Counties in North Carolina by high cholesterol in screened adults, local model estimate, 2023

Cherokee County had the highest high cholesterol in screened adults, local model estimate of 100 counties in 2023, at 43.4%. Onslow County had the lowest, at 28.3%. The median was 38.4%. Source: the Centers for Disease Control and Prevention.

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Highest43.4Cherokee County
Lowest28.3Onslow County
Median38.4100 counties

Map of counties, 2023

Alamance County: 35 %Alexander County: 38.4 %Alleghany County: 42.4 %Anson County: 37.5 %Ashe County: 41.7 %Avery County: 38.9 %Beaufort County: 40.5 %Bertie County: 39.6 %Bladen County: 39.8 %Brunswick County: 42.1 %Buncombe County: 35.5 %Burke County: 38.3 %Cabarrus County: 34.2 %Caldwell County: 39 %Camden County: 36.5 %Carteret County: 40.3 %Caswell County: 38.8 %Catawba County: 38 %Chatham County: 39.4 %Cherokee County: 43.4 %Chowan County: 40.9 %Clay County: 42.8 %Cleveland County: 38.1 %Columbus County: 38.4 %Craven County: 36.1 %Cumberland County: 32.4 %Currituck County: 36.6 %Dare County: 39 %Davidson County: 37.2 %Davie County: 38.4 %Duplin County: 38.4 %Durham County: 32.3 %Edgecombe County: 37.5 %Forsyth County: 33.9 %Franklin County: 36.7 %Gaston County: 36.5 %Gates County: 39.6 %Graham County: 39.6 %Granville County: 37.3 %Greene County: 36.5 %Guilford County: 34.4 %Halifax County: 39.7 %Harnett County: 34.5 %Haywood County: 39.6 %Henderson County: 39.7 %Hertford County: 38.9 %Hoke County: 33.5 %Hyde County: 40 %Iredell County: 36.6 %Jackson County: 36 %Johnston County: 34.9 %Jones County: 40.4 %Lee County: 37.8 %Lenoir County: 39 %Lincoln County: 37.7 %McDowell County: 39.8 %Macon County: 41.8 %Madison County: 37.9 %Martin County: 40.5 %Mecklenburg County: 31.8 %Mitchell County: 39.8 %Montgomery County: 39.4 %Moore County: 38.5 %Nash County: 38 %New Hanover County: 37.1 %Northampton County: 41.3 %Onslow County: 28.3 %Orange County: 33.1 %Pamlico County: 41.4 %Pasquotank County: 36 %Pender County: 35.8 %Perquimans County: 41 %Person County: 38.3 %Pitt County: 32.8 %Polk County: 42.2 %Randolph County: 38.4 %Richmond County: 37.7 %Robeson County: 38.4 %Rockingham County: 38.9 %Rowan County: 36.7 %Rutherford County: 39 %Sampson County: 38.1 %Scotland County: 38.1 %Stanly County: 37.5 %Stokes County: 40.4 %Surry County: 40 %Swain County: 39.2 %Transylvania County: 40.9 %Tyrrell County: 40.1 %Union County: 35.8 %Vance County: 37.7 %Wake County: 33.9 %Warren County: 40.7 %Washington County: 41.7 %Watauga County: 32.8 %Wayne County: 35.9 %Wilkes County: 40.2 %Wilson County: 37.5 %Yadkin County: 39.3 %Yancey County: 40.3 %
  • Under 36
  • 36 to 38
  • 38 to 39
  • 39 to 40
  • 40 and over
%, 2023. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Cherokee County: 43.4 %Cherokee County43.4Clay County: 42.8 %Clay County42.8Alleghany County: 42.4 %Alleghany County42.4Polk County: 42.2 %Polk County42.2Brunswick County: 42.1 %Brunswick County42.1Macon County: 41.8 %Macon County41.8Ashe County: 41.7 %Ashe County41.7Washington County: 41.7 %Washington County41.7Pamlico County: 41.4 %Pamlico County41.4Northampton County: 41.3 %Northampton County41.3Perquimans County: 41 %Perquimans County41Chowan County: 40.9 %Chowan County40.9Transylvania County: 40.9 %Transylvania County40.9Warren County: 40.7 %Warren County40.7Beaufort County: 40.5 %Beaufort County40.5Martin County: 40.5 %Martin County40.5Jones County: 40.4 %Jones County40.4Stokes County: 40.4 %Stokes County40.4Carteret County: 40.3 %Carteret County40.3Yancey County: 40.3 %Yancey County40.3Wilkes County: 40.2 %Wilkes County40.2Tyrrell County: 40.1 %Tyrrell County40.1Hyde County: 40 %Hyde County40Surry County: 40 %Surry County40Bladen County: 39.8 %Bladen County39.8McDowell County: 39.8 %McDowell County39.8Mitchell County: 39.8 %Mitchell County39.8Halifax County: 39.7 %Halifax County39.7Henderson County: 39.7 %Henderson County39.7Bertie County: 39.6 %Bertie County39.6Gates County: 39.6 %Gates County39.6Graham County: 39.6 %Graham County39.6Haywood County: 39.6 %Haywood County39.6Chatham County: 39.4 %Chatham County39.4Montgomery County: 39.4 %Montgomery County39.4Yadkin County: 39.3 %Yadkin County39.3Swain County: 39.2 %Swain County39.2Caldwell County: 39 %Caldwell County39Dare County: 39 %Dare County39Lenoir County: 39 %Lenoir County39Cherokee County: 43.4 %Cherokee County43.4Clay County: 42.8 %Clay County42.8Alleghany County: 42.4 %Alleghany County42.4Polk County: 42.2 %Polk County42.2Brunswick County: 42.1 %Brunswick County42.1Macon County: 41.8 %Macon County41.8Ashe County: 41.7 %Ashe County41.7Washington County: 41.7 %Washington County41.7Pamlico County: 41.4 %Pamlico County41.4Northampton County: 41.3 %Northampton County41.3Perquimans County: 41 %Perquimans County41Chowan County: 40.9 %Chowan County40.9Transylvania County: 40.9 %Transylvania County40.9Warren County: 40.7 %Warren County40.7Beaufort County: 40.5 %Beaufort County40.5Martin County: 40.5 %Martin County40.5Jones County: 40.4 %Jones County40.4Stokes County: 40.4 %Stokes County40.4Carteret County: 40.3 %Carteret County40.3Yancey County: 40.3 %Yancey County40.3Wilkes County: 40.2 %Wilkes County40.2Tyrrell County: 40.1 %Tyrrell County40.1Hyde County: 40 %Hyde County40Surry County: 40 %Surry County40Bladen County: 39.8 %Bladen County39.8McDowell County: 39.8 %McDowell County39.8Mitchell County: 39.8 %Mitchell County39.8Halifax County: 39.7 %Halifax County39.7Henderson County: 39.7 %Henderson County39.7Bertie County: 39.6 %Bertie County39.6Gates County: 39.6 %Gates County39.6Graham County: 39.6 %Graham County39.6Haywood County: 39.6 %Haywood County39.6Chatham County: 39.4 %Chatham County39.4Montgomery County: 39.4 %Montgomery County39.4Yadkin County: 39.3 %Yadkin County39.3Swain County: 39.2 %Swain County39.2Caldwell County: 39 %Caldwell County39Dare County: 39 %Dare County39Lenoir County: 39 %Lenoir County39
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)
1Cherokee County43.4
2Clay County42.8
3Alleghany County42.4
4Polk County42.2
5Brunswick County42.1
6Macon County41.8
7Ashe County41.7
7Washington County41.7
9Pamlico County41.4
10Northampton County41.3
11Perquimans County41
12Chowan County40.9
12Transylvania County40.9
14Warren County40.7
15Beaufort County40.5
15Martin County40.5
17Jones County40.4
17Stokes County40.4
19Carteret County40.3
19Yancey County40.3
21Wilkes County40.2
22Tyrrell County40.1
23Hyde County40
23Surry County40
25Bladen County39.8
25McDowell County39.8
25Mitchell County39.8
28Halifax County39.7
28Henderson County39.7
30Bertie County39.6
30Gates County39.6
30Graham County39.6
30Haywood County39.6
34Chatham County39.4
34Montgomery County39.4
36Yadkin County39.3
37Swain County39.2
38Caldwell County39
38Dare County39
38Lenoir County39
38Rutherford County39
42Avery County38.9
42Hertford County38.9
42Rockingham County38.9
45Caswell County38.8
46Moore County38.5
47Alexander County38.4
47Columbus County38.4
47Davie County38.4
47Duplin County38.4
47Randolph County38.4
47Robeson County38.4
53Burke County38.3
53Person County38.3
55Cleveland County38.1
55Sampson County38.1
55Scotland County38.1
58Catawba County38
58Nash County38
60Madison County37.9
61Lee County37.8
62Lincoln County37.7
62Richmond County37.7
62Vance County37.7
65Anson County37.5
65Edgecombe County37.5
65Stanly County37.5
65Wilson County37.5
69Granville County37.3
70Davidson County37.2
71New Hanover County37.1
72Franklin County36.7
72Rowan County36.7
74Currituck County36.6
74Iredell County36.6
76Camden County36.5
76Gaston County36.5
76Greene County36.5
79Craven County36.1
80Jackson County36
80Pasquotank County36
82Wayne County35.9
83Pender County35.8
83Union County35.8
85Buncombe County35.5
86Alamance County35
87Johnston County34.9
88Harnett County34.5
89Guilford County34.4
90Cabarrus County34.2
91Forsyth County33.9
91Wake County33.9
93Hoke County33.5
94Orange County33.1
95Pitt County32.8
95Watauga County32.8
97Cumberland County32.4
98Durham County32.3
99Mecklenburg County31.8
100Onslow County28.3

