About Minority Health Data and Statistics - County Health Indicators by Race/Ethnicity (CHIRE)
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 |
|---|---|---|
| Socio-Demographic Indicators | ||
| Population | County population estimates are reported by race and Hispanic origin. The total county population estimate includes "Other" and unknown races. | Centers for Disease Control and Prevention, National Center for Health Statistics - U.S. Census Populations With Bridged Race Categories b |
| Percent of population | The percent of the county population from each race/ethnicity category. | Centers for Disease Control and Prevention, National Center for Health Statistics - U.S. Census Populations With Bridged Race Categories b |
| Median Annual Household Income in US Dollars | Median household income is the income level at which half of households have incomes above the amount and half have incomes below the amount. | U.S. Census Bureau American Fact Finder (American Community Survey) a Table S1903 |
| Percent of families below poverty | The percent of the families living below the federally determined guidelines for poverty. U.S. Census, American Community Survey - 3 year estimates |
U.S. Census Bureau American Fact Finder (American Community Survey) a Table S1702 |
| General Health Indicators | ||
| Total mortality, age-adjusted | The number of deaths per 100,000 population. | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Percent premature deaths (< age 75 years) | The percent of all deaths that were among persons aged less than 75 years. | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Years of potential life lost per 100,000, age-adjusted | 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 c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Births per year (3 year Average) | The number of births per year includes the number of births, averaged over the latest 3 year period, for each race/ethnicity group. The average total births for the county includes "Other" and Unknown races. Rounding may cause the sum of the race/ethnicity groups to add to more than the total for the county. | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Percent of births with early (1st trimester) prenatal care | The percent of births to women with prenatal care within the first three months of pregnancy (first trimester)among births with known prenatal care status. | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Percent of births with adequate prenatal care (Kotelchuck index) | The percentage is based on the Kotelchuck Index. Births to women who began care in the first trimester and have completed at least 80% of the expected prenatal visits are considered to have had early and adequate care.e | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Percent of premature births (less than 37 weeks) | The percentage of infants with known gestation born before 37 weeks gestation. | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Percent low birthweight births (< 2.5 kg) | The percentage of births with known birthweight that resulted in infants weighing less than 2500 grams. | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Teen pregnancy rate per 1,000 females aged 15-17 years | 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 the 15-17 year age group per 1,000 females 15-17 years of age. NOTE: pregnancy data for Essex and Hamilton counties were combined for confidentiality purposes. | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Pregnancy rate per 1,000 females aged 15-44 years | 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 the 15-44 year age group per 1,000 females 15-44 years of age. NOTE: pregnancy data for Essex and Hamilton counties were combined for confidentiality purposes. | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Fertility rate per 1,000 females aged 15-44 years | Fertility rate (births/1,000 women age 15-44) | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Infant mortality rate | The number of deaths less than 1 year of age per 1,000 live births. | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Injury Related Indicators | ||
| Motor vehicle and unintentional injury mortality rates, age-adjusted | All deaths receive an ICD-10 code indicating the primary cause of death. Mortality rates are per 100,000 population. The codes used for the rates in this section are as follows:
|
Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Unintentional injury, poisoning and fall hospitalization rates per 10,000 population, age-adjusted | The number of hospitalizations per 10,000 population with a primary diagnosis using the following ICD-9 CM codes:
|
Statewide Planning and Research Cooperative System (SPARCS) d Bureau of Health Informatics, Office of Quality and Patient Safety |
