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

Map of adults with health insurance

100%† 82.1%a
(2011)
85.3%
(2011)
90.4% *
(2009)
% of adults with regular health care providers 1

Map of adults with regular health care providers

96%† 86%a
(2008)
83.6%
(2011)
90.9% *
(2009)
% 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)
74.3% *
(2009)
Early stage cancer diagnosis2
 Breast 80% 60%
(2002-2008)
64.8% 70.8%
 Cervical 65% 47%
(2002-2008)
42.0% 50.0%
 Colorectal 50% 38%
(2002-2008)
43.6%
(2009)
45.8%
(2008-2010)
TOBACCO USE
% cigarette smoking in adolescents 3 (past month) 10% 18.1%
(2011)
12.5%
(2011)
NA
% cigarette smoking in adults 1

Map of Adults who are current smokers

12%† 21.2%a
(2011)
18.1%
(2011)
27.1%
(2009)
COPD hospitalizations among adults 18 + years 4 (per 10,000) 31.0 23.4
(2008)
41.3
(2010)
63.3 *
(2008-2010)
Lung cancer incidence2 (per 100,000)
 Male 62.0* 76.4* 75.8* 90.5 *
 Female 41.0* 52.7*
(2005-2009)
53.9*
(2009)
69.7 *
(2008-2010)
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)
73.2%
(2010)
74.5%
(2008-2010)
% low birthweight 5 births (<2500 grams) 5%† 8.2%
(2010)
8.2%
(2010)
8.2%
(2008-2010)
Infant mortality (per 1,000 live births) 6 4.5 † 6.1
(2010)
5.1
(2010)
6.5
(2008-2010)
% 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
% of children with at least one lead screening by 36 months8 96% 13.8%
(2008)
85.3%
(NYS excl. NYC)
(2005 birth cohort)
81.7%
(2006 birth cohort)
Prevalence of tooth decay in 3rd grade children 9 42%† 53.0%
(2004)
54.1%
(2002-2004)
49.5%
(2002-2004)
Pregnancy rate among females aged 15-17 years 10(per 1,000) 28.0 39.5
(2008)
28.5
(2010)
27.5
(2008-2010)
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)
13.1%
(2010)
14.0%
(2008-2010)
K** 5%† - 13.0% NA
2** 5%† - 17.0% NA
4** 5%† - 17.0% NA
7** 5%† - 18.0% NA
10** 5%† - 18.0%
(NYS excl. NYC)
(2008-2010
NA
% of adults who are obese (BMI>30) 1

Map of adults who are obese

15%† 27.8%a
(2011)
24.5%
(2011)
26.6% *
(2009)
% 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)
74.2% *
(2009)
% 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)
27.1% *
(2009)
% of WIC mothers breastfeeding at 6 months 11 50%† 25.1%
(2010)
38.8%
(2011)
13.8%
(2008-2010)
UNINTENTIONAL INJURY
Unintentional Injury mortality (per 100,000) 12 17.1†* 37.1*
(2010)
22.7*
(2010)
31.3 *
(2008-2010)
Unintentional Injury hospitalizations (per 10,000) 13 44.5* - 64.0*
(2010)
67.7 *
(2008-2010)
Motor vehicle related mortality (per 100,000) 12 5.8* 11.2*
(2010)
6.1*
(2010)
10.3 *
(2008-2010)
Pedestrian injury hospitalizations (per 10,000) 13 1.5* - 1.7*
(2010)
0.9 *
(2008-2010)
Fall related hospitalizations age 65+ years (per 10,000) 13 155.0 - 198.3
(2010)
216.3
(2008-2010)
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† 6.1
(2010)
6.7
(2006-2008)
9.8
(2008-2010)
Asthma-related hospitalizations (per 10,000) 14
 Total 16.7* 15.2*
(2007)
19.3* 11.2 *
 Ages 0-17 years 17.3† 18.0
(2006)
27.1
(2010)
12.0
(2008-2010)
Work-related hospitalizations
(per 10,000 employed persons aged 16+ years) 15
11.5 - 17.0
(2008-2010)
38.2
(2008-2010)
Elevated blood lead levels
(>25 µg/dl) per 100,000 employed
persons age 16+ years 15
0.0† - 3.4
(2008-2010)
5.8~
(2008-2010)
Indicator Prevention Agenda
2013 Objective
US NYS Niagara County
CHRONIC DISEASE
Diabetes prevalence in adults 1

