Population and General Health Description – New York State
Presented on February 1, 2012
New York State Department of Health
Revised February 15, 2012
1
Topic Outline
Topic Outline • Demographic Description
g p
p
– Population by Age, Gender, Race, Income and Poverty, and Educational Attainment
– Population Changes Over Time
Population Changes Over Time
• General Health Description
– Leading Causes of Death, Rates of Selected Causes of g
,
Death, Estimated Number of Deaths Due to Modifiable Behaviors, Birth Outcomes, Maternal Behaviors and Teen Pregnancy, Chronic Diseases, g
y
Behavioral Risk Factors, and Persons with Disabilities.
– Identification of Disparities and Regional Differences
– America
America’ss Health Rankings
Health Rankings
2
Population Distribution by Age and Gender,
New York State 2000 2010
New York State, 2000, 2010
Population by Age and Gender for New York State, 2000
85+
80 ‐ 84
75 ‐ 79
70 ‐ 74
65 ‐ 69
65 60 ‐ 64
55 ‐ 59
50 ‐ 54
45 ‐ 49
40 ‐ 44
40 35 ‐ 39
30 ‐ 34
25 ‐ 29
20 ‐ 24
15 19
15 ‐
10 ‐ 14
5 ‐9
<5
Females
Males
800,000 600,000 400,000 200,000
0
200,000 400,000 600,000 800,000
Data Source: US Census Bureau
Note: the percent change of USA total population(from 2000 to 2010) is 9.7%.
Population by Age and Gender for New York State, 2010
85+
80 ‐ 84
75 ‐ 79
70 ‐ 74
65 ‐ 69
65 60 ‐ 64
55 ‐ 59
50 ‐ 54
45 ‐ 49
40 44
40 ‐
35 ‐ 39
30 ‐ 34
25 ‐ 29
20 ‐ 24
15 19
15 ‐
10 ‐ 14
5 ‐9
<5
Females
Males
800,000 600,000 400,000 200,000
0
200,000 400,000 600,000 800,000
Data Source: US Census Bureau
3
Population by Race/Ethnicity, New York State, 2010
,
Asian non‐
Hispanic
Hispanic,
1,406,194,
7%
Two or more races,
non‐
o
Hispanic,
326,034,
Hispanic, 2%
3,416,922,
,
,
,
18%
American Indian/Alaska Native non‐
Hispanic
53,908,<1%
,
,
Black non‐
Hispanic,
2,783,857,
14%
Data source: Census 2010 Redistricting Data
White non‐
White
non
Hispanic,
11,304,247, 59%
4
Percent Change in Population by Race/Ethnicity,
New York State, 2000 and 2010
40
35
35 7
35.7
Pe
ercent Changge
30
25
20
19.2
15
10
5
2.7
0
‐3.9
1.7
2.1
‐1.0
‐5
White non‐Hispanic Black non‐Hispanic American Indian Asian non‐Hispanic Native Hawaiian and Alaska Native and Other Pacific non‐Hispanic
non
Hispanic
Islander non
Islander non‐
Hispanic
Hispanic
Total
Data source: Census 2000 Redistricting Data and Census 2010 Redistricting Data
5
Income and Poverty
N Y k St t
New York State and U.S.
dUS
NYS 2000
Median Household Income
NYS 2010
US 2010
$54,148
$50,046
% of Families with %
of Families with
Children (Ages <18) Below Poverty
16.9%
17.9%
17.9%
11.5%
11.5%
11.3%
% of Families Below Poverty
4.3%
% of Persons Aged 16+ Unemployed
6.2%
6.9%
0
Source: U.S. Census Bureau
Note: Median Income in 2010 Inflation‐adjusted dollars
5
10
15
20
6
7
Education
New York State and U.S.
