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COMMUNITY HEALTH ASSESSMENT STUDY DISCUSSION PAPER # 3 Socio demographic Description of Socio-demographic Description of the Service Area & Overview of Health Status Indicators REPORT TO COMMUNITY HEALTH ASSESSMENT STEERING COMMITTEE STEERING COMMITTEE December 3, 2010 1

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COMMUNITY HEALTH ASSESSMENT STUDY

DISCUSSION PAPER # 3

Socio demographic Description ofSocio-demographic Description of the Service Area &

Overview of Health Status Indicators

REPORT TO

COMMUNITY HEALTH ASSESSMENT STEERING COMMITTEESTEERING COMMITTEE

December 3, 2010

11

Community Health Assessment Study

• Discussion Paper #1 - Define Service Area• Discussion Paper #2 - St. Vincent’s CMC Medical Center

– The Origin of its Patients– A Review of Communities Receiving Care

• Discussion Paper #3– Sociodemographic Description of the Service Area– Overview of Health Status Indicators

• Discussion Paper # 4 - Service Area Utilization & Projected Need for Health Services• Discussion Paper #5 - Survey of Community Health and Access to Health Services• Discussion Paper # 6 - Identification of Service Area Health Needs/Service Gaps• Discussion Paper #7 - Recommendations for Community Health

2

Service AreaService Area

Primary Service Area (PSA)

Legend

Secondary Service Area‐I (SSA‐I)

Former SVCMC site

Secondary Service Area‐II (SSA‐II)

3

Community Board border

Former SVCMC site

Table 1 - Estimated Population and Projection, 2010 - 2015

Current populations estimates and projections for the Service Area have been p p p jdeveloped by Thomson Reuters, a data analysis service.

Preliminary information for the 2010 Census will be released in 2011

Estimated 2010 Population Estimated 2015 Population

# %Primary Service Area (PSA) 129,421 33.5%Secondary Service Area (SSA I) 82 787 21 5%

Estimated PopulationArea # % Absolute Percent

Primary Service Area (PSA) 131,470 33.3% 2,049 1.6%Secondary Service Area (SSA I) 84 457 21 4% 1 670 2 0%

Estimated PopulationArea

Growth

Secondary Service Area (SSA-I) 82,787 21.5%Secondary Service Area (SSA-II) 173,584 45.0%

Total Service Area 385,792 100.0%

Secondary Service Area (SSA-I) 84,457 21.4% 1,670 2.0%Secondary Service Area (SSA-II) 178,398 45.2% 4,814 2.8%

Total Service Area 394,325 100.0% 8,533 2.2%

44Source: Thomson Reuters; accessed November 5, 2010PSA = Primary Service Area; SSA-I = Secondary Service Area-I; SSA-II = Secondary Service Area-II

Table 2 - Service Area Population by Age Group, 2008

SSA-I is generally younger.SSA I is generally younger. The PSA has a relatively higher proportion of adults 35-64.

The SSA-II contains the highest percentage of persons over 65 years of ageand the frail elderly 85+.

65 74 75 84 850-17 18-34 35-64 65+PSA (n = 138,763) 10.0% 29.0% 49.6% 11.4%SSA-I (n = 88,216) 11.9% 32.2% 45.1% 10.8%SSA-II (n = 175,576) 17.7% 24.5% 42.1% 15.7%Manhattan (n = 1,634,795) 17.0% 26.5% 43.6% 12.9%

65-74 75-84 85+6.2% 3.7% 1.6%5.7% 3.6% 1.5%7.3% 5.8% 2.6%6.7% 4.2% 2.0%

55Source: NYC Department of Health and Mental Hygiene (NYC DHMH) Epidemiology Services (http://www.nyc.gov/html/doh/html/episrv/popest_methods.shtml); accessed November 5, 2010PSA = Primary Service Area; SSA-I = Secondary Service Area-I; SSA-II = Secondary Service Area-II

Table 3 - Age Distribution (by Census Tract), 2000

Population of Ages 65 and UnderPercent Total

93.9 to 10093.9 to 10091.4 to 93.989.8 to 91.487.9 to 89.8

Age DistributionPercent Total

Population of Ages 65 and Under (87.9%)Population of Ages 65 and Over (12.1%)

Population of Ages 65 and OverPercent Total

24.9 to 43.518.3 to 24.915.4 to 18.312 1 to 15 4

66Source: 2000 Decennial Census, Summary File-3 (SF3), Table P8 (Sex and Age) Accessed November 8, 2010

12.1 to 15.4

Table 4 - Population Growth by Age Group, Service Area and Manhattan, 2010-2015

Overall Service Area growth is modest, 2.2% but the population over 65 years is projected to increase by 12%.

Service Area+2.2% Growth (+8,533 residents)

Manhattan+2.5% Growth (+40,429 residents)

10.4%

0.2%

11.8%19.2%

4.0% 6.2%9.8%

1 3%

11.7%17.5%

5.2% 6.0%

-14.0% -14.6% -13.6% -13.8%

-1.3%

+12.1% +11.8%

0-17 18-24 25-34 35-44 45-64 65-74 75-84 85+ 0-17 18-24 25-34 35-44 45-64 65-74 75-84 85+

0-17 18-24 25-34 35-44 45-64 65-74 75-84 85+ 0-17 18-24 25-34 35-44 45-64 65-74 75-84 85+

77

Source: Thomson Reuters; accessed November 5, 2010PSA = Primary Service Area; SSA-I = Secondary Service Area-I; SSA-II = Secondary Service Area-II

Table 5 - Population Growth by Age Group, PSA and SSA, 2010-2015

Primary Service Area Secondary Service Area

11 2%

24.3%

10 9% 12.2%16.6%

Primary Service Area+1.6% Growth (+2,049 residents)

Secondary Service Area+2.5% Growth (+6,484 residents)

9.0%

-7.8%

1.0%

11.2%5.8% 6.1%

10.9%

-15.8%-11.0%

-0.4%

3.3% 6.3%

+15 9% +10 4%-20.8%

0-17 18-24 25-34 35-44 45-64 65-74 75-84 85+

0-17 18-24 25-34 35-44 45-64 65-74 75-84 85+

0-17 18-24 25-34 35-44 45-64 65-74 75-84 85+

Secondary Service Area-I Secondary Service Area-II

+15.9% +10.4%

11.2% 12.7% 13.9%6 9%9 7% 11.2%

22.4%

0-17 18-24 25-34 35-44 45-64 65-74 75-84 85+0 17 18 24 25 34 35 44 45 64 65 74 75 84 85Secondary Service Area I

+2.0% Growth (+1,670 residents)Secondary Service Area II

+2.8% Growth (+4,814 residents)

-8.3%

0.1% 2.0%6.9%9.7%

-4.2%

-16.0%

-1.4%

7.1% 4.2%

+15 3% +8 5%

88

-23.3%0-17 18-24 25-34 35-44 45-64 65-74 75-84 85+ 0-17 18-24 25-34 35-44 45-64 65-74 75-84 85+

+15.3% +8.5%

Source: Thomson Reuters; accessed November 5, 2010PSA = Primary Service Area; SSA-I = Secondary Service Area-I; SSA-II = Secondary Service Area-II

Relationship Between Utilization and AgingService Area 

/ /Inpatient Discharges ‐Med/Surg Utilization/1,000 Population

5X

472.83X

288.32X

175.3

288.3

23.3 25.090.1

99

0-17 18-44 45-64 65-74 75-84 85+

Source: SPARCSver06.21.2010adj/ja

Table 6 - Population by Race & Ethnicity, 2008

Racial/Ethnic composition varies by service area segment. p y g

The PSA/SSA-I residents are primarily White while the SSA-II population is primarily Asian and contains a relatively higher proportion of Hispanic and Black residents.

