Schenectady County Health Profile Prepared by: www.hcdiny.org Schenectady County General Health Year(s) For rate/% For # 2010-2012 2012 Indicator Schenectady Capital NYS, except PA 2017 County # County Region NYC Objective change needed Rate/% Rate/% Rate/% Rate/% to reach PA # Objective 708.3 712.0 681.1 1,504 23.9 22.4 21.8 21.8 -33 371 6,389.7 5,966.4 5,828.4 89.0 100.0 88.3 -10,852 10,852 79.8 85.9 84.6 90.8 -11,936 21,918 12.4 10.8 12.0 15,459 119.3 103.6 113.2 133.3 * 1,706 4,710.3 3,573.5 3,668.9 69,578 1,171.4 1,053.1 1,115.0 19,196 Total mortality rate per 100,000, age-adjusted Number: Percentage of premature deaths (<65 years) 2013 Number: Years of Potential Life Lost (YPLL) per 100,000 (<75 years) 2010-2012 Percentage of adults with health insurance- ages 18-64 yrs 2013 Number w/o health insurance: Percentage of adults with a regular health care provider-ages 18+ yrs, age-adjusted 2013-2014 Number w/o regular health care provider: Percentage of adults not receiving regular care due to cost, age-adjusted 2013-2014 Number: Preventable hospitalization rate per 10,000- ages 18+ yrs, age-adjusted 2013 Number: Total ED visit rate per 10,000, age-adjusted 2010-2012 Number: 2012 Total hospitalization rate per 10,000, age-adjusted 2010-2012 Number: 2012 PA, Prevention Agenda; *=PA objective reached =Rate ranked in 3rd Quartile among all counties of NYS; =Rate ranked in 4th Quartile among all counties of NYS Five Leading Causes of Death & Premature Death, rates (per 100,000) and counts Leading Causes of Death (2012) Schenectady County NYS, excluding NYC Total Deaths: 1,504 Total Deaths: 96,428 Rank Cause #1 Heart Disease #2 Cancer #3 CLRD #4 Stroke #5 Diabetes Rate Number 185 409 174 338 49 99 30 66 24 48 Leading Causes of Premature Death (<75 years) (2010-2012) Schenectady County NYS, excluding NYC Average # in one year: 510 Average # in 1 Year: 35,523 Rate Cause Heart disease Cancer CLRD Stroke Unintentional Injury Cause 182 165 38 30 31 Cancer Heart Disease CLRD Unintentional Injury Diabetes Rate Avg. Number 356 160 213 111 61 27 47 20 43 19 Rate Cause Cancer Heart Disease Unintentional Injury CLRD Stroke 295 178 72 38 26 CLRD, Chronic Lower Respiratory Disease 1 Percentage of Premature Deaths (< 65 years) (2013) 30 25 20 15 10 5 0 2008 2009 2010 2011 2012 2013 Schenectady County 20.6 21.4 19.8 22.3 21.6 23.9 Prevention Agenda 21.8 21.8 21.8 21.8 21.8 21.8 Years of Potential Life Lost per 100,000 (<75yrs) (2010-2012) 8000 7000 6000 5000 4000 3000 2000 1000 0 Schenectady Cnty- 1 Yr Schenectady Cnty- 3 Yr Avg NYS exc. NYC 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 7121.47541.07006.26110.37029.16298.86789.25818.66857.76490.8 7222.56881.26714.46479.56705.36298.66486.76389.7 6063.36042.15966.05920.95966.95837.45884.05793.65839.85851.7 2 Percentage of Adults with a Regular Health Care Provider, Ages 18+ Years, Age-Adjusted (2013-2014) 100 90 80 70 60 50 40 30 20 10 0 2008/2009 2013/2014 Schenectady County 89.6 79.8 NYS exc. NYC 87.1 84.6 Prevention Agenda 90.8 90.8 Percentage of Adults Not Receiving Regular Care Due To Cost, Age-Adjusted (2013-2014) 14 12 10 8 6 4 2 0 2003 2008/2009 2013/2014 Schenectady County 6.0 10.8 12.4 NYS exc. NYC 10.7 12.0 12.0 3 Asthma and Smoking