New York State Community Health Indicator Reports - About Socio-Economic Status Indicators

Contact the Public Health Information Group, at (518) 474-2543 for information about the indicators produced for this report.

Health Indicator Description and Definition Data Source and Program Contact Information
Total Population County population estimates Centers for Disease Control and Prevention, National Center for Health Statistics - U.S. Census Populations With Bridged Race Categories a
Percentage of labor force unemployed "Unemployed" is defined as a person actively seeking employment and available for work. Part-time workers are considered employed. The annual average "Percentage Unemployed" aged 16 years and older was calculated by dividing the number unemployed by the total labor force (employed and unemployed) times 100. United States Bureau of Labor Statistics: Local Area Unemployment Statistics (LAUS)
Percentage of population below poverty The percentage of the population who live below the federally determined guidelines for poverty. U.S. Census Bureau
Small Area Income and Poverty Estimates b
Percentage of children aged <18 below poverty The percentage of children aged less than 18 who live below the federally determined guidelines for poverty. U.S. Census Bureau

Small Area Income and Poverty Estimates b
Median household income in US dollars This measure represents the middle value of household income. One half of the population will have income above the median while the other half will have income below the median. U.S. Census Bureau

Small Area Income and Poverty Estimates b
Percentage of children aged < 19 with health insurance The number and percentage of children aged <19 who were covered by health insurance. U.S. Census Bureau

Small Area Health Insurance Estimates b
Percentage of adults aged 18- 64 with health insurance The number and percentage of adults aged 18-64 who were covered by health insurance. U.S. Census Bureau

Small Area Health Insurance Estimates b
High school dropout rate The percentage of students in grades 9 - 12 who left school prior to graduation for any reason, except death and did not enter another school or high school equivalency preparation program. New York State Department of Education
Age-adjusted percentage of adults who did not receive medical care because of cost ** The percentage of respondents aged 18 years or older who reported they needed to see a doctor but didn't due to the cost.NYS Expanded Behavioral Risk Factor Surveillance System c

Contact: BRFSS Coordinator at (518) 473-0673
Age-adjusted percentage of adults with a regular healthcare provider **
The percentage of respondents aged 18 years or older who reported they have a regular health care provider that they can contact if they have a health problem. NYS Expanded Behavioral Risk Factor Surveillance System c

Contact: BRFSS Coordinator at (518) 473-0673
Age-adjusted percentage of adults who had poor mental health 14 or more days within the past month ** The percentage of respondents (aged 18 or older) who reported having 14 or more days of poor mental health during the past month. NYS Expanded Behavioral Risk Factor Surveillance System c

Contact: BRFSS Coordinator at (518) 473-0673
Birth rate per 1,000 population The number of births per 1,000 population Vital Statistics Unit d
Bureau of Health Informatics
Division of Information and Statistics
Office of Quality and Patient Safety

Data Request Contact: bio-info@health.ny.gov
Phone: (518) 473-8144
Crude and age-adjusted total mortality rates per 100,000 ** The number of deaths per 100,000 population Vital Statistics Unit d
Bureau of Health Informatics
Division of Information and Statistics
Office of Quality and Patient Safety

Data Request Contact: bio-info@health.ny.gov
Phone: (518) 473-8144
Percentage of deaths that were premature (aged less than 75 years) The percentage of all deaths that were among persons aged less than 75 years. Vital Statistics Unit d
Bureau of Health Informatics
Division of Information and Statistics
Office of Quality and Patient Safety

Data Request Contact: bio-info@health.ny.gov
Phone: (518) 473-8144
Years of potential life lost per 100,000 (YPLL) Total years of life lost before age 75 years per 100,000 population (calculated by subtracting the ages of those who died from 75). Vital Statistics Unit d
Bureau of Health Informatics
Division of Information and Statistics
Office of Quality and Patient Safety

Data Request Contact: bio-info@health.ny.gov
Phone: (518) 473-8144
Crude and age-adjusted total emergency department visit rate per 10,000 ** The number of emergency department visits per 10,000 population. Statewide Planning and Research Cooperative System (SPARCS) e
Bureau of Health Informatics
Division of Information and Statistics
Office of Quality and Patient Safety

Submission Questions: sparcs.submissions@health.ny.gov - for submission questions
Data Request Contact: sparcs.requests@health.ny.gov - for data requests
Phone: (518) 473-8144
Crude and age-adjusted total hospitalization rate per 10,000 ** The number of hospitalizations per 10,000 population. Statewide Planning and Research Cooperative System (SPARCS) e
Bureau of Health Informatics
Division of Information and Statistics
Office of Quality and Patient Safety

