Indicators For Tracking Public Health Priority Areas - New York State

Indicator	Prevention Agenda 2013 Objective	US	NYS	White non-Hispanic	Black non-Hispanic	Asian non-Hispanic	Hispanic
ACCESS TO QUALITY HEALTH CARE
% of adults with health care coverage 1 Map of adults with health insurance	100%†	82.1%a (2011)	85.3% (2011)	90.5% (2011)	84.2% (2011)	79.1% (2011)	68.5% (2011)
% of adults with regular health care providers 1 Map of adults with regular health care providers	96%†	86%a (2008)	83.6% (2011)	87.7% (2011)	79.7% (2011)	80.1% (2011)	72.4% (2011)
% of adults who have seen a dentist in the past year 1 Map of % of adults with a dental visit in the last year	83%†	69.9%a (2010)	72.5% (2010)	74.9% (2010)	68.5% (2010)	66.4% (2010)	67.3% (2010)
Early stage cancer diagnosis2
Breast	80%	60% (2002-2008)	64.8%	67.0%	54.8%	63.8%	61.3%
Cervical	65%	47% (2002-2008)	42.0%	43.7%	35.1%	41.3%	43.4%
Colorectal	50%	38% (2002-2008)	43.6% (2009)	43.8% (2009)	43.1% (2009)	41.2% (2009)	42.9% (2009)
TOBACCO USE
% cigarette smoking in adolescents 3 (past month)	10%	18.1% (2011)	12.5% (2011)	13.9% (2011)	8.3% (2011)	7.8% (2011)	14.6% (2011)
% cigarette smoking in adults 1 Map of Adults who are current smokers	12%†	21.2%a (2011)	18.1% (2011)	17.8% (2011)	21.3% (2011)	12.0% (2011)	17.3% (2011)
COPD hospitalizations among adults 18 + years 4 (per 10,000)	31.0	23.4 (2008)	41.3 (2010)	38.7 (2010)	55.5 (2010)	8.6 (2010)	37.3 (2010)
Lung cancer incidence2 (per 100,000)
Male	62.0*	76.4*	75.8*	80.4*	77.5*	55.5*	46.5*
Female	41.0*	52.7* (2005-2009)	53.9* (2009)	61.7* (2009)	44.4* (2009)	25.3* (2009)	26.9* (2009)
Indicator	Prevention Agenda 2013 Objective	US	NYS	White non-Hispanic	Black non-Hispanic	Asian non-Hispanic	Hispanic
HEALTHY MOTHERS/ HEALTHY BABIES/HEALTHY CHILDREN
% early prenatal care (1st trimester) 5	90%†	69.0% (2007)	73.2% (2010)	80.5% (2010)	62.4% (2010)	72.4% (2010)	66.0% (2010)
% low birthweight 5 births (<2500 grams)	5%†	8.2% (2010)	8.2% (2010)	6.8% (2010)	12.9% (2010)	8.4% (2010)	7.8% (2010)
Infant mortality (per 1,000 live births) 6	4.5 †	6.1 (2010)	5.1 (2010)	3.8 (2010)	10.2 (2010)	3.0 (2010)	4.9 (2010)
% of 2 year old children who receive recommended vaccines (4 DTaP, 3 polio, 1 MMR, 3 Hib, 3 HepB) 7	90%	76.8% (2010)	71.3% (2010)	NA	NA	NA	NA
% of children with at least one lead screening by 36 months8	96%	13.8% (2008)	85.3% (NYS excl. NYC) (2005 birth cohort)	NA	NA	NA	NA
Prevalence of tooth decay in 3rd grade children 9	42%†	53.0% (2004)	54.1% (2002-2004)	NA	NA	NA	NA
Pregnancy rate among females aged 15-17 years 10(per 1,000)	28.0	39.5 (2008)	28.5 (2010)	10.6 (2010)	58.0 (2010)	6.3 (2010)	48.6 (2010)
