AppHealthCare has released the 2018 State of the County’s Health (SOTCH) Report.

The report includes a summary of demographics, leading causes of death, updates on the community’s top three health priorities and new initiatives. The SOTCH report is released each year between cycles of conducting a community health assessment. The most recent community health assessment was published March 2018.

Key demographics for Ashe County include 32% of children are living in poverty (2017), 20% of the county is uninsured (2017) and the leading causes of death are diseases of the heart, cancer, Alzheimer’s disease, and chronic lower respiratory diseases (North Carolina County Health Data Book, 2017). The leading risk factors that can lead to disease and death include poor nutrition, lack of physical activity and tobacco use.

Ashe County’s health priorities are mental and behavioral health, substance use and misuse prevention and physical activity and nutrition. The SOTCH report gives a detailed update on each of these priorities and what is being done in the community to address them.

AppHealthCare and the community are working to address the leading causes of death in Ashe County by expanding access to critical services and developing community partnerships that encourage healthy behaviors. Some of those services include offering dental services (Alleghany and Ashe County locations); free nicotine replacement therapy to Ashe residents through a partnership with the NC Quitline, chronic health case management, mental health and substance abuse screenings, and medical nutrition therapy.

In addition to the SOTCH report, the County Health Rankings have been released and Ashe County ranks 23rd out of 100 North Carolina counties (where 1 is the best) in terms of health outcomes. Health outcomes are measured by length and quality of life. In Ashe County, 17% of adults report poor or fair health, average 3.8 poor physical health days reported in the past 30 days, average 4.1 poor mental health days reported in the past 30 days and 8% of live births were low birthweight (<2500 grams). Ashe’s rates were slightly higher than the state’s average in poor physical health days and poor mental health days. The low birthweight percentage is slightly lower than the North Carolina percentage of 9%.

“We use these rankings to inform how we can work together as a community to implement program and policy changes that improve health for all people. It takes partnerships across sectors, not just those in public health and healthcare, in addition to action, to improve the health in our community. It is not a race to the top. It is about progress toward better health,” said Jennifer Greene, Health Director.

What Can We Do Together to Improve Our Community’s Health?

To learn more about the County Health Rankings, visit

To obtain a copy of the State of Health report, visit