Schenectady County Health Profile

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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
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