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LONG ISLAND CITY and ASTORIA 1 Who We Are

LONG ISLAND CITY and ASTORIA 1 Who We Are

COMMUNITY DISTRICT Long 1 and Astoria Including Astoria, Astoria Heights, Queensbridge, Dutch Kills, City, Ravenswood and Steinway

Health is closely tied to our daily environment. Understanding how our neighborhood affects our physical and mental health is the first step toward building a healthier and more equitable New City.

COMMUNITY HEALTH PROFILES 2018 COMMUNITY HEALTH PROFILES 2018: AND ASTORIA 1 Who We Are

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81 ST City New York CityEAST CHANNEL NORTHERN BLVD NYC population by race PAGE 2 PAGE 6 PAGENYC population 2 by race Long Island City Black PAGE 2 PAGEPopulation Black2 by race PAGEElementary 6 School Abseentee On high school graduation 100.0 New York City 100.0 and Astoria Latino Black POPULATION87.5 NYC population by race 87.5 LatinoBlack 75.0 75.0 Population by race Elementary90 School Abseentee 100 On time high school graduation 100.0 Other BY RACE AND62.5 62.5 87.5 PAGE 2 100.0 PAGELatino 2 LatinoPAGE 6 50.0 50.0 Other 43% ETHNICITY^ 75.0 32% 87.5 37.562.5 29% 75.037.5 Black 29% Black Asian 90 100 22% Population by race Other Elementary School Abseentee On time high school graduation 25.050.0 100.0 15% 62.525.0 16%AsianOther 75 12.537.5 87.5 32% 50.012.5 Latino100.0 10% Latino White New York75.0 City 29% 2% 43% 2% 60 0.0 22% 0.0 87.5 Asian 25.0 62.5 15% 37.5 75.0 WhiteAsian 29% 90 100 Asian Black Latino White Other Other Other 12.5 50.0 25.0 62.5 Asian Black Latino White Other 75 32% 2% 16% 0.0 37.5 29% 12.5 50.0 10% 43% White 50 25.0 22% Asian37.5 White 2% Asian 60 NYC population by race Asian15% Black Latino White Other 0.0 29% 12.5 2% 25.0Population16% by age 75 0.0 Asian Black10% Latino White Other TOTAL NYC population by age White12.5 2% White 60 30 PAGE 2 Asian Black LatinoPAGE White 2 Other 0.0 PAGE 6 50 Asian Black Latino White Other POPULATION 45.0 25 NYC8,537,673 populationBlack by age Population199,969 byBlack age41% 50 45.0 Population by race Elementary School Abseentee On time high school graduation 100.0 NYC population by age Population by age 30 87.5 Latino100.032% Latino 30 75.0 45.0 87.5 45.0 25 45.0 45.0 41% 22% 25 62.5 POPULATION 75.0 25% 22.5 41% 90 100 0 0 50.0 Other Other 22.5 21% 62.532%32% 16% 37.5 BY AGE29% 32% 50.0 43% 12% 25.0 22% 25% 14% 10% 15% 21% Asian37.5 25% 29% Asian 22% 12.5 22.5 22.5 22% 0 0 22.5 2% 21% 9% 25.0 16% 22.5 75 0 0 0.0 14% 10% 16% 9% White12.5 0.0 2% 16% 10% White 12%60 Highest of Education Achieved Asian Black Latino White Other 0.0 14% 12% 0.0 9% Asian Black Latino White Other 0-1710% 18-24 25-44 45-64 65+ 0.0 0-17 18-24 25-44 45-64 65+ 0.0 Highest Level50 of Education Achieved 0-17 18-24 25-44 45-64 65+ 0-17 18-24 25-44 45-64 65+ NYC population by age 0.0 Population by age 0.0 Highest Level of Education Achieved 0-17 18-24 25-44 45-64 65+ 0-17 18-24 25-44 45-6430 65+ Born outside US English pro ciency 25 45.0 BornBorn outside outside US US45.0 41%EnglishEnglish pro ciency pro ciencyBorn outside US English pro ciency 32% BORN OUTSIDE25% 22.5 21% Born outside US22.5 22%EnglishBorn pro ciency outside US 0 English pro ciency 0 16% THE US 14% 12% 9% 37% 10% 40% 0.0 0.0 Highest Level of Education Achieved 0-17 18-24 25-44 45-64 65+ 0-17 18-24 25-44 45-64 65+

Born outside US English pro ciency Born outside US English pro ciency 0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100

HAVE LIMITED 2000 0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 ENGLISH PAGE 8 Non-fatal Assault Hospitalizations Incarceration PROFICIENCY 23% 25% 1500 20000 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 PAGE 8 Non-fatal Assault Hospitalizations Incarceration Edit in Indesign. Graph applies to all CDs. 1000 20001500 PAGE 8 Non-fatal Assault0 20 40 Hospitalizations 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 Incarceration ^White, Black, Asian and Other exclude Latino ethnicity. Latino is or Latino of any race. 500 2000 Note: Percentages may not sum to 100% due to rounding. 1500 Edit in Indesign. Graph applies to all CDs. PAGE 8 Non-fatal Assault Hospitalizations0 40 80 120 Incarceration160 200 1000 Sources: Population, Race and Ethnicity and Age: U.S. Census Bureau Population Estimates, 2016; Born Outside the U.S. and English Proficiency: U.S. Census Bureau, American 0 Community Survey, 2012-2016 1500 Edit in Indesign. Graph applies to all CDs. 1000 Edit in Indesign. Graph500 applies to all CDs. 1000 2 COMMUNITY HEALTH PROFILES 2018: LONG ISLAND CITY AND ASTORIA 0 40 80 120 160 200 500 500 0

0 40 80 0120 16040 200 80 120 160 200 0 0 Note from Oxiris Barbot, Commissioner, New York City Department of Health and Mental Hygiene

We are pleased to present the 2018 Community Health Profiles, a look into the health of New York City’s (NYC) 59 diverse community districts.

The health of NYC has never been better. Our city’s life expectancy is 81.2 years, 2.5 years higher than the national average.

However, not all residents have the same opportunities to lead a healthy life. A ZIP code should not determine a person’s health, but that’s the reality in so many , including our own.

The Community Health Profiles allow us to see how much health can vary by neighborhood. Policies and practices based on a history of racism and discrimination (often referred to as structural racism) have created neighborhoods with high rates of poverty and limited access to resources that promote health. The practice of removing funding or refusing to provide funding to communities of color has caused poor health outcomes to cluster in these communities.

The Community Health Profiles also show how important community resources, and funding to and sustain these resources, are to health outcomes. For example, supermarkets provide more access to fresh foods than bodegas. However, in some neighborhoods with obesity rates higher than the citywide average, just 5% of food establishments are supermarkets, making it difficult for residents to make healthy choices.

Addressing these inequities may seem like a daunting task, but by working together, we can dismantle the unjust policies and practices that contribute to poor health in our communities. Through Take Care New York 2020 (TCNY 2020), and other New York City Health Department programs, we work with community partners to give every resident the same opportunity for good health. We are making progress, but there is more work to do.

Reducing health inequities requires policymakers, community groups, health professionals, researchers and residents to work together for change at every level. We look forward to working with to improve the health of our city.

