Upper West Side New York City Is the Most Diverse City in the U.S
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R D E ID E S V R A E V M I A R D R E T S M A CA D TH UK ED E E RA LL L P ING KW TO Y N B LV 10025 D W 96 TH S W E T K V R A A D P N L E A R W W T 86 N TH E 10024 ST C E V A S U B M U L O C E V A H T 1 1 10023 W 57 TH ST R D E ID E S V R A E V M I A R D R E T S M A CA D TH UK ED E E RA LL L P ING KW TO Y N B LV 10025 D W 96 TH S W E T K V R A A D P N L E A R W W T 86 N TH E 10024 ST C E V A S U B M U L O C E V A H T 1 1 10023 W Community 57 TH ST ProfilesHealth New York City Department of Health and Mental Hygiene SECOND EDITION — 2006 n yc.gov/health Upper West Side TAKE CARE Manhattan Community Health Profile, Second Edition: The Upper West Side New York City is the most diverse city in the U.S. — a fact reflected in the distinct character of each neighborhood. The second edition of the Community Health Profiles uses Take Care New York (TCNY), the city’s health policy, to examine preventable causes of illness and death in all of NYC’s 42 neighborhoods. This report updates the 2002 profile (available at nyc.gov/health) by providing more recent and time-trend data, and a greater variety of health statistics. Key health issues on the Upper West Side include: I Cancer is the primary cause of premature death on the Upper West Side (page 4). I Adults on the Upper West Side are more likely to binge drink than adults in NYC overall (page 10). I Flu and pneumonia are the third leading cause of death on the Upper West Side, and the death rate due to flu and pneumonia has risen higher than the NYC overall rate in the past 10 years (page 14). Methods: While this report provides important information, it is not intended to be an exhaustive examination of the health of Upper West Side residents, as not all health problems and their causes could be covered. Only statistically significant findings are discussed in the text. For complete information on methods, see Technical Notes (page 15). The Upper West Side at a Glance Population Age Poverty Total number of People on the Upper West Side are slightly older than in On the Upper West Side, the percent of people living on New York City overall residents living below the poverty level is the Upper West lower than in Manhattan and NYC overall Side in 2000: Upper West Side Manhattan NYC 50 13% 222,100 0-17 years 17% 24% 40 s 9% t 18-24 years 10% 10% n 40% e d 25-44 years 38% 33% i 25% s 30 45-64 years 23% 21% e r 13% f 21 65+ years 12% 12% o 20 t 20 n e c r 11 e P 10 Education Upper West Side residents aged 25 and older have completed more years of 0 education than those in Manhattan and NYC overall Upper West Manhattan New York City Side Upper West Side Manhattan NYC Foreign-born Up to 8th grade 5% 10% 12% The percent of Upper West Side residents 5% Some high school, no diploma 11% 16% born outside the U.S. is lower than in 9% High school diploma 14% 25% Manhattan and NYC overall Some college, no degree 13% 16% 20% College graduate 68% 49% 27% Upper West Side Manhattan NYC 22% 29% 36% Race / Ethnicity Upper West Side Manhattan NYC The Upper West Side has Other 3% Asian 9% Other 3% Other 4% Asian 6% a higher proportion of Asian 10% White 35% Black 9% white residents than Black Black 15% Manhattan and NYC Hispanic 16% White 46% 24% overall White 66% Hispanic 27% Hispanic 27% Data Source: U.S. Census 2000/NYC Department of City Planning 2 T AKE CARE UPPER WEST SIDE Take Care Upper West Side In 2004, the Health Department created a citywide health policy called Take Care New York (TCNY) to help improve the health of New Yorkers. TCNY identifies 10 key areas that cause significant illness and death but can be improved through intervention by individuals, health care providers, government agencies, and other organizations. This report examines how well Upper West Side residents are doing on health indicators for each of the 10 TCNY goals. It examines areas in which the community is a health leader, as well as areas that need improvement. The TCNY report card below shows where the Upper West Side ranks among all 42 New York City