Asian Black Hispanic Multirace White OtherPSA( 138 763)PSA (n = 138,763) 10.5% 3.6% 9.6% 1.7% 74.4% 0.2%SSA-I (n = 88,216) 25.1% 3.6% 5.7% 1.7% 63.7% 0.2%SSA-II (n = 175,576) 37.6% 6.0% 23.9% 1.6% 30.7% 0.2%Manhattan (n = 1,634,795) 11.0% 13.4% 24.5% 1.4% 49.5% 0.2%

1010

Source: NYC Department of Health and Mental Hygiene (NYC DHMH) Epidemiology Services (http://www.nyc.gov/html/doh/html/episrv/popest_methods.shtml); accessed November 5, 2010PSA = Primary Service Area; SSA-I = Secondary Service Area-I; SSA-II = Secondary Service Area-II

Table 7 - Race and Ethnicity (by Census Tract), 2000

Asian (avg = 9 3%) Black (avg = 15 2%) Hispanic (avg = 27 2%) White (avg = 45 8%)Asian (avg = 9.3%) Black (avg = 15.2%) Hispanic (avg = 27.2%) White (avg = 45.8%)

Asian PopulationPercent Total

> 45%20% to 45%

Black PopulationPercent Total

> 80%60% to 80%

Hispanic PopulationPercent Total

> 70%50% to 70%

White PopulationPercent Total

> 90%80% to 90%

1111

20% to 45%10% to 20%< 10%

60% to 80%25% to 60%< 25%

Source: 2000 Decennial Census, Summary File-3 (SF3), Table P7 (Hispanic or Latino by Race); accessed November 8, 2010

50% to 70%20% to 50%< 20%

80% to 90%60% to 80%< 60%

Table 8 - Race and Ethnicity by Census Tract, 2000 (below 58th Street)

Asian Black Hispanic White

> 50%

LegendRace and Ethnicity

1212

25% to 50%

10% to 25%

< 10%Source: 2000 Decennial Census, Summary File-3 (SF3), Table P7 (Hispanic or Latino by Race); accessed November 8, 2010

Table 9 - Population Growth by Race & Ethnicity, Service Area and Manhattan 2010-2015

Overall, the Service Area population is projected to experience double digit decreases in Hispanic and Black populations, double digit increases in Multirace and

single digit increases in Other categories.

Service Area+2.2% Growth

Manhattan+2.5% Growth

9.8%15.4%

6.1% 5.7%7.4% 6.2% 4.4% 4.8%

-6.9% -4.0%

-13.9% -16.1%

Asian Black Hispanic Multirace Other White Asian Black Hispanic Multirace Other White

Asian Black Hispanic Multirace Other WhiteAsian Black Hispanic Multirace Other White

Asian Black Hispanic Multirace Other White Asian Black Hispanic Multirace Other White

1313

pp

Source: Thomson Reuters; accessed November 5, 2010PSA = Primary Service Area; SSA-I = Secondary Service Area-I; SSA-II = Secondary Service Area-II

Table 10 - Population Growth by Race & Ethnicity, PSA & SSA, 2010-2015

P i S i A S d S i A

7.5% 7.2% 5.6% 6.0%7.0% 4.0% 1 2% 3.5%

Primary Service Area+1.6% Growth

Secondary Service Area+2.5% Growth

-12.8% -14.8%-17.2%

-21.9%

1.2%

Asian Black Hispanic Multirace Other WhiteAsian Black Hispanic Multirace Other White

Secondary Service Area-I Secondary Service Area-II

Asian Black Hispanic Multirace Other White Asian Black Hispanic Multirace Other White

2.4% 3.1%7.6%

4.0%9.0% 9.1%

3.6%7.7%

Secondary Service Area I+2.0% Growth

Secondary Service Area II+2.8% Growth

-17.8% -20.3%

-11.6% -14.2%

1414

Asian Black Hispanic Multirace Other White Asian Black Hispanic Multirace Other White

Source: Thomson Reuters; accessed November 5, 2010PSA = Primary Service Area; SSA-I = Secondary Service Area-I; SSA-II = Secondary Service Area-II

1515

1616

Table 11 - Languages Spoken at Home, Service Area and Manhattan, 2000

Top three languages spoken at home other than English are Chinese, Spanish or p g g p g , pFrench (including Patois/Cajun).

Service Area Manhattan

Language SpokenTotal

Manhattan% Total

ManhattanSpeak only English 849,603 58.1%

Language SpokenTotal

Service Area% Total

Service AreaSpeak only English 197,237 56.7% p y g ,

Spanish or Spanish Creole 364,141 24.9%Chinese 75,876 5.2%French (incl. Patois, Cajun) 32,200 2.2%German 13,053 0.9%

p y g ,Chinese 59,698 17.2%Spanish or Spanish Creole 51,919 14.9%French (incl. Patois, Cajun) 6,229 1.8%Italian 4,181 1.2%

Japanese 12,515 0.9%Italian 12,319 0.8%Hebrew 10,077 0.7%Russian 9,144 0.6%K 7 816 0 5%

Japanese 3,401 1.0%German 2,528 0.7%Other Indic languages 1,991 0.6%Hebrew 1,783 0.5%O h Sl i l 1 4 0 % Korean 7,816 0.5%

Total 1,462,015 100.0%Other Slavic languages 1,754 0.5%Total 347,867 100.0%

1717Source: 2000 Decennial Census, Summary File-3 (SF3), Table PCT10 (Age by Language Spoken at Home for the Population of 5+ Years); accessed November 8, 2010

Table 12 - Languages Spoken at Home, PSA and SSA, 2000

Primary Service Area Secondary Service Area

Language SpokenTotal SSA

% Total SSA

Speak only English 109,452 47.9%Chinese 54,530 23.9%

Languages SpokenTotal PSA

% Total PSA

Speak only English 87,785 73.6%Spanish or Spanish Creole 11,590 9.7%

Primary Service Area Secondary Service Area

Spanish or Spanish Creole 40,329 17.6%French (incl. Patois, Cajun) 3,072 1.3%Italian 2,023 0.9%Japanese 1,958 0.9%Other Indic languages 1,838 0.8%Other Slavic languages 1,571 0.7%

Chinese 5,168 4.3%French (incl. Patois, Cajun) 3,157 2.6%Italian 2,158 1.8%Japanese 1,443 1.2%German 1,040 0.9%Korean 673 0.6%

German 1,488 0.7%Tagalog 1,427 0.6%Total 228,521 100.0%

Hebrew 658 0.6%Portuguese or Portuguese Creole 615 0.5%Total 119,346 100.0%

Secondary Service Area-I Secondary Service Area-II

Language SpokenTotal

SSA-II% Total SSA-II

Speak only English 60,619 39.9%Chinese 43,023 28.3%Spanish or Spanish Creole 35,495 23.3%