Sincerely,

Oxiris Barbot, MD

Take Care New York 2020 (TCNY 2020) is ’s blueprint for giving everyone the chance to live a healthier life. For more information, visit nyc.gov/health and search for TCNY.

COMMUNITY HEALTH PROFILES 2018: LONG ISLAND CITY AND ASTORIA 3 Table of Contents

Who We Are Healthy Living PAGE 2 PAGE 13

Understanding Health Inequities in New York City PAGE 14-15 PAGE 5

Social and Economic Health Outcomes Conditions PAGE 16-18 PAGE 6-8

Housing and Notes Neighborhood Conditions PAGE 19 PAGE 9-10

Map and Contact Maternal and Child Health PAGE 11-12 Information BACK COVER

NAVIGATING THIS DOCUMENT This profile covers all of Queens Community District 1, which includesAstoria, Astoria Heights, Queensbridge, Dutch Kills, Long Island City, Ravenswood and Steinway. This is one of 59 community districts in NYC. The community district with the most favorable outcome in NYC for each measure is presented throughout the report. Sometimes this is the highest rate (e.g. physical activity) and sometimes this is the lowest rate (e.g. infant mortality). Some figures include an arrow to help readers understand the direction of the healthier outcome. This profile uses color coding system:

LOWEST/HIGHEST LONG ISLAND CITY QUEENS NEW YORK CITY COMMUNITY AND ASTORIA DISTRICT

4 COMMUNITY HEALTH PROFILES 2018: LONG ISLAND CITY AND ASTORIA Understanding Health Inequities in New York City

The ability to live a long and healthy life is not equally available to all New Yorkers. A baby born to a family that lives in the Upper will live 11 years longer than a baby born to a family in Brownsville. This inequity is unacceptable.

Resources and opportunities are at the root of good health. These include secure jobs with benefits, well-maintained and affordable housing, safe neighborhoods with clean , accessible transportation, healthy and affordable food, and quality education and health care.1 In NYC, access to these resources and opportunities are not equitably distributed. Neighborhoods with residents of color often have fewer resources.

Since the 1600s—when NYC was established by colonization—racist policies and practices have shaped where New Yorkers live and go to school, what jobs they have and what their neighborhoods look like. Over time, these policies and practices have built on each other to create deep inequity.

For example, in the 1930s the federal government developed a policy known as redlining. As part of this policy, neighborhoods rated based on the race, ethnicity and national origin of their residents. Neighborhoods that were home to people of color, like Central and Brownsville, were outlined in red on a map. They were labeled as "hazardous" and no home loans or other investments were approved there. The wealthiest and Whitest neighborhoods in NYC received, and continue to receive, more investment and opportunities for health.2

The denial of resources and opportunities that support good health contributes to the differences in life expectancy we see today. Experiencing racism is also a health burden, creating chronic stress that contributes to major causes of , like diabetes and disease.3

To better understand the successes and challenges in each of NYC’s 59 neighborhoods, the Community Health Profiles present data on a range of measures. These data should be interpreted with an understanding that good health is not only determined by personal choices. Many other factors shape differences in health outcomes, including past and current discrimination based on race, ethnicity, national origin, gender, sexual orientation and other identities. We hope the Community Health Profiles support your efforts in making NYC more equitable for all. For more information on the New York City Health Department programs and services that are closing the gap in health outcomes, visit nyc.gov/health.

1 Marmot M, Friel S, Bell R, et al. Closing the Gap in a Generation: Health Equity Through Action on the Social Determinants of Health. . 2008; 372(9650): 1661–1669. 2 Undesign the Redline. http://www.designingthewe.com/undesign-the-redline. Accessed March 13, 2018. 3 Krieger N. Embodying inequality: A Review of Concepts, Measures, and Methods for Studying Health Consequences of Discrimination. International Journal of Health Services. 1999; 29(2): 295-352.

COMMUNITY HEALTH PROFILES 2018: LONG ISLAND CITY AND ASTORIA 5 Social and Economic Conditions

Education Higher education levels are associated with better health outcomes. Missing too many days of school can cause students to fall behind and increases their risk of dropping out. Long Island City and Astoria’s elementary school absenteeism rate is lower than the rate for NYC overall. Four out of high school students inLong Island City and Astoria graduate in four years, similar to the citywide rate. PAGE 2PAGE 2 PAGE 6PAGE 6

Black Black ELEMENTARY SCHOOL ABSENTEEISM ON-TIME HIGH SCHOOL GRADUATION PopulationPopulation by race by race Elementary(percentElementary School of public SchoolschoolAbseentee students Abseentee in grades through 5 missingOn timeOn high time(percent school high of public graduationschool school graduation students graduating in four years) 100.0 100.0 Latino Latino 19 or more school days) 87.5 87.5 75.0 75.0 90 90 100 100 96% Other 62.5 62.5 Other 50.0 50.0 43% 43% 81% 37.5 37.5 29% 29% Asian Asian 78% 75% 25.0 25.0 75 75 16% 10%16% 10% 12.5 12.5 2% 2% White White 60 60 0.0 0.0 PAGEPAGEPAGE 2 2 2 PAGEPAGEPAGE 6 6 6 Asian BlackAsianLatinoBlackWhiteLatinoOtherWhite Other BlackBlackBlack 50 50 PopulationPopulation by age by age PopulationPopulationPopulation by by by race race race ElementaryElementaryElementary School School School Abseentee Abseentee Abseentee OnOnOn time time time high high high school school school graduation graduation graduation 100.0100.0100.0 30 30 LatinoLatinoLatino 87.587.587.5 19% 20% 45.0 45.0 25 25 41% 41% 75.075.075.0 15% 909090 100100100 62.562.562.5 OtherOtherOther 50.050.050.0 43%43%43% 5% 22% 37.537.537.5 AsianAsianAsian 22.5 22.5 22% 29%29%29% 0 0 0 0 25.025.025.0 757575 16% 16% 16%16%16% 10%10%10% Long Island City Queens NYC Lowest: Long Island City Queens NYC Highest: 10% 10% 12% 12.512.512.512% 2%2%2% WhiteWhiteWhite 606060 0.00.00.0 and Astoria Bayside and and Astoria Financial District AsianAsianAsian BlackBlackBlack LatinoLatinoLatino WhiteWhiteWhite OtherOtherHighestOther Highest Level of Level Education of Education Achieved AchievedLittle Neck 0.0 0.0 505050 0-17 18-240-17 25-4418-2445-6425-44 65+45-64 65+ Source: NYC Department of Education, 2016-2017 Note: NYC and On-time High School Graduation data may differ from rates PopulationPopulationPopulation by by by age age age presented in other published sources. See technical notes in the public use dataset 303030 for more details. Born outsideBorn outside US US 45.045.045.0 EnglishEnglish pro ciency pro ciency41%41%41% Source: NYC Department of Education,2525 201725

22.522.522.5 22%22%22% 000 000 16%16%16% HIGHEST LEVEL OF EDUCATION ACHIEVED (percent of adults ages 25 and older) 10%10%10% 12%12%12% High school Less than 0.00.00.0 HighestHighestHighest Level Level Level graduateof of of Education Education Education or Achieved Achieved Achieved 0-170-170-17 18-2418-2418-24 25-4425-4425-44 45-6445-6445-64 65+65+65+ high school some College graduate Half of adults in Long Long Island City and Astoria 16% 33% 50% Island City and Astoria BornBornBorn outside outside outside US US US 0 20 40 60 0 80 English20EnglishEnglish100 40 600 8020 pro ciency 100pro ciency 40pro ciency60 0 80 20 100 40 600 8020 10040 60 0 80 20 100 40 60 80 100 have a college degree. Sixteen percent of adults 2000 2000 Queens 19% 42% 39% have not completed high PAGE 8PAGENon-fatal 8 Non-fatal Assault Assault Hospitalizations Hospitalizations IncarcerationIncarceration school, a rate lower than 1500 1500 NYC 19% 38% 43% the citywide rate.

