Aging in North Carolina, 2015 North Carolina Division of Aging and Adult Services

Demographic characteristics

Nationally, NC ranks in the top 10! 9th in total population 9th in population age 60 and over 10th in population age 85 and over For the first time, the state’s total population has exceeded 10 million! Source: American Community Survey 2015, one year estimate

The older adult population will increase (2015-2035)   2015 2035 % Change 2015-2035 Ages # % Total 10,056,683 12,167,836 21% 60+ 2,101,237 3,214,038 26% 53% 65+ 1,508,441 15% 2,522,834 67% 85+ 173,970 2% 352,086 3% 102% Source: NC Office of State Budget and Management/demographics Retrieved on 11/1/2016

Growth of population 65+ by age group between 2015-2035 Of the population 65 and over, age group 75-84 will grow more rapidly in the next 2 decades. Beyond 2030 the growth will shift to the ages 85 and over, as the baby boomers move into this age group. Source: NC Office of State Budget and Management/demographics

By 2019, there will be more people 60 and over than ages 0-17 in the state Source: NC Office of State Budget and Management/demographics Retrieved 11/1/2016

Number of counties with people 60 and over than ages 0-17 will increase Source: NC Office of State Budget and Management/demographics

Counties with more people age 60 and over than 0-17 2015 (66 counties) 2025 (87 counties) Counties with more people ages 60+ than 0-17 Counties with more people ages 0-17 than 60+ By 2035, 94 counties will have more people 60 and over than under age 18. The 6 counties with more people 0-17 than 60 and over are Craven, Cumberland, Durham, Harnett, Hoke and Onslow.

As the baby boomer population ages, number of counties with proportion of people 65 and over will increase   Number of counties % 65 and over 2015 2035 10% or less 4 11%-20% 71 19 21%-30% 25 74 31%-34% 7 By 2035- In 7 counties, 1 in 3 people will be 65 and over (Cherokee, Clay, Pamlico, Chatham, Brunswick, Polk and Transylvania) Source: NC Office of State Budget and Management/demographics

Proportion of population 65 and over will increase 2015 2035 31% or more 21% to 30% 11% to 20% 10% or less Source: NC Office of State Budget and Management/demographics

Projected Change in Population 65 and over (2015 to 2035) Beaufort Bertie Carteret Chowan Craven Dare Duplin Edgecombe Gates Greene Halifax Hertford Hyde Jones Lenoir Martin Hanover Northampton Onslow Pamlico Pasquotank Pender Perquimans Pitt Tyrrell Brunswick Washington Wayne Wilson Camden Currituck New Alexander Alleghany Ashe Avery Buncombe Burke Cabarrus Caldwell Catawba Cherokee Cleveland Davie Gaston Graham Haywood Henderson Iredell Jackson McDowell Macon Madison Mecklenburg Mitchell Polk Rowan Rutherford Surry Swain Union Watauga Wilkes Yadkin Yancey Clay Transylvania Lincoln Granville Nash Alamance Anson Bladen Caswell Chatham Columbus Cumberland Davidson Durham Forsyth Franklin Guilford Harnett Hoke Johnston Lee Montgomery Moore Orange Person Randolph Richmond Robeson Rockingham Sampson Scotland Stanly Stokes Vance Wake Warren Percent 65+ (number of counties) 150% and above (1) 100% to 149% (7) 50% to 99% (27) Range: -5% to 151% 1% to 49% (64) Projected growth for the State - 69% -5% (1) Source: NC Office of State Budget and Management, 11/1/2016 http://www.osbm.nc.gov/facts-figures/demographics

Top 5 counties with the most people 60 and over Source: NC Office of State Budget and Management, 11/1/2016 http://www.osbm.nc.gov/facts-figures/demographics

There is more migration of people 60 and over to metropolitan areas   60 and over (Moved from other states and abroad) North Carolina 33,692 Wake 4,006 Mecklenburg 3270 Buncombe 1,810 Brunswick 1,732 Guilford 1,133 Henderson 1,100 Source: American Community Survey 2011-2015, Table B07001

