eBRFSS 2013-2014 Health Indicators: Tug Hill Seaway 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 Tug Hill Seaway Improve Health Status and Reduce Health Disparities Percentage of adults who did not receive medical care because of cost* 20% 15% 10% 5% 0% 9.4% 13.1% 9.6% 13.6% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 Lower 95% limit Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 18,757 9.4 7.2 12.2 1,994,210 13.1 11.2 15.3 4,330 3,525 3,830 6,151 858 13.8^ 8.7 13.1 9.8 2.5 6.8 4.0 7.5 6.8 1.4 26.2 17.8 22.0 14.1 4.4 281,654 537,866 423,154 596,074 139,733 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 16,183 9.8 # # # 7.5 12.8 959,531 335,184 465,114 234,381 10.5 15.5 18.4 16.3^ 8.7 10.0 14.5 7.3 12.7 23.4 23.0 32.6 10,320 8,436 10.0 8.7 6.7 6.1 14.7 12.3 890,677 1,103,533 12.3 13.8 9.6 11.2 15.5 16.9 9.6 7.3 12.5 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. # 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). 3|Page Tug Hill Seaway 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% 83.3% 84.9% 82.8% 84.5% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 Lower 95% limit Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 165,898 83.3 79.6 86.5 12,905,860 84.9 83.1 86.6 23,573 31,889 21,113 55,313 32,822 75.2^ 78.6^ 73.7^ 88.0 95.8 60.1 66.7 62.6 83.2 92.8 85.9 87.0 82.5 91.6 97.5 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 97.1 134,836 82.0 # # # 78.1 85.3 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 82,280 83,617 80.5 86.3 74.7 81.1 85.2 90.2 5,804,831 7,101,029 80.1 89.3 77.1 87.0 82.8 91.3 82.8 79.0 86.1 84.5 82.5 86.2 & 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). 4|Page Tug Hill Seaway 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% 65.2% 69.5% 64.9% 69.3% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 Lower 95% limit Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 126,072 65.2 60.4 69.7 9,774,786 69.5 66.9 72.0 20,645 29,213 17,582 39,258 18,885 66.1^ 73.2^ 62.6^ 65.1 57.8 45.9 60.1 51.1 59.0 51.6 81.7 83.2 72.9 70.7 63.7 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 73.4 100,111 63.1 # # # 58.8 67.1 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 66,013 60,059 65.9 64.5 59.1 57.3 72.0 71.0 4,591,800 5,182,986 67.3 71.6 63.4 68.1 71.1 74.8 64.9 60.4 69.2 69.3 66.6 71.8 & 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). 5|Page Tug Hill Seaway Improve Health Status and Reduce Health Disparities Percentage of adults living with a disability* 35% 30% 25% 20% 15% 10% 5% 0% 26.1% 20.8% 26.1% 19.9% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 51,117 26.1 10,730 5,540 19,618 12,664 # 26.6^ 19.2^ 32.5 37.3 Lower 95% limit 21.6 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 31.1 3,111,131 20.8 19.1 22.7 12.7 11.5 27.2 31.8 47.6 30.2 38.3 43.1 119,872 426,647 294,471 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 41,444 25.5 # # # 22.1 29.2 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 29,021 22,096 28.6 23.4 21.4 18.9 37.0 28.5 1,349,486 1,761,645 18.9 22.6 16.3 20.4 21.9 24.9 26.1 21.9 30.8 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. # 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). 6|Page Tug Hill Seaway 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% 87.4% 85.2% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 141,791 87.4 83.6 90.4 10,275,389 85.2 82.8 87.3 112,009 86.5 # # # 82.5 89.7 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 73,377 68,414 86.8 88.2 81.1 82.6 90.9 92.1 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. # 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). 7|Page Tug Hill Seaway 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% 71.3% 70.9% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 116,297 71.3 66.1 76.0 8,622,736 70.9 68.1 73.5 87,887 67.8 # # # 62.6 72.5 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 57,416 58,882 67.0 76.1 59.1 69.4 74.0 81.8 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. # 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). 