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George Sperling House and OutbuildingsGeorge Sperling House and Outbuildings · Photo: Upstateherd · CC BY-SA 3.0
≈ C−Health Grade
Health in Shelby · CDC PLACES 2025

On CDC estimates, Shelby is healthier than 17% of U.S. towns

Shelby differs from North Carolina on 17 of 32 measures CDC estimates: 1 better, 16 worse.

Modeled estimates for adults 18+, CDC’s own estimate for Shelby. How CDC estimates town health

What stands out · In brief

What stands out about health in Shelby

Stroke, COPD and diabetes run high in Shelby

1 in 19 adults have had a stroke (5.2%), vs 3.6% across North Carolina. 1 in 10 adults have COPD (9.9%), vs 7.1% across North Carolina. Diabetes is also above the state: 16%, vs 12% across North Carolina. In all, Shelby runs above North Carolina on six of 11 chronic conditions. Conditions ↓

Making ends meet is harder in Shelby

1 in 4 adults worry about having enough food (22.5%), vs 15.2% across North Carolina. Utility shut-off threats (12.6% vs 8.1%) and no reliable transportation (11.8% vs 8.4%) are higher too. 21.4% of adults receive SNAP, vs 12.3% statewide. Everyday needs ↓

Dental care lags in Shelby

56.3% of adults saw a dentist this year, vs 63.6% across North Carolina. Among those 65 and older, 20.4% have lost all their teeth (North Carolina 13.9%). Checkups ↓

Shelby is healthier than its income would predict

Against all U.S. towns, Shelby is healthier than 17%. Against the 5,170 towns with similar household incomes ($36K–$60K), it’s healthier than 46%. Health Grade ↓

Written from the CDC, Medicare and HRSA data on this page. CDC PLACES 2025 release: modeled estimates for adults, not counts; “higher” and “lower” mean the North Carolina figure falls outside Shelby’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D− to B−.

Health Grade

What’s behind Shelby’s grade

On seven CDC estimates for adults, Shelby is healthier than 17% of U.S. towns, #241 of 289 in North Carolina. Mental distress holds the grade up (fewer adults with frequent mental distress than 37% of U.S. towns); diabetes pulls it down (better than 10%).

C−Self-rated health24.9% · NC 19% · U.S. 19.4%
CPhysical distress15.5% · NC 12.7% · U.S. 13%
C+Mental distress17.8% · NC 16.5% · U.S. 15.9%
DObesity41.4% · NC 35.1% · U.S. 32.9%
DDiabetes16% · NC 12% · U.S. 12%
CSmoking17% smoke · NC 13.5% · U.S. 11.8%
C−Exercise30.3% · NC 23.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 17%
Less healthyHealthier
North Carolina towns we grade (289)Healthier than 17%
U.S. towns with similar incomes, $36K–$60K (5,170)Healthier than 46%

Health estimates follow income closely across the country: towns with higher household incomes usually score higher (a correlation of 0.77 across 21,157 graded towns). Shelby’s median household income is $48,376; among the 5,170 U.S. towns within 25% of that ($36K–$60K), it’s healthier than 46%, about where its income would put it.

Where Shelby compares well: taking blood pressure medicine (adults with high blood pressure), 79.7% (U.S. 76.5%).

A rough placement. CDC’s likely ranges are wide here: with every estimate at one end or the other, Shelby could be anywhere from D− to B−. The letter shows with “≈”.

How TownRatings grades health →

Chronic conditions

Out of every 100 Shelby adults…

Shelby runs above NC on 7 of 12 conditions. Tap one to see it as people.

5 of every 100 Shelby adults have had a stroke
North Carolina: 4 in 100 · worse · likely 4.8–5.6%
Better than NCWorseAbout the sameNorth Carolina
Everyday needs

Making ends meet

Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.

1 in 4
Shelby adults worry about having enough food
22.5% · NC 15.2%
Worse than NC
1 in 6
Shelby adults worry about keeping their housing
16.9% · NC 12.2%
Worse than NC
1 in 8
Shelby adults were threatened with a utility shut-off
12.6% · NC 8.1%
Worse than NC
1 in 8
Shelby adults lack reliable transportation
11.8% · NC 8.4%
Worse than NC

21.4% of Shelby adults receive SNAP (food stamps), compared with 12.3% across North Carolina.

