Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC

Public Use Microdata Area (PUMA)

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2022 Population
105,743
4.9% 1-year decline
US Senator
Thom Tillis
Republican Party
US Senator
Ted Budd
Republican Party
2022 Median Age
46
0.656% 1-year increase
2022 Poverty Rate
13.2%
9.28% 1-year decrease
2022 Median Household Income
$55,546
12.5% 1-year growth
2022 Median Property Value
$216,200
17.9% 1-year growth
2022 Employed Population
43,318
3.54% 1-year decline

About

In 2022, Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC had a population of 106k people with a median age of 46 and a median household income of $55,546. Between 2021 and 2022 the population of Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC declined from 111,192 to 105,743, a −4.9% decrease and its median household income grew from $49,377 to $55,546, a 12.5% increase.

The 5 largest ethnic groups in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC are White (Non-Hispanic) (87%), American Indian & Alaska Native (Non-Hispanic) (4.59%), Two+ (Non-Hispanic) (2.52%), Two+ (Hispanic) (2.22%), and White (Hispanic) (1.08%).

3.83% of the households in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC reported speaking a non-English language at home as their primary shared language. This does not consider the potential multi-lingual nature of households, but only the primary self-reported language spoken by all members of the household.

98.7% of the residents in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC are U.S. citizens.

The largest universities in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC are Haywood Community College (499 degrees awarded in 2022) and Mars Hill University (232 degrees).

In 2022, the median property value in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC was $216,200, and the homeownership rate was 75.3%.

Most people in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC drove alone to work, and the average commute time was 24.6 minutes. The average car ownership in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC was 2 cars per household.

Population & Diversity

Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC is home to a population of 106k people, from which 98.7% are citizens. As of 2022, 2.22% of Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC residents were born outside of the country (2.35k people).

In 2022, there were 18.9 times more White (Non-Hispanic) residents (92k people) in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC than any other race or ethnicity. There were 4.86k American Indian & Alaska Native (Non-Hispanic) and 2.66k Two+ (Non-Hispanic) residents, the second and third most common ethnic groups.

The most common non-English languages spoken as the primary langauge in households in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC are Spanish (2,373 households), Other Native Languages of North America (641 households), and German (166 households).

Residents by Gender and Age

RACE/ETHNICITY
53,923
Women
50.7%
52,384
Men
49.3%

The resident population of United States in 2022 was 106,307 inhabitants, with 49.3% men, and 50.7% women.

The visualization shows the distribution of the residents by gender and age in the United States.

With the upper buttons you can add a filter by race.

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Citizenship

98.7%
2022 Citizenship
98.5%
2021 Citizenship

As of 2022, 98.7% of Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC residents were US citizens, which is higher than the national average of 93.5%. In 2021, the percentage of US citizens in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC was 98.5%, meaning that the rate of citizenship has been increasing.

The following chart shows US citizenship percentages in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC compared to that of it's neighboring and parent geographies.

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Race and Ethnicity

The 3 largest ethnic groups in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC
  1. White (Non-Hispanic)
    92k ± 198
  2. American Indian & Alaska Native (Non-Hispanic)
    4.86k ± 283
  3. Two+ (Non-Hispanic)
    2.66k ± 382
4.43%
Hispanic Population
4.69k people

In 2022, there were 18.9 times more White (Non-Hispanic) residents (92k people) in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC than any other race or ethnicity. There were 4.86k American Indian & Alaska Native (Non-Hispanic) and 2.66k Two+ (Non-Hispanic) residents, the second and third most common ethnic groups.

4.43% of the people in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC are hispanic (4.69k people).

The following chart shows the 7 races represented in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC as a share of the total population.

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Global Diversity

Most Common Origin
  1. Mexico
    1,004 ± 774 people
  2. England
    161 ± 311 people
  3. Germany
    132 ± 282 people

In 2022, the most common birthplace for the foreign-born residents of Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC was Mexico, the natal country of 1,004 Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC residents, followed by England with 161 and Germany with 132.

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Foreign-Born Population

2.22%
2022 Foreign-Born Population
2.35k people
2.47%
2021 Foreign-Born Population
2.75k people

As of 2022, 2.22% of Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC residents (2.35k people) were born outside of the United States, which is lower than the national average of 13.6%. In 2021, the percentage of foreign-born citizens in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC was 2.47%, meaning that the rate has been decreasing.

The following chart shows the percentage of foreign-born residents in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC compared to that of it's neighboring and parent geographies.

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Non-English Households

Most Common Non-English Languages
  1. Spanish
    2,373 households (2.35%)
  2. Other Native Languages of North America
    641 households (0.634%)
  3. German
    166 households (0.164%)

3.83% of the households in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC reported speaking a non-English language at home as their primary shared language, which is lower than the national average of 21.7%. This does not consider the potential multi-lingual nature of households, but only the primary self-reported language spoken by all members of the household.

