200 Zipcodes 42 Neighborhoods 5 Boroughs New York City

1. 200 Zipcodes 42 Neighborhoods 5 Boroughs New York City Your Community YourHealth New York City Department of Health and Mental Hygiene

2. Community Health Profiles • What: Reports detailing the health of 42 New York City communities • Why: By knowing what’s happening in communities, we can address the specific health challenges each faces • When: Released in 2006 to update a 2003 release of an earlier version • How: Available in print and on-line

3. How do we Know?Data sources • NYC Community Health Survey (NYC DOHMH) • Vital Statistics (NYC DOHMH) • Births • Deaths • Hospitalizations (NYSDOH SPARCS) • Surveillance (NYC DOHMH) • HIV/AIDS • Lead poisoning • U.S. Census (NYC Dept. of City Planning)

4. Kingsbridge and Riverdale • How do we define a neighborhood? • Zip codes: • 10463 • 10471

5. Today we’ll cover… • Community at a Glance • Health Highlight • The Big Picture • Take Care New York • How can you use this data?

6. Community at a Glance • Age • Poverty • Education • Foreign-born • Race/Ethnicity

7. Kingsbridge and Riverdale at a Glance:Poverty

8. Kingsbridge and Riverdale at a Glance:Education & Foreign-Born • 38% of Kingsbridge and Riverdale adults ages 25+ have a college degree • An additional 9% have completed up to 8th grade • 30% of Kingsbridge and Riverdale residents were born outside of the United States.

9. NEIGHBORHOOD HEALTH HIGHLIGHT:Rabies

10. NEIGHBORHOOD HEALTH HIGHLIGHT:Rabies

11. The Big Picture:How Residents Rate Their Own Health

12. The Big Picture:Death Rates

13. 1. Have a regular doctor 2. Be tobacco-free 3. Keep your heart healthy 4. Know your HIV status 5. Get help for depression 6. Live free of alcohol & drugs 7. Get checked for cancer 8. Get the immunizations you need 9. Make your home safe & healthy 10. Have a healthy baby Policy for a Healthier New York City

14. TCNY 1Have a Primary Care Provider Why it’s important: People with a regular primary care provider are more likely to get screened for cancer, be treated for heart disease, and receive vaccinations Source: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, 2004.

15. TCNY 1Have a Regular Doctor or Health Care Provider • 14% of Kingsbridge and Riverdale adults are uninsured or went without insurance during the past year

16. TCNY 2Be Tobacco Free Why it’s important: Smoking deaths are preventable! Smoking kills about 10,000 New Yorkers and costs about $4.7 billion each year. Smoking during pregnancy increases the risk of low birth weight babies. Source: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, 2004.

17. TCNY 2Be Tobacco-Free

18. TCNY 3Keep Your Heart Healthy Why it’s important: Cardiovascular disease is a leading cause of death among New Yorkers. Healthier levels of blood pressure and cholesterol are associated with reduced risks of heart attacks and strokes. Eating a healthy diet, exercising regularly, and maintaining a healthy weight are all help to keep blood pressure and cholesterol at healthy levels. Source: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, 2004.

19. TCNY 3Keep Your Heart Healthy

20. TCNY 3Keep Your Heart Healthy • 15% of adults in Kingsbridge and Riverdale are obese • 6% of Kingsbridge and Riverdale adults have diabetes, 6% lower than the Bronx • 37% of Kingsbridge and Riverdale adults report not exercising at all

21. TCNY 4Know Your HIV Status Why it’s important: NYC has the highest AIDS case rate of any city in the country – more cases than San Francisco, Los Angeles, Miami, and Washington, DC, combined. HIV is preventable!Effective medical treatment of people infected with HIV can reduce the risk of transmission and improve and prolong their lives. Source: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, 2004.

22. TCNY 4Know Your HIV Status

23. TCNY 4Know Your HIV Status • Death rate due to HIV in Kingsbridge and Riverdale has dropped by 80% in the past decade • 710 people per 100,000 are living with HIV/AIDS in Kingsbridge and Riverdale • Only 35% of Kingsbridge and Riverdale adults reported using a condom

24. TCNY 5Get Help For Depression Why it’s important: Emotional distress is strongly correlated with poor health outcomes. Medication and/or counseling can provide relief to many people who have depression. Source: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, 2004.

25. TCNY 5Get Help For Depression

26. TCNY 6Live Free of Dependence on Drugs & Alcohol Why it’s important: More than 1,500 New Yorkers die from alcohol-related causes each year. Alcoholism and opiate addiction can be effectively treated. Source: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, 2004.

27. TCNY 6Live Free of Alcohol and Drugs

28. TCNY 6Live Free of Alcohol and Drugs

29. TCNY 7Get Checked for Cancer Why it’s important: Cancer is the 2nd leading cause of death in NYC. Early detection and treatment of breast, cervical, and colon cancers can minimize suffering and prevent death from these cancers. Source: American Cancer Society (website)

30. TCNY 7Get Checked for Cancer

31. TCNY 7Get Checked for Cancer

32. TCNY 8Get The Immunizations You Need Why it’s important: • Immunizations are not just for kids • People 65 and older who are immunized against flu experience • 20% fewer heart and stroke related hospitalizations, • 30% fewer flu & pneumonia hospitalizations, and • 50% lower risk of death from all causes during flu season. Source: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, 2004.

33. TCNY 8Get the Immunizations You Need • Kingsbridge and Riverdale flu immunization rates among older adults fall short of the 80% TCNY target by just 7%

34. TCNY 9Make Your Home Safe and Healthy Why it’s important: Domestic violence accounted for 30% of all homicides among New York City women in 2002. Elevated blood lead levels in children can impair health, learning, and behavior. Source: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, 2004.

35. TCNY 9Make Your Home Safe and Healthy

36. TCNY 10Have a Healthy Baby Why it’s important: Planning pregnancy can help to ensure healthy birth outcomes. Early prenatal care can reduce the risk of having a low birth weight baby (< 5 lbs, 8oz), and low birth weight babies are more likely to have serious health problems and long-term disabilities. Sources: Take Care New York: A Policy for a Healthier New York City. NY: NYCDOHMH, 2004. March of Dimes (website)

37. TCNY 10Have a Healthy Baby

38. TCNY 10Have a Healthy Baby

39. How can this Data be used? • Understanding health issues • Prioritizing health issues • Putting numbers to impressions • Grant-writing • Education and Advocacy

40. Other Sources of Data • Web-based, interactive query system • Ask & answer your own questions about the health of New Yorkers

41. Other Sources of Data • Publications • Sign up at nyc.gov/health (click on “Sign up for Health Emails”) to receive press releases with links to these publications when they are released

42. nyc.gov/health – “My Community’s Health

43. More Questions/Comments? Contact us at profiles@health.nyc.gov THANK YOU!