| Respiratory Disease Related Indicators | ||
| Asthma, age-specific asthma and chronic lower respiratory disease (CLRD) hospitalization rates, age-adjusted | The number of asthma hospitalizations, , number of asthma aged 0-17 years and CLRD hospitalizations per 10,000 population in that age group. Primary diagnosis, using the following ICD-9 CM codes: Asthma: code 493; Chronic Lower Respiratory Disease (CLRD): codes 490-494,496. | Statewide Planning and Research Cooperative System (SPARCS) d Bureau of Health Informatics, Office of Quality and Patient Safety |
| Chronic lower respiratory disease (CLRD) mortality rate per 100,000 population age-adjusted | Mortality : Data are collected from death certificates. All deaths receive an ICD-10 code indicating the primary reason for the death. The ICD-10 code used for the rates in this section are chronic lower respiratory disease (CLRD): codes J40-J47. | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Heart Disease and Stroke Related Indicators | ||
| Disease of the heart mortality rate, age-adjusted | 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. | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Disease of the heart hospitalization rate, age-adjusted | The number of hospitalizations for diseases of the heart per 10,000 population. The ICD-9 CM codes for disease of the heart are: 390-398,402, 404-429. | Statewide Planning and Research Cooperative System (SPARCS) d Bureau of Health Informatics, Office of Quality and Patient Safety |
| Cerebrovascular disease (stroke) mortality rate, age-adjusted | The number of deaths due to cerebrovascular disease per 100,000 population. The ICD-10 codes used for cerebrovascular disease are: I60-I69. | Vital Statistics Unit d Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Cerebrovascular disease (stroke) hospitalization rate, age-adjusted | The number of hospitalizations for cerebrovascular disease per 10,000 population. The ICD-9 CM codes used for cerebrovascular disease are: 430-438. | Statewide Planning and Research Cooperative System (SPARCS) d Bureau of Health Informatics, Office of Quality and Patient Safety |
| Coronary heart disease mortality rate, age-adjusted | The number of deaths due to coronary heart disease per 100,000 population. The ICD-10 codes used for coronary heart disease are: I11, I20-I25. | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Coronary health disease hospitalization rate, age-adjusted | The number of hospitalizations for coronary heart disease per 10,000 population. The ICD-9 CM codes used for coronary heart disease are: 402, 410-414, and 429. | Statewide Planning and Research Cooperative System (SPARCS) d Bureau of Health Informatics, Office of Quality and Patient Safety |
| Congestive heart failure mortality, age-adjusted | The number of deaths due to congestive heart failure per 100,000 population. The ICD-10 code used for congestive heart failure is: I50. | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Congestive heart failure hospitalization rate, age-adjusted | The number of hospitalizations for congestive heart failure per 10,000 population. The ICD-9 CM code for congestive heart failure is: 428. | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Diabetes Related Indicators | ||
| Diabetes mortality rate per 100,000 population, age-adjusted | The number of deaths due to diabetes per 100,000 population. The ICD-10 codes used for diabetes are: E10-E14. | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
| Diabetes (primary diagnosis) hospitalizations per 10,000 population, age-adjusted | The number of hospitalizations due to diabetes per 10,000 population. The ICD 9 CM code used for Diabetes is: 250. Only hospitalizations with diabetes as the primary diagnosis are included. | Statewide Planning and Research Cooperative System (SPARCS) d Bureau of Health Informatics, Office of Quality and Patient Safety |
| Diabetes (any diagnosis) hospitalizations per 10,000 population, age-adjusted | The number of hospitalizations due to diabetes per 10,000 population. The ICD 9 CM code used for Diabetes is: 250. Includes hospitalizations with diabetes mentioned in any diagnosis. | Statewide Planning and Research Cooperative System (SPARCS) d Bureau of Health Informatics, Office of Quality and Patient Safety |
| Diabetes short term complications hospitalizations per 10,000 population aged 6-18 and 18+ | The number of hospitalizations with a primary diagnosis ICD 9CM code of 250.1-250.3 per 10,000 population for the age group of interest. This is a Prevention Quality Indicator (PQI) (condition for which good outpatient care can potentially prevent the need for hospitalization or for which early intervention can prevent complications or more severe disease). | Statewide Planning and Research Cooperative System (SPARCS) d Bureau of Health Informatics, Office of Quality and Patient Safety |
