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