8|Page Tug Hill Seaway Improve Health Status and Reduce Health Disparities Percentage of adults experiencing housing insecurity in the past 12 months* 50% 40% 30% 20% 10% 0% 37.2% 43.4% 37.4% 43.7% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 66,115 37.2 19,381 11,144 18,762 7,945 # 52.6^ 41.9^ 31.5 25.2 Lower 95% limit 32.1 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 42.6 5,967,540 43.4 40.8 46.1 37.0 31.6 26.3 20.0 67.8 53.0 37.1 31.3 487,620 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 54,102 36.4 # # # 32.3 40.7 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 32,678 33,437 35.5 39.1 27.6 33.1 44.3 45.5 2,630,128 3,337,412 40.1 46.5 36.1 43.0 44.2 50.0 37.4 32.7 42.4 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. # 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). 9|Page Tug Hill Seaway 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% 24.1% 29.0% 24.6% 29.4% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 Lower 95% limit Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 47,257 24.1 19.6 29.4 4,211,702 29.0 26.6 31.5 4,176 16,776 8,348 13,967 3,947 13.3^ 41.9^ 29.3^ 22.7 11.9 7.1 26.8 20.4 18.2 8.4 23.6 58.6 40.1 28.0 16.6 339,128 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 36,694 22.8 # # # 19.4 26.6 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 25,681 21,577 25.4 22.8 18.0 18.5 34.6 27.8 1,903,904 2,307,798 27.4 30.5 23.6 27.5 31.5 33.6 24.6 20.7 29.0 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. # 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). 10 | P a g e Tug Hill Seaway Improve Health Status and Reduce Health Disparities Percentage of adults with poor self-reported health 10% 5% 0% 4.3% 4.5% 4.4% 4.3% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 8,570 4.3 4,140 3,087 # # # 6.6 9.1 Lower 95% limit 3.2 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 5.7 680,314 4.5 3.7 5.4 4.5 6.1 9.6 13.3 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 8,512 5.2 # # # 3.9 6.9 365,138 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 4,252 4,319 4.2 4.5 2.7 3.0 6.3 6.6 298,899 381,415 4.1 4.8 3.1 3.9 5.5 6.0 4.4 3.2 5.9 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 Tug Hill Seaway 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% 12.4% 11.8% 12.5% 11.3% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 23,709 12.4 3,650 2,936 9,386 6,361 # 10.1 10.5^ 15.2 19.5 Lower 95% limit 10.2 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 15.0 1,717,941 11.8 10.5 13.1 5.6 5.0 11.5 14.9 17.6 20.7 19.8 25.1 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 21,615 13.4 # # # 11.0 16.2 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 11,719 11,990 12.3 12.6 9.1 9.6 16.3 16.2 722,008 995,933 10.3 13.0 8.7 11.3 12.3 14.9 12.5 10.2 15.2 11.3 10.1 12.5 * Out of the past 30 days. & 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). 12 | P a g e Tug Hill Seaway Prevent Chronic Diseases Percentage of adults who are obese* 40% 35% 30% 25% PA goal 20% 15% 10% 5% 0% 32.3% 24.9% 32.5% 24.6% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 Lower 95% limit Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 59,714 32.3 28.2 36.7 3,527,077 24.9 23.0 26.9 5,244 15,666 7,664 21,525 9,264 17.5^ 47.1^ 28.3^ 35.9 27.6 8.4 34.9 19.7 30.3 22.7 32.8 59.5 38.9 41.8 33.0 318,556 509,101 573,976 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 53,993 34.6 # # # 30.6 38.9 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 34,846 24,869 35.6 28.5 29.7 23.4 42.0 34.2 1,782,686 1,744,390 25.3 24.5 22.5 22.0 28.3 27.1 32.5 28.6 36.6 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. # 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). 