Sunset Park 7 Including Sunset Park and Windsor Terrace

BROOKLYN COMMUNITY DISTRICT Sunset Park 7 Including Sunset Park and Windsor Terrace

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 York City.

COMMUNITY HEALTH PROFILES 2018 COMMUNITY HEALTH PROFILES 2018: SUNSET PARK 1 Who We Are 15 ST GOWANUS BAY

PROSPECT PARK

SOUTHWEST

UPPER NEW YORK BAY New York City 37 ST CATON AV

FT HAMILTON New York City PARKWAY 8 AV NYC population by race 65 ST PAGE 2 PAGE 6 PAGENYC population 2 by race New York City Black PAGENew 2 York City PAGEPopulationSunset Black2 by racePark PAGEElementary 6 School Abseentee On time high school graduation 100.0 100.0 Latino 87.5 87.5 POPULATION NYC population by race LatinoBlack Black BY RACE AND75.0 75.0 Population by race Elementary90 School Abseentee 100 On time high school graduation 100.062.5 62.5 Other ETHNICITY^ 50.087.5 PAGE 2 100.050.0 PAGEOtherLatino 2 42% LatinoPAGE 6 37.575.0 29% 32% 87.537.5 30% Asian 62.5 22% 75.0 Black Black 25.0 15% 25.0 PopulationAsian by race 23% Elementary School90 Abseentee On time high school graduation10075 50.0 100.0 62.5 Other Other 12.5 87.5 12.5 White 32% 2% 50.0 Latino100.0 3% 2% Latino 60 New York37.50.0 75.0 City 29% 0.0 42% 22% 87.5 White 25.0 62.5 37.5 75.0 30%Asian Asian 90 100 Asian15% Black Latino White Other Other Asian Black Latino White Other Other 12.5 50.0 25.0 62.5 23% 75 37.5 29% 32% 2% 50.0 50 0.0 22% 12.5 42% White 25.0 15% Asian37.5 White30% 3% 2% Asian 60 NYC population by race Asian Black Latino White Other 0.0 Population by age NYC12.5 population by age 2% 25.0 23% 75 TOTAL 0.0 White12.5 Asian Black3% Latino White 2%Other White 60 30 PAGE 2 Asian Black Latino PAGEWhite 2Other 0.0 PAGE 6 Asian Black Latino White Other 5025 POPULATION 8,537,673 45.0 132,721 NYC populationBlack by age Population byBlack age39% 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 87.5 25 POPULATION45.0 45.0 45.0 22% 21% 0 25 0 62.5 75.0 25% 22.5 45.0 90 100 Other Other39%39% 50.0 22.5 21% 62.5 BY AGE 32% 32%32% 37.5 29% 50.0 14% 42% 9% 9% 25.0 22% Asian 25% Asian 15% 21%9% 37.5 25%30% 22% 21% 0 0 12.5 22.5 25.0 23% 22.5 22% 22.5 2% 21% 22.5 21% 75 0 0 0.0 12.5 14% 0.0 Highest Level of Education Achieved 9% White 3% 2% 9% White 9%60 Asian Black Latino White0.0 Other 0.0 14% 0-17 18-24 25-44 45-64 65+ 0-17 18-249% 25-44 45-64Asian 65+Black Latino White Other 9% 9% 0.0 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+ Born0-17 outside18-24 US25-44 45-64 3065+ English pro ciency 45.0 45.0 25 BornBorn outside outside US US 39%EnglishEnglish pro ciency pro ciencyBorn outside US English pro ciency 32% BORN OUTSIDE25% 22.5 21% Born outside US22.5 22% 21%EnglishBorn pro ciency outside US 0 English pro ciency 0 THE US 14% 9% 37% 9% 9% 48% 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

