Keeping Brooklyn Healthy by Assessing Population Health and Driving Innovation 11206, 11221, 11237
Neighborhood Profiles 2015 : 11206, 11221, 11237 Population: 210,468 TBHC Service Areas: Primary service area: 11206 and 11221 Neighborhood at a glance Age Group 85 yrs and older 80-84 yrs 546 478 649 589 75-79 yrs 561 810 940 70-74 yrs 870 662 1,106 1,324 65-69 yrs 1,181 855 1,393 1,692 60-64 yrs 1,729 1,138 1,598 2,328 55-59 yrs 2,079 1,432 1,970 2,528 50-54 yrs 2,530 1,939 2,347 3,021 45-49 yrs 3,111 2,078 454 2,705 3,429 40-44 yrs 3,386 2,075 660 451 2,521 3,515 35-39 yrs 3,736 1,803 1,198 843 2,338 3,663 30-34 yrs 4,215 2,172 2,257 1,677 2,491 454 4,126 25-29 yrs 4,829 510 2,379 3,541 2,914 2,778 622 4,490 20-24 yrs 4,893 2,529 2,504 2,305 2,816 519 4,295 18-19 yrs 1,883 1,080 1,083 1,792 15-17 yrs 2,638 1,514 1,636 2,511 12-14 yrs 2,473 1,371 563 508 1,393 2,287 10-11 yrs 1,612 909 445 912 1,439 5-9 yrs 3,944 2,048 1,308 1,289 2,029 3,814 1-4 yrs Younger than 1 yr 12,000 10,000 8,000 6,000 Male 3,309 4,000 1,631 1,291 2,000 859 433 0 1,137 797 1,681 3,137 0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 10,000 Female Population pyramid with panes showing gender/age groups, color shows details about race. The marks are labeled by population counts for males and females across age groups in year 2010 Source: New York City Department of Health and Mental Hygiene. Epiquery: NYC Interactive Health Data System - NYC 2010 Census. http://nyc.gov/health/epiquery 2 The Brooklyn Hospital Center Ambulatory Health Care Network 1 La Providencia Center, Family Health: 1280 Dekalb Ave., 11221 3 1 2 CHN CABS Health Center: 94-98 Manhattan Ave., 11206 (Collaborative Network Facility) 3 Behavioral Health Program-Adult Clinic: 1038 Broadway, 11221 (IMC Facility)
Neighborhood Profiles 2015 : 11206, 11221, 11237 Socioeconomic Conditions Economic Conditions Percentage of population in each zip code representing the various economic indicators Source: U.S. Census Bureau. 2012 American Community Survey 5-year estimates Median income ranges from $29,000 to $38,000 across the three zip codes Compared to Brooklyn overall, there is a higher proportion of individuals and families living below poverty level
Nativity and Language Neighborhood Profiles 2015 : 11206, 11221, 11237 Zip code 11237 has the highest proportion of foreign-born population at 46.6% Spanish is the most common language spoken in zip code 11237 whereas English is the predominant language in zip codes 11206 and 11221 Percentage of foreign born population and primary language spoken in each zip code Source: U.S. Census Bureau. 2012 American Community Survey 5-year estimates Educational Attainment Zip code 11221 has the highest percentage of high school graduates whereas 11206 has the highest percentage of residents with at least a bachelor s degree Highest level of education attained by population 18 years and over Source: U.S. Census Bureau. 2012 American Community Survey 5-year estimates
Neighborhood Profiles 2015 : 11206, 11221, 11237 Health Insurance Status: 2002-2012 Trends in health insurance types from 2002-2012, by percentage of population within each category Source: Community Health Survey. 2002-2012. New York City Department of Health & Mental Hygiene Between 2002-2012, the percentage of uninsured has increased by 128.9%, the highest in the borough
Self-reported Health Status: 2002-2012 Neighborhood Profiles 2015 : 11206, 11221, 11237 Health Conditions Trends in self-reported health from 2002-2012, by percentage of population within each category Source: Community Health Survey, 2002-2012. New York City Department of Health & Mental Hygiene In 2012, there was a 17.2% increase in the proportion of residents rating their health as fair or poor compared to 2002
Neighborhood Profiles 2015 : 11206, 11221, 11237 Prevalence of Diabetes Body Weight: 2002-2012 Trends in self-reported medical conditions based on diagnosis through lab results or having been told by a physician from 2002-2012 Source: Community Health Survey. 2002-2012. New York City Department of Health & Mental Hygiene The prevalence of diabetes has decreased in Williamsburg overall 68.3% of residents reported being either overweight or obese Burden of Illness: 2002-2012 Trends in self-reported medical conditions based on diagnosis through lab results or having been told by a physician from 2002-2012 Source: Community Health Survey. 2002-2012. New York City Department of Health & Mental Hygiene The burden of both asthma and hypertension have increased to 18% and 33% respectively