13 | P a g e Tug Hill Seaway Prevent Chronic Diseases Percentage of adults with an annual household income less than $25,000 who are obese* 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 34.8% 28.7% 34.1% 28.5% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 18,259 34.8 5,551 3,694 # # # 33.3^ 30.1 Lower 95% limit 27.1 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 43.3 1,029,079 28.7 24.7 33.0 22.8 22.3 45.8 39.3 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 17,234 40.4 # # # 32.2 49.2 500,787 165,021 287,948 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 10,132 8,128 37.1^ 32.2^ 25.8 23.0 50.0 43.1 386,764 642,314 23.8 32.7 18.1 27.6 30.5 38.3 34.1 27.5 41.4 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 Tug Hill Seaway Prevent Chronic Diseases Percentage of adults living with a disability who are obese* 60% 50% 40% 30% 20% 10% 0% 42.5% 36.9% 39.4% 35.4% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 18,780 42.5 8,051 4,228 # # # 42.2^ 34.2 Lower 95% limit 35.2 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 50.1 1,093,091 36.9 32.7 41.3 32.3 26.0 52.7 43.4 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 17,258 44.0 # # # 36.7 51.7 698,173 188,077 170,166 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 9,396 9,385 38.4^ 47.5 28.1 38.0 49.9 57.2 430,886 662,205 32.6 40.4 26.2 35.1 39.7 45.8 39.4 31.6 47.8 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 Tug Hill Seaway Prevent Chronic Diseases Percentage of adults overweight or obese* 80% 70% 60% 50% 40% 30% 20% 10% 0% 65.7% 60.9% 66.4% 60.5% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 Lower 95% limit Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 121,643 65.7 60.7 70.4 8,631,360 60.9 58.4 63.3 10,139 25,413 17,232 45,015 23,112 33.9^ 76.3^ 63.7^ 75.0 68.8 20.5 65.1 52.3 69.3 63.0 50.5 84.8 73.7 80.0 74.1 656,771 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 65.9 106,346 68.2 # # # 63.9 72.2 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 71,264 50,380 72.8 57.7 66.6 50.0 78.2 65.1 4,736,847 3,894,512 67.1 54.7 63.2 51.4 70.8 57.9 66.4 62.3 70.3 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. # 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). 16 | P a g e Tug Hill Seaway 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% 72.0% 72.8% 72.2% 72.9% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 Lower 95% limit Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 141,616 72.0 66.8 76.6 10,681,161 72.8 70.6 74.9 25,424 29,940 21,774 43,457 20,676 81.1^ 74.7^ 75.7^ 70.3 61.6 64.0 53.1 65.2 64.5 55.6 91.2 88.5 83.7 75.5 67.3 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 72.7 116,008 71.6 # # # 67.6 75.3 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 71,557 70,059 70.6 73.5 61.9 68.0 78.0 78.3 5,439,883 5,241,278 77.3 68.6 74.6 65.3 79.8 71.7 72.2 67.3 76.6 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. # 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). 17 | P a g e Tug Hill Seaway Prevent Chronic Diseases Percentage of adults who consume one or more sugary drinks daily* 40% 35% 30% 25% 20% 15% 10% 5% 0% 32.7% 23.8% 32.9% 24.7% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 Lower 95% limit Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 63,293 32.7 27.4 38.5 3,402,766 23.8 21.5 26.3 14,944 19,800 12,524 10,300 5,481 48.5^ 49.6^ 44.3^ 17.1 16.6 30.9 34.7 33.7 13.1 12.1 66.5 64.6 55.4 21.9 22.4 670,630 733,289 769,136 839,390 348,734 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 45,635 28.7 # # # 24.6 33.2 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 38,945 24,348 39.0 26.0 31.2 19.7 47.3 33.5 1,782,648 1,620,118 26.0 21.8 22.5 18.7 29.8 25.3 32.9 28.4 37.8 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. # 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). 18 | P a g e Tug Hill Seaway Prevent Chronic Diseases Percentage of adults who consume fast-food three or more times per week 15% 10% 5% 0% 6.7% 5.8% 6.3% 5.9% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 12,921 6.7 3,521 1,283 # # # 5.9 4.0 Lower 95% limit 4.5 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 10.0 817,815 5.8 4.8 6.9 3.4 2.1 10.1 7.3 172,464 252,437 106,397 234,582 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 11,944 7.6 # # # 5.0 11.3 433,016 122,943 219,779 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 9,263 3,658 9.3 4.0 5.9 1.6 14.5 9.2 560,514 257,301 8.2 3.5 6.6 2.6 10.3 4.8 6.3 4.3 9.1 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. 