Checkups & screenings

Keeping up with care

Share of Shelby adults getting routine care. The full ring is 100%; the dark tick marks North Carolina.

82%Yearly checkupNC 80%
56%Dentist visitNC 64%
88%Cholesterol checkNC 88%
65%Colon screeningNC 66%
78%MammogramNC 79%
80%Taking BP medsNC 77%
1 in 9
working-age adults has no health insurance
Shelby 11.6% · North Carolina 1 in 10 (10.4%)
Getting care

Care in and near Shelby

1 hospital and 1 community health center in Shelby, plus the nearest just outside it.

HNearest ERAtrium Health ClevelandShelby · 0.9 miDirections →
★Best rated nearbyCaromont Regional Medical Center★★★★★ · 18.4 miDirections →
+Low-cost careGaston Family Health ServicesShelby · 1.1 mi · sliding-scale feesDirections →
0.9 mi
Atrium Health Cleveland
Shelby · ★★★★★
ERIn Shelby
1.1 mi
Gaston Family Health Services
8 sites · nearest in Shelby
Sliding-scale feesIn Shelby
Directions to nearest
14.6 mi
Cherokee Medical Center
Gaffney · ★★★★★
ER
18.4 mi
Caromont Regional Medical Center
Gastonia · ★★★★★
ER
23.7 mi
Atrium Health Lincoln
Lincolnton · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers Shelby itself
✓ Dental careNo HRSA shortage area covers Shelby itself
✓ Mental healthNo HRSA shortage area covers Shelby itself

Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Shelby; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

Habits

Everyday habits, side by side with North Carolina

Share of adults, with the North Carolina figure marked.

Get no exercise 30.3%NC 23.8%
Sleep under 7 hours 36.9%NC 34.2%
Binge drink 12.2%NC 14.7%
Smoke cigarettes 17%NC 13.5%
0%10%20%30%40%
Shelby, betterShelby, worseAbout the sameNorth Carolina
Where Shelby gets moving

3.8 miles of trails across 10 parks and preserves

Parks & trails →
Mind & connection

How Shelby adults are doing

About the same as North Carolina on each measure.

1 in 3Shelby adults feel lonely
33.9% · NC 32.5% · About the same as NC
1 in 4Shelby adults lack social or emotional support
24.4% · NC 22.5% · About the same as NC
1 in 4Shelby adults have been diagnosed with depression
24.5% · NC 24.2% · About the same as NC
1 in 6Shelby adults are in frequent mental distress
17.8% · NC 16.5% · About the same as NC
The one neighbors can help with

1 in 3 Shelby adults feel lonely. A hello is a start.

Groups are the easiest way in: a walking group, a book club, your street.

Find a group →

If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.

Around town

Shelby and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
ShelbyC−41.4%16%17%CDC place
Light Oak————

Light Oak: fewer than 1,000 residents. Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

38.7%

of Shelby adults live with a disability (North Carolina 32%). Walking or climbing stairs is the most common.

Walking or climbing stairs20%
Thinking or memory17.2%
Hearing8.7%
Errands alone11.3%
Vision7.9%
Dressing or bathing6.1%
North Carolina

Every CDC estimate for Shelby

Share of adults, 40 measures, with CDC’s likely range.

