About the County Health Indicator Profiles

Indicator/Contact for information Data Source Definition
Socio-Demographic
Population National Center for Health Statistics bridged-race population estimates a County population estimates.
Percent unemployed

Contact: Public Health Information Group at (518) 474-2543
Local Area Unemployment Statistics (LAUS) b, US Department of Labor "Unemployed" is defined as a person actively seeking employment and available for work. Part-time workers are considered employed. The "percent unemployed" is calculated by dividing the number unemployed by the total employed and unemployed times 100.
Percent of Population Below Poverty

Contact: Public Health Information Group at (518) 474-2543
U.S. Census, Small Area Income and poverty Estimates (SAIPE) c The percent of the population living below the federally determined guidelines for poverty
Median Income

Contact: Public Health Information Group at (518) 474-2543
U.S. Census, Small Area Income and Poverty Estimates (SAIPE) c Median household income is the income level at which half of households have incomes above and half have incomes below the amount
Perinatal Health
Pregnancy Rate (10-14, 15-19, and all ages) per 1,000***

Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189
Vital Records d

Bureau of Biometrics and Health Statistics
Pregnancies are the sum of the number of live births, induced terminations of pregnancies, and all fetal deaths. Pregnancy rates are the number of pregnancies in a particular age group per 1,000 females in that same age group. NOTE: pregnancy data for Essex and Hamilton counties were combined for confidentiality purposes.
Births per 1,000 population
Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189
Vital Records d

Bureau of Biometrics and Health Statistics
The rate of births per year relative to the general population.
Percent of Low Birthweight Births

Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189
Vital Records d

NYSDOH Bureau of Biometrics and Health Statistics
The percentage of births with known birthweight less than 2500 grams.
Percent of Births to women who had Early Prenatal Care

Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189
Vital Records d

NYSDOH Bureau of Biometrics and Health Statistics
The percentage of births to women with known prenatal care who began prenatal care within the first three months of pregnancy (first trimester).
Infant Death Rate

Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189
Vital Records d

NYSDOH Bureau of Biometrics and Health Statistics
The number of deaths less than 1 year of age per 1,000 live births.
Neonatal Death Rate

Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189
Vital Records d

NYSDOH Bureau of Biometrics and Health Statistics
The number of deaths less than 28 days old per 1,000 live births.
Post-neonatal Death Rate

Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189
Vital Records d

NYSDOH Bureau of Biometrics and Health Statistics
The number of deaths between 28 days and less than 1 year of age per 1,000 live births.
Spontaneous Fetal Death Rate: (20+ weeks gestation)

Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189
Vital Records d

NYSDOH Bureau of Biometrics and Health Statistics
The number of spontaneous fetal deaths (gestation 20 weeks or more) per 1,000 spontaneous fetal deaths (gestation 20 weeks or more) plus live births. NOTE: Fetal death data for Essex and Hamilton counties were combined for confidentiality purposes.
Mortality Rates
Total Deaths per 100,000

Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189
Vital Records d

NYSDOH Bureau of Biometrics and Health Statistics
The number of deaths per 100,000 population.
Lung (male and female), Female Breast and Cervical Cancer Mortality per 100,000

Contact: Bureau of Biometrics and Health Statistics at (518) 474-3189
Vital Records d

NYSDOH Bureau of Biometrics and Health Statistics
The number of deaths due to lung, female breast or cervical cancer per 100,000 population. The ICD-10 codes used in this section are:

Lung:C33-C34

Female Breast: C50

Cervical: C53

Standard Site Analysis categories for mortality data are available on the SEER Cause of Death Recode web page.
Cerebrovascular Disease (Stroke) Mortality Rate per 100,000

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Vital Records d

NYSDOH Bureau of Biometrics and Health Statistics
The number of deaths due to cerebrovascular disease per 100,000 population. The ICD-10 codes used for cerebrovascular disease are: I60-I69.
Disease of the Heart Mortality Rate per 100,000

