eBRFSS 2013-2014 Health Indicators: Putnam 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 Putnam Improve Health Status and Reduce Health Disparities Percentage of adults who did not receive medical care because of cost* 25% 20% 15% 10% 5% 0% 15.6% 12.2% 13.1% 17.6% 13.0% 13.6% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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& 12,063 3,747 4,166 Percent 15.6 # # 23.8^ 13.1 # Rate type Mid-Hudson 95% CI (11.2-21.4) (12.0-41.7) (8.7-19.3) Est. # of Adults Percent 95% CI 213,559 12.2 (10.6-14.0) 24,867 61,074 39,130 77,812 9,983 11.5 24.2 13.1 12.4 3.0 (7.1-18.1) (18.8-30.5) (9.3-18.1) (9.9-15.4) (1.9-4.7) 8,061 12.3 # # # (8.5-17.5) 103,329 26,096 66,211 17,924 8.6 18.1 24.8 12.2^ (7.2-10.4) (11.5-27.3) (19.6-30.8) (6.3-22.5) 5,031 7,032 13.2 18.0 (7.7-21.6) (11.8-26.6) 96,035 117,524 11.3 13.0 (9.2-13.8) (10.7-15.7) 17.6 (12.5-24.2) 13.0 (11.3-14.9) * 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 Putnam Improve Health Status and Reduce Health Disparities Percentage of adults who have a regular health care provider 100% 90% PA goal 80% 70% 60% 50% 40% 30% 20% 10% 0% 88.8% 82.9% 84.9% 87.1% 81.4% 84.5% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 68,416 88.8 13,646 29,886 12,351 # # 86.8^ 94.0 91.0 Rate type Mid-Hudson 95% CI Est. # of Adults (84.4-92.0) 1,451,055 82.9 (80.7-84.8) (76.3-93.1) (89.8-96.6) (83.2-95.4) 152,841 165,892 241,482 551,367 316,008 71.5^ 65.9 80.1 88.0 95.3 (61.4-79.9) (59.4-71.9) (74.3-84.9) (84.6-90.7) (93.1-96.8) Percent 95% CI 59,040 90.4 # # # (85.8-93.7) 1,040,292 115,973 170,342 124,448 87.1 80.8^ 64.2 84.5^ (85.0-88.9) (69.9-88.4) (57.6-70.3) (72.0-92.0) 32,152 36,264 84.6 92.9 (76.8-90.1) (87.7-96.0) 644,852 806,202 76.2 89.1 (72.7-79.4) (86.6-91.2) 87.1 (81.2-91.3) 81.4 (79.0-83.5) & 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). 4|Page Putnam Improve Health Status and Reduce Health Disparities Percentage of adults who had a dentist visit within the past year 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 74.7% 70.9% 69.5% 72.4% 69.7% 69.3% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 53,543 74.7 23,144 9,592 # # # 77.2 75.8 Rate type Mid-Hudson 95% CI Est. # of Adults (67.4-80.7) 1,139,691 70.9 (67.9-73.7) (69.3-83.5) (66.0-83.5) 131,816 136,576 183,147 443,396 226,410 67.8^ 60.4 67.0 76.3 72.9 (52.3-80.1) (52.4-67.8) (59.6-73.7) (72.7-79.6) (68.0-77.4) Percent 95% CI 45,660 74.6 # # # (66.7-81.2) 823,255 87,005 148,094 81,338 73.9 71.4^ 61.7 61.4^ (70.4-77.1) (60.9-80.0) (54.5-68.4) (46.7-74.2) 23,784 29,759 68.6^ 80.3 (56.1-79.0) (73.4-85.7) 535,676 604,015 67.9 73.7 (64.1-71.4) (68.9-78.0) 72.4 (64.0-79.4) 69.7 (66.5-72.7) & 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). 5|Page Putnam Improve Health Status and Reduce Health Disparities Percentage of adults living with a disability* 30% 25% 20% 15% 10% 5% 0% 22.9% 18.3% 20.8% 22.5% 17.3% 19.9% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 17,561 22.9 7,663 4,531 # # # 24.4 33.9^ Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI (18.1-28.6) 316,204 18.3 (16.4-20.4) (18.2-32.0) (25.1-44.0) 20,509 26,979 31,573 115,741 118,713 9.8^ 10.9 10.6 18.7 35.9 (4.5-20.4) (8.0-14.8) (7.3-15.1) (16.0-21.7) (30.8-41.4) 16,224 25.0 # # # (19.6-31.3) 236,848 34,013 33,088 12,256 20.1 24.6^ 12.5 8.4^ (17.8-22.6) (16.3-35.2) (9.4-16.6) (3.4-18.9) 7,824 9,738 20.6 25.2 (14.2-28.9) (18.8-33.1) 148,029 168,176 17.7 18.9 (14.9-20.8) (16.3-21.7) 22.5 (17.3-28.7) 17.3 (15.5-19.3) * 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 Putnam 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% 90.6% 83.7% 85.2% Putnam Mid-Hudson Region NYS crude Putnam County 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 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI 56,970 90.6 (85.5-94.0) 1,163,325 83.7 (81.3-85.8) 48,164 93.1 # # # (87.7-96.2) 824,649 96,166 144,031 98,479 91.2 80.2 57.3 85.7^ (89.0-93.0) (70.4-87.3) (50.2-64.1) (72.5-93.2) 27,333 29,637 86.4 94.9 (77.6-92.1) (88.2-97.9) 537,373 625,952 79.5 87.6 (75.9-82.8) (84.3-90.3) Age-adjusted+,& & Percent is age-adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 7|Page Putnam 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% 72.0% 68.0% 70.9% Putnam Mid-Hudson Region NYS crude Putnam County 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 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI 45,257 