19 | P a g e Tug Hill Seaway Prevent Chronic Diseases Percentage of adults with physician-diagnosed diabetes* 15% 10% 5% 0% 10.2% 9.5% 10.0% 8.9% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 20,276 10.2 8,231 8,650 # # # 13.1 25.2 Lower 95% limit 8.3 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 12.4 1,456,783 9.5 8.4 10.8 10.1 20.2 16.8 30.9 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 18,618 11.3 # # # 9.3 13.7 781,028 250,921 296,635 128,200 8.6 11.6 11.6 8.9 7.6 8.2 7.7 5.4 9.6 16.2 17.0 14.4 10,477 9,799 10.2 10.1 7.4 7.8 13.8 13.0 795,054 661,729 10.9 8.3 9.0 7.0 13.1 9.7 10.0 8.3 12.0 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. 20 | P a g e Tug Hill Seaway Prevent Chronic Diseases Percentage of adults who are current smokers 30% 25% 20% 15% 10% 5% 0% 20.2% 15.6% 20.8% 15.9% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 Lower 95% limit Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 39,735 20.2 16.7 24.2 2,311,528 15.6 14.0 17.4 8,005 8,331 8,447 11,760 3,023 25.7^ 20.7^ 29.5^ 18.9 9.0 13.9 12.7 20.4 14.6 6.1 42.6 31.8 40.8 24.2 13.1 254,033 524,783 427,187 937,977 149,820 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 34,300 21.2 # # # 17.6 25.3 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 22,900 16,835 22.6 17.6 17.3 13.6 29.0 22.6 1,331,531 979,997 18.8 12.7 15.9 11.1 22.1 14.4 20.8 17.3 24.8 15.9 14.1 17.7 & 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). 21 | P a g e Tug Hill Seaway 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% 23.9% 23.6% 29.0% 24.2% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 13,777 23.9 4,736 1,098 # # # 28.0^ 9.0 Lower 95% limit 17.0 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 32.6 910,061 23.6 19.2 28.7 17.0 4.7 42.4 16.4 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 10,304 23.9 # # # 17.2 32.2 562,213 187,054 119,918 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 9,217 4,560 28.9^ 17.7 17.7 11.0 43.3 27.3 507,987 402,073 30.0 18.6 21.9 14.7 39.5 23.3 29.0 21.9 37.2 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 Tug Hill Seaway Prevent Chronic Diseases Percentage of adults aged 18-24 years who are current smokers 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 25.7% 13.0% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 8,005 25.7^ 13.9 42.6 254,033 13.0 9.8 17.0 7,560 34.9^ # # # 20.1 53.4 188,030 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 10.0 153,298 100,736 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 Tug Hill Seaway 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% 78.1% 80.9% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 24,874 78.1 71.7 83.4 2,225,651 80.9 77.7 83.7 22,475 77.5 # # # 71.3 82.6 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 71.7 83.4 2,225,651 # 80.9 77.7 83.7 24,874 # 78.1 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 Tug Hill Seaway 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% 69.6% 76.7% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 6,822 69.6^ 53.4 82.0 554,880 76.7 69.6 82.6 4,804 63.0^ # # # 49.5 74.7 232,138 139,053 134,524 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 53.4 82.0 554,880 # 76.7 69.6 82.6 6,822 # 69.6^ 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 Tug Hill Seaway 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% 75.8% 80.6% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 52,368 75.8 66.6 83.1 4,362,995 80.6 75.7 84.7 43,981 77.2 # # # 70.8 82.5 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 66.6 83.1 4,362,995 # 80.6 75.7 84.7 52,368 # 75.8 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 