Submission Questions: sparcs.submissions@health.ny.gov - for submission questions
Data Request Contact: sparcs.requests@health.ny.gov - for data requests
Phone: (518) 473-8144
Index crime case rate per 100,000 Index crime is defined as the violent crimes of murder, rape, robbery, and aggravated assault; and the property crimes of burglary, larceny and motor vehicle theft. The FBI created these categories to allow for uniform crime reporting across all 50 states and counties. The data is compiled by the FBI and the Division of Criminal Justice Services. (Number of Crimes / Population ) x 100,000 = Crime Rate per 100,000 people New York State Office of Justice Research and Performance
Violent crime case rate per 100,000 Violent crime includes the crimes of murder, rape, robbery, and aggravated assault that have been reported to local police authorities. The data is compiled by the FBI and the Division of Criminal Justice Services. (Number of Crimes / Population ) x 100,000 = Crime Rate per 100,000 people New York State Office of Justice Research and Performance
Percentage of population who did not have access to a reliable source of food during the past year (Food insecurity) The FDA states that food security means access by all people at all times to enough food for an active, healthy life. Food insecurity suggests a lack of access. It is measured in a survey and the numerator is made up of respondents that report reduced quality, variety, or desirability of diet, as well as reports of multiple indications of disrupted eating patterns and reduced food intake. Map the Meal Gap
Percentage of households with food stamp/SNAP benefits in the past 12 months The number of households in which one or more current members received SNAP benefits during the past 12 months, divided by the number of occupied households. Group quarters are not included in this count. U.S. Census, American Community Survey
Percentage of renter occupied households paying 30% or more of income to rent The number of occupied renter units in which monthly gross rent (including cost of utilities if paid by renter) is 30% or more of household monthly income, divided by the number of occupied renter units. Units for which no rent is paid or which are occupied by households with no income are not included. U.S. Census, American Community Survey
Median gross rent Gross rent is the contract rent plus the cost of utilities, if paid by the renter. Units for which no rent is paid are not included. U.S. Census, American Community Survey
Percentage of population who lived in a different residence one year ago Population aged one year and over who lived in a different house or apartment one year ago, divided by the population aged one year or over. U.S. Census, American Community Survey
Percentage of population aged 25 years or more with less than high school education Number of people aged 25 and older with less than high school degree divided by number of people aged 25 and older. U.S. Census, American Community Survey
Percentage of population aged 25 years or more with at least some college education Number of people aged 25 and older with at least some college, divided by number of people aged 25 and older. U.S. Census, American Community Survey
Percent of population age 5 years and older who speak English very well and/or English only The number of people aged 5 and older who speak English only or who speak another language and who speak English very well, divided by the total population aged 5 and older. U.S. Census, American Community Survey
Percentage of children under 18 years old with disability Total civilian noninstitutionalized population under 18 with a disability divided by total civilian noninstitutionalized population. U.S. Census, American Community Survey
Percentage of Medicaid/mean-tested public coverage Civilian noninstitutionalized population with Medicaid and/or means tested public coverage divided by Civilian noninstitutionalized population. U.S. Census, American Community Survey
Percentage of popluation with disability Total civilian noninstitutionalized population with a disability divided by total civilian noninstitutionalized population. U.S. Census, American Community Survey
Percentage of disconnected youths Disconnected youth are the percentage of teenagers and young adults between the ages of 16 and 24 who are neither working nor in school Measure of America
Percentage of population with low income and low access to supermarket or large grocery store Percentage of population with low income and low access to supermarket or large grocery store. The USDA source has no total for the state, so this indicator is not included in the state dashboard.
USDA, Food Environment Atlas
Percentage of population age 65 years or more Percentage of population age 65 years or more Centers for Disease Control and Prevention, National Center for Health Statistics - U.S. Census Populations With Bridged Race Categories a

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 The U.S. Census Bureau:
The 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.
The Small Area Health Insurance Estimates (SAHIE) program was created to develop model-based estimates of health insurance coverage for counties and states. This developmental program builds on the work of the Small Area Income and Poverty Estimates (SAIPE) program. Data on health insurance coverage for all counties are not currently available elsewhere.
c Expanded BRFSS:
The Expanded BRFSS is a NYS county (regional) adult telephone (landline and cellphone) surveillance system that collects self-reported health conditions and behaviors related to early mortality and morbidity. This system is based on the annual collaborative state based surveillance project administered and supported by the National Center for Chronic Disease Prevention and Health Promotion (CDC), Division of Population Health, Behavioral Risk Factor Surveillance System (BRFSS). Behavioral Risk Factor Surveillance System (BRFSS).
d Vital Records (Vital Statistics):
Vital Event Registration:
New York State consists of two registration areas, New York City and New York State Exclusive of New York City (also referred as Rest of State). New York City (NYC) includes the five counties of Bronx, Kings (Brooklyn), New York (Manhattan), Queens and Richmond (Staten Island); the remaining 57 counties comprise New York State Exclusive of New York City. The Bureau of Vital Records, New York State Department of Health (NYSDOH), processes data from live birth, death, fetal death and marriage certificates recorded in New York State Exclusive of New York City. Through a cooperative agreement, the New York State Department of Health receives data on live births, deaths, fetal deaths and marriages recorded in New York City from the New York City Department of Health and Mental Hygiene (NYCDOHMH) and on live births and deaths recorded outside of New York State to residents of New York State from other states and Canada.

Vital Event indicators for NYC geographical areas reported by NYSDOH and NYCDOHMH may be different since the former may include all NYC residents' events regardless of where they occurred and the latter reports only events to NYC residents that occurred in NYC. The indicators may also differ due to timing and/or completeness of data.

The counts of births and deaths may be influenced by specific reporting issues each year. The specific issues are reported in the technical notes of the Vital Statistics reports, in the Report Measures section.

All the vital statistics presented in this report are based on the county/borough of residence.
e Statewide Planning and Research Cooperative System (SPARCS):
Information about hospitalizations and emergency department (ED) visits are collected through the hospital data system. Up through the third quarter of 2015, each hospitalization and ED visit received an ICD-9-CM primary diagnosis code, and may have also received additional ICD-9-CM diagnosis codes to further describe the hospitalization or ED visit. CHIR used the ICD-9-CM primary diagnosis code and up to 14 additional ICD-9-CM diagnosis codes from the hospital data system to generate tables and charts to describe hospitalizations and ED visits up through 2014.

Starting in the fourth quarter of 2015, the hospital data system changed to using the ICD-10-CM for diagnoses. CHIRS used the ICD-10-CM primary diagnosis codes and up to 24 additional ICD-10-CM codes from the hospital data system to generate tables and charts to describe hospitalizations and ED visits in 2016 and after.

CHIRS does not include hospitalizations and ED visits in 2015, as the ICD codes changed part way through the year.

** The standard population used for age adjustment was the 2000 U.S. population.