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Vital Records d

NYSDOH Bureau of Biometrics and Health Statistics
The number of deaths due to disease of the heart per 100,000 population. The ICD-10 codes used for disease of the heart are: I00-I09, I11, I13, and I20-I51.
Suicide, Homicide, Unintentional Injury, Motor Vehicle and non-Motor Vehicle mortality rates

Contact: Bureau of Biometrics and Health Statistics ; at (518) 474-3189
Vital Records d

NYSDOH Bureau of Biometrics and Health Statistics
The number of deaths due to a specific injury type per 100,000 population. The codes used for the rates in this section are as follows:

Suicide: X60-X84, Y87.0

Homicide: X85-Y09, Y87.1

Unintentional injury: V01-X59, Y85-Y86

Motor vehicle related: V02-V04, V09.0, V09.2, V12-V14, V19.0-V19.2, V19.4-V19.6, V20-V79, V80.3-V80.5, V81.0-V81.1, V82.0-V82.1, V83-V86, V87.0-V87.8, V88.0-V888,V89.0,V89.2

Non-motor vehicle mortality: unintentional deaths minus motor vehicle deaths.
AIDS Death Rate per 100,000

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Vital Records d

Bureau of Biometrics and Health Statistics
The number of deaths due to AIDS per 100,000 population. The ICD-10 codes used for AIDS are: B20-B24.
Cirrhosis (Liver) Death Rate per 100,000

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Vital Records d

Bureau of Biometrics and Health Statistics
The number of deaths due to cirrhosis (liver) per 100,000 population. The codes used for the cirrhosis (liver) mortality are ICD-10 codes: K70, K73-K74.
Hospitalizations
Asthma Hospitalization Rate ages 0-4 per 10,000.

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Statewide Planning and Research Cooperative System - SPARCS e

NYSDOH Bureau of Biometrics and Health Statistics
The number of hospitalizations for asthma among children ages 0-4 years per 10,000 population in that age group. The ICD-9 code for asthma is 493.
Gastroenteritis Hospitalization Rate ages 0-4 per 10,000

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Statewide Planning and Research Cooperative System – SPARCS e

NYSDOH Bureau of Biometrics and Health Statistics
The number of hospitalizations for gastroenteritis among children ages 0-4 years per 10,000 children in the specific age group. The ICD-9 codes for gastroenteritis are: 008.6, 008.8, 009.0-009.3, and 558.9.
Otitis Media Hospitalization Rate ages 0-4 per 10,000

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Statewide Planning and Research Cooperative System - SPARCS e

NYSDOH Bureau of Biometrics and Health Statistics
The number of hospitalizations for otitis media among children ages 0 - 4 years per 10,000 children in the specific age group. The ICD-9 codes for otitis media are: 381 - 382.
Drug Related Hospitalization Rate per 10,000

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Statewide Planning and Research Cooperative System - SPARCS e

NYSDOH Bureau of Biometrics and Health Statistics
The number of hospitalizations for drug related causes per 100,000 population. The ICD-9 codes included in the drug-related hospitalizations category were 292, 304, 305.1-305.9,648.3, 655.5, 763.5, 779.4, 779.5,965.0, 967.0, 968.5, 969.6,969.7, 760.70, 760.72,760.73,760.75, 760.79, E850-E858, E950.0-E950.2, E962.0, E980.0-E980.2.
Head Injury Hospitalization Rate per 10,000

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Statewide Planning and Research Cooperative System - SPARCS e

NYSDOH Bureau of Biometrics and Health Statistics
The number of hospitalizations related to head injuries per 10,000 population. Head injury ICD-9 codes are: 800-801.9, 803-804.9, 850-854.1, 925.
Disease Morbidity
AIDS Case Rate per 100,000

Contact: Julia Maslak at (518) 474-4284
NYSDOH, Bureau of HIV/AIDS Epidemiology AIDS case rates are presented as rates per 100,000 population. Data are based on year of diagnosis and exclude prison inmates.
Early Syphilis, Gonorrhea and Chlamydia rates per 100,000