Edit in Indesign.Edit in Indesign. Graph appliesGraph applies to all CDs. to all CDs. 1000 1000 Highest % college graduate: 4% 12% 84% Financial District, -

0 0 0 20 20 20 40 40 40 60 60 60 80 80 80 100100100 0 0 0 20 20 20 40 40 40 60 60 60 80 80 80 100100100 0 0 0 20 20 20 40 40 40 60 60 60 80 80 80 100100100 500 500Source: U.S. Census Bureau, American Community Survey, 2012-2016 200020002000 0 0 40 40 80 80 120 PAGEPAGEPAGE120 8 8 1608 Non-fatalNon-fatalNon-fatal160 200 Assault Assault Assault200 Hospitalizations Hospitalizations Hospitalizations IncarcerationIncarcerationIncarceration 0 0 150015001500 6 COMMUNITY HEALTH PROFILES 2018: LONG ISLAND CITY AND ASTORIA EditEditEdit in in in Indesign. Indesign. Indesign. Graph Graph Graph applies applies applies to to to all all all CDs. CDs. CDs. 100010001000

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000 404040 808080 120120120 160160160 200200200 000 Social and Economic Conditions

Economic stress Living in high-poverty neighborhoods limits healthy options and makes it difficult to access quality health care and resources that promote health. In Long Island City and Astoria, 18% of residents live in poverty, compared with 20% of NYC residents. Access to affordable housing and employment opportunities with fair wages and benefits are also closely associated with good health. Long Island City and Astoria’s rate is lower than the citywide average of 9%. burdened households pay more than 30% of their income for housing and may have difficulty affording food, clothing, transportation and health care. Forty-seven percent ofLong Island City and Astoria residents are rent burdened, a lower rate than residents citywide. One way to consider the effect of income on health is by comparing death rates among neighborhoods. “Avertable deaths” are those that could have been avoided if each neighborhood had the same death rate as wealthiest neighborhoods.Using this measure, 13% of deaths could have been averted in Long Island City and Astoria.

ECONOMIC STRESS Long Island City and Astoria Queens NYC Lowest % Many of the factors that affect Poverty 18% 19% 20% 7% health happen (percent of residents) outside of a doctor’s office. Unemployment 8% 8% 9% 4% (percent of people ages 16 and older) This includes Upper to quality education, jobs Rent Burden 47% 53% 51% 37% (percent of renter-occupied homes) and safe spaces Slope and Carroll Gardens to live. Residents in high-poverty Note: Unemployment data may differ from rates presented in other published sources. See technical notes in the public use dataset neighborhoods for more details. often lack these Sources: Poverty: American Community Survey as augmented by NYC Opportunity, 2012-2016 (community district and NYC), 2016 (borough); Unemployment and Rent Burden: U.S. Census Bureau, American Community Survey, 2012-2016; Avertable Deaths: resources. NYC DOHMH, Bureau of Vital Statistics, 2011-2015

Is your neighborhood gentrifying? transforms a low-income into a high-income area through neighborhood redevelopment. It is often defined as changes in the racial and ethnic makeup, education level and average income of a neighborhood's residents, as well as changes in housing and commercial businesses. While development may be beneficial, it is often inequitable, and can lead to displacement of long-time residents and businesses.

Gentrification can be measured in many ways. One measure that is used in NYC is to determine if a low-income neighborhood (those with the lowest 40% of average household income in 1990) saw higher than median rent growth over the past 20 years. Based on this definition, 24 neighborhoods were considered low-income in 1990, and Long Island City and Astoria is one of 17 neighborhoods that is gentrifying.

Source: NYU Furman Center, 2015

COMMUNITY HEALTH PROFILES 2018: LONG ISLAND CITY AND ASTORIA 7 PAGE 2 PAGE 6

Black Population by race Elementary School Abseentee On time high school graduation 100.0 Latino 87.5 75.0 90 100 62.5 Other 50.0 43% 37.5 29% Asian 25.0 75 16% 10% 12.5 2% White 60 0.0 Asian Black Latino White Other 50 Population by age 30 45.0 41% 25

22.5 22% 0 0 16% 10% 12%

0.0 Highest Level of Education Achieved 0-17 18-24 25-44 45-64 65+

Born outside US English pro ciency

Social and Economic Conditions

0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 Violence Compared with the citywide rate, Long Island City and Astoria has2000 a similar rate of assault-related hospitalizations. PAGE 8 Non-fatal Assault Hospitalizations Incarceration NON-FATAL ASSAULT HOSPITALIZATIONS (per 100,000 people) 1500 Hospitalizations 56 Long Island City and Astoria related to injuries fromEdit assaults in Indesign. Graph applies to all CDs. 37 Queens 1000 capture the 59 NYC consequences 500 of community 8 Lowest: Bayside and Little Neck violence. 0 40 80 120 160 200 More healthy Less healthy 0 Source: New York State Department of Health, Statewide Planning and Research System, 2012-2014

Incarceration Incarceration takes a toll on individuals, families and communities. Black and Latino New Yorkers experience higher policing compared with non-Latino White New Yorkers. This leads to higher rates of detention, which may include long periods of time spent in jail before trial. People who have been incarcerated are more likely to experience mental and physical health problems. They may also have trouble finding employment and housing and accessing healthy food.

JAIL INCARCERATION (per 100,000 adults ages 16 and older) 2000

277 425 NYC 71 315 Queens 0 Lowest: Upper East Side Long Island City and Astoria Source: NYC Department of Corrections, 2015-2016 PAGE 8 PAGE 10 PAGE 11 ADULTS REPORTING THAT THEIR NEIGHBORS Helpful neighbors Helpful Neighbors Bike Lanes Late or no prenatal care Strong social connections can have a positive impact ARE WILLING TO HELP ONE ANOTHER on the health of community members. Feeling that our (percent of adults) neighbors are willing to help each other is one aspect of Long Island City11% and Astoria 73% community connection. In Long Island City and Astoria, Queens 73% 73% of residents think that their neighbors are willing to help one another. This is similar to the rest of the city. NYC 72% Highest: Tottenville and Great Kills 86% Preterm births

0Less healthy20 40 60 80More healthy100 Source: NYC DOHMH, Community Health Survey, 2015-2016 0 20 40 60 80 100 PAGE 9 8 COMMUNITY HEALTHHomes PROFILES with air 2018: conditioners LONG ISLAND CITY AND ASTORIA Pedestrian Injury 100 Teen births 80

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11%The environment we live in can make it easier or more difficult for New Yorkers to lead healthy lives. 11%

