eBRFSS 2013-2014 Health Indicators: Southern Tier 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 Southern Tier Improve Health Status and Reduce Health Disparities Percentage of adults who did not receive medical care because of cost* 20% 15% 10% 5% 0% 10.0% 13.1% 10.7% 13.6% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 36,229 10.0 8.2 12.2 1,994,210 13.1 11.2 15.3 3,485 7,509 6,772 16,052 2,128 6.2 12.3 14.2 13.5 2.9 3.1 7.7 8.3 10.3 1.8 11.9 19.0 23.3 17.5 4.6 281,654 537,866 423,154 596,074 139,733 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 28,746 7.7 11.8 1,904 9.5 # # 7.0 3.2 14.7 959,531 335,184 465,114 234,381 10.5 15.5 18.4 16.3^ 8.7 10.0 14.5 7.3 12.7 23.4 23.0 32.6 16,682 19,547 9.4 10.6 7.2 7.9 12.3 13.9 890,677 1,103,533 12.3 13.8 9.6 11.2 15.5 16.9 10.7 8.6 13.2 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 Southern Tier 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% 85.0% 84.9% 84.1% 84.5% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 305,033 85.0 82.4 87.2 12,905,860 84.9 83.1 86.6 42,341 47,402 37,697 105,441 67,547 75.8^ 77.7 79.2 89.5 93.9 64.6 69.2 71.3 86.3 90.9 84.3 84.4 85.4 92.0 95.9 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 97.1 253,550 82.3 87.2 22,327 84.9 # # 81.9^ 68.4 90.4 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 93.0 136,951 168,081 77.5 92.2 73.5 88.9 81.1 94.6 5,804,831 7,101,029 80.1 89.3 77.1 87.0 82.8 91.3 84.1 81.3 86.5 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 Southern Tier 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% 66.7% 69.5% 66.4% 69.3% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 220,423 66.7 63.4 69.8 9,774,786 69.5 66.9 72.0 29,851 36,594 28,479 77,932 44,963 66.4^ 65.9^ 64.5 68.5 65.7 54.2 55.2 54.6 63.7 60.9 76.8 75.2 73.3 73.0 70.2 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 73.4 188,016 63.2 69.7 16,234 66.6 # # 73.3^ 57.0 85.0 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 78.4 102,550 117,873 62.3 71.0 57.5 66.6 67.0 75.0 4,591,800 5,182,986 67.3 71.6 63.4 68.1 71.1 74.8 66.4 62.8 69.8 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 Southern Tier Improve Health Status and Reduce Health Disparities Percentage of adults living with a disability* 30% 25% 20% 15% 10% 5% 0% 25.2% 20.8% 24.6% 19.9% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 89,618 25.2 22.5 28.1 3,111,131 20.8 19.1 22.7 4,554 12,577 8,889 36,485 26,446 8.2 21.1^ 19.4 30.8 36.6 4.3 13.6 13.5 26.7 31.9 15.1 31.4 27.2 35.3 41.5 119,872 426,647 294,471 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 77,336 23.3 28.9 5,878 26.0 # # 23.1^ 12.8 38.2 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 43,459 46,159 24.9 25.5 21.0 21.9 29.2 29.5 1,349,486 1,761,645 18.9 22.6 16.3 20.4 21.9 24.9 24.6 22.0 27.5 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. # 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 Southern Tier 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% 88.7% 85.2% Southern Tier Region NYS crude Rate type Southern Tier 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 245,502 88.7 86.2 90.8 10,275,389 85.2 82.8 87.3 203,392 85.9 90.7 19,259 88.5 # # 91.4^ 78.8 96.8 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 86.6 119,966 125,536 86.4 91.0 82.8 87.3 89.3 93.7 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 Southern Tier 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% 64.9% 70.9% Southern Tier Region NYS crude Rate type Southern Tier 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 182,948 64.9 60.8 68.8 8,622,736 70.9 68.1 73.5 143,786 58.3 66.5 13,771 62.5 # # 65.4^ 47.0 80.2 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 78,883 104,066 56.8 72.8 51.1 67.0 62.4 77.9 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 Southern Tier Improve Health Status and Reduce Health Disparities Percentage of adults experiencing