eBRFSS 2013-2014 Health Indicators: Western NY General Description .......................................................................................................................................................................................................... 2 Improve Health Status and Reduce Health Disparities ..................................................................................................................................................... 3 Percentage of adults who did not receive medical care because of cost .................................................................................................................... 3 Percentage of adults who have a regular health care provider ................................................................................................................................... 4 Percentage of adults who had a dentist visit within the past year .............................................................................................................................. 5 Percentage of adults living with a disability................................................................................................................................................................. 6 Percentage of adults aged 18-64 years with healthcare coverage .............................................................................................................................. 7 Percentage of adults aged 18-64 years who saw a doctor for a routine checkup within the last year ....................................................................... 8 Percentage of adults experiencing housing insecurity in the past 12 months............................................................................................................. 9 Percentage of adults experiencing food insecurity in the past 12 months ................................................................................................................ 10 Percentage of adults with poor self-reported health ................................................................................................................................................ 11 Percentage of adults who report 14 or more days of poor physical health............................................................................................................... 12 Prevent Chronic Diseases ............................................................................................................................................................................................... 13 Percentage of adults who are obese ......................................................................................................................................................................... 13 Percentage of adults with an annual household income less than $25,000 who are obese ..................................................................................... 14 Percentage of adults living with a disability who are obese ...................................................................................................................................... 15 Percentage of adults overweight or obese ................................................................................................................................................................ 16 Percentage of adults who participated in leisure time physical activity in the past 30 days ..................................................................................... 17 Percentage of adults who consume one or more sugary drinks daily ....................................................................................................................... 18 Percentage of adults who consume fast-food three or more times per week .......................................................................................................... 19 Percentage of adults with physician-diagnosed diabetes .......................................................................................................................................... 20 Percentage of adults who are current smokers ......................................................................................................................................................... 21 Percentage of adults with annual household income less than $25,000 who are current smokers ......................................................................... 22 Percentage of adults aged 18-24 years who are current smokers............................................................................................................................. 23 Percentage of women aged 50-74 years receiving breast cancer screening based on recent guidelines ................................................................. 24 Percentage of women aged 50-74 years with annual household income of less than $25,000 receiving breast cancer screening based on recent guidelines ................................................................................................................................................................................................................... 25 Percentage of women aged 21-65 years receiving cervical cancer screening based on recent guidelines ............................................................... 26 Percentage of women aged 21-65 years with annual household income of less than $25,000 receiving cervical cancer screening based on recent guidelines ................................................................................................................................................................................................................... 27 Percentage of adults aged 50-75 years receiving colorectal cancer screening based on recent guidelines .............................................................. 28 Percentage of adults aged 50-75 years with annual household income less than $25,000 receiving colorectal cancer screening based on recent guidelines ................................................................................................................................................................................................................... 29 Percentage of adults who had a test for high blood sugar or diabetes within the past three years ......................................................................... 30 Percentage of adults with physician-diagnosed prediabetes .................................................................................................................................... 31 Percentage of adults with physician-diagnosed high blood pressure ........................................................................................................................ 32 Percentage of adults with diagnosed high blood pressure taking high blood pressure medication ......................................................................... 