Race/Ethnicity, age 65 and over Source: American Community Survey 2011-2015, five year estimates. Table S0103

Of the people 65 and over……… 2% speak English less than “very well” 21% are veterans 27% live alone 3% live in group quarters 81% are home owners Have a median household income of $35,696 Source: American Community Survey 2011-2015, five year estimates. Table S0103

Grandparents Responsible for Raising Grandchildren under 18 Years Age 30 and over 98,656 Age 30-59 62,855 64% Age 60 and over 35,801 36% 60% are women 60% are White 34% are Black or African American 36% have disabilities 35% are in labor force 21% live in poverty Source: American Community Survey 2011-2015 five year estimates. Tables S1002, S1001

Characteristics of grandchildren living with grandparents responsible 105,836 grandchildren live in households with grandparents responsible for them Age: 42% under 6 years 32% are 6 to 11 years 26% are 12 to 17 years Race: 46% White 41% Black or African American 9% Hispanic or Latino 12% of them have a disability 32% of them live below poverty level 42% of them live in households with SSI, cash public assistance income, or SNAP benefits Source: American Community Survey 2011-2015, five year estimates. Table S1001

Socio-economic characteristics

Poverty status by age groups Source: American Community Survey 2011-2015, five year estimates, Table S1701

Poverty level, 65 and over % Below 100% of poverty level 9.8%   % Below 100% of poverty level 9.8% In 100%-199% of poverty level 23.7% US Census Poverty Thresholds, 2015 One person 65 and over $11,367 Two people 65 and over $14,342 Source: American Community Survey 2011-2015, five year estimates. Table S0103, B17024

Poverty rate increases towards older age Source: American Community Survey 2011-2015, five year estimates, Table B17024

Percentage of people 65 and over living in poverty Beaufort Bertie Carteret Chowan Craven Dare Duplin Edgecombe Gates Greene Halifax Hertford Hyde Jones Lenoir Martin Hanover Northampton Onslow Pamlico Pasquotank Pender Perquimans Pitt Tyrrell Brunswick Washington Wayne Wilson Camden Currituck New Alexander Alleghany Ashe Avery Buncombe Burke Cabarrus Caldwell Catawba Cherokee Cleveland Davie Gaston Graham Haywood Henderson Iredell Jackson McDowell Macon Madison Mecklenburg Mitchell Polk Rowan Rutherford Surry Swain Union Watauga Wilkes Yadkin Yancey Clay Transylvania Lincoln Granville Nash Alamance Anson Bladen Caswell Chatham Columbus Cumberland Davidson Durham Forsyth Franklin Guilford Harnett Hoke Johnston Lee Montgomery Moore Orange Person Randolph Richmond Robeson Rockingham Sampson Scotland Stanly Stokes Vance Wake Warren More than 20% 16% - 20% *North Carolina - 10% Range is 4% - 30% 10% - 15% Less than 10% Source: American Community Survey 2011-2015, five year estimates. Table B17024

Sources of income for persons age 65 and over Social Security 93% Retirement 48% Earnings 34% Food Stamp/SNAP benefits 10% Supplemental Security 6% Cash Public Assistance 1% Source: American Community Survey 2011-2015 five year estimates. Table S0103

Education, 65 and over Source: American Community Survey 2011-2015 five year estimates. Table S0103

Labor force participation, 65 and over   % In labor force 15.8% Employed 15.0% Unemployed 0.8% As a percent of total civilian labor force 5.4% Not in labor force 84.2% * As % of age group Source: American Community Survey 2011-2015 five year estimates. Table S0103

More adults are working into older age delaying retirement * As % of age group Source: American Community Survey 2011-2015 five year estimates. Table B23001