Neighborhood Profiles 2015 : 11206, 11221, 11237 People living with HIV/AIDS by Race/Ethnicity: 2006-2011 People living with HIV/AIDS per 100,000 from 2006-2011, by race/ethnicity Source: HIV/AIDS Surveillance Data, New York City Department of Health & Mental Hygiene The burden of HIV/AIDS has increased in most racial/ethnic groups in Williamsburg-Bushwick The highest prevalence of HIV/AIDS is in blacks followed by Native Americans
Neighborhood Profiles 2015 : 11206, 11221, 11237 All-Cause Mortality: 2000-2011 Trend in all-cause mortality (age-adjusted per 1,000) from 2000-2011 Source: Deaths Epiquery, 2000-2011. NYC Vital Statistics. New York City Department of Health & Mental Hygiene Since 2000, the all-cause age-adjusted mortality rate declined by 26% (p<0.0001) to 6.8 per 1,000 residents in 2011
Cigarette Smoking Status: 2002-2012 Neighborhood Profiles 2015 : 11206, 11221, 11237 Trends in self-reported cigarette smoking status from 2002-2012, by percentage of population within each category Source: Community Health Survey, 2002-2012. New York City Department of Health & Mental Hygiene 18.9% of residents identified as current smokers in 2012, a 21.9% decrease compared to 2002 Cancer Screening: 2002-2012 Trends in self-reported breast and colon cancer screening from 2002-2012 Source: Community Health Survey. 2002-2012. New York City Department of Health & Mental Hygiene Over 70% of residents have been screened for breast and colorectal cancer Colon cancer screening has increased significantly since 2002 (p<0.0001)
Neighborhood Profiles 2015 : 11206, 11221, 11237 Access to Healthcare Services: 2002-2012 Trends in self-reported HIV testing and having a personal doctor from 2002-2012 Source: Community Health Survey. 2002-2012. New York City Department of Health & Mental Hygiene In 2012, 74% of the population reported having a 'personal doctor' and 76% of the population underwent HIV testing
Neighborhood Profiles 2015 : 11206, 11221, 11237 Technical Notes Data Sources: The data presented in these Brooklyn Neighborhood Health Profiles (BNHP) is public use data, made available from the New York City Department of Health and Mental Hygiene as well as U.S. Census Bureau via the American Community Survey (ACS) estimates. The Community Health Survey (CHS) is a telephone survey conducted annually by the New York City Department of Health and Mental Hygiene since 2002. It is a cross-sectional survey providing self-reported data from an annual sample of approximately 8,500 randomly selected adults aged 18 years and older from New York City. For the purpose of these profiles, data for indicators related to vital statistics, health outcomes, health services, health behaviors, built environment, education and insurance were obtained from CHS. The U.S. Census Bureau s ACS is an ongoing survey that provides data every year related to age, sex, race, family and relationships, income, health insurance, education, veteran status, disabilities, commute and housing. Most of the socioeconomic and demographic data is obtained with zip codes as statistical areas from the ACS. Geographic area definitions: For the purpose of Phase 1 of BNHP, we have used United Hospital Fund definitions (UHF) to define the eleven neighborhoods throughout Brooklyn. The CHS uses stratified random sampling according to UHF neighborhood descriptions to collect data. We have also used the zip code statistical areas to retrieve data from ACS. These two different geographic areas are combined to present data in UHF neighborhood definitions with the aid of an equivalency table. Domains and Indicators: A total of thirty-eight indicators are included in BNHP and categorized within eight domains, each describing the social environment of an individual (Table 1). To develop the Health Needs Index using the social indicators approach and for ranking the neighborhoods based on unmet needs, we shortlisted fourteen indicators across seven domains using a correlation matrix to eliminate skewing from highly correlated indicators (Table 2). Data for indicators obtained from CHS is age-adjusted.
