Niagara County Indicators For Tracking Public Health Priority Areas
| Indicator | Prevention Agenda 2013 Objective |
US | NYS | Niagara County | |||
|---|---|---|---|---|---|---|---|
| ACCESS TO QUALITY HEALTH CARE | |||||||
| % of adults with health care coverage 1 | 100%† | 85.0%a (2010) |
88.6% (2010) |
90.4% * (2009) |
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| % of adults with regular health care providers 1 | 96%† | 86%a (2008) |
86.6% (2010) |
90.9% * (2009) |
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| % of adults who have seen a dentist in the past year 1 | 83%† | 69.9%a (2010) |
72.5% (2010) |
74.3% * (2009) |
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| Early stage cancer diagnosis 2: | |||||||
| Breast | 80% | 60% (2001-2007) |
64.6% | 67.1% | |||
| Cervical | 65% | 48% (2001-2007) |
46.1% | 47.1% | |||
| Colorectal | 50% | 39% (2001-2007) |
45.1% (2008) |
47.4% (2004-2008) |
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| TOBACCO USE | |||||||
| % cigarette smoking in adolescents 3 (past month) | 10% | 19.5% (2009) |
12.6% (2010) |
NA | |||
| % cigarette smoking in adults 1 | 12%† | 17.3%a (2010) |
15.5% (2010) |
27.1% (2009) |
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| COPD hospitalizations among adults 18 + years 4 (per 10,000) | 31.0 | 23.4 (2008) |
43.4 (2009) |
62.2 * (2007-2009) |
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| Lung cancer incidence 2 (per 100,000) | |||||||
| Male | 62.0* | 80.5* | 75.2* | 102.8 * | |||
| Female | 41.0* | 54.5* (2007) |
55.4* (2008) |
77.3 * (2004-2008) |
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| Indicator | Prevention Agenda 2013 Objective |
US | NYS | Niagara County | |||
| HEALTHY MOTHERS/ HEALTHY BABIES/HEALTHY CHILDREN | |||||||
| % early prenatal care (1st trimester) 5 | 90%† | 69.0% (2007) |
73.3% (2009) |
74.0% (2007-2009) |
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| % low birthweight 5 births (<2500 grams) | 5%† | 8.2% (2009) |
8.2% (2009) |
7.8% (2007-2009) |
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| Infant mortality (per 1,000 live births) 6 | 4.5 † | 6.4 (2009) |
5.3 (2009) |
7.5 (2007-2009) |
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| Increase % of 2 year old children who receive recommended vaccines (4 DTaP, 3 polio, 1 MMR, 3 Hib, 3 HepB) 7 | 90% | 71.9% (2009) |
72.2% (2009) |
NA | |||
| % of children with at least one lead screening by 36 months8 | 96% | 13.8% (2008) |
85.3% (NYS excl. NYC) (2005 birth cohort) |
79.8% (2005 birth cohort) |
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| Prevalence of tooth decay in 3rd grade children 9 | 42%† | 53.0% (2004) |
54.1% (2002-2004) |
49.5% (2002-2004) |
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| Pregnancy rate among females aged 15-17 years 10(per 1,000) | 28.0 | 40.2 (2005) |
31.4 (2009) |
28.9 (2007-2009) |
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| Indicator | Prevention Agenda 2013 Objective |
US | NYS | Niagara County | |||
| PHYSICAL ACTIVITY/NUTRITION | |||||||
| % of obese children by grade level: (BMI for age>95th percentile) | |||||||
| 2−4 Years (WIC)11 (pre-school) | 11.6% | 14.4% (2010) |
14.4% (2009) |
13.4% (2007-2009) |
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| K12 | 5%† | - | - | NA | |||
| 2 | 5%† | - | - | NA | |||
| 4 | 5%† | - | - | NA | |||
| 7 | 5%† | - | - | NA | |||
| 10 | 5%† | - | - | NA | |||
| % of adults who are obese (BMI>30) 1 |
15%† | 27.6%a (2010) |
24.5% (2010) |
26.6% * (2009) |
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| % of adults engaged in some type of leisure time physical activity 1 Map of adults engaged in some type of leisure time physical activity |
80%† | 76.2%a (2009) |
76.2% (2010) |
74.2% * (2009) |