Air conditioning Most stroke deaths in NYC occur in homes Though air quality is improving in NYC in ,Preterm it varies births Preterm births without . Nine out of 10 households PAGE 8 PAGEby 10 community district. In Long Island City and AstoriaPAGE, 11 0 20in Long40 Island City60 and80 Astoria100 have working air levels of the most harmful air pollutant, fine particulate 0 20 40 60 80 100 Helpfulconditioners. Neighbors 0 Bike matter20Lanes (PM2.5),40 60are 7.8 80micrograms100 per cubic meter.Late or no prenatal care PAGE 9 0 20 40 60 80 100 AIR CONDITIONING PAGEAIR POLLUTION 9 Homes(percent with of air households) conditioners Pedestrian(micrograms Injury of fine particulate matter per cubic meter) Homes with air conditioners Pedestrian Injury 11% 99% 100 93% 92% 89% Teen births 100 Teen births 80 More healthy 80 60 60 7.8 Preterm births 40 7.5 Long Island City 7.2 40 NYC 20 and Astoria Queens 0 20 40 60 80 100 Less 6.0 healthy 20 0 0 20 40 60 80 100 Lowest: PAGE Long9 Island Queens NYC Highest: 0 Rockaway and Broad Channel City and Astoria Tottenville and Homes with air conditionersGreat Kills 0 Pedestrian20 Injury40 60 80 100 Homes without maintenance defects 0 20 40 60 80 100 Source: NYC Housing and Vacancy Survey, 2014 HomesSource: NYC without DOHMH, Community maintenance Air Survey, 2016 defects 100 0 Teen births20 40 60 80 100 80 0 20 40 60 80 100 70 80 Housing quality 80 60 Every resident has the right to live in housing that is safe and70 pest-free. Poorly maintained housing is associated with 60 50 poor health outcomes, including worsened asthma andPAGE other60 12 respiratory illnesses. In Long Island City and PAGEAstoria 12, 40 50 PAGE 12 PAGE 12 40 30 only 46% of renter-occupied homes are adequately maintainedChild40 Asthma by landlords emergency – free from heating breakdowns,Childhood cracks, Obesity 20 20 holes, peeling paint and other defects. Twenty-three departmentpercent30 of Long visits Island City and Astoria households report Child Asthma emergency Childhood Obesity 10 seeing cockroaches, which is a potential asthma trigger. 20 department visits 0 0 10 250 0 HOMES WITHOUT MAINTENANCE HOMES REPORTING COCKROACHES 250 0 (percent20 of households)40 60 80 100 CockroachesHomesDEFECTS without (percent maintenance of renter-occupied defects homes) 200 Cockroaches 200 More 80 75% 150 0 20 40 60 80 100 healthy 150 70 23% Long Island City and Astoria 60 52% 100 50 46% PAGE 12 PAGE 12 100 44% 19% Queens 40 50 30 Child Asthma emergency Childhood50 Obesity 23% NYC 20 department0 visits 010 20 40 60 80 100Less 0 healthy 0 00% 20 40 Lowest:60 Tottenville80 and Great100 Kills Long Island Queens NYC Highest: 250 City and Astoria Tottenville and Cockroaches Great Kills 200 Note: Maintenance defects include leaks, cracks and holes, inadequate Source: NYC Housing and Vacancy Survey, 2014 heating, presence of mice or , toilet breakdowns or peeling paint. 150 Source: NYC Housing and Vacancy Survey, 2014 100

COMMUNITY HEALTH PROFILES 2018: LONG ISLAND CITY50 AND ASTORIA 9

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Bicycle network coverage Pedestrian injury Preterm births Fourteen percent of roads in Long Island City Long Island City and Astoria residents have a lower 0 20 40 60 80 100 and Astoria have bike lanes, which is higher than pedestrian injury hospitalization rate than NYC overall. PAGE 8 PAGENYC overall. 10 PAGE0 1120 40 60 80 100 PAGE 9 Helpful Neighbors BikeBICYCLEHomes Lanes with NETWORK air conditioners COVERAGE Late orPEDESTRIANPedestrian no prenatal Injury care INJURY HOSPITALIZATIONS (percent of with bike lanes) (per 100,000 people) 100 Teen births 11% 80 14% Long Island City and Astoria 14 Long Island City and Astoria 60 6% Queens 19 Queens 40 NYC 23 NYC 20 10% Preterm births Highest: Crown Heights Lowest: Greenwich Village and Soho 0 45% and Prospect Heights 9 0 20 40 60 80 100

0Less healthy20 40 60 80 More healthy100 0More healthy20 40 60 80Less healthy100 PAGE 9 Homes without maintenance defects Source: New York State Department of Health, Statewide Homes with air conditioners 80Pedestrian Injury Planning and Research Cooperative System, 2012-2014 0 20 40 60 80 100 Access to bike lanes can make it easier and 70 100 60 safer to ride a bike more often. Teen births 50 PAGE 12 PAGE 12 80 40Source: NYC Department of Transportation, 2017 60 30 Child Asthma emergency Childhood Obesity 20 department visits 40 10 0 20 250 0 FoodCockroaches environment SUPERMARKET200 TO BODEGA RATIO 0Bodegas20 are less40 likely to60 have healthy80 food100 options than For every one supermarket in Long Island City and Astoria, there150 are 10 bodegas. Homes without maintenance defects supermarkets. The lowest ratio among NYC community 0 100 20 40 60 80 100 80 districts is one supermarket for every three bodegas 10 70 (healthier); the highest is one supermarket for every 57 50 60 bodegas (less healthy). Long Island City and Astoria is 50 PAGE 12 PAGE 12 home to two of NYC’s farmers markets, another source 40 0 30 Child0of healthy Asthma20 food. emergency40 60 80 100 Childhood Obesity1 20 department visits 10 0 250It is easier to make healthy choices when healthy, affordable food is readily available. Supermarket Bodegas Cockroaches 200 Source: Farmers Markets: NYC DOHMH Bureau of Chronic Disease Prevention and 150 Tobacco Control, 2017; Supermarket to Bodega Ratio: New York State Department of and Markets, October 2016

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0 0 20 40 60 80 100 10 COMMUNITY HEALTH PROFILES 2018: LONG ISLAND CITY AND ASTORIA Maternal and Child Health

Pregnancy outcomes In Long Island City and Astoria, the rate of expectant mothers Access to quality health receiving late or no prenatal care is higher than the citywide rate. One care is critical to a mother’s in 12 births to Long Island City and Astoria residents is preterm (three health before, during and after or more weeks before the due date), similar to the citywide rate. pregnancy, and to the health of our littlest New Yorkers.

