to 2019, which means that wage distribution grew somewhat less even. The GINI for North Carolina was lower than than the national average of 0.478. In other words, wages are distributed more evenly in North Carolina in comparison to the national average.

This chart shows the number of workers in North Carolina across various wage buckets compared to the national average.

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Income by Location

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Race/Ethnicity
Highest Median Household Income (Total)
  1. Census Tract 25.01
  2. Census Tract 39.08
  3. Census Tract 39.06

In 2019, the tract with the highest Median Household Income (Total) in Forsyth County, NC was Census Tract 25.01 with a value of $188,214, followed by Census Tract 39.08 and Census Tract 39.06, with respective values of $132,986 and $128,529.

The following map shows all of the tracts in Forsyth County, NC colored by their Median Household Income (Total).

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Poverty by Age and Gender

Females 25 - 34
Largest Demographic Living in Poverty

16.8% of the population for whom poverty status is determined in Forsyth County, NC (61.4k out of 364k people) live below the poverty line, a number that is higher than the national average of 12.3%. The largest demographic living in poverty are Females 25 - 34, followed by Females 18 - 24 and then Females 35 - 44.

The Census Bureau uses a set of money income thresholds that vary by family size and composition to determine who classifies as impoverished. If a family's total income is less than the family's threshold than that family and every individual in it is considered to be living in poverty.

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Poverty by Race and Ethnicity

Largest Race or Ethnicity Living in Poverty
  1. White
    32,214 ± 1,332
  2. Black
    23,292 ± 1,202
  3. Hispanic
    16,035 ± 846

The most common racial or ethnic group living below the poverty line in Forsyth County, NC is White, followed by Black and Hispanic.

The Census Bureau uses a set of money income thresholds that vary by family size and composition to determine who classifies as impoverished. If a family's total income is less than the family's threshold than that family and every individual in it is considered to be living in poverty.

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Occupations

Employment by Occupations

177k
2019 Value
± 7,736
1.95%
1 Year growth
± 5.9%

From 2018 to 2019, employment in Forsyth County, NC grew at a rate of 1.95%, from 174k employees to 177k employees.

The most common job groups, by number of people living in Forsyth County, NC, are Management Occupations (21,724 people), Office & Administrative Support Occupations (19,349 people), and Sales & Related Occupations (18,917 people). This chart illustrates the share breakdown of the primary jobs held by residents of Forsyth County, NC.

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Most Common

The most common jobs held by residents of Forsyth County, NC, by number of employees, are Management Occupations (21,724 people), Office & Administrative Support Occupations (19,349 people), and Sales & Related Occupations (18,917 people).

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Most Specialized

Compared to other counties, Forsyth County, NC has an unusually high number of residents working as Health Diagnosing & Treating Practitioners & Other Technical Occupations (1.44 times higher than expected), Production Occupations (1.14 times), and Management Occupations (1.14 times).

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Highest Paid

The highest paid jobs held by residents of Forsyth County, NC, by median earnings, are Legal Occupations ($103,817), Computer & Mathematical Occupations ($75,487), and Computer, Engineering, & Science Occupations ($66,674).

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Industries

Employment by Industries

177k
2019 Value
± 7,736
1.95%
1 Year growth
± 5.9%

From 2018 to 2019, employment in Forsyth County, NC grew at a rate of 1.95%, from 174k employees to 177k employees.

The most common employment sectors for those who live in Forsyth County, NC, are Health Care & Social Assistance (29,794 people), Retail Trade (23,868 people), and Manufacturing (20,755 people). This chart shows the share breakdown of the primary industries for residents of Forsyth County, NC, though some of these residents may live in Forsyth County, NC and work somewhere else. Census data is tagged to a residential address, not a work address.

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Most Common

The most common industries in Forsyth County, NC, by number of employees, are Health Care & Social Assistance (29,794 people), Retail Trade (23,868 people), and Manufacturing (20,755 people).

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Most Specialized

Compared to other counties, Forsyth County, NC has an unusually high number of Management of Companies & Enterprises (1.33 times higher than expected), Retail Trade (1.24 times), and Finance & Insurance (1.22 times) industries.