72.0 (64.7-78.3) 946,537 68.0 (65.0-70.9) 38,616 74.6 # # # (67.2-80.8) 633,497 86,583 155,522 70,935 69.9 72.1^ 62.6 60.8^ (66.5-73.1) (59.9-81.8) (55.4-69.2) (45.1-74.5) 22,986 22,272 72.6^ 71.3^ (61.7-81.4) (61.1-79.8) 416,747 529,790 61.6 74.1 (57.2-65.8) (69.9-77.9) Age-adjusted+,& & Percent is age-adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 8|Page Putnam Improve Health Status and Reduce Health Disparities Percentage of adults experiencing housing insecurity in the past 12 months* 60% 50% 40% 30% 20% 10% 0% 45.1% 38.3% 43.4% 43.0% 39.8% 43.7% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 31,144 45.1 15,498 3,454 # # # 50.4 27.9^ Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI (38.8-51.5) 602,090 38.3 (35.7-41.1) (42.5-58.4) (19.6-38.2) 47,801 120,409 138,372 228,594 60,912 27.1^ 53.6 51.7 39.5 20.1 (18.1-38.6) (46.0-61.0) (44.2-59.1) (35.6-43.5) (16.7-23.9) 26,609 44.6 # # # (38.2-51.2) 356,007 65,977 140,652 39,454 32.7 55.1^ 58.4 32.6^ (29.9-35.6) (44.2-65.5) (51.5-64.9) (21.6-45.8) 10,961 20,183 33.6 55.4 (25.1-43.3) (47.1-63.3) 269,919 332,171 35.7 40.8 (32.0-39.6) (36.9-44.8) 43.0 (35.5-50.9) 39.8 (37.1-42.7) * 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 Putnam 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% 23.1% 22.5% 29.0% 23.2% 23.6% 29.4% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 17,390 23.1 8,526 1,702 # # # 27.2 13.1 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI (18.2-28.8) 373,183 22.5 (20.4-24.7) (20.4-35.1) (7.5-22.0) 37,365 79,141 77,591 144,699 32,669 18.6 33.6 27.4 24.5 10.1 (12.3-27.1) (27.4-40.5) (21.7-33.9) (21.2-28.1) (7.6-13.4) 13,900 21.7 # # # (16.8-27.5) 203,220 45,801 101,414 22,749 17.9 34.7^ 40.9 16.3^ (15.9-20.0) (24.9-46.1) (34.4-47.7) (9.2-27.3) 6,959 10,432 18.9 27.1 (12.3-27.7) (20.6-34.9) 170,155 203,028 21.2 23.8 (18.1-24.6) (20.9-26.9) 23.2 (17.7-29.9) 23.6 (21.3-26.0) * 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 Putnam Improve Health Status and Reduce Health Disparities Percentage of adults with poor self-reported health 10% 5% 0% 3.1% 4.0% 4.5% 2.8% 3.7% 4.3% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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& 2,394 1,385 2,204 1,867 Percent 3.1 # # # 4.4 # 3.4 # # # Rate type Mid-Hudson 95% CI (1.9-5.2) Est. # of Adults Percent 95% CI 68,725 4.0 (3.0-5.2) (2.2-8.5) 33,526 20,130 # # # 5.4 6.1 (4.0-7.3) (4.0-9.2) (2.0-5.8) 50,681 6,815 10,516 4.3 4.8 4.0 # (3.1-5.9) (2.6-8.8) (2.3-6.9) 38,582 30,143 4.6 3.4 (3.0-6.9) (2.5-4.5) 3.7 (2.8-4.8) # 4.8 (2.6-8.6) 2.8 (1.6-5.1) & 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 Putnam 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% 12.8% 9.5% 11.8% 12.2% 9.1% 11.3% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 9,595 12.8 4,717 2,783 # # # 15.4 21.5 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI (9.2-17.5) 162,326 9.5 (8.2-10.9) (10.0-23.0) (14.6-30.4) 15,549 18,750 67,042 53,182 # 6.2 6.4 10.9 16.6 (4.0-9.6) (4.3-9.5) (8.9-13.2) (12.9-21.1) 8,080 12.8 # # # (9.0-17.7) 118,834 12,030 27,070 10.1 8.5 10.6 # (8.6-12.0) (4.7-14.8) (7.6-14.6) 4,553 5,043 12.4 13.3 (7.3-20.0) (8.8-19.6) 73,642 88,684 8.8 10.0 (7.2-10.8) (8.2-12.3) 12.2 (8.5-17.0) 9.1 (7.8-10.5) * Out of the past 30 days. & Percent is age-adjusted to the 2000 United States Population. # Rates with <10 in the numerator or <50 in the denominator are suppressed. 12 | P a g e Putnam Prevent Chronic Diseases Percentage of adults who are obese* 30% 25% PA goal 20% 15% 10% 5% 0% 21.7% 23.9% 24.9% 20.5% 24.4% 24.6% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 15,665 21.7 7,222 3,257 # # # 23.6 25.4^ Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI (17.0-27.2) 394,367 23.9 (21.7-26.4) (17.6-30.7) (16.9-36.4) 27,624 54,511 81,440 162,725 67,255 13.3 23.8 30.5 26.9 21.1 (7.9-21.5) (18.3-30.3) (24.1-37.7) (23.2-30.8) (17.5-25.3) 13,063 21.4 # # # (16.5-27.3) 255,550 52,966 75,211 10,640 22.7 38.1^ 30.9 7.6 (20.3-25.4) (28.5-48.7) (24.5-38.1) (3.5-15.6) 8,937 6,727 24.1 19.1 (16.9-33.1) (13.8-25.9) 215,927 178,440 26.1 21.8 (22.9-29.6) (18.7-25.2) 20.5 (15.8-26.3) 24.4 (22.0-26.9) * 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 Putnam Prevent Chronic Diseases Percentage of adults with an annual household income less than $25,000 who are obese* 35% 30% 25% 20% 15% 10% 5% 0% 17.7% 28.5% 28.7% 17.8% 29.0% 