Language SpokenTotal SSA-I

% Total SSA-I

Speak only English 48,833 63.9%Chinese 11,507 15.1%Spanish or Spanish Creole 4,834 6.3% Spanish or Spanish Creole 35,495 23.3%

Other Indic languages 1,321 0.9%French (incl. Patois, Cajun) 1,266 0.8%Yiddish 981 0.6%Italian 940 0.6%Polish 906 0.6%Tagalog 902 0.6%

p p ,French (incl. Patois, Cajun) 1,806 2.4%Japanese 1,208 1.6%Italian 1,083 1.4%Other Slavic languages 879 1.1%German 717 0.9%Tagalog 525 0.7%

1818

g gGerman 771 0.5%Total 152,066 100.0%

g gKorean 520 0.7%Total 76,455 100.0%

Source: 2000 Decennial Census, Summary File-3 (SF3), Table PCT10 (Age by Language Spoken at Home for the Population of 5+ Years); accessed November 8, 2010

Table 13 - Median Household Income, 2000 – 2015

The Median Household Income of the PSA is significantly higher thang y gthe rest of the Service Area, a trend which is projected to continue.

2000 2010 2015PSA $61 557 $87 932 $99 986PSA $61,557 $87,932 $99,986 SSA-I $50,654 $73,245 $83,446 SSA-II $31,406 $48,751 $55,795 Manhattan $49 963 $80 592 $78 156

1919

Manhattan $49,963 $80,592 $78,156

Source: Thomson Reuters; accessed November 23, 2010

Table 14 - Poverty Level, 2000

The Service Area contains pockets of povertyp p ywhich are primarily located in the SSA-II.

Income Above Poverty LevelPercent Total

94.7 to 10092.2 to 94.788.5 to 92.280.2 to 88.5

Poverty StatusPercent Total

Income Below Poverty Level (20%)Income Above Poverty Level (80%)

Income Below Poverty LevelPercent Total

43.9 to 67.735.8 to 43.929.6 to 35.820 8 to 29 6

2020

20.8 to 29.6

Source: 2000 Decennial Census, Summary File-3 (SF3), Table P87 (Poverty Status in 1999)Accessed November 8, 2010

Table 15 - Education Attainment, 2000

Educational attainment varies within the Service Area. The PSA contains the highest proportion of residents with

some college, a Bachelor’s degree or higher.

PSA (n = 101,833)

SSA-I (n = 58,663)

SSA-II (n = 113,392)

Manhattan (n = 1,125,987)

Less than high school graduate 8.6% 15.7% 39.3% 21.3%High school graduate 9.4% 9.6% 16.5% 13.5%Some college or associate degree 14.9% 13.8% 15.0% 15.8%Bachelor's degree or higher 67.1% 60.9% 29.2% 49.4%

2121Source: 2000 Decennial Census, Summary File-3 (SF3), Table QTP20 (Education Attainment by Sex); accessed November 23, 2010

Table 16 - Types of Disability (by Census Tract), 2000

Service Area residents may experience one or more disabilities which may have implications on both the type of health care services required

Sensory (avg = 8.1%)

implications on both the type of health care services required and access to those services.

Physical (avg = 20.9%) Mental (avg = 13.3%)

Population with Sensory DisabilityPercent Total

> 11%9% to 11%7% to 9%

7%

Population with Physical DisabilityPercent Total

40% to 50%30% to 40%25% to 30%

Population with Mental DisabilityPercent Total

> 20%15% to 20%10% to 15%

10%

2222

Source: 2000 Decennial Census, Summary File-3 (SF3), Table P41 (Types of Disability for the Civilian Noninstitutionalized Population 5 Years and Over); accessed November 8, 2010- Sensory disability – blindness, deafness or a severe vision or hearing impairment- Physical disability – a condition that substantially limits one or more basic physical activities, such as walking, climbing stairs, reaching, lifting or carrying- Mental disability – learning, remembering, or concentrating

< 7% < 25% < 10%

HEALTHa state of complete physical, mental and social   

well‐being and not merely the absence of disease  or infirmity.

HEALTH CAREHEALTH CAREthe prevention, treatment, and management of 

ill d h i f l d h i lillness and the preservation of mental and physical well‐being through the services offered by the 

di l d lli d h l h f i

232323

medical and allied health professions

Determinants Determinants of of Health StatusHealth Status

242424

Death Rate Trend for the City of New York Death Rate Trend for the City of New York 18001800‐‐20082008

2525

Leading Causes of Death in NYC 2007Leading Causes of Death in NYC, 2007

• Heart diseaseC• Cancer

• Influenza and Pneumonia• Stroke• Diabetes• Chronic lower respiratory  disease• HIV• HIV• Accidents • Accidental Drug Poisoning /Substance Abuse

• Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data• Vital Statistics Death/Mortality Data (2000-2007) (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/VS/index.html) accessed 11/24/2010

2626

• Tobacco• Obesity Actual y• Alcohol Consumption• Microbial Agents (bacteria, virus)

Causes f D th• Toxic Agents (pollutants)

• Secondhand SmokeM t V hi l C h

of Death

• Motor Vehicle Crashes• Firearms• Sexual BehaviorSexual Behavior• Illegal Drug Use

Source: Centers for Disease Control and Prevention

2727

Table 16 Service Area Mortality Rate, 2007Age adjusted per 100,000 Population

Chelsea/Clinton Greenwich Village/SoHo Lower East Side Lower

Manhattan Manhattan NYC

2002 670.0 580.0 680.0 620.0 700.0 780.02007 640.0 540.0 630.0 770.0 630.0 710.0

2828

Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive DataVital Statistics Death/Mortality Data (2000-2007) (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/VS/index.html)

Table 17 -Top 10 Leading Cause of Mortality, 2007Age adjusted per 100,000 Population

Heart Disease and Cancer continue to be theleading  causes of death in the Service Area.

Chelsea Greenwich Lower Lower Top 10 Leading Causes of Mortality Clinton Village/SoHo East Side Manhattan Manhattan NYC

Diseases of Heart 203.6 165.7 183.2 200.1 201.7 282.7

Malignant Neoplasms 177.8 162.9 173.3 236.5 172.7 175.4

Influenza (Flu) and Pneumonia 29 2 26 3 31 8 * 30 9 29 6Influenza (Flu) and Pneumonia 29.2 26.3 31.8 30.9 29.6

Cerebrovascular Disease 23.9 19.8 20.9 * 21.1 20.7

Diabetes Mellitus 13.8 * 13.0 * 20.0 20.7

Chronic Lower Respiratory Diseases 20.4 * 17.5 * 17.4 18.9

Human Immunodeficiency Virus Disease 23.6 * 23.3 * 16.2 14.4

Accidents Except Drug Posioning 15.4 15.2 12.2 * 10.5 13.2Mental and Behavioral Disorders due to Accidental Poisoning and Other Psychoactive Substance Use 14.2 * 12.8 * 8.8 10.7