| Cancer Related Indicators | ||
| Lung cancer incidence (per 100,000), age-adjusted | Incidence data are based on reports from hospitals and other health facilities that diagnose and treat cancer patients. All primary tumors receive a ICD-O-3 code indicating the anatomic site of origin. Standard Site Analysis categories for cancer data analysis are available on the SEER Incidence Site Recode web page. These data include only invasive malignant tumors. | Contact: New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics |
| Colorectal cancer mortality (per 100,000), age-adjusted | The number of deaths per 100,000 with a primary diagnosis of ICD 10 code C53. | New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics |
| Breast cancer mortality (per 100,000), age-adjusted | The number of deaths per 100,000 with a primary diagnosis of ICD 10 code C50. | Contact: New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics |
| Cervical cancer mortality (per 100,000), age-adjusted | The number of deaths per 100,000 with a primary diagnosis of ICD 10 code C18-C21. | Contact: New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics |
| Colorectal, late stage breast and cervical cancer incidence (per 100,000) | Incidence data are based on reports from hospitals and other health facilities that diagnose and treat cancer patients. All primary tumors receive a ICD-O-3 code indicating the anatomic site of origin. Standard Site Analysis categories for cancer data analysis are available on the SEER Incidence Site Recode web page. These data include only invasive malignant tumors. Late stage is defined as regional or distant stage at diagnosis (SEER summary stage). | Contact: New York State Cancer Registry at (518) 474-2255. See also Info for Researchers-Cancer Statistics |
| Substance Abuse and Mental Health Related Indicators | ||
| Drug-related hospitalizations per 10,000, age-adjusted | The number of hospitalizations per 10,000 population with one of the following primary diagnosis ICD-9 CM codes: 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. | Statewide Planning and Research Cooperative System (SPARCS) d Bureau of Health Informatics, Office of Quality and Patient Safety |
| Suicide mortality per 100,000, age-adjusted | The number of deaths per 100,000 with a primary diagnosis of one of the following: ICD-10(X60-X84,Y87.0). | Vital Statistics Unit c Bureau of Outcomes Research, Office of Quality and Patient Safety |
Notes
Age-Adjusted Indicators
Klein RJ, Schoenborn CA. Age adjustment using the 2000 projected U.S. population. Healthy People Statistical Notes, no. 20. Hyattsville, Maryland: National Center for Health Statistics. January 2001.
U.S. Census Bureau, American Fact Finder (American Community Survey)
a American Fact Finder, New York State, all counties.
Centers for Disease Control and Prevention, National Center for Health Statistics
b U.S. Census Populations With Bridged Race Categories
Vital Records (Vital Statistics)
c 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, 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, and fetal deaths recorded in New York City from the New York City Department of Health and on live births and deaths recorded outside of New York State to residents of New York State from other states and Canada.
Data Contact: bio-info@health.ny.gov
Phone: (518) 486-9012
Statewide Planning and Research Cooperative System (SPARCS)
d Information about hospitalizations is collected through the hospital inpatient discharge data system. Each hospitalization receives an ICD-9 code at discharge that indicates the primary reason for the hospitalization. There are also up to 14 other diagnosis codes recorded to further describe the hospitalization. Statistics presented in these tables are based on the primary diagnosis unless otherwise noted. This data system does not include information about events that did not result in a hospitalization, such as cases that were only treated in a hospital emergency room. Numbers and rates are based on the number of hospitalizations that occurred and not to the number of individuals who were hospitalized.
Submission Questions: sparcs.submissions@health.ny.gov
Data Contact: sparcs.requests@health.ny.gov
Phone: (518) 473-8144
Kotelchuck Index
e The Kotelchuck Index is an adequacy of prenatal care index that takes into account the number of prenatal care visits received and number of expected by age of gestation at delivery, and incorporates a category that distinguishes women who have had more prenatal visits than would be expected (Adequacy Plus Category).
