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Watson-Sanders HouseWatson-Sanders House · Photo: LikeGrantTookRichmond · CC BY-SA 3.0
C−Health Grade
Health in Smithfield · CDC PLACES 2025

Among U.S. towns with similar household incomes, Smithfield is healthier than 55%

Smithfield differs from North Carolina on 19 of 32 measures CDC estimates: 2 better, 17 worse.

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

What stands out · In brief

What stands out about health in Smithfield

Stroke, COPD and diabetes run high in Smithfield

1 in 18 adults have had a stroke (5.5%), vs 3.6% across North Carolina. 1 in 10 adults have COPD (10.4%), vs 7.1% across North Carolina. Diabetes is also above the state: 17.3%, vs 12% across North Carolina. In all, Smithfield runs above North Carolina on six of 11 chronic conditions. Conditions ↓

Making ends meet is harder in Smithfield

1 in 4 adults worry about having enough food (24.6%), vs 15.2% across North Carolina. Utility shut-off threats (12.3% vs 8.1%) and no reliable transportation (12.4% vs 8.4%) are higher too. 21.9% of adults receive SNAP, vs 12.3% statewide. Everyday needs ↓

More Smithfield adults get no exercise

1 in 3 adults get no exercise outside work (32.7%), vs 23.8% across North Carolina. Habits ↓

Smithfield is healthier than its income would predict

Against all U.S. towns, Smithfield is healthier than 15%. Against the 3,418 towns with similar household incomes ($32K–$54K), it’s healthier than 55%. 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 Smithfield’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D− to C+.

Health Grade

What’s behind Smithfield’s grade

On seven CDC estimates for adults, Smithfield is healthier than 15% of U.S. towns, #246 of 289 in North Carolina. Mental distress holds the grade up (fewer adults with frequent mental distress than 44% of U.S. towns); diabetes pulls it down (better than 6%).

DSelf-rated health27.7% · NC 19% · U.S. 19.4%
C−Physical distress16.6% · NC 12.7% · U.S. 13%
C+Mental distress17.4% · NC 16.5% · U.S. 15.9%
CObesity38.8% · NC 35.1% · U.S. 32.9%
DDiabetes17.3% · NC 12% · U.S. 12%
CSmoking17.3% smoke · NC 13.5% · U.S. 11.8%
DExercise32.7% · NC 23.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 15%
Less healthyHealthier
North Carolina towns we grade (289)Healthier than 15%
U.S. towns with similar incomes, $32K–$54K (3,418)Healthier than 55%

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). Smithfield’s median household income is $43,270; among the 3,418 U.S. towns within 25% of that ($32K–$54K), it’s healthier than 55%, about where its income would put it.

Where Smithfield compares well: binge drinking, 11.8% (U.S. 15.4%); taking blood pressure medicine (adults with high blood pressure), 80.3% (U.S. 76.5%).

A fairly firm grade. With every estimate at the unfavorable or the favorable end of CDC’s likely range, Smithfield could be anywhere from D− to C+.

How TownRatings grades health →

Chronic conditions

Out of every 100 Smithfield adults…

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

6 of every 100 Smithfield adults have had a stroke
North Carolina: 4 in 100 · worse · likely 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
Smithfield adults worry about having enough food
24.6% · NC 15.2%
Worse than NC
1 in 6
Smithfield adults worry about keeping their housing
17.5% · NC 12.2%
Worse than NC
1 in 8
Smithfield adults were threatened with a utility shut-off
12.3% · NC 8.1%
Worse than NC
1 in 8
Smithfield adults lack reliable transportation
12.4% · NC 8.4%
Worse than NC

21.9% of Smithfield adults receive SNAP (food stamps), compared with 12.3% across North Carolina.

Habits

Everyday habits, side by side with North Carolina

Share of adults, with the North Carolina figure marked.

Get no exercise 32.7%NC 23.8%
Sleep under 7 hours 35.8%NC 34.2%
Binge drink 11.8%NC 14.7%
Smoke cigarettes 17.3%NC 13.5%
0%10%20%30%40%
Smithfield, betterSmithfield, worseAbout the sameNorth Carolina
Where Smithfield gets moving

3.2 miles of trails across 3 parks and preserves

Parks & trails →
Getting care

Care in and near Smithfield

1 community health center in Smithfield, plus the nearest just outside it.

HNearest ERJohnston HealthSmithfield · 2.6 miDirections →
★Best rated nearbyJohnston Health★★★★★ · 2.6 miDirections →
+Low-cost careTri County Community Health CouncilSmithfield · 1.2 mi · sliding-scale feesDirections →
1.2 mi
Tri County Community Health Council
5 sites · nearest in Smithfield
Sliding-scale feesIn Smithfield
Directions to nearest
2.6 mi
Johnston Health
Smithfield · ★★★★★
ER
17.7 mi
Goshen Medical Center
3 sites · nearest in Goldsboro
Sliding-scale fees
Directions to nearest
21.2 mi
Betsy Johnson Regional Hospital
Dunn · ★★★★★
ER
22.5 mi
Wakemed, Raleigh Campus
Raleigh · ★★★★★
ER
23.8 mi
UNC Health Care Wayne
Goldsboro · ★★★★★
ER
✓ Primary careSmithfield is not a shortage area
✓ Dental careSmithfield is not a shortage area
✓ Mental healthSmithfield is not a shortage area

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 Smithfield; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas.

