Analysis
Appalachian State's Public Health program starts slow but builds momentum—graduates earn $34,148 initially but see earnings jump 28% to $43,580 by year four. That growth trajectory eventually pushes graduates above both national and state medians, though the first year lags behind NC's average of $37,328. The program sits at the 40th percentile statewide, meaning roughly half of North Carolina's public health programs deliver better immediate outcomes. Top performers like NC A&T and Duke generate substantially higher earnings, but those typically come with steeper admission requirements or tuition costs.
The debt picture works in this program's favor. At $20,361, graduates borrow about $5,000 less than the state median and $6,000 below the national average. That translates to manageable monthly payments even during the lower-earning first year, and the debt-to-earnings ratio improves as salaries climb. For a school with an 89% admission rate, this represents solid accessibility combined with reasonable financial risk.
The core question is whether a slower start matters for your student's plans. If they need immediate earning power—perhaps to support themselves independently right after graduation—programs like NC A&T or UNC-Greensboro might justify the comparison shopping. But if they can weather a modest first-year salary while building experience, the combination of low debt and steady earnings growth makes this a financially sensible choice, particularly for in-state students paying North Carolina tuition rates.
Where Appalachian State University Stands
Earnings vs. debt across all public health bachelors's programs nationally
Earnings Distribution
How Appalachian State University graduates compare to all programs nationally
Earnings Over Time
How earnings evolve from 1 year to 4 years after graduation
| School | 1 Year | 4 Years | Growth |
|---|---|---|---|
| Appalachian State University | $34,148 | $43,580 | +28% |
| University of North Carolina at Charlotte | $36,307 | $48,403 | +33% |
| Elon University | $42,088 | $45,011 | +7% |
| East Carolina University | $35,628 | $43,026 | +21% |
| University of North Carolina Wilmington | $36,458 | $42,907 | +18% |
Compare to Similar Programs in North Carolina
Public Health bachelors's programs at peer institutions in North Carolina (20 total in state)
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| School | In-State Tuition | Earnings (1yr) | Earnings (4yr) | Median Debt | Debt/Earnings |
|---|---|---|---|---|---|
| $7,541 | $34,148 | $43,580 | $20,361 | 0.60 | |
| $6,748 | $58,660 | — | — | — | |
| $65,805 | $45,921 | — | $12,500 | 0.27 | |
| $7,593 | $42,239 | $40,000 | $25,500 | 0.60 | |
| $44,536 | $42,088 | $45,011 | $20,500 | 0.49 | |
| $6,542 | $38,198 | — | $31,000 | 0.81 | |
| National Median | — | $37,548 | — | $26,000 | 0.69 |
Career Paths
Occupations commonly associated with public health graduates
Physicists
Medical and Health Services Managers
Medical Scientists, Except Epidemiologists
Genetic Counselors
Epidemiologists
Physics Teachers, Postsecondary
Health Specialties Teachers, Postsecondary
Environmental Scientists and Specialists, Including Health
Climate Change Policy Analysts
Environmental Restoration Planners
Industrial Ecologists
Occupational Health and Safety Specialists
About This Data
Source: U.S. Department of Education College Scorecard (October 2025 release)
Population: Graduates who received federal financial aid (Title IV grants or loans). At Appalachian State University, approximately 26% of students receive Pell grants. Students who did not receive federal aid are not included in these figures.
Earnings: Median earnings from IRS W-2 data for graduates who are employed and not enrolled in further education, measured 1 year after completion. Earnings are pre-tax and include wages, salaries, and self-employment income.
Debt: Median cumulative federal loan debt at graduation. Does not include private loans or Parent PLUS loans borrowed on behalf of students.
Sample Size: Based on 75 graduates with reported earnings and 91 graduates with debt data. Small samples may not be representative.