Depression rates on the rise in North Carolina

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Depression cases rose in North Carolina by approximately 24% between 2018-22, according to America's Health Rankings data.

Depression is on the rise in North Carolina, based on the latest America's Health Rankings data.

Between 2018 and 2022, mental distress increased by approximately 24%. Dr. Rhonda Randall, chief medical officer of employer and individual for UnitedHealthcare, emphasized the importance of acknowledging the connection between physical and mental health when managing and addressing such a chronic condition.

“Mind and body connection matters as well,” Randall said. "Individuals who are living with chronic physical conditions are at higher risk of developing behavioral-health conditions, and the reverse is true as well.”

The report also highlighted a significant decrease in the number of licensed primary care professionals in the United States, creating a challenging situation where more people have chronic conditions but fewer doctors are available to address their needs. In North Carolina, only about 40 of 100 counties have a primary care ratio meeting or exceeding the recommended doctor-to-patient ratio, leaving 60 other counties in need of more professionals, particularly in rural areas.

Randall noted challenges extend beyond diagnoses. The state is also experiencing a rise in homicide rates, with a 37% increase between 2018 and 2021. She added income and education levels are also strong factors when it comes to the rising number of health challenges.

“Those who make less than $25,000 a year have the greatest number of chronic conditions,” Randall said. “Those who haven’t received a high school diploma have a tendency to have the greatest number of chronic conditions.”

According to Randall, addressing the challenges posed by chronic conditions requires changing behavior, promoting positive socio-economic factors and improving public health. With more than 29 million adults living with three or more chronic conditions, she said individual and community action beyond medical intervention is necessary.

Having state data on the factors impacting well-being can also help in addressing closing gaps where needed, she said.

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