Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC

Public Use Microdata Area (PUMA)

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2023 Population

135,726

1.28% 1-year growth

US Senator

Thom Tillis

Republican Party

US Senator

Ted Budd

Republican Party

2023 Median Age

44.4

0.448% 1-year decrease

2023 Poverty Rate

16.9%

2.12% 1-year decrease

2023 Median Household Income

$53,007

2.81% 1-year growth

2023 Median Property Value

$193,100

13.7% 1-year growth

2022 Employed Population

52,362

0.424% 1-year growth

About

In 2023, Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC had a population of 136k people with a median age of 44.4 and a median household income of $53,007. Between 2022 and 2023 the population of Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC grew from 134,005 to 135,726, a 1.28% increase and its median household income grew from $51,557 to $53,007, a 2.81% increase.

The 5 largest ethnic groups in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC are White (Non-Hispanic) (75.6%), Black or African American (Non-Hispanic) (13.7%), Two+ (Non-Hispanic) (4.44%), Two+ (Hispanic) (1.78%), and Other (Hispanic) (1.65%).

5.64% of the households in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC reported speaking a non-English language at home as their primary shared language. This does not consider the potential multi-lingual nature of households, but only the primary self-reported language spoken by all members of the household.

98.5% of the residents in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC are U.S. citizens.

The largest universities in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC are Gardner-Webb University (1,135 degrees awarded in 2022), Isothermal Community College (1,063 degrees), and Cleveland Community College (1,010 degrees).

In 2023, the median property value in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC was $193,100, and the homeownership rate was 71.8%.

Most people in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC drove alone to work, and the average commute time was 25.1 minutes. The average car ownership in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC was 2 cars per household.

Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC borders Burke & McDowell Counties PUMA, NC, Buncombe County (Southeast)--Asheville City PUMA, NC, Henderson & Transylvania Counties PUMA, NC, Lincoln & Cleveland (East) Counties PUMA, NC, Greenville County (North)--Greer (North & West) & Travelers Rest Cities PUMA, SC, Spartanburg County (North)--Landrum City PUMA, SC, and Union and York (West) Counties--York City PUMA, SC.

United States North Carolina South Carolina

Population & Diversity

Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC is home to a population of 136k people, from which 98.5% are citizens. As of 2023, 3.15% of Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC residents were born outside of the country (4.27k people).

In 2023, there were 5.54 times more White (Non-Hispanic) residents (103k people) in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC than any other race or ethnicity. There were 18.5k Black or African American (Non-Hispanic) and 6.03k Two+ (Non-Hispanic) residents, the second and third most common ethnic groups.

The most common non-English languages spoken as the primary langauge in households in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC are Spanish (5,457 households), German (242 households), and Yiddish, Pennsylvania Dutch or Other West Germanic Languages (220 households).

Population & Diversity

Residents by Gender and Age

RACE/ETHNICITY

69,937

Women

52.2%

63,922

Men

47.8%

The resident population of United States in 2022 was 133,859 inhabitants, with 47.8% men, and 52.2% women.

The visualization shows the distribution of the residents by gender and age in the United States.

With the upper buttons you can add a filter by race.

Citizenship

98.5%

2023 Citizenship

98.5%

2022 Citizenship

As of 2023, 98.5% of Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC residents were US citizens, which is higher than the national average of 93.4%. In 2022, the percentage of US citizens in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC was 98.5%, meaning that the rate of citizenship has been increasing.

The following chart shows US citizenship percentages in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC compared to that of it's neighboring and parent geographies.

Diversity

Race and Ethnicity

The 3 largest ethnic groups in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC

White (Non-Hispanic)
103k ± 1.47k
Black or African American (Non-Hispanic)
18.5k ± 1.32k
Two+ (Non-Hispanic)
6.03k ± 1.06k

5.02%

Hispanic Population

6.82k people

5.02% of the people in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC are hispanic (6.82k people).

The following chart shows the 7 races represented in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC as a share of the total population.

Global Diversity

Most Common Origin

Mexico
1,879 ± 1,057 people
El Salvador
347 ± 457 people
India
189 ± 337 people

In 2022, the most common birthplace for the foreign-born residents of Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC was Mexico, the natal country of 1,879 Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC residents, followed by El Salvador with 347 and India with 189.

Foreign-Born Population

3.15%

2023 Foreign-Born Population

4.27k people

3.16%

2022 Foreign-Born Population

4.24k people

As of 2023, 3.15% of Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC residents (4.27k people) were born outside of the United States, which is lower than the national average of 13.8%. In 2022, the percentage of foreign-born citizens in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC was 3.16%, meaning that the rate has been decreasing.