0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 HAVE LIMITED 2000 PAGE 8 Non-fatal Assault Hospitalizations Incarceration ENGLISH 2000 PROFICIENCY 1500 0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 23% PAGE 849%Non-fatal Assault Hospitalizations Incarceration Edit in Indesign. Graph applies to all CDs. 1000 20001500 PAGE 8 Non-fatal Assault0 20 40 Hospitalizations60 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 Hispanic or Latino of any race. 500 2000 Edit in Indesign. Graph applies to all CDs. Note: Percentages may not sum to 100% due to rounding. 15001000 PAGE 8 Non-fatal Assault Hospitalizations0 40 80 120 Incarceration160 200 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. 1000500 Edit in Indesign. Graph applies to all CDs. 1000 2 COMMUNITY0 HEALTH40 PROFILES80 2018: SUNSET120 PARK160 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 cities, 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 create 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 you to improve the health of our city.

Sincerely,

Oxiris Barbot, MD

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: SUNSET PARK 3 Table of Contents

Who We Are Healthy Living PAGE 2 PAGE 13

Understanding Health Health Care 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 Brooklyn’s Community District 7, which includesSunset Park and Windsor Terrace. 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 the following color coding system:

LOWEST/HIGHEST SUNSET PARK BROOKLYN NEW YORK CITY COMMUNITY DISTRICT

4 COMMUNITY HEALTH PROFILES 2018: SUNSET PARK 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 East Side 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 parks, 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 were rated based on the race, ethnicity and national origin of their residents. Neighborhoods that were home to people of color, like Central Harlem 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 death, like diabetes and heart 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. The Lancet. 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: SUNSET PARK 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. Sunset Park’s elementary school absenteeism rate is lower than the rate for NYC overall. Three-quarters of high school students in Sunset Park graduate in four years, similar to the citywide rate. PAGE 2 PAGE 2 PAGE 6 PAGE 6

Black Black ELEMENTARY SCHOOL ABSENTEEISM ON-TIME HIGH SCHOOL GRADUATION PopulationPopulation by race by race ElementaryElementary(percent School of public AbseenteeSchool school students Abseentee in grades K through 5 missingOn time 19 orOn high time(percent school high of public graduationschool school graduation students graduating in four years) 100.0 100.0 Latino Latino 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 42% 42% 37.5 37.530% 30% Asian Asian 75% 75% 75% 25.0 25.0 23% 23% 75 75 12.5 12.5 3% 3% 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 20% 45.0 45.0 19% 25 25 39% 39% 75.075.075.0 909090 100100100 62.562.562.5 9% OtherOtherOther 50.050.050.0 42%42%42% 5% 22% 22% 37.537.537.5 30%30%30% AsianAsianAsian 22.5 22.5 21% 21% 23%23%23% 0 0 0 0 25.025.025.0 Sunset Park Brooklyn NYC Lowest: Sunset Park Brooklyn NYC757575 Highest: 9% 12.512.512.59% 3%3%3% 2%2%2% WhiteWhiteWhite 606060 9% 9% 0.00.00.0 Bayside and Little Neck Financial District AsianAsianAsian BlackBlackBlack LatinoLatinoLatino WhiteWhiteWhite HighestOtherOtherOther Highest Level of Level Education of Education Achieved Achieved 0.0 0.0 505050 0-17 18-240-1725-4418-2445-6425-44 65+45-64 65+ Source: NYC Department of Education, 2016-2017 Note: NYC and borough 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 45.045.045.0English Englishpro ciency pro ciency Source: NYC Department of Education,2525 252017 39%39%39%

22%22%22% 22.522.522.5 21%21%21% HIGHEST LEVEL OF EDUCATION000 ACHIEVED (percent of adults ages 25 and older) 000 9%9%9% 9%9%9% 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 College graduate Three out of 10 adults Sunset Park 41% 29% 30% in Sunset Park have a BornBornBorn outside outside outside US US US 0 20 40 60 0 80 20English100EnglishEnglish40 060 2080 40100pro ciency pro ciency pro ciency60 0 80 20 100 40 060 20 80 40100 60 0 80 20 100 40 60 80 100 college degree. Forty- one percent of adults 2000 2000 Brooklyn 20% 40% 40% PAGE 8 PAGENon-fatal 8 Non-fatal Assault AssaultHospitalizations Hospitalizations IncarcerationIncarceration have not completed high school, a rate 1500 1500 NYC 19% 38% 43% higher than the citywide rate. Edit in Indesign.Edit in Indesign. Graph applies Graph appliesto all CDs. to all CDs. 1000 1000 Highest % college graduate: 4% 12% 84% Financial District, Greenwich Village- Soho