33 Percentage of adults with current asthma ................................................................................................................................................................ 34 Percent of adults with cholesterol checked ............................................................................................................................................................... 35 Percentage of adults 18 years and older with elevated cholesterol .......................................................................................................................... 36 Percentage of adults who have taken a course or class to learn how to manage their chronic disease or condition .............................................. 37 Percentage of adults with arthritis ............................................................................................................................................................................ 38 Promote a Healthy and Safe Environment ..................................................................................................................................................................... 39 Percentage of adults who consider their neighborhood suitable for walking and physical activity .......................................................................... 39 Percentage of adults aged 65+ years with at least one fall in the past 12 months.................................................................................................... 40 Among adults aged 65+ years with at least one fall in the past 12 months, percent that resulted in injury............................................................. 41 Prevent HIV/STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections .............................................................................................. 42 Percentage of adults aged 47-68 years reporting ever tested for Hepatitis C (HCV) ................................................................................................. 42 Percentage of adults aged 18+ years with flu immunization in the past year ........................................................................................................... 43 Percentage of adults aged 65+ years with flu immunization in the past year ........................................................................................................... 44 Percentage of adults aged 65+ years with pneumococcal immunization .................................................................................................................. 45 Promote Healthy Women, Infants, and Children ........................................................................................................................................................... 46 Percentage of women aged 18-44 years who had dental visit within the last year .................................................................................................. 46 Women aged 18-44 years who saw a doctor for a routine checkup within the last year .......................................................................................... 47 Percentage of women aged 18-64 years with health care coverage ......................................................................................................................... 48 Percentage of women aged 18-44 years whose health care provider discussed planning a healthy pregnancy ...................................................... 49 Promote Mental Health and Prevention Substance Abuse ............................................................................................................................................ 50 Percentage of adults with poor mental health for 14 or more days in the last month ............................................................................................. 50 Percentage of adult binge drinking during the past month ....................................................................................................................................... 51 Percentage of cigarette smoking among adults who report poor mental health ...................................................................................................... 52 1|Page General Description The New York State Expanded Behavioral Risk Factor Surveillance System 2013-2014 (2014 eBRFSS) was design to supplement the Center for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS), which is conducted annually in New York State. The purpose of the 2014 eBRFSS was to produce local information on key public health issues. Data for the project were collected from April 15, 2013 to May 10, 2014. The 2014 eBRFSS reached both households with landline telephones and households which only had cell phones. Like the annual BRFSS, New York State's 2014 eBRFSS was designed to be representative of the non-institutionalized adult household population, aged 18 years and older. Reported Health Indicators There are a total of 50 health indicators included in the report. The health indicators include 10 measures included in the New York State Department of Health’s Prevention Agenda, NYS Health Innovation Plan (SHIP), Delivery System Reform Incentive Payment (DSRIP) Program, or the NYS Community Health Indicator Reports (CHIRS). An additional 40 important health indicators are also included. The indicators are organized by the Priority Area of the Prevention Agenda and are reported statewide, by region, and by county. Data Collection Methodology, Sampling and Weighting The data collection methods for the 2014 eBRFSS aligned with the CDC’s standard annual BRFSS methods. The 2014 eBRFSS questionnaire used standard questions from the BRFSS. Survey interviews were conducted in both English and Spanish. There were 31,690 completed interviews. The sampling plan for the eBRFSS was developed to result in valid health indicator estimates for New York City (NYC) and each of the 57 counties outside NYC. The sampling approach stratified landlines by county and implemented a disproportionate stratified sampling design that accounted for both listed-households and unlisted numbers. Cell phone households were accounted for through additional strata that covered contiguous groups of counties. Data were weighted to represent the population using a methodology known as iterative proportional fitting (raking). Raking adjusted the data so that groups underrepresented in the sample were more accurately represented in the estimated rates. Raking also enabled surveys conducted by cell phone to be included in the weighting and to accurately match sample distributions of specified demographic characteristics of the population. The raking categories included in the eBRFSS were: age, gender, race/ethnicity, education, marital status, owner/renter status, telephone usage (i.e. landline and cell phone combinations), and county of residence. Limitations of Data Use: During data analysis, criteria were applied to suppress rates based on too few surveys to be reliable and to identify rates that are highly variable. Rates in which less than 10 respondents were in the numerator or less than 50 respondents were in the denominator were considered unreliable and suppressed from reporting. Rates considered to have high variability due to having confidence limits greater than ±10% are noted. 