neighborhoods. (See Technical Notes for information about how neighborhoods were defined and ranked.) Take Care New York report card The Upper West Side ranks as average or above on all the indicators when compared to the 41 other NYC neighborhoods Below Average (bottom 10) Average (middle 22) Above Average (top 10) Take Care New York Goals 1 Have a regular doctor 2 Be tobacco-free 3 Keep your heart healthy 4 Know your HIV status 5 Get help for depression 6 Live free of alcohol and drugs 7 Get checked for cancer 8 Get the immunizations you need 9 Make your home safe and healthy 10 Have a healthy baby How Residents Rate Their Own Health Overall health Adults on the Upper West Side are less likely to consider People are good at rating their own health. In general, themselves to be in fair or poor health 40 when asked to rate their general health as excellent, very good, good, fair, or poor, those who say “fair” or “poor” are ) + 8 30 more likely to have health problems than those who report 1 ( s t better health. l u 21 d a 20 18 f On the Upper West Side, residents are less likely to report o t n e 11 being in fair or poor health (11%) than those in c r 10 e P Manhattan (18%) and in New York City overall (21%). 0 Upper West Side Manhattan New York City Percents are age-adjusted. Data Source: NYC Community Health Survey 2002-03-04 TAKE CARE UPPER WEST SIDE 3 Overall Death Rates on the Upper West Side Death rates On the Upper West Side, death rates have decreased in The death rate on the Upper West Side has decreased by the past 10 years 15% in the past decade, mirroring the rate drop in New 1000 York City overall. e l 800 p In 2003-2004, the average annual death rate on the Upper o e p 0 West Side was similar to the Manhattan rate and slightly 0 600 0 , 0 lower than in New York City overall (669/100,000 vs. 0 1 r e 400 697/100,000 in Manhattan and 718/100,000 in NYC). p s Upper West Side h Throughout this profile, cause-specific death rates are t a Manhattan e 200 D New York City provided for TCNY goals. 0 Line graphs. All time-trend data are presented as annual 1995-96 1997-98 1999-00 2001-02 2003-04 averages with 2 or 3 years of data combined. For example, in Rates are age-adjusted. this graph, the first point on each line represents the average Data Sources: Bureau of Vital Statistics, NYC DOHMH, 1995-2004; U.S. Census 1990 and 2000/NYC Department of City Planning annual death rate for 1995 and 1996 combined. Premature death People who die before age 75 can be thought of as dying early, or prematurely. If a person dies early, their years of potential life lost (YPLLs) can be calculated by subtracting their age at death from 75 years to get a Death before age 75 measure of premature death. The 2003-2004 average annual death rate for people younger than The causes of premature death differ across communities. The primary cause 75 years on the Upper West Side of premature death on the Upper West Side is cancer, as well as in both ranks 12th among 42 NYC neighborhoods Manhattan and New York City overall. BETTER Top 5 causes of years of potential life lost Cancer causes the most years of potential life lost on the Upper West Side Upper West Side Other* 35% Cancer 28% Manhattan 2,764 years lost 3,425 years lost NYC Suicide 5% Heart Disease 17% WORSE 446 years lost 1,669 years lost Drug-related 5% 508 years lost HIV-related 10% Data Sources: Bureau of Vital Statistics, NYC 994 years lost DOHMH, 2003-04; U.S. Census 2000/NYC Department of City Planning *Other includes Certain Perinatal Conditions (3%), Accidents (3%), Diabetes (2%), Pneumonia and Influenza (2%), Diseases of the Nervous System (2%), and Other (23%). Data Source: Bureau of Vital Statistics, NYC DOHMH, 2002-04 4 T AKE CARE UPPER WEST SIDE Take Care New York Goals GOAL 1 Have a Regular Doctor or Other Health Care Provider Access to good medical care helps people prevent illnesses, identify health conditions early, and treat health problems. Some conditions can and should be managed regularly outside the hospital. Higher rates of these avoidable hospitalizations can indicate reduced access to health care in a community.