The following chart shows the percentage of foreign-born residents in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC compared to that of it's neighboring and parent geographies.

Non-English Households

Most Common Non-English Languages

Spanish
5,457 households (4.25%)
German
242 households (0.188%)
Yiddish, Pennsylvania Dutch or Other West Germanic Languages
220 households (0.171%)

5.64% of the households in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC reported speaking a non-English language at home as their primary shared language, which is lower than the national average of 22%. This does not consider the potential multi-lingual nature of households, but only the primary self-reported language spoken by all members of the household.

In 2023, the most common non-English language spoken in households in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC was Spanish. 4.25% of the households in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC reported speaking Spanish at home as the primary shared language between all members living in the household.

Military

Veterans

Most Common Service Period

Vietnam
3,322 ± 449
Gulf War (2001-)
1,385 ± 271
Gulf War (1990s)
1,344 ± 306

Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC has a large population of military personnel who served in Vietnam, 2.4 times greater than any other conflict.

Economy

The economy of Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC employs 52.4k people. The largest industries in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC are Restaurants & Food Services (3,854 people), Construction (3,728 people), and Elementary & secondary schools (3,008 people), and the highest paying industries are Securities, commodities, funds, trusts & other financial investments ($252,904), Air transportation ($136,840), and Management, scientific & technical consulting services ($122,997).

Males in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC have an average income that is 1.35 times higher than the average income of females, which is $45,034. The income inequality in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC (measured using the Gini index) is 0.439, which is lower than than the national average.

Employment

Workforce Diversity

Measure

RACE/ETHNICITY

25,984

Women

49.1%

26,964

Men

50.9%

The workforce of Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC in 2020 was 52,948 people, with 49.1% woman, and 50.9% men.

The visualization shows the distribution of the workforce by gender and age in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC.

With the upper buttons you can see the distribution of the average salary and add a filter by race.

Occupations

52.4k

2022 Value

0.424%

1 Year growth

± 0.424%

From 2021 to 2022, employment in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC grew at a rate of 0.424%, from 52.1k employees to 52.4k employees.

The most common job groups, by number of people living in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC, are Driver/sales workers & truck drivers (1,440 people), Miscellaneous production workers, including semiconductor processors (1,303 people), and Registered nurses (1,269 people). This chart illustrates the share breakdown of the primary jobs held by residents of Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC.

Unemployment Insurance Claims

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

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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Industries

Employment by Industries

52.4k

2022 Value

0.424%

1 Year growth

± 0.424%

From 2021 to 2022, employment in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC grew at a rate of 0.424%, from 52.1k employees to 52.4k employees.

The most common employment sectors for those who live in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC, are Restaurants & Food Services (3,854 people), Construction (3,728 people), and Elementary & secondary schools (3,008 people). This chart shows the share breakdown of the primary industries for residents of Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC, though some of these residents may live in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC and work somewhere else. Census data is tagged to a residential address, not a work address.

Median Earnings by Industry

$42,430

Median earning men ± $1,932

$30,501

Median earning women ± $1,272

The industries with the best median earnings for men in 2023 are Wholesale Trade ($57,717), Transportation & Warehousing, & Utilities ($56,794), and Educational Services, & Health Care & Social Assistance ($49,761).

The industries with the best median earnings for women in 2023 are Information ($58,281), Public Administration ($47,321), and Finance & Insurance, & Real Estate & Rental & Leasing ($42,969).

Employment by Industry Sector

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

Y-Axis

3.04%

Year-over-year growth

Employment change between February 2022 and February 2023

As of February 2023, there are 4.86M people employed in North Carolina. This represents a 3.04% increase in employment when compared to February 2022.

Right after the beginning of the COVID-19 pandemic, during April 2020, a general dip can be seen across industry sectors, resulting in an overall decline in employment by 10.9%.

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

Education

In 2022, universities in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC awarded 3,208 degrees. The student population of Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC in 2022 is skewed towards women, with 2,368 male students and 4,598 female students.

Most students graduating from Universities in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC are White (2,158 and 67.4%), followed by Black or African American (562 and 17.6%), Hispanic or Latino (187 and 5.84%), and Unknown (159 and 4.97%).

The largest universities in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC by number of degrees awarded are Gardner-Webb University (1,135 and 35.4%), Isothermal Community College (1,063 and 33.1%), and Cleveland Community College (1,010 and 31.5%).

