Health · Cullowhee

Cullowhee, NC health

Cullowhee differs from North Carolina on 20 of 40 measures. It has fewer adults who have had cancer (2.1% vs 7.9%) and fewer adults with diabetes (3.6% vs 12%). Where it trails the state: more adults without reliable transportation (13.4% vs 8.4%).

CDC PLACES 2025 · adults 18+ · CDC's estimate for Cullowhee
TownTapestry Health GradeNew

Cullowhee’s Health Grade: A−

On seven CDC health estimates for adults, Cullowhee is healthier than 82% of U.S. towns, and than 100% of towns with similar incomes.

A-Self-rated healthA+Physical distressD-Mental distressAObesityA+DiabetesASmokingAExercise
All U.S. towns we grade (19,420)Healthier than 82%
Less healthyHealthier
North Carolina towns we grade (455)Healthier than 83%
Towns with similar incomes, $27K–$45K (1,338)Healthier than 100%

Better than its income would suggest. Cullowhee is healthier than most towns with similar incomes, even though its overall grade is A−.

These are estimates. At the ends of CDC’s likely ranges, Cullowhee could be anywhere from B to A.
How the Health Grade works
  • Seven CDC estimates. Adults in fair or poor health, frequent physical distress, frequent mental distress, obesity, diabetes, smoking and no exercise (CDC PLACES, 2025 release). On each one a town earns the share of U.S. towns doing worse, and those shares are averaged. It’s the same score as our Healthiest towns in North Carolina ranking.
  • Graded on a national curve. Every U.S. town with 1,000+ residents and all seven estimates (19,420 places) is lined up by score: A+ top 5%A next 10%A- next 10%B B+ to B−, next 30%C C+ to C−, next 30%D D and D−, bottom 15%
  • Not adjusted for income. Wealthier towns are usually healthier, and the grade shows that as it is. The similar-incomes bar compares Cullowhee with U.S. towns whose median household income is within 25% of its own.
  • Modeled, not measured. CDC combines national survey answers with each area’s age, sex, race and income mix. Cullowhee uses CDC’s own estimate for it. High blood pressure is left out because it tracks age more than anything else. The confidence line recomputes the grade with every estimate at the low, then the high, end of its range.
Report card

How Cullowhee compares with North Carolina

Each theme counts how many of its measures are better, worse or too close to call against the state. Tap one to jump to it.

Chronic conditions

Out of every 100 Cullowhee adults…

16 of every 100 Cullowhee adults have high blood pressure
North Carolina: 37 in 100 · better · margin 13.1–18.7%

Bars show Cullowhee; the black tick is North Carolina. Tap a condition to see it as people.

Habits

Everyday habits, side by side with the state

Cullowhee, betterCullowhee, worseToo close to callNorth Carolina
Get no exerciseshare of adults 18.9% Cullowhee
NC 23.8%
Sleep under 7 hoursshare of adults 33.2% Cullowhee
NC 34.2%
Binge drinkshare of adults 20.4% Cullowhee
NC 14.7%
Smoke cigarettesshare of adults 9.1% Cullowhee
NC 13.5%
0%10%20%30%40%
Care & screenings

Keeping up with care

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

71%
Yearly checkup
NC 80%
57%
Dentist visit
NC 64%
68%
Cholesterol check
NC 88%
65%
Colon screening
NC 66%
77%
Mammogram
NC 79%
42%
Taking BP meds
NC 77%
1 in 9
working-age adults has no health insurance
Cullowhee 10.6% · North Carolina 1 in 10 (10.4%)
Mind & connection

How Cullowhee adults are doing

1 in 2Cullowhee adults feel lonely
44.4% · North Carolina 32.5% · worse
1 in 3Cullowhee adults have been diagnosed with depression
33.7% · North Carolina 24.2% · worse
1 in 4Cullowhee adults lack social or emotional support
22.7% · North Carolina 22.5% · too close to call
1 in 4Cullowhee adults are in frequent mental distress
26.1% · North Carolina 16.5% · worse
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 5
Cullowhee adults worry about having enough food
18.4% · NC 15.2% · about the same
1 in 8
Cullowhee adults worry about keeping their housing
12.2% · NC 12.2% · about the same
1 in 13
Cullowhee adults were threatened with a utility shut-off
7.9% · NC 8.1% · about the same
1 in 7
Cullowhee adults lack reliable transportation
13.4% · NC 8.4% · worse

13.1% of Cullowhee adults receive SNAP (food stamps), compared with 12.3% across North Carolina.

Disability

Living with a disability

34.4%

of Cullowhee adults live with a disability (North Carolina 32%). Thinking or memory is the most common.

Walking or climbing stairs5.8%
Thinking or memory24.2%
Hearing3.9%
Errands alone10.9%
Vision4.8%
Dressing or bathing2.1%

Black tick: North Carolina. Shown without a better/worse judgment.

