eBRFSS 2013-2014 Health Indicators: North Country 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 North Country Improve Health Status and Reduce Health Disparities Percentage of adults who did not receive medical care because of cost* 20% 15% 10% 5% 0% 11.4% 13.1% 12.0% 13.6% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 28,018 11.4 9.4 13.7 1,994,210 13.1 11.2 15.3 4,414 5,416 4,524 10,765 2,625 11.9^ 17.9 13.0 11.6 5.2 5.7 11.0 8.2 9.1 3.1 23.4 27.7 20.0 14.6 8.7 281,654 537,866 423,154 596,074 139,733 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 25,274 9.6 14.4 1,436 11.8 # # 10.0^ 4.6 20.1 959,531 335,184 465,114 234,381 10.5 15.5 18.4 16.3^ 8.7 10.0 14.5 7.3 12.7 23.4 23.0 32.6 13,644 14,374 10.7 12.1 7.7 9.7 14.7 14.9 890,677 1,103,533 12.3 13.8 9.6 11.2 15.5 16.9 12.0 9.8 14.6 13.6 11.6 15.8 * Among people needing to see a doctor in the past 12 months & Percent is age adjusted to the 2000 United States Population. # 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 North Country 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% 83.9% 84.9% 82.3% 84.5% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 205,922 83.9 80.8 86.6 12,905,860 84.9 83.1 86.6 22,744 20,035 29,229 85,160 47,824 61.6^ 66.6 83.9 91.8 96.1 47.4 57.8 77.7 89.1 94.4 74.2 74.3 88.7 93.9 97.3 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 97.1 181,641 82.2 87.5 12,078 85.0 # # 84.6^ 68.5 93.3 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 98,478 107,444 77.7 90.5 72.4 87.9 82.3 92.5 5,804,831 7,101,029 80.1 89.3 77.1 87.0 82.8 91.3 82.3 79.4 84.9 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 North Country 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% 67.0% 69.5% 67.0% 69.3% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 154,725 67.0 63.8 70.0 9,774,786 69.5 66.9 72.0 23,796 17,522 23,269 60,242 29,317 69.1^ 61.9 71.2 68.6 62.5 54.4 52.6 63.6 64.1 57.8 80.7 70.4 77.7 72.7 67.0 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 73.4 134,170 63.2 69.6 8,104 66.5 # # 66.0^ 48.8 79.9 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 74,708 80,018 62.7 71.5 57.5 67.8 67.7 74.9 4,591,800 5,182,986 67.3 71.6 63.4 68.1 71.1 74.8 67.0 63.7 70.1 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 North Country 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% 23.7% 19.9% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 60,646 25.2 22.7 27.7 3,111,131 20.8 19.1 22.7 3,275 5,204 6,132 26,345 19,465 9.0 17.7^ 17.9 29.2 39.5 4.6 10.7 12.9 25.4 35.1 16.7 27.8 24.2 33.2 44.0 119,872 426,647 294,471 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 55,271 23.7 28.9 3,669 26.2 # # 28.2^ 17.1 42.8 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 29,650 30,996 23.9 26.5 20.3 23.4 27.8 29.9 1,349,486 1,761,645 18.9 22.6 16.3 20.4 21.9 24.9 23.7 21.3 26.4 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 North Country 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% 85.6% 85.2% North Country Region NYS crude Rate type North Country 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 165,949 85.6 82.2 88.4 10,275,389 85.2 82.8 87.3 144,277 84.2 89.4 8,771 87.0 # # 77.5^ 56.1 90.3 6,192,415 1,606,586 1,626,540 849,849 90.1 87.9 73.2 74.5^ 88.8 82.0 66.2 56.8 91.3 92.1 79.2 86.6 84,358 81,591 83.2 88.1 77.5 84.6 87.7 91.0 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 North Country 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% 65.9% 70.9% North Country Region NYS crude Rate type North Country 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 127,809 65.9 61.7 69.9 8,622,736 70.9 68.1 73.5 110,971 63.1 70.7 7,845 67.0 # # 68.7^ 47.2 84.3 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 60,376 67,432 59.1 73.4 52.7 68.7 65.3 77.7 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 North Country Improve Health Status and Reduce Health Disparities Percentage of adults