2|Page Western NY Improve Health Status and Reduce Health Disparities Percentage of adults who did not receive medical care because of cost* 20% 15% 10% 5% 0% 9.2% 13.1% 9.8% 13.6% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 111,076 9.2 7.7 10.8 1,994,210 13.1 11.2 15.3 16,858 25,019 18,404 44,281 6,309 9.8 14.6 10.7 10.2 2.5 4.9 9.8 7.7 8.2 1.5 18.5 21.3 14.7 12.5 4.1 281,654 537,866 423,154 596,074 139,733 14.1^ 19.7 17.0 11.9 5.1 7.5 14.2 12.3 9.8 3.0 25.1 26.6 23.0 14.3 8.4 88,308 12,547 7,904 2,317 8.7 13.6 13.2 5.1 7.2 8.4 7.5 2.5 10.6 21.3 22.4 10.1 959,531 335,184 465,114 234,381 10.5 15.5 18.4 16.3^ 8.7 10.0 14.5 7.3 12.7 23.4 23.0 32.6 54,343 56,733 9.3 9.1 7.0 7.5 12.3 10.9 890,677 1,103,533 12.3 13.8 9.6 11.2 15.5 16.9 9.8 8.2 11.6 13.6 11.6 15.8 * Among people needing to see a doctor in the past 12 months & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 3|Page Western NY Improve Health Status and Reduce Health Disparities Percentage of adults who have a regular health care provider 100% 90% PA goal 80% 70% 60% 50% 40% 30% 20% 10% 0% 88.1% 84.9% 87.4% 84.5% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 1,066,548 88.1 86.1 89.9 12,905,860 84.9 83.1 86.6 127,756 142,488 148,338 394,413 240,905 74.5^ 82.2 86.9 91.1 96.8 64.0 76.7 81.1 88.5 95.0 82.7 86.6 91.1 93.1 98.0 1,486,954 1,983,479 2,091,488 4,450,345 2,640,269 76.3 72.3 84.7 88.6 96.0 69.8 66.1 79.6 85.5 94.7 81.8 77.7 88.7 91.1 97.1 910,266 72,546 46,457 37,279 89.8 78.8 77.2^ 83.4^ 87.7 69.0 64.9 71.6 91.6 86.2 86.2 90.9 7,996,007 1,926,090 1,725,153 1,258,610 88.0 89.0 68.6 87.9 86.6 83.6 61.2 79.9 89.3 92.7 75.1 93.0 480,509 586,040 82.2 93.6 78.5 91.9 85.4 95.0 5,804,831 7,101,029 80.1 89.3 77.1 87.0 82.8 91.3 87.4 85.2 89.2 84.5 82.5 86.2 & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 4|Page Western NY Improve Health Status and Reduce Health Disparities Percentage of adults who had a dentist visit within the past year 80% 70% 60% 50% 40% 30% 20% 10% 0% 72.0% 69.5% 71.6% 69.3% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 815,757 72.0 69.5 74.4 9,774,786 69.5 66.9 72.0 111,937 104,276 116,739 302,588 169,803 72.2 65.3 73.5 73.5 72.1 62.3 57.4 66.6 69.9 67.5 80.3 72.5 79.5 76.8 76.3 1,100,494 1,624,123 1,687,707 3,421,923 1,743,883 62.2^ 65.1 71.9 72.6 69.8 51.0 57.7 65.2 69.3 66.0 72.2 71.8 77.8 75.7 73.4 696,981 48,534 39,253 30,989 73.0 62.2^ 69.8^ 69.9^ 70.4 51.5 56.2 54.2 75.5 71.9 80.6 82.0 6,152,109 1,309,282 1,435,933 877,462 72.4 66.6 62.9 66.5^ 70.1 57.4 55.3 52.1 74.6 74.7 70.0 78.4 385,171 430,585 70.1 73.8 66.0 70.7 74.0 76.6 4,591,800 5,182,986 67.3 71.6 63.4 68.1 71.1 74.8 71.6 68.9 74.2 69.3 66.6 71.8 & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 5|Page Western NY Improve Health Status and Reduce Health Disparities Percentage of adults living with a disability* 30% 25% 20% 15% 10% 5% 0% 25.0% 20.8% 24.0% 19.9% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 300,934 25.0 22.8 27.4 3,111,131 20.8 19.1 22.7 21,109 32,454 32,720 123,509 89,167 12.4 19.0 19.3 28.7 36.1 7.0 13.1 14.1 25.1 31.7 21.1 26.6 25.9 32.5 40.7 119,872 426,647 294,471 1,195,176 989,611 6.1 16.0 12.2 24.2 36.8 4.3 10.8 9.7 21.6 33.1 8.5 23.2 15.3 27.1 40.6 259,812 19,801 12,927 8,395 25.8 22.0 21.7^ 18.7^ 23.3 15.4 13.6 10.7 28.5 30.5 32.9 30.6 2,187,495 332,469 420,342 170,824 24.4 15.8 17.0 12.3 22.4 11.9 12.7 7.7 26.6 20.7 22.5 19.1 141,203 159,731 24.3 25.7 20.8 22.9 28.3 28.7 1,349,486 1,761,645 18.9 22.6 16.3 20.4 21.9 24.9 24.0 21.7 26.5 19.9 18.3 21.6 * Limited activities (physical, mental, or emotional problems); need of special equipment (e.g. cane, wheel chair). & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 6|Page Western NY Improve Health Status and Reduce Health Disparities Percentage of adults aged 18-64 years with healthcare coverage 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 87.2% 85.2% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 823,035 87.2 84.7 89.3 10,275,389 85.2 82.8 87.3 674,524 68,376 46,078 34,057 88.0 82.4 79.4^ 93.3 85.2 73.1 66.7 84.4 90.3 89.0 88.1 97.3 6,192,415 1,606,586 1,626,540 849,849 90.1 87.9 73.2 74.5^ 88.8 82.0 66.2 56.8 91.3 92.1 79.2 86.6 400,391 422,644 84.8 89.6 80.5 86.8 88.3 91.8 4,924,290 5,351,099 83.2 87.2 79.9 83.4 86.0 90.2 Age-adjusted+,& & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. ^ Highly variable rate (confidence interval with a half-width greater than 10). 7|Page Western NY Improve Health Status and Reduce Health Disparities Percentage of adults aged 18-64 years who saw a doctor for a routine checkup within the last year 80% 70% 60% 50% 40% 30% 20% 10% 0% 75.2% 70.9% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 713,093 75.2 72.3 77.9 8,622,736 70.9 68.1 73.5 580,918 66,769 43,398 22,009 75.4 80.1^ 75.9^ 58.8^ 72.2 70.0 63.1 38.3 78.3 87.4 85.3 76.7 4,721,851 1,477,782 1,583,308 839,795 68.7 80.8 71.1 68.4^ 65.8 73.1 63.6 53.1 71.4 86.6 77.6 80.5 332,817 380,276 70.2 80.1 65.5 76.7 74.6 83.0 3,938,722 4,684,014 65.6 76.0 61.4 72.3 69.6 79.4 Age-adjusted+,& & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. ^ Highly variable rate (confidence interval with a half-width greater than 10). 8|Page Western NY Improve Health Status and Reduce Health Disparities Percentage of adults experiencing housing insecurity in the past 12 months* 50% 40% 30% 20% 10% 0% 32.8% 43.4% 34.2% 43.7% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 362,546 32.8 30.1 35.6 5,967,540 43.4 40.8 46.1 41,076 73,260 58,390 141,359 46,422 29.1^ 46.0 37.4 35.2 19.6 20.6 37.8 30.9 31.1 15.9 39.4 54.5 44.4 39.4 23.9 487,620 1,403,277 1,180,494 2,100,265 688,870 30.7^ 57.7 50.7 44.9 27.8 21.3 50.8 43.4 41.4 23.8 42.0 64.3 57.9 48.4 32.1 275,138 44,647 22,006 20,755 29.5 53.4^ 46.5^ 47.6^ 26.8 42.9 33.0 30.8 32.4 63.5 60.5 64.9 3,030,019 1,078,432 1,268,822 590,266 36.7 55.5 57.3 44.6^ 34.3 46.2 49.7 31.2 39.2 64.3 64.6 58.9 160,510 202,036 29.9 35.5 25.8 32.0 34.3 39.1 2,630,128 3,337,412 40.1 46.5 36.1 43.0 44.2 50.0 34.2 31.4 37.1 43.7 41.0 46.5 * Worried or stressed about having enough money to pay for rent or mortgage. & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 9|Page Western NY Improve Health Status and Reduce Health Disparities Percentage of adults experiencing food insecurity in the past 12 months* 35% 30% 25% 20% 15% 10% 5% 0% 21.0% 29.0% 22.1% 29.4% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 246,116 