COMMUNITY HEALTH ASSESSMENT STUDY DISCUSSION PAPER # 3 Socio demographic Description of Socio-demographic Description of the Service Area & Overview of Health Status Indicators REPORT TO COMMUNITY HEALTH ASSESSMENT STEERING COMMITTEE STEERING COMMITTEE December 3, 2010 1
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COMMUNITY HEALTH ASSESSMENT STUDY
DISCUSSION PAPER # 3
Socio demographic Description ofSocio-demographic Description of the Service Area &
Overview of Health Status Indicators
REPORT TO
COMMUNITY HEALTH ASSESSMENT STEERING COMMITTEESTEERING COMMITTEE
December 3, 2010
11
Community Health Assessment Study
• Discussion Paper #1 - Define Service Area• Discussion Paper #2 - St. Vincent’s CMC Medical Center
– The Origin of its Patients– A Review of Communities Receiving Care
• Discussion Paper #3– Sociodemographic Description of the Service Area– Overview of Health Status Indicators
• Discussion Paper # 4 - Service Area Utilization & Projected Need for Health Services• Discussion Paper #5 - Survey of Community Health and Access to Health Services• Discussion Paper # 6 - Identification of Service Area Health Needs/Service Gaps• Discussion Paper #7 - Recommendations for Community Health
2
Service AreaService Area
Primary Service Area (PSA)
Legend
Secondary Service Area‐I (SSA‐I)
Former SVCMC site
Secondary Service Area‐II (SSA‐II)
3
Community Board border
Former SVCMC site
Table 1 - Estimated Population and Projection, 2010 - 2015
Current populations estimates and projections for the Service Area have been p p p jdeveloped by Thomson Reuters, a data analysis service.
Preliminary information for the 2010 Census will be released in 2011
Estimated 2010 Population Estimated 2015 Population
# %Primary Service Area (PSA) 129,421 33.5%Secondary Service Area (SSA I) 82 787 21 5%
Estimated PopulationArea # % Absolute Percent
Primary Service Area (PSA) 131,470 33.3% 2,049 1.6%Secondary Service Area (SSA I) 84 457 21 4% 1 670 2 0%
Estimated PopulationArea
Growth
Secondary Service Area (SSA-I) 82,787 21.5%Secondary Service Area (SSA-II) 173,584 45.0%
Total Service Area 385,792 100.0%
Secondary Service Area (SSA-I) 84,457 21.4% 1,670 2.0%Secondary Service Area (SSA-II) 178,398 45.2% 4,814 2.8%
Total Service Area 394,325 100.0% 8,533 2.2%
44Source: Thomson Reuters; accessed November 5, 2010PSA = Primary Service Area; SSA-I = Secondary Service Area-I; SSA-II = Secondary Service Area-II
Table 2 - Service Area Population by Age Group, 2008
SSA-I is generally younger.SSA I is generally younger. The PSA has a relatively higher proportion of adults 35-64.
The SSA-II contains the highest percentage of persons over 65 years of ageand the frail elderly 85+.
55Source: NYC Department of Health and Mental Hygiene (NYC DHMH) Epidemiology Services (http://www.nyc.gov/html/doh/html/episrv/popest_methods.shtml); accessed November 5, 2010PSA = Primary Service Area; SSA-I = Secondary Service Area-I; SSA-II = Secondary Service Area-II
Table 3 - Age Distribution (by Census Tract), 2000
Population of Ages 65 and UnderPercent Total
93.9 to 10093.9 to 10091.4 to 93.989.8 to 91.487.9 to 89.8
Age DistributionPercent Total
Population of Ages 65 and Under (87.9%)Population of Ages 65 and Over (12.1%)
Population of Ages 65 and OverPercent Total
24.9 to 43.518.3 to 24.915.4 to 18.312 1 to 15 4
66Source: 2000 Decennial Census, Summary File-3 (SF3), Table P8 (Sex and Age) Accessed November 8, 2010
12.1 to 15.4
Table 4 - Population Growth by Age Group, Service Area and Manhattan, 2010-2015
Overall Service Area growth is modest, 2.2% but the population over 65 years is projected to increase by 12%.
Source: Thomson Reuters; accessed November 5, 2010PSA = Primary Service Area; SSA-I = Secondary Service Area-I; SSA-II = Secondary Service Area-II
Relationship Between Utilization and AgingService Area
/ /Inpatient Discharges ‐Med/Surg Utilization/1,000 Population
5X
472.83X
288.32X
175.3
288.3
23.3 25.090.1
99
0-17 18-44 45-64 65-74 75-84 85+
Source: SPARCSver06.21.2010adj/ja
Table 6 - Population by Race & Ethnicity, 2008
Racial/Ethnic composition varies by service area segment. p y g
The PSA/SSA-I residents are primarily White while the SSA-II population is primarily Asian and contains a relatively higher proportion of Hispanic and Black residents.