In 2022, the most common non-English language spoken in households in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC was Spanish. 2.35% of the households in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC reported speaking Spanish at home as the primary shared language between all members living in the household.

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Veterans

Most Common Service Period
  1. Vietnam
    3,011 ± 340
  2. Gulf War (2001-)
    1,150 ± 276
  3. Gulf War (1990s)
    821 ± 200

Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC has a large population of military personnel who served in Vietnam, 2.62 times greater than any other conflict.

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Economy

The economy of Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC employs 43.3k people. The largest industries in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC are Restaurants & Food Services (3,247 people), Construction (3,090 people), and Elementary & secondary schools (3,031 people), and the highest paying industries are Management, scientific & technical consulting services ($106,337), Waste management & remediation services ($97,391), and Computer Systems Design ($94,260).

Males in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC have an average income that is 1.18 times higher than the average income of females, which is $49,365. The income inequality in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC (measured using the Gini index) is 0.417, which is lower than than the national average.

Workforce Diversity

Measure
RACE/ETHNICITY
22,629
Women
49.7%
22,934
Men
50.3%

The workforce of Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC in 2020 was 45,563 people, with 49.7% woman, and 50.3% men.

The visualization shows the distribution of the workforce by gender and age in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC.

With the upper buttons you can see the distribution of the average salary and add a filter by race.

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Occupations

43.3k
2022 Value
−3.54%
1 Year decline
± −3.54%

From 2021 to 2022, employment in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC declined at a rate of −3.54%, from 44.9k employees to 43.3k employees.

The most common job groups, by number of people living in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC, are Driver/sales workers & truck drivers (1,259 people), Elementary & middle school teachers (1,140 people), and Registered nurses (1,069 people). This chart illustrates the share breakdown of the primary jobs held by residents of Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC.

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Unemployment Insurance Claims

Data is only available at the state level. Showing data for false.

This chart shows weekly unemployment insurance claims in North Carolina (not-seasonally adjusted) compared with the four states with the most similar impact.

The most recent data point uses Advance State Claims data, which can be revised in subsequent weeks.

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Employment by Industries

43.3k
2022 Value
−3.54%
1 Year decline
± −3.54%

From 2021 to 2022, employment in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC declined at a rate of −3.54%, from 44.9k employees to 43.3k employees.

The most common employment sectors for those who live in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC, are Restaurants & Food Services (3,247 people), Construction (3,090 people), and Elementary & secondary schools (3,031 people). This chart shows the share breakdown of the primary industries for residents of Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC, though some of these residents may live in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC and work somewhere else. Census data is tagged to a residential address, not a work address.

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Median Earnings by Industry

$43,336
Median earning men ± $2,278
$33,260
Median earning women ± $1,552

The industries with the best median earnings for men in 2022 are Information ($82,644), Public Administration ($57,623), and Manufacturing ($57,232).

The industries with the best median earnings for women in 2022 are Public Administration ($59,211), Wholesale Trade ($50,532), and Finance & Insurance, & Real Estate & Rental & Leasing ($42,116).

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Employment by Industry Sector

Data is only available at the state level. Showing data for North Carolina.
Y-Axis
3.04%
Year-over-year growth
Employment change between February 2022 and February 2023

As of February 2023, there are 4.86M people employed in North Carolina. This represents a 3.04% increase in employment when compared to February 2022.

Right after the beginning of the COVID-19 pandemic, during April 2020, a general dip can be seen across industry sectors, resulting in an overall decline in employment by 10.9%.

The following chart shows monthly employment numbers for each industry sector in North Carolina.

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Civics

In the 2020 presidential election, the popular vote in North Carolina went to Donald J. Trump with 49.9% of the vote. The runner-up was Joseph R Biden Jr. (48.6%), followed by Jo Jorgensen (0.881%).

Thom Tillis and Ted Budd are the senators currently representing the state of North Carolina. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

North Carolina is currently represented by 14 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

US Senators from North Carolina

Senatorial voting results are only available at the state level. Showing data for North Carolina.
Thom Tillis
Senator from North Carolina2
Assumed office on January 3, 2015
Ted Budd
Senator from North Carolina3
Assumed office on January 3, 2023

Thom Tillis and Ted Budd are the senators currently representing North Carolina.

In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

The following chart shows elected senators in North Carolina over time, excluding special elections, colored by their political party.

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US Representatives from North Carolina

North Carolina is currently represented by 14 members in the U.S. house.

Members of the House of Representives are elected to 2-year terms, and the following chart shows the how the members for North Carolina have changed over time starting in 2008.