Tug Hill Seaway 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% 74.4% 75.3% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 12,715 74.4^ 60.8 84.4 1,068,153 75.3^ 63.2 84.4 9,415 70.7^ # # # 56.6 81.7 433,489 283,693 292,551 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 60.8 84.4 1,068,153 # 75.3^ 63.2 84.4 12,715 # 74.4^ 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 Tug Hill Seaway 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% 66.2% 69.3% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 44,151 66.2 60.3 71.6 3,471,945 69.3 66.3 72.2 40,417 66.5 # # # 61.5 71.2 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 22,707 21,443 66.3 66.0 58.7 56.8 73.2 74.2 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 Tug Hill Seaway 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* 80% 70% 60% 50% 40% 30% 20% 10% 0% 60.6% 61.4% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 10,963 60.6^ 46.4 73.1 736,005 61.4 54.7 67.7 8,925 63.4 # # # 54.0 71.8 345,064 155,775 187,721 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 5,943 5,020 75.3^ 49.2^ 62.5 31.5 84.8 67.0 253,900 482,104 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 Tug Hill Seaway 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% 57.7% 58.7% 58.3% 59.1% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 Lower 95% limit Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 100,406 57.7 52.1 63.1 7,849,939 58.7 56.0 61.5 9,640 24,202 11,363 35,594 18,919 31.2^ 64.3^ 41.8^ 67.4 77.9 16.4 50.4 31.7 61.0 72.2 51.0 76.2 52.7 73.2 82.6 503,420 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 80,591 57.4 # # # 52.5 62.1 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 48,443 51,962 54.2 61.3 46.2 53.5 62.1 68.6 3,534,063 4,315,875 56.3 60.9 52.1 57.2 60.4 64.5 58.3 53.7 62.9 59.1 56.6 61.6 & 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). 30 | P a g e Tug Hill Seaway Prevent Chronic Diseases Percentage of adults with physician-diagnosed prediabetes 10% 5% 0% 3.3% 5.8% 3.7% 5.9% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 5,948 3.3 1,837 2,135 # # # 3.4 8.5 Lower 95% limit 2.3 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 4.7 783,799 5.8 4.6 7.2 2.0 5.4 5.7 13.1 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 5,121 3.5 # # # 2.6 4.9 489,253 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 1,761 4,187 1.9 4.8 1.1 3.1 3.4 7.4 377,968 405,832 5.9 5.6 4.1 4.3 8.5 7.3 3.7 2.6 5.1 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 Tug Hill Seaway Prevent Chronic Diseases Percentage of adults with physician-diagnosed high blood pressure 40% 35% 30% 25% 20% 15% 10% 5% 0% 32.3% 28.3% 32.1% 27.3% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 Lower 95% limit Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 64,468 32.3 27.8 37.2 4,323,615 28.3 26.5 30.3 4,212 9,689 6,274 22,975 20,853 13.4^ 23.8^ 21.7^ 36.5 60.9 6.4 10.2 14.1 31.2 54.8 26.0 46.2 31.8 42.3 66.7 103,520 299,126 470,752 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 55,282 33.6 # # # 30.1 37.3 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 39,069 25,399 38.2 26.1 30.8 22.0 46.1 30.8 2,116,294 2,207,320 29.0 27.7 26.2 25.3 32.1 30.2 32.1 27.8 36.8 27.3 25.6 29.1 & 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). 32 | P a g e Tug Hill Seaway 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% 78.0% 75.2% 67.7% 55.6% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 50,279 78.0 20,550 19,501 # # # 89.4 93.5 Lower 95% limit 70.2 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 84.2 3,243,246 75.2 71.5 78.5 84.1 88.8 93.1 96.3 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 44,412 80.3 # # # 74.4 85.1 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 27,531 22,749 70.5^ 89.6 57.9 84.2 80.5 93.2 1,525,386 1,717,859 72.2 78.1 66.5 73.2 77.2 82.4 67.7^ 57.3 76.6 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 Tug Hill Seaway Prevent Chronic Diseases Percentage of