Indicator	Prevention Agenda 2013 Objective	US	NYS	White non-Hispanic	Black non-Hispanic	Asian non-Hispanic	Hispanic
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)	13.1% (2010)	11.5% (2010)	11.9% (2010)	8.8% (2010)	15.9% (2010)
K**	5%†	-	13.0%	-	-	-	-
2**	5%†	-	17.0%	-	-	-	-
4**	5%†	-	17.0%	-	-	-	-
7**	5%†	-	18.0%	-	-	-	-
10**	5%†	-	18.0% (NYS excl. NYC) (2008-2010	-	-	-	-
% of adults who are obese (BMI>30) 1 Map of adults who are obese	15%†	27.8%a (2011)	24.5% (2011)	23.6% (2011)	32.5% (2011)	10.1% (2011)	26.2% (2011)
% 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)	73.7% (2011)	76.2% (2011)	71.3% (2011)	66.2% (2011)	68.3% (2011)
% of adults eating 5 or more fruits or vegetables per day 1 Map of adults eating 5 or more fruits or vegetables per day	33%	23.4%a (2009)	26.8% (2009)	26.9% (2009)	25.5% (2009)	NA	21.9% (2009)
% of WIC mothers breastfeeding at 6 months 11	50%†	25.1% (2010)	38.8% (2011)	36.2% (2011)	35.2% (2011)	35.9% (2011)	43.1% (2011)
UNINTENTIONAL INJURY
Unintentional Injury mortality (per 100,000) 12	17.1†*	37.1* (2010)	22.7* (2010)	26.3* (2010)	18.2* (2010)	9.3* (2010)	16.3* (2010)
Unintentional Injury hospitalizations (per 10,000) 13	44.5*	-	64.0* (2010)	62.9* (2010)	59.5* (2010)	28.2* (2010)	51.6* (2010)
Motor vehicle related mortality (per 100,000) 12	5.8*	11.2* (2010)	6.1* (2010)	7.2* (2010)	4.8* (2010)	2.9* (2010)	4.4* (2010)
Pedestrian injury hospitalizations (per 10,000) 13	1.5*	-	1.7* (2010)	1.2* (2010)	2.5* (2010)	1.5* (2010)	1.8* (2010)
Fall related hospitalizations age 65+ years (per 10,000) 13	155.0	-	198.3 (2010)	217.9 (2010)	101.6 (2010)	85.5 (2010)	132.7 (2010)
Indicator	Prevention Agenda 2013 Objective	US	NYS	White non-Hispanic	Black non-Hispanic	Asian non-Hispanic	Hispanic
HEALTHY ENVIRONMENT
Incidence of children <72 months with confirmed blood lead level >= 10 µg/dl (per 1,000 children tested)8	0.0†	6.1 (2010)	6.7 (2006-2008)	NA	NA	NA	NA
Asthma-related hospitalizations (per 10,000) 14
Total	16.7*	15.2* (2007)	19.3*	8.9*	42.2*	6.7*	32.6*
Ages 0-17 years	17.3†	18.0 (2006)	27.1 (2010)	10.6 (2010)	57.6 (2010)	10.3 (2010)	34.0 (2010)
Work-related hospitalizations (per 10,000 employed persons aged 16+ years) 15	11.5	-	17.0 (2008-2010)	NA	NA	NA	NA
Elevated blood lead levels (>25 µg/dl) per 100,000 employed persons age 16+ years 15	0.0†	-	3.4 (2008-2010)	NA	NA	NA	NA
Indicator	Prevention Agenda 2013 Objective	US	NYS	White non-Hispanic	Black non-Hispanic	Asian non-Hispanic	Hispanic
CHRONIC DISEASE