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| % of adults eating 5 or more fruits or vegetables per day 1 | 33% | 23.4%a (2009) |
26.8% (2009) |
27.1% * (2009) |
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| % of WIC mothers breastfeeding at 6 months 11 | 50%† | 25.1% (2010) |
38.8% (2009) |
13.8% (2007-2009) |
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| UNINTENTIONAL INJURY | |||||||
| Unintentional Injury mortality (per 100,000) 12 | 17.1†* | 37.0* (2009) |
20.5* (2009) |
27.3 * (2007-2009) |
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| Unintentional Injury hospitalizations (per 10,000) 13 | 44.5* | - | 65.0* (2009) |
70.1 * (2007-2009) |
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| Motor vehicle related mortality (per 100,000) 12 | 5.8* | 11.7* (2009) |
5.8* (2009) |
9.1 * (2007-2009) |
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| Pedestrian injury hospitalizations (per 10,000) 13 | 1.5* | - | 1.7* (2009) |
0.8 * (2007-2009) |
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| Fall related hospitalizations age 65+ years (per 10,000) 13 | 155.0 | - | 204.7 (2009) |
226.9 (2007-2009) |
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| Indicator | Prevention Agenda 2013 Objective |
US | NYS | Niagara County | |||
| HEALTHY ENVIRONMENT | |||||||
| Incidence of children <72 months with confirmed blood lead level >= 10 µg/dl (per 1,000 children tested)8 |
0.0† | 8.3 (2008) |
6.7 (2006-2008) |
9.7 (2006-2008) |
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| Asthma related hospitalizations (per 10,000) 14 | |||||||
| Total | 16.7* | 15.2* (2007) |
21.5* | 12.1 * | |||
| Ages 0-17 years | 17.3† | 18.0 (2006) |
31.3 (2009) |
13.0 (2007-2009) |
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| Work related hospitalizations (per 10,000 employed persons aged 16+ years) 15 |
11.5 | - | 15.7 (2007-2009) |
24.2 (2007-2009) |
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| Elevated blood lead levels (>25 µg/dl) per 100,000 employed persons age 16+ years 15 |
0.0† | - | 3.3 (2007-2009) |
6.9 (2007-2009) |
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| Indicator | Prevention Agenda 2013 Objective |
US | NYS | Niagara County | |||
| CHRONIC DISEASE | |||||||
| Diabetes prevalence in adults 1 |
5.7% | 8.7%a (2010) |
8.9% (2010) |
10.2% * (2009) |
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| Diabetes short-term complication hospitalization rate (per 10,000) 4 | |||||||
| Age 6-17 years | 2.3 | 2.8 | 3.3 | 3.1 | |||
| Age 18+ years | 3.9 | 6.0 (2008) |
5.6 (2009) |
9.5 (2007-2009) |
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| Coronary heart disease hospitalizations (per 10,000) 13 | 48.0 | - | 46.8* (2009) |
74.8 * (2007-2009) |
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| Congestive heart failure hospitalization rate per 10,000 (ages 18+ years) 4 | 33.0 | 38.4 (2008) |
43.0 (2009) |
58.8 (2007-2009) |
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| Cerebrovascular (Stroke) disease mortality (per 100,000) 12 | 24.0* | 38.9* (2009) |
26.2* (2009) |
38.2 * (2007-2009) |
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| Reduce cancer mortality (per 100,000) 2 | |||||||
| Breast (female) | 21.3* † | 22.8* | 21.4* | 24.9 * | |||
| Cervical | 2.0* † | 2.4* | 2.1* | 2.0* * | |||
| Colorectal | 13.7* † | 16.7* (2007) |
15.6* (2008) |
15.6 * (2004-2008) |
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| Indicator | Prevention Agenda 2013 Objective |
US | NYS | Niagara County | |||
| INFECTIOUS DISEASE | |||||||
| Newly diagnosed HIV case rate (per 100,000)16 | 23.0 | 17.4 (2009) |
21.3 (2009) |
3.7 (2007-2009) |
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| Gonorrhea case rate (per 100,000)17 | 19.0† | 99.1 (2009) |