28.5% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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& 1,887 Percent 17.7^ Mid-Hudson 95% CI (9.7-30.2) # # # # # 1,676 20.9^ # # # (11.0-36.1) # # 17.8^ Rate type Est. # of Adults Percent 95% CI 87,170 28.5 (23.8-33.8) 6,365 22,492 16,901 30,816 10,596 16.0^ 34.8^ 28.8^ 37.0 18.8 (8.8-27.4) (23.0-48.7) (17.0-44.4) (28.5-46.4) (13.0-26.5) 41,272 12,594 30,888 27.3 34.1^ 29.6^ # (21.8-33.7) (19.9-51.9) (20.6-40.6) 34,047 53,123 25.1 31.2 (18.9-32.5) (24.5-38.9) 29.0 (24.3-34.2) (9.6-30.8) * 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 Putnam Prevent Chronic Diseases Percentage of adults living with a disability who are obese* 60% 50% 40% 30% 20% 10% 0% 28.7% 33.2% 36.9% 37.4% 36.4% 35.4% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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& 4,710 2,020 4,332 1,725 Percent 28.7^ # # # 26.4^ # 28.8^ # # # Rate type Mid-Hudson 95% CI (18.4-41.9) Est. # of Adults 100,917 9,015 (15.1-41.9) 45,176 26,632 (17.9-42.7) 68,712 12,074 # 20.1^ (10.8-34.3) 37.4^ (26.3-50.1) 48,667 52,250 Percent 33.2 # 34.7^ # 40.6 23.1 95% CI (28.1-38.7) (20.5-52.1) (33.0-48.8) (17.2-30.4) 30.3 # 36.6^ # (25.1-36.1) 33.2 33.2 (25.6-41.8) (26.7-40.4) 36.4 (29.6-43.7) (23.8-51.7) * 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 Putnam Prevent Chronic Diseases Percentage of adults overweight or obese* 70% 60% 50% 40% 30% 20% 10% 0% 61.6% 61.6% 60.9% 59.0% 61.5% 60.5% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 44,500 61.6 20,986 7,755 # # # 68.4 60.5^ Rate type Mid-Hudson 95% CI Est. # of Adults (54.6-68.2) 1,013,509 61.6 (58.6-64.4) (60.7-75.3) (50.5-69.8) 78,608 134,836 182,614 416,662 193,474 37.8^ 58.9 68.3 68.8 60.7 (27.7-49.0) (51.3-66.2) (61.9-74.2) (64.9-72.4) (55.0-66.2) Percent 95% CI 37,076 60.8 # # # (53.3-67.8) 654,729 98,751 181,418 78,610 58.3 71.0^ 74.5 55.9^ (54.8-61.7) (60.2-79.9) (68.3-79.8) (41.8-69.1) 26,184 18,315 70.6^ 52.1 (58.7-80.2) (43.8-60.3) 594,678 418,831 71.9 51.1 (68.1-75.4) (46.8-55.4) 59.0 (51.2-66.3) 61.5 (58.7-64.3) * 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 Putnam Prevent Chronic Diseases Percentage of adults who participated in leisure time physical activity in the past 30 days* 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 78.4% 75.8% 72.8% 80.7% 75.6% 72.9% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex male female Age-adjusted& Percent 59,272 78.4 23,051 10,109 # # # 73.2 77.0 Rate type Mid-Hudson 95% CI Est. # of Adults (73.1-82.9) 1,271,442 75.8 (73.3-78.0) (65.1-80.0) (67.8-84.2) 175,327 173,350 217,887 461,861 222,803 86.7 72.0 75.1 77.3 68.7 (79.0-91.8) (65.5-77.7) (67.5-81.4) (73.6-80.7) (63.9-73.1) Percent 95% CI 50,540 78.7 # # # (72.9-83.5) 896,103 91,903 167,526 115,910 78.1 69.6^ 65.4 81.7^ (75.4-80.5) (59.5-78.1) (58.5-71.7) (68.5-90.1) 30,863 28,409 83.1 73.9 (75.3-88.8) (66.4-80.2) 624,724 646,717 76.8 74.8 (73.5-79.8) (71.2-78.1) 80.7 (75.7-84.9) 75.6 (73.1-78.0) * 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 Putnam Prevent Chronic Diseases Percentage of adults who consume one or more sugary drinks daily* 30% 25% 20% 15% 10% 5% 0% 18.9% 20.1% 23.8% 21.6% 21.4% 24.7% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 13,784 18.9 3,805 1,141 # # # 12.4 9.0 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI (13.0-26.8) 328,184 20.1 (18.0-22.4) (8.1-18.5) (4.7-16.7) 59,915 72,301 66,352 91,651 34,297 30.5^ 31.4 23.7 15.7 10.9 (21.4-41.5) (25.3-38.1) (18.1-30.4) (12.9-18.8) (8.2-14.4) 11,172 18.0 # # # (11.8-26.5) 179,864 44,636 83,157 20,526 16.0 35.8^ 34.3 15.1^ (13.8-18.4) (26.3-46.5) (28.1-41.2) (8.3-25.9) 9,048 4,735 25.6^ 12.7 (15.5-39.1) (7.7-20.0) 201,838 126,346 25.5 15.0 (22.3-29.1) (12.5-18.0) 21.6 (15.7-28.9) 21.4 (19.1-23.9) * 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 Putnam Prevent Chronic Diseases Percentage of adults who consume fast-food three or more times per week 10% 5% 0% 4.1% 5.8% 5.8% 4.2% 6.4% 5.9% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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& 2,986 Percent 4.1 Rate type Mid-Hudson 95% CI (2.4-7.2) # # # # # Est. # of Adults Percent 95% CI 94,313 5.8 (4.6-7.3) 18,550 22,619 25,563 22,019 4,862 9.4 9.8 9.2 3.8 1.6 (4.8-17.6) (6.4-14.6) (5.4-15.3) (2.6-5.4) (0.8-3.1) 2,537 4.1 # # # (2.2-7.5) 47,954 17,766 23,510 4.3 14.1^ 9.8 # (3.3-5.5) (6.6-27.5) (6.2-15.2) 2,628 7.5 # (4.0-13.6) 75,751 18,562 9.6 2.2 (7.3-12.6) (1.6-3.1) 4.2 (2.3-7.5) 6.4 (5.0-8.2) & 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). 