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Education

In 2022, universities in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC awarded 731 degrees. The student population of Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC in 2022 is skewed towards women, with 961 male students and 1,357 female students.

Most students graduating from Universities in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC are White (563 and 79%), followed by Black or African American (64 and 8.98%), Hispanic or Latino (36 and 5.05%), and Unknown (19 and 2.66%).

The largest universities in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC by number of degrees awarded are Haywood Community College (499 and 68.3%) and Mars Hill University (232 and 31.7%).

The most popular majors in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC are General Business Administration & Management (108 and 14.8%), Liberal Arts & Sciences (76 and 10.4%), and Registered Nursing (44 and 6.02%).

The median tuition cost in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC for private four year colleges is $36,557.

Applicants, Admissions & Enrolled

University
Measure

In 2022 in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC, the percentage of applicants admitted was 74.2%, while the percentage of admitted who enrolled was 21.5%. The number of students enrolled in 2022 was 2,318 (41.5% men and 58.5% women).

The line chart  shows the evolution of the percentage of applicants admitted, admitted who enrolled or the number of students enrolled according to the option selected in the upper button.

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Enrollments by Gender and Races

Universities

In 2022 there were 2,318 students enrolled in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC, 41.5% men and 58.5% women.

By race, the largest number of students enrolled was concentrated in White with 1,706 records, of which 61.8% were women and 38.2% men.

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Concentrations

Most Common
  1. 76 degrees awarded
  2. 25 degrees awarded
  3. 25 degrees awarded

In 2022, the most common concentation for Associates Degree recipients in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC was Liberal Arts & Sciences with 76 degrees awarded.

This visualization illustrates the percentage of students graduating with a Associates Degree from schools in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC according to their major.

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Universities

Gender
Race
Largest Universities by degrees awarded
  1. 499 degrees awarded
  2. 232 degrees awarded

In 2022, the institution with the largest number of graduating students was Haywood Community College with 499 degrees awarded.

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Student Diversity

University

In 2022, 293 men were awarded degrees from institutions in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC, which is 0.669 times less than the 438 female students who received degrees in the same year.

In 2022 the most common race/ethnicity group awarded degrees at institutions was White students. These 563 degrees mean that there were 8.8 times more degrees awarded to White students then the next closest race/ethnicity group, Black or African American, with 64 degrees awarded.

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Awarded Degrees over Time

The graph shows the evolution of awarded degrees by degrees. Under the paragraphs, the average number of awarded degrees by university in each degree is shown.

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Average Net Price by Sector

Universities

Private not-for-profit, 4-year or above ($36,557) is the sector with the highest median state tuition in 2022.

Public, 2-year ($148) is the sector with the highest median state fee in 2022.

Public, 2-year ($1,390) is the sector with the highest average net price of books and supplies.

The graph shows the average net price by sector and year.

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Educational Pyramid

Measure

In 2022, 0.601% of men over 25 years of age had not completed any academic degree (no schooling), while 0.49% of women were in the same situation.

This visualization shows the gender distribution of the population according to the academic level reached.

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Educational Attainment

Race

The most common educational levels obtained by the working population of Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC in 2022 were High School or Equivalent (26k), Some college (19.8k), and Bachelors Degree (13.4k).

This visualization illustrates the percentage distribution of the population according to the highest educational level reached. You can filter the data by race by using the selector above.

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Housing & Living

The median property value in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC was $216,200 in 2022, which is 0.767 times smaller than the national average of $281,900. Between 2021 and 2022 the median property value increased from $183,300 to $216,200, a 17.9% increase. The homeownership rate in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC is 75.3%, which is approximately the same as the national average of 64.8%.

People in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC have an average commute time of 24.6 minutes, and they drove alone to work. Car ownership in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC is approximately the same as the national average, with an average of 2 cars per household.

Median household income in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC is $55,546. In 2022, the PUMA with the highest Median Household Income in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC was Wake County (Southwest)--Apex & Holly Springs Towns PUMA, NC with a value of $136,654, followed by Wake County (Northwest)--Raleigh City (Northwest) & Morrisville Town PUMA, NC and Union County (West)--Indian Trail & Stallings Towns PUMA, NC, with respective values of $132,713 and $120,161.

Property

$216,200
Median Property Value 2022
±$6,953
$32,971
Median Property Taxes
±$1,254

The following chart display owner-occupied housing units distributed between a series of property tax buckets compared to the national averages for each bucket. In Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC the largest share of households pay taxes in the < $800 range.

The chart underneath the paragraph shows the property taxes in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC compared to it's parent and neighbor geographies.