Getting care

Care in and near Cullowhee

2 community health centers in Cullowhee, plus the nearest just outside it.

HNearest ERHarris Regional HospitalSylva · 5.3 miDirections →
★Best rated nearbyAngel Medical Center★★★★★ · 15.5 miDirections →
+Low-cost careMountain Area Health Education CenterCullowhee · 1.2 mi · sliding-scale feesDirections →
1.2 mi
Mountain Area Health Education Center
2 sites · nearest in Cullowhee
Sliding-scale feesIn Cullowhee
Directions to nearest
1.2 mi
North Carolina Department of Health & Human Services
2 sites · nearest in Cullowhee
Sliding-scale feesIn Cullowhee
Directions to nearest
5.3 mi
Harris Regional Hospital
Sylva · ★★★★★
ER
15.4 mi
Highlands Cashiers Hospital
Highlands · not rated
ERRural critical access
15.5 mi
Angel Medical Center
Franklin · ★★★★★
ERRural critical access
16.8 mi
Cherokee Indian Hospital Authority
Cherokee · not rated
ER
! Primary careCullowhee's county is a federal shortage area for some residents.Low-income residents, Jackson County · need score 15 of 25
! Dental careCullowhee's county is a federal shortage area for some residents.Low-income residents, Jackson County · need score 18 of 25
! Mental healthCullowhee's county is a federal shortage area.Jackson County · need score 11 of 25

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 Cullowhee. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 40 measures for Cullowhee
MeasureCullowheeMarginNorth Carolina
Chronic conditions
High blood pressure15.7%13.1–18.7%36.8%better
High cholesterol17.6%14.9–20.6%35.6%better
Obesity27.7%20.8–35.3%35.1%about the same
Arthritis9.1%7.7–10.6%26.9%better
Depression33.7%28.3–39.1%24.2%worse
Lost all teeth (65+)19.5%16.3–23%13.9%worse
Asthma12%10.2–14%10.8%about the same
Cancer (not skin)2.1%1.9–2.4%7.9%better
Diabetes3.6%3–4.2%12%better
COPD3.6%2.8–4.6%7.1%better
Heart disease2.2%1.9–2.5%6.6%better
Stroke1.2%1–1.3%3.6%better
Habits
Smoke cigarettes9.1%6.1–12.6%13.5%better
Binge drink20.4%16.5–24.7%14.7%worse
Get no exercise18.9%13.6–25.6%23.8%about the same
Sleep under 7 hours33.2%26.5–40.1%34.2%about the same
Care & screenings
Yearly checkup70.7%65.3–75.4%80%worse
Dentist visit56.5%52.4–60.7%63.6%worse
Cholesterol check68.4%61.2–74%87.5%worse
Colon screening64.7%59.2–69.7%65.7%about the same
Mammogram77.4%69.5–83.8%78.7%about the same
Taking BP meds42.2%39.6–45%76.7%worse
No health insurance10.6%7.3–16.3%10.4%about the same
Mind & connection
Feel lonely44.4%37.6–51.2%32.5%worse
Lack emotional support22.7%17.7–28.2%22.5%about the same
Frequent mental distress26.1%20.3–30.7%16.5%worse
Fair or poor health15.3%11.4–20.8%19%about the same
Frequent physical distress9.5%7.3–12%12.7%better
Everyday needs
Food insecurity18.4%12.1–27.5%15.2%about the same
Housing insecurity12.2%8.5–16.5%12.2%about the same
Utility shut-off threat7.9%5.7–10%8.1%about the same
No reliable transportation13.4%9.6–18%8.4%worse
Receive SNAP13.1%8.3–20.5%12.3%
Disability
Any disability34.4%26.3–42.7%32%
Walking or climbing stairs5.8%4.7–7.3%14.2%
Thinking or memory24.2%17.6–30.6%14.8%
Hearing3.9%3.3–4.7%7.3%
Vision4.8%3.7–6.3%5.3%
Dressing or bathing2.1%1.7–2.6%4%
Errands alone10.9%7.7–14.8%8.2%
About these numbers

How CDC estimates town health

They're modeled estimatesCDC combines a large national health survey with each area's age, sex, race and income mix to estimate local rates. Nobody surveyed Cullowhee door to door.
Close calls stay grayEvery figure has a margin of error. When the North Carolina figure falls inside it, we don't call Cullowhee better or worse.
CDC's own town estimateCDC publishes Cullowhee directly, so these are its own figures.

CDC PLACES: Local Data for Better Health, 2025 release. The North Carolina figure combines its counties, weighted by adult population.

Health estimates: CDC PLACES. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. Town boundaries: U.S. Census Bureau.

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Boundary source: https://tigerweb.geo.census.gov/arcgis/rest/services/TIGERweb/Places_CouSub_ConCity_SubMCD/MapServer/19 · 2025-01-01