21.0 18.7 23.5 4,211,702 29.0 26.6 31.5 38,217 51,496 38,805 90,979 25,712 23.4 30.6 23.7 21.7 10.6 16.1 22.8 18.4 18.3 8.0 32.7 39.5 29.9 25.6 13.9 339,128 1,154,171 786,490 1,464,969 405,259 17.9 44.8 33.0 30.3 15.6 13.5 37.7 26.3 26.9 12.5 23.3 52.1 40.4 33.9 19.3 181,689 29,550 18,344 16,533 18.5 34.3^ 31.8^ 36.8^ 16.2 25.4 21.1 21.0 21.1 44.3 44.9 55.9 1,998,541 765,155 1,031,787 416,220 22.9 37.2 43.4 30.4^ 20.6 29.3 36.2 20.2 25.4 45.7 50.8 42.9 113,695 132,421 20.0 22.0 16.3 19.4 24.2 24.9 1,903,904 2,307,798 27.4 30.5 23.6 27.5 31.5 33.6 22.1 19.6 24.8 29.4 27.1 31.9 * Worried or stressed about having enough money to buy nutritious meals. & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 10 | P a g e Western NY Improve Health Status and Reduce Health Disparities Percentage of adults with poor self-reported health 10% 5% 0% 4.9% 4.5% 4.6% 4.3% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent 59,362 4.9 5,973 30,602 17,350 # # 3.5 7.1 7.0 Rate type Statewide Lower 95% limit 3.9 Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 6.2 680,314 4.5 3.7 5.4 2.0 5.1 4.8 6.0 9.6 10.2 20,778 38,067 58,460 300,529 248,637 1.0 1.4 2.4 6.1 9.1 0.5 0.8 1.5 4.5 6.9 2.3 2.5 3.9 8.1 12.0 49,277 5,176 4.9 5.6 # # 3.8 2.6 6.3 11.7 365,138 58,105 213,536 43,535 4.0 2.7 8.4 3.0 3.5 1.6 5.3 1.4 4.7 4.7 13.2 6.4 27,901 31,461 4.8 5.0 3.3 3.7 6.9 6.8 298,899 381,415 4.1 4.8 3.1 3.9 5.5 6.0 4.6 3.6 5.8 4.3 3.6 5.1 & Percent is age adjusted to the 2000 United States Population. # Rates with <10 in the numerator or <50 in the denominator are suppressed. 11 | P a g e Western NY Improve Health Status and Reduce Health Disparities Percentage of adults who report 14 or more days of poor physical health* 20% 15% 10% 5% 0% 13.5% 11.8% 13.0% 11.3% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 159,607 13.5 11.8 15.3 1,717,941 11.8 10.5 13.1 9,020 13,051 21,720 75,885 38,971 5.3 7.7 12.9 17.9 16.3 2.7 4.2 8.6 15.0 12.9 10.2 13.4 18.8 21.4 20.3 59,108 184,980 176,691 763,670 491,091 3.1 7.0 7.2 15.8 19.1 1.9 4.8 5.2 13.5 16.1 5.1 10.0 9.9 18.5 22.5 131,797 16,150 5,447 6,214 13.3 17.8 9.6 14.1^ 11.4 11.6 4.9 7.2 15.3 26.3 17.8 25.8 1,043,432 188,315 372,059 114,135 11.8 9.3 16.0 8.1 10.7 6.3 11.5 4.7 13.0 13.5 21.9 13.7 63,069 96,538 11.0 15.8 8.7 13.4 13.7 18.5 722,008 995,933 10.3 13.0 8.7 11.3 12.3 14.9 13.0 11.3 15.0 11.3 10.1 12.5 * Out of the past 30 days. & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 12 | P a g e Western NY Prevent Chronic Diseases Percentage of adults who are obese* 35% 30% 25% PA goal 20% 15% 10% 5% 0% 30.2% 24.9% 31.1% 24.6% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 344,412 30.2 27.7 32.8 3,527,077 24.9 23.0 26.9 28,877 46,414 61,451 146,722 60,875 17.2 28.9 38.4 36.2 25.7 11.7 21.7 31.3 32.3 21.5 24.7 37.5 46.1 40.2 30.3 318,556 509,101 573,976 1,452,755 615,010 17.8 20.8 24.7 30.5 23.4 11.7 16.8 20.0 27.5 20.1 26.0 25.4 30.1 33.7 27.0 272,632 40,228 20,797 10,754 28.4 46.7^ 37.4^ 28.3^ 25.7 36.9 25.4 16.6 31.2 56.8 51.1 44.0 2,139,878 638,079 622,984 126,136 25.0 30.7 28.0 9.6 23.2 24.2 21.8 6.3 26.9 38.1 35.1 14.4 178,617 165,795 31.1 29.2 27.3 26.1 35.2 32.5 1,782,686 1,744,390 25.3 24.5 22.5 22.0 28.3 27.1 31.1 28.5 33.9 24.6 22.7 26.6 * Obesity defined as a Body Mass Index (BMI) >=30. BMI is calculated based on weight and height. & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 13 | P a g e Western NY Prevent Chronic Diseases Percentage of adults with an annual household income less than $25,000 who are obese* 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 35.5% 28.7% 39.8% 28.5% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 104,583 35.5 30.9 40.3 1,029,079 28.7 24.7 33.0 8,384 16,598 19,177 38,181 22,243 18.0^ 35.7^ 61.3^ 43.0 27.3 8.9 24.1 48.2 35.8 20.7 33.0 49.2 73.0 50.5 35.1 88,578 177,054 165,333 386,736 190,291 21.3^ 26.6^ 28.8^ 34.8 24.4 10.0 17.0 19.5 28.0 18.8 39.7 39.0 40.3 42.1 31.1 74,570 15,662 33.0 38.9^ # # 28.0 26.9 38.4 52.4 500,787 165,021 287,948 75,322 30.3 25.3^ 30.1^ 23.1^ 25.6 16.7 21.1 12.4 35.4 36.3 41.0 39.0 44,600 59,983 31.5 39.1 24.9 33.3 39.0 45.2 386,764 642,314 23.8 32.7 18.1 27.6 30.5 38.3 39.8 35.2 44.6 28.5 24.3 33.0 * Obesity defined as a Body Mass Index (BMI) >=30. BMI is calculated based on weight and height. & Percent is age adjusted to the 2000 United States Population. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 14 | P a g e Western NY Prevent Chronic Diseases Percentage of adults living with a disability who are obese* 60% 50% 40% 30% 20% 10% 0% 44.6% 36.9% 46.0% 35.4% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent 128,816 44.6 14,398 18,864 59,485 30,693 # 45.5^ 60.6^ 50.7 35.4 Rate type Statewide Lower 95% limit 39.4 Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 49.8 1,093,091 36.9 32.7 41.3 26.9 43.0 43.2 28.3 65.4 75.9 58.2 43.1 18,440 122,752 109,843 535,031 283,502 16.5^ 31.0^ 39.7^ 45.9 30.3 9.8 16.7 30.4 39.5 25.2 26.5 50.1 49.8 52.5 36.1 107,458 43.1 # # # 37.5 48.8 698,173 188,077 170,166 36,674 33.3 58.3^ 46.0^ 21.7^ 29.0 44.8 30.4 12.1 37.8 70.6 62.5 35.9 61,413 67,402 43.8 45.2 35.7 39.0 52.3 51.7 430,886 662,205 32.6 40.4 26.2 35.1 39.7 45.8 46.0 39.6 52.6 35.4 31.0 40.0 * Obesity defined as a Body Mass Index (BMI) >=30. BMI is calculated based on weight and height. Limited activities (physical, mental, or emotional problems); need of special equipment (e.g. cane, wheel chair). & Percent is age adjusted to the 2000 United States Population. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 15 | P a g e Western NY Prevent Chronic Diseases Percentage of adults overweight or obese* 70% 60% 50% 40% 30% 20% 10% 0% 63.3% 60.9% 63.7% 60.5% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 722,740 63.3 60.2 66.3 8,631,360 60.9 58.4 63.3 62,859 99,799 108,030 288,771 158,839 37.5^ 62.2 67.5 71.2 67.0 28.0 54.6 59.7 67.0 62.2 48.1 69.4 74.4 75.0 71.4 656,771 1,528,245 1,362,541 3,335,153 1,632,723 36.6 62.4 58.6 70.0 62.1 28.8 55.9 50.8 66.8 58.1 45.2 68.4 66.0 73.1 65.9 598,637 68,129 38,608 17,366 62.3 79.2 69.4^ 45.8^ 58.9 70.8 53.9 31.3 65.6 85.6 81.4 61.0 5,260,942 1,520,031 1,346,413 503,974 61.5 73.1 60.5 38.4^ 59.3 63.8 52.9 28.1 63.5 80.7 67.5 49.9 393,334 329,405 68.6 58.1 63.5 54.3 73.3 61.8 4,736,847 3,894,512 67.1 54.7 63.2 51.4 70.8 57.9 63.7 60.8 66.5 60.5 57.9 63.0 * Defined as a Body Mass Index (BMI) >=25. BMI is calculated based on weight and height. & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 16 | P a g e Western NY Prevent Chronic Diseases Percentage of adults who participated in leisure time physical activity in the past 30 days* 80% 70% 60% 50% 40% 30% 20% 10% 0% 74.4% 72.8% 74.8% 72.9% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 877,451 74.4 72.0 76.6 10,681,161 72.8 70.6 74.9 133,667 131,249 125,180 307,351 171,171 80.7 77.7 75.1 72.9 70.2 72.8 70.8 68.8 69.1 65.6 86.7 83.4 80.5 76.4 74.4 1,601,630 1,900,064 1,722,858 3,443,881 1,840,519 84.1 