East New York - New Lots - The Brooklyn Hospital Center

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Keeping Brooklyn Healthy by Assessing
Population Health and Driving Innovation
Neighborhood Health Profiles 2015
East New York - New Lots
11207, 11208
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Neighborhood at a glance…
 Population: 187,855
 TBHC Service Areas: Primary service area: 11207
Age Group
85 yrs and
older
585
80-84 yrs
747
75-79 yrs
382
70-74 yrs
611
65-69 yrs
2,078
45-49 yrs
40-44 yrs
30-34 yrs
2,342
25-29 yrs
328
20-24 yrs
3,234
1,298
5-9 yrs
2,952
1-4 yrs
2,340
7,000
6,000
5,000
4,000
Male
3,000
2,000
1,000
696
719
00
2,827
347
2,423
2,781
647
8,000
1,140
3,624
2,860
Younger than
1 yr
1,814
1,552
1,527
3,653
340
294
2,019
2,241
2,424
3,237
370
1,362
2,616
2,623
3,011
386
4,308
1,732
1,729
1,825
10-11 yrs
2,656
4,101
3,791
2,096
12-14 yrs
2,859
2,530
3,709
2,567
1,487
15-17 yrs
3,912
2,977
417
18-19 yrs
2,812
3,595
2,396
367
2,658
2,331
4,062
2,697
359
1,913
3,638
3,052
337
2,174
1,488
2,853
2,038
338
2,248
35-39 yrs
1,142
2,496
2,625
393
2,164
839
1,902
1,681
1,593
50-54 yrs
593
1,406
1,226
1,331
55-59 yrs
1,036
555
895
966
60-64 yrs
333
574
1,000
2,000
3,000
4,000
5,000
Female
6,000
7,000
8,000
Population pyramid with panes showing gender/age groups, color shows details about race. The marks are labeled by population counts for males and females across age groups in year 2010
Source: New York City Department of Health and Mental Hygiene. Epiquery: NYC Interactive Health Data System - NYC 2010 Census. http://nyc.gov/health/epiquery
Neighborhood Health Profiles 2015
East New York - New Lots
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Socioeconomic Conditions
Economic Conditions
Percentage of population in each zip code representing the various economic indicators
Source: U.S. Census Bureau. 2012 American Community Survey 5-year estimates
The median household income in East New York is lower than Brooklyn overall ($45,215) with over ⅓ of individuals and families
living below poverty level
Neighborhood Health Profiles 2015
East New York - New Lots
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Nativity and Language
About one third of the population in
both zip codes is foreign born with
English being the primary language
spoken in the home
Percentage of foreign born population and primary language spoken in each zip code
Source: U.S. Census Bureau. 2012 American Community Survey 5-year estimates
Educational Attainment
Less than 20% of the population has completed higher education
with a formal degree
Highest level of education attained by population 18 years and over
Source: U.S. Census Bureau. 2012 American Community Survey 5-year estimates
Neighborhood Health Profiles 2015
East New York - New Lots
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Health Insurance Status: 2002-2012
Trends in health insurance types from 2002-2012, by percentage of population within each category
Source: Community Health Survey. 2002-2012. New York City Department of Health & Mental Hygiene
More than ⅓ of residents have Medicaid and/or Medicare
Neighborhood Health Profiles 2015
East New York - New Lots
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Health Conditions
Self-reported Health Status: 2002-2012
Trends in self-reported health from 2002-2012, by percentage of population within each category
Source: Community Health Survey, 2002-2012. New York City Department of Health & Mental Hygiene
Compared to other neighborhoods in Brooklyn, a higher proportion of residents selfreported their health as fair or poor
Neighborhood Health Profiles 2015
East New York - New Lots
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Prevalence of Diabetes
Body Weight: 2002-2012
Trends in self-reported medical conditions based on diagnosis through lab results or having been told by a physician from 2002-2012
Source: Community Health Survey. 2002-2012. New York City Department of Health & Mental Hygiene
NEEDS UPDATE
Burden of Illness: 2002-2012
Trends in self-reported medical conditions based on diagnosis through lab results or having been told by a physician from 2002-2012
Source: Community Health Survey. 2002-2012. New York City Department of Health & Mental Hygiene
Of all three conditions, hypertension had the largest increase, going from a prevalence of 16.4% in 2002 to 34.8% in 2012
Neighborhood Health Profiles 2015
East New York - New Lots
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
People living with HIV/AIDS by Race/Ethnicity: 2006-2011
People living with HIV/AIDS per 100,000 from 2006-2011, by race/ethnicity
Source: HIV/AIDS Surveillance Data, New York City Department of Health & Mental Hygiene
The highest prevalence of HIV/AIDS is in Whites
Neighborhood Health Profiles 2015