The most popular majors in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC are Liberal Arts & Sciences (415 and 12.9%), General Business Administration & Management (330 and 10.3%), and General Educational Leadership & Administration (220 and 6.86%).

The median tuition cost in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC for private four year colleges is $31,220.

Admissions & Enrollments

Applicants, Admissions & Enrolled

University

Measure

In 2022 in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC, the percentage of applicants admitted was 74.9%, while the percentage of admitted who enrolled was 9.39%. The number of students enrolled in 2022 was 6,966 (34% men and 66% women).

The line chart shows the evolution of the percentage of applicants admitted, admitted who enrolled or the number of students enrolled according to the option selected in the upper button.

Enrollments by Gender and Races

Universities

In 2022 there were 6,966 students enrolled in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC, 34% men and 66% women.

By race, the largest number of students enrolled was concentrated in White with 4,335 records, of which 66.6% were women and 33.4% men.

Completions

Concentrations

Most Common

Liberal Arts & Sciences
415 degrees awarded
Other Liberal Arts & Sciences, General Studies, & Humanities
88 degrees awarded
Registered Nursing
72 degrees awarded

In 2022, the most common concentation for Associates Degree recipients in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC was Liberal Arts & Sciences with 415 degrees awarded.

This visualization illustrates the percentage of students graduating with a Associates Degree from schools in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC according to their major.

Universities

Gender

Race

Largest Universities by degrees awarded

Gardner-Webb University
1,135 degrees awarded
Isothermal Community College
1,063 degrees awarded
Cleveland Community College
1,010 degrees awarded

In 2022, the institution with the largest number of graduating students was Gardner-Webb University with 1,135 degrees awarded.

Student Diversity

University

In 2022, 1,200 men were awarded degrees from institutions in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC, which is 0.598 times less than the 2,008 female students who received degrees in the same year.

In 2022 the most common race/ethnicity group awarded degrees at institutions was White students. These 2,158 degrees mean that there were 3.84 times more degrees awarded to White students then the next closest race/ethnicity group, Black or African American, with 562 degrees awarded.

Awarded Degrees over Time

The graph shows the evolution of awarded degrees by degrees. Under the paragraphs, the average number of awarded degrees by university in each degree is shown.

Tuition

Average Net Price by Sector

Universities

Private not-for-profit, 4-year or above ($31,220) is the sector with the highest median state tuition in 2022.

Private not-for-profit, 4-year or above ($980) is the sector with the highest median state fee in 2022.

Private not-for-profit, 4-year or above ($1,850) is the sector with the highest average net price of books and supplies.

The graph shows the average net price by sector and year.

Working Population

Educational Pyramid

Measure

In 2022, 0.9% of men over 25 years of age had not completed any academic degree (no schooling), while 0.543% of women were in the same situation.

This visualization shows the gender distribution of the population according to the academic level reached.

Educational Attainment

Race

The most common educational levels obtained by the working population of Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC in 2022 were High School or Equivalent (33.5k), Some college (24.9k), and Secondary Education (17.2k).

This visualization illustrates the percentage distribution of the population according to the highest educational level reached. You can filter the data by race by using the selector above.

Housing & Living

The median property value in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC was $193,100 in 2023, which is 0.636 times smaller than the national average of $303,400. Between 2022 and 2023 the median property value increased from $169,900 to $193,100, a 13.7% increase. The homeownership rate in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC is 71.8%, which is approximately the same as the national average of 65%.

People in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC have an average commute time of 25.1 minutes, and they drove alone to work. Car ownership in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC is approximately the same as the national average, with an average of 2 cars per household.

Median household income in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC is $53,007. In 2023, the PUMA with the highest Median Household Income in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC was Wake County (Southwest)--Apex & Holly Springs Towns PUMA, NC with a value of $143,176, followed by Wake County (Northwest)--Raleigh City (Northwest) & Morrisville Town PUMA, NC and Union County (West)--Indian Trail & Stallings Towns PUMA, NC, with respective values of $139,831 and $123,543.

Housing

Property

$193,100

Median Property Value 2023

±$5,714

$39,083

Median Property Taxes

±$1,403

The following chart display owner-occupied housing units distributed between a series of property tax buckets compared to the national averages for each bucket. In Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC the largest share of households pay taxes in the < $800 range.

The chart underneath the paragraph shows the property taxes in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC compared to it's parent and neighbor geographies.