Source: NYC Department of Health and Mental Hygiene (NYC DHMH) Epidemiology Services (http://www.nyc.gov/html/doh/html/episrv/popest_methods.shtml); accessed November 5, 2010PSA = Primary Service Area; SSA-I = Secondary Service Area-I; SSA-II = Secondary Service Area-II
Table 7 - Race and Ethnicity (by Census Tract), 2000
Asian (avg = 9 3%) Black (avg = 15 2%) Hispanic (avg = 27 2%) White (avg = 45 8%)Asian (avg = 9.3%) Black (avg = 15.2%) Hispanic (avg = 27.2%) White (avg = 45.8%)
Asian PopulationPercent Total
> 45%20% to 45%
Black PopulationPercent Total
> 80%60% to 80%
Hispanic PopulationPercent Total
> 70%50% to 70%
White PopulationPercent Total
> 90%80% to 90%
1111
20% to 45%10% to 20%< 10%
60% to 80%25% to 60%< 25%
Source: 2000 Decennial Census, Summary File-3 (SF3), Table P7 (Hispanic or Latino by Race); accessed November 8, 2010
50% to 70%20% to 50%< 20%
80% to 90%60% to 80%< 60%
Table 8 - Race and Ethnicity by Census Tract, 2000 (below 58th Street)
Asian Black Hispanic White
> 50%
LegendRace and Ethnicity
1212
25% to 50%
10% to 25%
< 10%Source: 2000 Decennial Census, Summary File-3 (SF3), Table P7 (Hispanic or Latino by Race); accessed November 8, 2010
Table 9 - Population Growth by Race & Ethnicity, Service Area and Manhattan 2010-2015
Overall, the Service Area population is projected to experience double digit decreases in Hispanic and Black populations, double digit increases in Multirace and
single digit increases in Other categories.
Service Area+2.2% Growth
Manhattan+2.5% Growth
9.8%15.4%
6.1% 5.7%7.4% 6.2% 4.4% 4.8%
-6.9% -4.0%
-13.9% -16.1%
Asian Black Hispanic Multirace Other White Asian Black Hispanic Multirace Other White
Asian Black Hispanic Multirace Other WhiteAsian Black Hispanic Multirace Other White
Asian Black Hispanic Multirace Other White Asian Black Hispanic Multirace Other White
1313
pp
Source: Thomson Reuters; accessed November 5, 2010PSA = Primary Service Area; SSA-I = Secondary Service Area-I; SSA-II = Secondary Service Area-II
Table 10 - Population Growth by Race & Ethnicity, PSA & SSA, 2010-2015
P i S i A S d S i A
7.5% 7.2% 5.6% 6.0%7.0% 4.0% 1 2% 3.5%
Primary Service Area+1.6% Growth
Secondary Service Area+2.5% Growth
-12.8% -14.8%-17.2%
-21.9%
1.2%
Asian Black Hispanic Multirace Other WhiteAsian Black Hispanic Multirace Other White
Secondary Service Area-I Secondary Service Area-II
Asian Black Hispanic Multirace Other White Asian Black Hispanic Multirace Other White
2.4% 3.1%7.6%
4.0%9.0% 9.1%
3.6%7.7%
Secondary Service Area I+2.0% Growth
Secondary Service Area II+2.8% Growth
-17.8% -20.3%
-11.6% -14.2%
1414
Asian Black Hispanic Multirace Other White Asian Black Hispanic Multirace Other White
Source: Thomson Reuters; accessed November 5, 2010PSA = Primary Service Area; SSA-I = Secondary Service Area-I; SSA-II = Secondary Service Area-II
1515
1616
Table 11 - Languages Spoken at Home, Service Area and Manhattan, 2000
Top three languages spoken at home other than English are Chinese, Spanish or p g g p g , pFrench (including Patois/Cajun).