Essential Hypertension and Renal Diseases 12.8 * 13.3 * 12.9 10.5

All Other/Censored Causes 105.8 93.9 133.7 126.5 117.2 114.3

2929

Notes:*Age-adjusted rates based on small numbers are unreliable and therefore suppressed.“All Censored Causes” include deaths recorded to protect confidentiality.RED denotes higher than ManhattanSource: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive DataVital Statistics Death/Mortality Data (2000-2007) (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/VS/index.html)

Redefining the Service Area for Health Status Survey Responses(United Hospital Fund Neighborhoods) Chelsea/Greenwich Village

(UHF 306 & 308)• 1 0 0 0 1

1 0 0 1 1• 1 0 0 1 1• 1 0 0 1 2• 1 0 0 1 3• 1 0 0 1 4• 10018• 10019• 10020

10036

Washington Heights-InwoodUpper West Side

• 10036

g g(UHF 301)

Upper West Side(UHF 304)

Upper East Side(UHF 305)

East Harlem(UHF 303)

GP-MH(UHF 307)

Chelsea-Clinton(UHF 306) CH-MH

(UHF 302)GV-SoHo(UHF 308)LM

(UHF 310)(UHF 305) (UHF 303)(UHF 307)US-LES

(UHF 309)

Union Square/Lower Manhattan

Primary Service Area

Legend

10 Neighborhoods (UHF10)ABC

7 Neighborhoods (UHF7)ABC

Upper East Side/Gramercy(UHF 305 & 307)• 10010• 10016• 10017• 10021• 10022

• 10065• 10075• 10128• 10162• 10165

Union Square/Lower Manhattan(UHF 309 & 210)• 1 0 0 0 2• 1 0 0 0 3• 10004• 10005• 10006• 10007

3030

Primary Service Area

Secondary Service Area ‐ I

Secondary Service Area ‐ II

• 10022• 10028• 10044

• 10165• 10170• 10171

• 10007• 1 0 0 0 9• 1 0 0 3 8• 10048• 10280• 10282

Source: United Hospital Fund

G E N E R A L P H Y S I C A L A N D M E N T A L H E A L T HS e l f - r e p o r t e d h e a l t h s t a t u sQ: Would you say that in general your health is Excellent, Very Good, Good, Fair or Poor?

19 5% 28 7% 32 4% 19 5%

Excellent Very Good Good Fair or Poor

New York City

26.8%

19.5%

33.4%

28.7%

26.9%

32.4%

12.9%

19.5%

Manhattan

New York City

22.5% 32.2% 26.9% 18.3%Union Square/Lower Manhattan

30.0% 35.2% 25.9% 9.1%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

Chelsea/Greenwich Village

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

3131

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

G E N E R A L P H Y S I C A L A N D M E N T A L H E A L T HM e n t a l h e a l t h c o u n s e l i n g o r t r e a t m e n tQ: In the last 12 months, have you received any counseling or taken a prescription medication for a mental health problem? Results restricted to adults with non-specific psychological distress.

33 4% 66 6%

Yes No

New York City

38.1%

33.4%

61.9%

66.6%

Manhattan

New York City

31.7% 68.3%Union Square/Lower Manhattan * *

53.2% 46.8%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

Chelsea/Greenwich Village * *

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

3232

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

D E P R E S S I O NH i s t o r y o f d e p r e s s i o nQ: Have you ever been told by a doctor, nurse or other health professional that you have depression

13 1% 86 9%

Yes No

New York City

17.1%

13.1%

82.9%

86.9%

Manhattan

New York City

12.4% 87.6%Union Square/Lower Manhattan

21.5% 78.5%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

Chelsea/Greenwich Village

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

3333

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

W E I G H T , E X E R C I S E , N U T R I T I O NO v e r w e i g h t a n d O b e s i t yBody Mass Index (BMI) is calculated based on respondents’ self-reported weight and height. A BMI between 25.0 and 29.9 is classified as overweight, and a BMI of 30 or greater is classified as obese.

43 3% 33 5% 23 3%

Under/normal weight Overweight but not obese Obese

New York City

54.1%

43.3%

29.4%

33.5%

16.5%

23.3%

Manhattan

New York City

57.6% 26.6% 15.8%Union Square/Lower Manhattan

63.4% 28.2% 8.4%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

Chelsea/Greenwich Village

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

3434

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

W E I G H T , E X E R C I S E , N U T R I T I O NP h y s i c a l a c t i v i t yQ: During the past 30 days, other than your regular job, did you participate in any physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise?

New York City 72 7% 27 3%

Yes No

Manhattan

New York City

80.9%

72.7%

19.1%

27.3%

Union Square/Lower Manhattan 79.0% 21.0%

Chelsea/Greenwich Village 88.3% 11.7%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

3535

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

C H R O N I C C O N D I T I O N SH i g h b l o o d p r e s s u r e e v e rQ: Have you ever been told by a doctor, nurse or other health professional that you have hypertension, also called high blood pressure?

New York City 28 3% 71 7%

Yes No

Manhattan

New York City

22.8%

28.3%

77.2%

71.7%

Union Square/Lower Manhattan 21.2% 78.8%

Chelsea/Greenwich Village 20.0% 80.0%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

3636

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

C H R O N I C C O N D I T I O N SB l o o d p r e s s u r e m e d i c a t i o n e v e rQ: Have you ever been told by a doctor, nurse or other health professional that you need to take medication for your high blood pressure?

New York City 71 1% 28 9%

Yes No

Manhattan

New York City

69.4%

71.1%

30.6%

28.9%

Union Square/Lower Manhattan 70.8% 29.2%* *

Chelsea/Greenwich Village 86.2% 13.8%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

* *

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

3737

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

C H R O N I C C O N D I T I O N SD i a b e t e s e v e rQ: Have you ever been told by a doctor, nurse or other health professional that you have diabetes?

New York City 9 7%90 3%

No Yes

Manhattan

New York City

7.7%

9.7%

92.3%

90.3%

Union Square/Lower Manhattan 11.9%88.1%

Chelsea/Greenwich Village 3.0%97.7%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

3838

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

C I G A R E T T E S M O K I N G A N D A L C O H O LS m o k i n g s t a t u sSmoking status is defined as being a current or former smoker or having smoked less than 100 cigarettes ever (never smoker).

New York City 62 2% 15 8%22 0%

Never Smoke Former Smoker Current Smoker

Manhattan

New York City

60.8%

62.2%

14.7%

15.8%

24.6%

22.0%

Union Square/Lower Manhattan 56.3% 18.3%25.4%

Chelsea/Greenwich Village 53.6% 15.7%30.7%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

3939

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

C I G A R E T T E S M O K I N G A N D A L C O H O LH e a v y d r i n k i n gHeavy drinking is defined as an average of more than 2 drinks per day for men and more than 1 drink per day for women.

New York City 4 6%95 4%

No Yes

Manhattan

New York City

7.6%

4.6%

92.4%

95.4%

Union Square/Lower Manhattan 4.4%95.6%

Chelsea/Greenwich Village 11.5%88.5%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

4040

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

C I G A R E T T E S M O K I N G A N D A L C O H O LB i n g e d r i n k i n gBinge drinking is defined as five or more drinks on one occasion in the past 30 days.