Rent vs Own

71.8%

Homeownership

2023

64.9%

Homeowners with Mortgage

2023

In 2023, 71.8% of the housing units in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC were occupied by their owner. This percentage grew from the previous year's rate of 71.4%.

This chart shows the percentage of owner in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC compared it's parent and neighboring geographies.

Equity

Income by Location

Use the dropdown to filter by race/ethnicity.

Race/Ethnicity

Highest Median Household Income (Total)

In 2023, the PUMA with the highest Median Household Income (Total) in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC was Wake County (Southwest)--Apex & Holly Springs Towns PUMA, NC with a value of $143,176, followed by Wake County (Northwest)--Raleigh City (Northwest) & Morrisville Town PUMA, NC and Union County (West)--Indian Trail & Stallings Towns PUMA, NC, with respective values of $139,831 and $123,543.

The following map shows all of the PUMAs in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC colored by their Median Household Income (Total).

Household Income

Please note that the buckets used in this visualization were not evenly distributed by ACS when publishing the data.

$53,007

Median Household Income

± $2,105

54.4k

Number of Households

± 1,848

In 2023, the median household income of the 54.4k households in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC grew to $53,007 from the previous year's value of $51,557.

The following chart displays the households in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, 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.

Wage Distribution

0.439

2022 Wage GINI in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC

0.442

2021 Wage GINI in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC

In 2022, the income inequality in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC was 0.439 according to the GINI calculation of the wage distribution. Income inequality had a 0.812% decline from 2021 to 2022, which means that wage distribution grew somewhat more even. The GINI for Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC in comparison to the national average.

This chart shows the number of workers in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC across various wage buckets compared to the national average.

Transportation

Commuter Transportation

Most Common Commute in 2023

Drove Alone (80.3%)
Carpooled (9.22%)
Worked At Home (7.78%)

In 2023, 80.3% of workers in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC drove alone to work, followed by those who carpooled to work (9.22%) and those who worked at home (7.78%).

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.

Commute Time

25.1 minutes

Average Travel Time

Using averages, employees in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC have a shorter commute time (25.1 minutes) than the normal US worker (26.6 minutes). Additionally, 2.7% of the workforce in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC compares to that of it's neighboring and parent geographies.

Car Ownership

2 cars

Average Number

The following chart displays the households in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC have 2 cars.

Poverty

Poverty & Diversity

16.9% of the population for whom poverty status is determined in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC (22.4k out of 133k people) live below the poverty line, a number that is higher than the national average of 12.4%. The largest demographic living in poverty are Females 25 - 34, followed by Females 55 - 64 and then Females 45 - 54.

The most common racial or ethnic group living below the poverty line in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC is White, followed by Black and Two Or More.

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.

Social Needs

Data only available at the state level.

Most prevalent states

California
35,798 individuals
New York
5,087 individuals
Florida
4,915 individuals

In 2017, California had the highest estimated number of chronically homeless individuals in the nation, at 35,798. New York has the second highest (5,087), followed by Florida (4,915).

The following map shows the estimated number of chronically homeless individuals by state over multiple years.

Health

89% of the population of Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC has health coverage, with 35.4% on employee plans, 19.4% on Medicaid, 17.6% on Medicare, 14.7% on non-group plans, and 1.92% on military or VA plans.

Primary care physicians in North Carolina see 1413 patients per year on average, which represents a 1% increase from the previous year (1399 patients). Compare this to dentists who see 1657 patients per year, and mental health providers who see 336 patients per year.

Coverage

Patient to Clinician Ratios

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

1,413 to 1

Patient to Primary Care Physician Ratio in North Carolina

Primary care physicians in North Carolina see an average of 1,413 patients per year. This represents a 1% increase from the previous year (1,399 patients).

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

Health Care Diversity

In 2023, insured persons according to age ranges were distributed in 22.6% under 18 years, 17.7% between 18 and 34 years, 37.8% between 35 and 64 years, and 22% over 64 years.

By gender, of the total number of insured persons, 47.4% were men and 52.6% were women.

The following chart shows the number of people with health coverage by gender.

Uninsured People

11%

Uninsured

35.4%

Employer Coverage

19.4%

Medicaid

17.6%

Medicare

14.7%

Non-Group

1.92%

Military or VA

Between 2022 and 2023, the percent of uninsured citizens in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC declined by 3.21% from 11.4% to 11%.

The following chart shows how the percent of uninsured individuals in Rutherford, Cleveland (West) & Polk Counties--Shelby City PUMA, NC changed over time compared with the percent of individuals enrolled in various types of health insurance.