Service Area Manhattan
Language SpokenTotal
Manhattan% Total
ManhattanSpeak only English 849,603 58.1%
Language SpokenTotal
Service Area% Total
Service AreaSpeak only English 197,237 56.7% p y g ,
Japanese 3,401 1.0%German 2,528 0.7%Other Indic languages 1,991 0.6%Hebrew 1,783 0.5%O h Sl i l 1 4 0 % Korean 7,816 0.5%
Total 1,462,015 100.0%Other Slavic languages 1,754 0.5%Total 347,867 100.0%
1717Source: 2000 Decennial Census, Summary File-3 (SF3), Table PCT10 (Age by Language Spoken at Home for the Population of 5+ Years); accessed November 8, 2010
Table 12 - Languages Spoken at Home, PSA and SSA, 2000
Primary Service Area Secondary Service Area
Language SpokenTotal SSA
% Total SSA
Speak only English 109,452 47.9%Chinese 54,530 23.9%
Languages SpokenTotal PSA
% Total PSA
Speak only English 87,785 73.6%Spanish or Spanish Creole 11,590 9.7%
Primary Service Area Secondary Service Area
Spanish or Spanish Creole 40,329 17.6%French (incl. Patois, Cajun) 3,072 1.3%Italian 2,023 0.9%Japanese 1,958 0.9%Other Indic languages 1,838 0.8%Other Slavic languages 1,571 0.7%
German 1,488 0.7%Tagalog 1,427 0.6%Total 228,521 100.0%
Hebrew 658 0.6%Portuguese or Portuguese Creole 615 0.5%Total 119,346 100.0%
Secondary Service Area-I Secondary Service Area-II
Language SpokenTotal
SSA-II% Total SSA-II
Speak only English 60,619 39.9%Chinese 43,023 28.3%Spanish or Spanish Creole 35,495 23.3%
Language SpokenTotal SSA-I
% Total SSA-I
Speak only English 48,833 63.9%Chinese 11,507 15.1%Spanish or Spanish Creole 4,834 6.3% Spanish or Spanish Creole 35,495 23.3%
Other Indic languages 1,321 0.9%French (incl. Patois, Cajun) 1,266 0.8%Yiddish 981 0.6%Italian 940 0.6%Polish 906 0.6%Tagalog 902 0.6%
p p ,French (incl. Patois, Cajun) 1,806 2.4%Japanese 1,208 1.6%Italian 1,083 1.4%Other Slavic languages 879 1.1%German 717 0.9%Tagalog 525 0.7%
1818
g gGerman 771 0.5%Total 152,066 100.0%
g gKorean 520 0.7%Total 76,455 100.0%
Source: 2000 Decennial Census, Summary File-3 (SF3), Table PCT10 (Age by Language Spoken at Home for the Population of 5+ Years); accessed November 8, 2010
Table 13 - Median Household Income, 2000 – 2015
The Median Household Income of the PSA is significantly higher thang y gthe rest of the Service Area, a trend which is projected to continue.
Source: Thomson Reuters; accessed November 23, 2010
Table 14 - Poverty Level, 2000
The Service Area contains pockets of povertyp p ywhich are primarily located in the SSA-II.
Income Above Poverty LevelPercent Total
94.7 to 10092.2 to 94.788.5 to 92.280.2 to 88.5
Poverty StatusPercent Total
Income Below Poverty Level (20%)Income Above Poverty Level (80%)
Income Below Poverty LevelPercent Total
43.9 to 67.735.8 to 43.929.6 to 35.820 8 to 29 6
2020
20.8 to 29.6
Source: 2000 Decennial Census, Summary File-3 (SF3), Table P87 (Poverty Status in 1999)Accessed November 8, 2010
Table 15 - Education Attainment, 2000
Educational attainment varies within the Service Area. The PSA contains the highest proportion of residents with
some college, a Bachelor’s degree or higher.
PSA (n = 101,833)
SSA-I (n = 58,663)
SSA-II (n = 113,392)
Manhattan (n = 1,125,987)
Less than high school graduate 8.6% 15.7% 39.3% 21.3%High school graduate 9.4% 9.6% 16.5% 13.5%Some college or associate degree 14.9% 13.8% 15.0% 15.8%Bachelor's degree or higher 67.1% 60.9% 29.2% 49.4%
2121Source: 2000 Decennial Census, Summary File-3 (SF3), Table QTP20 (Education Attainment by Sex); accessed November 23, 2010
Table 16 - Types of Disability (by Census Tract), 2000
Service Area residents may experience one or more disabilities which may have implications on both the type of health care services required
Sensory (avg = 8.1%)
implications on both the type of health care services required and access to those services.
Physical (avg = 20.9%) Mental (avg = 13.3%)
Population with Sensory DisabilityPercent Total
> 11%9% to 11%7% to 9%
7%
Population with Physical DisabilityPercent Total
40% to 50%30% to 40%25% to 30%
Population with Mental DisabilityPercent Total
> 20%15% to 20%10% to 15%
10%
2222
Source: 2000 Decennial Census, Summary File-3 (SF3), Table P41 (Types of Disability for the Civilian Noninstitutionalized Population 5 Years and Over); accessed November 8, 2010- Sensory disability – blindness, deafness or a severe vision or hearing impairment- Physical disability – a condition that substantially limits one or more basic physical activities, such as walking, climbing stairs, reaching, lifting or carrying- Mental disability – learning, remembering, or concentrating
< 7% < 25% < 10%
HEALTHa state of complete physical, mental and social
well‐being and not merely the absence of disease or infirmity.