PAGE 8 PAGE 10 PAGE 11 LATE OR NO PRENATAL CARE Helpful Neighbors Bike Lanes Late(percent or of no live births)prenatal care PAGE 8 PAGE 10 PAGE 11 11% 1.3% 6.7% 7.9% 9.5% Helpful Neighbors Bike Lanes Late or no prenatal care Lowest: NYC Queens Long Island City Financial District and Astoria PAGE 8 PAGE 10 PAGE 11 11% Source:Preterm NYC DOHMH, births Bureau of Vital Statistics, 2015 Helpful Neighbors Bike Lanes Late or no prenatal care 0 20 40 60 80 100 PRETERM BIRTHS 0 20 40 60 80 100 Preterm births PAGE 9 11% (percent of live births) 8.5% Queens 8.7% NYC Homes with air conditioners Pedestrian Injury is 0 20 40 60 80 100 a key of 100 0 20 40 60 80 100 Teen births 5.4% 8.4% infant death. PAGE 9 Preterm births 80 Homes with air conditioners Pedestrian Injury Lowest: Long Island City 60 0 20 40 60 80 100 Greenpoint and Astoria 100 and Williamsburg 40 Teen births Source: NYC0 DOHMH,20 Bureau of40 Vital Statistics,60 2015 80 100 80 20 PAGE 9 60 0 Homes with air conditioners Pedestrian Injury 40 100 Teen pregnancy TEENTeen births BIRTHS 0 20 40 60 80 100 20 (per 1,000 females ages 15 to 19) Homes without maintenance defects 80 Teen pregnancy has declined across NYC; 0 Long Island City and Astoria’s teen birth 60 0 20 40 60 80 100 15.1 Long Island City and Astoria 80 rate is 15.1 per 1,000 teen . 70 40 0 20 40 60 80 100 Queens 60Homes without maintenance defects 15.3 50 PAGE20 12 PAGE 12 40 0 20 40 60 80 100 NYC 80 0 19.3 30 Child Asthma emergency Childhood Obesity 70 20 department visits 60 1.0* Lowest: Greenwich Village and Soho 10 0 20 40 60 80 100 50 PAGE 12 PAGE 12 0 Homes without maintenance defects 40 250 30 80Child Asthma emergency Childhood Obesity 0*Interpret estimate20 with caution due40 to small number60 of events. 80 100 20Cockroaches 70department200 visits Source: NYC DOHMH, Bureau of Vital Statistics, 2013-2015 10 60 0 50250150 PAGE 12 PAGE 12 40 30100 Child Asthma emergency Childhood Obesity Cockroaches 200 department visits 20 COMMUNITY HEALTH PROFILES 2018: LONG ISLAND CITY AND ASTORIA 11 10 15050 0 250 1000 0 20 40 60 80 100 Cockroaches 200 50 150 0 0 20 40 60 80 100 100

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80 0 20 40 60 80 100 70 11% 60 50 ChildhoodPAGE obesity 12 CHILDHOODPAGE 12 OBESITY (percent of public school children in grades K through 8) 40 One out of fiveLong Island City and Astoria Child Asthma emergency Childhood Obesity 30 children in grades K through 8 has obesity. 22% 20% 20% 5% 20 department visits 10 This is similar to the citywide rate. Preterm births 0 250 0 20 40 60 80 100

Cockroaches 200 0 20 40 60 80 100 PAGE 9 150 Long Island City Queens NYC Lowest: Homes with air conditioners andPedestrian Astoria Injury Financial District 100 Source: NYC Department of Education, 2016-2017 100 Teen births 50 80

60 0 0 20 40 60 80 100 40 Children’s hospitalizations and emergency department visits 20 “Avoidable hospitalizations” are those that could be prevented with timely access to quality outpatient care. The rate 0 of avoidable pediatric hospitalizations among children ages 4 and younger in Long Island City and Astoria is lower than the citywide rate. 0 20 40 60 80 100 Homes withoutMany maintenance childhood asthma emergency defects department visits could be prevented by reducing the presence of pests, mold,

80 secondhand and other asthma triggers, and by taking daily medication. The asthma emergency department 0 20 40 60 80 100 70 visit rate among children ages 5 to 17 in Long Island City and Astoria is lower than the citywide rate. The TCNY 2020 60 goal is to have fewer than 210 asthma emergency department visits per 10,000 children across the entire city. 50 PAGE 12 PAGE 12 40 PAGEAVOIDABLE 12 HOSPITALIZATIONS PAGE 15 CHILD ASTHMA EMERGENCY 30 Child Asthma emergency Childhood Obesity 20 AMONG CHILDREN departmentDEPARTMENT visits VISITS Avoidable(per 100,000 children hospitalizations ages 4 and younger) HPV (per 10,000 children ages 5 to 17)Flu 10 among children 0 100 100 250 223 Long Island City 221 80 80 Cockroaches and Astoria 200 60 145 60 461 Queens 150 132 40 40 100 623 NYC 20 20 50 28 118 Lowest: Borough Park 0 0 0 0 20 40 60 80 100 Long Island City Queens NYC Lowest: 0 100 200 300 400 500 600 700 800 and Astoria Financial PAGE 16 District PAGE 13 80 Sources: Avoidable Hospitalizations among Children: New York State DepartmentHIV of Health, Statewide Planning and Research Cooperative System, Self-Reported2014; Child Asthma Emergency Health Department Visits: New York State Department of Health, Statewide Planning and Research Cooperative System, 2015 Edit in Indesign. Graph applies to all CDs.

Take Care New York 2020 (TCNY 2020) is the City’s blueprint for giving everyone the chance to live a healthier life. For more information, visit nyc.gov/health and search for TCNY.

012 20 40 60 COMMUNITY80 100 HEALTH PROFILES 2018: LONG ISLAND CITY AND ASTORIA

0 PAGE 14 PAGE 17 150 Avoidable Hospitalizations HEP C

Edit in Indesign. Graph applies to all CDs.

0 200 400 600 800 1000 1200 0 PAGE 18 Falls Psychiatric hospitalizations Infant Mortality

0 500 1000 1500 2000 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5

CD NYC Binge Drinking (use graph to right to mark points) Premature Death

100 80 60 40 20 00 20 40 60 80 100 PAGE 12 PAGE 15

Avoidable hospitalizations HPV Flu among children 100 100

80 80

60 60

40 40

20 20 Healthy Living 0 0

0 100 200 300 400 500 600 700 800 PAGE 16 80 Self-reported health PAGEADULTS 13 REPORTING THEIR OWN HEALTHHIV AS "EXCELLENT," How residents feel about their own health Self-Reported"VERY GOOD" Health OR "GOOD" (percent of adults) can be a good measure of overall mental Long Island City and Astoria 79% Edit in Indesign. Graph applies to all CDs. and physical health. Seventy-nine percent Queens of Long Island City and Astoria residents 76% rank their health as “excellent,” “very good” NYC 78% or “good,” similar to the rest of NYC. The Highest: Upper 93% TCNY 2020 goal for the city is at least 82%. 0 20 40 60 80 100 Less healthy More healthy Source: NYC DOHMH, Community Health Survey, 2015-2016 0 PAGE 14 Physical activity, diet and smoking PAGE 17 150 Seventy-three percent of Long Island City andAvoidable Astoria adults Hospitalizations report getting any physical HEP C activity in the past 30 days, similar to New Yorkers overall. The percentage of Long Island Federal guidelines City and Astoria adults who report eating at least one serving of or vegetables in recommend the past day is similar to the citywide average of 87%. that adults get Edit in Indesign. Graph applies to all CDs. 150 minutes of Sugary drink consumption can increase the risk of type 2 diabetes, heart disease, moderate exercise cavities, weight gain and obesity. Industry marketing can affect behavior and sugary each week. People drinks are heavily marketed to youth and communities of color. While sugary drink who are physically consumption has decreased to 23% in NYC, the TCNY 2020 goal is to reduce sugary drink active are more consumption to less than 19% citywide. A quarter of Long Island City and Astoria adults likely to live longer, drink at least one sugary drink a day. 0 200 400 600 800 1000 1200 healthier lives.0 PAGE 18 The adult smoking rate in Long Island City andFalls Astoria is higher than the rest of the Psychiatric hospitalizations Infant Mortality borough and other parts of NYC. The City is committed to reducing the citywide adult smoking rate to 12% by 2020. PHYSICAL ACTIVITY, DIET AND SMOKING (percent of adults) Long Island City and Astoria Queens NYC Highest %