adults with current asthma* 20% 15% 10% 5% 0% 11.5% 10.0% 12.0% 10.1% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 22,749 11.5 3,200 4,896 7,590 3,117 # 7.9 16.9^ 12.1 9.2 Lower 95% limit 8.4 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 15.5 1,520,940 10.0 8.9 11.3 4.0 9.7 8.7 6.2 15.0 27.7 16.5 13.4 170,340 322,447 240,590 551,257 222,952 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 16,002 9.8 # # # 7.7 12.3 946,198 199,011 283,809 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 9,164 13,585 9.0 14.0 6.2 8.9 12.9 21.4 504,039 1,016,901 7.0 12.8 5.6 11.1 8.6 14.8 12.0 9.0 15.8 10.1 8.9 11.4 * Physician diagnosed asthma. & 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). 34 | P a g e Tug Hill Seaway Prevent Chronic Diseases Percent of adults with cholesterol checked* 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 76.6% 84.2% 76.8% 83.4% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 Lower 95% limit Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 147,720 76.6 71.4 81.1 12,572,076 84.2 81.7 86.3 6,753 26,580 22,882 57,695 32,527 25.5^ 66.9^ 79.0^ 92.3 96.2 14.3 53.1 68.2 88.1 92.8 41.4 78.3 86.8 95.1 98.1 891,216 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 98.2 127,670 79.5 # # # 74.9 83.5 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 75,368 72,352 75.5 77.8 68.5 69.7 81.5 84.2 5,864,748 6,707,327 82.0 86.2 78.2 82.9 85.2 88.9 76.8 72.8 80.4 83.4 81.2 85.4 * 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). 35 | P a g e Tug Hill Seaway Prevent Chronic Diseases Percentage of adults 18 years and older with elevated cholesterol* 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 37.7% 37.7% 34.2% 34.5% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 55,600 37.7 5,091 4,842 27,236 16,514 # 19.2^ 21.2^ 47.4 51.1 Lower 95% limit 33.2 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 42.5 4,711,105 37.7 35.4 40.1 8.9 13.0 41.1 45.0 36.4 32.5 53.8 57.2 124,288 435,898 620,994 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 51,192 40.2 # # # 36.1 44.5 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 30,281 25,319 40.3 35.1 32.8 30.2 48.4 40.2 2,369,080 2,342,025 40.5 35.2 37.0 32.4 44.3 38.2 34.2 28.9 40.0 34.5 32.1 37.0 * 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). 36 | P a g e Tug Hill Seaway 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% 9.2% 10.2% 9.1% 9.7% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 10,075 9.2 3,873 3,423 # # # 9.9 12.3 Lower 95% limit 6.8 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 12.3 713,905 10.2 8.5 12.2 6.5 8.7 14.8 17.1 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 8,184 8.9 # # # 6.8 11.5 398,657 143,698 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 4,637 5,437 7.8 10.9 5.0 7.2 11.8 16.1 324,668 389,237 10.2 10.2 7.7 8.0 13.4 12.9 9.1 6.3 13.1 9.7 7.7 12.3 * 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 Tug Hill Seaway Prevent Chronic Diseases Percentage of adults with arthritis* 35% 30% 25% 20% 15% 10% 5% 0% 29.5% 22.9% 30.0% 21.8% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 58,935 29.5 4,945 6,901 23,290 20,670 # 12.2 23.7^ 37.0 60.3 Lower 95% limit 25.9 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 33.5 3,491,206 22.9 21.3 24.6 6.9 15.3 31.5 54.3 20.7 34.6 43.0 66.0 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 54,762 33.3 # # # 29.7 37.2 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 28,639 30,296 27.9 31.3 22.6 26.3 33.9 36.7 1,258,898 2,232,309 17.3 28.0 15.2 25.7 19.6 30.4 30.0 26.7 33.5 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 Tug Hill Seaway 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% 94.6% 91.3% 94.4% 91.3% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 Lower 95% limit Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 183,414 94.6 92.3 96.2 13,107,891 91.3 89.8 92.6 29,562 38,726 26,518 56,679 30,828 96.0 96.7 93.6 92.7 94.9 87.2 90.8 85.9 87.7 91.4 98.8 98.8 97.2 95.8 97.0 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 96.1 150,939 94.8 # # # 92.6 96.4 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 95,152 88,262 94.7 94.4 91.0 91.4 97.0 96.4 6,375,291 6,732,600 92.5 90.1 90.3 87.9 94.3 91.9 94.4 92.2 96.1 91.3 89.8 92.6 & Percent is age adjusted to the 2000 United States Population. # Rates with <10 in the numerator or <50 in the denominator are suppressed. 