19 | P a g e Putnam Prevent Chronic Diseases Percentage of adults with physician diagnosed diabetes* 15% 10% 5% 0% 6.0% 8.6% 9.5% 5.3% 7.8% 8.9% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 4,648 6.0 1,550 3,098 # # # 4.9 22.7 Rate type Mid-Hudson 95% CI (4.2-8.6) (2.4-9.7) (15.5-31.8) Est. # of Adults Percent 95% CI 150,887 8.6 (7.3-10.1) 14,160 62,032 68,925 # # 4.7 9.9 20.7 (2.4-9.1) (7.7-12.6) (16.7-25.4) 4,352 6.7 # # # (4.6-9.6) 89,474 19,890 17,031 24,492 7.5 13.7 6.4 16.3^ (6.2-8.9) (8.9-20.7) (4.0-9.9) (9.0-27.9) 2,556 2,093 6.7 5.4 (3.9-11.2) (3.3-8.7) 88,046 62,840 10.3 6.9 (8.2-12.9) (5.5-8.7) 5.3 (3.8-7.3) 7.8 (6.7-9.2) * 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 Putnam Prevent Chronic Diseases Percentage of adults who are current smokers 25% 20% 15% 10% 5% 0% 13.9% 14.1% 15.6% 15.3% 14.5% 15.9% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex male female Age-adjusted& Percent 10,608 13.9 3,415 1,236 # # # 11.0 9.1 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI (9.6-19.7) 239,102 14.1 (12.4-15.9) (7.0-16.7) (5.0-16.0) 32,350 43,314 44,821 96,435 20,862 15.8^ 17.8 15.3 15.9 6.3 (9.2-25.9) (13.5-23.0) (11.0-20.9) (13.5-18.8) (4.5-8.8) 9,101 14.0 # # # (9.8-19.6) 164,788 25,127 41,932 7,254 14.1 18.9 16.1 5.1 (12.1-16.4) (12.0-28.4) (11.8-21.6) (2.4-10.6) 4,647 5,961 12.5 15.4 (6.8-21.7) (9.8-23.3) 144,979 94,123 17.6 10.7 (14.7-20.9) (9.0-12.7) 15.3 (9.9-22.9) 14.5 (12.6-16.5) & 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). 21 | P a g e Putnam 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% 24.3% 23.0% 23.6% 24.6% 23.4% 24.2% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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& 2,558 Percent 24.3^ Mid-Hudson 95% CI (13.3-40.2) # # # # # 2,558 32.4^ # # # (18.5-50.3) # # 24.6^ Rate type (14.0-39.6) Est. # of Adults Percent 95% CI 73,745 23.0 (19.2-27.3) 7,392 17,890 13,112 27,097 8,253 18.1^ 25.6^ 20.9^ 31.4 14.3 (9.7-31.1) (17.0-36.7) (13.1-31.7) (24.0-39.9) (8.6-22.7) 45,290 10,881 15,364 28.9 31.9^ 13.5 # (23.5-35.0) (18.4-49.2) (8.8-20.1) 35,712 38,032 25.4 21.2 (19.7-32.0) (16.3-27.0) 23.4 (19.7-27.7) & 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). 22 | P a g e Putnam Prevent Chronic Diseases Percentage of adults aged 18-24 years who are current smokers 30% 25% 20% 15% 10% 5% . 0% 15.8% 13.0% Mid-Hudson Region NYS crude Putnam County 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 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI # 32,350 15.8^ (9.2-25.9) # # # # 23,087 16.1^ # # # (8.0-29.9) # # 24,040 8,310 23.7^ 8.1 (12.6-40.1) (3.7-16.6) Age-adjusted+,& & Percent is age-adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 23 | P a g e Putnam 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% 77.7% 80.4% 80.9% Putnam Mid-Hudson Region NYS crude Putnam County 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 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI 13,598 77.7 (68.5-84.9) 246,457 80.4 (76.2-84.0) 12,884 78.8 # # # (69.3-86.0) 184,023 14,839 22,718 79.1 87.4^ 86.1^ # (74.7-82.9) (74.9-94.2) (66.9-95.0) (68.5-84.9) 246,457 13,598 # 77.7 # 80.4 (76.2-84.0) 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 Putnam 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% 67.2% 76.7% Mid-Hudson Region NYS crude Putnam County 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 Mid-Hudson 95% CI Est. # of Adults Percent 95% CI # 34,867 67.2^ (56.2-76.7) # # # # 16,177 51.0^ # # # (38.1-63.8) # # 34,867 # 67.2^ (56.2-76.7) +,& * 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 Putnam 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% 90.4% 82.6% 80.6% Putnam Mid-Hudson Region NYS crude Putnam County 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 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI 27,534 90.4 (83.3-94.7) 496,976 82.6 (79.1-85.6) 23,606 92.5 # # # (86.3-96.0) 343,119 30,763 75,619 83.5 74.4^ 82.0 # (79.5-86.9) (58.2-85.9) (73.0-88.4) (83.3-94.7) 496,976 27,534 # 90.4 # 82.6 (79.1-85.6) Age-adjusted+,& * Pap test within past 3 years. & Percent is age-adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 26 | P a g e Putnam Prevent Chronic Diseases Percentage of women aged 21-65 years with annual household income of less than $25,000 receiving cervical cancer screening based on recent guidelines* 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% . 