housing insecurity in the past 12 months* 50% 40% 30% 20% 10% 0% 33.7% 43.4% 35.4% 43.7% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 110,120 33.7 30.4 37.2 5,967,540 43.4 40.8 46.1 13,414 20,168 21,029 42,480 12,309 30.9^ 36.6^ 46.7 38.1 18.1 19.6 27.2 37.1 33.2 14.2 45.0 47.0 56.5 43.2 22.8 487,620 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 94,835 31.5 38.3 5,731 34.9 # # 24.3^ 13.0 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 47,371 62,749 30.5 36.6 26.3 31.6 35.0 42.0 2,630,128 3,337,412 40.1 46.5 36.1 43.0 44.2 50.0 35.4 31.8 39.1 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. # 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 Southern Tier 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% 23.7% 29.0% 25.2% 29.4% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 82,315 23.7 20.6 27.1 4,211,702 29.0 26.6 31.5 12,360 13,426 16,225 30,573 9,530 23.2^ 23.0 35.4^ 26.5 13.5 14.6 16.2 26.0 21.5 9.7 34.8 31.4 46.1 32.2 18.6 339,128 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 66,830 20.0 26.3 7,161 23.0 # # 29.6^ 14.1 51.9 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 34,087 48,228 20.1 27.1 16.1 22.6 24.9 32.1 1,903,904 2,307,798 27.4 30.5 23.6 27.5 31.5 33.6 25.2 21.9 28.8 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. # 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 Southern Tier Improve Health Status and Reduce Health Disparities Percentage of adults with poor self-reported health 10% 5% 0% 5.1% 4.5% 4.8% 4.3% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 18,143 5.1 7,509 5,843 # # # 6.4 8.1 Rate type Statewide Lower 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 6.9 680,314 4.5 3.7 5.4 4.5 5.8 9.0 11.2 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 3.2 6.8 2,274 4.7 # # 8.6 4.0 17.6 365,138 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 10,260 7,882 5.8 4.3 3.6 3.1 9.4 6.1 298,899 381,415 4.1 4.8 3.1 3.9 5.5 6.0 4.8 3.4 6.6 4.3 3.6 5.1 14,079 3.7 Upper 95% limit & 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 Southern Tier 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% 12.3% 11.3% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 43,428 12.4 5,741 5,563 17,383 12,114 # 9.6^ 12.0 15.3 17.3 Rate type Statewide Lower 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 14.8 1,717,941 11.8 10.5 13.1 4.3 6.8 12.1 13.5 20.1 20.5 19.0 21.9 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 9.9 14.3 4,940 11.9 # # 19.1^ 9.7 34.2 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 22,786 20,642 13.2 11.6 10.1 9.2 17.2 14.5 722,008 995,933 10.3 13.0 8.7 11.3 12.3 14.9 12.3 10.1 14.9 11.3 10.1 12.5 34,674 10.4 Upper 95% limit * 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 Southern Tier Prevent Chronic Diseases Percentage of adults who are obese* 35% 30% 25% PA goal 20% 15% 10% 5% 0% 28.5% 24.9% 29.8% 24.6% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 95,241 28.5 25.4 31.9 3,527,077 24.9 23.0 26.9 7,926 16,121 15,806 37,057 18,039 14.8^ 30.6^ 36.4^ 32.8 26.4 8.1 21.4 27.1 28.3 21.6 25.3 41.6 46.9 37.6 31.9 318,556 509,101 573,976 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 82,917 26.5 33.1 4,994 29.7 # # 19.2^ 9.3 35.7 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 49,087 46,154 28.2 28.9 23.8 24.5 33.0 33.7 1,782,686 1,744,390 25.3 24.5 22.5 22.0 28.3 27.1 29.8 26.4 33.4 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 Southern Tier Prevent Chronic Diseases Percentage of adults with an annual household income less than $25,000 who are obese* 40% 35% 30% 25% 20% 15% 10% 5% 0% 32.0% 28.7% 33.2% 28.5% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 29,061 32.0 3,472 4,258 12,769 6,552 # 20.1^ 44.8^ 40.5 28.8 Lower 95% limit 26.9 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 37.5 1,029,079 28.7 24.7 33.0 11.0 26.9 31.9 22.1 33.8 64.2 49.7 36.6 