NYS 2000
NYS 2010
US 2010
High School (4 Hi
h S h l (4
Year) Graduation Rate*
60 5%
60.5%
70.8%
74.9%
% Persons Aged 25+ who are HS Graduates**
Graduates
80.0%
84.9%
85 6%
85.6%
% Persons Aged 25+ with Bachelor'ss 25+ with Bachelor
degree or higher**
27.4%
32 5%
32.5%
28.2%
0
20
40
60
*Source: National Center for Education Statistics, Data for school years 2001‐2002 and 2007‐2008
** U.S. Census Bureau
80
100
8
9
General Health Description
New York State
10
Leading Causes of Death, New York State, 2000 ‐
g
,
,
2009
300
Heart Disease, 207/100,000
Raate per 100
0,000
250
200
Cancer 160/100 000
Cancer, 160/100,000
150
100
CLRD, 31/100,000
Stroke, 26/100,000
Pneumonia/flu 20/100,000
50
0
2000
2001
2002
2003
2004
2005
2006
2007
Unintentional Injury, 20/100,000
2008
2009
Heart Disease
Heart Disease
Cancer
CLRD
Stroke
Pneumonia/Influenza
Unintentional Injury
11
Age-Adjusted* Heart Disease Death Rate per 100,000 by
Race/Ethnicity, New York State, 2000-2009
400
350
300
250
200
150
100
50
0
2000
2001
2002
White/NH
* Age-adjusted to U.S. Census 2000 population
2003
Black/NH
2004
2005
AsianPI/NH
2006
2007
2008
2009
Hispanic
12
Age‐Adjusted Cancer Mortality Rates per 100,000 by T
Type of Cancer, New York State, 1999‐2008
fC
N Y k St t 1999 2008
55
Lung 42.8/100,000
45
35
25
Breast 21.4/100,000
Prostate 21.2/100,000
15
Colorectal 15.7/100,000
5
Cervical and Melanoma 2.1/100,000
‐5
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Breast
Cervical
Prostate
Colorectal
Lung
Melanoma
14
60
Age-adjusted Lung Cancer Mortality per 100,000 by
Race/Ethnicity, New York State, 1999-2008
50
Ra
ate
40
30
20
10
0
1999
2000
2001
White/NH
* Age-adjusted to U.S. Census 2000 population
2002
2003
Black/NH
2004
2005
AsianPI/NH
2006
2007
2008
Hispanic
15
Age-Adjusted* HIV/AIDS Death Rate per 100,000 by
Race/Ethnicity, New York State, 2000-2009
45
40
35
30
25
20
15
10
5
0
2000
2001
2002
2003
White/NH
* Age-adjusted to U.S. Census 2000 population
2004
2005
Black/NH
2006
AsianPI/NH
2007
2008
2009
Hispanic
17
Infant Mortality Rate, New York State and U S 2002 2011
New York State and U.S., 2002‐2011
2008 – U.S., 6 7/1 000
6.7/1,000
8
7
Ratte per 1,00
00
6
5
2008 ‐ NY State, 5.5/1,000
4
3
HP 2020: 5.6/1000
2
1
0
1999
2000
2001
2002
2003
2004
NY State
NY State
US
U.S.
2005
Source: America’s Health Rankings, 2011
Note: Data are presented by report year and include data years: (1998‐1999) ‐ (2007‐2008).
2006
2007
2008
19
Infant Mortality Rate per 1,000 Live Births
by Race/Ethnicity, New York State, 2000-2009
14
12
10
8
6
HP 2020: 5.6/1000
2020 6/ 000
4
2
0
2000
2001
2002
White/NH
2003
2004
Black/NH
2005
2006
AsianPI/NH
2007
Hispanic
2008
2009
20
Low Birthweight* Percentage, New York State and U S 1999 2008
New York State and U.S., 1999‐2008
2008 – U.S., 9
8.2%
8
7
Percent
6
2008 ‐ NY State, 2008
NY St t
8.2%
5
4
HP 2020: 7.8%
3
2
1
0
1999
2000
2001
2002
2003
2004
NY State
NY State
US
U.S.
* Low birthweight births are births born weighing less than 2500 grams.
Source: America’s Health Rankings, 2011
Note: Data are presented by report year and include data years: 1999 ‐ 2008.