experiencing housing insecurity in the past 12 months* 50% 40% 30% 20% 10% 0% 36.1% 43.4% 38.2% 43.7% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 79,887 36.1 32.9 39.6 5,967,540 43.4 40.8 46.1 11,808 14,248 13,402 31,270 9,032 41.7^ 50.1 43.6 36.3 19.5 26.6 40.4 35.8 31.9 15.9 58.5 59.8 51.7 40.9 23.5 487,620 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 69,765 33.0 39.6 3,510 36.2 # # 27.9^ 16.2 43.7 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 39,358 40,528 34.5 37.9 29.4 33.9 40.1 42.0 2,630,128 3,337,412 40.1 46.5 36.1 43.0 44.2 50.0 38.2 34.7 41.9 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 North Country 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% 23.3% 29.0% 25.0% 29.4% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 54,992 23.3 20.4 26.4 4,211,702 29.0 26.6 31.5 9,341 8,659 11,252 20,526 5,056 25.6^ 30.1^ 34.3 23.0 10.5 15.1 21.5 26.9 19.4 7.7 40.0 40.2 42.5 27.0 14.1 339,128 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 46,859 20.0 25.7 2,675 22.7 # # 20.4^ 11.2 34.1 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 25,388 29,604 20.9 25.8 16.6 22.3 25.9 29.7 1,903,904 2,307,798 27.4 30.5 23.6 27.5 31.5 33.6 25.0 21.9 28.3 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 North Country Improve Health Status and Reduce Health Disparities Percentage of adults with poor self-reported health 10% 5% 0% 4.7% 4.5% 4.6% 4.3% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 11,452 4.7 1,574 4,871 3,854 # # 4.5 5.3 7.8 Lower 95% limit 3.7 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 5.9 680,314 4.5 3.7 5.4 2.2 3.9 5.2 9.0 7.2 11.5 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 10,405 4.9 # # # 3.8 6.3 365,138 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 5,562 5,890 4.4 5.0 3.0 3.6 6.4 6.8 298,899 381,415 4.1 4.8 3.1 3.9 5.5 6.0 4.6 3.5 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 North Country Improve Health Status and Reduce Health Disparities Percentage of adults who report 14 or more days of poor physical health* 20% 15% 10% 5% 0% 13.1% 11.8% 12.5% 11.3% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 31,544 13.1 2,490 3,606 15,979 8,242 # 8.2 10.6 17.7 17.4 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 15.5 1,717,941 11.8 10.5 13.1 4.2 6.8 13.8 13.6 15.4 16.0 22.4 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 11.0 15.0 3,627 12.9 # # 25.6^ 11.2 48.3 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 14,649 16,896 11.8 14.6 9.2 11.6 15.0 18.2 722,008 995,933 10.3 13.0 8.7 11.3 12.3 14.9 12.5 10.5 14.7 11.3 10.1 12.5 26,807 11.1 Rate type * 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 North Country Prevent Chronic Diseases Percentage of adults who are obese* 35% 30% 25% PA goal 20% 15% 10% 5% 0% 29.7% 24.9% 30.0% 24.6% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 69,111 29.7 26.9 32.6 3,527,077 24.9 23.0 26.9 6,455 7,572 12,036 30,053 12,924 18.8^ 26.2 36.6 34.0 26.9 11.4 19.0 29.2 29.7 23.1 29.4 34.9 44.7 38.7 31.0 318,556 509,101 573,976 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 59,501 26.2 31.6 4,539 28.8 # # 38.5^ 23.1 56.6 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 35,574 33,537 28.8 30.7 24.9 26.9 32.9 34.8 1,782,686 1,744,390 25.3 24.5 22.5 22.0 28.3 27.1 30.0 27.1 33.0 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 North Country 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% 28.2% 28.7% 29.7% 28.5% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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& 16,539 1,941 5,921 4,769 Percent 28.2 # 22.4^ # 30.9 29.8 Lower 95% limit 23.6 Rate type Statewide Upper 95% limit 33.3 10.9 40.5 23.5 23.6 39.5 36.8 Est. # of Adults Percent Lower 95% limit Upper 95% limit 1,029,079 28.7 24.7 33.0 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 13,731 27.4 # # # 22.7 32.7 500,787 165,021 287,948 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 