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Highest Paying

The highest paying industries in Forsyth County, NC, by median earnings, are Public Administration ($61,108), Professional, Scientific, & Technical Services ($54,415), and Finance & Insurance ($50,541).

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Domestic Trade

Domestic Production & Consumption

Domestic production and consumption consists of products and services shipped from North Carolina to other states, or from other states to North Carolina.
Top Domestic Production in Dollars
  1. $54.1B
  2. $40B
  3. $36.8B

In 2018, the top outbound North Carolina product (by dollars) was Mixed freight with $54.1B, followed by Pharmaceuticals ($40B) and Machinery ($36.8B).

The following chart shows the share of these products in relation to all outbound North Carolina products.

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Domestic Trade Growth

Showing data for North Carolina.
$430B
2018 Value in North Carolina
$840B
Projected 2045 Value in North Carolina
95.4% growth

In 2018, total outbound North Carolina trade was $430B. This is expected to increase 95.4% to $840B by 2045.

The following chart shows how the domestic outbound North Carolina trade is projected to change in comparison to its neighboring states.

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Interstate Trade

Interstate trade consists of products and services shipped from North Carolina to other states, or from other states to North Carolina.
Most Common Trade Partners
  1. $28.2B
  2. $27.5B
  3. $24.4B

In 2018, the top outbound North Carolina domestic partner for goods and services (by dollars) was Georgia with $28.2B, followed by South Carolina with $27.5B and Virginia and $24.4B.

The following map shows the amount of trade that North Carolina shares with each state (excluding itself).

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Civics

In the 2016 presidential election, the popular vote in Forsyth County, NC went to Hillary Rodham Clinton with 53% of the vote. The runner-up was Donald J. Trump (42.6%), followed by Other (4.42%). The most partisan county was Graham County, NC with 78.8% of the vote going to Donald J. Trump running for the Republican Party.

Richard Burr and Thom Tillis are the senators currently representing the state of North Carolina. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

North Carolina is currently represented by 13 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

Presidential Popular Vote by County

Presidential voting results are only available at the county level. Showing data for the counties inside of North Carolina.
Showing data up to the 2016 election. Updated election results are currently being processed, and will be released in the coming months.
Hillary Rodham Clinton
Popular Vote for Forsyth County, NC
53% for the Democratic Party
Most Partisan Counties in North Carolina
  1. 78.8% for Donald J. Trump (Republican Party)
  2. 78.8% for Donald J. Trump (Republican Party)
  3. 77.7% for Hillary Rodham Clinton (Democratic Party)

In the 2016 presidential election, the most partisan county in North Carolina was Graham County, NC with 78.8% of the vote going to Donald J. Trump running for the Republican Party.

The following map shows the counties in North Carolina colored by their party leaning.

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US Senators from North Carolina

Senatorial voting results are only available at the state level. Showing data for North Carolina.
Richard Burr
Senator from North Carolina3
Assumed office on January 3, 2005
Thom Tillis
Senator from North Carolina2
Assumed office on January 3, 2015

Richard Burr and Thom Tillis are the senators currently representing North Carolina.

In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

The following chart shows elected senators in North Carolina over time, excluding special elections, colored by their political party.

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US Representatives from North Carolina

North Carolina is currently represented by 13 members in the U.S. house.

Members of the House of Representives are elected to 2-year terms, and the following chart shows the how the members for North Carolina have changed over time starting in 2008.

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Education

In 2019, universities in Forsyth County, NC awarded 6,195 degrees. The student population of Forsyth County, NC is skewed towards women, with 9,314 male students and 14,748 female students.

Most students graduating from Universities in Forsyth County, NC are White (3,482 and 60.3%), followed by Black or African American (1,373 and 23.8%), Hispanic or Latino (421 and 7.29%), and Asian (185 and 3.2%).

The largest universities in Forsyth County, NC by number of degrees awarded are Wake Forest University (2,709 and 43.7%), Forsyth Technical Community College (1,563 and 25.2%), and Winston-Salem State University (1,178 and 19%).

The most popular majors in Forsyth County, NC are Registered Nursing (465 and 7.51%), Liberal Arts & Sciences (442 and 7.13%), and General Business Administration & Management (406 and 6.55%).