0% 76.7% 75.3% Mid-Hudson Region NYS crude Putnam County 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 Mid-Hudson 95% CI Est. # of Adults Percent 95% CI # 96,878 76.7 (68.6-83.2) # # # # 42,290 71.4^ # 79.7^ # (59.7-80.7) # # 37,467 96,878 # 76.7 (64.2-89.6) (68.6-83.2) +,& * 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 Putnam Prevent Chronic Diseases Percentage of adults aged 50-75 years receiving colorectal cancer screening based on recent guidelines* 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 75.7% 69.1% 69.3% Putnam Mid-Hudson Region NYS crude Putnam County 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 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI 24,667 75.7 (68.6-81.7) 420,117 69.1 (65.4-72.7) 23,157 77.7 # # # (70.7-83.5) 316,982 33,596 28,956 70.6 76.4^ 55.1^ # (66.9-74.0) (64.2-85.4) (42.7-66.9) 11,024 13,643 75.5^ 75.9 (63.3-84.6) (67.1-83.0) 203,820 216,297 67.7 70.6 (61.6-73.2) (65.9-74.9) 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 Putnam 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% 52.6% 61.4% Mid-Hudson Region NYS crude Putnam County 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 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI # 47,995 52.6 (44.2-60.8) # # # # 29,963 53.0 # # # (43.3-62.6) # # 18,246 29,749 47.1^ 56.6^ (34.9-59.7) (45.7-66.9) 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 Putnam Prevent Chronic Diseases Percentage of adults who had a test for high blood sugar or diabetes within the past three years 80% 70% 60% 50% 40% 30% 20% 10% 0% 63.2% 58.5% 58.7% 59.3% 57.4% 59.1% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 44,208 63.2 7,169 23,092 7,117 # # 47.6^ 78.5 71.0^ Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI (55.9-69.9) 907,749 58.5 (55.6-61.4) (31.7-64.0) (71.9-83.8) (59.4-80.4) 74,996 111,134 149,552 369,306 183,286 36.8^ 46.0 53.4 66.9 73.5 (24.7-50.8) (38.9-53.2) (46.1-60.5) (62.5-71.0) (66.9-79.3) 39,206 67.0 # # # (59.7-73.6) 647,286 83,150 117,732 59,581 61.0 67.2^ 48.8 47.5^ (57.7-64.2) (56.4-76.5) (41.7-55.9) (33.4-62.0) 19,777 24,431 58.3^ 67.7 (46.9-68.9) (58.4-75.8) 378,659 529,090 51.5 64.9 (47.3-55.6) (60.9-68.7) 59.3 (51.2-66.9) 57.4 (54.2-60.4) & 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). 30 | P a g e Putnam Prevent Chronic Diseases Percentage of adults with physician-diagnosed prediabetes 10% 5% 0% 5.2% 4.3% 5.8% 5.2% 4.3% 5.9% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 3,676 5.2 1,309 1,294 # # # 4.4 12.5^ 3,100 1,869 5.2 # # # Rate type Mid-Hudson 95% CI (3.2-8.3) (2.1-8.8) (5.5-25.8) (3.1-8.7) # 5.1 (2.9-8.7) 5.2 (3.2-8.4) Est. # of Adults Percent 95% CI 68,671 4.3 (3.5-5.3) 10,994 26,630 21,581 # # 3.9 4.8 8.3 (2.2-6.8) (3.6-6.4) (5.9-11.4) 48,336 6,075 9,695 4.4 4.9 3.9 # (3.5-5.6) (2.5-9.5) (2.1-7.1) 31,186 37,484 4.1 4.5 (3.0-5.6) (3.4-5.9) 4.3 (3.5-5.3) & 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 Putnam Prevent Chronic Diseases Percentage of adults with physician-diagnosed high blood pressure 35% 30% 25% 20% 15% 10% 5% 0% 27.5% 27.6% 28.3% 24.8% 25.4% 27.3% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 21,200 27.5 9,834 7,475 # # # 31.1 55.3 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI (22.5-33.1) 485,160 27.6 (25.4-29.9) (24.1-39.0) (45.4-64.8) 14,115 19,179 50,528 203,210 191,521 6.5 7.6 16.7 32.5 57.5 (3.1-13.3) (4.9-11.6) (12.1-22.6) (28.9-36.3) (52.1-62.8) 18,938 29.0 # # # (23.6-35.1) 339,577 57,952 53,138 34,492 28.4 40.0 20.0 23.0^ (25.9-31.1) (30.9-50.0) (15.5-25.4) (14.2-35.0) 11,467 9,733 30.0 25.0 (22.1-39.4) (19.4-31.7) 258,468 226,692 30.5 25.0 (27.2-33.9) (22.1-28.1) 24.8 (20.4-29.7) 25.4 (23.4-27.5) & 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). 32 | P a g e Putnam 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% 81.5% 78.2% 75.2% 68.2% 57.4% 55.6% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 17,044 81.5^ 8,299 6,914 # # # 85.9^ 93.9 Rate type Mid-Hudson 95% CI (70.5-89.0) (73.6-93.0) (86.1-97.4) Est. # of Adults Percent 95% CI 379,361 78.2 (74.1-81.8) 25,439 167,173 174,121 # # 50.3^ 82.3 91.0 (33.7-66.9) (77.5-86.3) (86.7-93.9) 14,904 79.9^ # # # (67.9-88.2) 269,044 48,852 31,347 79.3 84.3^ 59.0^ # (74.9-83.1) (70.9-92.2) (44.8-71.9) 9,017 8,026 79.4^ 83.9^ (61.5-90.3) (70.3-92.0) 187,107 192,253 72.4 84.9 (66.1-78.0) (80.0-88.8) 68.2^ (50.7-81.8) 57.4 (51.8-62.7) & 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). 