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 24,568 32.3 # # # 27.0 38.0 500,787 165,021 287,948 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 11,743 17,318 25.7 38.3 19.2 31.1 33.5 46.1 386,764 642,314 23.8 32.7 18.1 27.6 30.5 38.3 33.2 27.4 39.4 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 Southern Tier Prevent Chronic Diseases Percentage of adults living with a disability who are obese* 50% 40% 30% 20% 10% 0% 38.8% 36.9% 41.7% 35.4% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 32,685 38.8 15,081 7,075 # # # 43.9 27.6 Lower 95% limit 32.9 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 45.1 1,093,091 36.9 32.7 41.3 36.0 21.3 52.2 35.0 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 26,719 37.0 # # # 30.9 43.7 698,173 188,077 170,166 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 15,797 16,888 36.6^ 41.2 27.5 34.0 46.8 48.7 430,886 662,205 32.6 40.4 26.2 35.1 39.7 45.8 41.7 34.0 49.9 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 Southern Tier Prevent Chronic Diseases Percentage of adults overweight or obese* 70% 60% 50% 40% 30% 20% 10% 0% 59.9% 60.9% 60.8% 60.5% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 199,985 59.9 56.1 63.7 8,631,360 60.9 58.4 63.3 19,724 26,653 30,381 76,054 45,261 36.7^ 50.6^ 70.0 67.3 66.4 25.1 40.5 60.6 62.0 61.6 50.2 60.7 78.1 72.3 70.8 656,771 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 65.9 174,723 59.1 65.9 11,547 62.5 # # 44.5^ 28.3 61.9 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 49.9 112,653 87,331 64.7 54.7 59.7 49.0 69.4 60.3 4,736,847 3,894,512 67.1 54.7 63.2 51.4 70.8 57.9 60.8 57.1 64.3 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 Southern Tier 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% 74.2% 72.8% 74.7% 72.9% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 259,735 74.2 70.9 77.4 10,681,161 72.8 70.6 74.9 41,971 42,562 36,839 85,632 48,976 78.8^ 71.7^ 80.3 73.9 68.8 66.5 58.8 72.6 69.3 64.2 87.4 81.7 86.3 78.1 73.1 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 72.7 213,124 69.7 75.9 22,139 72.9 # # 88.7^ 78.0 94.6 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 81.3 133,344 126,391 78.2 70.5 74.0 65.2 81.9 75.2 5,439,883 5,241,278 77.3 68.6 74.6 65.3 79.8 71.7 74.7 71.2 77.8 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 Southern Tier Prevent Chronic Diseases Percentage of adults who consume one or more sugary drinks daily* 35% 30% 25% 20% 15% 10% 5% 0% 25.6% 23.8% 26.2% 24.7% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 88,098 25.6 22.3 29.3 3,402,766 23.8 21.5 26.3 20,979 23,280 11,061 23,746 8,799 40.1^ 40.2^ 24.2 20.8 12.6 27.3 29.5 18.0 17.0 10.0 54.3 52.0 31.8 25.1 15.8 670,630 733,289 769,136 839,390 348,734 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 71,236 21.6 28.3 4,913 24.8 # # 20.3^ 11.0 34.3 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 44,773 43,325 26.7 24.6 22.6 19.6 31.2 30.4 1,782,648 1,620,118 26.0 21.8 22.5 18.7 29.8 25.3 26.2 22.9 29.7 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 Southern Tier Prevent Chronic Diseases Percentage of adults who consume fast-food three or more times per week 10% 5% 0% 6.0% 5.8% 6.1% 5.9% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 20,347 6.0 6,344 2,414 5,371 1,671 # 11.0 5.3 4.7 2.4 Rate type Statewide Lower 95% limit 4.5 Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 8.0 817,815 5.8 4.8 6.9 6.3 2.5 2.9 1.4 18.6 10.8 7.5 4.1 172,464 252,437 106,397 234,582 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 15,486 5.4 # # # 3.9 7.5 433,016 122,943 219,779 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 12,975 7,372 7.9 4.2 5.5 2.6 11.2 6.9 560,514 257,301 8.2 3.5 6.6 2.6 10.3 4.8 6.1 4.5 8.2 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 Southern Tier Prevent Chronic Diseases Percentage of adults with physician-diagnosed diabetes* 15% 10% 5% 