Year(s) For rate/% For # Indicator Percentage of cigarette smoking among adults, age-adjusted Number: COPD/CLRD hospitalization rate per 10,000, age-adjusted Number: COPD/CLRD mortality per 100,000, age-adjusted Number: Percentage of adults with current asthma, age-adjusted Number: Asthma hospitalization rate per 10,000, age-adjusted Number: Asthma ED visit rate per 10,000 Number: Asthma ED visit rate per 10,000, ages 0-4 yrs Number: 2013-2014 2010-2012 2012 2010-2012 2012 2013-2014 2010-2012 2012 2013 2013 Asthma hospitalizations per 10,000 by age group (years) For rate For # Age group (years) 0-17 18-64 65+ Year(s) 2010-2012 2012 2010-2012 2012 2010-2012 2012 Rate # Schenectady County 14.1 34 9.1 91 7.7 20 PA, Prevention Agenda; *=PA objective reached =Ranked in 3rd Quartile among all counties of NYS; Rate Schenectady Capital NYS, except PA 2017 County # County Region NYC Objective change needed Rate/% Rate/% Rate/% Rate/% to reach PA # Objective 20.3 19.7 18.0 15.0 -5921 22,677 27.7 29.0 30.0 477 43.5 45.6 37.3 99 10.0 11.7 10.5 13,043 10.0 10.0 11.4 145 69.6 51.2 47.6 75.1 * 1,081 140.6 139.4 115.2 196.5 * 127 Asthma ED visit rate per 10,000 by age group (years) Rate For rate For # 6-county NYS, excluding Region NYC 12.4 14.5 8.3 9.0 13.9 19.2 Age group (years) 0-17 18-64 65+ Year(s) 2010-2012 2012 2010-2012 2012 2010-2012 2012 Rate # Schenectady County 101.3 334 77.0 797 12.3 38 Rate Rate 6-county NYS, excluding Region NYC 83.9 78.1 52.7 47.7 15.1 19.1 =Ranked in 4th Quartile among all counties of NYS 4 Asthma Hospitalization Rate per 10,000, Age-Adjusted (2010-2012) 18 16 14 12 10 8 6 4 2 0 Schenectady Cnty- 1 Yr 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 15.0 13.5 16.1 14.0 11.6 12.9 12.3 10.4 10.5 Schenectady Cnty- 3 Yr Avg NYS exc. NYC 8.9 14.9 14.6 13.9 12.8 12.3 11.9 11.1 10.0 13.3 12.3 12.4 12.4 11.4 12.0 13.4 11.5 11.5 11.1 Asthma ED Visit Rate per 10,000 (2013) 80 70 60 50 40 30 20 10 0 2008 2009 2010 2011 2012 2013 Schenectady Cnty 68.0 74.7 68.2 74.7 74.5 69.6 NYS exc. NYC 50.2 53.9 49.4 50.3 50.8 47.6 Prevention Agenda 75.1 75.1 75.1 75.1 75.1 75.1 5 Asthma ED Visit Rate per 10,000, Ages 0-4 Years (2013) 210 180 150 120 90 60 30 0 2008 2009 2010 2011 2012 2013 Schenectady Cnty 153.1 177.1 169.3 171.3 143.9 140.6 NYS exc. NYC 115.5 129.8 121.5 123.9 117.2 115.2 Prevention Agenda 196.5 196.5 196.5 196.5 196.5 196.5 6 Diabetes and Obesity Year(s) For rate/% For # Indicator Percentage of adults who are obese, age-adjusted Number: Percentage of children & adolescents who are obese Number: Percentage of adults not engaged in some type of leisure time physical activity, age-adjusted Number: Percent diabetes prevalence in adults, age-adjusted Number: Diabetes mortality rate per 100,000, age-adjusted Number: Diabetes (primary diagnosis) hospitalization rate per 10,000, age-adjusted Number: Hospitalization rate for short-term complications of diabetes per 10,000- age 18+ yrs Average Annual Number: Coronary heart disease mortality rate per 100,000, age-adjusted Number: Coronary heart disease hospitalization rate per 10,000, age-adjusted Number: Congestive heart failure mortality rate per 100,000, age-adjusted Number: Congestive heart failure hospitalization rate per 