HEALTH CAREHEALTH CAREthe prevention, treatment, and management of
ill d h i f l d h i lillness and the preservation of mental and physical well‐being through the services offered by the
di l d lli d h l h f i
232323
medical and allied health professions
Determinants Determinants of of Health StatusHealth Status
242424
Death Rate Trend for the City of New York Death Rate Trend for the City of New York 18001800‐‐20082008
2525
Leading Causes of Death in NYC 2007Leading Causes of Death in NYC, 2007
• Heart diseaseC• Cancer
• Influenza and Pneumonia• Stroke• Diabetes• Chronic lower respiratory disease• HIV• HIV• Accidents • Accidental Drug Poisoning /Substance Abuse
• Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data• Vital Statistics Death/Mortality Data (2000-2007) (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/VS/index.html) accessed 11/24/2010
Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive DataVital Statistics Death/Mortality Data (2000-2007) (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/VS/index.html)
Table 17 -Top 10 Leading Cause of Mortality, 2007Age adjusted per 100,000 Population
Heart Disease and Cancer continue to be theleading causes of death in the Service Area.
Chelsea Greenwich Lower Lower Top 10 Leading Causes of Mortality Clinton Village/SoHo East Side Manhattan Manhattan NYC
Diseases of Heart 203.6 165.7 183.2 200.1 201.7 282.7
Human Immunodeficiency Virus Disease 23.6 * 23.3 * 16.2 14.4
Accidents Except Drug Posioning 15.4 15.2 12.2 * 10.5 13.2Mental and Behavioral Disorders due to Accidental Poisoning and Other Psychoactive Substance Use 14.2 * 12.8 * 8.8 10.7
All Other/Censored Causes 105.8 93.9 133.7 126.5 117.2 114.3
2929
Notes:*Age-adjusted rates based on small numbers are unreliable and therefore suppressed.“All Censored Causes” include deaths recorded to protect confidentiality.RED denotes higher than ManhattanSource: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive DataVital Statistics Death/Mortality Data (2000-2007) (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/VS/index.html)
Redefining the Service Area for Health Status Survey Responses(United Hospital Fund Neighborhoods) Chelsea/Greenwich Village
G E N E R A L P H Y S I C A L A N D M E N T A L H E A L T HS e l f - r e p o r t e d h e a l t h s t a t u sQ: Would you say that in general your health is Excellent, Very Good, Good, Fair or Poor?
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
3131
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
G E N E R A L P H Y S I C A L A N D M E N T A L H E A L T HM e n t a l h e a l t h c o u n s e l i n g o r t r e a t m e n tQ: In the last 12 months, have you received any counseling or taken a prescription medication for a mental health problem? Results restricted to adults with non-specific psychological distress.
33 4% 66 6%
Yes No
New York City
38.1%
33.4%
61.9%
66.6%
Manhattan
New York City
31.7% 68.3%Union Square/Lower Manhattan * *
53.2% 46.8%
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
Chelsea/Greenwich Village * *
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
3232
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
D E P R E S S I O NH i s t o r y o f d e p r e s s i o nQ: Have you ever been told by a doctor, nurse or other health professional that you have depression
13 1% 86 9%
Yes No
New York City
17.1%
13.1%
82.9%
86.9%
Manhattan
New York City
12.4% 87.6%Union Square/Lower Manhattan
21.5% 78.5%
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
Chelsea/Greenwich Village
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
3333
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
W E I G H T , E X E R C I S E , N U T R I T I O NO v e r w e i g h t a n d O b e s i t yBody Mass Index (BMI) is calculated based on respondents’ self-reported weight and height. A BMI between 25.0 and 29.9 is classified as overweight, and a BMI of 30 or greater is classified as obese.
43 3% 33 5% 23 3%
Under/normal weight Overweight but not obese Obese
New York City
54.1%
43.3%
29.4%
33.5%
16.5%
23.3%
Manhattan
New York City
57.6% 26.6% 15.8%Union Square/Lower Manhattan
63.4% 28.2% 8.4%
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
Chelsea/Greenwich Village
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
3434
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
W E I G H T , E X E R C I S E , N U T R I T I O NP h y s i c a l a c t i v i t yQ: During the past 30 days, other than your regular job, did you participate in any physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise?