0% 10.2% 9.5% 9.1% 8.9% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 36,788 10.2 14,046 16,124 # # # 11.8 22.1 Rate type Statewide Lower 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 12.7 1,456,783 9.5 8.4 10.8 9.1 17.8 15.1 27.1 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 7.8 10.7 4,025 9.1 # # 14.8^ 6.9 28.9 781,028 250,921 296,635 128,200 8.6 11.6 11.6 8.9 7.6 8.2 7.7 5.4 9.6 16.2 17.0 14.4 16,397 20,391 9.3 11.1 7.2 7.7 11.9 15.6 795,054 661,729 10.9 8.3 9.0 7.0 13.1 9.7 9.1 7.1 11.7 8.9 7.9 10.1 27,473 8.1 Upper 95% limit * 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 Southern Tier Prevent Chronic Diseases Percentage of adults who are current smokers 30% 25% 20% 15% 10% 5% 0% 20.1% 15.6% 21.2% 15.9% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 71,044 20.1 17.4 23.0 2,311,528 15.6 14.0 17.4 9,973 15,353 12,078 28,406 5,115 18.3^ 26.0 26.2^ 24.0 7.1 10.8 18.4 17.7 20.1 5.2 29.1 35.4 36.9 28.4 9.7 254,033 524,783 427,187 937,977 149,820 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 63,096 18.5 24.5 3,338 21.3 # # 13.4^ 7.1 23.9 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 36,695 34,348 21.1 19.1 17.4 15.4 25.4 23.3 1,331,531 979,997 18.8 12.7 15.9 11.1 22.1 14.4 21.2 18.3 24.6 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 Southern Tier Prevent Chronic Diseases Percentage of adults with annual household income less than $25,000 who are current smokers 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 33.4% 23.6% 35.6% 24.2% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 33,082 33.4 8,325 4,330 14,058 2,371 # 38.6^ 37.6^ 43.6 9.7 Lower 95% limit 27.8 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 39.6 910,061 23.6 19.2 28.7 22.8 21.9 35.1 5.9 57.1 56.6 52.4 15.5 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 28,558 35.6 # # # 29.9 41.7 562,213 187,054 119,918 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 15,897 17,185 35.6 31.7 27.7 24.1 44.3 40.3 507,987 402,073 30.0 18.6 21.9 14.7 39.5 23.3 35.6 29.4 42.4 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 Southern Tier Prevent Chronic Diseases Percentage of adults aged 18-24 years who are current smokers 30% 25% 20% 15% 10% 5% 0% 18.3% 13.0% Southern Tier Region NYS crude Rate type Southern Tier 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 9,973 18.3^ 10.8 29.1 254,033 13.0 9.8 17.0 9,651 23.3^ # # # 14.1 36.0 188,030 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 6,557 23.4^ # 12.3 40.0 153,298 100,736 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 Southern Tier 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% 79.0% 80.9% Southern Tier Region NYS crude Rate type Southern Tier 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 51,498 79.0 74.1 83.2 2,225,651 80.9 77.7 83.7 45,195 78.4 # # # 73.2 82.8 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 74.1 83.2 2,225,651 # 80.9 77.7 83.7 51,498 # 79.0 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 Southern Tier 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% 69.1% 76.7% Southern Tier Region NYS crude Rate type Southern Tier 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 12,012 69.1^ 57.8 78.5 554,880 76.7 69.6 82.6 10,516 68.8^ # # # 56.7 78.7 232,138 139,053 134,524 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 57.8 78.5 554,880 # 76.7 69.6 82.6 12,012 # 69.1^ 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 Southern Tier 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% 81.9% 80.6% Southern Tier Region NYS crude Rate type Southern Tier 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 100,500 81.9 77.2 85.8 4,362,995 80.6 75.7 84.7 84,356 81.9 # # # 77.5 85.6 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 77.2 85.8 4,362,995 # 80.6 75.7 84.7 100,500 # 81.9 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 Southern Tier 