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Rent vs Own

75.3%
Homeownership
2022
68.3%
Homeowners with Mortgage
2022

In 2022, 75.3% of the housing units in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC were occupied by their owner. This percentage grew from the previous year's rate of 74.9%.

This chart shows the percentage of owner in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC compared it's parent and neighboring geographies.

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Income by Location

Use the dropdown to filter by race/ethnicity.
Race/Ethnicity

In 2022, the PUMA with the highest Median Household Income (Total) in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC was Wake County (Southwest)--Apex & Holly Springs Towns PUMA, NC with a value of $136,654, followed by Wake County (Northwest)--Raleigh City (Northwest) & Morrisville Town PUMA, NC and Union County (West)--Indian Trail & Stallings Towns PUMA, NC, with respective values of $132,713 and $120,161.

The following map shows all of the PUMAs in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC colored by their Median Household Income (Total).

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Household Income

Please note that the buckets used in this visualization were not evenly distributed by ACS when publishing the data.
$55,546
Median Household Income
± $1,950
43.8k
Number of Households
± 1,535

In 2022, the median household income of the 43.8k households in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC grew to $55,546 from the previous year's value of $49,377.

The following chart displays the households in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC distributed between a series of income buckets compared to the national averages for each bucket. The largest share of households have an income in the $75k - $100k range.

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Wage Distribution

0.417
2022 Wage GINI in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC
0.419
2021 Wage GINI in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC

In 2022, the income inequality in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC was 0.417 according to the GINI calculation of the wage distribution. Income inequality had a 0.467% decline from 2021 to 2022, which means that wage distribution grew somewhat more even. The GINI for Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC in comparison to the national average.

This chart shows the number of workers in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC across various wage buckets compared to the national average.

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Commuter Transportation

Most Common Commute in 2022
  1. Drove Alone (80.2%)
  2. Carpooled (8.6%)
  3. Worked At Home (7.85%)

In 2022, 80.2% of workers in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC drove alone to work, followed by those who carpooled to work (8.6%) and those who worked at home (7.85%).

The following chart shows the number of households using each mode of transportation over time, using a logarithmic scale on the y-axis to help better show variations in the smaller means of commuting.

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Commute Time

24.6 minutes
Average Travel Time

Using averages, employees in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC have a shorter commute time (24.6 minutes) than the normal US worker (26.7 minutes). Additionally, 2.31% of the workforce in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC compares to that of it's neighboring and parent geographies.

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Car Ownership

2 cars
Average Number

The following chart displays the households in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC have 2 cars.

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Poverty & Diversity

13.2% of the population for whom poverty status is determined in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC (13.6k out of 104k people) live below the poverty line, a number that is higher than the national average of 12.5%. The largest demographic living in poverty are Males 55 - 64, followed by Females 45 - 54 and then Females 25 - 34.

The most common racial or ethnic group living below the poverty line in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC is White, followed by Hispanic and Two Or More.

The Census Bureau uses a set of money income thresholds that vary by family size and composition to determine who classifies as impoverished. If a family's total income is less than the family's threshold than that family and every individual in it is considered to be living in poverty.

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Health

87% of the population of Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC has health coverage, with 36.7% on employee plans, 16.1% on Medicaid, 18% on Medicare, 14.3% on non-group plans, and 1.88% on military or VA plans.

Primary care physicians in North Carolina see 1413 patients per year on average, which represents a 1% increase from the previous year (1399 patients). Compare this to dentists who see 1657 patients per year, and mental health providers who see 336 patients per year.

Patient to Clinician Ratios

Data is only available at the state level. Showing data for North Carolina.
1,413 to 1
Patient to Primary Care Physician Ratio in North Carolina

Primary care physicians in North Carolina see an average of 1,413 patients per year. This represents a 1% increase from the previous year (1,399 patients).

The following chart shows how the number of patients seen by primary care physicians has been changing over time in North Carolina in comparison to its neighboring geographies.

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Health Care Diversity

In 2022, insured persons according to age ranges were distributed in 19.9% under 18 years, 18.2% between 18 and 34 years, 38.6% between 35 and 64 years, and 23.3% over 64 years.

By gender, of the total number of insured persons, 47.8% were men and 52.2% were women.

The following chart shows the number of people with health coverage by gender.

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Uninsured People

13%
Uninsured
36.7%
Employer Coverage
16.1%
Medicaid
18%
Medicare
14.3%
Non-Group
1.88%
Military or VA

Between 2021 and 2022, the percent of uninsured citizens in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC declined by 8.34% from 14.2% to 13%.

The following chart shows how the percent of uninsured individuals in Haywood, Madison, Swain, Graham & Jackson (North) Counties PUMA, NC changed over time compared with the percent of individuals enrolled in various types of health insurance.

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