New York City 72 7% 27 3%
Yes No
Manhattan
New York City
80.9%
72.7%
19.1%
27.3%
Union Square/Lower Manhattan 79.0% 21.0%
Chelsea/Greenwich Village 88.3% 11.7%
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
3535
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
C H R O N I C C O N D I T I O N SH i g h b l o o d p r e s s u r e e v e rQ: Have you ever been told by a doctor, nurse or other health professional that you have hypertension, also called high blood pressure?
New York City 28 3% 71 7%
Yes No
Manhattan
New York City
22.8%
28.3%
77.2%
71.7%
Union Square/Lower Manhattan 21.2% 78.8%
Chelsea/Greenwich Village 20.0% 80.0%
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
3636
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
C H R O N I C C O N D I T I O N SB l o o d p r e s s u r e m e d i c a t i o n e v e rQ: Have you ever been told by a doctor, nurse or other health professional that you need to take medication for your high blood pressure?
New York City 71 1% 28 9%
Yes No
Manhattan
New York City
69.4%
71.1%
30.6%
28.9%
Union Square/Lower Manhattan 70.8% 29.2%* *
Chelsea/Greenwich Village 86.2% 13.8%
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
* *
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
3737
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
C H R O N I C C O N D I T I O N SD i a b e t e s e v e rQ: Have you ever been told by a doctor, nurse or other health professional that you have diabetes?
New York City 9 7%90 3%
No Yes
Manhattan
New York City
7.7%
9.7%
92.3%
90.3%
Union Square/Lower Manhattan 11.9%88.1%
Chelsea/Greenwich Village 3.0%97.7%
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
3838
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
C I G A R E T T E S M O K I N G A N D A L C O H O LS m o k i n g s t a t u sSmoking status is defined as being a current or former smoker or having smoked less than 100 cigarettes ever (never smoker).
New York City 62 2% 15 8%22 0%
Never Smoke Former Smoker Current Smoker
Manhattan
New York City
60.8%
62.2%
14.7%
15.8%
24.6%
22.0%
Union Square/Lower Manhattan 56.3% 18.3%25.4%
Chelsea/Greenwich Village 53.6% 15.7%30.7%
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
3939
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
C I G A R E T T E S M O K I N G A N D A L C O H O LH e a v y d r i n k i n gHeavy drinking is defined as an average of more than 2 drinks per day for men and more than 1 drink per day for women.
New York City 4 6%95 4%
No Yes
Manhattan
New York City
7.6%
4.6%
92.4%
95.4%
Union Square/Lower Manhattan 4.4%95.6%
Chelsea/Greenwich Village 11.5%88.5%
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
4040
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
C I G A R E T T E S M O K I N G A N D A L C O H O LB i n g e d r i n k i n gBinge drinking is defined as five or more drinks on one occasion in the past 30 days.
New York City 14 6%85 4%
No Yes
Manhattan
New York City
19.3%
14.6%
80.7%
85.4%
Union Square/Lower Manhattan 14.6%85.4%
Chelsea/Greenwich Village 31.3%68.7%
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
4141
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
A S T H M AA s t h m a e v e rQ: Have you ever been told by a doctor, nurse or other health professional that you had asthma?
New York City 11 5%88 5%
No Yes
Manhattan
New York City
11.6%
11.5%
88.4%
88.5%
Union Square/Lower Manhattan 10.7%89.3%
Chelsea/Greenwich Village 11.4%88.6%
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
4242
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
A S T H M AE D v i s i t s d u e t o a s t h m aQ: During the past 12 months, how many times did you visit an emergency room or urgent care center because of asthma?Results restricted to adults who reported having an asthma attack during the past 12 months.
49 3% 50 7%
1 (No. of Visits) 2 (No. of Visits)
New York City
72.2%
49.3%
27.8%
50.7%
Manhattan
New York City
85.2% 14.8%Union Square/Lower Manhattan **
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
Chelsea/Greenwich Village #
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
4343
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
H I V T E S T I N G , S E X U A L O R I E N TAT I O N A N D B E H AV I O RH I V T e s t i n gRespondents were asked if they had an HIV test in the past 12 months, or ever.
Tested in the past 12 months Tested more than 12 months ago
39 0% 35 7% %90.0%
100.0%
Tested more than 12 months ago Never tested
30.4% 35.7%32.6% 29.1%
39.0% 40.0% 35.7% 39.9%
40.0%
50.0%
60.0%
70.0%
80.0%
30.3% 24.3% 31.7% 31.0%
0.0%
10.0%
20.0%
30.0%
Ch l /G i h U i S /L M h tt N Y k Cit
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
Chelsea/Greenwich Village
Union Square/Lower Manhattan
Manhattan New York City
4444
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
H I V T E S T I N G , S E X U A L O R I E N TAT I O N A N D B E H AV I O RS e x u a l I d e n t i t y ( u n a d j u s t e d f o r a g e )Now I'll read a list of terms people sometimes use to describe themselves -- heterosexual or straight; homosexual, gay or lesbian; and bisexual. As I read the list again, please stop me when I get to the term that best describes how you think of yourself.