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% 79.7% 75.3% Southern Tier Region NYS crude Rate type Southern Tier 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 29,790 79.7 71.0 86.4 1,068,153 75.3^ 63.2 84.4 21,880 75.4 # # # 66.0 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 71.0 86.4 1,068,153 # 75.3^ 63.2 84.4 29,790 # 79.7 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 Southern Tier 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% 63.4% 69.3% Southern Tier Region NYS crude Rate type Southern Tier 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 82,061 63.4 58.5 68.1 3,471,945 69.3 66.3 72.2 72,849 65.4 # # # 61.3 69.3 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 38,092 43,969 61.3 65.4 53.2 59.3 68.7 71.0 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 Southern Tier 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% 56.0% 61.4% Southern Tier Region NYS crude Rate type Southern Tier 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 19,541 56.0 47.4 64.3 736,005 61.4 54.7 67.7 16,747 55.0 # # # 46.2 63.4 345,064 155,775 187,721 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 9,923 9,618 60.7^ 51.9^ 49.2 39.9 71.2 63.6 253,900 482,104 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 Southern Tier 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% 53.6% 58.7% 54.2% 59.1% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 164,536 53.6 49.7 57.5 7,849,939 58.7 56.0 61.5 13,960 25,224 24,844 60,606 37,837 28.0^ 46.6^ 54.5 60.3 71.0 18.0 36.7 44.6 54.6 65.6 40.8 56.7 64.1 65.7 75.8 503,420 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 75.6 142,752 51.7 59.0 8,459 55.3 # # 39.2^ 23.2 57.8 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 78,714 85,822 51.4 55.8 46.1 49.9 56.7 61.6 3,534,063 4,315,875 56.3 60.9 52.1 57.2 60.4 64.5 54.2 50.4 57.9 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 Southern Tier Prevent Chronic Diseases Percentage of adults with physician-diagnosed prediabetes 10% 5% 0% 5.3% 5.8% 5.4% 5.9% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 16,763 5.3 6,771 3,770 # # # 6.6 6.8 Rate type Statewide Lower 95% limit 3.8 Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 7.3 783,799 5.8 4.6 7.2 4.8 4.5 9.1 10.1 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 15,289 5.7 # # # 4.0 8.0 489,253 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 8,956 7,807 5.7 4.8 3.3 3.4 9.7 6.7 377,968 405,832 5.9 5.6 4.1 4.3 8.5 7.3 5.4 3.8 7.5 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 Southern Tier Prevent Chronic Diseases Percentage of adults with physician-diagnosed high blood pressure 35% 30% 25% 20% 15% 10% 5% 0% 30.1% 28.3% 27.8% 27.3% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 108,205 30.1 27.2 33.1 4,323,615 28.3 26.5 30.3 5,198 8,421 6,819 41,371 44,299 9.2 13.8 14.3 35.0 61.4 4.7 8.3 9.4 30.6 56.5 17.4 22.1 21.3 39.7 66.1 103,520 299,126 470,752 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 93,946 28.6 34.3 7,589 31.4 # # 27.8^ 15.4 44.8 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 57,850 50,354 33.0 27.3 28.8 23.7 37.5 31.3 2,116,294 2,207,320 29.0 27.7 26.2 25.3 32.1 30.2 27.8 25.3 30.4 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 Southern Tier Prevent Chronic Diseases Percentage of adults with diagnosed high blood pressure taking high blood pressure medication 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 75.3% 75.2% 57.9% 55.6% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 81,095 75.3 32,070 40,246 # # # 77.5 91.8 Lower 95% limit 70.3 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 79.7 3,243,246 75.2 71.5 78.5 70.3 88.4 83.4 94.3 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 69,969 74.9 # # # 69.7 79.4 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 38,709 42,386 67.5 84.2 59.6 78.8 74.5 88.4 1,525,386 1,717,859 72.2 78.1 66.5 73.2 