6,267 10,272 24.1 31.5 17.4 25.5 32.2 38.2 386,764 642,314 23.8 32.7 18.1 27.6 30.5 38.3 29.7 24.3 35.8 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 North Country Prevent Chronic Diseases Percentage of adults living with a disability who are obese* 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 36.7% 36.9% 37.7% 35.4% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 21,343 36.7 9,126 6,663 # # # 35.7 36.4 Lower 95% limit 31.9 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 41.8 1,093,091 36.9 32.7 41.3 29.2 29.5 42.9 43.9 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 18,789 35.6 # # # 30.7 40.8 698,173 188,077 170,166 36,674 33.3 58.3^ 46.0^ 21.7^ 29.0 44.8 30.4 12.1 37.8 70.6 62.5 35.9 9,247 12,096 32.2 41.2 25.5 34.8 39.7 47.9 430,886 662,205 32.6 40.4 26.2 35.1 39.7 45.8 37.7 30.8 45.1 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 North Country Prevent Chronic Diseases Percentage of adults overweight or obese* 70% 60% 50% 40% 30% 20% 10% 0% 64.4% 60.9% 64.8% 60.5% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 150,027 64.4 61.0 67.6 8,631,360 60.9 58.4 63.3 14,473 17,264 24,149 60,442 33,445 42.2^ 59.8 73.4 68.5 69.5 29.6 50.1 66.2 63.4 65.4 56.0 68.8 79.6 73.1 73.4 656,771 1,528,245 1,362,541 3,335,153 1,632,723 36.6 62.4 58.6 70.0 62.1 28.8 55.9 50.8 66.8 58.1 45.2 68.4 66.0 73.1 65.9 133,793 61.5 68.0 6,822 64.8 # # 57.9^ 40.1 73.9 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 84,846 65,181 68.6 59.6 63.4 55.4 73.4 63.7 4,736,847 3,894,512 67.1 54.7 63.2 51.4 70.8 57.9 64.8 61.4 68.0 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 North Country 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% 73.8% 72.8% 74.4% 72.9% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 175,499 73.8 70.8 76.5 10,681,161 72.8 70.6 74.9 29,851 23,329 24,720 66,141 30,956 82.0^ 81.0 73.2 74.0 63.7 67.1 72.5 65.4 69.8 59.1 91.0 87.3 79.8 77.8 68.0 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 72.7 154,352 71.5 76.9 9,362 74.3 # # 71.3^ 54.5 83.7 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 93,092 82,406 75.9 71.5 71.2 67.7 80.0 75.0 5,439,883 5,241,278 77.3 68.6 74.6 65.3 79.8 71.7 74.4 71.3 77.2 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 North Country Prevent Chronic Diseases Percentage of adults who consume one or more sugary drinks daily* 35% 30% 25% 20% 15% 10% 5% 0% 29.1% 23.8% 30.1% 24.7% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 67,716 29.1 25.7 32.7 3,402,766 23.8 21.5 26.3 20,919 11,575 9,048 16,825 9,134 59.4^ 40.6^ 27.6 19.2 19.3 45.8 31.2 21.3 15.8 15.4 71.7 50.8 34.9 23.1 23.8 670,630 733,289 769,136 839,390 348,734 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 57,041 24.7 31.6 2,928 28.0 # # 23.8^ 13.4 38.7 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 46,475 21,240 38.9 18.8 33.5 15.5 44.5 22.5 1,782,648 1,620,118 26.0 21.8 22.5 18.7 29.8 25.3 30.1 27.1 33.4 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 North Country Prevent Chronic Diseases Percentage of adults who consume fast-food three or more times per week 10% 5% 0% 5.2% 5.8% 5.8% 5.9% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 12,105 5.2 3.8 7.1 817,815 5.8 4.8 6.9 3,395 3,148 1,831 3,150 561 9.7 11.1^ 5.6 3.6 1.2 4.7 5.5 3.2 2.1 0.6 18.8 21.2 9.5 6.0 2.3 172,464 252,437 106,397 234,582 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 9,640 4.8 # # # 3.4 6.6 433,016 122,943 219,779 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 9,610 2,495 8.1 2.2 5.5 1.5 11.6 3.4 560,514 257,301 8.2 3.5 6.6 2.6 10.3 4.8 5.8 4.2 7.9 5.9 4.9 7.0 & Percent is age adjusted to the 2000 United States Population. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 19 | P a g e North Country Prevent Chronic Diseases Percentage of adults with physician-diagnosed diabetes* 15% 10% 5% 0% 9.4% 9.5% 8.1% 8.9% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 23,236 9.4 1,072 10,661 10,593 # # 3.1 11.5 21.1 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 10.9 1,456,783 9.5 8.4 10.8 1.6 9.1 17.7 6.0 14.3 24.9 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 7.9 10.7 1,930 9.2 # # 13.4^ 7.1 24.0 781,028 250,921 296,635 128,200 8.6 11.6 11.6 8.9 7.6 8.2 7.7 5.4 9.6 16.2 17.0 14.4 12,352 10,884 9.7 9.1 7.8 7.5 12.1 11.0 795,054 661,729 10.9 8.3 9.0 7.0 13.1 9.7 8.1 7.0 9.4 8.9 7.9 10.1 19,762 8.1 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). 20 | P a g e North Country Prevent Chronic Diseases Percentage of adults who are current smokers 30% 25% 20% 15% 10% 5% 0% 21.4% 15.6% 22.6% 15.9% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 51,412 21.4 18.9 24.1 2,311,528 15.6 14.0 17.4 7,759 9,359 8,623 21,472 4,028 21.1^ 32.0^ 25.2 23.7 8.3 13.3 23.4 19.0 20.0 6.3 31.8 42.1 32.6 27.8 10.8 254,033 524,783 427,187 937,977 149,820 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 44,514 18.6 24.0 2,652 21.2 # # 20.3^ 11.5 33.2 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 24,983 26,429 20.1 22.7 16.4 19.5 24.4 26.2 1,331,531 979,997 18.8 12.7 15.9 11.1 22.1 14.4 22.6 19.9 25.6 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 North Country Prevent Chronic Diseases Percentage of adults with annual household income less than $25,000 who are current smokers 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 34.5% 23.6% 38.6% 24.2% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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& 20,863 3,373 9,634 1,911 Percent 34.5 # 38.1^ # 49.1 11.7 Lower 95% limit 29.0 Rate type Statewide Upper 95% limit 40.4 21.7 57.9 40.4 7.6 57.7 17.5 Est. # of Adults Percent Lower 95% limit Upper 95% limit 910,061 23.6 19.2 28.7 84,893 254,993 141,275 354,621 63,044 16.1 32.7^ 24.5^ 31.5 7.9 9.8 18.8 15.5 24.7 5.6 25.4 50.6 36.5 39.1 11.0 16,783 32.6 # # # 26.9 38.8 562,213 187,054 119,918 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 7,341 13,522 28.5 38.9 20.3 32.1 38.4 46.2 507,987 402,073 30.0 18.6 21.9 14.7 39.5 23.3 38.6 32.3 45.3 24.2 20.0 28.9 & Percent is age adjusted to the 2000 United States Population. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 22 | P a g e North Country Prevent Chronic Diseases Percentage of adults aged 18-24 years who are current smokers 35% 30% 25% 20% 15% 10% 5% 0% 21.1% 13.0% North Country Region NYS crude Rate type North Country 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 7,759 21.1^ 13.3 31.8 254,033 13.0 9.8 17.0 6,162 20.5^ # # # 12.3 32.3 188,030 21,086 33,121 11,797 19.4 6.1 9.8^ 3.8 14.8 2.8 4.6 1.4 25.2 13.1 19.9 10.0 6,217 1,542 26.2^ 11.8^ 14.8 5.8 42.1 22.4 153,298 100,736 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 North Country 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% 79.7% 80.9% North Country Region NYS crude Rate type North Country 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 36,651 79.7 75.1 83.6 2,225,651 80.9 77.7 83.7 32,120 79.1 # # # 74.5 83.0 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 75.1 83.6 2,225,651 # 80.9 77.7 83.7 36,651 # 79.7 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 North Country 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% 70.8% 76.7% North Country Region NYS crude Rate type North Country 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 10,027 70.8 61.5 78.6 554,880 76.7 69.6 82.6 8,429 71.3 # # # 61.5 79.5 232,138 139,053 134,524 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 61.5 78.6 554,880 # 76.7 69.6 82.6 10,027 # 70.8 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 North Country 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% 79.5% 80.6% North Country Region NYS crude Rate type North Country 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 66,440 79.5 73.7 84.3 4,362,995 80.6 75.7 84.7 60,761 83.0 # # # 78.4 86.7 