39 | P a g e Tug Hill Seaway Promote a Healthy and Safe Environment Percentage of adults aged 65+ years with at least one fall in the past 12 months 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 38.0% 30.8% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 12,620 38.0 32.3 44.1 802,383 30.8 27.3 34.5 11,720 37.2 # # # 31.5 43.2 600,059 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 6,220 6,400 40.7 35.8 31.9 28.4 50.0 43.9 324,764 477,619 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 Tug Hill Seaway 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% 41.1% 38.3% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 5,188 41.1^ 31.6 51.3 304,376 38.3 32.2 44.9 4,494 38.3^ # # # 29.0 48.6 223,708 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 1,618 3,570 26.0^ 55.8^ 15.1 42.1 40.9 68.7 103,371 201,005 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 Tug Hill Seaway 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% 33.4% 37.3% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 18,590 33.4 27.1 40.3 1,662,747 37.3 34.0 40.8 14,189 28.2 # # # 23.4 33.6 957,863 347,642 270,194 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 10,861 7,728 38.1 28.4^ 29.9 19.2 47.2 39.8 929,342 733,405 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 Tug Hill Seaway Prevent HIV/STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections Percentage of adults aged 18+ years with flu immunization in the past year* 50% 40% 30% 20% 10% 0% 43.8% 46.7% 43.1% 46.0% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 Lower 95% limit Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 85,569 43.8 38.9 48.7 6,798,706 46.7 44.3 49.2 10,446 15,071 8,308 27,076 24,084 33.3^ 37.6^ 29.3^ 44.3 71.8 18.3 25.1 20.3 38.3 66.0 52.7 52.0 40.2 50.4 77.0 600,414 907,897 981,422 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 69,611 43.3 # # # 39.3 47.4 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 44,505 41,063 44.1 43.4 37.2 36.8 51.2 50.2 3,045,064 3,753,643 43.8 49.5 40.1 46.2 47.5 52.8 43.1 38.6 47.6 46.0 43.4 48.6 * Includes flu shot or flu spray & 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). 43 | P a g e Tug Hill Seaway Prevent HIV/STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections Percentage of adults aged 65+ years with flu immunization in the past year* 80% 70% 60% 50% 40% 30% 20% 10% 0% 71.8% 72.1% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 24,084 71.8 66.0 77.0 1,895,586 72.1 67.9 75.9 22,895 71.8 # # # 65.9 77.0 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 12,604 11,480 80.6 64.1 72.9 55.8 86.6 71.6 802,715 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 Tug Hill Seaway Prevent HIV/STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections Percentage of adults aged 65+ years with pneumococcal immunization 80% 70% 60% 50% 40% 30% 20% 10% 0% 70.5% 65.1% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 23,094 70.5 64.7 75.7 1,617,276 65.1 60.7 69.2 22,136 71.2 # # # 65.5 76.3 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 10,214 12,881 67.9 72.7 58.9 65.0 75.8 79.3 631,549 985,727 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 Tug Hill Seaway 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% 63.8% 70.7% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 29,302 63.8^ 50.3 75.5 2,268,176 70.7 64.0 76.5 20,566 62.5^ # # # 50.8 72.9 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 50.3 75.5 2,268,176 # 70.7 64.0 76.5 29,302 # 63.8^ 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 Tug Hill Seaway Promote Healthy Women, Infants, and Children Women aged 18-44 years who saw a doctor for a routine checkup within the last year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 74.2% 72.5% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 34,941 74.2^ 63.8 82.5 2,615,375 72.5 66.5 77.8 22,853 67.5^ # # # 56.3 77.0 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 63.8 82.5 2,615,375 # 72.5 66.5 77.8 34,941 # 74.2^ 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). 