East New York - New Lots
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
All-Cause Mortality: 2000-2011
Trend in all-cause mortality (age-adjusted per 1,000) from 2000-2011
Source: Deaths Epiquery, 2000-2011. NYC Vital Statistics. New York City Department of Health & Mental Hygiene
Since 2000, the all-cause age-adjusted mortality rate declined by 18.6% (p<0.0001) to 7 per 1,000 residents in 2011
Neighborhood Health Profiles 2015
East New York - New Lots
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Cigarette Smoking Status: 2002-2012
Trends in self-reported cigarette smoking status from 2002-2012, by percentage of population within each category
Source: Community Health Survey, 2002-2012. New York City Department of Health & Mental Hygiene
The percentage of current smokers declined by 37.1% between 2002-2012
Cancer Screening: 2002-2012
Trends in self-reported breast and colon cancer screening from 2002-2012
Source: Community Health Survey. 2002-2012. New York City Department of Health & Mental Hygiene
Colon cancer screening increased significantly from 52% in 2002 to 72% in 2012 (p<0.01)
Neighborhood Health Profiles 2015
East New York - New Lots
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Access to Healthcare Services: 2002-2012
Trends in self-reported HIV testing and having a ‘personal doctor’ from 2002-2012
Source: Community Health Survey. 2002-2012. New York City Department of Health & Mental Hygiene
In 2012, 86.5% of the population reported having a ‘personal doctor’ and over ¾ of the population underwent HIV testing
Neighborhood Health Profiles 2015
East New York - New Lots
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Technical Notes
Data Sources:
The data presented in these Brooklyn Neighborhood Health Profiles (BNHP) is public use data, made
available from the New York City Department of Health and Mental Hygiene as well as U.S. Census Bureau
via the American Community Survey (ACS) estimates.
The Community Health Survey (CHS) is a telephone survey conducted annually by the New York City
Department of Health and Mental Hygiene since 2002. It is a cross-sectional survey providing self-reported
data from an annual sample of approximately 8,500 randomly selected adults aged 18 years and older from
New York City. For the purpose of these profiles, data for indicators related to vital statistics, health outcomes, health services, health behaviors, built environment, education and insurance were obtained from
CHS.
The U.S. Census Bureau’s ACS is an ongoing survey that provides data every year related to age, sex, race,
family and relationships, income, health insurance, education, veteran status, disabilities, commute and
housing. Most of the socioeconomic and demographic data is obtained with zip codes as statistical areas
from the ACS.
Geographic area definitions:
For the purpose of Phase 1 of BNHP, we have used United Hospital Fund definitions (UHF) to define the
eleven neighborhoods throughout Brooklyn. The CHS uses stratified random sampling according to UHF
neighborhood descriptions to collect data. We have also used the zip code statistical areas to retrieve data
from ACS. These two different geographic areas are combined to present data in UHF neighborhood definitions with the aid of an equivalency table.
Domains and Indicators:
A total of thirty-eight indicators are included in BNHP and categorized within eight domains, each describing the social environment of an individual (Table 1). To develop the Health Needs Index using the social
indicators approach and for ranking the neighborhoods based on unmet needs, we shortlisted fourteen
indicators across seven domains using a correlation matrix to eliminate skewing from highly correlated
indicators (Table 2). Data for indicators obtained from CHS is age-adjusted.
Neighborhood Health Profiles 2015
East New York - New Lots
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Table 1: Domains and Indicators:
Domain
Subdomain
Indicator
1. Demographics
Population
Population
3. Health outcomes
4. Health services
2010
Veterans
2008-2012
Birth data
2000-2007
Fertility data
2000-2007
Mortality
Age adjusted mortality rate
2000-2011
Migration
Foreign born
2008-2012
Economic
Median household income
2008-2012
Unemployment status
2008-2012
Below poverty level (individuals)
2008-2012
Below poverty level (families)
2008-2012
Education
Educational attainment
2008-2012
Language
Language spoken at home
2008-2012
Insurance
Health insurance type
2002-2012
Morbidity
Prevalence of diabetes
2002-2012
Prevalence of asthma
2002-2012
Prevalence of obesity
2002-2012
Prevalence of hypertension
2002-2012
Disability status
2002-2012
Serious psychological distress
2002-2012
Flu vaccination
2002-2012
Colon cancer screening
2002-2012