Checkups & screenings

Keeping up with care

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

81%Yearly checkupNC 80%
56%Dentist visitNC 64%
87%Cholesterol checkNC 88%
66%Colon screeningNC 66%
78%MammogramNC 79%
80%Taking BP medsNC 77%
1 in 6
working-age adults has no health insurance
Smithfield 16.9% · North Carolina 1 in 10 (10.4%)
Mind & connection

How Smithfield adults are doing

About the same as North Carolina on each measure.

1 in 3Smithfield adults feel lonely
33.3% · NC 32.5% · About the same as NC
1 in 4Smithfield adults lack social or emotional support
24.4% · NC 22.5% · About the same as NC
1 in 4Smithfield adults have been diagnosed with depression
23.4% · NC 24.2% · About the same as NC
1 in 6Smithfield adults are in frequent mental distress
17.4% · NC 16.5% · About the same as NC
The one neighbors can help with

1 in 3 Smithfield 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

Smithfield and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
SmithfieldC−38.8%17.3%17.3%CDC place
SelmaC−40.9%15.6%16.4%CDC place

Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

41.9%

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

Walking or climbing stairs21.8%
Thinking or memory18.1%
Hearing9.7%
Errands alone11.9%
Vision9%
Dressing or bathing6.6%
North Carolina

Every CDC estimate for Smithfield

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

On the 32 measures below that have a better and a worse direction, Smithfield is better than North Carolina on 2 and worse on 17; on the rest, the North Carolina figure falls inside Smithfield’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…SmithfieldNCU.S.vs NC
Overall health
Fair or poor health27.7%24.4–30.919%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)16.6%14.6–18.612.7%13%Worse
Frequent mental distress (mental health not good 14+ days a month)17.4%15.4–19.516.5%15.9%About the same
Conditions
Obesity38.8%31.5–46.435.1%32.9%About the same
Diabetes17.3%15.2–19.612%12%Worse
High blood pressure44%39.7–48.336.8%34.4%Worse
High cholesterol (adults screened in 5 years)39.1%34.7–43.635.6%37.1%About the same
Arthritis32.3%28.8–35.726.9%25.3%Worse
Asthma11.4%10.1–12.910.8%9.9%About the same
Cancer, other than skin cancer8.6%7.7–9.47.9%7.9%About the same
Coronary heart disease9.2%8.2–10.26.6%6.4%Worse
COPD10.4%9.1–11.87.1%6.3%Worse
Stroke5.5%5–63.6%3.4%Worse
Lost all teeth (ages 65+)22.1%18.3–26.113.9%12.3%Worse
Habits
Smoke cigarettes17.3%14.8–19.913.5%11.8%Worse
No exercise outside work32.7%27.9–37.723.8%24.7%Worse
Binge drinking11.8%9.5–14.314.7%15.4%Better
Sleep under 7 hours35.8%29.6–42.134.2%36%About the same
Checkups and coverage
No health insurance (ages 18–64)16.9%14.7–19.410.4%11%Worse
Checkup in the past year81.3%78–84.380%77.4%About the same
Dentist visit in the past year56.4%52.5–60.163.6%63.2%Worse
Cholesterol check in 5 years86.7%84.9–88.487.5%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)80.3%77.7–82.776.7%76.5%Better
Colorectal cancer screening (ages 45–75)66.1%60.9–70.965.7%65.5%About the same
Mammogram in 2 years (women 50–74)77.9%70.4–84.178.7%76.4%About the same
Mind and connection
Ever told they have depression23.4%20–2724.2%20.6%About the same
Feel lonely33.3%28.5–38.732.5%32.5%About the same
Lack social and emotional support24.4%21–28.322.5%23.6%About the same
Everyday needs
Worried about having enough food24.6%21.5–27.815.2%15%Worse
Worried about keeping housing17.5%15.3–2012.2%12%Worse
Threatened with a utility shut-off12.3%10.7–148.1%7.6%Worse
Lack reliable transportation12.4%10.9–13.98.4%7.9%Worse
Received SNAP (food stamps)21.9%19.1–24.812.3%11.6%Higher
Disability
Any disability41.9%37.2–46.532%30.1%Higher
Difficulty walking or climbing stairs21.8%19.2–24.514.2%13.6%Higher
Difficulty concentrating or remembering18.1%16–20.314.8%13.9%Higher
Hearing difficulty9.7%8.6–10.97.3%6.7%Higher
Vision difficulty9%8.1–9.95.3%5.4%Higher
Difficulty doing errands alone11.9%10.5–13.38.2%7.9%Higher
Difficulty dressing or bathing6.6%5.9–7.34%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 Smithfield

Is Smithfield a healthy place to live?

On seven CDC estimates for adults, Smithfield is healthier than 15% of U.S. towns: C− for health, #246 of 289 in North Carolina. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Smithfield?

CDC estimates 38.8% of adults have obesity, likely between 31.5% and 46.4%, against 35.1% across North Carolina and 32.9% nationally.

What hospital is closest to Smithfield?

Johnston Health in Smithfield, 2.6 miles in a straight line from Smithfield’s center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.

How many people in Smithfield have no health insurance?

CDC estimates 16.9% of adults ages 18–64 have no health insurance (likely 14.7–19.4%), 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 Smithfield more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D− to C+.

Neighbors talk health

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

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.