Heterosexual Gay or lesbian Bisexual
11.9% 5.3% 5.3% 2.9%0.5% 0.9% 1.0%
90.0%
100.0%
Heterosexual Gay or lesbian Bisexual
**
*
87.6% 91.9% 93.7% 96.1%40.0%
50.0%
60.0%
70.0%
80.0%
0.0%
10.0%
20.0%
30.0%
Ch l /G i h U i S /L M h tt N Y k Cit
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
Chelsea/Greenwich Village
Union Square/Lower Manhattan
Manhattan New York City
4545
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
C A N C E R S C R E E N I N GC o l o n c a n c e r ( t i m e l y c o l o n o s c o p y )Timely colon cancer screening is defined as having had a colonoscopy in the past 10 years. Results restricted to adults aged 50 and older.
66 0% 34 0%
Yes No
New York City
67.8%
66.0%
32.2%
34.0%
Manhattan
New York City
55.5% 44.5%Union Square/Lower Manhattan
71.0% 29.0%
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
Chelsea/Greenwich Village
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
4646
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
C A N C E R S C R E E N I N GB r e a s t c a n c e r ( t i m e l y m a m m o g r a p h y )Timely breast cancer screening is defined as having had a mammography in the past 2 years. Results restricted to women aged 40 and older.
New York City 78 5% 21 5%
Yes No
Manhattan
New York City
78.4%
78.5%
21.6%
21.5%
Union Square/Lower Manhattan 81.9% 18.1%
Chelsea/Greenwich Village 80.4% 19.6%
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
4747
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
C A N C E R S C R E E N I N GC e r v i c a l c a n c e r ( t i m e l y P a p t e s t )Timely cervical cancer screening is defined as having had a pap test in the past 3 years. Results restricted to women.
New York City 81 6% 18 4%
Yes No
Manhattan
New York City
81.3%
81.6%
18.7%
18.4%
Union Square/Lower Manhattan 68.9% 31.1%
Chelsea/Greenwich Village 76.5% 23.5%
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
4848
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
V A C C I N A T I O NF l u v a c c i n a t i o nQ: During the past 12 months, have you had a flu shot in your arm or a flu vaccine that was sprayed in your nose? Results restricted to adults aged 50 and older.
New York City 43 1% 56 9%
Yes No
Manhattan
New York City
50.6%
43.1%
49.4%
56.9%
Union Square/Lower Manhattan 47.1% 52.9%
Chelsea/Greenwich Village 58.4% 41.6%
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
4949
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
A C C E S S T O H E A L T H C A R EH e a l t h i n s u r a n c eRespondents were asked if they were personally covered by a number of different types of health insurance, or if they had no health insurance at all.
Medicaid 5.1%
Others 6.4%
Uninsured 6.6%
Others 10.8%
Uninsured 10.9%
Chelsea/Greenwich Village Union Square/Lower Manhattan
**
*
Private 68.0%
Medicare 13.9%
Private 47.9%
Medicaid 15.3%
Medicare 15.2%
Uninsured 11.2%
Uninsured 16 2%
Manhattan New York City
Private 56 8%
Medicaid 12.1%
Others 6.6%
%
Private 49.8%Medicaid
15 2%
Others 4.6%
16.2%
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
56.8%
Medicare 13.4% Medicare
14.1%
15.2%
5050
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
A C C E S S T O H E A L T H C A R EI n s u r e d a l l y e a rRespondents were asked about their current insurance status and, if currently insured, whether they had been without insurance during the past year.
Continuously insured in the past 12 months Insured now but uninsured in the past 12 months
5.7%7.4% 7.3%
6.8% 10.9% 11.2% 16.3%90.0%
100.0%
Insured now but uninsured in the past 12 months Uninsured
87.5% 81.8% 81.5% 74 8%
%8.9%
40.0%
50.0%
60.0%
70.0%
80.0%
74.8%
0.0%
10.0%
20.0%
30.0%
Ch l /G i h U i S /L M h tt N Y k Cit
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
Chelsea/Greenwich Village
Union Square/Lower Manhattan
Manhattan New York City
5151
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
A C C E S S T O H E A L T H C A R EP e r s o n a l d o c t o rDo you have one person (or more than one person) you think as your personal doctor health care provider?