New York City 14 6%85 4%

No Yes

Manhattan

New York City

19.3%

14.6%

80.7%

85.4%

Union Square/Lower Manhattan 14.6%85.4%

Chelsea/Greenwich Village 31.3%68.7%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

4141

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

A S T H M AA s t h m a e v e rQ: Have you ever been told by a doctor, nurse or other health professional that you had asthma?

New York City 11 5%88 5%

No Yes

Manhattan

New York City

11.6%

11.5%

88.4%

88.5%

Union Square/Lower Manhattan 10.7%89.3%

Chelsea/Greenwich Village 11.4%88.6%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

4242

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

A S T H M AE D v i s i t s d u e t o a s t h m aQ: During the past 12 months, how many times did you visit an emergency room or urgent care center because of asthma?Results restricted to adults who reported having an asthma attack during the past 12 months.

49 3% 50 7%

1 (No. of Visits) 2 (No. of Visits)

New York City

72.2%

49.3%

27.8%

50.7%

Manhattan

New York City

85.2% 14.8%Union Square/Lower Manhattan **

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

Chelsea/Greenwich Village #

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

4343

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

H I V T E S T I N G , S E X U A L O R I E N TAT I O N A N D B E H AV I O RH I V T e s t i n gRespondents were asked if they had an HIV test in the past 12 months, or ever.

Tested in the past 12 months Tested more than 12 months ago

39 0% 35 7% %90.0%

100.0%

Tested more than 12 months ago Never tested

30.4% 35.7%32.6% 29.1%

39.0% 40.0% 35.7% 39.9%

40.0%

50.0%

60.0%

70.0%

80.0%

30.3% 24.3% 31.7% 31.0%

0.0%

10.0%

20.0%

30.0%

Ch l /G i h U i S /L M h tt N Y k Cit

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

Chelsea/Greenwich Village

Union Square/Lower Manhattan

Manhattan New York City

4444

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

H I V T E S T I N G , S E X U A L O R I E N TAT I O N A N D B E H AV I O RS e x u a l I d e n t i t y ( u n a d j u s t e d f o r a g e )Now I'll read a list of terms people sometimes use to describe themselves -- heterosexual or straight; homosexual, gay or lesbian; and bisexual. As I read the list again, please stop me when I get to the term that best describes how you think of yourself.

Heterosexual Gay or lesbian Bisexual

11.9% 5.3% 5.3% 2.9%0.5% 0.9% 1.0%

90.0%

100.0%

Heterosexual Gay or lesbian Bisexual

**

*

87.6% 91.9% 93.7% 96.1%40.0%

50.0%

60.0%

70.0%

80.0%

0.0%

10.0%

20.0%

30.0%

Ch l /G i h U i S /L M h tt N Y k Cit

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

Chelsea/Greenwich Village

Union Square/Lower Manhattan

Manhattan New York City

4545

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

C A N C E R S C R E E N I N GC o l o n c a n c e r ( t i m e l y c o l o n o s c o p y )Timely colon cancer screening is defined as having had a colonoscopy in the past 10 years. Results restricted to adults aged 50 and older.

66 0% 34 0%

Yes No

New York City

67.8%

66.0%

32.2%

34.0%

Manhattan

New York City

55.5% 44.5%Union Square/Lower Manhattan

71.0% 29.0%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

Chelsea/Greenwich Village

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

4646

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

C A N C E R S C R E E N I N GB r e a s t c a n c e r ( t i m e l y m a m m o g r a p h y )Timely breast cancer screening is defined as having had a mammography in the past 2 years. Results restricted to women aged 40 and older.

New York City 78 5% 21 5%

Yes No

Manhattan

New York City

78.4%

78.5%

21.6%

21.5%

Union Square/Lower Manhattan 81.9% 18.1%

Chelsea/Greenwich Village 80.4% 19.6%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

4747

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

C A N C E R S C R E E N I N GC e r v i c a l c a n c e r ( t i m e l y P a p t e s t )Timely cervical cancer screening is defined as having had a pap test in the past 3 years. Results restricted to women.

New York City 81 6% 18 4%

Yes No

Manhattan

New York City

81.3%

81.6%

18.7%

18.4%

Union Square/Lower Manhattan 68.9% 31.1%

Chelsea/Greenwich Village 76.5% 23.5%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

4848

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

V A C C I N A T I O NF l u v a c c i n a t i o nQ: During the past 12 months, have you had a flu shot in your arm or a flu vaccine that was sprayed in your nose? Results restricted to adults aged 50 and older.

New York City 43 1% 56 9%

Yes No

Manhattan

New York City

50.6%

43.1%

49.4%

56.9%

Union Square/Lower Manhattan 47.1% 52.9%

Chelsea/Greenwich Village 58.4% 41.6%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

4949

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

A C C E S S T O H E A L T H C A R EH e a l t h i n s u r a n c eRespondents were asked if they were personally covered by a number of different types of health insurance, or if they had no health insurance at all.

Medicaid 5.1%

Others 6.4%

Uninsured 6.6%

Others 10.8%

Uninsured 10.9%

Chelsea/Greenwich Village Union Square/Lower Manhattan

**

*

Private 68.0%

Medicare 13.9%

Private 47.9%

Medicaid 15.3%

Medicare 15.2%

Uninsured 11.2%

Uninsured 16 2%

Manhattan New York City

Private 56 8%

Medicaid 12.1%

Others 6.6%

%

Private 49.8%Medicaid

15 2%

Others 4.6%

16.2%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

56.8%

Medicare 13.4% Medicare

14.1%

15.2%

5050

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

A C C E S S T O H E A L T H C A R EI n s u r e d a l l y e a rRespondents were asked about their current insurance status and, if currently insured, whether they had been without insurance during the past year.

Continuously insured in the past 12 months Insured now but uninsured in the past 12 months

5.7%7.4% 7.3%

6.8% 10.9% 11.2% 16.3%90.0%

100.0%

Insured now but uninsured in the past 12 months Uninsured

87.5% 81.8% 81.5% 74 8%

%8.9%

40.0%

50.0%

60.0%

70.0%

80.0%

74.8%

0.0%

10.0%

20.0%

30.0%

Ch l /G i h U i S /L M h tt N Y k Cit

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

Chelsea/Greenwich Village

Union Square/Lower Manhattan

Manhattan New York City

5151

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

A C C E S S T O H E A L T H C A R EP e r s o n a l d o c t o rDo you have one person (or more than one person) you think as your personal doctor health care provider?

81 9% 18 1%

Yes No

New York City

83.2%

81.9%

16.8%

18.1%

Manhattan

New York City

73.6% 26.4%Union Square/Lower Manhattan

85.4% 14.6%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

Chelsea/Greenwich Village

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

5252

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

A C C E S S T O H E A L T H C A R ED i d n o t g e t n e e d e d m e d i c a l c a r eWas there a time in the past 12 months when you needed medical care but did NOT get it? Medical care includes doctor visits, tests, procedures, prescription medication and hospitalizations.