On the 32 measures below that have a better and a worse direction, Shelby is better than North Carolina on 1 and worse on 16; on the rest, the North Carolina figure falls inside Shelby’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…ShelbyNCU.S.vs NC
Overall health
Fair or poor health24.9%22–27.819%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)15.5%13.6–17.312.7%13%Worse
Frequent mental distress (mental health not good 14+ days a month)17.8%15.7–19.816.5%15.9%About the same
Conditions
Obesity41.4%32.6–49.435.1%32.9%About the same
Diabetes16%14–18.112%12%Worse
High blood pressure45.1%40.5–49.336.8%34.4%Worse
High cholesterol (adults screened in 5 years)38.5%33.8–42.735.6%37.1%About the same
Arthritis32.3%28.7–35.826.9%25.3%Worse
Asthma12.1%10.7–13.510.8%9.9%About the same
Cancer, other than skin cancer8.5%7.7–9.37.9%7.9%About the same
Coronary heart disease8.5%7.7–9.46.6%6.4%Worse
COPD9.9%8.8–117.1%6.3%Worse
Stroke5.2%4.8–5.63.6%3.4%Worse
Lost all teeth (ages 65+)20.4%16.9–24.113.9%12.3%Worse
Habits
Smoke cigarettes17%14.7–19.413.5%11.8%Worse
No exercise outside work30.3%25.7–34.923.8%24.7%Worse
Binge drinking12.2%9.8–14.714.7%15.4%About the same
Sleep under 7 hours36.9%30–43.934.2%36%About the same
Checkups and coverage
No health insurance (ages 18–64)11.6%9.9–13.310.4%11%About the same
Checkup in the past year82.1%78.7–84.980%77.4%About the same
Dentist visit in the past year56.3%52.2–60.163.6%63.2%Worse
Cholesterol check in 5 years87.6%85.9–89.187.5%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)79.7%77–8276.7%76.5%Better
Colorectal cancer screening (ages 45–75)65%59.5–7065.7%65.5%About the same
Mammogram in 2 years (women 50–74)77.6%69.6–84.178.7%76.4%About the same
Mind and connection
Ever told they have depression24.5%20.8–28.224.2%20.6%About the same
Feel lonely33.9%28.9–39.432.5%32.5%About the same
Lack social and emotional support24.4%20.9–28.122.5%23.6%About the same
Everyday needs
Worried about having enough food22.5%19.9–25.315.2%15%Worse
Worried about keeping housing16.9%14.8–19.212.2%12%Worse
Threatened with a utility shut-off12.6%11.1–14.28.1%7.6%Worse
Lack reliable transportation11.8%10.5–13.28.4%7.9%Worse
Received SNAP (food stamps)21.4%19–24.112.3%11.6%Higher
Disability
Any disability38.7%34–43.132%30.1%Higher
Difficulty walking or climbing stairs20%17.7–22.414.2%13.6%Higher
Difficulty concentrating or remembering17.2%15.3–19.214.8%13.9%Higher
Hearing difficulty8.7%7.7–9.77.3%6.7%Higher
Vision difficulty7.9%7.2–8.65.3%5.4%Higher
Difficulty doing errands alone11.3%10.1–12.58.2%7.9%Higher
Difficulty dressing or bathing6.1%5.6–6.74%3.8%Higher

Each figure is the share of adults 18+ unless the label says otherwise; small numbers after it are CDC’s likely range (95% interval). “About the same” means the North Carolina figure falls inside that range.

Questions about health in Shelby

Is Shelby a healthy place to live?

On seven CDC estimates for adults, Shelby is healthier than 17% of U.S. towns: ≈ C− for health, #241 of 289 in North Carolina. Among U.S. towns with similar household incomes it’s healthier than 46%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Shelby?

CDC estimates 41.4% of adults have obesity, likely between 32.6% and 49.4%, against 35.1% across North Carolina and 32.9% nationally.

What hospital is closest to Shelby?

Atrium Health Cleveland in Shelby, 0.9 miles in a straight line from Shelby’s center point, is the nearest general hospital with an emergency room; Medicare rates it 3 of 5 stars.

How many people in Shelby have no health insurance?

CDC estimates 11.6% of adults ages 18–64 have no health insurance (likely 9.9–13.3%), against 10.4% across North Carolina.

How accurate are these numbers?

They’re modeled estimates: CDC applies national survey answers to each area’s age, sex, race and education mix, so they describe who lives in Shelby more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D− to B−.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Shelby.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The North Carolina figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. The Health Grade is our own summary of CDC’s estimates, not an official rating. Ages: U.S. Census Bureau, American Community Survey. Town boundaries: U.S. Census Bureau. This page isn’t medical advice. In an emergency, call 911.