Any physical activity in the past 30 days 73% 70% 73% 90% Financial District, Greenwich Village- Soho At least one serving of fruits or vegetables per day 89% 89% 87% 96% 0 500 1000 1500 2000 Financial0 100 District,200 300 400 500 600 700 800 0 1 2 3 4 5 Greenwich Village- Soho Long Island City and Astoria Queens NYC Lowest % CD NYC One or more 12-ounce sugary drinks Binge24% Drinking (use22% graph to 23%right to mark points)8% Premature per day Financial District, Death Greenwich Village- Soho Current smokers 19% 14% 14% 8% Upper East Side Source: NYC DOHMH, Community Health Survey, 2015-2016

Take Care New York 2020 (TCNY 2020) is the City’s blueprint for giving everyone the chance to live a healthier life. For more information, visit nyc.gov/health and search for TCNY.

COMMUNITY HEALTH PROFILES 2018: LONG ISLAND CITY AND ASTORIA 13 100 80 60 40 20 00 20 40 60 80 100 PAGE 12 PAGE 15 PAGE 12 PAGE 15 Avoidable hospitalizations HPV Flu amongAvoidable children hospitalizations HPV Flu among children 100 100 Health Care 100 100 80 80 80 80 60 60 60 60 Access to health care 40 40 Citywide, the percentage of uninsured New Yorkers decreased in from Health insurance40 40 20% to 12%. In Long Island City and Astoria, 12% of adults are uninsured and 10% report can make it easier20 20 20 20 going without needed medical care in the past 12 months, similar to the rest of NYC. The to get affordable , 0 0 TCNY 2020 goal is to have less than 9% of New Yorkers going without needed medical care. 0 0 which can help ACCESS TO HEALTH CARE (percent of adults) 0 100 200 300 400 500 600 700 800 0 100 200 300 400 500 600 700 800 New Yorkers PAGE 16 80 Long Island City PAGE 13 manage chronicPAGE 16 PAGE 13 HIV 80 and Astoria Queens Self-ReportedNYC HealthLowest % conditions and HIV Self-Reported Health stay healthy. Adults without 12% 15% 12% 3%* Edit in Indesign. Graph applies to all CDs. health insurance Stuyvesant Edit in Indesign. Graph applies to all CDs. and Bay Adults without 10% 10% 10% 3%* needed medical care Bayside and Little Neck 0 20 40 60 80 100 *Interpret estimate with caution due to small sample size. 0 20 40 60 80 100 Source: NYC DOHMH, Community Health Survey, 2015-2016 0 PAGE 14 0 PAGE 14 PAGE 17 Avoidable hospitalizations AVOIDABLE HOSPITALIZATIONS PAGE 17150 Avoidable Hospitalizations HEP C 150 “Avoidable hospitalizations” are those that could be AvoidableAMONG ADULTS Hospitalizations (per 100,000 adults) HEP C prevented if adults had access to quality primary care. The Long Island City rate of avoidable hospitalizations among adults in Long 1,180 Edit in Indesign. Graph applies to all CDs. and Astoria Edit in Indesign. Graph applies to all CDs. Island City and Astoria is higher than the citywide rate. 1,028 Queens

1,033 NYC Lowest: Greenwich 426 Village and Soho

0 Source:200 New York400 State Department600 800 of Health,1000 Statewide1200 0 0 Planning200 and Research400 Cooperative600 800 System,1000 2014 1200 0 PAGE 18 PAGE 18 FallsFALL-RELATED HOSPITALIZATIONS AMONGPsychiatric hospitalizations Infant Mortality Fall-related hospitalizations Falls Psychiatric hospitalizations Infant Mortality Long Island City and Astoria's rate of fall-related OLDER ADULTS (per 100,000 adults ages 65 and older) hospitalizations among adults ages 65 and older is Long Island City higher than the citywide average. The TCNY 2020 goal 1,728 and Astoria is fewer than 1,410 hospitalizations per 100,000 older 1,352 Queens adults citywide. 1,604 NYC

667 Lowest: Queens Village

0 Source: New500 York State 1000Department of1500 Health, Statewide2000 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5 0 Planning and500 Research Cooperative1000 System,1500 2012-20142000 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5

Take Care New York 2020 (TCNY 2020) is the City’s blueprint for giving everyone the chance to live a healthier life. CD NYC For more information, visit nyc.gov/health and search for TCNY. CD NYC Binge Drinking (use graph to right to mark points) Premature Binge Drinking (use graph to right to mark points) DeathPremature Death 14 COMMUNITY HEALTH PROFILES 2018: LONG ISLAND CITY AND ASTORIA

100 80 60 40 20 00 20 40 60 80 100 100 80 60 40 20 00 20 40 60 80 100 Health Care

Influenza (flu) and pneumonia are the third leading causes of death in NYC. Everyone ages 6 months and older should get the flu vaccine every year.

Vaccinations The papillomavirus (HPV) vaccine protects against cancers caused by HPV. The vaccine is recommended for all children between the ages of 11 and 12. Fifty-three percent of teens ages 13 to 17 inLong Island City and Astoria receive all recommended doses of the HPV vaccine. Two out of fiveLong Island City and Astoria adults report getting a flu vaccine in the past 12 months, similar to the rest of NYC.

PAGE 12PAGE 12 PAGE 15PAGEHPV 15 VACCINATION FLU VACCINATION (percent of teens ages 13 to 17 who received all (percent of adults) recommended doses of the vaccine) AvoidableAvoidable hospitalizations hospitalizations HPV HPV Flu Flu among childrenamong children 100 100 100 100 85% More More 80 80 healthy 80 80 healthy 59% 62% 60 53%60 52% 60 60 44% 42% 43% 40 40 40 40

20 20 20 20 Less Less 0 0 healthy 0 0 healthy Long Island Queens NYC Highest: Long Island Queens NYC Highest: City and Hunts Point and City and 0 100 200 0300 100400 200500 300600 400700 500800 600 700 800 PAGE 16PAGEAstoria 16 Longwood Astoria 80 80 PAGE 13PAGE 13 HIV Sources:HIV HPV Vaccination: NYC DOHMH, Citywide Immunization Registry, 2017; Flu Vaccination: NYC DOHMH, Community Health Survey, 2015-2016 Self-ReportedSelf-Reported Health Health Edit in Indesign.Edit in Indesign. Graph applies Graph to applies all CDs. to all CDs.

0 0 20 2040 4060 6080 80100 100

0 0 PAGE 14PAGE 14 PAGE 17PAGE 17 150 150 AvoidableAvoidable Hospitalizations Hospitalizations HEP C HEP C

Edit in Indesign.Edit in Indesign. Graph applies Graph to applies all CDs. to all CDs.