88 5% 11 5%

No Yes

New York City

90.6%

88.5%

9.4%

11.5%

Manhattan

New York City

93.0% 7.0%* *Union Square/Lower Manhattan

92.6% 7.4%

0 0% 20 0% 40 0% 60 0% 80 0% 100 0%

* *Chelsea/Greenwich Village

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

5353

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

Adjusted Rate Ambulatory Case-Sensitive Condition Admissions, 2006

Conditions for which early intervention and the availability of primary care can prevent

PSA SSA-I SSA-II SSAService

AreaRest of

ManhattanConditions

Conditions for which early intervention and the availability of primary care can prevent hospital admissions, complications or more severe disease

Dehydration 126.0 103.0 128.0 121.0 122.0 121.0

Pneumonia 345.0 326.0 503.0 452.0 418.0 391.0

UTI 129.0 116.0 238.0 202.0 179.0 174.0

Acu

te

HTN 37.0 39.0 75.0 65.0 55.0 70.0

CHF 250.0 240.0 442.0 386.0 343.0 442.0

Angina 30 0 13 0 41 0 32 0 32 0 34 0Circ

ulat

ory

Angina 30.0 13.0 41.0 32.0 32.0 34.0

DM Short-Term 25.0 26.0 58.0 47.0 40.0 60.0

DM Long-Term 98.0 96.0 233.0 191.0 159.0 201.0

U t ll d DM 17 0 25 0 42 0 34 0 48 0

Cab

etes

Uncontrolled DM 17.0 25.0 51.0 42.0 34.0 48.0

LE Amputation 27.0 12.0 53.0 40.0 36.0 44.0

COPD 106.0 102.0 159.0 143.0 131.0 125.0

Di

Res

p

5454

Asthma 119.0 110.0 290.0 232.0 193.0 232.0R

Source: NYS DOH (https://apps.nyhealth.gov/statistics/prevention/quality_indicators/start.map); accessed November 5, 2010RED denotes higher than Rest of Manhattan

Overall Ambulatory Case-Sensitive Condition Admissions as % Expected by Race & Ethnicity

Asian Black Hispanic White Others a ac spa c e O ePSA (71%) 23% 333% 126% 48% 59%SSA-I (65%) 35% 288% 141% 49% 50%SSA-II (122%) 53% 275% 177% 70% 166%

5555

( )Manhattan (103%) 37% 212% 146% 51% 96%

Source: NYS DOH (https://apps.nyhealth.gov/statistics/prevention/quality_indicators/start.map); accessed November 5, 2010

Acute Ambulatory Case-Sensitive Condition Admissions as % Expected by Race & Ethnicity

Asian Black Hispanic White OtherPSA (90%) 40% 127% 71%SSA-I (82%) 46% 66%SSA-II (131%) 79% 233% 160% 87%

N/A N/AN/AN/A

N/AN/A

5656

Manhattan (104%) 55% 168% 127% 68% 109%

Source: NYS DOH (https://apps.nyhealth.gov/statistics/prevention/quality_indicators/start.map); accessed November 5, 2010

Circulatory Ambulatory Case-Sensitive Condition Admissions as % Expected by Race & Ethnicity

Asian Black Hispanic White OtherPSA (58%) 4% 106% 37%N/A N/APSA (58%) 4% 106% 37%SSA-I (53%) 23% 41%SSA-II (101%) 29% 280% 158% 57%Manhattan (93%) 22% 212% 135% 44% 72%

N/A

N/A

N/A N/A

N/A

5757

Manhattan (93%) 22% 212% 135% 44% 72%

Source: NYS DOH (https://apps.nyhealth.gov/statistics/prevention/quality_indicators/start.map); accessed November 5, 2010

Diabetes Ambulatory Case-Sensitive Condition Admissions as % Expected by Race & Ethnicity

Asian Black Hispanic White OtherPSA (59%) 39% 141% 28%SSA-I (57%) 37% 32%SSA-II (140%) 48% 349% 225% 69%

N/A

N/A

N/A

N/A

N/AN/A

5858

Manhattan (117%) 33% 310% 184% 36% 106%

Source: NYS DOH (https://apps.nyhealth.gov/statistics/prevention/quality_indicators/start.map); accessed November 5, 2010

Respiratory Ambulatory Case-Sensitive Condition Admissions as % Expected by Race & Ethnicity

Asian Black Hispanic White OtherPSA (64%) 7% 142% 39% N/AN/APSA (64%) 7% 142% 39%SSA-I (61%) 29% 44%SSA-II (127%) 42% 286% 200% 59%M h tt (103%) 29% 219% 162% 41% 99%

N/A

N/A

N/A

N/A

N/AN/A

5959

Manhattan (103%) 29% 219% 162% 41% 99%

Source: NYS DOH (https://apps.nyhealth.gov/statistics/prevention/quality_indicators/start.map); accessed November 5, 2010

Top Reasons for ED Visits (Treat & Release), 2009

ED Utilization (Rank)

1 2 3 4 5Oth U Vi l Otiti S fi i l I j

Age Category

ED Utilization (Rank)

0-17Other Upper

Respiratory InfectionViral

Infection AsthmaOtitis Media

Superficial Injury Contusion

Other Upper Superficial Injury Alcohol Abdominal Viral 18-34 Respiratory Infection Contusion Related Pain Infection

35-64Alcohol Related Spondylosis

Superficial Injury Contusion

Connective tissue disease

Other Upper Respiratory Infection35 64 Related Spondylosis Contusion tissue disease Respiratory Infection

65+Superficial Injury

Contusion Spondylosis Other connective tissue disease

Other injuries and conditions

Abdominal Pain

6060Source: NYS DOH SPARCS (Statewide Planning and Research Cooperative System)

Top 25 Reasons for Pediatric ED Visits (Treat & Release), 2009Use Rate per 10,000 population

Pediatric ED Visits (Treat & Release)Absolute No.

Pediatric ED Visits (Treat & Release)Use Rate per 10,000 population

Primary Service Area (PSA)

Secondary Service Area‐I (SSA‐I)

Secondary Service Area‐II (SSA‐II)

Service Area Rate

p , p p

PSA Rate

SSA‐I Rate

SSA‐II Rate

Open wounds of head; neck; and trunk

Other injuries and conditions due to external causes

Otitis media and related conditions

Superficial injury; contusion

head; neck; and trunk

Asthma

Otitis media and related conditions

2 500 2 000 1 500 1 000 500 0 0 0 100 0 200 0 300 0 400 0 500 0 600 0

Other upper respiratory infections

Viral infection

6161

-2,500 -2,000 -1,500 -1,000 -500 0 0.0 100.0 200.0 300.0 400.0 500.0 600.0

Source: NYS DOH SPARCS (Statewide Planning and Research Cooperative System)

Top 25 Reasons for Pediatric ED Visits (Treat & Release), 2009Use Rate per 10,000 population

Oth ki di d

Nausea and vomiting Other aftercare

Urinary tract infections

Other ear and sense organ disorders

Primary Service Area (PSA)

Pediatric ED Visits (Treat & Release)Absolute No.

