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There are multiple barriers that prevent individuals, spe- Figure 24: Injury and Violence Rate by Gender and Race cifically adolescents, from accessing quality STI preven- RAteper tion services. Those barriers include the inability to pay 100.000 or lack of insurance, lack of transportation, discomfort 400 35.5 with facilities and services, and concerns with confiden- 3a.0 27.7 26.0 23.4 tiality84. 20.0 11.2 Injury and Violence 10.0 � ■ Unintentional injuries and injuries caused by acts of 0.0 violence are the leading cause of death for Americans Male Female American Black' White' Asian,, Hispa«niC Indian under age 44, and are the leading cause of disability Norr-Hispanlc for all ages, regardless of sex, race/ethnicity or socio- economic status. Many unintentional injuries are often referred to as accidents, acts of fate, or as a part of life; Table 16: 2017 Reported Crime Rates in Orange Coun- however, most occurrences that result in injury, disability ty and NC87 or death are preventabless. 2017 Murder In 2017, 2,300 NC residents died as a result of violence, REPORTED Rate Rate Rate Rate Robbery Burglary with the leading cause of violent death being suicide CRIME (65.4%) and homicide (29.8%). Of those 2,300 deaths, the leading methods were firearm (61%), hanging, stran- Orange 2.8 57.9 103.2 485.2 gulation or suffocation (17.1%), and poisoning (11.4%). County Violent deaths were highest among males and non-His- North panic American Indians86. Carolina 6.5 95.8 260.8 673.5 • Orange County averages 210 violent crimes a year. • In 2017 there were 273 injury deaths in Orange Coun- ty. • In 2018, Orange County had a violent crime rate of 172.8, compared to the NC rate of 374.9 and the U.S. rate of 386.3 • In 2018, Orange County had rape rate of 21.2, com- pared to the NC rate of 21.1, and the U.S. rate of 36.7. 36 2019 COMMUNITY HEALTH ASSESSMENT