Diabetes prevalence in adults 1 Map of diabetes prevalence in adults	5.7%	9.5%a (2011)	10.4% (2011)	9.5% (2011)	14.6% (2011)	8.9% (2011)	10.7% (2011)
Diabetes short-term complication hospitalization rate (per 10,000) 4
Age 6-17 years	2.3	2.8	3.0	2.3	4.7	0.5	2.7
Age 18+ years	3.9	6.0 (2008)	5.8 (2010)	3.8 (2010)	13.6 (2010)	0.7 (2010)	6.0 (2010)
Coronary heart disease hospitalizations (per 10,000) 13	48.0	-	43.8* (2010)	39.3* (2010)	42.1* (2010)	27.0* (2010)	42.3* (2010)
Congestive heart failure hospitalization rate per 10,000 (ages 18+ years) 4	33.0	38.4 (2008)	40.1 (2010)	40.5 (2010)	56.3 (2010)	8.8 (2010)	25.1 (2010)
Cerebrovascular (Stroke) disease mortality (per 100,000) 12	24.0*	39.0* (2010)	27.5* (2010)	27.7* (2010)	27.6* (2010)	21.1* (2010)	20.6* (2010)
Cancer mortality2 (per 100,000)
Breast (female)	21.3* †	23.0*	21.4*	21.3*	29.0*	7.5*	17.4*
Cervical	2.0* †	2.4*	2.2*	1.5*	5.2*	1.0*	3.1*
Colorectal	13.7* †	16.7* (2005-2009)	15.2* (2009)	14.9* (2009)	19.3* (2009)	10.7* (2009)	13.3* (2009)
Indicator	Prevention Agenda 2013 Objective	US	NYS	White non-Hispanic	Black non-Hispanic	Asian non-Hispanic	Hispanic
INFECTIOUS DISEASE
Newly diagnosed HIV case rate (per 100,000)16	23.0	17.4 (2009)	19.5 (2010)	6.5 (2009)	65.7 (2009)	7.1 (2009)	37.6 (2009)
Gonorrhea case rate (per 100,000)17	19.0†	100.8 (2010)	94.3 (2010)	NA	NA	NA	NA
Tuberculosis case rate (per 100,000)18	1.0†	3.6 (2010)	4.9 (2010)	NA	NA	NA	NA
% of adults 65+ years with immunizations1
flu shot in the past year Map of adults with flu shot in the past year	90%†	61.3%a (2011)	60.0% (2011)	60.8% (2011)	51.1% (2011)	NA	53.4% (2011)
ever had pneumonia vaccination Map of adults with pneumonia vaccination in the past year	90%†	70.0%a (2011)	65.2% (2011)	69.3% (2011)	48.5% (2011)	NA	56.4% (2011)
COMMUNITY PREPAREDNESS
% population living within jurisdiction with state-approved emergency preparedness plans 19	100%	-	100% (2010)	NA	NA	NA	NA
Indicator	Prevention Agenda 2013 Objective	US	NYS	White non-Hispanic	Black non-Hispanic	Asian non-Hispanic	Hispanic
MENTAL HEALTH/SUBSTANCE ABUSE
Suicide mortality rate (per 100,000) 12	4.8†*	11.9* (2010)	7.5* (2010)	9.3* (2010)	4.2* (2010)	4.6* (2010)	4.3* (2010)
% 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)	11.2% (2011)	10.5% (2011)	14.0% (2011)	5.1% (2011)	12.9% (2011)
% binge drinking past 30 days (5 + drinks in a row) in adults 1 Map of % binge drinking past 30 days	13.4%†	18.3%a (2011)	19.6% (2011)	20.6% (2011)	14.3% (2011)	11.8% (2011)	21.1% (2011)
Drug-related hospitalizations (per 10,000) 20	26.0	-	25.7* (2010)	22.7* (2010)	42.0* (2010)	2.3* (2010)	24.8* (2010)