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 73.7 84.3 4,362,995 # 80.6 75.7 84.7 66,440 # 79.5 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 North Country 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% North Country Region NYS crude Rate type North Country 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 18,029 79.7 71.7 85.9 1,068,153 75.3^ 63.2 84.4 15,460 79.3 # # # 70.4 86.1 433,489 283,693 292,551 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 71.7 85.9 1,068,153 # 75.3^ 63.2 84.4 18,029 # 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 North Country Prevent Chronic Diseases Percentage of adults aged 50-75 years receiving colorectal cancer screening based on recent guidelines* 80% 70% 60% 50% 40% 30% 20% 10% 0% 69.9% 69.3% North Country Region NYS crude Rate type North Country 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 66,203 69.9 65.1 74.2 3,471,945 69.3 66.3 72.2 58,021 71.0 # # # 67.4 74.3 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 33,025 33,179 67.6 72.3 59.7 67.4 74.6 76.7 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 North Country 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% 59.6% 61.4% North Country Region NYS crude Rate type North Country 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 14,192 59.6 52.1 66.8 736,005 61.4 54.7 67.7 12,204 59.4 # # # 51.4 66.9 345,064 155,775 187,721 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 5,411 8,781 54.2^ 63.5 42.0 54.3 66.0 71.8 253,900 482,104 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 North Country 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% 54.9% 58.7% 53.5% 59.1% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 118,562 54.9 51.1 58.6 7,849,939 58.7 56.0 61.5 9,729 12,071 15,058 53,957 27,414 28.2^ 41.2 45.5 67.5 71.5 18.2 32.2 37.6 62.4 66.8 40.9 50.9 53.7 72.3 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 75.6 106,468 52.9 60.1 4,889 56.6 # # 40.8^ 22.0 62.7 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 56,518 62,044 50.9 59.0 45.3 54.4 56.6 63.5 3,534,063 4,315,875 56.3 60.9 52.1 57.2 60.4 64.5 53.5 50.2 56.8 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 North Country Prevent Chronic Diseases Percentage of adults with physician-diagnosed prediabetes 10% 5% 0% 6.0% 5.8% 5.9% 5.9% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 13,102 6.0 5,532 4,811 # # # 6.9 12.5 Lower 95% limit 4.8 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 7.5 783,799 5.8 4.6 7.2 5.1 8.9 9.2 17.3 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 12,050 6.3 # # # 5.0 7.9 489,253 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 6,408 6,695 5.7 6.3 4.1 4.6 7.8 8.6 377,968 405,832 5.9 5.6 4.1 4.3 8.5 7.3 5.9 4.6 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 North Country Prevent Chronic Diseases Percentage of adults with physician-diagnosed high blood pressure 40% 35% 30% 25% 20% 15% 10% 5% 0% 32.9% 28.3% 30.0% 27.3% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 80,985 32.9 5,394 6,113 35,673 31,079 # 17.8^ 17.6 38.5 62.1 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 35.9 4,323,615 28.3 26.5 30.3 10.0 12.8 34.1 57.8 29.7 23.6 43.1 66.2 103,520 299,126 470,752 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 30.8 36.6 4,627 33.6 # # 32.1^ 19.7 47.7 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 44,134 36,851 34.7 31.0 30.4 27.6 39.3 34.7 2,116,294 2,207,320 29.0 27.7 26.2 25.3 32.1 30.2 30.0 27.3 32.8 27.3 25.6 29.1 71,982 30.1 Rate type & 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 North Country 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% 76.3% 75.2% 55.4% 55.6% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 61,682 76.3 3,142 27,315 29,298 # # 51.4^ 76.6 94.4 Lower 95% limit 70.9 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 81.0 3,243,246 75.2 71.5 78.5 35.3 70.0 91.1 67.2 82.0 96.6 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 