2021 BRFSS Survey Results: North Carolina

Depression and Anxiety

PHQ-4 Psychological Distress Category*

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  Total
Respond.^		 None Mild Moderate Severe
N % C.I.(95%) N % C.I.(95%) N % C.I.(95%) N % C.I.(95%)
North Carolina 3,973 2,935 72.6 70.7-74.3 640 16.1 14.7-17.6 253 7.2 6.2- 8.4 145 4.1 3.3- 5.1
-FEMALES 2,173 1,546 69.5 66.9-71.9 373 17.0 15.1-19.1 167 9.2 7.6-11.1 87 4.4 3.4- 5.6
RACE
Non-Hispanic White 1,361 997 71.1 67.8-74.1 211 15.6 13.4-18.1 100 9.2 7.2-11.7 53 4.1 3.0- 5.7
Non-Hispanic Black 456 306 67.4 61.7-72.7 85 17.5 13.6-22.3 42 9.8 6.6-14.3 23 5.3 3.2- 8.7
Other 333 224 64.0 56.5-70.9 76 24.4 18.3-31.6 24 8.9 5.6-14.1 *** *** ***
AGE
18-34 352 214 57.2 50.9-63.3 76 21.8 17.0-27.5 46 15.9 11.6-21.4 16 5.1 3.0- 8.6
35-44 339 227 67.1 60.3-73.2 71 19.7 15.1-25.3 27 9.1 5.3-15.2 14 4.1 2.1- 7.9
45-54 334 230 70.6 64.5-76.0 53 13.5 9.8-18.2 34 9.6 6.7-13.7 17 6.3 3.5-11.1
55-64 392 278 71.8 66.1-76.9 68 16.8 12.9-21.7 25 6.2 3.8- 9.8 21 5.2 3.2- 8.4
65-74 425 329 80.3 75.0-84.6 66 12.7 9.3-17.0 21 5.1 3.0- 8.8 *** *** ***
75+ 282 225 77.2 69.0-83.7 35 15.0 10.1-21.6 13 5.6 2.1-14.3 *** *** ***
EDUCATION
Less Than H.S. 189 117 61.6 52.3-70.1 34 14.8 9.5-22.4 26 16.1 10.6-23.8 12 7.5 3.8-14.4
H.S. or G.E.D. 454 306 67.0 61.0-72.4 76 14.3 10.9-18.5 43 12.5 8.5-18.1 29 6.2 4.0- 9.7
Some Post-H.S. 610 413 66.3 61.4-70.9 127 21.0 17.3-25.4 45 8.3 5.8-11.9 25 4.3 2.8- 6.7
College Graduate 912 703 77.1 73.7-80.1 135 15.3 12.7-18.3 53 5.5 4.0- 7.6 21 2.1 1.3- 3.5
HOUSEHOLD INCOME
Less than $15,000 147 71 43.2 33.1-53.8 31 20.9 13.7-30.5 24 20.4 12.7-31.2 21 15.5 9.4-24.5
$15,000- 24,999 221 137 59.6 50.9-67.7 53 22.2 16.2-29.6 25 12.7 7.8-20.0 *** *** ***
$25,000- 34,999 241 154 62.4 54.4-69.8 45 15.9 11.4-21.7 22 12.9 7.8-20.6 20 8.9 5.3-14.5
$35,000- 49,999 198 136 70.6 62.1-77.8 37 16.9 11.4-24.3 17 9.4 5.4-15.8 *** *** ***
$50,000- 74,999 257 197 75.3 67.7-81.7 40 15.6 10.5-22.7 12 5.4 2.7-10.6 *** *** ***
$75,000+ 609 482 77.3 72.9-81.2 85 15.3 12.0-19.3 35 6.3 4.3- 9.2 *** *** ***
FUNCTIONAL DISABILITY
Yes 712 377 48.7 44.0-53.5 160 21.3 17.8-25.3 102 17.9 14.1-22.4 73 12.1 9.2-15.7
No 1,446 1,159 78.9 76.0-81.5 209 14.9 12.7-17.4 64 5.3 3.9- 7.2 14 0.9 0.5- 1.7
VETERAN STATUS
Veteran 66 *** *** *** *** *** *** *** *** *** *** *** ***
Non-Veteran 2,104 1,499 69.4 66.8-72.0 365 17.2 15.3-19.4 160 9.2 7.5-11.1 80 4.2 3.2- 5.5
RURAL-URBAN RESIDENT1
Urban 620 456 73.5 69.1-77.4 99 15.1 12.1-18.8 42 7.1 5.0-10.1 23 4.3 2.7- 6.7
Regional City or Suburban County 582 413 68.4 63.6-73.0 100 18.5 14.8-22.8 44 8.3 6.0-11.5 25 4.8 2.9- 7.6
Rural 971 677 66.8 62.4-71.0 174 17.4 14.4-20.8 81 11.6 8.6-15.5 39 4.1 2.8- 6.1
EMPLOYMENT STATUS
Employed or Self-Employed 1,052 763 71.5 67.9-74.8 181 16.9 14.3-19.8 78 8.5 6.4-11.2 30 3.1 2.1- 4.8
Unemployed 111 *** *** *** 26 20.0 12.6-30.1 *** *** *** *** *** ***
Retired 645 523 80.8 76.3-84.7 82 12.6 9.7-16.3 28 4.9 2.7- 8.6 12 1.7 0.8- 3.3
Unable to Work 162 63 37.5 28.7-47.3 40 20.5 14.0-29.0 26 17.5 11.3-26.2 33 24.5 16.6-34.4
Other not in Labor Force 188 129 65.9 56.4-74.3 41 23.1 16.1-31.9 13 7.6 3.7-15.1 *** *** ***
POVERTY LEVEL2
Less than 50% 64 *** *** *** *** *** *** *** *** *** *** *** ***
50% to 100% 191 101 50.9 41.7-60.1 44 16.9 11.8-23.7 26 17.5 11.0-26.8 20 14.6 8.8-23.4
101% to 150% 208 129 58.1 49.4-66.4 41 18.9 13.4-26.1 27 16.0 10.2-24.3 11 6.9 3.7-12.6
151% to 200% 173 116 66.8 57.4-75.0 31 16.1 10.5-23.8 13 8.4 4.4-15.7 13 8.7 4.5-16.3
More than 200% 1,034 795 76.4 73.1-79.5 159 15.9 13.2-18.9 59 6.2 4.6- 8.3 21 1.5 0.9- 2.5
NC DEPT OF COMMERCE COUNTY TIER3
Most Distressed Counties (Tier 1) 658 449 67.9 62.4-73.0 129 19.3 15.5-23.8 54 9.0 5.9-13.7 26 3.7 2.2- 6.2
Less Distressed Counties (Tier 2) 858 613 66.8 62.6-70.9 140 16.5 13.6-19.9 67 11.1 8.4-14.6 38 5.6 3.8- 8.1
Least Distressed Counties (Tier 3) 657 484 73.3 69.2-77.1 104 15.8 12.8-19.4 46 7.3 5.3-10.0 23 3.5 2.2- 5.6
CDC SOCIAL VULNERABILITY INDEX4
1st Quartile - Least Vulnerable 631 470 70.8 66.0-75.2 98 16.6 13.2-20.6 42 9.1 6.2-13.2 21 3.6 2.2- 5.8
2nd Quartile 532 378 70.0 65.1-74.5 91 16.6 13.2-20.8 42 8.9 6.3-12.3 21 4.5 2.7- 7.4
3rd Quartile 626 437 67.9 63.0-72.5 108 15.7 12.6-19.3 51 10.8 7.6-15.1 30 5.6 3.7- 8.4
4th Quartile - Most Vulnerable 384 261 68.0 60.8-74.4 76 22.0 16.3-28.9 32 6.8 4.3-10.6 15 3.2 1.5- 7.1