Housing, 65 and over In Group Quarters In Households 3.2% 96.8% (44,822) In Households 96.8% Family Households 55% Non-family Households 45% Group quarters population: people not living in households and includes institutionalized and non-institutionalized population * As % of age group Source: American Community Survey 2011-2015 five year estimates. Table B09020

Characteristics of group quarters population, 65 and over   Total Institutionalized Noninstitutionalized 44,822 41,265 3,557 Male 30.8% 30.1% 39.9% Female 69.2% 69.9% 60.1% Institutionalized: correctional institutions, nursing homes, psychiatric hospitals, in-patient hospice facilities, etc. Noninstitutionalized: military quarters, group homes, emergency and transitional shelters for homeless people, etc. * As % of age group Source: American Community Survey 2011-2015 five year estimates. Table S2601A

Marital Status, age 65 and over More women are widowed and live alone in older age Source: American Community Survey 2011-2015 five year estimates. Table S1201

Health and well-being Of the people 65 and over: 37% have at least one disability 83% have at least one chronic disease. 52% of them had 2 or more chronic diseases 70% reported having an adult flu shot/spray 68% reported exercising in the past month 10% reported that their health is poor American Community Survey 2011-2015 five year estimates, Table B18101 BRFSS 2015 survey results, NC State Center for Health Statistics

Disability Status, age 65 and over * Civilian non-institutionalized population only Source: American Community Survey 2011-2015 five year estimates, Table B18101

Functional limitations One in four people 65 and over report having trouble walking Types of disability (age 65 and over) % with a disability With an ambulatory difficulty 25% With an independent living difficulty 16% With a hearing difficulty 15% With a cognitive difficulty 10% With a self-care difficulty 9% With a vision difficulty 7% Ambulatory – Serious difficulty walking or climbing stairs Independent living – Difficulty doing errands alone Hearing – Deaf or having serious difficulty hearing Cognitive – Difficulty remembering, concentrating or making decisions Self-care – Difficulty bathing or dressing Vision – Blind or serious difficulty seeing even with glasses Source: American Community Survey 2011-2015 five year estimates. Table S1810

Leading causes of death, age 65 and over Rank Cause of death Number of deaths % 1 Diseases of the heart 14,288 22.1 2 Cancer 13,455 20.9 3 Chronic lower respiratory diseases 4,316 6.7 4 Cerebrovascular diseases 4,273 6.6 5 Alzheimer's disease 3,764 5.8 6 Diabetes mellitus 1,885 2.9 *Number of people 65+ with at least one chronic disease is 82%: One chronic disease only – 27% 2 or more chronic diseases – 55%

Health Status, age 65 and over What would you say in general your health is? Source: NC State Center for Health Statistics, BRFSS 2015

Life Expectancy, 2015 Age Groups Years 60-64 23.0 65-69 19.2 70-74 15.6 75-79 12.3 80-84 9.4 85+ 7.1 Life expectancy is the average number of additional years that someone at a given age would be expected to live if current mortality conditions remained constant throughout their lifetime

References: Glossary: Population estimates and projections: North Carolina State Data Center. County/state population estimates and projections; July 1, 2015, 2035; Retrieved in 10/2016 from http://www.osbm.nc.gov/facts-figures/demographics   US Census Bureau. American Community Survey 2011-2015, 5 year estimates. Table S0102. Population 60 and over Table S0103. Population 65 and over Table S1810. Disability characteristics Table B10056. Sex of grandparents living with own grandchildren under 18 years Table B17024. Age by ratio of income to poverty level in the past 12 months Table B23001. Sex by age by employment status for population 16 years and over NC State Center for Health Statistics. Leading causes of death. Retrieved from http://www.schs.state.nc.us/schs/data/lcd/lcd.cfm Life expectancy reports. Retrieved from http://www.schs.state.nc.us/schs/data/lifexpectancy/ Health status. BRFSS 2015. Retrieved from http://www.schs.state.nc.us/data/brfss/survey.htm Glossary: Definitions of terminology used are available at http://factfinder.census.gov/home/en/epss/glossary_a.html