33 | P a g e Putnam Prevent Chronic Diseases Percentage of adults with current asthma* 20% 15% 10% 5% 0% 10.8% 8.1% 10.0% 11.2% 8.1% 10.1% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex male female Age-adjusted& Percent 8,314 10.8 3,295 1,465 # # # 10.4 10.9 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI (7.3-15.7) 141,569 8.1 (6.7-9.7) (6.4-16.6) (5.6-20.0) 30,738 15,451 24,864 43,139 24,959 14.2 6.2 8.2 6.9 7.5 (8.2-23.4) (4.0-9.5) (4.6-14.1) (5.4-8.8) (5.4-10.5) 6,708 10.3 # # # (7.1-14.6) 104,334 11,950 19,703 5,582 8.8 8.3 7.4 3.7 (7.1-10.8) (4.5-14.7) (4.1-13.1) (1.5-8.8) 3,858 4,456 10.1 11.5 (5.0-19.2) (7.4-17.5) 56,381 85,187 6.6 9.4 (4.9-9.0) (7.5-11.9) 11.2 (7.0-17.5) 8.1 (6.6-9.9) * 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. 34 | P a g e Putnam Prevent Chronic Diseases Percent of adults with cholesterol checked* 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 93.7% 86.1% 84.2% 91.5% 84.3% 83.4% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 69,458 93.7 14,389 30,624 13,342 # # 91.6^ 97.7 98.3 Rate type Mid-Hudson 95% CI Est. # of Adults (89.6-96.2) 1,487,921 86.1 (83.5-88.4) (80.5-96.6) (94.1-99.1) (94.6-99.5) 119,554 166,373 264,626 589,697 323,941 58.8^ 68.6 88.1 94.4 97.5 (45.3-71.2) (62.0-74.5) (83.0-91.8) (92.6-95.8) (96.0-98.5) Percent 95% CI 60,819 95.5 # # # (91.5-97.6) 1,037,098 118,223 203,261 129,338 88.5 82.3 77.3 86.1^ (84.9-91.4) (72.7-89.1) (72.0-81.8) (75.7-92.5) 33,067 36,391 92.6 94.7 (85.5-96.3) (89.2-97.5) 717,767 770,154 85.9 86.3 (83.0-88.4) (81.7-89.8) 91.5 (85.7-95.1) 84.3 (81.8-86.5) * 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 Putnam Prevent Chronic Diseases Percentage of adults 18 years and older with elevated cholesterol* 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 38.9% 38.0% 37.7% 31.4% 33.7% 34.5% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 26,777 38.9 15,365 7,019 # # # 50.6 53.9^ Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI (32.8-45.3) 563,809 38.0 (35.3-40.8) (42.6-58.5) (43.6-63.9) 25,949 21,044 75,762 250,204 181,331 21.7^ 12.6 28.6 42.6 56.2 (12.2-35.6) (8.6-18.2) (22.3-35.9) (38.4-46.9) (50.9-61.5) 24,114 40.0 # # # (33.6-46.8) 404,347 36,973 71,505 50,985 39.1 31.3^ 35.2 39.5^ (36.2-42.2) (22.1-42.2) (27.8-43.3) (25.9-54.9) 12,971 13,806 39.5^ 38.3 (29.8-50.1) (31.1-46.1) 314,812 248,997 44.0 32.4 (39.8-48.2) (29.0-36.1) 31.4 (26.5-36.7) 33.7 (31.0-36.5) * 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 Putnam 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% 5.5% 8.6% 10.2% 3.5% 8.5% 9.7% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 2,055 5.5 1,148 # # # # 11.4 1,862 1,605 5.7 # # # Rate type Mid-Hudson 95% CI (3.1-9.5) (5.9-20.9) (3.1-10.0) # 7.9 (4.3-14.3) 3.5 (2.0-5.9) Est. # of Adults Percent 95% CI 66,257 8.6 (6.9-10.6) 8,782 28,181 21,893 # # 9.1^ 9.2 8.7 (3.7-20.7) (6.8-12.3) (6.4-11.7) 39,723 11,297 6,859 7.1 15.3^ 7.7 # (5.6-8.8) (8.5-26.1) (4.3-13.2) 32,849 33,408 8.9 8.2 (6.3-12.4) (6.3-10.7) 8.5 (6.2-11.4) * 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 Putnam Prevent Chronic Diseases Percentage of adults with arthritis* 35% 30% 25% 20% 15% 10% 5% 0% 26.3% 22.4% 22.9% 23.4% 20.8% 21.8% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 20,235 26.3 10,500 5,592 # # # 33.3 40.9^ Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI (21.4-31.8) 392,756 22.4 (20.4-24.5) (26.5-41.0) (31.6-50.9) 23,161 42,145 161,955 152,353 # 9.2 13.9 25.8 46.1 (6.0-13.7) (9.7-19.7) (22.6-29.3) (40.9-51.4) 19,013 29.2 # # # (23.7-35.3) 308,405 32,099 39,612 12,641 25.9 22.3 14.8 8.4 (23.4-28.4) (15.1-31.6) (10.6-20.4) (4.1-16.3) 7,131 13,104 18.7 33.8 (13.1-25.8) (26.8-41.7) 150,162 242,594 17.7 26.9 (15.1-20.5) (23.9-30.0) 23.4 (18.6-29.0) 20.8 (18.9-22.8) * 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 Putnam Promote a Healthy and Safe Environment Percentage of adults who consider their neighborhood suitable for walking and physical activity 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 92.4% 92.1% 91.3% 93.1% 91.7% 91.3% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 68,404 92.4 28,019 12,235 # # # 91.0 95.2 Rate type Mid-Hudson 95% CI Est. # of Adults (87.7-95.4) 1,515,249 92.1 (90.6-93.4) (84.0-95.1) (90.4-97.6) 178,853 208,949 256,978 547,100 301,481 89.6 88.8 90.8 93.1 95.1 (81.8-94.3) (83.8-92.4) (86.0-94.1) (91.1-94.6) (92.7-96.8) Percent 95% CI 58,471 92.4 # # # (87.1-95.7) 1,040,740 119,401 223,577 131,532 92.0 92.0 90.8 95.0 (90.3-93.5) (82.5-96.5) (86.2-94.0) (89.1-97.8) 33,900 34,504 93.7 91.2 (86.1-97.2) (84.1-95.3) 739,528 775,721 92.8 91.4 (90.5-94.6) (89.3-93.1) 93.1 (88.7-95.9) 91.7 (90.0-93.1) & 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 Putnam Promote a Health and Safe Environment Percentage of adults aged 65+ years with at least one fall in the past 12 months 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 33.3% 28.8% 30.8% Putnam Mid-Hudson Region NYS crude Putnam County 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 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI 4,215 33.3 (24.6-43.3) 92,763 28.8 (24.5-33.6) 4,215 34.8^ # # # (25.8-45.1) 78,574 30.9 # # # (26.8-35.4) (19.5-42.7) 42,914 49,849 26.7 31.0 (20.8-33.4) (25.1-37.6) 2,162 # 29.9^ Age-adjusted+,& & Percent is age-adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 40 | P a g e Putnam Promote a Health and Safe Environment 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% 40.2% 38.3% Mid-Hudson Region NYS crude Putnam County 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 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI # 37,075 40.2 (32.0-49.0) # # # # 31,264 40.1 # # # (32.4-48.3) # # 15,850 21,225 37.2^ 42.9^ (26.8-48.9) (31.1-55.6) 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 Putnam 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% 40% 30% 20% 10% 0% 39.5% 34.0% 37.3% Putnam Mid-Hudson Region NYS crude Putnam County 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 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI 10,535 39.5 (31.6-48.0) 182,322 34.0 (30.2-38.0) 8,349 35.5 # # # (27.5-44.4) 129,928 20,470 17,315 33.3 47.9^ 30.3^ # (29.4-37.5) (32.1-64.1) (20.9-41.7) 6,115 4,420 51.3^ 29.9^ (38.4-64.1) (21.3-40.3) 101,973 80,348 39.5 28.9 (33.7-45.6) (24.2-34.2) 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). 42 | P a g e Putnam 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% 46.1% 47.3% 46.7% 43.6% 45.0% 46.0% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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 34,689 46.1 15,788 9,680 # # # 50.3 74.8 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI (39.6-52.7) 785,113 47.3 (44.5-50.1) (42.6-58.0) (65.6-82.2) 67,071 70,650 103,925 284,102 245,927 33.5^ 30.0 36.5 47.9 75.9 (21.3-48.4) (24.1-36.6) (29.9-43.7) (43.8-52.0) (71.4-79.8) 29,188 45.6 # # # (38.8-52.5) 580,946 48,599 81,517 74,051 50.9 36.9^ 32.9 53.4^ (47.6-54.1) (27.8-47.1) (27.3-39.0) (39.5-66.8) 14,755 19,935 40.0^ 51.9 (30.6-50.2) (43.7-59.9) 341,699 443,414 42.4 51.9 (38.6-46.2) (47.8-56.1) 43.6 (37.2-50.2) 45.0 (42.1-48.0) * 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 Putnam Prevent HIV/STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections Percentage of adults aged 65+ years with flu immunization in the past year* 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 74.8% 75.9% 72.1% Putnam Mid-Hudson Region NYS crude Putnam County 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 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI 9,680 74.8 (65.6-82.2) 245,927 75.9 (71.4-79.8) 9,296 75.2 # # # (65.8-82.6) 191,919 75.0 # # # (70.8-78.7) (66.2-85.4) 123,697 122,230 76.4 75.4 (70.0-81.8) (68.9-80.8) 5,647 # 77.2^ 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 Putnam Prevent HIV/STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections Percentage of adults aged 65+ years with pneumococcal immunization 80% 70% 60% 50% 40% 30% 20% 10% 0% 70.6% 65.6% 65.1% Putnam Mid-Hudson Region NYS crude Putnam County 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 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI 8,606 70.6 (61.0-78.7) 201,874 65.6 (60.6-70.2) 8,301 71.5 # # # (61.8-79.6) 160,758 65.7 # # # (61.2-70.0) (60.6-80.8) 96,066 105,807 63.4 67.7 (56.0-70.3) (60.8-73.9) 5,083 # 71.8^ 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). 45 | P a g e Putnam Promote Healthy Women, Infants, and Children Percentage of women aged 18-44 years who had dental visit within the last year 80% 70% 60% 50% 40% 30% 20% 10% . 0% 69.0% 70.7% Mid-Hudson Region NYS crude Putnam County 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 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI # 239,158 69.0 (59.1-77.4) # # # # 166,583 74.4^ # 54.9^ # (59.9-84.9) # # 35,664 239,158 # 69.0 (39.1-69.8) (59.1-77.4) 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). 