Data / Rankings / High cholesterol in screened adults, local model estimate / Counties in North Carolina

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

Clay County had the highest high cholesterol in screened adults, local model estimate of 100 counties in 2021, at 43.2%. Onslow County had the lowest, at 28.2%. The median was 38.1%. Source: the Centers for Disease Control and Prevention.

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Highest43.2Clay County
Lowest28.2Onslow County
Median38.1100 counties

Map of counties, 2021

Alamance County: 36 %Alexander County: 38.2 %Alleghany County: 42.6 %Anson County: 38.2 %Ashe County: 41.5 %Avery County: 38 %Beaufort County: 39.7 %Bertie County: 39.4 %Bladen County: 39 %Brunswick County: 40.8 %Buncombe County: 36.2 %Burke County: 39.4 %Cabarrus County: 34.5 %Caldwell County: 39.8 %Camden County: 35.4 %Carteret County: 39.3 %Caswell County: 38.7 %Catawba County: 36.7 %Chatham County: 38 %Cherokee County: 42.6 %Chowan County: 39.8 %Clay County: 43.2 %Cleveland County: 38.2 %Columbus County: 38.3 %Craven County: 37.9 %Cumberland County: 32.4 %Currituck County: 36.4 %Dare County: 38.9 %Davidson County: 37.3 %Davie County: 39 %Duplin County: 39.9 %Durham County: 30.8 %Edgecombe County: 37.5 %Forsyth County: 38.2 %Franklin County: 36.2 %Gaston County: 36.8 %Gates County: 38.6 %Graham County: 39.4 %Granville County: 37.3 %Greene County: 36.9 %Guilford County: 32.5 %Halifax County: 39.1 %Harnett County: 31.4 %Haywood County: 38.8 %Henderson County: 37.8 %Hertford County: 37 %Hoke County: 32.8 %Hyde County: 38.1 %Iredell County: 36.9 %Jackson County: 36 %Johnston County: 33.4 %Jones County: 40 %Lee County: 37.7 %Lenoir County: 38.1 %Lincoln County: 37.6 %McDowell County: 37.2 %Macon County: 41.3 %Madison County: 38.2 %Martin County: 39.3 %Mecklenburg County: 32 %Mitchell County: 39.8 %Montgomery County: 39.7 %Moore County: 35.4 %Nash County: 36.3 %New Hanover County: 36.8 %Northampton County: 41 %Onslow County: 28.2 %Orange County: 32.6 %Pamlico County: 42.4 %Pasquotank County: 34.9 %Pender County: 36.9 %Perquimans County: 41 %Person County: 38.9 %Pitt County: 32.2 %Polk County: 42.9 %Randolph County: 37.4 %Richmond County: 38.7 %Robeson County: 38.5 %Rockingham County: 39 %Rowan County: 37 %Rutherford County: 39.7 %Sampson County: 37.4 %Scotland County: 38 %Stanly County: 37.1 %Stokes County: 39.7 %Surry County: 39.7 %Swain County: 37.1 %Transylvania County: 41.1 %Tyrrell County: 40.2 %Union County: 36.2 %Vance County: 37.3 %Wake County: 33.3 %Warren County: 39.7 %Washington County: 41 %Watauga County: 31.9 %Wayne County: 35.4 %Wilkes County: 39.3 %Wilson County: 36.9 %Yadkin County: 39 %Yancey County: 40.7 %
  • Under 36
  • 36 to 37
  • 37 to 38
  • 38 to 39
  • 39 to 40
  • 40 and over
%, 2021. 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, 2021