COMMUNITY HEALTH PROFILES 2018: LONG ISLAND CITY AND ASTORIA 15

0 200 0 400 200600 400800 600100080012001000 1200 0 0 PAGE 18PAGE 18 Falls Falls PsychiatricPsychiatric hospitalizations hospitalizations Infant MortalityInfant Mortality

0 5000 1000500 15001000 20001500 2000 0 100 200 0 300100400200500300600400700500800600 700 800 0 1 0 2 1 3 2 4 3 5 4 5

CD NYCCD NYC Binge DrinkingBinge Drinking (use graph (use to graph right toto markright points)to mark points) PrematurePremature Death Death

100 80 100 60 80 40 60 20 40 00 20 20 00 40 20 60 40 80 60 100 80 100 Health Outcomes

Obesity, diabetes and hypertension Long Island City and Astoria's adult obesity rate is 19%, which is similar to the rest of NYC. The TCNY 2020 goal is to reduce the obesity rate to less than 23% citywide. More than 700,000 adult New Yorkers have been told they have diabetes. An additional 164,000 are estimated to have diabetes but not be aware. Eleven percent of Long Island City and Astoria adults have been diagnosed with diabetes and 23% of adults have been told they have hypertension. The rate of diabetes in this community is similar to the NYC average, while the rate of hypertension is lower.

OBESITY, DIABETES AND HYPERTENSION (percent of adults) Long Island City and Astoria Queens NYC Lowest % Obesity can lead Obesity 19% 22% 24% 4% to diabetes, high Financial District, blood pressure Greenwich and other health Village- Soho conditions. Diabetes 11% 11% 11% 3% Financial District, Hypertension, Greenwich also known as high Village- Soho blood pressure, is a Hypertension 23% 28% 28% 15% leading risk factor Financial District, for heart disease Greenwich and stroke. Village- Soho

Source: NYC DOHMH, Community Health Survey, 2015-2016

New HIV diagnoses Getting an HIV test is the first step to accessing treatment if you are positive or developing an HIV prevention strategy if you are negative.

NEW HIV DIAGNOSES (per 100,000 people) 80

29.0 24.0 NYC

17.8 Queens 0 Long Island City and Astoria Source: NYC DOHMH, HIV/AIDS Registry, 2016

Take Care New York 2020 (TCNY 2020) is the City’s blueprint for giving everyone the chance to live a healthier life. For more information, visit nyc.gov/health and search for TCNY.

16 COMMUNITY HEALTH PROFILES 2018: LONG ISLAND CITY AND ASTORIA PAGE 12 PAGE 15

Avoidable hospitalizations HPV Flu among children 100 100

80 80

60 60

40 40

20 20

0 0

0 100 200 300 400 500 600 700 800 PAGE 16 80 PAGE 13 HIV Self-Reported Health Edit in Indesign. Graph applies to all CDs.

0 20 40 60 80 100

0 PAGE 14 PAGE 17 150 Avoidable Hospitalizations HEP C

PAGE 12 PAGE 15 Edit in Indesign. Graph applies to all CDs. Avoidable hospitalizations HPV Flu among children Health Outcomes 100 100 80 80

60 60 New hepatitis C reports 0 200 400 600 800 1000 401200 40 Hepatitis C is a virus that damages the liver. New Yorkers born between 1945 and 1965 and people0 who have ever injected drugs should be because hepatitis C can be cured. 20 20 PAGE 18 Falls Psychiatric hospitalizations Infant Mortality NEW HEPATITIS C REPORTS (per 100,000 people) 0 0 150 0 100 200 300 400 500 600 700 800 PAGE 16 80 PAGE 13 HIV Self-Reported Health

Edit in Indesign.71.8 Graph applies to all CDs. NYC 48.3 30.0 Queens

0 500 1000 1500 2000 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5 0 20 40 60 80 100 0 Long Island City and Astoria Source: NYC DOHMH, Communicable Disease Surveillance Registry, 2016 0 PAGE 14 CD NYC PAGE 17 Binge drinkingBinge Drinking (use graph to right to 150mark points) Premature Avoidable Hospitalizations HEP C Binge drinking is linked to high-risk behaviors and chronic health problems. The binge drinking rate in Long Island City Death and Astoria is higher than the rest of NYC. The TCNY 2020 goal is to reduce binge drinking to less than 17% citywide. Edit in Indesign. Graph applies to all CDs. BINGE DRINKING (percent of adults) 9% 15% 17% 25%

Lowest: Queens NYC Long Island City Bensonhurst and Astoria Note: Binge drinking is defined as five or more drinks for men and four or more drinks for women on one occasion during the past 30 days. Source: NYC DOHMH, Community Health Survey, 2015-2016 0 200 400 600 800 1000 1200 0 Psychiatric hospitalizations PSYCHIATRIC HOSPITALIZATIONS PAGE 18 100 80 60 40 20 00 20 40 60 80 100 The rateFalls of adult psychiatric hospitalization in Long Island Psychiatric(per 100,000 adults) hospitalizations Infant Mortality City and Astoria is lower than the citywide rate. 544 Long Island City and Astoria High psychiatric hospitalization rates likely reflect the challenges residents in 513 Queens underresourced neighborhoods face, including 676 NYC difficulty accessing preventive services and early care, greater exposure to stressors and 223 Lowest: Woodside and Sunnyside interruptions in health insurance coverage. Source: New York State Department of Health, Statewide Planning and Research 0 500 1000 1500 2000 0 100 200 300 400 500 600 700 800 Cooperative System, 2015 0 1 2 3 4 5

Take Care New York 2020 (TCNY 2020) is the City’s blueprint for giving everyone the chance to live a healthier life. CD NYC For more information, visit nyc.gov/health and search for TCNY. Binge Drinking (use graph to right to mark points) Premature Death

COMMUNITY HEALTH PROFILES 2018: LONG ISLAND CITY AND ASTORIA 17

100 80 60 40 20 00 20 40 60 80 100 PAGE 12 PAGE 15

Avoidable hospitalizations HPV Flu among children 100 100

80 80

60 60

40 40

20 20

0 0

0 100 200 300 400 500 600 700 800 PAGE 16 80 PAGE 13 HIV Self-Reported Health PAGE 12 PAGE 15 Edit in Indesign. Graph applies to all CDs. Avoidable hospitalizations HPV Flu among children 100 100

80 80 0 20 40 60 80 100 60 60 0 PAGE 14 40 40 PAGE 17 150 Avoidable Hospitalizations 20 HEP C 20 0 0 Edit in Indesign. Graph applies to all CDs. 0 100 200 300 400 500 600 700 800 PAGE 16 80 PAGE 13 HIV Self-Reported Health HealthEdit in Indesign. Outcomes Graph applies to all CDs. 0 200 400 600 800 1000 1200 0 PAGE 18

0 Falls20 40 60 80 100 InfantPsychiatric mortality hospitalizations Infant Mortality INFANT MORTALITY (per 1,000 live births) NYC’s infant mortality rate has declined in recent years. In Long0 Island City and Astoria the infant mortality rate Long Island City and Astoria PAGE 14 4.3 is similar to the citywide rate. The TCNY 2020 goal is a PAGE 17 citywide150 rate of less than 4.4 per 1,000 live births. 4.0 Queens Avoidable Hospitalizations HEP C 4.4 NYC

Edit in Indesign. Graph applies to all CDs.0.8* Lowest: Upper East Side

0 500 1000 1500 2000 0 100 200 300 400 500 600 700 800 0*Interpret1 estimate2 with caution3 due 4to small number5 of events. Source: NYC DOHMH, Bureau of Vital Statistics, 2013-2015 CD NYC Premature death Binge Drinking (use graph to right to mark points) Premature Cancer and heart disease are the leadingDeath causes of premature death (death before the age of 65) in Long Island City 0 200 400 600 800 1000 1200 and0 Astoria, similar to the rest of NYC. However, Long Island City and Astoria residents die prematurely at a lower rate. Lung cancer, colorectal cancer and pancreatic cancerPAGE are 18the three leading causes of cancer-related premature death Falls Psychiatricin Long hospitalizations Island City and Astoria. Infant Mortality

NYC’s premature mortality rate (death before age 65) decreased 19% from 2006 to 2015. However, longstanding disparities persist. People living in high-poverty neighborhoods and Black New Yorkers are dying before age 65 at higher rates.