73.1 71.5 70.8 69.5 78.5 67.1 63.8 67.5 66.1 88.5 78.4 78.1 73.8 72.7 756,817 50,618 37,543 32,474 76.5 58.2^ 64.1^ 72.6^ 74.1 48.0 49.9 56.3 78.7 67.8 76.2 84.5 6,662,678 1,525,317 1,507,430 985,735 75.8 73.8 62.4 70.6^ 74.0 66.8 55.4 56.9 77.4 79.7 68.9 81.3 439,933 437,519 77.0 72.0 73.4 68.8 80.2 74.9 5,439,883 5,241,278 77.3 68.6 74.6 65.3 79.8 71.7 74.8 72.4 77.0 72.9 70.5 75.1 * Any physical activities or exercises such as running or walking & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 17 | P a g e Western NY Prevent Chronic Diseases Percentage of adults who consume one or more sugary drinks daily* 35% 30% 25% 20% 15% 10% 5% 0% 26.2% 23.8% 27.1% 24.7% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 301,463 26.2 23.3 29.3 3,402,766 23.8 21.5 26.3 75,402 55,078 44,593 95,213 28,279 45.9^ 34.3 27.4 23.0 11.9 34.2 27.2 21.4 19.4 9.4 58.1 42.1 34.3 27.0 15.1 670,630 733,289 769,136 839,390 348,734 36.9 28.9 32.4 17.6 13.7 28.0 22.5 25.4 15.0 11.1 46.7 36.4 40.3 20.5 16.9 228,879 38,316 23,181 11,087 23.6 47.1^ 39.9^ 25.0^ 20.6 36.9 26.4 14.1 27.0 57.6 55.1 40.4 1,754,487 671,592 700,337 276,350 20.4 33.6 29.8 20.4^ 18.3 25.4 23.7 10.6 22.8 43.0 36.8 35.5 189,430 112,033 34.0 18.9 29.1 16.3 39.3 21.7 1,782,648 1,620,118 26.0 21.8 22.5 18.7 29.8 25.3 27.1 24.3 30.0 24.7 22.2 27.4 * Sugary drinks include regular soda, and sugar-sweetened drinks. & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 18 | P a g e Western NY Prevent Chronic Diseases Percentage of adults who consume fast-food three or more times per week 10% 5% 0% 6.7% 5.8% 7.6% 5.9% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 77,073 6.7 5.5 8.3 817,815 5.8 4.8 6.9 14,257 14,510 20,808 19,934 7,263 8.8 9.0 12.8 4.8 3.1 5.2 5.3 8.0 3.5 1.8 14.3 14.9 19.9 6.8 5.2 172,464 252,437 106,397 234,582 47,255 9.7 10.0 4.5 5.0 1.9 6.9 6.9 3.2 3.3 1.3 13.6 14.2 6.3 7.4 2.7 56,907 12,107 4.6 8.8 7.5 25.1 3,483 5.9 15.3 # 7.9^ 2.7 21.0 433,016 122,943 219,779 42,077 5.1 6.2 9.6 3.2 4.4 4.1 5.6 1.8 5.9 9.3 16.0 5.5 50,457 26,616 9.2 4.5 7.0 3.1 11.8 6.5 560,514 257,301 8.2 3.5 6.6 2.6 10.3 4.8 7.6 6.0 9.5 5.9 4.9 7.0 & Percent is age adjusted to the 2000 United States Population. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 19 | P a g e Western NY Prevent Chronic Diseases Percentage of adults with physician-diagnosed diabetes* 15% 10% 5% 0% 9.7% 9.5% 8.7% 8.9% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 118,414 9.7 8.3 11.4 1,456,783 9.5 8.4 10.8 4,633 8,125 52,043 48,493 # 2.7 4.7 11.9 19.5 1.1 2.8 9.1 16.1 6.2 7.8 15.5 23.4 8,338 58,319 111,205 714,501 525,500 0.4 2.1 4.5 14.2 19.1 0.2 0.8 2.5 11.9 16.3 0.8 5.5 7.7 16.9 22.2 92,279 16,081 2,951 7,104 9.1 17.4 4.9 15.7^ 7.7 11.2 2.2 4.4 10.6 26.0 10.7 43.0 781,028 250,921 296,635 128,200 8.6 11.6 11.6 8.9 7.6 8.2 7.7 5.4 9.6 16.2 17.0 14.4 58,629 59,785 10.0 9.5 7.8 7.9 12.8 11.5 795,054 661,729 10.9 8.3 9.0 7.0 13.1 9.7 8.7 7.5 10.1 8.9 7.9 10.1 * As diagnosed by a health professional. & Percent is age adjusted to the 2000 United States Population. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 20 | P a g e Western NY Prevent Chronic Diseases Percentage of adults who are current smokers 25% 20% 15% 10% 5% 0% 20.8% 15.6% 21.9% 15.9% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 247,835 20.8 18.8 23.0 2,311,528 15.6 14.0 17.4 25,309 56,094 38,389 107,073 20,570 14.9 32.7 22.9 25.2 8.4 9.9 25.8 18.1 21.7 6.2 21.7 40.4 28.6 29.1 11.3 254,033 524,783 427,187 937,977 149,820 13.0 19.7 17.6 19.2 5.7 9.8 14.3 13.3 16.7 4.7 17.0 26.7 23.0 22.1 6.8 189,505 34,273 18,226 5,830 19.0 38.2^ 31.1^ 13.1 16.9 29.0 19.3 7.7 21.3 48.3 46.1 21.6 1,598,923 314,837 303,908 93,860 18.1 15.0 12.4 6.7 16.0 10.0 8.8 4.3 20.3 21.7 17.1 10.3 126,440 121,395 22.0 19.7 18.8 17.2 25.7 22.5 1,331,531 979,997 18.8 12.7 15.9 11.1 22.1 14.4 21.9 19.7 24.2 15.9 14.1 17.7 & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 21 | P a g e Western NY Prevent Chronic Diseases Percentage of adults with annual household income less than $25,000 who are current smokers 40% 35% 30% 25% 20% 15% 10% 5% 0% 31.1% 23.6% 33.3% 24.2% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 97,449 31.1 26.5 36.0 910,061 23.6 19.2 28.7 11,645 24,473 11,451 38,840 11,011 24.5^ 45.0^ 33.5^ 41.2 13.4 13.0 31.7 22.8 33.3 8.4 41.3 59.0 46.2 49.5 20.7 84,893 254,993 141,275 354,621 63,044 16.1 32.7^ 24.5^ 31.5 7.9 9.8 18.8 15.5 24.7 5.6 25.4 50.6 36.5 39.1 11.0 67,100 22,273 28.5 50.8^ # # 23.5 37.9 34.1 63.6 562,213 187,054 119,918 40,876 32.6 28.1^ 11.3 10.0 25.7 17.8 7.1 5.0 40.3 41.4 17.6 19.2 49,706 47,743 34.0 28.5 26.3 23.5 42.6 34.2 507,987 402,073 30.0 18.6 21.9 14.7 39.5 23.3 33.3 28.6 38.3 24.2 20.0 28.9 & Percent is age adjusted to the 2000 United States Population. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 22 | P a g e Western NY Prevent Chronic Diseases Percentage of adults aged 18-24 years who are current smokers 25% 20% 15% 10% 5% 0% 14.9% 13.0% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 25,309 14.9 9.9 21.7 254,033 13.0 9.8 17.0 15,004 10.9 # # # 6.7 17.3 188,030 21,086 33,121 11,797 19.4 6.1 9.8^ 3.8 14.8 2.8 4.6 1.4 25.2 13.1 19.9 10.0 17,008 8,301 15.9 13.1 9.3 7.0 25.9 23.0 153,298 100,736 15.5 10.4 10.7 6.6 21.8 16.0 Age-adjusted+,& & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 23 | P a g e Western NY Prevent Chronic Diseases Percentage of women aged 50-74 years receiving breast cancer screening based on recent guidelines* 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 83.1% 80.9% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 196,724 83.1 80.0 85.9 2,225,651 80.9 77.7 83.7 183,377 83.5 # # # 80.2 86.3 1,417,374 347,690 309,667 150,920 79.0 87.0^ 83.8^ 79.7^ 75.9 73.4 70.9 61.2 81.8 94.3 91.6 90.7 80.0 85.9 2,225,651 # 80.9 77.7 83.7 196,724 # 83.1 Age-adjusted+,& * Mammogram within past 2 years. & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 24 | P a g e Western NY Prevent Chronic Diseases Percentage of women aged 50-74 years with annual household income of less than $25,000 receiving breast cancer screening based on recent guidelines* 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 74.1% 76.7% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 41,732 74.1 66.1 80.8 554,880 76.7 69.6 82.6 37,146 74.6 # # # 66.0 81.6 232,138 139,053 134,524 49,165 66.5 95.4 82.0^ 76.3^ 57.9 89.6 61.8 44.1 74.1 98.1 92.7 93.0 66.1 80.8 554,880 # 76.7 69.6 82.6 41,732 # 74.1 Age-adjusted+,& * Mammogram within past 2 years. & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 25 | P a g e Western NY Prevent Chronic Diseases Percentage of women aged 21-65 years receiving cervical cancer screening based on recent guidelines* 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 83.2% 80.6% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 360,599 83.2 79.9 86.0 4,362,995 80.6 75.7 84.7 310,981 23,632 84.5 75.8^ # # 81.0 58.9 87.4 87.3 2,640,598 711,417 684,308 326,671 