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Siler City, North Carolina
Chatham County

A Community Diagnosis including Secondary Data Analysis and Qualitative Data Collection

Authors: Steven Burritt, Alison Cowhig, Pam Jones, Parky Lee, Melanie Mendoza, and Suzette Rochat
Preceptor: Bill Lail, M.Ed. Chatham County Health Department
Field Coordinator: Sandra Crouse Quinn, Ph.D.

Completed during 1999-2000 in partial fulfillment of requirements for HBHE 240 and 241

Department of Health Behavior and Health Education
School of Public Health
University of North Carolina at Chapel Hill

TABLE OF CONTENTS

Executive Summary

Methodology
white space Quantitative Data
white space Qualitative Data

Community Description
white space Geography
white space History
white space Economy

Community Profile
white space Demographics
white space Education
white space School System
white space Educational Attainment
white space Literacy Rates
white space Dropout Rates
white space Income, Poverty Level, and Employment

Health
white space Mortality and Morbidity
white space Mortality
white space Morbidity
white space Social Health and Quality of Life
white space Reproductive Health
white space Substance Abuse
white space Mental Health
white space Crime
white space Perceptions of Health
white space Health of Hispanics
white space Youth Behaviors
white space Health Care Resources
white space Medical Facilities
white space Healthcare Providers
white space Chatham County Health Department
white space Chatham Coalition for Adolescent Health
white space HIV/Sexually Transmitted Disease Prevention
white space School-Based Health Clinics

   

Chapters According to Major Themes
white space A Changing Community
white space Growth
white space Community and Faith
white space Language
white space Cultural Changes
white space Youth
white space Youth Recreation
white space Sex Education
white space Gangs
white space Alcohol, Tobacco, and Other Drugs
white space School-Based Health Clinic (SBHC)
white space Youth Health Care Services
white space Support for School-Based Health Clinic
white space Challenges for SBHC Implementation
white space School-Based Health Clinic Services
white space School-Based Health Clinic Location

Community Resources and Assets
white space Small Towness
white space Diversity
white space Family Resource Center
white space Joint Orange County Community Action
white space Churches
white space Recreational Leagues and Teenworks Teen Center

Discussion and Recommendations
white space Community Ties
white space Language
white space Youth Recreation
white space School-Based Health Clinic

References

APPENDICES
white space APPENDIX A: Interview Guides
white space APPENDIX B: List of Interviewees
white space APPENDIX C: Community Forum Report and Materials

LIST OF TABLES AND FIGURES
Table 1:  Major Industries in Siler City and Percentage of Hispanic Employees
Table 2:  Population Distribution by Race/Ethnicity, Siler City, Chatham County, and North Carolina, 1990
Table 3:  Siler City Public Schools Ethnicity/ Membership Breakdown
Table 4:  SAT Scores and Percent Tested, Siler City, Chatham County, and North Carolina, 1996-1998
Table 5:  Dropout Rates in Siler City Public Schools 1996-97
Table 6:  Death Rates per 100,000 Population for Leading Causes of Death in Chatham County and North Carolina, 1997
Table 7:  Leading Causes of Mortality in Chatham County by Gender and Race (Adjusted death rates per 100,000 persons), 1998
Table 8:  Selected Disease Rates Per 100,000 Population, Chatham County and North Carolina, 1997
Table 9:  Top 10 North Carolina Reported Cases of Notifiable Diseases, 1997
Table 10:  Pregnancy Rates per 1,000 by Race and Age, Chatham County and North Carolina, 1995
Table 11:  Teen (Ages 15-19) Birth Rates per 1,000 by Race and Age, Chatham County and North Carolina, 1995
Table 12:  Chatham County Percentage of Babies Born with Low Birth Weight by Race, 1994 and 1995
Table 13:  Driving While Intoxicated Arrest Rates per 100,000, Chatham County and North Carolina, 1995 and 1998
Table 14:  Percentage of Chatham County Students 5th-8th Grade Who Have Used Drugs in Their Lifetime, 1995-96, 1997-98, and 1999-2000
Table 15:  Crime Rates per 100,000 for Siler City, Chatham County, and North Carolina, 1998
Table 16:  Self-Rating of Health by Days Per Year, Chatham County, 1996, and North Carolina, 1994
Table 17:  Most Significant Health Issues for Hispanic Males, Females, and Children
Table 18:  Youth Risk Behaviors for North Carolina and United States, 1997
Table 19:  Number of Health Care Providers in Chatham County
Table 20:  Horton Middle School Body Shop Services
 
Figures 
Figure 1:  Percentages of Persons Below Poverty Level for Siler City, 1990
Figure 2:  Percentage of African-Americans Below Poverty Level, Siler City , 1990