TOP CAUSES OF PREMATURE DEATH 100 80 60 40 20 00 20 40 60 80 100 rate of death before age 65 per 100,000 people (number of deaths) 0 500 1000 1500 2000 0 100 200 300 400 500 600 700 800 0Long1 Island2 City3 4 5 Rank and Astoria NYC Rank Overall rate 133.4CD 169.5NYC 38.6 46.2 Binge Drinking (use graph to right to mark points) Premature1 1 Cancer Death (343) 27.1 32.9 Heart disease 2 (242) 2 5.5 9.4 Drug-related 3 (54) 3 5.3 6.4 Accidents (excluding drug poisoning) 4 (48) 4 4.7 5.1 Suicide 4 (48) 7

Note: NYC rate includes premature deaths among NYC residents100 only80 and will60 differ from40 other published20 sources.00 20 40 60 80 100 Source: NYC DOHMH, Bureau of Vital Statistics, 2011-2015

Take Care New York 2020 (TCNY 2020) is the City’s blueprint for giving everyone the chance to live a healthier life. For more information, visit nyc.gov/health and search for TCNY.

18 COMMUNITY HEALTH PROFILES 2018: LONG ISLAND CITY AND ASTORIA Notes

Neighborhood Definitions The 59 Community Districts (CDs) were established citywide by local law in 1975. For a complete listing of all CDs and their boundaries, visit communityprofiles.planning.nyc.gov. The CDs correspond to NYC Community Boards, which are local representative bodies. The names of neighborhoods within CDs are not officially designated. The names used in this document are not an exhaustive list of all known neighborhood names within this area.

Analyses For most data, 95% confidence intervals were calculated for CD, For a complete dataset borough and NYC estimates. If the confidence intervals did not overlap, including numbers, rates and a significant difference was inferred. This is a conservative measure of confidence intervals, as well statistical difference. For most population-level data, if a CD rate was as more technical notes on within 5% of the NYC estimate, the CD was considered similar to NYC, neighborhood definitions, otherwise the CD rate was considered higher or lower than the NYC analyses and data sources estimate. For Community Health Survey data, a t-test comparing the CD with complete , visit with the rest of NYC and the rest of the borough was conducted where nyc.gov/health and search for p-values ≤0.05 were considered an indication of statistical significance. Community Health Profiles or Report text highlights significant findings but does not include all visit on.nyc.gov/chp. significant results. Thepublic use dataset contains additional data.

Most estimates were evaluated for statistical stability. Estimates with a relative standard error (RSE) > 30% or with a small sample size or small numbers of events (≤ 10) are flagged as follows: “Interpret estimate with caution due to small number of events or small sample size.”

Acknowledgements Thank you to all the individuals who contributed to these reports: Loren Adams, Nellie Afshar, Tracy Agerton, Tejumadé Ajaiyeoba, Amaka Anekwe, Sonia Angell, Andrea Archer, Hannah Arnett, George Askew, Zinzi Bailey, María Baquero, Katherine Bartley, Gary Belkin, , Angelica Bocour, Sarah Braunstein, Shadi Chamany, Kuen (Iris) Cheng, Aldo Crossa, Gretchen Culp, Kisha Cummings, Sophia Day, Danielle De Souza, Regan Deming, MaryAnn Dogo-Isonagie, Christine Dominianni, Carlos Espada, Stephanie Evergreen, Shannon Farley, Stephanie Farquhar, Pauline Ferrante, Alison Frazzini, Lawrence Fung, Patrick Germain, Sasha Gibbel, Giordano, Sharon Greene, Sophia Greer, Danielle Gurr, Samson Hadush Mesfin, Myla Harrison, Fangtao , Charisma Hooda, Seth Hostetter, Mary Huynh, Stephen Immerwahr, John Jasek, Jillian Jessup, Sarah Johnson, Kim Kessler, Kevin Konty, Hillary Kunins, Kathryn Lane, Marisa Langdon-Embry, Michael Larkin, Rachael Lazar, Carl Letamendi, Wenhui Li, Sungwoo Lim, Constance Lopez, Joseph Lormel, David Lucero, Nneka Lundy De La Cruz, Chantol Manning, Karen Aletha Maybank, Alejandra McDonough, Wendy Mckelvey, Katharine McVeigh, Aaron Mettey, Chris Miller, Caroline Mills, Tanicha Miranda, Brent Morita, Julia Morrill, Christina Norman, Carolyn Olson, Emiko Otsubo, Denise Paone, Vassiliki Papadouka, Sneha Patel, Sarah Perl, Parppim Pimmaratana, Roger Platt, Angeline Protacio, Lisa Ramadhar, Kathleen Reilly, Susan Resnick, Sojourner Rivers, Rebekkah Robbins, Subir Saha, Hannah Searing, Amber Levanon Seligson, Sophie Sharps, Tejinder Singh, Ariel Spira-Cohen, Catherine Stayton, Ying Sun, Cassiopeia Toner, Kadiatou Traore, Maryellen Tria, Tsu-Yu Tsao, Ellenie Tuazon, Rugile Tuskeviciute, Mary-Elizabeth Vachon, Gretchen Van Wye, Ashwin Vasan, Aishwarya Viswanath, Sarah Walters, Amy Wang, Jeannette Williams, Ricky Wong, Yihong Zhao, Jane Zucker and Kimberly Zweig.

COMMUNITY HEALTH PROFILES 2018: LONG ISLAND CITY AND ASTORIA 19 Life Expectancy by Community District

Long Island City and Astoria’s average life expectancy is 2.2 years longer than NYC overall.

75.1-79.6 years 83.4 Life Expectancy 79.7-81.4 years

81.5-83.8 years

83.9-85.9 years

Unpopulated areas

Source: NYC DOHMH, Bureau of Vital Statistics, 2006-2015

Want more maps? Please visit nyc.gov and search for Community Health Profiles .

Contact information: For reports on the other 58 Community Districts, please visit nyc.gov and search for Community Health Profiles or email [email protected]. Copyright©2018 The New York City Department of Health and Mental Hygiene. The NYC Community Health Profiles feature information about 59 neighborhoods in NYC.

Suggested : Hinterland K, Naidoo M, King L, Lewin V, Myerson G, Noumbissi B, Woodward M, Gould LH, Gwynn RC, Barbot O, Bassett MT. Community Health Profiles 2018, Queens Community District 1: Long Island City and Astoria; 2018; 43(59):1-20.

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