Other periods

About this ranking

Percentage of adults who have ever had their cholesterol checked and were told by a doctor, nurse or other health professional that it was high. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2021; its eight former counties are not served. The question is asked in odd years only.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence (Counties in North Carolina by high cholesterol in screened adults, local model estimate, 2023) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence, Counties in North Carolina by high cholesterol in screened adults, local model estimate, 2023. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/north-carolina-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. Counties in North Carolina by high cholesterol in screened adults, local model estimate, 2023. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/north-carolina-counties.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence, Counties in North Carolina by high cholesterol in screened adults, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/north-carolina-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_carolina_2023,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence: Counties in North Carolina by high cholesterol in screened adults, local model estimate, 2023}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/north-carolina-counties. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence: Counties in North Carolina by high cholesterol in screened adults, local model estimate, 2023
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/north-carolina-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/north-carolina-counties.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  - 
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Rank Counties in North Carolina by high cholesterol in screened adults, local model estimate using official data, and cite the source.
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Questions

Which county has the highest high cholesterol in screened adults, local model estimate?

Cherokee County, with 43.4% in 2023, according to the Centers for Disease Control and Prevention.

Which county has the lowest high cholesterol in screened adults, local model estimate?

Onslow County, with 28.3% in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. Retrieved 2026-10-12.

High cholesterol in screened adults, local model estimate: other rankings

Counties in North Carolina: more rankings