46 | P a g e Putnam 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% 70.6% 72.5% Mid-Hudson Region NYS crude Putnam County 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 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI # 274,898 70.6 (63.9-76.5) # # # # 184,761 75.1 # 64.5^ # (68.1-81.0) # # 49,811 274,898 # 70.6 (49.3-77.3) (63.9-76.5) 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). 47 | P a g e Putnam 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% 94.9% 87.6% 87.2% Putnam Mid-Hudson Region NYS crude Putnam County 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 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI 29,637 94.9 (88.2-97.9) 625,952 87.6 (84.3-90.3) 25,593 97.9 # # # (94.7-99.2) 444,204 47,362 73,041 61,345 92.0 84.1^ 66.7^ 93.6^ (88.6-94.4) (69.6-92.5) (55.3-76.5) (77.8-98.4) (88.2-97.9) 625,952 # 87.6 (84.3-90.3) 29,637 # 94.9 Age-adjusted+,& & Percent is age-adjusted to the 2000 United States Population. + Age-adjusted and age specific percent not generated for health indicators with age range limits. # Rates with <10 in the numerator or <50 in the denominator are suppressed. ^ Highly variable rate (confidence interval with a half-width greater than 10). 48 | P a g e Putnam 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% 44.1% 39.3% Mid-Hudson Region NYS crude Putnam County 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 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI # 153,496 44.1 (35.9-52.5) # # # # 108,432 47.8^ # 41.1^ # (37.2-58.6) # # 26,231 153,496 # 44.1 (27.4-56.4) (35.9-52.5) 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 Putnam Promote Mental Health and Prevention Substance Abuse Percentage of adults with poor mental health for 14 or more days in the last month 25% 20% 15% 10% PA goal 5% 0% 17.1% 10.8% 11.3% 17.6% 10.9% 11.1% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County Est. # of Adults Total Age 18-24 25-34 35-44 45-64 65+ Race White, NH Black, NH Hispanic Other, NH Sex male female Age-adjusted& Percent 12,938 17.1 3,287 5,406 1,351 # # 21.5^ 17.8 9.9 Rate type Mid-Hudson 95% CI Est. # of Adults Percent 95% CI (12.7-22.6) 185,388 10.8 (8.6-13.4) (10.7-38.5) (12.0-25.5) (5.9-16.2) 46,733 19,988 31,122 62,904 22,310 22.3^ 8.2 10.5 10.2 6.9 (11.0-39.9) (5.7-11.6) (6.8-16.0) (8.3-12.4) (4.9-9.6) 11,016 17.3 # # # (12.6-23.2) 131,314 16,197 29,751 11.2 11.7 11.4 # (8.4-14.7) (6.2-21.0) (7.8-16.2) 6,212 6,726 16.7 17.5 (10.4-25.7) (12.1-24.6) 79,572 105,816 9.6 11.9 (7.3-12.4) (8.6-16.4) 17.6 (12.6-24.0) 10.9 (8.8-13.4) & 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). 50 | P a g e Putnam Promote Mental Health and Prevention Substance Abuse Percentage of adult binge drinking during the past month* 30% 25% 20% PA goal 15% 10% 5% 0% 16.8% 14.8% 16.9% 19.7% 16.0% 17.7% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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& 12,500 4,259 Percent 16.8 # # # 13.7 # Rate type Mid-Hudson 95% CI (12.2-22.8) (9.1-20.0) Est. # of Adults Percent 95% CI 243,431 14.8 (12.4-17.5) 67,414 46,125 53,410 66,917 8,774 34.0^ 19.5 18.9 11.4 2.7 (21.6-49.0) (15.0-25.0) (13.7-25.4) (9.3-14.0) (1.7-4.3) 9,889 15.6 # # # (11.2-21.3) 183,442 7,464 43,796 8,729 16.2 5.9 17.5 6.2 (13.2-19.9) (3.1-10.9) (12.7-23.7) (2.8-12.8) 6,780 5,720 18.7^ 15.0 (11.3-29.5) (10.2-21.6) 155,554 87,877 19.7 10.3 (16.8-22.9) (6.8-15.2) 19.7 (13.5-27.8) 16.0 (13.6-18.6) * 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 Putnam Promote Mental Health and Prevention Substance Abuse Percentage of cigarette smoking among adults who report poor mental health 45% 40% 35% 30% PA goal 25% 20% 15% 10% 5% 0% 19.4% 28.7% 31.8% 19.8% 29.7% 29.9% Putnam Mid-Hudson Region NYS Putnam Mid-Hudson Region NYS crude age-adjusted Putnam County 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& 2,372 Percent 19.4^ Mid-Hudson 95% CI (9.4-35.8) # # # # # 2,372 21.9^ # # # Est. # of Adults 51,755 19,510 (10.7-39.7) # # 19.8^ Rate type (9.7-36.2) Percent 28.7^ # # # 31.2 # 95% CI (20.0-39.4) (22.7-41.2) 36,925 28.4^ # # # (18.3-41.2) 33,440 18,314 44.0^ 17.6 (30.0-59.0) (10.9-27.2) 29.7 (22.4-38.2) & 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). 52 | P a g e
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