55,009 76.6 # # # 70.8 81.5 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 31,730 29,952 72.1 81.4 64.0 74.2 78.9 87.0 1,525,386 1,717,859 72.2 78.1 66.5 73.2 77.2 82.4 55.4 49.2 61.3 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 North Country Prevent Chronic Diseases Percentage of adults with current asthma* 20% 15% 10% 5% 0% 12.6% 10.0% 12.6% 10.1% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 30,846 12.6 10.7 14.8 1,520,940 10.0 8.9 11.3 4,764 3,671 4,602 11,755 5,923 12.9^ 12.1^ 13.3 12.8 11.8 6.8 6.2 9.0 10.2 9.3 23.2 22.3 19.1 15.9 14.9 170,340 322,447 240,590 551,257 222,952 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 28,154 11.1 15.6 1,056 13.2 # # 7.3 3.4 15.0 946,198 199,011 283,809 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 11,063 19,783 8.7 16.7 6.6 13.7 11.5 20.3 504,039 1,016,901 7.0 12.8 5.6 11.1 8.6 14.8 12.6 10.5 15.1 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 North Country Prevent Chronic Diseases Percent of adults with cholesterol checked* 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 79.7% 84.2% 77.4% 83.4% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 192,776 79.7 76.2 82.9 12,572,076 84.2 81.7 86.3 12,967 17,273 27,030 86,788 47,750 36.8^ 58.8 79.4 94.0 96.4 24.9 48.9 71.6 91.3 94.9 50.5 68.1 85.4 95.8 97.6 891,216 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 98.2 169,614 77.4 83.9 10,761 80.8 # # 74.8^ 56.0 87.4 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 94,035 98,741 75.4 84.4 69.5 80.6 80.4 87.6 5,864,748 6,707,327 82.0 86.2 78.2 82.9 85.2 88.9 77.4 74.3 80.2 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 North Country Prevent Chronic Diseases Percentage of adults 18 years and older with elevated cholesterol* 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 38.8% 37.7% 31.7% 34.5% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 74,553 38.8 3,314 6,778 35,468 28,575 # 19.2^ 25.1 41.0 60.3 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 42.0 4,711,105 37.7 35.4 40.1 9.9 18.4 36.4 55.8 34.0 33.2 45.8 64.7 124,288 435,898 620,994 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 37.0 43.1 3,179 40.0 # # 29.5^ 16.8 46.6 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 39,982 34,571 42.7 35.1 37.9 31.4 47.6 39.0 2,369,080 2,342,025 40.5 35.2 37.0 32.4 44.3 38.2 31.7 28.7 35.0 34.5 32.1 37.0 67,637 35.8 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 North Country 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% 7.7% 10.2% 6.6% 9.7% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 9,988 7.7 5,290 3,094 # # # 9.3 7.9 Lower 95% limit 6.0 Rate type Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 9.7 713,905 10.2 8.5 12.2 6.7 5.2 12.7 12.0 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 8,517 7.3 # # # 5.6 9.4 398,657 143,698 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 4,706 5,283 7.4 7.9 5.0 6.0 10.9 10.4 324,668 389,237 10.2 10.2 7.7 8.0 13.4 12.9 6.6 5.0 8.6 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 North Country Prevent Chronic Diseases Percentage of adults with arthritis* 35% 30% 25% 20% 15% 10% 5% 0% 29.8% 22.9% 27.1% 21.8% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 73,148 29.8 3,273 6,894 35,034 26,699 # 10.8 19.8 37.9 53.3 Lower 95% limit Statewide Upper 95% limit Est. # of Adults Percent Lower 95% limit Upper 95% limit 32.4 3,491,206 22.9 21.3 24.6 5.6 14.5 33.5 48.8 20.0 26.4 42.4 57.7 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 27.9 33.1 4,661 30.4 # # 32.5^ 20.0 48.1 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 32,111 41,037 25.3 34.6 21.7 31.2 29.3 38.1 1,258,898 2,232,309 17.3 28.0 15.2 25.7 19.6 30.4 27.1 24.7 29.5 21.8 20.3 23.3 65,059 27.2 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 North Country 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% 95.5% 91.3% 95.3% 