Contact: Alison Muse,Bureau of STD Control at (518) 474-3598
NYSDOH, NYSDOH Bureau of STD Prevention and Epidemiology Syphilis, Gonorrhea and Chlamydia: Early syphilis includes any of the first three stages of syphilis (primary, secondary or latent of less than 1 year duration). Rates for syphilis, gonorrhea and chlamydia are rates per 100,000 population.
Tuberculosis incidence per 100,000

Contact: Bureau of Communicable Disease Control
NYSDOH Bureau of Communicable Disease Control f The number of reported cases of tuberculosis per 100,000 population. Excludes prison inmates.
E. Coli incidence per 100,000

Contact: Bureau of Communicable Disease Control
NYSDOH Bureau of Communicable Disease Control f The number of reported cases of E. coli per 100,000 population.
Meningococcal Incidence per 100,000

Contact: Bureau of Communicable Disease Control
NYSDOH Bureau of Communicable Disease Control f The number of reported cases of meningococcal disease per 100,000 population.
Pertussis incidence per 100,000

Contact: Bureau of Communicable Disease Control
NYSDOH Bureau of Communicable Disease Control f The number of reported cases of pertussis per 100,000 population.
Lyme disease incidence per 100,000Contact: Bureau of Communicable Disease Control NYSDOH Bureau of Communicable Disease Control f The number of reported cases of Lyme disease per 100,000 population.

Data notes:

a National Center for Health Statistics Bridged Race Population Estimates
New York State and county population estimates are from the National Center for Health Statistics, bridged-race postcensal population estimates. These estimates are prepared under a collaborative arrangement with the U.S. Census Bureau. They are generated using the National Center for Health Statistics (NCHS) methodology that redistributes multiple race populations into single race categories.
b Local Area Unemployment Statistics (LAUS), US Department of Labor, The Local Area Unemployment Statistics (LAUS) program
A federal-state cooperative effort in which monthly estimates of total employment and unemployment are prepared for approximately 7,300 areas. The Bureau of Labor Statistics (BLS) of the U.S. Department of Labor is responsible for the concepts, definitions, technical procedures, validation, and publication of the estimates that State employment security agencies prepare under agreement with BLS.
c Small Area Income and Poverty Estimates, U.S. Census Bureau
The US Census Bureau with support from other Federal agencies, created the Small Area Income and Poverty Estimates (SAIPE) program to provide more current estimates of selected income and poverty statistics than the most recent decennial census. Estimates are created for states, counties, and school districts. The main objective of this program is to provide updated estimates of income and poverty statistics for the administration of federal programs and the allocation of federal funds to local jurisdictions.
d Vital Records
Information is extracted from birth, death and fetal death certificates. When percentages are calculated records with missing information for the indicator of interest are excluded from the calculation. Population based rates use population estimates provided by the US Bureau. ICD-10 codes are used for cause of death.
e Statewide Planning and Research Cooperative System-SPARCS
Data on hospitalizations are collected through the hospital inpatient discharge data system. Each hospitalization receives an ICD-9 code at discharge which indicates the primary reason for the hospitalization. Data are not available on events that did not result in hospitalization, such as cases that were only treated in a hospital emergency room.
f The Bureau of Communicable Disease Control
The Bureau maintains surveillance of all reportable communicable diseases and conditions. Laboratories, hospitals and physicians are required to report cases of these diseases to their local health department. Rates are computed and presented per 100,000 population
*** Pregnancy rate reflects pregnancies per year divided by the the female population ages 15-44 multiplied by 1,000.

Note: In 2008, New York City Vital Records adopted the National Center for Health Statistics standard birth certificate. This certificate has been used for births occurring in New York State outside of New York City since 2004. According to the New York City Health Department publication, Summary of Vital Statistics 2008 1, the use of the new certificate has resulted in some data quality concerns. There is a potential for variables such as prenatal care and race/ethnicity to be impacted by a larger than normal number of unknowns and miscoding. Caution should be used when comparing the 2008 data to previous years.

1New York City Department of Health and Human Hygiene. Summary of Vital Statistics 2008, The City of New York.[Accessed November 2010]

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