87.0 (2009) |
117.8 (2007-2009) |
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| Tuberculosis case rate (per 100,000)18 | 1.0† | 3.8 (2009) |
5.2 (2009) |
0.8~ (2007-2009) |
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| % of adults 65+ years with immunizations 1 | |||||||
| Adults with flu shot in the past year | 90%† | 67.5%a (2010) |
68.3% (2010) |
74.9% | |||
| Adults with pneumonia vaccination in the past year | 90%† | 68.8%a (2010) |
66.1% (2010) |
75.3% (2009) |
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| COMMUNITY PREPAREDNESS | |||||||
| % population living within jurisdiction with state-approved emergency preparedness plans 19 | 100% | - | 100% (2010) |
100% (2010) |
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| Indicator | Prevention Agenda 2013 Objective |
US | NYS | Niagara County | |||
| MENTAL HEALTH/SUBSTANCE ABUSE | |||||||
| Suicide mortality rate (per 100,000) 12 | 4.8†* | 11.7* (2009) |
6.2* (2009) |
9.8 * (2007-2009) |
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| % adults reporting 14 or more days with poor mental health in last month 1 Map of adults with 14 or more days with poor mental health in last month |
7.8% | 10.8%a (2008) |
10.4% (2010) |
10.9% * (2009) |
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| % binge drinking past 30 days (5 + drinks in a row) in adults 1 | 13.4%† | 15.1%a (2010) |
15.5% (2010) |
22.4% * (2009) |
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| Drug-related hospitalizations (per 10,000) 20 | 26.0 | - | 27.7* (2009) |
26.5 * (2007-2009) |
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† Healthy People 2010 Goal utilized
a Median percent of States and DC
* Rate age-adjusted to the 2000 US population
~ Fewer than 20 events in the numerator; rate is unstable
s Suppressed (percent could not be calculated, fewer than 3 cases per year)
DATA SOURCES
- NYS (statewide) and US Data Source: Centers for Disease Control, Behavioral Risk Factor Surveillance System, http://apps.nccd.cdc.gov/brfss/index.asp . NYS (county level) Data Source: NYS Department of Health, Expanded Behavioral Risk Factor Surveillance System (Expanded BRFSS), http://www.nyhealth.gov/statistics/brfss/expanded/.
- NYS (statewide and county level) Data Source: NYS Cancer Registry, http://www.health.state.ny.us/statistics/cancer/registry/, US Data Source: National Cancer Institute, SEER Cancer Statistics, http://seer.cancer.gov/statistics/
- NYS (statewide) and US Data Source: Centers for Disease Control, Youth Risk Behavior Survey, http://www.cdc.gov/HealthyYouth/yrbs/
- NYS (statewide and county level) Data Source: New York State Department of Health, Statewide Planning and Research System (SPARCS); US Data Source: AHRQ Quality Indicators, http://www.qualityindicators.ahrq.gov/Downloads/Modules_Non_Software/Comparative%20Data/PQI%20Comparative%20Data%202008.pdf and http://www.qualityindicators.ahrq.gov/Downloads/Modules_Non_Software/Comparative%20Data/PDI%20Comparative%20Data%202008%20v4.1b.pdf
- NYS (statewide and county level) Data Source: NYS Department of Health - Vital Statistics, NYS Community Health Data Set, http://www.health.state.ny.us/statistics/chac/chds.htm; US Data Source: Centers for Disease Control, National Vital Statistics Reports, Volume 59, Number 03 Births: Preliminary Data for 2009 http://www.cdc.gov/nchs/data/nvsr/nvsr59/nvsr59_03.pdf
- NYS (statewide and county level) Data Source: NYS Department of Health - Vital Statistics, NYS Community Health Data Set, http://www.health.state.ny.us/statistics/chac/chds.htm; US Data Source: Centers for Disease Control, National Vital Statistics Reports, Volume 59, Number 04 Deaths: Preliminary Data for 2009, http://www.cdc.gov/NCHS/data/nvsr/nvsr59/nvsr59_04.pdf