81 9% 18 1%
Yes No
New York City
83.2%
81.9%
16.8%
18.1%
Manhattan
New York City
73.6% 26.4%Union Square/Lower Manhattan
85.4% 14.6%
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
Chelsea/Greenwich Village
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
5252
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
A C C E S S T O H E A L T H C A R ED i d n o t g e t n e e d e d m e d i c a l c a r eWas there a time in the past 12 months when you needed medical care but did NOT get it? Medical care includes doctor visits, tests, procedures, prescription medication and hospitalizations.
88 5% 11 5%
No Yes
New York City
90.6%
88.5%
9.4%
11.5%
Manhattan
New York City
93.0% 7.0%* *Union Square/Lower Manhattan
92.6% 7.4%
0 0% 20 0% 40 0% 60 0% 80 0% 100 0%
* *Chelsea/Greenwich Village
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
0.0% 20.0% 40.0% 60.0% 80.0% 100.0%
5353
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
Conditions for which early intervention and the availability of primary care can prevent
PSA SSA-I SSA-II SSAService
AreaRest of
ManhattanConditions
Conditions for which early intervention and the availability of primary care can prevent hospital admissions, complications or more severe disease
Dehydration 126.0 103.0 128.0 121.0 122.0 121.0
Pneumonia 345.0 326.0 503.0 452.0 418.0 391.0
UTI 129.0 116.0 238.0 202.0 179.0 174.0
Acu
te
HTN 37.0 39.0 75.0 65.0 55.0 70.0
CHF 250.0 240.0 442.0 386.0 343.0 442.0
Angina 30 0 13 0 41 0 32 0 32 0 34 0Circ
ulat
ory
Angina 30.0 13.0 41.0 32.0 32.0 34.0
DM Short-Term 25.0 26.0 58.0 47.0 40.0 60.0
DM Long-Term 98.0 96.0 233.0 191.0 159.0 201.0
U t ll d DM 17 0 25 0 42 0 34 0 48 0
Cab
etes
Uncontrolled DM 17.0 25.0 51.0 42.0 34.0 48.0
LE Amputation 27.0 12.0 53.0 40.0 36.0 44.0
COPD 106.0 102.0 159.0 143.0 131.0 125.0
Di
Res
p
5454
Asthma 119.0 110.0 290.0 232.0 193.0 232.0R
Source: NYS DOH (https://apps.nyhealth.gov/statistics/prevention/quality_indicators/start.map); accessed November 5, 2010RED denotes higher than Rest of Manhattan
Overall Ambulatory Case-Sensitive Condition Admissions as % Expected by Race & Ethnicity
Asian Black Hispanic White Others a ac spa c e O ePSA (71%) 23% 333% 126% 48% 59%SSA-I (65%) 35% 288% 141% 49% 50%SSA-II (122%) 53% 275% 177% 70% 166%
5555
( )Manhattan (103%) 37% 212% 146% 51% 96%
Source: NYS DOH (https://apps.nyhealth.gov/statistics/prevention/quality_indicators/start.map); accessed November 5, 2010
Acute Ambulatory Case-Sensitive Condition Admissions as % Expected by Race & Ethnicity
Asian Black Hispanic White OtherPSA (90%) 40% 127% 71%SSA-I (82%) 46% 66%SSA-II (131%) 79% 233% 160% 87%
N/A N/AN/AN/A
N/AN/A
5656
Manhattan (104%) 55% 168% 127% 68% 109%
Source: NYS DOH (https://apps.nyhealth.gov/statistics/prevention/quality_indicators/start.map); accessed November 5, 2010
Circulatory Ambulatory Case-Sensitive Condition Admissions as % Expected by Race & Ethnicity
Asian Black Hispanic White OtherPSA (58%) 4% 106% 37%N/A N/APSA (58%) 4% 106% 37%SSA-I (53%) 23% 41%SSA-II (101%) 29% 280% 158% 57%Manhattan (93%) 22% 212% 135% 44% 72%
N/A
N/A
N/A N/A
N/A
5757
Manhattan (93%) 22% 212% 135% 44% 72%
Source: NYS DOH (https://apps.nyhealth.gov/statistics/prevention/quality_indicators/start.map); accessed November 5, 2010
Diabetes Ambulatory Case-Sensitive Condition Admissions as % Expected by Race & Ethnicity
Asian Black Hispanic White OtherPSA (59%) 39% 141% 28%SSA-I (57%) 37% 32%SSA-II (140%) 48% 349% 225% 69%
N/A
N/A
N/A
N/A
N/AN/A
5858
Manhattan (117%) 33% 310% 184% 36% 106%
Source: NYS DOH (https://apps.nyhealth.gov/statistics/prevention/quality_indicators/start.map); accessed November 5, 2010
Respiratory Ambulatory Case-Sensitive Condition Admissions as % Expected by Race & Ethnicity
Asian Black Hispanic White OtherPSA (64%) 7% 142% 39% N/AN/APSA (64%) 7% 142% 39%SSA-I (61%) 29% 44%SSA-II (127%) 42% 286% 200% 59%M h tt (103%) 29% 219% 162% 41% 99%