91.3% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 222,821 95.5 94.3 96.4 13,107,891 91.3 89.8 92.6 34,874 26,562 31,219 84,111 45,338 98.6 92.4 95.2 95.1 96.4 95.5 86.7 90.2 92.9 94.8 99.6 95.7 97.7 96.6 97.5 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 96.1 194,850 94.1 96.4 11,350 95.4 # # 92.4^ 80.5 97.3 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 96.9 116,192 106,629 97.1 93.8 95.5 91.8 98.1 95.3 6,375,291 6,732,600 92.5 90.1 90.3 87.9 94.3 91.9 95.3 93.8 96.4 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. ^ Highly variable rate (confidence interval with a half-width greater than 10). 39 | P a g e North Country 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% 30.5% 30.8% North Country Region NYS crude Rate type North Country 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 14,556 30.5 26.4 35.0 802,383 30.8 27.3 34.5 13,203 29.9 # # # 25.7 34.3 600,059 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 7,014 7,542 30.6 30.4 24.1 25.7 38.1 35.7 324,764 477,619 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 North Country 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% 40% 30% 20% 10% 0% 40.8% 38.3% North Country Region NYS crude Rate type North Country 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 5,938 40.8 32.4 49.8 304,376 38.3 32.2 44.9 5,210 39.5 # # # 31.0 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 3,059 2,879 43.6^ 38.2 29.9 29.3 58.4 48.0 103,371 201,005 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 North Country Prevent HIV/STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections Percentage of adults aged 47-68 years reporting ever tested for Hepatitis C (HCV) 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 39.6% 37.3% North Country Region NYS crude Rate type North Country 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 32,843 39.6 34.6 44.9 1,662,747 37.3 34.0 40.8 26,791 38.0 # # # 33.9 42.3 957,863 347,642 270,194 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 21,469 11,374 49.2 29.0 41.4 24.0 57.0 34.6 929,342 733,405 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 North Country 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% 46.8% 46.7% 44.4% 46.0% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 110,154 46.8 43.5 50.1 6,798,706 46.7 44.3 49.2 12,030 11,377 9,920 40,255 35,970 34.2^ 39.5 30.2 45.2 74.4 23.1 30.4 23.6 40.5 70.0 47.3 49.4 37.7 49.9 78.3 600,414 907,897 981,422 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 75.9 100,613 45.6 52.1 5,223 48.8 # # 42.4^ 26.5 60.0 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 47,885 62,269 39.6 54.4 35.0 50.2 44.4 58.7 3,045,064 3,753,643 43.8 49.5 40.1 46.2 47.5 52.8 44.4 41.2 47.7 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 North Country 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% 74.4% 72.1% North Country Region NYS crude Rate type North Country 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 35,970 74.4 70.0 78.3 1,895,586 72.1 67.9 75.9 33,589 75.0 # # # 70.6 78.9 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 17,159 18,811 73.6 75.1 66.0 70.2 80.1 79.4 802,715 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 North Country 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% 73.7% 65.1% North Country Region NYS crude Rate type North Country 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 34,235 73.7 69.5 77.5 1,617,276 65.1 60.7 69.2 31,731 73.7 # # # 69.4 77.6 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 15,735 18,500 70.0 77.3 62.7 72.6 76.4 81.3 631,549 985,727 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 North Country Promote Healthy Women, Infants, and Children Percentage of women aged 18-44 years who had dental visit within the last year 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 73.7% 70.7% North Country Region NYS crude Rate type North Country 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 32,535 73.7 66.4 79.8 2,268,176 70.7 64.0 76.5 28,511 72.7 # # # 65.2 79.1 1,155,302 426,771 412,421 273,683 73.5 78.8^ 62.2^ 63.0^ 68.1 61.7 48.3 30.7 78.3 89.5 74.4 86.8 66.4 79.8 2,268,176 # 70.7 64.0 76.5 32,535 # 73.7 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). 