- NYS (statewide) and US Data Source: Centers for Disease Control, National Immunization Survey (NIS), http://www.cdc.gov/vaccines/stats-surv/nis/data/tables_2009.htm
- NYS (statewide and county level) Data Source: NYS Department of Health, NYS Childhood Lead Program, NYS County Health Indicators, http://www.health.state.ny.us/statistics/chac/chai/
- NYS (statewide) Data Source: NY State Oral Health Surveillance System, http://www.health.state.ny.us/prevention/dental/docs/child_oral_health_surveillance.pdf; NYS (county level) Data Source: NYS County Health Assessment Indicators-Oral Health, http://www.health.state.ny.us/statistics/chac/chai/; US Data Source: Healthy People Data 2010, Oral Health, http://wonder.cdc.gov/data2010/focus.htm
- NYS (statewide and county level) Data Source: NYS Department of Health - Vital Statistics, NYS Community Health Data Set, http://www.health.state.ny.us/statistics/chac/chds.htm; US Data Source: Centers for Disease Control, National Center for Health Statistics, Information Sheet, NCHS Data on Teenage Pregnancy, November 2009, http://www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_04.pdf
- NYS (statewide and county level) and US Data Source: NYS Department of Health, The Pediatric Nutrition Surveillance System, http://www.health.state.ny.us/statistics/prevention/nutrition/cacfp/pednss/index.htm ; US Data Source: Centers for Disease Control, 2010 Pediatric Nutrition Surveillance System - National, http://www.cdc.gov/pednss/pednss_tables/pdf/national_table7.pdf
- NYS (statewide and county level) Data Source: NYS Department of Health - Vital Statistics, NYS County Health Assessment Indicators, http://www.health.state.ny.us/statistics/chac/chai/; US Data Source: Centers for Disease Control, National Vital Statistics Reports, Volume 59, Number 04 Deaths: Preliminary Data for 2009, http://www.cdc.gov/NCHS/data/nvsr/nvsr59/nvsr59_04.pdf
- NYS (statewide and county level) Data Source: NYS Department of Health, NYS County Health Assessment Indicators, http://www.health.state.ny.us/statistics/chac/chai/
- NYS (statewide and county level) Data Source: NYS Department of Health, NYS Asthma Surveillance Summary Report, http://www.health.state.ny.us/statistics/ny_asthma; US Data Source: National Hospital Discharge Survey 2007, http://www.cdc.gov/nchs/data/nhsr/nhsr029.pdf
- NYS Data Source: New York State Department of Health, NYS County Health Indicators - Occupational, http://www.health.state.ny.us/statistics/chac/chai/
- NYS (statewide and county level) Data Source: NYS Department of Health, NYS County Health Assessment Indicators - HIV/AIDS/STDs, http://www.health.state.ny.us/statistics/chac/chai/; US Data Source: Centers for Disease Control, HIV Surveillance Report, Volume 20, http://www.cdc.gov/hiv/surveillance/resources/reports/2009report/index.htm
- NYS (statewide and county level) Data Source: New York Department of Health, Communicable Disease Annual Reports, http://www.health.state.ny.us/statistics/diseases/communicable/2008/; US Data Source: Centers for Disease Control, Sexually Transmitted Disease Surveillance, 2008, http://www.cdc.gov/std/stats08/trends.htm
- NYS (statewide and county level) Data Source: NYS Department of Health, NYS County Health Assessment Indicators, http://www.health.state.ny.us/statistics/chac/chai/; US Data Source: Centers for Disease Control, MMWR Weekly, March 19, 2010, Decrease in Reported Tuberculosis Cases - United States 2009, http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5910a2.htm
- NYS (statewide and county level) Data Source: NYS Department of Health, Emergency Preparedness Program data.
- NYS (statewide and county level) Data Source: NYS Department of Health, NYS Community Health Data Set, http://www.health.state.ny.us/statistics/chac/chds.htm
