City · Lee County, North Carolina
Sanford, North Carolina
Sanford is a city in Lee County, North Carolina, part of the Sanford, NC metro area. It has 31,478 residents. Sanford, North Carolina has a quality-of-life score of 19 out of 100 (very low), ranking #12,732 of 15,651 US cities and towns. Within North Carolina it ranks #361 of 458 cities and towns. It ranks best on new homes permitted (high), child care cost burden (low) and social associations (high). It ranks worst on broadband subscriptions (low), child poverty rate (high) and drought exposure (high).
- Quality-of-life score
- #12,732 of 15,651 cities and towns
- North Carolina
- #361 of 458 in NC
- Population
- 31,478 (2020-2024)
- Land area
- 33 mi²
- Density
- 948.6 /mi²
- FIPS code
- 3759280
Percentile-based score (100 is the best in the country) from 74 of 80 indicators, with the default “Explorer” weights.
Scores by category
Each category averages its indicators' percentile scores among US cities and towns.
- Safety32#10,648/15,637
- Economy29#11,093/15,631
- Housing54#6,819/14,977
- Health17#12,909/15,609
- Healthcare18#12,829/15,650
- Environment50#7,651/15,453
- Education32#10,585/15,649
- Infrastructure5#14,825/15,650
- Community34#10,332/15,651
- Leisure & amenities44#8,840/15,651
Strengths · Weaknesses
Indicators where Sanford, North Carolina ranks highest and lowest among US cities and towns (score = percentile, 100 = best). Values marked “Lee County value” are the county’s: the source publishes no figure for this city or town, and the county holding most of its residents stands in.
Strengths
- New homes permitted · high16.5 /1k94/100North Carolina 8.0 /1kUnited States 4.2 /1kSep 2025–Aug 2026U.S. Census BureauProvisional data
- Child care cost burden · low20.5%93/100North Carolina 25.1%United States 27.9%2023 & 2024University of Wisconsin Population Health InstituteLee County value
- Social associations · high14.8 /10k90/100North Carolina 11.2 /10kUnited States 9.1 /10k2023University of Wisconsin Population Health InstituteLee County value
- Job growth · high1.9%87/100North Carolina 0.8%United States 0.1%2026 Q1U.S. Bureau of Labor StatisticsProvisional dataLee County value
- Comfortable days · high30.1%78/100North Carolina 30.0%United States 26.8%2016-2025NOAA National Centers for Environmental InformationLee County value
- Grocery stores · high2.1 /10k78/100North Carolina 1.8 /10kUnited States 1.7 /10k2025U.S. Bureau of Labor StatisticsLee County value
Weaknesses
- Broadband subscriptions · low73.5%
- Child poverty rate · high33.8%
- Drought exposure · high88%7/100North Carolina 79%United States 43%Oct 2025–Sep 2026National Drought Mitigation Center (University of Nebraska–Lincoln), USDA and NOAALee County value
- Hospital quality rating · low2.09/100North Carolina 3.3United States 3.2Jul 2026Centers for Medicare & Medicaid ServicesLee County value
- Uninsured residents (under 65) · high17.5%
- Drug overdose deaths · high28.3 /100k11/100North Carolina 20.6 /100kUnited States 18.4 /100kMar 2025–Feb 2026Centers for Disease Control and PreventionProvisional dataLee County value
Trends
The largest changes over about five years, next to the country's over the same periods.
- PopulationRising
29,456 (2015-2019) → 31,478 (2020-2024)
+6.9%5 yearsCensus table B01003US 328,329,953 → 340,003,797
- New homes permittedImproving
3.9 /1k (2021) → 16.5 /1k (Sep 2025–Aug 2026)
+327%5 yearsUS 5.2 /1k → 4.2 /1k
- Child poverty rateWorsening
23.7% (2015-2019) → 33.9% (2020-2024)
+10 pts5 yearsCensus table B17001US 16.8% → 15.5%
- Home price to income ratioWorsening
3.0× (2015-2019) → 4.3× (2020-2024)
+41%5 yearsCensus table B25077US 3.5× → 4.1×
- Rent-burdened householdsWorsening
43.9% (2015-2019) → 49.4% (2020-2024)
+5.5 pts5 yearsCensus table B25070US 49.6% → 51.1%
- Median household incomeImproving
$46,915 (2015-2019) → $57,586 (2020-2024)
+23%5 yearsCensus table B19013US $65,712 → $81,604
What changed in five years
How each measure moved between two periods about five years apart, read against whether more or less is better, the published margin of error and the same change in other places.
Cities and towns like Sanford, North Carolina five years ago that improved
The places whose measures looked most like those of Sanford, North Carolina in the earlier period, ranked by how many measures improved beyond the margin of error, minus how many declined. A comparison of published data, not a forecast and not advice.
Who lives here
Age, race and education of residents, from the American Community Survey. Shares are of all residents (age), residents of every origin (race) or adults 25 and over (education).
Income
How household income is spread, not just the middle: each bar is the share of households in that income range.
Homes
Who owns and who rents, what homes cost, and what the housing stock looks like.
Getting to work
How workers travel to their job and how long it takes them.
Jobs and pay
What the largest occupations here pay, from the Bureau of Labor Statistics' Occupational Employment and Wage Statistics survey.
The Bureau of Labor Statistics publishes pay by metro area, not by county or city. The metro area page lists its largest occupations and lets you look up any job.
Pay in the Sanford, NCLocal businesses
Employer businesses and sole proprietors by industry, per resident and against the state and the nation. Counts of businesses next to counts of people, not a measure of demand.
Federal contracts performed here
Grants and other federal assistance are counted by county here, not split among cities: Sanford is mostly in Lee County.
See federal money in Lee CountyRepresentation in Congress
Members serving today, with their record in the current Congress (party-unity votes cast with their caucus, roll calls missed). Not a grade.
County
A city can lie in several counties. Some indicators are published for counties only: the page marks them.
Metro area
The metro or micro area the city belongs to.
Other cities and towns in Lee County
Largest first.
Similar cities and towns
Closest indicator profiles across the country (no model: score distances).
- Asheboro, NC17Alike on Uninsured, Population, Poor health
- Lexington, NC13Alike on Uninsured, Poor health, Food insecurity
- Tifton, GA9Alike on Broadband, Food insecurity, Poor health
- Gainesville, TX13Alike on Child poverty, Poor health, No transport
- Livingston, TX2Alike on Food insecurity, No transport, Poor health
Data and sources
Latest published value of each indicator; periods differ by source. Values flagged by their publisher are marked.
- PLACES: Local Data for Better HealthCenters for Disease Control and Prevention · release 2025
- Local Area Unemployment StatisticsU.S. Bureau of Labor Statistics · release 2025
- American Community Survey 5-Year EstimatesU.S. Census Bureau · release 2017-2024
- Building Permits SurveyU.S. Census Bureau · release 2026-08
- Population Estimates ProgramU.S. Census Bureau · release 2025
- Small Area Health Insurance EstimatesU.S. Census Bureau · release 2024
- Small Area Income and Poverty EstimatesU.S. Census Bureau · release 2024
- County Health Rankings & RoadmapsUniversity of Wisconsin Population Health Institute · release 2022-2025+2026-03-supplement