Neighborhood Profiles 2015 : 11206, 11221, 11237 Table 1: Domains and Indicators: Domain Subdomain Indicator Year/Period 1. Demographics Population Population 2010 Veterans 2008-2012 Birth Birth data 2000-2007 Fertility data 2000-2007 Mortality Age adjusted mortality rate 2000-2011 Migration Foreign born 2008-2012 2. Socioeconomic Economic Median household income 2008-2012 Unemployment status 2008-2012 Below poverty level (individuals) 2008-2012 Below poverty level (families) 2008-2012 Education Educational attainment 2008-2012 Language Language spoken at home 2008-2012 Insurance Health insurance type 2002-2012 3. Health outcomes Morbidity Prevalence of diabetes 2002-2012 Prevalence of asthma 2002-2012 Prevalence of obesity 2002-2012 Prevalence of hypertension 2002-2012 Disability status 2002-2012 Serious psychological distress 2002-2012 4. Health services Preventive services Flu vaccination 2002-2012 Colon cancer screening 2002-2012 Breast cancer screening 2002-2012 Treatment related services Mental health counseling or treatment 2002-2012 Personal doctor 2002-2012 HIV testing 2002-2012
Table 1: Domains and Indicators (cont): Neighborhood Profiles 2015 : 11206, 11221, 11237 Domain Subdomain Indicator Year/Period 5. Health behaviors Health awareness Rode bicycle in past year 2002-2012 Last routine health check up 2002-2012 Exercise 2002-2012 Condom use 2002-2012 Nutrition Healthy diet 2002-2012 Consumption of fruits and vegetables 2002-2012 Economic Heavy drinking 2002-2012 Binge drinking 2002-2012 Smoking Smoking status 2002-2012 Quit smoking attempts 2002-2012 6. Quality of life Health related quality of life Self-reported health status 2002-2012 Indicators used to develop thehealth Needs Index 7. Environmental health Air quality Secondhand smoke 2002-2012 Transport Walk/bike for transport 2002-2012 Table 2: Indicators used to develop Health Needs Index: Domain Subdomain Indicator Year 1. Demographics Migration Foreign born 2011 2. Socioeconomic Economic Below poverty level (individuals) 2011 Education High school graduates 2012 Insurance Health insurance - Medicaid 2012 3. Health Outcomes Morbidity Prevalence of diabetes 2012 Prevalence of asthma 2012 Prevalence of hypertension 2012 4. Health services Treatment related services HIV testing 2012 5. Health behaviors (Healthy) 5. Health behaviors (Unhealthy) Health awareness Condom use 2012 Nutrition Consumption of fruits and vegetables 2012 Economic Heavy drinking 2012 Smoking Quit smoking attempts 2012 6. Quality of life Health related quality of life Self-reported health status 2012
Neighborhood Profiles 2015 : 11206, 11221, 11237 Table 3: Neighborhood Ranks based on Health Needs Index (from highest need to lowest need) Neighborhood Rank Williamsburg/Bushwick 1 East New York/New Lots 2 Greenpoint 3 Sunset Park 4 Borough Park 5 Canarsie and Flatlands 6 Bedford Stuyvesant/Crown Heights 7 Coney Island 8 Flatbush 9 Bay Ridge/Bensonhurst 10 Downtown Brooklyn/Heights/Slope 11 11222 11211 11206 11237 11201 11205 11221 11231 11217 11238 11216 11233 11215 11225 11213 11212 11207 11208 11232 11203 11218 11226 11220 11219 11210 11209 11230 11204 11228 11236 11239 11234 11214 11223 11229 11224 11235
Neighborhood Profiles 2015 : 11206, 11221, 11237 Acknowledgments We are grateful to the Young Leadership Council of The Brooklyn Hospital Center, for providing seed funding for development of the Brooklyn Neighborhood Health Profiles. The Profiles would not have been feasible without grant funding from the New York State Vital Access Program and the Everest Foundation. We are indebted to the Prevention Steering Committee for providing guidance and feedback throughout development of the Profiles. Above all, we are grateful to each person who will use the Profiles toward keeping Brooklyn healthy
HSR TEAM Jean Ford, MD Founding Director Carlos Castillo-Salgado, MD, JD, DrPH Director of the Global Public Health Observatory, The Johns Hopkins Bloomberg School of Public Health, Consultant Manuel Vidaurre, MCSc Principal Information Technology Consultant Sam Amirfar, MD, MS Director of Medical Informatics Heather Mavronicolas, PhD, MPH Director of Research Training Tanyka Sam, MD, MPH Director of Research in Community-Oriented Primary Care Tejal Shah, MBBS, MPH Data Analyst Allyson Ho, MPH Education Manager Deeba Zivari, MS Communications Strategist and Research Coordinator Aracelis Torres, MPH, PhD Candidate Research Assistant Karina Christiansen, MPP, PhD Candidate Research Assistant Suggested Citation: Health Situation Room, The Brooklyn Hospital Center: Brooklyn,. Brooklyn, New York, USA. 2015 Principal Investigator: Jean Ford Design by: Manuel Vidaurre Graphs by: Tejal Shah Text by: Tejal Shah, Aracelis Torres, Deeby Zivari, Rebecca Schwarz and Tanyka Sam Health Needs Index by: Carlos Castillo-Salgado Photographs by: Deeba Zivari, Allyson Ho, & Rebecca Schwarz Some pictures are from the Wikimedia Commons, the free media repositor. For author attribution please check our website Health Situation Room The Brooklyn Hospital Center 121 Dekalb Avenue Maynard Building, Suite 14D Brooklyn, NY 11201 hsrbrooklyn@nyp.org