Back to Depression and Anxiety.

*4-item Patient Health Questionnaire based off the 4 questions in this module on Depression and Anxiety.
Over the last 2 weeks how often have you been 'bothered by having little interest or pleasure in doing things?', 'have you been bothered by feeling down, depressed or hopeless?'
'feeling nervous, anxious or on edge?' and 'have you been bothered by not being able to control worrying?'

PLEASE NOTE: Due to changes in the weighting methodology and other factors, results from 2021
are NOT comparable to 2010 and earlier years.

***The estimate was suppressed because it did not meet statistical reliability standards. See BRFSS 2021 Annual Results Technical Notes for more details.

1Based on U.S Census Bureau population estimates at the county level. Please see the BRFSS 2021 Annual Results Technical Notes for details.

2Based on 2021 U.S Census Bureau poverty threshold incomes. Please see the BRFSS 2021 Annual Results Technical Notes for details.

3NC Dept. of Commerce County Tier Classification, based on respondent’s county of residence.
Please see the BRFSS 2021 Annual Results Technical Notes for details.

4Quartile of Centers for Disease Control and Prevention Social Vulnerability Index
(https://www.atsdr.cdc.gov/placeandhealth/svi/index.html) for respondent’s county of residence.
Please see the BRFSS 2021 Annual Results Technical Notes for details.

^Use caution in interpreting cell sizes less than 50, % = Percentage, C.I.(95%) = Confidence Interval (at 95 percent probability level).
Percentages are weighted to population characteristics and therefore cannot be calculated exactly from the numbers in this table.

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This page was generated on 19AUG22.

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