2005
2006
2007
2008
22
Percentage of Low Birthweight Births
by Race/Ethnicity, New York State, 2000-2009
14
12
10
HP 2020 7 8%
HP 2020: 7.8%
8
6
4
2
0
2000
2001
2002
White/NH
2003
2004
Black/NH
2005
AsianPI/NH
2006
2007
Hispanic
2008
2009
23
Teen Pregnancies per 1,000 Females Ages 15-17,
New York State, 2000-2009
50
US – 2005, 40.2/1,000
HP 2020: 36.2/1,000
45
40
Ra
ate
35
30
NY State – 2009,
31.4/1,000
25
20
15
10
5
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
25
Teen Pregnancies per 1,000 Females 15-17 by Race/Ethnicity,
New York State, 2000-2009
100
90
80
70
60
50
40
HP 2020: 36.2/1,000
30
20
10
0
2000
2001
2002
White NH
2003
Black NH
2004
2005
Asian/PI NH
2006
2007
Hispanic
2008
2009
26
Maternal Mortality Rate per 100,000 Live Births by
Race/Ethnicity, New York State, 2000-2009
90
80
70
60
50
40
30
20
10
0
2000
2001
2002
White/NH
2003
2004
Black/NH
2005
AsianPI/NH
2006
2007
2008
2009
Hispanic
28
Estimated Number of Deaths Due to Modifiable Behaviors, N Y k St t 2009
New York State, 2009
30,000
46% of all deaths are attributed to these eight modifiable behaviors
modifiable behaviors
26,222
25,000
22,021
20,000
15,000
10,000
5,071
5,000
4,521
3,315
2 592
2,592
1,748
1,206
Incidents involving firearms
Unsafe sexual behaviors
0
Tobacco
Poor diet and Alcohol physical Consumption
inactivity
Microbial agents
Toxic agents Motor vehicle crashes
Estimates were extrapolated using the results published in "Actual Causes of Death in the United States, 2000", JAMA, March 2004, 29
291 (10) and NYS 2009 death data
Percentage of Adults Who are Current Smokers, N Y k St t
New York State and U.S., 2001‐2010
d U S 2001 2010
25
U.S. ‐ 2010, 17.3%
Pe
ercent
20
15
NY State ‐ 2010, 15.5%
10
HP2020: 12%
5
0
2001
2002
2003
2004
Source: Behavioral Risk Factor Surveillance System
2005
2006
2007
2008
2009
2010
30
A
Age‐adjusted Percentage of Adults 18 Years and Older Who Were Current Smokers by Race/Ethnicity, New York State, 2001‐2009 30
25
20
15
HP2020: 12%
10
5
0
2001 2003
2001‐2003
2002 2004
2002‐2004
White non‐Hispanic
Source: BRFSS
2003 2005
2003‐2005
2004 2006
2004‐2006
Black non‐Hispanic
2005 2007
2005‐2007
2006 2008
2006‐2008
Asian non‐Hispanic
2007 2009
2007‐2009
Hispanic
Total
31
Prevalence of Current Asthma Among Adults N Y k St t
New York State and U.S., 2002‐2010
d U S 2002 2010
14
NY State ‐ 2010 9.8%
12
Percent
10
8
U.S. ‐ 2010 9.1%
6
4
2
0
2002
2003
2004
2005
NY St t
NY State
2006
2007
2008
2009
2010
US
U.S.