84.5 84.5^ 78.0^ 57.1^ 82.2 72.6 66.2 31.0 86.6 91.8 86.6 79.8 79.9 86.0 4,362,995 # 80.6 75.7 84.7 360,599 # 83.2 Age-adjusted+,& * Pap test within past 3 years. & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 26 | P a g e Western NY Prevent Chronic Diseases Percentage of women aged 21-65 years with annual household income of less than $25,000 receiving cervical cancer screening based on recent guidelines* 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 76.6% 75.3% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 80,264 76.6 70.1 82.1 1,068,153 75.3^ 63.2 84.4 58,042 76.8 # # # 69.5 82.8 433,489 283,693 292,551 58,419 74.8 93.7 77.4^ 36.7^ 68.6 87.8 61.6 8.5 80.2 96.8 88.0 78.5 70.1 82.1 1,068,153 # 75.3^ 63.2 84.4 80,264 # 76.6 Age-adjusted+,& * Pap test within past 3 years. & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 27 | P a g e Western NY Prevent Chronic Diseases Percentage of adults aged 50-75 years receiving colorectal cancer screening based on recent guidelines* 80% 70% 60% 50% 40% 30% 20% 10% 0% 69.7% 69.3% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 314,570 69.7 66.0 73.1 3,471,945 69.3 66.3 72.2 284,419 21,964 70.9 75.7^ # # 67.3 60.5 74.2 86.3 2,335,990 514,345 416,087 205,524 70.4 69.6^ 70.6^ 57.4^ 67.9 57.5 58.4 39.9 72.7 79.4 80.4 73.2 143,396 171,173 67.7 71.4 61.6 67.0 73.3 75.5 1,545,645 1,926,301 66.8 71.5 62.1 67.5 71.2 75.2 Age-adjusted+,& * Blood stool test within 1 year, or sigmoidoscopy within 5 years with blood stool test within 3 years, or colonoscopy within 10 years. & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 28 | P a g e Western NY Prevent Chronic Diseases Percentage of adults aged 50-75 years with annual household income less than $25,000 receiving colorectal cancer screening based on recent guidelines* 70% 60% 50% 40% 30% 20% 10% 0% 57.0% 61.4% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 64,446 57.0 48.7 65.0 736,005 61.4 54.7 67.7 56,021 60.7 # # # 52.9 68.1 345,064 155,775 187,721 47,444 57.6 60.0^ 75.1^ 52.8^ 51.4 38.7 60.9 29.9 63.7 78.0 85.4 74.5 26,654 37,792 48.3^ 65.3 35.9 55.7 60.9 73.9 253,900 482,104 51.4^ 68.5 41.0 60.2 61.6 75.7 Age-adjusted+,& * Blood stool test within 1 year, or sigmoidoscopy within 5 years with blood stool test within 3 years, or colonoscopy within 10 years. & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 29 | P a g e Western NY Prevent Chronic Diseases Percentage of adults who had a test for high blood sugar or diabetes within the past three years 70% 60% 50% 40% 30% 20% 10% 0% 58.8% 58.7% 59.1% 59.1% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 618,738 58.8 55.6 61.9 7,849,939 58.7 56.0 61.5 34,559 90,941 93,243 252,542 141,522 21.4 55.9 59.7 68.7 73.1 15.2 48.1 52.1 64.6 67.7 29.4 63.4 66.9 72.6 77.9 503,420 1,337,915 1,475,455 2,822,324 1,541,702 26.8 51.0 63.3 68.0 71.4 20.2 44.1 56.2 64.3 66.8 34.6 57.9 69.9 71.4 75.6 522,976 45,591 33,895 16,276 59.1 61.3^ 59.7^ 44.7^ 55.6 50.4 45.7 29.5 62.5 71.1 72.3 61.0 4,823,563 1,240,630 1,203,330 582,416 61.0 65.1 53.5 44.7^ 58.6 55.4 46.1 31.9 63.4 73.7 60.8 58.2 286,050 332,688 56.8 60.6 51.6 56.8 61.9 64.2 3,534,063 4,315,875 56.3 60.9 52.1 57.2 60.4 64.5 59.1 56.3 61.8 59.1 56.6 61.6 & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 30 | P a g e Western NY Prevent Chronic Diseases Percentage of adults with physician-diagnosed prediabetes 10% 5% 0% 4.9% 5.8% 4.7% 5.9% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 52,627 4.9 3.9 6.1 783,799 5.8 4.6 7.2 7,276 5,652 19,280 15,987 # 4.3 3.5 5.1 8.3 1.8 1.9 3.8 5.9 10.2 6.2 6.9 11.4 57,540 43,246 198,127 283,693 171,261 2.9 1.6 8.5 6.7 7.8 0.7 1.0 4.4 5.3 6.2 10.7 2.7 16.0 8.5 9.9 46,288 5.1 # # # 4.0 6.4 489,253 96,242 81,294 117,011 6.0 5.2 3.6 8.9^ 4.8 2.9 1.8 3.2 7.4 9.2 7.2 22.3 25,178 27,449 4.9 4.9 3.3 3.8 7.0 6.2 377,968 405,832 5.9 5.6 4.1 4.3 8.5 7.3 4.7 3.7 5.9 5.9 4.6 7.5 & Percent is age adjusted to the 2000 United States Population. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 31 | P a g e Western NY Prevent Chronic Diseases Percentage of adults with physician-diagnosed high blood pressure 40% 35% 30% 25% 20% 15% 10% 5% 0% 34.2% 28.3% 31.6% 27.3% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 413,880 34.2 31.6 36.8 4,323,615 28.3 26.5 30.3 10,701 33,277 36,099 174,646 155,613 6.2 19.3 21.0 40.1 62.7 3.5 13.5 15.2 36.0 57.8 10.8 26.8 28.3 44.3 67.3 103,520 299,126 470,752 1,715,223 1,654,516 5.2 10.9 18.9 34.1 60.4 3.3 7.8 14.1 31.2 56.5 8.0 15.0 24.8 37.2 64.2 341,756 42,050 19,496 10,578 33.7 45.2 32.4^ 23.4^ 31.1 35.9 19.3 10.1 36.5 54.8 49.0 45.3 2,701,979 740,669 609,542 271,424 29.7 34.2 23.8 18.9 28.0 27.2 18.7 12.7 31.4 42.0 29.9 27.1 209,209 204,672 35.8 32.6 31.7 29.7 40.1 35.8 2,116,294 2,207,320 29.0 27.7 26.2 25.3 32.1 30.2 31.6 29.2 34.1 27.3 25.6 29.1 & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 32 | P a g e Western NY Prevent Chronic Diseases Percentage of adults with diagnosed high blood pressure taking high blood pressure medication 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 77.2% 75.2% 59.2% 55.6% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 319,214 77.2 72.7 81.2 3,243,246 75.2 71.5 78.5 10,589 15,924 140,590 146,293 # 31.8^ 44.1^ 80.5 94.3 15.4 28.5 73.1 90.8 54.5 60.9 86.3 96.5 8,688 96,762 186,971 1,395,152 1,497,501 8.4 32.4^ 39.7^ 81.6 90.8 3.9 18.9 26.7 77.8 86.9 17.4 49.5 54.3 84.9 93.6 275,448 33,258 80.7 79.1^ # # 76.9 66.1 84.0 88.0 2,081,796 552,688 420,934 187,828 77.4 74.6^ 69.1^ 69.2^ 74.1 60.0 56.3 50.8 80.3 85.3 79.5 83.0 148,316 170,898 71.0 83.6 63.6 78.7 77.5 87.5 1,525,386 1,717,859 72.2 78.1 66.5 73.2 77.2 82.4 59.2 52.6 65.6 55.6 51.1 60.0 & Percent is age adjusted to the 2000 United States Population. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 33 | P a g e Western NY Prevent Chronic Diseases Percentage of adults with current asthma* 15% 10% 5% 0% 11.4% 10.0% 12.0% 10.1% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 138,193 11.4 9.9 13.2 1,520,940 10.0 8.9 11.3 12,912 22,985 26,223 55,491 20,540 7.6 13.3 15.3 12.8 8.3 4.8 9.1 11.2 10.1 6.2 12.0 18.9 20.6 16.1 11.0 170,340 322,447 240,590 551,257 222,952 8.6 11.7 9.7 11.1 8.1 6.2 8.2 7.1 9.3 6.5 11.8 16.4 13.0 13.3 10.1 109,339 12,253 10,362 6,238 10.8 13.5 17.4^ 13.8^ 9.2 8.2 10.0 6.7 12.6 21.4 28.4 26.3 946,198 199,011 283,809 91,921 10.4 9.2 11.3 6.4 9.1 6.5 7.9 4.0 11.9 12.9 16.0 10.0 46,098 92,095 7.9 14.7 6.1 12.5 10.2 17.3 504,039 1,016,901 7.0 12.8 5.6 11.1 8.6 14.8 12.0 10.4 13.9 10.1 8.9 11.4 * Physician diagnosed asthma. & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 34 | P a g e Western NY Prevent Chronic Diseases Percent of adults with cholesterol checked* 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 84.1% 84.2% 83.2% 83.4% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 996,592 84.1 81.1 86.7 12,572,076 84.2 81.7 86.3 69,246 120,610 147,897 403,910 242,950 41.9^ 73.5 89.7 93.3 98.7 31.4 66.5 