46 | P a g e North Country 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% 68.7% 72.5% North Country Region NYS crude Rate type North Country 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 31,701 68.7 60.8 75.7 2,615,375 72.5 66.5 77.8 28,928 70.4 # # # 62.6 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 60.8 75.7 2,615,375 # 72.5 66.5 77.8 31,701 # 68.7 Age-adjusted+,& & Percent is age adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 47 | P a g e North Country 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% 88.1% 87.2% North Country Region NYS crude Rate type North Country 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 81,591 88.1 84.6 91.0 5,351,099 87.2 83.4 90.2 71,891 88.3 # # # 84.7 91.2 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 84.6 91.0 5,351,099 # 87.2 83.4 90.2 81,591 # 88.1 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). 48 | P a g e North Country Promote Healthy Women, Infants, and Children Percentage of women aged 18-44 years whose health care provider discussed planning a healthy pregnancy 60% 50% 40% 30% 20% 10% 0% 46.8% 39.3% North Country Region NYS crude Rate type North Country 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 20,534 46.8 38.5 55.2 1,268,971 39.3 33.7 45.2 18,718 48.1 # # # 39.5 56.7 723,302 291,237 192,904 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 38.5 55.2 1,268,971 # 39.3 33.7 45.2 20,534 # 46.8 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). 49 | P a g e North Country 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% 10.9% 11.3% 11.2% 11.1% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 26,594 10.9 9.3 12.8 1,672,677 11.3 9.7 13.0 4,035 4,055 3,975 11,488 2,947 10.9 13.4 11.6 12.6 6.0 6.0 8.7 7.7 10.0 4.0 19.0 20.2 17.0 15.6 8.8 186,862 418,716 259,463 587,164 175,961 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 22,928 9.1 12.8 1,840 10.8 # # 13.3^ 7.0 24.1 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 10,174 16,419 8.1 13.9 6.0 11.5 10.9 16.7 734,315 938,362 10.4 12.1 7.9 10.2 13.5 14.2 11.2 9.4 13.2 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 North Country Promote Mental Health and Prevention Substance Abuse Percentage of adult binge drinking during the past month* 25% 20% PA goal 15% 10% 5% 0% 17.5% 16.9% 18.3% 17.7% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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 40,850 17.5 14.9 20.4 2,413,447 16.9 14.9 19.1 12,835 6,170 6,989 12,611 2,218 37.0^ 21.4 20.8 14.3 4.6 25.1 15.7 15.0 11.6 3.2 50.6 28.6 28.1 17.6 6.6 515,466 633,963 509,131 656,578 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 37,011 15.2 21.1 2,005 18.0 # # 15.5^ 7.9 28.0 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 29,018 11,832 24.4 10.3 20.1 8.0 29.3 13.2 1,567,117 846,330 22.8 11.4 19.3 9.6 26.8 13.4 18.3 15.8 21.1 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 North Country 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% 39.1% 31.8% 35.5% 29.9% North Country Region NYS North Country Region NYS crude age-adjusted North Country 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& 10,221 5,474 Percent 39.1 # # # 47.7^ # Lower 95% limit 31.3 Rate type Statewide Upper 95% limit 47.4 36.5 59.0 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 8,398 37.3 # # # 29.3 46.2 423,246 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 3,234 6,987 32.7^ 42.9 21.0 33.5 47.2 52.8 272,857 246,388 38.4^ 26.7 24.1 20.7 55.0 33.8 35.5 28.1 43.8 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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