77.2 82.4 57.9 50.4 65.1 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 Southern Tier Prevent Chronic Diseases Percentage of adults with current asthma* 15% 10% 5% 0% 11.1% 10.0% 11.0% 10.1% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 39,362 11.1 8.7 13.9 1,520,940 10.0 8.9 11.3 7,986 9,891 3,554 11,753 6,076 15.4 16.2^ 7.5 9.9 8.4 9.2 8.1 4.4 7.7 4.9 24.5 29.8 12.4 12.8 13.8 170,340 322,447 240,590 551,257 222,952 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 28,448 7.8 11.5 3,373 9.5 # # 12.4^ 4.7 28.7 946,198 199,011 283,809 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 14,033 25,329 7.9 14.1 5.9 10.2 10.6 19.1 504,039 1,016,901 7.0 12.8 5.6 11.1 8.6 14.8 11.0 8.7 13.8 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 Southern Tier Prevent Chronic Diseases Percent of adults with cholesterol checked* 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 81.0% 84.2% 79.9% 83.4% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 280,906 81.0 76.9 84.5 12,572,076 84.2 81.7 86.3 25,093 37,573 36,981 107,406 69,502 50.3^ 65.7^ 79.8 91.5 97.5 36.0 53.6 70.1 88.6 95.6 64.5 76.1 87.0 93.6 98.6 891,216 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 98.2 238,055 79.7 85.6 21,553 82.8 # # 80.6^ 64.6 90.4 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 90.8 138,828 142,078 81.3 80.7 77.1 73.5 84.9 86.3 5,864,748 6,707,327 82.0 86.2 78.2 82.9 85.2 88.9 79.9 76.3 83.2 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 Southern Tier Prevent Chronic Diseases Percentage of adults 18 years and older with elevated cholesterol* 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 38.9% 37.7% 33.6% 34.5% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 107,760 38.9 8,162 9,810 49,298 37,715 # 21.9^ 26.7 46.7 55.7 Lower 95% limit 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 11.8 18.9 41.4 50.5 36.9 36.3 52.2 60.7 124,288 435,898 620,994 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 35.0 41.7 11,862 38.3 # # 56.1^ 36.5 74.0 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 56,113 51,646 40.9 37.0 35.6 32.7 46.5 41.6 2,369,080 2,342,025 40.5 35.2 37.0 32.4 44.3 38.2 33.6 30.1 37.2 34.5 32.1 37.0 89,873 35.5 Rate type * 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 Southern Tier Prevent Chronic Diseases Percentage of adults who have taken a course or class to learn how to manage their chronic disease or condition* 20% 15% 10% 5% 0% 10.6% 10.2% 10.5% 9.7% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 20,040 10.6 6,755 6,303 # # # 9.8 10.7 Rate type Statewide Lower 95% limit 7.3 Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 15.1 713,905 10.2 8.5 12.2 7.3 7.6 13.0 14.9 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 14,247 9.0 # # # 7.2 11.2 398,657 143,698 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 6,930 13,110 7.9 12.9 5.4 7.6 11.5 20.9 324,668 389,237 10.2 10.2 7.7 8.0 13.4 12.9 10.5 6.4 16.7 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 Southern Tier Prevent Chronic Diseases Percentage of adults with arthritis* 35% 30% 25% 20% 15% 10% 5% 0% 28.3% 22.9% 26.3% 21.8% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 102,167 28.3 5,390 7,770 44,194 40,660 # 8.9 16.4 37.1 56.0 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 31.1 3,491,206 22.9 21.3 24.6 5.4 11.2 32.6 50.9 14.2 23.3 41.8 60.9 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 27.7 33.3 5,619 30.4 # # 20.6^ 10.7 35.9 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 38,769 63,397 21.9 34.3 18.9 30.0 25.3 39.0 1,258,898 2,232,309 17.3 28.0 15.2 25.7 19.6 30.4 26.3 24.1 28.6 21.8 20.3 23.3 91,598 25.6 Rate type * 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 Southern Tier 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% 91.6% 91.3% 91.4% 91.3% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 315,627 91.6 89.7 93.2 13,107,891 91.3 