McDowell County, North Carolina

NC · FIPS 37111 Republican

Located in North Carolina, McDowell County has a population of 44,817 residents and a median age of 44.3 years, making it the #1,105 most populous county out of 3,222 nationwide. In terms of economic indicators, the county has a poverty rate of 14.8%. The median home value is $171,100, and the median household income is $57,168, which is 24% below the national median.

44,817
Population
#1,105 of 3,222
$57,168
Median Income
-23.9% #2,316 of 3,222
44.3 years
Median Age
+13.9% #875 of 3,222
14.8%
Poverty Rate
+17.5% #1,916 of 3,222

Demographics

McDowell County has a population of 44,817, making it the #1,105 most populous county in the US. The median age is 44.3 years, which is 13.9% above the national median.

Population Trend

Rankings →

Year-over-Year Population Growth

Age & Sex Distribution

Race & Ethnicity

Nativity

96.8%
Native Born
3.2%
Foreign Born

Geographic Mobility (Past Year)

Economy

The median household income in McDowell County is $57,168, ranking #2,316 out of 3,222 counties — 23.9% below the national median. The poverty rate is 14.8% and unemployment stands at 4.1%.

Income#2,316
$57,168
-23.9%
vs nation
28th percentile
Per Capita#2,354
$30,395
-26.3%
vs nation
27th percentile
Poverty#1,916
14.8%
+17.5%
vs nation
41th percentile
Unemployment#1,355
4.1%
-23.2%
vs nation
58th percentile

Income Distribution

Industry of Employment

Occupation

Housing

The median home value in McDowell County is $171,100 (-39.3% vs national). Renters pay a median of $806/mo and the homeownership rate is 75.6%.

Home Value#1,786
$171,100
-39.3%
vs nation
44th percentile
Rent#2,057
$806
-30.7%
vs nation
36th percentile
Homeownership#1,434
75.6%
+17.4%
vs nation
56th percentile

Household Type

Education

In McDowell County, 18.1% of adults age 25+ hold a bachelor's degree or higher, which is 46.3% below the national average, ranking #2,347 out of 3,222 counties.

Bachelor's Degree or Higher
18.1% −46.3% vs nation
Rank #2,347 of 3,222
27th percentile

Bachelor's Degree or Higher Trend

Rankings →

Health & Wellbeing

Life expectancy in McDowell County is 74.3 years. 23.2% of adults report poor or fair health and 13.6% lack health insurance. Data from County Health Rankings (2025).

Life Expectancy#1,844
74.3
-1.1%
vs nation
40th percentile
Poor/Fair Health#2,448
23.2%
+18.6%
vs nation
22th percentile
Diabetes#1,684
11.0%
-1.2%
vs nation
47th percentile
Insufficient Sleep#1,253
36.3%
-2.7%
vs nation
60th percentile
Poor Mental Health Days#924
5.3
-5.7%
vs nation
71th percentile
Poor Physical Health Days#1,494
4.4
-1.7%
vs nation
53th percentile
Uninsured Rate#2,434
13.6%
+29.7%
vs nation
23th percentile
Physical Inactivity#2,010
28.0%
+6.1%
vs nation
36th percentile
Food Insecurity#2,402
16.8%
+16.6%
vs nation
24th percentile

Substance Use

22.8% of adults in McDowell County smoke , 33.3% are obese , and 20.1% report excessive drinking. The drug overdose death rate is 39.2 per 100,000.

Adult Smoking#2,804
22.8%
+27.0%
vs nation
11th percentile
Adult Obesity#486
33.3%
-12.2%
vs nation
85th percentile
Excessive Drinking#1,627
20.1%
+1.3%
vs nation
48th percentile
Drug Overdose Deaths#1,569
39.2
+21.2%
vs nation
26th percentile

Safety

The homicide rate in McDowell County is 6.6 per 100,000 and the suicide rate is 14.9 per 100,000. Motor vehicle deaths occur at a rate of 12.6 per 100,000.

Homicide Rate#857
6.6
-17.1%
vs nation
44th percentile
Suicide Rate#722
14.9
-24.7%
vs nation
72th percentile
Firearm Fatalities#1,266
16.8
-6.1%
vs nation
49th percentile
Motor Vehicle Deaths#656
12.6
-37.6%
vs nation
77th percentile

Families & Children

20.1% of children in McDowell County live in poverty and the infant mortality rate is 7.0 per 1,000 live births. The teen birth rate is 22.8 per 1,000 females age 15–19.

Infant Mortality#831
7.0
+3.2%
vs nation
39th percentile
Teen Birth Rate#1,747
22.8
+4.5%
vs nation
42th percentile
Child Poverty#1,926
20.1%
+5.8%
vs nation
39th percentile

Civic & Transportation

Voter turnout in McDowell County is 65.6%. The mean commute time is 27.1 min, which is 1.9% below the national average.

Voter Turnout
65.6% NaN% vs nation
Rank #NaN of NaN
th percentile

Voter Turnout Trend

Mean Commute Time
27.1 min −1.9% vs nation
Rank #1,471 of 3,222
54th percentile

Mean Commute Time Trend

Rankings →

Elections

In the 2024 presidential election, McDowell County voted Republican with a margin of 49.2%. The vote was 25% Dem / 74.2% Rep. Compared to 2020, the margin shifted 1.2 toward Republicans .

2024 REP +49.2%
25% 74.2%
Dem 23,600 votes Rep
2020 REP +48.0%
25.4% 73.4%
Dem 23,003 votes Rep
2016 REP +50.4%
23.8% 74.2%
Dem 19,557 votes Rep
2012 REP +31.8%
33.5% 65.3%
Dem 17,953 votes Rep
2008 REP +27.0%
35.7% 62.7%
Dem 18,386 votes Rep

Vote Share Over Time

About McDowell County, North Carolina

McDowell County, North Carolina has a total population of 44,817, making it the 1,105th most populous county in the United States. The median age in McDowell County is 44.3 years, which is 13.9% above the national median of 38.9 years.

The median household income in McDowell County is $57,168, which ranks #2,316 of 3,222 counties nationwide. This is 23.9% below the national median of $75,149. The poverty rate is 14.8%, higher than the national rate of 12.6%. The unemployment rate stands at 4.1%.

The median home value in McDowell County is $171,100, 39.3% below the national median. Renters in McDowell County pay a median gross rent of $806 per month. The homeownership rate is 75.6%, compared to the national rate of 64.4%.

In McDowell County, 18.1% of residents aged 25 and older hold a bachelor's degree or higher, 46.3% below the national average of 33.7%. Health insurance coverage stands at 88.5% of the population. The average commute time for workers is 27.1 min.

McDowell County is a diverse community. The largest racial or ethnic group is White (non-Hispanic) at 85.6% of the population, followed by Hispanic or Latino (7.1%) and Black (non-Hispanic) (3.8%).

All data for McDowell County, North Carolina comes from the U.S. Census Bureau's American Community Survey (ACS) 5-Year Estimates. These figures are estimates based on survey sampling and are subject to margin of error. For the most detailed and up-to-date data, visit the Census Bureau's official data portal.