Secondary Service Area‐I (SSA‐I)

Service Area Rate

Pediatric ED Visits (Treat & Release)Use Rate per 10,000 population

PSA Rate

SSA I Rate

Other connective tissue disease

Pneumonia

Open wounds of extremities Other gastrointestinal disorders

Other lower respiratory disease

Other skin disorders Secondary Service Area‐II (SSA‐II) SSA‐I Rate

SSA‐II Rate

Abdominal pain

Inflammation; infection of eye

Noninfectious gastroenteritis Fracture of upper limb

Skin and subcutaneous tissue infections

Open wounds of head; neck; and trunk Other injuries and conditions due to external causes

Allergic reactions Fever of unknown origin

Sprains and strains

Other upper respiratory infections Viral infection

Asthma

Otitis media and related conditions

Superficial injury; contusion

6262

0.0 100.0 200.0 300.0 400.0 500.0 600.0-2,500 -2,000 -1,500 -1,000 -500 0

Source: NYS DOH SPARCS (Statewide Planning and Research Cooperative System)

Top 25 Reasons for Adults ED Visits (Treat & Release), 2009Use Rate per 10,000 population

Adults ED Visits (Treat & Release)Absolute No.

Adults ED Visits (Treat & Release)Use Rate per 10,000 population

Primary Service Area (PSA)

Secondary Service Area‐I (SSA‐I)

Secondary Service Area‐II (SSA‐II)

Service Area Rate

p , p p

PSA Rate

SSA‐I Rate

SSA‐II Rate

Other Injuries and conditions due to external causes

Open wounds of extremities

Abdominal pain

Other connective tissue disease

Sprains and strains

Superficial injury; contusion

Spondylosisintervetebral disc disorders

Abdominal pain

0 0 50 0 100 0 150 0 200 0

Alcohol-related disorders

Other upper respiratory infections

5 000 4 000 3 000 2 000 1 000 0

6363

0.0 50.0 100.0 150.0 200.0-5,000 -4,000 -3,000 -2,000 -1,000 0

Source: NYS DOH SPARCS (Statewide Planning and Research Cooperative System)

Top 25 Reasons for Adults ED Visits (Treat & Release), 2009Use Rate per 10,000 population

Residual codes; unclassifiedSubstance-related disorders

Other gastrointestinal disorders

Mood disorders

Primary Service Area (PSA)

Adults ED Visits (Treat & Release)Absolute No.

Secondary Service Area‐I (SSA‐I)

Service Area Rate

Adults ED Visits (Treat & Release)Use Rate per 10,000 population

PSA Rate

SSA I Rate

Headache; including migraine

Open wounds of head; neck; and trunkOther lower respiratory disease

Other aftercare

Allergic reactions

Fracture of upper limbSecondary Service Area‐II (SSA‐II) SSA‐I Rate

SSA‐II Rate

Skin and subcutaneous tissue infections

Asthma

Nonspecific chest painOther non-traumatic joint disorders

Urinary tract infections

; g g

Abd i l i

Other connective tissue disease

Sprains and strains

Other Injuries and conditions due to external causes

Open wounds of extremities

Viral infection

Alcohol-related disordersOther upper respiratory infections

Superficial injury; contusion

Spondylosis; intervetebral disc disorders

Abdominal pain

6464

-5,000 -4,000 -3,000 -2,000 -1,000 0 0.0 50.0 100.0 150.0 200.0

Source: NYS DOH SPARCS (Statewide Planning and Research Cooperative System)

Top 25 Reasons for Ages 18-34 ED Visits (Treat & Release), 2009Use Rate per 10,000 population

Ages 18‐34 ED Visits (Treat & Release)Absolute No.

Ages 18‐34 ED Visits (Treat & Release)Use Rate per 10,000 population

Primary Service Area (PSA)

Secondary Service Area‐I (SSA‐I)

Secondary Service Area‐II (SSA‐II)

Service Area Rate

p , p p

PSA Rate

SSA‐I Rate

SSA‐II Rate

Open wounds of extremities

Sprains and strains

Abdominal pain

Viral infection

Alcohol-related disorders

Abdominal pain

2 000 1 500 1 000 500 0 0 0 50 0 100 0 150 0 200 0 250 0 300 0

Other upper respiratory infections

Superficial Injury; contusion

6565

-2,000 -1,500 -1,000 -500 0 0.0 50.0 100.0 150.0 200.0 250.0 300.0

Source: NYS DOH SPARCS (Statewide Planning and Research Cooperative System)

Top 25 Reasons for Ages 18-34 ED Visits (Treat & Release), 2009Use Rate per 10,000 population

Primary Service Area (PSA)

Ages 18‐34 ED Visits (Treat & Release)Absolute No.

Secondary Service Area‐I (SSA‐I)

Service Area Rate

Ages 18‐34 ED Visits (Treat & Release)Use Rate per 10,000 population

PSA Rate

SSA I Rate

Disorders of teeth and jawMood disorders

Other lower respiratory disease

Noninfectious gastroenteritis

Secondary Service Area‐II (SSA‐II) SSA‐I Rate

SSA‐II Rate

Nonspecific chest pain

Early or threatened laborAllergic reactions

Other non-traumatic joint disorders

Other aftercare

Anxiety disorders

Spondylosis; intervertebral disc disorders

Other connective tissue disease

Headache; including migraineAsthma

Open wounds of head; neck; and trunk

p p

Vi l i f ti

Open wounds of extremities

Sprains and strains

Urinary tract infections

Other injuries and conditions due to external causes

Skin and subcutaneous tissue infections

Other upper respiratory infectionsSuperficial Injury; contusion

Alcohol-related disorders

Abdominal pain

Viral infection

6666

0.0 50.0 100.0 150.0 200.0 250.0 300.0-2,000 -1,500 -1,000 -500 0

Source: NYS DOH SPARCS (Statewide Planning and Research Cooperative System)

Top 25 Reasons for Ages 35-64 ED Visits (Treat & Release), 2009Use Rate per 10,000 population

Ages 35‐64 ED Visits (Treat & Release)Absolute No.

Ages 35‐64 ED Visits (Treat & Release)Use Rate per 10,000 population

Primary Service Area (PSA)

Secondary Service Area‐I (SSA‐I)

Secondary Service Area‐II (SSA‐II)

Service Area Rate

p , p p

PSA Rate

SSA‐I Rate

SSA‐II Rate

Abdominal pain

Sprains and strains

Other connective tissue disease

Other upper respiratory infections

Spondylosis

Superficial injury; contusion

Other connective tissue disease

4 000 3 000 2 000 1 000 0 0 0 50 0 100 0 150 0 200 0 250 0

Alcohol-related disorders

p yintervetebral disc disorders

6767

-4,000 -3,000 -2,000 -1,000 0 0.0 50.0 100.0 150.0 200.0 250.0

Source: NYS DOH SPARCS (Statewide Planning and Research Cooperative System)

Top 25 Reasons for Ages 35-64 ED Visits (Treat & Release), 2009Use Rate per 10,000 population

Primary Service Area (PSA)

Ages 35‐64 ED Visits (Treat & Release)Absolute No.