10,000, age-adjusted Number: Cerebrovascular disease (stroke) mortality rate per 100,000, age-adjusted Number: Cerebrovascular disease (stroke) hospitalization rate per 10,000, age-adjusted Number: Heart attack mortality rate per 100,000, age-adjusted Number: Heart attack hospitalization rate per 10,000, age-adjusted Number: PA, Prevention Agenda; *=PA objective reached =Rate ranked in 3rd Quartile among all counties of NYS; 2013-2014 2010-2012 2013-2014 2013-2014 2010-2012 2012 2010-2012 2012 2011-2013 2010-2012 2012 2010-2012 2012 2010-2012 2012 2010-2012 2012 2010-2012 2012 2010-2012 2012 2010-2012 2012 2013 Schenectady County Rate/% # 32.8 37,880 19.5 5,045 22.3 27,970 7.8 9,910 19.3 48 12.0 204 8.5 102 120.9 273 29.6 551 19.8 44 26.3 497 31.6 66 24.8 473 28.3 71 18.6 355 Capital Region Rate/% NYS, except PA 2017 County # NYC Objective change needed Rate/% Rate/% to reach PA Objective 27.8 27.0 23.2 -11,087 17.4 17.6 23.4 26.2 8.7 8.2 15.7 15.3 12.5 14.4 6.2 5.8 124.5 135.8 24.7 36.0 18.0 15.5 21.3 24.3 32.3 31.0 22.5 24.4 28.2 35.6 13.2 15.2 16.7 4.9 14.0 -725 -44 -88 =Ranked in 4th Quartile among all counties of NYS 7 Percentage of Adults who are Obese (2013-2014) 35.0 30.0 25.0 20.0 15.0 10.0 5.0 0.0 2003 2008/2009 2013/2014 Schenectady County* 22.9 31.4 32.8 NYS exc. NYC* 20.8 24.3 27.0 Prevention Agenda* 23.2 23.2 23.2 *Rates on graph are age-adjusted Percentage of Children and Adolescents who are Obese (2010-2012) 8 Diabetes Mortality Rate per 100,000, Age-Adjusted (2010-2012) 30 25 20 15 10 5 0 Schenectady Cnty- 1 Yr 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 26.2 21.7 19.8 26.8 17.1 15.7 19.9 18.3 15.7 24.3 Schenectady Cnty- 3 Yr Avg NYS exc. NYC 22.6 22.8 21.2 19.9 17.6 19 18 18 19.3 17.5 17.9 17.1 16.6 15.1 15.3 14.2 15.9 15.6 Short-term Complications from Diabetes Hospitalization Rate per 10,000, Ages 18+ Years (2011-2013) 8 7 6 5 4 3 2 1 0 Schenectady Cnty- 1 Yr 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 5.8 Schenectady Cnty- 3 Yr Avg NYS exc. NYC 4.3 4.8 6.3 4.5 5.1 6.7 6.0 6.4 7.8 5.6 5.2 5.3 5.4 5.9 6.4 6.7 7.1 4.2 4.3 4.3 4.5 4.7 4.8 5.1 5.4 7.2 5.7 9 Heart Attack Hospitalization Rate per 10,000, Age-Adjusted (2013) 25 20 15 10 5 0 2008 2009 2010 2011 Schenectady County 2012 2013 17.3 18.5 17.6 NYS exc. NYC 17.9 16.6 16.2 20.2 19 18.6 15.8 16.1 Prevention Agenda 14.0 14.0 14.0 15.2 14.0 14.0 14.0 10 Mental Health/Substance Abuse Year(s) For rate/% For # Indicator Percentage of adults with poor mental health for 14+ days in the past month, age-adjusted Number: 2013-2014 Suicide death rate per 100,000, age-adjusted Average Number: 2011-2013 Self-inflicted injury hospitalization rate per 10,000, age-adjusted Number: Self-inflicted injury hospitalization rate per 10,000, ages 15-19 years Number: 2010-2012 2012 2010-2012 2012 Drug-related hospitalization rate per 10,000, age-adjusted Number: 2010-2012 2012 Newborn drug-related discharge rate per 10,000 newborn discharges Number: Adult binge drinking during the past month, age-adjusted Number: 2010-2012 2012 PA, Prevention Agenda; *=PA objective reached =Ranked in 3rd Quartile among all counties of NYS; Schenectady Capital NYS, except PA 2017 County # County Region NYC Objective change needed