The median tuition costs in Forsyth County, NC are $20,125 for private four year colleges, and $4,949 and $18,344 respectively, for public four year colleges for in-state students and out-of-state students.

Concentrations

Most Common
  1. 162 degree-majorss awarded
  2. 342 degree-majorss awarded
  3. 178 degree-majorss awarded

In 2018, the most common concentation for Bachelors Degree recipients in Forsyth County, NC was General Biological Sciences with 162 degrees awarded.

This visualization illustrates the percentage of students graduating with a Bachelors Degree from schools in Forsyth County, NC according to their major.

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Universities

Largest Universities by degrees awarded
  1. 2,709 degrees awarded
  2. 1,563 degrees awarded
  3. 1,178 degrees awarded
$4,949
Median In-State Public
$20,125
Median Private

In 2019, the Forsyth County, NC institution with the largest number of graduating students was Wake Forest University with 2,709 degrees awarded.

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Student Gender for Common Institutions

2,324
Degrees Awarded to Men
3,871
Degrees Awarded to Women

In 2019, 2,324 men were awarded degrees from institutions in Forsyth County, NC, which is 0.6 times less than the 3,871 female students who received degrees in the same year.

This chart displays the gender disparity between the top 5 institutions in Forsyth County, NC by degrees awarded.

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Student Race and Ethnicity

Most Common Student Race or Ethnicity
  1. White
    3,482 degrees awarded
  2. Black or African American
    1,373 degrees awarded
  3. Hispanic or Latino
    421 degrees awarded

In 2019 the most common race/ethnicity group awarded degrees at institutions in Forsyth County, NC was White students. These 3,482 degrees mean that there were 2.54 times more degrees awarded to White students then the next closest race/ethnicity group, Black or African American, with 1,373 degrees awarded.

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Housing & Living

The median property value in Forsyth County, NC was $170,200 in 2019, which is 0.708 times smaller than the national average of $240,500. Between 2018 and 2019 the median property value increased from $163,200 to $170,200, a 4.29% increase. The homeownership rate in Forsyth County, NC is 61.5%, which is lower than the national average of 64.1%. People in Forsyth County, NC have an average commute time of 22.6 minutes, and they drove alone to work. Car ownership in Forsyth County, NC is approximately the same as the national average, with an average of 2 cars per household.

Housing

Property Value

$170,200
2019 Median
± $4,783
$163,200
2018 Median
± $4,119

In 2019, the median property value in Forsyth County, NC grew to to $170,200 from the previous year's value of $163,200.

The following charts display, first, the property values in Forsyth County, NC compared to it's parent and neighbor geographies and, second, owner-occupied housing units distributed between a series of property value buckets compared to the national averages for each bucket. In Forsyth County, NC the largest share of households have a property value in the $150k - $175k range.

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Household Income

Please note that the buckets used in this visualization were not evenly distributed by ACS when publishing the data.
$52,017
Median Household Income
± $2,610
148k
Number of Households
± 6,789

In 2019, the median household income of the 148k households in Forsyth County, NC grew to $52,017 from the previous year's value of $49,166.

The following chart displays the households in Forsyth County, NC distributed between a series of income buckets compared to the national averages for each bucket. The largest share of households have an income in the $75k - $100k range.

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Property Taxes

$800 - $1,499
Average Range

This chart shows the households in Forsyth County, NC distributed between a series of property tax buckets compared to the national averages for each bucket. In Forsyth County, NC the largest share of households pay taxes in the $800 - $1,499 range.

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Rent vs Own

61.5%
2019 Homeownership
58.4%
2018 Homeownership

In 2019, 61.5% of the housing units in Forsyth County, NC were occupied by their owner. This percentage grew from the previous year's rate of 58.4%.

This percentage of owner-occupation is lower than the national average of 64.1%. This chart shows the ownership percentage in Forsyth County, NC compared it's parent and neighboring geographies.

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Commute Time

22.6 minutes
Average Travel Time

Using averages, employees in Forsyth County, NC have a shorter commute time (22.6 minutes) than the normal US worker (26 minutes). Additionally, 2.86% of the workforce in Forsyth County, NC have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Forsyth County, NC compares to that of it's neighboring and parent geographies.