89.8 92.6 47,540 53,444 40,753 106,162 63,978 89.3 91.4 90.0 93.3 91.6 79.4 85.0 84.4 90.2 88.9 94.7 95.2 93.7 95.4 93.7 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 96.1 261,499 88.7 92.7 23,022 90.9 # # 95.9 89.7 98.4 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 96.9 156,230 159,397 92.9 90.4 89.8 87.5 95.1 92.7 6,375,291 6,732,600 92.5 90.1 90.3 87.9 94.3 91.9 91.4 89.4 93.1 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 Southern Tier Promote a Healthy and Safe Environment Percentage of adults aged 65+ years with at least one fall in the past 12 months 40% 35% 30% 25% 20% 15% 10% 5% 0% 33.4% 30.8% Southern Tier Region NYS crude Rate type Southern Tier 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 23,488 33.4 28.7 38.5 802,383 30.8 27.3 34.5 20,224 32.3 # # # 28.2 36.8 600,059 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 10,838 12,650 32.5 34.2 25.0 28.3 40.9 40.6 324,764 477,619 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 Southern Tier 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* 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 36.4% 38.3% Southern Tier Region NYS crude Rate type Southern Tier 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 8,522 36.4 28.5 45.0 304,376 38.3 32.2 44.9 7,465 37.0 # # # 29.7 45.0 223,708 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 3,078 5,444 28.4^ 43.2 17.1 34.0 43.3 52.9 103,371 201,005 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 Southern Tier 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% 25.7% 37.3% Southern Tier Region NYS crude Rate type Southern Tier 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 28,278 25.7 21.9 29.9 1,662,747 37.3 34.0 40.8 25,192 27.0 # # # 23.1 31.2 957,863 347,642 270,194 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 14,697 13,581 28.1 23.5 22.3 18.7 34.8 29.0 929,342 733,405 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 Southern Tier 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% 48.7% 46.7% 45.8% 46.0% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 169,235 48.7 44.9 52.4 6,798,706 46.7 44.3 49.2 22,678 21,280 13,516 58,844 49,932 42.8^ 36.4^ 29.5 50.9 70.4 28.8 25.5 22.3 45.9 65.0 58.0 48.8 37.9 55.9 75.3 600,414 907,897 981,422 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 75.9 135,586 43.2 50.1 12,106 46.6 # # 50.0^ 32.3 67.7 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 76,549 92,686 45.2 52.0 40.3 46.5 50.2 57.4 3,045,064 3,753,643 43.8 49.5 40.1 46.2 47.5 52.8 45.8 42.1 49.7 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 Southern Tier 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% 70.4% 72.1% Southern Tier Region NYS crude Rate type Southern Tier 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 49,932 70.4 65.0 75.3 1,895,586 72.1 67.9 75.9 45,116 71.5 # # # 66.6 75.9 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 22,538 27,394 66.9 73.6 58.4 67.0 74.4 79.3 802,715 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 Southern Tier 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% 68.2% 65.1% Southern Tier Region NYS crude Rate type Southern Tier 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 46,831 68.2 62.5 73.3 1,617,276 65.1 60.7 69.2 42,016 68.9 # # # 63.7 73.6 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 20,119 26,713 62.6 73.1 54.0 66.0 70.5 79.1 631,549 985,727 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 Southern Tier Promote Healthy Women, Infants, and Children Percentage of women aged 18-44 years who had dental visit within the last year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 74.0% 70.7% Southern Tier Region NYS crude Rate type Southern Tier 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 52,014 74.0 65.7 80.9 2,268,176 70.7 64.0 76.5 41,836 72.1 # # # 63.2 79.6 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 65.7 80.9 2,268,176 # 70.7 64.0 76.5 52,014 # 74.0 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). 