Source: CDC, Behavioral Risk Factor Surveillance System
33
Age‐Adjusted Percentage of Adults 18 years and Older Diagnosed with Current Asthma by Race/Ethnicity, New York State, 2001‐2009
y
/
y,
,
12
10
8
6
4
2
0
2001‐2003
2002‐2004
White non‐Hispanic
2003‐2005
Black non‐Hispanic
Age‐adjusted to the 2000 U.S. Population
Source: BRFSS
2004‐2006
2005‐2007
Asian non‐Hispanic
2006‐2008
2007‐2009
Hispanic
Total
34
Prevalence of Obesity among Children and Adults, New York State and U.S., 2001‐2010
Adults: HP2020: 30.6%
U.S. ‐ 2010, 27.5%
30
25
NY State ‐ 2010, 24.5%
Perce
ent
20
15
2010
NYS ‐14.5%
U S 14 4%
U.S.‐14.4%
10
HP2020: 9.6% (Ages 2‐5 Years)
5
0
2001
2002
NY St t Ad lt
NY State Adults
2003
2004
U S Ad lt
U.S. Adults
2005
2006
2007
NYS WIC Child
NYS WIC Children
Source: Behavioral Risk Factor Surveillance System, Adults ages 18+
Pediatric Nutrition Surveillance System, Children ages 2‐4 years
2008
2009
2010
U S WIC Child
U.S. WIC Children
36
Percent
Age‐Adjusted Percentage of Adult Diabetes Prevalence N Y k St t
New York State and U.S., 2002‐2010
d U S 2002 2010
10
9
8
7
6
5
4
3
2
1
0
NY State ‐ 2010 8 4%
8.4%
U.S. ‐ 2009 6.2%
2002
2003
2004
2005
NY St t
NY State
2006
2007
2008
2009
2010
US
U.S.
NY State Source: CDC, Behavioral Risk Factor Surveillance System; National Source: CDC, National Health Interview Survey
38
Note: NY State and U.S. rates computed by CDC’s Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion
Percentage of Adult Cardiovascular Disease* Prevalence
N Y k St t
New York State and U.S., 2005‐2010
d U S 2005 2010
10
Percent
8
NY State ‐ 2010, 4.4%
6
4
U.S.‐ 2010, 4.1%
2
0
2005
2006
2007
NY State
NY State
2008
2009
2010
US
U.S.
*Cardiovascular disease includes persons who were ever told they had angina or coronary heart disease
Source: CDC, Behavioral Risk Factor Surveillance System
40
Children Age 19‐35 Months That Are Fully Immunized NY State and U.S, 2000 ‐ 2009
100
90
U.S. ‐ 2009, 71.9%
U.S. 2009, 71.9%
80
Percent
70
NY State ‐ 2009, ,
72.2%
60
50
40
30
20
10
0
2000
2001
2002
Fully Immunized 4DTaP, 3 Polio, 1 MMR, 3Hib and 3HepB (4:3:1:3:3)
Source: National Immunization Survey
2003
2004
NY State
2005
U.S.
2006
2007
2008
2009
41
Percentage of Population with Disability by Age, New York State, 2010
,
40%
36.7%
34.0%
35%
Pe
ercentage
30%
25%
20%
15%
8.2%
10%
5.2%
4 5%
4.5%
5%
10.0%
0.8%
0.7%
0%
< 5
Data Source: 2010 American Community Survey
5‐17
Age Group
Age Group
18‐64
65+
NYS
US
Percentage of Adults With Health Problems That Require the Use of Special Equipment, q
p
q p
,
New York State and U.S., 2001‐2010
25
5
2010 – NY State, Age 65+,18.9%
Percent
20
15
2010 ‐ U.S.,
Age 65+, 18.6%
10
2010 ‐ NY State, 2010
NY State
7.9%
5
2010 ‐ U.S., 7 6%
7.6%
0
2001
2003
NY State
U.S.
Source: Behavioral Risk Factor Surveillance System
2005
2007
2008
2009
2010
NY State at Age 65+
U.S. at Age 65+
Selected Health Indicators among Disability and No Disability Population, New York State, 2009
p
,
,
45%
40%
35%
30%
25%
20%
34.9%
15%
5%
10%
28 0%
28.0%
22.4%
21.2%
21.7%
16.2%
11.3%
5%
10.6%
0%
Cigarette Smoking
Cost as a Barrier to Care
Disability
Data Source: Behavioral Risk Factor Surveillance System
Obesity
No Disability
No Disability
Physical Inactivity
Index of Disparity for Public Health Priority Areas, New York State, 2007 ‐ 2009
Indicators are
based on the
most current data
available and
range between
the years 2007
and 2009.