84.5 90.2 97.6 53.3 79.4 93.4 95.4 99.3 891,216 1,896,541 2,197,539 4,694,424 2,641,873 49.0 71.3 88.9 93.8 97.2 39.4 63.9 85.0 91.2 95.8 58.6 77.7 91.8 95.6 98.2 848,158 71,883 47,340 29,211 85.5 78.5 79.8^ 68.2^ 82.2 69.1 68.7 46.7 88.4 85.5 87.7 84.0 7,746,530 1,730,762 1,923,116 1,171,667 87.0 81.9 77.3 81.9^ 84.7 73.0 70.1 67.3 89.0 88.3 83.1 90.8 465,998 530,594 81.5 86.4 76.1 83.6 86.0 88.9 5,864,748 6,707,327 82.0 86.2 78.2 82.9 85.2 88.9 83.2 80.9 85.3 83.4 81.2 85.4 * As diagnosed by a health professional. & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 35 | P a g e Western NY Prevent Chronic Diseases Percentage of adults 18 years and older with elevated cholesterol* 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 40.4% 37.7% 35.1% 34.5% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 398,531 40.4 37.6 43.3 4,711,105 37.7 35.4 40.1 13,007 21,955 39,377 185,641 133,691 19.2^ 18.3^ 27.2 46.1 55.9 8.0 10.3 20.2 41.9 50.9 39.4 30.3 35.4 50.4 60.8 124,288 435,898 620,994 2,009,889 1,439,336 14.0 23.0 28.3 43.1 55.4 8.0 16.9 22.0 39.8 51.3 23.2 30.5 35.6 46.4 59.4 351,251 24,985 12,979 9,315 41.7 36.0^ 27.4^ 34.2^ 38.7 26.3 15.9 19.8 44.9 47.0 43.0 52.1 3,102,928 561,511 727,074 319,592 40.3 33.1 37.8 27.3^ 38.2 25.6 30.7 18.7 42.4 41.6 45.5 38.1 196,109 202,422 42.4 38.6 38.0 35.1 47.0 42.3 2,369,080 2,342,025 40.5 35.2 37.0 32.4 44.3 38.2 35.1 31.6 38.7 34.5 32.1 37.0 * As diagnosed by a health professional. & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 36 | P a g e Western NY Prevent Chronic Diseases Percentage of adults who have taken a course or class to learn how to manage their chronic disease or condition* 15% 10% 5% 0% 10.3% 10.2% 9.0% 9.7% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 65,957 10.3 8.4 12.7 713,905 10.2 8.5 12.2 6,722 3,602 23,932 29,019 # 9.0^ 5.2 9.2 14.9 3.5 2.5 6.5 11.2 21.0 10.7 12.8 19.4 11,969 137,115 51,465 282,601 208,847 2.9 17.9^ 6.0 10.2 10.1 1.4 9.2 3.8 8.0 8.0 6.1 31.8 9.2 13.0 12.7 7.9 8.4 12.5 27.0 3,596 10.0 15.6^ # 19.2^ 6.3 45.6 398,657 143,698 92,991 78,559 8.8 14.2 8.7 19.0^ 7.0 9.5 4.5 10.4 11.1 20.7 16.4 32.2 29,830 36,128 10.2 10.4 7.3 7.9 14.0 13.6 324,668 389,237 10.2 10.2 7.7 8.0 13.4 12.9 9.0 6.9 11.7 9.7 7.7 12.3 53,929 7,467 * Courses for high blood pressure, arthritis, or diabetes. & Percent is age adjusted to the 2000 United States Population. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 37 | P a g e Western NY Prevent Chronic Diseases Percentage of adults with arthritis* 30% 25% 20% 15% 10% 5% 0% 26.4% 22.9% 24.1% 21.8% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 320,398 26.4 24.2 28.8 3,491,206 22.9 21.3 24.6 18,912 25,812 143,574 126,586 # 10.9 15.0 33.0 51.1 5.5 11.1 29.4 46.4 20.4 20.1 36.8 55.9 40,067 228,246 323,152 1,465,151 1,353,867 2.0 8.3 12.9 29.2 49.3 1.1 5.9 9.4 26.5 45.4 3.6 11.7 17.5 32.1 53.2 285,993 16,561 10,492 7,352 28.2 17.8 17.4^ 16.4^ 25.7 11.8 10.6 8.8 30.8 26.0 27.5 28.6 2,474,787 400,524 460,563 155,331 27.2 18.5 18.0 10.8 25.6 13.4 13.6 7.2 28.9 24.9 23.4 15.8 115,944 204,454 19.9 32.6 17.1 29.4 22.9 35.9 1,258,898 2,232,309 17.3 28.0 15.2 25.7 19.6 30.4 24.1 22.0 26.3 21.8 20.3 23.3 * Includes rheumatoid arthritis, gout, lupus, or fibromyalgia. & Percent is age adjusted to the 2000 United States Population. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 38 | P a g e Western NY Promote a Healthy and Safe Environment Percentage of adults who consider their neighborhood suitable for walking and physical activity 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 92.7% 91.3% 92.7% 91.3% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 1,071,115 92.7 90.9 94.1 13,107,891 91.3 89.8 92.6 147,175 150,577 155,303 383,623 222,347 89.8 90.8 95.2 92.8 93.7 80.7 85.7 92.2 90.2 90.4 94.9 94.2 97.0 94.7 96.0 1,641,319 2,218,379 2,218,331 4,372,743 2,447,810 87.9 86.6 93.4 92.2 94.7 80.9 80.9 90.6 90.1 92.7 92.5 90.8 95.4 93.9 96.1 916,932 69,802 47,547 36,834 94.4 81.6 82.9^ 87.1^ 92.8 71.7 69.3 74.3 95.7 88.6 91.2 94.0 8,055,698 1,798,763 1,963,304 1,290,125 93.1 89.3 84.3 94.0 91.7 83.3 78.2 88.9 94.3 93.4 89.0 96.9 520,960 550,155 93.1 92.3 90.1 90.2 95.2 93.9 6,375,291 6,732,600 92.5 90.1 90.3 87.9 94.3 91.9 92.7 91.0 94.1 91.3 89.8 92.6 & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 39 | P a g e Western NY Promote a Healthy and Safe Environment Percentage of adults aged 65+ years with at least one fall in the past 12 months 35% 30% 25% 20% 15% 10% 5% 0% 25.3% 30.8% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 60,568 25.3 21.3 29.8 802,383 30.8 27.3 34.5 56,868 25.4 # # # 21.2 30.1 600,059 61,485 96,513 44,326 31.3 22.9^ 39.1^ 25.2^ 28.3 12.6 21.8 12.2 34.5 38.1 59.7 45.0 29,073 31,495 28.5 22.9 21.6 18.4 36.5 28.1 324,764 477,619 30.4 31.1 25.5 26.4 35.7 36.2 Age-adjusted+,& & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 40 | P a g e Western NY Promote a Healthy and Safe Environments Among adults aged 65+ years with at least one fall in the past 12 months, percent that resulted in injury* 60% 50% 40% 30% 20% 10% 0% 40.9% 38.3% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 24,648 40.9^ 31.5 51.0 304,376 38.3 32.2 44.9 23,554 41.6^ # # # 31.8 52.1 223,708 33,030 31,933 15,705 37.6 53.7^ 34.1^ 35.4^ 32.1 28.5 11.7 12.0 43.4 77.2 66.8 68.8 9,821 14,827 33.9^ 47.4^ 20.1 35.8 51.0 59.2 103,371 201,005 32.2 42.5 24.1 33.9 41.5 51.5 Age-adjusted+,& * Falls that limited regular activities or lead to doctor visits. & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 41 | P a g e Western NY Prevent HIV/STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections Percentage of adults aged 47-68 years reporting ever tested for Hepatitis C (HCV) 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 35.7% 37.3% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 142,965 35.7 31.7 40.0 1,662,747 37.3 34.0 40.8 107,393 17,645 31.2 62.2^ # # 27.5 45.9 35.1 76.2 957,863 347,642 270,194 87,049 33.7 52.3^ 44.2^ 26.2^ 31.0 40.1 31.2 15.7 36.4 64.2 58.1 40.4 87,478 55,487 46.3 26.3 39.7 22.0 53.1 31.0 929,342 733,405 43.4 31.7 38.2 27.6 48.7 36.1 Age-adjusted+,& & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 42 | P a g e Western NY Prevent HIV/STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections Percentage of adults aged 18+ years with flu immunization in the past year* 60% 50% 40% 30% 20% 10% 0% 48.4% 46.7% 46.3% 46.0% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 564,930 48.4 45.4 51.3 6,798,706 46.7 44.3 49.2 43,594 60,600 65,045 203,704 184,502 26.5^ 36.6 39.6 48.6 76.4 18.0 28.5 32.2 44.4 72.3 37.1 45.5 47.4 52.8 80.1 600,414 907,897 981,422 2,282,268 1,895,586 31.7 35.3 41.1 47.4 72.1 23.4 29.0 33.9 44.1 67.9 41.5 42.1 48.6 50.8 75.9 476,222 39,547 33,195 15,967 48.6 46.9^ 57.1^ 35.9^ 45.4 37.0 43.1 22.2 51.8 57.0 70.0 52.4 4,296,522 718,122 971,941 812,120 49.3 35.0 40.8 58.5^ 47.1 27.6 34.1 45.1 51.5 43.3 47.8 70.7 254,448 310,483 45.0 