Rate/% Rate/% Rate/% Rate/% to reach PA # Objective 11.2 13.5 11.8 10.1 -1,066 10,852 12.6 10.8 8.0 5.9 -11 19 2013-2014 12.1 173 22.5 30 21.8 281 207.7 48 16.1 15,600 8.1 6.8 14.1 12.1 18.4 21.5 114.9 103.4 18.3 17.4 18.4 * =Ranked in 4th Quartile among all counties of NYS Suicide Mortality Rate per 100,000, Age-Adjusted (2011-2013) 18 16 14 12 10 8 6 4 2 0 Schenectady Cnty- 1 Yr 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 11.3 Schenectady Cnty- 3 Yr Avg NYS exc. NYC Prevention Agenda 6.5 15.6 5.9 9.6 10.7 4.7 11.3 6.3 16.4 12.2 10.9 10.4 8.7 8.3 8.9 7.4 11.3 11.6 12.6 6.4 7.4 7.7 8.0 8.1 7.1 9.1 9.8 9.7 5.9 5.9 5.9 5.9 5.9 11 Self-Inflicted Injury Hospitalization Rate per 10,000, Age-Adjusted (2010-2012) 14 12 10 8 6 4 2 0 Schenectady Cnty- 1 Yr 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 4.0 Schenectady Cnty- 3 Yr Avg NYS exc. NYC 5.2 8.1 8.6 10.0 12.6 13.9 9.8 11.7 12.9 6.9 8.9 10.4 12.2 12.1 11.8 11.5 12.1 5.5 5.5 5.6 5.7 6.0 6.0 6.6 7.0 11.8 6.9 Self-Inflicted Injury Hospitalization Rate per 10,000, Ages 15-19 Years (2010-2012) 30 25 20 15 10 5 0 Schenectady Cnty- 1 Yr 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 7 Schenectady Cnty- 3 Yr Avg NYS exc. NYC 11.6 14.5 11.2 24 11.1 12.4 16.6 19.5 9.9 11.1 10.2 9.8 9.8 23.2 21.9 22.9 22.4 28.2 23 22.6 22.4 24.5 10.7 10.7 11.8 12.3 12.1 12 Drug-Related Hospitalization Rate per 10,000, Age-Adjusted (2010-2012) 30 25 20 15 10 5 0 Schenectady Cnty- 1 Yr 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 18.7 21.0 22.6 21.2 20.1 20.2 27.2 25.3 21.4 18.7 Schenectady Cnty- 3 Yr Avg NYS exc. NYC 20.8 21.6 21.3 20.5 22.5 24.2 24.6 21.8 19.6 20.3 20.5 21.2 20.8 21.3 22.5 21.7 21.3 21.6 Newborn Drug-Related Discharge Rate per 10,000 Newborn Discharges (2010-2012) 300 250 200 150 100 50 0 Schenectady Cnty- 1 Yr Schenectady Cnty- 3 Yr Avg NYS exc. NYC 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 79.1 106.9 97.3 48.6 90.5 115.2 178.4 187.6 188.9 245.9 94.5 84 78.6 84.5 129.2 161.4 185 207.7 58.5 56.3 56.1 60.6 64.1 71.9 75.9 87.8 105.8 116.7 13 Adolescent Pregnancy Indicator Adolescent pregnancy rate per 1,000 females- ages 15-17 yrs Number: Adolescent live birth rate per 1,000 females- ages 15-17 yrs Number: Year(s) For rate/% For # 2013 2010-2012 2012 Schenectady Capital NYS, except PA 2017 County # County Region NYC Objective change needed Rate/% Rate/% Rate/% Rate/% to reach PA # Objective 30.5 15.7 13.0 25.6 -15 91 14.1 9.3 8.5 51 PA, Prevention Agenda =Ranked in 4th Quartile among all counties of NYS Adolescent Pregnancy Rate per 1,000 Females, Ages 15-17 Years (2013) 45 40 35 30 25 20 15 10 5 0 Schenectady Cnty- 1 Yr Schenectady Cnty- 3 Yr Avg NYS exc. NYC 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 38.9 42.2 35.7 37.4 39.6 32.2 32.9 34.0 27.6 31.3 30.5 38.9 38.4 37.6 36.5 34.9 33.1 31.5 31.0 29.8 24.9 23.5 23.3 24.3 23.6 22.1 20.6 18.4 15.8 14.8 13.0 14 Adolescent Live Birth Rate per 1,000 Females, Ages 15-17 Years (2010-2012) 25 20 15 10 5 0 Schenectady Cnty- 1 Yr 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 19.3 Schenectady Cnty- 3 Yr Avg NYS exc. NYC 12 18.1 14.4 12.7 14.6 13.2 11.9 14.2 11.6 17.2 15 13.9 13.5 13.2 13.1 12.6 14.1 11.3 10.9 10.6 10.9 10.8 10.2 9.2 8.3 16.6 8.1 15