Clay County: 43.2 %Clay County43.2Polk County: 42.9 %Polk County42.9Alleghany County: 42.6 %Alleghany County42.6Cherokee County: 42.6 %Cherokee County42.6Pamlico County: 42.4 %Pamlico County42.4Ashe County: 41.5 %Ashe County41.5Macon County: 41.3 %Macon County41.3Transylvania County: 41.1 %Transylvania County41.1Northampton County: 41 %Northampton County41Perquimans County: 41 %Perquimans County41Washington County: 41 %Washington County41Brunswick County: 40.8 %Brunswick County40.8Yancey County: 40.7 %Yancey County40.7Tyrrell County: 40.2 %Tyrrell County40.2Jones County: 40 %Jones County40Duplin County: 39.9 %Duplin County39.9Caldwell County: 39.8 %Caldwell County39.8Chowan County: 39.8 %Chowan County39.8Mitchell County: 39.8 %Mitchell County39.8Beaufort County: 39.7 %Beaufort County39.7Montgomery County: 39.7 %Montgomery County39.7Rutherford County: 39.7 %Rutherford County39.7Stokes County: 39.7 %Stokes County39.7Surry County: 39.7 %Surry County39.7Warren County: 39.7 %Warren County39.7Bertie County: 39.4 %Bertie County39.4Burke County: 39.4 %Burke County39.4Graham County: 39.4 %Graham County39.4Carteret County: 39.3 %Carteret County39.3Martin County: 39.3 %Martin County39.3Wilkes County: 39.3 %Wilkes County39.3Halifax County: 39.1 %Halifax County39.1Bladen County: 39 %Bladen County39Davie County: 39 %Davie County39Rockingham County: 39 %Rockingham County39Yadkin County: 39 %Yadkin County39Dare County: 38.9 %Dare County38.9Person County: 38.9 %Person County38.9Haywood County: 38.8 %Haywood County38.8Caswell County: 38.7 %Caswell County38.7Clay County: 43.2 %Clay County43.2Polk County: 42.9 %Polk County42.9Alleghany County: 42.6 %Alleghany County42.6Cherokee County: 42.6 %Cherokee County42.6Pamlico County: 42.4 %Pamlico County42.4Ashe County: 41.5 %Ashe County41.5Macon County: 41.3 %Macon County41.3Transylvania County: 41.1 %Transylvania County41.1Northampton County: 41 %Northampton County41Perquimans County: 41 %Perquimans County41Washington County: 41 %Washington County41Brunswick County: 40.8 %Brunswick County40.8Yancey County: 40.7 %Yancey County40.7Tyrrell County: 40.2 %Tyrrell County40.2Jones County: 40 %Jones County40Duplin County: 39.9 %Duplin County39.9Caldwell County: 39.8 %Caldwell County39.8Chowan County: 39.8 %Chowan County39.8Mitchell County: 39.8 %Mitchell County39.8Beaufort County: 39.7 %Beaufort County39.7Montgomery County: 39.7 %Montgomery County39.7Rutherford County: 39.7 %Rutherford County39.7Stokes County: 39.7 %Stokes County39.7Surry County: 39.7 %Surry County39.7Warren County: 39.7 %Warren County39.7Bertie County: 39.4 %Bertie County39.4Burke County: 39.4 %Burke County39.4Graham County: 39.4 %Graham County39.4Carteret County: 39.3 %Carteret County39.3Martin County: 39.3 %Martin County39.3Wilkes County: 39.3 %Wilkes County39.3Halifax County: 39.1 %Halifax County39.1Bladen County: 39 %Bladen County39Davie County: 39 %Davie County39Rockingham County: 39 %Rockingham County39Yadkin County: 39 %Yadkin County39Dare County: 38.9 %Dare County38.9Person County: 38.9 %Person County38.9Haywood County: 38.8 %Haywood County38.8Caswell County: 38.7 %Caswell County38.7
%. 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

RankCounties2021 (%)
1Clay County43.2
2Polk County42.9
3Alleghany County42.6
3Cherokee County42.6
5Pamlico County42.4
6Ashe County41.5
7Macon County41.3
8Transylvania County41.1
9Northampton County41
9Perquimans County41
9Washington County41
12Brunswick County40.8
13Yancey County40.7
14Tyrrell County40.2
15Jones County40
16Duplin County39.9
17Caldwell County39.8
17Chowan County39.8
17Mitchell County39.8
20Beaufort County39.7
20Montgomery County39.7
20Rutherford County39.7
20Stokes County39.7
20Surry County39.7
20Warren County39.7
26Bertie County39.4
26Burke County39.4
26Graham County39.4
29Carteret County39.3
29Martin County39.3
29Wilkes County39.3
32Halifax County39.1
33Bladen County39
33Davie County39
33Rockingham County39
33Yadkin County39
37Dare County38.9
37Person County38.9
39Haywood County38.8
40Caswell County38.7
40Richmond County38.7
42Gates County38.6
43Robeson County38.5
44Columbus County38.3
45Alexander County38.2
45Anson County38.2
45Cleveland County38.2
45Forsyth County38.2
45Madison County38.2
50Hyde County38.1
50Lenoir County38.1
52Avery County38
52Chatham County38
52Scotland County38
55Craven County37.9
56Henderson County37.8
57Lee County37.7
58Lincoln County37.6
59Edgecombe County37.5
60Randolph County37.4
60Sampson County37.4
62Davidson County37.3
62Granville County37.3
62Vance County37.3
65McDowell County37.2
66Stanly County37.1
66Swain County37.1
68Hertford County37
68Rowan County37
70Greene County36.9
70Iredell County36.9
70Pender County36.9
70Wilson County36.9
74Gaston County36.8
74New Hanover County36.8
76Catawba County36.7
77Currituck County36.4
78Nash County36.3
79Buncombe County36.2
79Franklin County36.2
79Union County36.2
82Alamance County36
82Jackson County36
84Camden County35.4
84Moore County35.4
84Wayne County35.4
87Pasquotank County34.9
88Cabarrus County34.5
89Johnston County33.4
90Wake County33.3
91Hoke County32.8
92Orange County32.6
93Guilford County32.5
94Cumberland County32.4
95Pitt County32.2
96Mecklenburg County32
97Watauga County31.9
98Harnett County31.4
99Durham County30.8
100Onslow County28.2

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, 2021) [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, 2021. 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?period=2021. 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, 2021. 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?period=2021.

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, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/north-carolina-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_carolina_2021,
  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, 2021}},
  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?period=2021. 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, 2021
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?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/north-carolina-counties?period=2021.
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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Questions

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

Clay County, with 43.2% in 2021, 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 28.2% in 2021.

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