2009
194%
Tuberculosis Case Rate
Gonorrhea Case Rate**
Gonorrhea Case Rate
HIV‐New Case Rate*#
Teen Pregnancy Rate, Ages 15‐17
Asthma Hospitalizations*
Asthma Hospitalizations, Ages 0‐17
Drug‐related Hospitalizations*
Diabetes Short‐term Comp, Ages 18+
Infant Mortality
Diabetes Short‐term Comp, Ages 6‐17
Colorectal Cancer Mortality*
Cervical Cancer Mortality*
Fall Hospitalizations, Ages 65+
Congestive Heart Failure Hosp, Ages 18+
Suicide Mortality*
Lung Cancer Incidence‐Female*
COPD Hospitalizations, Ages 18+
COPD Hospitalizations, Ages 18
Cigarette Smoking‐Adolescents
Breast Cancer Mortality*
Motor Vehicle Mortality*
Unintentional Injury Hospitalizations*
Unintentional Injury Mortality*
Pedestrian Injury Hospitalizations*
Diabetes Prevalence, Ages 18+
St k M t lit *
Stroke Mortality*
Low Birthweight (<2500 grams)
Binge Drinking, Ages 18+
Obese Children, Ages 2‐4, WIC
Lung Cancer Incidence‐Male*
Coronary Heart Disease Hospitalizations*
Breastfeeding at 6 Mo, WIC
Obese, Ages 18+
g
Early Prenatal Care
Early Stage Cervical Cancer
Poor Mental Health, 14+ Days, Ages 18+
Fruits or Vegetables, 5+ per Day, Ages 18+
Health Care Coverage, Ages 18+
Leisure Time Physical Activity, Ages 18+
Regular Health Care Provider, Ages 18+
Early Stage Breast Cancer
Early Stage Breast Cancer
Cigarette Smoking, Ages 18+
Early Stage Colorectal Cancer
Seen Dentist in Past Year, Ages 18+
140%
103%
83%
78%
65%
65%
64%
53%
44%
42%
42%
42%
39%
38%
33%
33%
32%
29%
26%
23%
23%
23%
23%
23%
22%
20%
19%
19%
15%
13%
12%
10%
9%
9%
8%
7%
7%
6%
6%
6%
5%
4%
0%
50%
* Rate age‐adjusted to the 2000 US population
**Rate for New York State, excluding New York City
# Rate includes Hispanics and Non‐Hispanics
100%
150%
200%
45250%
Selected Indicators with Large Racial/Ethnic Disparities
Indicators
White NH
Black NH
23.2
7.6
71.8
7.1
38.7
103%
99.1
11.8
436.7
8.1
61.9
140%
Tuberculosis case rate
(per 100,000)
6.3
1.2
9.8
39.1
13.8
194%
g
y rate among
g
Pregnancy
females aged 15-17
years (per 1,000)
33.3
11.4
67.3
9.7
64.3
83%
2.5
4.5
53%
Newly diagnosed HIV
case rate (per
100,000)**#
Gonorrhea case rate
(per 100,000)***
Infant mortality (per
1,000 live births)
Asian NH Hispanic
Index of
Disparity
NYS
5.4
4.2
11.8
* Prevention Agenda: www.health.state.ny.us/prevention/prevention_agenda/
Best group
* Rate age‐adjusted to the 2000 US population *** Rate for New York State, excluding New York City # Rate includes Hispanics and Non‐Hispanics Worst group
46
Medicaid Redesign Team: Health Disparities W kG
Work Group
• Main page: http://www.health.ny.gov/health_care/medicaid/redesign
/health_disparities_workgroup.htm
• Medicaid Redesign Team Health Disparities p
Work Group Data and Information
http://www.health.ny.gov/statistics/community/minority/medicai
d_redesign_team.htm
47
America’s Health Rankings 2011: New York State Rankings: Overall‐ 18; Health Determinants: 21
++++ Strengths for NYS identified by AHR 2011 report **** Challenges for NYS identified by AHR 2011 Report
48
America’s Health Rankings 2011: New York State Rankings: Overall‐ 18; Health Outcomes ‐9 ++++ Strengths for NYS identified by AHR 2011 report **** Challenges for NYS identified by AHR 2011 Report
49