46 | P a g e Southern Tier Promote Healthy Women, Infants, and Children Women aged 18-44 years who saw a doctor for a routine checkup within the last year 80% 70% 60% 50% 40% 30% 20% 10% 0% 69.8% 72.5% Southern Tier Region NYS crude Rate type Southern Tier 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 57,821 69.8 60.6 77.7 2,615,375 72.5 66.5 77.8 42,375 69.2 # # # 59.7 77.2 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 60.6 77.7 2,615,375 # 72.5 66.5 77.8 57,821 # 69.8 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). 47 | P a g e Southern Tier 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% 91.0% 87.2% Southern Tier Region NYS crude Rate type Southern Tier 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 125,536 91.0 87.3 93.7 5,351,099 87.2 83.4 90.2 103,783 90.9 # # # 87.0 93.7 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 87.3 93.7 5,351,099 # 87.2 83.4 90.2 125,536 # 91.0 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). 48 | P a g e Southern Tier Promote Healthy Women, Infants, and Children Percentage of women aged 18-44 years whose health care provider discussed planning a healthy pregnancy 50% 40% 30% 20% 10% 0% 38.5% 39.3% Southern Tier Region NYS crude Rate type Southern Tier 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 28,913 38.5^ 29.1 48.7 1,268,971 39.3 33.7 45.2 26,118 45.0 # # # 35.5 55.0 723,302 291,237 192,904 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 29.1 48.7 1,268,971 # 39.3 33.7 45.2 28,913 # 38.5^ 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 Southern Tier 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% 10.3% 11.3% 10.6% 11.1% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 36,482 10.3 8.6 12.4 1,672,677 11.3 9.7 13.0 4,996 8,024 5,170 13,514 4,696 8.9 13.5 11.0 11.7 6.6 5.0 7.8 7.3 9.1 4.5 15.3 22.5 16.3 14.9 9.7 186,862 418,716 259,463 587,164 175,961 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 30,947 8.6 12.8 2,326 10.5 # # 8.8^ 3.8 19.1 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 16,352 20,130 9.5 11.2 6.9 8.9 12.9 13.8 734,315 938,362 10.4 12.1 7.9 10.2 13.5 14.2 10.6 8.8 12.8 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 Southern Tier Promote Mental Health and Prevention Substance Abuse Percentage of adult binge drinking during the past month* 25% 20% PA goal 15% 10% 5% 0% 18.1% 16.9% 19.2% 17.7% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 61,605 18.1 15.2 21.4 2,413,447 16.9 14.9 19.1 15,284 16,238 10,075 16,863 3,145 30.1^ 28.9^ 22.3 14.8 4.5 19.4 18.7 15.8 12.0 3.1 43.6 41.7 30.6 18.2 6.4 515,466 633,963 509,131 656,578 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 52,768 15.5 21.3 3,495 18.2 # # 15.9^ 7.6 30.2 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 37,622 23,983 23.0 13.5 19.2 9.5 27.4 19.0 1,567,117 846,330 22.8 11.4 19.3 9.6 26.8 13.4 19.2 16.2 22.7 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 Southern Tier Promote Mental Health and Prevention Substance Abuse Percentage of cigarette smoking among adults who report poor mental health 60% 50% 40% 30% PA goal 20% 10% 0% 42.2% 31.8% 40.4% 29.9% Southern Tier Region NYS Southern Tier Region NYS crude age-adjusted Southern Tier 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 14,908 42.2 5,646 718 # # # 42.7^ 15.5^ Lower 95% limit 33.1 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 51.8 519,245 31.8 24.1 40.6 30.4 7.1 55.9 30.8 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 12,617 42.3^ # # # 32.5 52.7 423,246 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 5,524 9,384 34.7^ 48.2^ 21.2 37.5 51.2 59.2 272,857 246,388 38.4^ 26.7 24.1 20.7 55.0 33.8 40.4 31.9 49.6 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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