† Healthy People 2010 Goal utilized

a Median percent of States and DC

* Rate age-adjusted to the 2000 US population

** New data source- NYS Data Source: New York State Department of Health, Student Weight Status Category Reporting System, http://www.health.ny.gov/prevention/obesity/statistics_and_impact/student_weight_status_data.htm

Notes

• Race/ethnicity groupings for cancer related indicators are not mutually exclusive. The White, Black and Asian race categories include Hispanics and the Hispanic category includes all races.
  
  
• Caution should be used when evaluating hospital-related indicators by race/ethnicity because the quality of the information is less reliable.

DATA SOURCES

1. NYS (statewide) and US Data Source: Centers for Disease Control, Behavioral Risk Factor Surveillance System, http://apps.nccd.cdc.gov/brfss/index.asp, New York State Department of Health, Division of Chronic Disease and Prevention
2. NYS Data Source: NYS Cancer Registry, http://www.health.ny.gov/statistics/cancer/registry/, US Data Source: National Cancer Institute, SEER Cancer Statistics, http://seer.cancer.gov/statistics/
3. NYS (statewide) and US Data Source: Centers for Disease Control, Youth Risk Behavior Survey, http://www.cdc.gov/HealthyYouth/yrbs/
4. NYS Data Source: New York State Department of Health, Statewide Planning and Research Cooperative 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
5. NYS Data Source: NYS Department of Health - Vital Statistics; US Data Source: Centers for Disease Control, National Vital Statistics Reports, Volume 61, Number 01 Births: Final Data for 2010 http://www.cdc.gov/nchs/births.htm
6. NYS Data Source: NYS Department of Health - Vital Statistics; US Data Source: Centers for Disease Control, National Vital Statistics Reports, Volume 60, Number 04 Deaths: Preliminary Data for 2010, http://www.cdc.gov/nchs/fastats/deaths.htm
7. NYS and US Data Source: Centers for Disease Control, National Immunization Survey (NIS), http://www.cdc.gov/vaccines/stats-surv/nis/data/tables_2009.htm and NYS Immunization Program
8. NYS Data Source: NYS Department of Health, NYS Childhood Lead Program; US Source: Number of Children Tested and Confirmed EBLLs by State, Year, and BLL Group, Children < 72 Months Old, http://www.cdc.gov/nceh/lead/data/StateConfirmedByYear1997-2010.htm
9. NYS Data Source: NY State Oral Health Surveillance System, http://www.health.ny.gov/prevention/dental/docs/child_oral_health_surveillance.pdf, US Data Source: Healthy People Data 2010, Oral Health, http://wonder.cdc.gov/data2010/focus.htm
10. NYS Vital Statistics, US Data Source: Centers for Disease Control, National Center for Health Statistics, National Vial Statistics Reports, Volume 60, Number 7, Estimated Pregnancy Rates and Rates of Pregnancy Outcomes for the United States, 1990-2008, http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_07.pdf
11. NYS Data Source: NYS Department of Health, The Pediatric Nutrition Surveillance System, http://www.health.ny.gov/statistics/prevention/nutrition/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
12. NYS Data Source: NYS Department of Health - Vital Statistics; US Data Source: Centers for Disease Control, National Vital Statistics Reports, Volume 60, Number 04 Deaths: Preliminary Data for 2010, http://www.cdc.gov/nchs/fastats/deaths.htm
13. NYS Data Source: New York State Department of Health, Statewide Planning and Research Cooperative System (SPARCS)
14. NYS and US Data Source: NYS Department of Health, NYS Asthma Surveillance Summary Report, http://www.health.ny.gov/statistics/ny_asthma; US Data Source: National Hospital Discharge Survey 2007, http://www.cdc.gov/nchs/data/nhsr/nhsr029.pdf
15. NYS Data Source: New York State Department of Health, NYS County Health Indicators - Occupational Health, http://www.health.ny.gov/statistics/chac/chai/
16. NYS Data Source: NYS Department of Health, NYS County Health Assessment Indicators - HIV, http://www.health.ny.gov/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
17. NYS Data Source: New York Department of Health, Communicable Disease Annual Reports, http://www.health.ny.gov/statistics/diseases/communicable/2010/; US Data Source: Centers for Disease Control and Prevention, Sexually Transmitted Disease Surveillance, 2010, http://www.cdc.gov/std/stats10/trends.htm
18. NYS Data Source: NYS Department of Health, NYS County Health Assessment Indicators - Immunization and Infectious Diseases, www.health.ny.gov/statistics/chac/chai/; US Data Source: Centers for Disease Control and Prevention, Fact Sheet TB, Trends in Tuberculosis, 2010, http://www.cdc.gov/tb/publications/factsheets/statistics/TBTrends.htm
19. NYS Data Source: NYS Department of Health, Emergency Preparedness Program data
20. NYS Data Source: NYS Department of Health, NYS Community Health Data Set, http://www.health.ny.gov/statistics/chac/chds.htm