Secondary Service Area‐I (SSA‐I)

Service Area Rate

Ages 35‐64 ED Visits (Treat & Release)Use Rate per 10,000 population

PSA Rate

SSA I Rate

Urinary tract infectionsAllergic reactions

Anxiety disorders

Conditions associated with dizziness or vertigo

Secondary Service Area‐II (SSA‐II) SSA‐I Rate

SSA‐II Rate

Other lower respiratory disease

Residual codes; unclassifiedViral infection

Open wounds of head; neck/ and trunk

Other aftercare

Mood disorders

Skin and subcutaneous tissue infections

Other injuries and conditions due to external causes

Open wounds of extremitiesHeadache; including migraine

Substance-related disorders

p y

Oth i t i f ti

Abdominal pain

Sprains and strains

Asthma

Nonspecific chest pain

Other non-traumatic joint disorders

Alcohol-related disordersSpondylosis; intervetebral disc disorders

Superficial injury; contusion

Other connective tissue disease

Other upper respiratory infections

6868

0.0 50.0 100.0 150.0 200.0 250.0-4,000 -3,000 -2,000 -1,000 0

Source: NYS DOH SPARCS (Statewide Planning and Research Cooperative System)

Top 25 Reasons for Ages 65 and Over ED Visits (Treat & Release), 2009Use Rate per 10,000 population

Ages 65+ ED Visits (Treat & Release)Absolute No.

Ages 65+ ED Visits (Treat & Release)Use Rate per 10,000 population

Primary Service Area (PSA)

Secondary Service Area‐I (SSA‐I)

Secondary Service Area‐II (SSA‐II)

Service Area Rate

p , p p

PSA Rate

SSA‐I Rate

SSA‐II Rate

Other non-traumatic joint disorders

Urinary tract infections

Other injuries and conditions due to

Abdominal pain

Spondylosis

Other connective tissue disease

external causes

600 500 400 300 200 100 0 0 0 50 0 100 0 150 0 200 0

Superficial injury; contusion

p yintervetebral disc disorders

6969Source: NYS DOH SPARCS (Statewide Planning and Research Cooperative System)

-600 -500 -400 -300 -200 -100 0 0.0 50.0 100.0 150.0 200.0

Top 25 Reasons for Ages 65 and Over ED Visits (Treat & Release), 2009Use Rate per 10,000 population

O d f t iti

Other aftercareResidual codes; unclassififed

Essential hypertension

Other upper respiratory disease

Primary Service Area (PSA)

Ages 65+ ED Visits (Treat & Release)Absolute No.

Secondary Service Area‐I (SSA‐I)

Service Area Rate

Ages 65+ ED Visits (Treat & Release)Use Rate per 10,000 population

PSA Rate

SSA I Rate

Alcohol related disorders

Asthma

Sprains and strains

Other upper respiratory infections

Headache; including migraineOpen wounds of extremitiesSecondary Service Area‐II (SSA‐II) SSA‐I Rate

SSA‐II Rate

Other lower respiratory disease

Non-specific chest pain

Open wounds of head; neck; and trunk

Fracture of upper limb

Skin and subcutaneous tissue infections

Other non-traumatic joint disorders

Urinary tract infections

Genitourinary symptoms and ill-defined conditions

Conditions associated with dizziness or vertigo

Other gastrointestinal disorders

Superficial injury; contusion

Spondylosis; intervertebral disc disorders

Other connective tissue disease

Other injuries and conditions due to external causes

Abdominal pain

7070

-600 -500 -400 -300 -200 -100 0 0.0 50.0 100.0 150.0 200.0

Source: NYS DOH SPARCS (Statewide Planning and Research Cooperative System)

Appendix SummaryAppendix Summary

7171

G E N E R A L P H Y S I C A L A N D M E N T A L H E A L T HS U M M A R Y

M RChelsea

G i h VillUnion Square

L M h tt M h tt N Y k CitMeasure Response Greenwich Village Lower Manhattan Manhattan New York City

Self-reported health status Fair or Poor 9.1% 18.3% 12.9% 19.5%

Non-specific psychological distress No # # 95.8% 95.0%

A C C E S S TO H E A LT H C A R ES U M M A R Y

Mental health counseling or treatment Yes 53.2%* 31.7%* 38.1% 33.4%

S U M M A R Y

Measure ResponseChelsea

Greenwich VillageUnion Square

Lower Manhattan Manhattan New York City

Health insuranceMedicaidUninsured

5.1%6.6%*

15.3%10.9%*

12.1%11.2%

15.2%16.2%

Personal doctor No 14.6% 26.4% 16.8% 18.1%

Insured all yearInsured but not past 12 monthUninsured

5.7%*6.8%*

7.4%10.9%*

7.3%11.2%

8.9%16.3%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

Did not get needed medical care Yes 7.4%* 7.0%* 9.4% 11.5%

7272

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

W E I G H T, E X E R C I S E , N U T R I T I O NS U M M A R Y

Measure ResponseChelsea

Greenwich VillageUnion Square

Lower Manhattan Manhattan New York City

Overweight and ObesityOverweight but not obeseObese

28.2%8.4%

26.6%15.8%

29.4%16.5%

33.5%23.3%

Physical activity No 11.7% 21.0% 19.1% 27.3%

C H R O N I C C O N D I T I O N SS U M M A R Y

Measure ResponseChelsea

Greenwich VillageUnion Square

Lower Manhattan Manhattan New York City

S U M M A R Y

High blood pressure ever No 80.0% 78.8% 77.2% 71.7%

Blood pressure medication ever No 13.8%* 29.2%* 30.6% 28.9%

Diabetes ever Yes 3.0% 11.9% 7.7% 9.7%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

7373

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

C I G A R E T T E S M O K I N G A N D A L C O H O LS U M M A R Y

Measure ResponseChelsea

Greenwich VillageUnion Square

Lower Manhattan Manhattan New York City

Smoking statusFormer SmokerCurrent Smoker

30.7%15.7%

25.4%18.3%

24.6%14.7%

22.0%15.8%

Heavy drinking Yes 11 5% 4 4% 7 6% 4 6%Heavy drinking Yes 11.5% 4.4% 7.6% 4.6%

Binge drinking Yes 31.3% 14.6% 19.3% 14.6%

A S T H M AS U M M A R Y

Measure ResponseChelsea

Greenwich VillageUnion Square

Lower Manhattan Manhattan New York City

S U M M A R Y

Asthma ever Yes 11.4% 10.7% 11.6% 11.5%

ED visits due to asthma1 visit2 visits

##

85.2%*14.8%*

72.2%27.8%

49.3%50.7%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

7474

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)

C A N C E R S C R E E N I N GS U M M A R Y

Measure ResponseChelsea

Greenwich VillageUnion Square

Lower Manhattan Manhattan New York City

Colon cancer No 29.0% 44.5% 32.2% 34.0%

Breast cancer No 19 6% 18 1% 21 6% 21 5%Breast cancer No 19.6% 18.1% 21.6% 21.5%

Cervical cancer No 23.5% 31.1% 18.7% 18.4%

Notes:Total estimated populations may not equal the sum of subgroup estimated populations due to rounding or missing data.Population estimates are NOT age adjusted but all percents are age adjusted

7575

Population estimates are NOT age adjusted, but all percents are age adjusted.Confidence Intervals (CIs) are a measure of estimate precision: the wider the CI, the more impressive the estimate.*Estimate should be interpreted with caution. Estimate’s Relative Standard Error (a measure of estimate precision) is greater than 30% or the sample size is less than 50, making the estimate potentially unreliable.#Data are suppressed due to imprecise and unreliable estimates.Source: New York City Department of Health and Mental Hygiene Epidemiology Services – EpiQuery NYC Interactive Data, 2009 Community Health Survey (https://a816-healthpsi.nyc.gov/epiquery/EpiQuery/CHS/index2009.html)