N/A
N/A
N/A
N/A
N/AN/A
5959
Manhattan (103%) 29% 219% 162% 41% 99%
Source: NYS DOH (https://apps.nyhealth.gov/statistics/prevention/quality_indicators/start.map); accessed November 5, 2010
Top Reasons for ED Visits (Treat & Release), 2009
ED Utilization (Rank)
1 2 3 4 5Oth U Vi l Otiti S fi i l I j
Age Category
ED Utilization (Rank)
0-17Other Upper
Respiratory InfectionViral
Infection AsthmaOtitis Media
Superficial Injury Contusion
Other Upper Superficial Injury Alcohol Abdominal Viral 18-34 Respiratory Infection Contusion Related Pain Infection
35-64Alcohol Related Spondylosis
Superficial Injury Contusion
Connective tissue disease
Other Upper Respiratory Infection35 64 Related Spondylosis Contusion tissue disease Respiratory Infection
65+Superficial Injury
Contusion Spondylosis Other connective tissue disease
Other injuries and conditions
Abdominal Pain
6060Source: NYS DOH SPARCS (Statewide Planning and Research Cooperative System)
Top 25 Reasons for Pediatric ED Visits (Treat & Release), 2009Use Rate per 10,000 population
Pediatric ED Visits (Treat & Release)Absolute No.
Pediatric ED Visits (Treat & Release)Use Rate per 10,000 population
Primary Service Area (PSA)
Secondary Service Area‐I (SSA‐I)
Secondary Service Area‐II (SSA‐II)
Service Area Rate
p , p p
PSA Rate
SSA‐I Rate
SSA‐II Rate
Open wounds of head; neck; and trunk
Other injuries and conditions due to external causes
Source: NYS DOH SPARCS (Statewide Planning and Research Cooperative System)
Appendix SummaryAppendix Summary
7171
G E N E R A L P H Y S I C A L A N D M E N T A L H E A L T HS U M M A R Y
M RChelsea
G i h VillUnion Square
L M h tt M h tt N Y k CitMeasure Response Greenwich Village Lower Manhattan Manhattan New York City
Self-reported health status Fair or Poor 9.1% 18.3% 12.9% 19.5%
Non-specific psychological distress No # # 95.8% 95.0%
A C C E S S TO H E A LT H C A R ES U M M A R Y
Mental health counseling or treatment Yes 53.2%* 31.7%* 38.1% 33.4%
S U M M A R Y
Measure ResponseChelsea
Greenwich VillageUnion Square
Lower Manhattan Manhattan New York City
Health insuranceMedicaidUninsured
5.1%6.6%*
15.3%10.9%*
12.1%11.2%
15.2%16.2%
Personal doctor No 14.6% 26.4% 16.8% 18.1%
Insured all yearInsured but not past 12 monthUninsured
5.7%*6.8%*
7.4%10.9%*
7.3%11.2%
8.9%16.3%
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
Did not get needed medical care Yes 7.4%* 7.0%* 9.4% 11.5%
7272
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
W E I G H T, E X E R C I S E , N U T R I T I O NS U M M A R Y
Measure ResponseChelsea
Greenwich VillageUnion Square
Lower Manhattan Manhattan New York City
Overweight and ObesityOverweight but not obeseObese
28.2%8.4%
26.6%15.8%
29.4%16.5%
33.5%23.3%
Physical activity No 11.7% 21.0% 19.1% 27.3%
C H R O N I C C O N D I T I O N SS U M M A R Y
Measure ResponseChelsea
Greenwich VillageUnion Square
Lower Manhattan Manhattan New York City
S U M M A R Y
High blood pressure ever No 80.0% 78.8% 77.2% 71.7%
Blood pressure medication ever No 13.8%* 29.2%* 30.6% 28.9%
Diabetes ever Yes 3.0% 11.9% 7.7% 9.7%
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
7373
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
C I G A R E T T E S M O K I N G A N D A L C O H O LS U M M A R Y
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
7474
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)
C A N C E R S C R E E N I N GS U M M A R Y
Measure ResponseChelsea
Greenwich VillageUnion Square
Lower Manhattan Manhattan New York City
Colon cancer No 29.0% 44.5% 32.2% 34.0%
Breast cancer No 19 6% 18 1% 21 6% 21 5%Breast cancer No 19.6% 18.1% 21.6% 21.5%
Cervical cancer No 23.5% 31.1% 18.7% 18.4%
Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted
7575
Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)