Map of diabetes prevalence in adults

5.7% 9.5%a
(2011)
10.4%
(2011)
10.2% *
(2009)
Diabetes short-term complication hospitalization rate (per 10,000) 4
 Age 6-17 years 2.3 2.8 3.0 2.4
 Age 18+ years 3.9 6.0
(2008)
5.8
(2010)
9.2
(2008-2010)
Coronary heart disease hospitalizations (per 10,000) 13 48.0 - 43.8*
(2010)
67.3 *
(2007-2009)
Congestive heart failure hospitalization rate per 10,000 (ages 18+ years) 4 33.0 38.4
(2008)
40.1
(2010)
55.4
(2008-2010)
Cerebrovascular (Stroke) disease mortality (per 100,000) 12 24.0* 39.0*
(2010)
27.5*
(2010)
38.1 *
(2008-2010)
Cancer mortality2 (per 100,000)
 Breast (female) 21.3* 23.0* 21.4* 25.5 *
 Cervical 2.0* 2.4* 2.2* 0.8 *
 Colorectal 13.7* 16.7*
(2005-2009)
15.2*
(2009)
15.7 *
(2008-2010)
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)
19.5
(2010)
4.4
(2008-2010)
Gonorrhea case rate (per 100,000)17 19.0† 100.8
(2010)
94.3
(2010)
95.2
(2008-2010)
Tuberculosis case rate (per 100,000)18 1.0† 3.6
(2010)
4.9
(2010)
0.6~
(2008-2010)
% 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)
74.9%
ever had pneumonia vaccination

Map of adults with pneumonia vaccination in the past year

90%† 70.0%a
(2011)
65.2%
(2011)
75.3%
(2009)
COMMUNITY PREPAREDNESS
% population living within jurisdiction with state-approved emergency preparedness plans 19 100% - 100%
(2010)
100%
(2011)
Indicator Prevention Agenda
2013 Objective
US NYS Niagara County
MENTAL HEALTH/SUBSTANCE ABUSE
Suicide mortality rate (per 100,000) 12 4.8†* 11.9*
(2010)
7.5*
(2010)
9.7 *
(2008-2010)
% 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)
10.9% *
(2009)
% 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)
22.4% *
(2009)
Drug-related hospitalizations (per 10,000) 20 26.0 - 25.7*
(2010)
27.7 *
(2008-2010)

† 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

  1. 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/.
  2. 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/
  3. NYS (statewide) and US Data Source: Centers for Disease Control, Youth Risk Behavior Survey, http://www.cdc.gov/HealthyYouth/yrbs/
  4. 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
  5. 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 61, Number 01 Births: Final Data for 2010 http://www.cdc.gov/nchs/births.htm
  6. 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 60, Number 04 Deaths: Preliminary Data for 2010, http://www.cdc.gov/nchs/fastats/deaths.htm
  7. NYS (statewide) and US Data Source: Centers for Disease Control, National Immunization Survey (NIS), http://www.cdc.gov/vaccines/stats-surv/nis/data/tables_2010.htm and NYS Immunization Program
  8. 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/, 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 (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
  10. 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, 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 (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
  12. 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 60, Number 04 Deaths: Preliminary Data for 2010, http://www.cdc.gov/nchs/fastats/deaths.htm
  13. 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/
  14. 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
  15. NYS Data Source: New York State Department of Health, NYS County Health Indicators - Occupational, http://www.health.state.ny.us/statistics/chac/chai/
  16. 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
  17. 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/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 (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 and Prevention, Fact Sheet TB, Trends in Tuberculosis, 2010, http://www.cdc.gov/tb/publications/factsheets/statistics/TBTrends.htm
  19. NYS (statewide and county level) Data Source: NYS Department of Health, Emergency Preparedness Program data.
  20. 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