51.6 40.4 48.0 49.7 55.1 3,045,064 3,753,643 43.8 49.5 40.1 46.2 47.5 52.8 46.3 43.3 49.3 46.0 43.4 48.6 * Includes flu shot or flu spray & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 43 | P a g e Western NY Prevent HIV/STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections Percentage of adults aged 65+ years with flu immunization in the past year* 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 76.4% 72.1% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 184,502 76.4 72.3 80.1 1,895,586 72.1 67.9 75.9 172,930 76.7 # # # 72.4 80.5 1,484,360 103,016 170,589 137,621 76.9 38.4^ 69.0^ 75.2^ 73.9 23.8 47.8 51.4 79.6 55.5 84.3 89.7 82,045 102,457 79.3 74.3 72.5 68.8 84.8 79.0 802,715 1,092,871 73.9 70.8 67.7 65.0 79.3 76.0 Age-adjusted+,& * Includes flu shot or flu spray & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 44 | P a g e Western NY Prevent HIV/STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections Percentage of adults aged 65+ years with pneumococcal immunization 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 76.2% 65.1% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 173,650 76.2 72.0 80.0 1,617,276 65.1 60.7 69.2 165,973 78.1 # # # 74.1 81.6 1,303,462 123,843 104,466 85,505 71.4 48.9^ 45.7^ 48.1^ 68.1 30.2 27.5 27.7 74.4 67.8 65.3 69.2 62,208 111,442 68.3 81.5 60.3 77.2 75.3 85.1 631,549 985,727 62.4 66.9 56.7 60.5 67.7 72.7 Age-adjusted+,& & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 45 | P a g e Western NY Promote Healthy Women, Infants, and Children Percentage of women aged 18-44 years who had dental visit within the last year 80% 70% 60% 50% 40% 30% 20% 10% 0% 71.3% 70.7% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 160,792 71.3 65.3 76.6 2,268,176 70.7 64.0 76.5 133,550 73.5 # # # 67.1 79.1 1,155,302 426,771 412,421 273,683 73.5 78.8^ 62.2^ 63.0^ 68.1 61.7 48.3 30.7 78.3 89.5 74.4 86.8 65.3 76.6 2,268,176 # 70.7 64.0 76.5 160,792 # 71.3 Age-adjusted+,& & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 46 | P a g e Western NY Promote Healthy Women, Infants, and Children Women aged 18-44 years who saw a doctor for a routine checkup within the last year 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 74.7% 72.5% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 187,734 74.7 69.2 79.5 2,615,375 72.5 66.5 77.8 145,709 73.3 # # # 67.1 78.8 1,220,281 512,270 606,739 276,085 70.1 83.8^ 76.3^ 60.1^ 65.1 68.8 64.1 30.5 74.6 92.4 85.3 83.8 69.2 79.5 2,615,375 # 72.5 66.5 77.8 187,734 # 74.7 Age-adjusted+,& & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 47 | P a g e Western NY Promote Healthy Women, Infants, and Children Percentage of women aged 18-64 years with health care coverage 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 89.6% 87.2% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 422,644 89.6 86.8 91.8 5,351,099 87.2 83.4 90.2 355,498 34,857 89.9 89.5 # # 86.8 79.8 92.4 94.9 3,178,979 916,108 807,553 448,460 91.6 93.3 76.0 71.8^ 90.0 88.7 66.5 43.3 93.0 96.1 83.5 89.5 86.8 91.8 5,351,099 # 87.2 83.4 90.2 422,644 # 89.6 Age-adjusted+,& & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 48 | P a g e Western NY Promote Healthy Women, Infants, and Children Percentage of women aged 18-44 years whose health care provider discussed planning a healthy pregnancy 60% 50% 40% 30% 20% 10% 0% 52.1% 39.3% Western NY Region NYS crude Rate type Western NY Est. # of Adults Total Age+ 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Percent Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 118,151 52.1 45.5 58.6 1,268,971 39.3 33.7 45.2 97,727 54.4 # # # 47.0 61.6 723,302 291,237 192,904 61,528 45.9 53.7^ 28.5^ 14.1^ 41.1 35.5 19.0 6.5 50.9 71.0 40.3 27.9 45.5 58.6 1,268,971 # 39.3 33.7 45.2 118,151 # 52.1 Age-adjusted+,& & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 49 | P a g e Western NY Promote Mental Health and Prevention Substance Abuse Percentage of adults with poor mental health for 14 or more days in the last month 15% 10% PA goal 5% 0% 11.0% 11.3% 11.7% 11.1% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 131,217 11.0 9.4 13.0 1,672,677 11.3 9.7 13.0 21,607 22,212 25,931 44,951 16,476 12.7 13.2 15.4 10.5 6.8 6.9 8.4 10.9 8.5 5.0 22.3 20.2 21.2 13.1 9.2 186,862 418,716 259,463 587,164 175,961 9.5 15.7 10.5 12.1 6.7 6.7 10.2 7.0 10.3 4.9 13.1 23.4 15.4 14.2 9.0 108,718 14,244 5,382 2,874 10.9 15.8 9.6 6.5 9.0 9.9 4.8 3.2 13.0 24.4 18.3 12.5 1,072,012 237,227 264,437 99,001 12.0 11.2 11.0 7.0 10.2 7.0 7.1 3.9 14.2 17.5 16.6 12.2 59,832 71,386 10.4 11.6 7.9 9.5 13.6 14.0 734,315 938,362 10.4 12.1 7.9 10.2 13.5 14.2 11.7 9.9 13.9 11.1 9.6 13.0 & Percent is age adjusted to the 2000 United States Population. 50 | P a g e Western NY Promote Mental Health and Prevention Substance Abuse Percentage of adult binge drinking during the past month* 25% 20% PA goal 15% 10% 5% 0% 17.6% 16.9% 18.8% 17.7% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent Rate type Statewide Lower 95% limit Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 205,623 17.6 15.7 19.8 2,413,447 16.9 14.9 19.1 43,355 42,241 38,381 67,364 12,994 25.9 25.2 23.2 16.2 5.5 18.7 19.7 17.0 13.3 3.7 34.7 31.6 31.0 19.5 8.1 515,466 633,963 509,131 656,578 86,636 27.1 25.0 22.6 13.7 3.4 19.4 18.9 17.2 11.7 2.7 36.6 32.3 29.1 16.0 4.2 175,202 21,921 4,271 4,228 17.9 25.3^ 7.5 9.6 15.8 17.1 3.4 4.7 20.3 35.7 15.7 18.5 1,649,594 324,364 277,966 161,523 19.1 16.3^ 11.6 12.4 17.0 9.4 7.7 6.8 21.5 26.8 17.1 21.7 127,670 77,952 22.7 12.9 19.5 10.5 26.3 15.7 1,567,117 846,330 22.8 11.4 19.3 9.6 26.8 13.4 18.8 16.5 21.3 17.7 15.6 20.0 * Men who have five or more drinks , women having four or more drinks on one occasion & Percent is age adjusted to the 2000 United States Population. ^ Highly variable rate (confidence interval with a half-width greater than 10). 51 | P a g e Western NY Promote Mental Health and Prevention Substance Abuse Percentage of cigarette smoking among adults who report poor mental health 50% 40% 30% PA goal 20% 10% 0% 38.3% 31.8% 38.0% 29.9% Western NY Region NYS Western NY Region NYS crude age-adjusted Western NY Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex Male Female Age-adjusted& Percent 49,115 38.3 10,514 16,205 1,696 # # 43.8^ 36.3^ 10.7^ Rate type Statewide Lower 95% limit 30.3 Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 47.0 519,245 31.8 24.1 40.6 27.4 26.8 4.0 61.8 47.1 25.6 64,468 192,926 70,340 177,977 13,368 35.6^ 47.3^ 27.6^ 31.2 7.7 22.4 24.8 16.6 24.0 4.1 51.5 70.8 42.1 39.5 13.9 35,020 32.8 # # # 24.4 42.4 423,246 33,694 45,968 16,336 39.9^ 14.4^ 18.1^ 19.6^ 29.9 7.7 9.4 9.4 50.7 25.3 31.9 36.5 25,581 23,535 43.6^ 33.8 30.1 25.1 58.1 43.8 272,857 246,388 38.4^ 26.7 24.1 20.7 55.0 33.8 38.0 31.2 45.2 29.9 24.1 36.4 & Percent is age adjusted to the 2000 United States Population. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 52 | P a g e
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