200 Zipcodes 42 Neighborhoods 5 Boroughs New York City Your Community Your Health New York City Department of Health and Mental Hygiene

Community Health Profiles What: Reports detailing the health of 42 New York City communities Why: By knowing what’s happening in communities, we can address the specific health challenges each faces When: Released in 2006 to update a 2003 release of an earlier version How: Available in print and on-line

How do we Know? Data sources NYC Community Health Survey (NYC DOHMH) Vital Statistics (NYC DOHMH) –Births –Deaths Hospitalizations (NYSDOH SPARCS) Surveillance (NYC DOHMH) –HIV/AIDS –Lead poisoning U.S. Census (NYC Dept. of City Planning)

Central Harlem (CH) Including Morningside Heights How do we define a neighborhood? Zip codes:

Today we’ll cover… Community at a Glance Health Highlight The Big Picture Take Care New York How can you use this data?

Age Poverty Education Foreign-born Race/Ethnicity Community at a Glance

Central Harlem at a Glance: Poverty

CH residents aged 25 and older have completed fewer years of college education than those living in Manhattan and NYC overall 20% of CH adults ages 25+ have a college degree –An additional 11% have completed up to 8 th grade 67% of the residents in Central Harlem and 19% Hispanic Central Harlem at a Glance: Education and Race/Ethnicity

NEIGHBORHOOD HEALTH HIGHLIGHT: Sexually Transmitted Infections

The Big Picture: How Residents Rate Their Own Health

The Big Picture: Death Rates

1. Have a regular doctor 2. Be tobacco-free 3. Keep your heart healthy 4. Know your HIV status 5. Get help for depression 6. Live free of alcohol & drugs 7. Get checked for cancer 8. Get the immunizations you need 9. Make your home safe & healthy 10. Have a healthy baby Policy for a Healthier New York City

TCNY 1 Have a Primary Care Provider Why it’s important: People with a regular primary care provider are more likely to get screened for cancer, be treated for heart disease, and receive vaccinations Source: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, 2004.

TCNY 1 Have a Regular Doctor or Health Care Provider 22% of CH adults are uninsured or went without insurance during the past year

TCNY 2 Be Tobacco Free Why it’s important: Smoking deaths are preventable! Smoking kills about 10,000 New Yorkers and costs about $4.7 billion each year. Smoking during pregnancy increases the risk of low birth weight babies. Source: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, 2004.

TCNY 2 Be Tobacco-Free

TCNY 3 Keep Your Heart Healthy Why it’s important: Cardiovascular disease is a leading cause of death among New Yorkers. Healthier levels of blood pressure and cholesterol are associated with reduced risks of heart attacks and strokes. Eating a healthy diet, exercising regularly, and maintaining a healthy weight are all help to keep blood pressure and cholesterol at healthy levels. Source: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, 2004.

TCNY 3 Keep Your Heart Healthy

Adults in CH are more likely to be obese and have diabetes compared to both Manhattan and NYC adults overall More than 25% of CH adults are obese 12% of CH adults have diabetes, 5% higher than Manhattan 48% of CH adults report not exercising at all

TCNY 4 Know Your HIV Status Why it’s important: NYC has the highest AIDS case rate of any city in the country – more cases than San Francisco, Los Angeles, Miami, and Washington, DC, combined. HIV is preventable! Effective medical treatment of people infected with HIV can reduce the risk of transmission and improve and prolong their lives. Source: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, 2004.

TCNY 4 Know Your HIV Status

Death rate due to HIV in CH has dropped by 75% in the past decade 3,195 people per 100,000 are living with HIV/AIDS in CH Only 37% of CH adults reported using a condom

TCNY 5 Get Help For Depression Why it’s important: Emotional distress is strongly correlated with poor health outcomes. Medication and/or counseling can provide relief to many people who have depression. Source: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, 2004.

TCNY 5 Get Help For Depression

TCNY 6 Live Free of Dependence on Drugs & Alcohol Source: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, Why it’s important: More than 1,500 New Yorkers die from alcohol-related causes each year. Alcoholism and opiate addiction can be effectively treated.

TCNY 6 Live Free of Alcohol and Drugs

TCNY 7 Get Checked for Cancer Source: American Cancer Society (website) Why it’s important: Cancer is the 2 nd leading cause of death in NYC. Early detection and treatment of breast, cervical, and colon cancers can minimize suffering and prevent death from these cancers.

TCNY 7 Get Checked for Cancer

TCNY 8 Get The Immunizations You Need Why it’s important: Immunizations are not just for kids People 65 and older who are immunized against flu experience –20% fewer heart and stroke related hospitalizations, –30% fewer flu & pneumonia hospitalizations, and –50% lower risk of death from all causes during flu season. Source: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, 2004.

TCNY 8 Get the Immunizations You Need CH flu immunization rates among older adults fall short of the 80% TCNY target by one third and is also lower than the Manhattan rate.

TCNY 9 Make Your Home Safe and Healthy Why it’s important: Domestic violence accounted for 30% of all homicides among New York City women in Elevated blood lead levels in children can impair health, learning, and behavior. Source: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, 2004.

TCNY 9 Make Your Home Safe and Healthy

TCNY 10 Have a Healthy Baby Why it’s important: Planning pregnancy can help to ensure healthy birth outcomes. Early prenatal care can reduce the risk of having a low birth weight baby (< 5 lbs, 8oz), and low birth weight babies are more likely to have serious health problems and long-term disabilities. Sources: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, March of Dimes (website)

TCNY 10 Have a Healthy Baby

How can this Data be used? Understanding health issues Prioritizing health issues Putting numbers to impressions Grant-writing Education and Advocacy

Other Sources of Data Web-based, interactive query system Ask & answer your own questions about the health of New Yorkers

Other Sources of Data Publications –Sign up at nyc.gov/health (click on “Sign up for Health s”) to receive press releases with links to these publications when they are released

nyc.gov/health – “My Community’s Health

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