Breast cancer screening
2002-2012
Mental health counseling or treatment
2002-2012
Personal doctor
2002-2012
HIV testing
2002-2012
Birth
2. Socioeconomic
Year/Period
Preventive services
Treatment related services
Neighborhood Health Profiles 2015
East New York - New Lots
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Table 1: Domains and Indicators (cont):
Domain
Subdomain
Indicator
5. Health behaviors
Health awareness
Rode bicycle in past year
2002-2012
Last routine health check up
2002-2012
Exercise
2002-2012
Condom use
2002-2012
Healthy diet
2002-2012
Consumption of fruits and vegetables
2002-2012
Heavy drinking
2002-2012
Binge drinking
2002-2012
Smoking status
2002-2012
Quit smoking attempts
2002-2012
Nutrition
Economic
Smoking
Year/Period
6. Quality of life
Indicators
used to develop theHealth Needs Index
7. Environmental health
Health related quality of life
Self-reported health status
2002-2012
Air quality
Secondhand smoke
2002-2012
Transport
Walk/bike for transport
2002-2012
Table 2: Indicators used to develop Health Needs Index:
Domain
Subdomain
Indicator
1. Demographics
Migration
Foreign born
2011
2. Socioeconomic
Economic
Below poverty level (individuals)
2011
Education
High school graduates
2012
Insurance
Health insurance - Medicaid
2012
Morbidity
Prevalence of diabetes
2012
Prevalence of asthma
2012
Prevalence of hypertension
2012
3. Health Outcomes
Year
4. Health services
Treatment related services
HIV testing
2012
5. Health behaviors
Health awareness
Condom use
2012
(Healthy)
Nutrition
Consumption of fruits and vegetables
2012
5. Health behaviors (Un-
Economic
Heavy drinking
2012
healthy)
Smoking
Quit smoking attempts
2012
6. Quality of life
Health related quality of life
Self-reported health status
2012
Neighborhood Health Profiles 2015
East New York - New Lots
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Table 3: Neighborhood Ranks based on Health Needs Index
(from highest need to lowest need)
Neighborhood
Rank
Williamsburg/Bushwick
1
East New York/New Lots
2
Greenpoint
3
Sunset Park
4
Borough Park
5
Canarsie and Flatlands
6
Bedford Stuyvesant/Crown Heights
7
Coney Island
8
Flatbush
9
Bay Ridge/Bensonhurst
10
Downtown Brooklyn/Heights/Slope
11
Brooklyn Neighborhood Health Needs Index
Neighborhood Rank (..
1
11
11222
11211
11237
11206
11205
11201
11217
11221
11238 11216
11231
11233
11213
11215
11225
11207
11208
11212
11232
11218
11203
11226
11239
11220
11236
11219
11210
11209
11228
11204
11230
11234
11214
11223
11229
11235
11224
Neighborhood Health Profiles 2015
East New York - New Lots
Map based on Longitude (generated) and Latitude (generated). Color shows average of Ranks. The marks are labeled by Zip.
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Acknowledgments
We are grateful to the Young Leadership Council of The Brooklyn Hospital
Center, for providing seed funding for development of the Brooklyn
Neighborhood Health Profiles. The Profiles would not have been feasible
without grant funding from the New York State Vital Access Program
and the Everest Foundation. We are indebted to the Prevention Steering
Committee for providing guidance and feedback throughout development
of the Profiles. Above all, we are grateful to each person who will use the
Profiles toward keeping Brooklyn healthy
Neighborhood Health Profiles 2015
East New York - New Lots
HSR TEAM
Jean Ford, MD
Founding Director
Carlos Castillo-Salgado, MD, JD, DrPH
Director of the Global Public Health
Observatory, The Johns Hopkins Bloomberg
School of Public Health, Consultant
Manuel Vidaurre, MCSc
Principal Information Technology Consultant
Sam Amirfar, MD, MS
Director of Medical Informatics
Heather Mavronicolas, PhD, MPH
Suggested Citation: Health Situation Room, The Brooklyn Hospital Center:
Brooklyn Neighborhood Health Profiles 2015, East New York - New Lots. Brooklyn,
New York, USA. 2015
Director of Research Training
Tanyka Sam, MD, MPH
Director of Research in Community-Oriented
Primary Care
Principal Investigator: Jean Ford
Tejal Shah, MBBS, MPH
Graphs by: Tejal Shah
Data Analyst
Allyson Ho, MPH
Education Manager
Deeba Zivari, MS
Communications Strategist and Research
Coordinator
Aracelis Torres, MPH, PhD Candidate
Research Assistant
Karina Christiansen , MPP, PhD Candidate
Research Assistant
Design by: Manuel Vidaurre
Text by: Tejal Shah, Aracelis Torres, Deeby Zivari, Rebecca Schwarz and Tanyka Sam
Health Needs Index by: Carlos Castillo-Salgado
Photographs by: Deeba Zivari, Allyson Ho, & Rebecca Schwarz
Some pictures are from the Wikimedia Commons, the free media repositor. For author attribution please check our website
Health Situation Room
The Brooklyn Hospital Center
121 Dekalb Avenue
Maynard Building, Suite 14D
Brooklyn, NY 11201
hsrbrooklyn@nyp.org
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