Sampson County, North Carolina

NC · FIPS 37163 Republican

Located in North Carolina, Sampson County has a population of 59,470 residents and a median age of 39.7 years, making it the #903 most populous county out of 3,222 nationwide. In terms of economic indicators, the county has a poverty rate of 21.8%. The median home value is $150,700, and the median household income is $52,432, which is 30% below the national median.

59,470
Population
#903 of 3,222
$52,432
Median Income
-30.2% #2,636 of 3,222
39.7 years
Median Age
+2.1% #2,208 of 3,222
21.8%
Poverty Rate
+73.2% #2,830 of 3,222

Demographics

Sampson County has a population of 59,470, making it the #903 most populous county in the US. The median age is 39.7 years, which is 2.1% above the national median.

Population Trend

Rankings →

Year-over-Year Population Growth

Age & Sex Distribution

Race & Ethnicity

Nativity

89.4%
Native Born
10.6%
Foreign Born

Geographic Mobility (Past Year)

Economy

The median household income in Sampson County is $52,432, ranking #2,636 out of 3,222 counties — 30.2% below the national median. The poverty rate is 21.8% and unemployment stands at 5.2%.

Income#2,636
$52,432
-30.2%
vs nation
18th percentile
Per Capita#2,769
$27,307
-33.8%
vs nation
14th percentile
Poverty#2,830
21.8%
+73.2%
vs nation
12th percentile
Unemployment#2,145
5.2%
-1.3%
vs nation
33th percentile

Income Distribution

Industry of Employment

Occupation

Housing

The median home value in Sampson County is $150,700 (-46.5% vs national). Renters pay a median of $834/mo and the homeownership rate is 73.8%.

Home Value#2,240
$150,700
-46.5%
vs nation
30th percentile
Rent#1,867
$834
-28.3%
vs nation
42th percentile
Homeownership#1,743
73.8%
+14.6%
vs nation
46th percentile

Household Type

Education

In Sampson County, 16.2% of adults age 25+ hold a bachelor's degree or higher, which is 51.8% below the national average, ranking #2,626 out of 3,222 counties.

Bachelor's Degree or Higher
16.2% −51.8% vs nation
Rank #2,626 of 3,222
19th percentile

Bachelor's Degree or Higher Trend

Rankings →

Health & Wellbeing

Life expectancy in Sampson County is 72.7 years. 23.4% of adults report poor or fair health and 16.6% lack health insurance. Data from County Health Rankings (2025).

Life Expectancy#2,316
72.7
-3.2%
vs nation
24th percentile
Poor/Fair Health#2,478
23.4%
+19.6%
vs nation
21th percentile
Diabetes#2,612
13.3%
+19.5%
vs nation
17th percentile
Insufficient Sleep#1,083
35.6%
-4.6%
vs nation
66th percentile
Poor Mental Health Days#510
5.0
-10.5%
vs nation
84th percentile
Poor Physical Health Days#1,972
4.6
+3.9%
vs nation
37th percentile
Uninsured Rate#2,816
16.6%
+58.8%
vs nation
10th percentile
Physical Inactivity#2,538
30.9%
+17.1%
vs nation
19th percentile
Food Insecurity#2,309
16.5%
+14.5%
vs nation
27th percentile

Substance Use

19.7% of adults in Sampson County smoke , 38.5% are obese , and 17.4% report excessive drinking. The drug overdose death rate is 28.6 per 100,000.

Adult Smoking#2,204
19.7%
+9.7%
vs nation
30th percentile
Adult Obesity#1,603
38.5%
+1.6%
vs nation
49th percentile
Excessive Drinking#681
17.4%
-12.2%
vs nation
78th percentile
Drug Overdose Deaths#1,089
28.6
-11.4%
vs nation
49th percentile

Safety

The homicide rate in Sampson County is 9.4 per 100,000 and the suicide rate is 6.9 per 100,000. Motor vehicle deaths occur at a rate of 30.8 per 100,000.

Homicide Rate#1,122
9.4
+17.7%
vs nation
27th percentile
Suicide Rate#22
6.9
-65.1%
vs nation
99th percentile
Firearm Fatalities#759
13.3
-25.7%
vs nation
69th percentile
Motor Vehicle Deaths#2,441
30.8
+52.0%
vs nation
14th percentile

Families & Children

26.0% of children in Sampson County live in poverty and the infant mortality rate is 6.8 per 1,000 live births. The teen birth rate is 33.5 per 1,000 females age 15–19.

Infant Mortality#769
6.8
-0.6%
vs nation
44th percentile
Teen Birth Rate#2,553
33.5
+53.5%
vs nation
15th percentile
Child Poverty#2,589
26.0%
+36.9%
vs nation
18th percentile

Civic & Transportation

Voter turnout in Sampson County is 65.9%. The mean commute time is 29.4 min, which is 6.6% above the national average.

Voter Turnout
65.9% NaN% vs nation
Rank #NaN of NaN
th percentile

Voter Turnout Trend

Mean Commute Time
29.4 min +6.6% vs nation
Rank #986 of 3,222
69th percentile

Mean Commute Time Trend

Rankings →

Elections

In the 2024 presidential election, Sampson County voted Republican with a margin of 29.8%. The vote was 34.8% Dem / 64.6% Rep. Compared to 2020, the margin shifted 7.3 toward Republicans .

2024 REP +29.8%
34.8% 64.6%
Dem 28,138 votes Rep
2020 REP +22.5%
38.3% 60.8%
Dem 28,618 votes Rep
2016 REP +16.7%
40.9% 57.6%
Dem 25,638 votes Rep
2012 REP +11.0%
44.2% 55.2%
Dem 26,005 votes Rep
2008 REP +8.4%
45.5% 53.9%
Dem 26,038 votes Rep

Vote Share Over Time

About Sampson County, North Carolina

Sampson County, North Carolina has a total population of 59,470, making it the 903rd most populous county in the United States. The median age in Sampson County is 39.7 years, which is 2.1% above the national median of 38.9 years.

The median household income in Sampson County is $52,432, which ranks #2,636 of 3,222 counties nationwide. This is 30.2% below the national median of $75,149. The poverty rate is 21.8%, higher than the national rate of 12.6%. The unemployment rate stands at 5.2%.

The median home value in Sampson County is $150,700, 46.5% below the national median. Renters in Sampson County pay a median gross rent of $834 per month. The homeownership rate is 73.8%, compared to the national rate of 64.4%.

In Sampson County, 16.2% of residents aged 25 and older hold a bachelor's degree or higher, 51.8% below the national average of 33.7%. Health insurance coverage stands at 84.4% of the population. The average commute time for workers is 29.4 min.

Sampson County is a diverse community. The largest racial or ethnic group is White (non-Hispanic) at 49.2% of the population, followed by Black (non-Hispanic) (24.0%) and Hispanic or Latino (22.0%).

All data for Sampson 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.