47 | P a g e Tug Hill Seaway 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% 88.2% 87.2% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 68,414 88.2 82.6 92.1 5,351,099 87.2 83.4 90.2 53,239 86.2 # # # 79.7 90.8 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 82.6 92.1 5,351,099 # 87.2 83.4 90.2 68,414 # 88.2 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). 48 | P a g e Tug Hill Seaway Promote Healthy Women, Infants, and Children Percentage of women aged 18-44 years whose health care provider discussed planning a healthy pregnancy 70% 60% 50% 40% 30% 20% 10% 0% 49.9% 39.3% Tug Hill Seaway Region NYS crude Rate type Tug Hill Seaway 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 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 22,720 49.9^ 37.4 62.5 1,268,971 39.3 33.7 45.2 17,601 54.2^ # # # 42.9 65.0 723,302 291,237 192,904 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 37.4 62.5 1,268,971 # 39.3 33.7 45.2 22,720 # 49.9^ 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 Tug Hill Seaway Promote Mental Health and Prevention Substance Abuse Percentage of adults with poor mental health for 14 or more days in the last month 20% 15% 10% PA goal 5% 0% 11.7% 11.3% 11.2% 11.1% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 23,080 11.7 7,047 2,371 4,855 2,920 # 17.3^ 8.3 7.8 8.8 Lower 95% limit 7.4 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 18.0 1,672,677 11.3 9.7 13.0 5.3 4.3 5.5 5.4 43.7 15.5 11.0 14.0 186,862 418,716 259,463 587,164 175,961 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 13,943 8.6 # # # 6.3 11.5 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 9,832 13,248 9.7^ 13.9 4.1 8.5 21.3 21.9 734,315 938,362 10.4 12.1 7.9 10.2 13.5 14.2 11.2 7.5 16.5 11.1 9.6 13.0 & 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). 50 | P a g e Tug Hill Seaway Promote Mental Health and Prevention Substance Abuse Percentage of adult binge drinking during the past month* 30% 25% 20% PA goal 15% 10% 5% 0% 24.4% 16.9% 24.5% 17.7% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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 Lower 95% limit Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 46,288 24.4 20.5 28.7 2,413,447 16.9 14.9 19.1 8,729 15,445 6,812 12,635 2,667 27.8^ 43.6^ 24.4^ 20.9 8.0 15.8 32.1 16.2 16.3 4.9 44.2 55.9 35.0 26.3 12.8 515,466 633,963 509,131 656,578 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 37,144 23.3 # # # 19.7 27.4 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 29,829 16,460 31.1 17.5 25.3 13.0 37.6 23.2 1,567,117 846,330 22.8 11.4 19.3 9.6 26.8 13.4 24.5 20.8 28.6 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. # 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). 51 | P a g e Tug Hill Seaway 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% 26.8% 31.8% 31.0% 29.9% Tug Hill Seaway Region NYS Tug Hill Seaway Region NYS crude age-adjusted Tug Hill Seaway 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& 6,154 1,605 5,143 4,386 Percent 26.8^ # # # 33.7^ # 37.1^ # # # Lower 95% limit 13.6 Rate type Statewide Upper 95% limit 45.9 20.4 50.2 22.6 54.4 # 33.3^ 15.4 57.9 31.0^ 21.1 42.9 Est. # of Adults Percent Lower 95% limit Upper 95% limit 519,245 31.8 24.1 40.6 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 13.9 423,246 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 36.5 272,857 246,388 38.4^ 26.7 24.1 20.7 55.0 33.8 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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