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Commuter Transportation

Most Common Commute in 2018
  1. Drove Alone (81.5%)
  2. Carpooled (10.6%)
  3. Worked At Home (4.73%)

In 2018, 81.5% of workers in Forsyth County, NC drove alone to work, followed by those who carpooled to work (10.6%) and those who worked at home (4.73%).

The following chart shows the number of households using each mode of transportation over time, using a logarithmic scale on the y-axis to help better show variations in the smaller means of commuting.

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Transportation

Car Ownership

2 cars
Average Number

The following chart displays the households in Forsyth County, NC distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Forsyth County, NC have 2 cars, followed by 1 car.

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Health

87.7% of the population of Forsyth County, NC has health coverage, with 44.2% on employee plans, 16.1% on Medicaid, 12.9% on Medicare, 13.4% on non-group plans, and 1.05% on military or VA plans.

Per capita personal health care spending in North Carolina was $7,264 in 2014. This is a 3.37% increase from the previous year ($7,027).

Primary care physicians in Forsyth County, NC see 871 patients per year on average, which represents a 2.35% decrease from the previous year (892 patients). Compare this to dentists who see 1606 patients per year, and mental health providers who see 335 patients per year.

Comparing across all counties in the state, Jones County has the highest prevalence of diabetes (27.2%). Additionally, Bladen County has the highest prevalence of adult obesity (49.1%)

Patient to Clinician Ratios

871 to 1
Patient to Primary Care Physician Ratio in Forsyth County, NC

Primary care physicians in Forsyth County, NC see an average of 871 patients per year. This represents a 2.35% decrease from the previous year (892 patients).

The following chart shows how the number of patients seen by primary care physicians has been changing over time in Forsyth County, NC in comparison to its neighboring geographies.

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Behavioral Health Conditions

Data only available at the state level.
State with the Highest Prevalence
  1. 8.26% of the population affected
  2. 8.13% of the population affected
  3. 7.98% of the population affected

In 2016, West Virginia had the highest prevalence of adults with major depressive episode, with 8.26% of the population affected. The second highest is Arkansas (8.13%), followed by New Hampshire (7.98%).

The following map shows the percent of individuals with major depressive episode by state over multiple years.

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Access and Quality

Data only available at state level.
Most prevalent states
  1. 19.2% of adults
  2. 17.9% of adults
  3. 17.6% of adults

In 2016, Mississippi had the highest prevalence of adults who haven't seen a doctor in the past 12 months due to cost, at 19.2%. It is followed by Texas (17.9%) and Louisiana (17.6%).

The following map shows the prevalence of adults who haven't seen a doctor in the past 12 months due to cost by state over multiple years.

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Health Care Spending

Data is only available at the state level. Showing data for North Carolina.
$7,264
Total Per Capita Spending on Personal Health Care in North Carolina
$3,859
Per Enrollee Private Health Insurance Spending on Personal Health Care
$7,225
Per Enrollee Medicaid Spending on Personal Health Care
$10,260
Per Enrollee Medicare Spending on Personal Health Care

Between 2013 and 2014, all personal health care spending per capita in North Carolina (including private, Medicare, and Medicaid) grew 3.37%, from $7,027 to $7,264.

The following chart shows how this spending changed over time in comparison to Medicaid, Medicare, and private insurance spending, per enrollee.

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Health Care Coverage

12.3%
Uninsured
44.2%
Employer Coverage
16.1%
Medicaid
12.9%
Medicare
13.4%
Non-Group
1.05%
Military or VA

Between 2018 and 2019, the percent of uninsured citizens in Forsyth County, NC grew by 12.4% from 10.9% to 12.3%.

The following chart shows how the percent of uninsured individuals in Forsyth County, NC changed over time compared with the percent of individuals enrolled in various types of health insurance.

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Health Risks

Data available at the county level.
Most at risk counties
  1. 27.2% prevalence
  2. 25.2% prevalence
  3. 23.2% prevalence

Jones County has the highest prevalence of diabetes in North Carolina, at 27.2%.

The following map shows the prevalence of diabetes in North Carolina by county over multiple years.

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