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 1608 8 8 Non-fatalNon-fatalNon-fatal160 200 Assault Assault Assault200 Hospitalizations Hospitalizations Hospitalizations IncarcerationIncarcerationIncarceration 0 0 150015001500 6 COMMUNITY HEALTH PROFILES 2018: SUNSET PARK EditEditEdit in in in Indesign. Indesign. Indesign. Graph Graph Graph applies applies applies to to to all all all CDs. CDs. CDs. 100010001000

500500500

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 Sunset Park, 29% 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. Sunset Park’s unemployment rate is similar to the citywide average of 9%. Rent burdened households pay more than 30% of their income for housing and may have difficulty affording food, clothing, transportation and health care. Fifty-seven percent ofSunset Park residents are rent burdened, a higher 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 the five wealthiest neighborhoods. Using this measure, 18% of deaths could have been averted in Sunset Park.

ECONOMIC STRESS Many of the Sunset Park Brooklyn NYC Lowest % factors that affect health happen Poverty 29% 21% 20% 7% outside of a (percent of residents) Upper East Side doctor’s office. This includes Unemployment 8% 9% 9% 4% access to quality (percent of people ages 16 and older) Upper East Side education, jobs and safe spaces Rent Burden 57% 52% 51% 37% (percent of renter-occupied homes) to live. Residents Park Slope and Carroll Gardens in high-poverty neighborhoods Note: Unemployment data may differ from rates presented in other published sources. See technical notes in the public use dataset often lack these for more details. resources. 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: NYC DOHMH, Bureau of Vital Statistics, 2011-2015

Is your neighborhood gentrifying? Gentrification transforms a low-income area 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 Sunset Park is one of 17 neighborhoods that is gentrifying.

Source: NYU Furman Center, 2015

COMMUNITY HEALTH PROFILES 2018: SUNSET PARK 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 42% 37.5 30% Asian 25.0 23% 75 12.5 3% 2% White 60 0.0 Asian Black Latino White Other 50 Population by age 30

45.0 25 39%

22.5 22% 21% 0 0 9% 9%

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, Sunset Park has a lower rate of assault-related2000 hospitalizations. PAGE 8 Non-fatal Assault Hospitalizations Incarceration NON-FATAL ASSAULT HOSPITALIZATIONS (per 100,000 people) 1500 Hospitalizations 37 Sunset Park related to injuries fromEdit assaults in Indesign. Graph applies to all CDs. 59 Brooklyn 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 Cooperative 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

289 460 Brooklyn 425 71 NYC 0 Lowest: Upper East Side Sunset Park 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 Sunset Park 11% 69% community connection. In Sunset Park, 69% of residents Brooklyn 73% 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 HomesCOMMUNITY with air HEALTH conditioners PROFILES 2018: SUNSET PARK Pedestrian Injury 100 Teen births 80

0 20 40 60 80 100 Homes without maintenance defects

80 0 20 40 60 80 100 70 60 50 PAGE 12 PAGE 12 40 30 Child Asthma emergency Childhood Obesity 20 department visits 10 0 250

Cockroaches 200

150

100

0 0 20 40 60 80 100 PAGE 8 Housing and NeighborhoodPAGE 10 Conditions PAGE 11 PAGE 8 PAGE 10 PAGE 11 Helpful Neighbors Bike Lanes Late or no prenatal care Helpful Neighbors Bike Lanes Late or no prenatal care

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

Air conditioning Air pollution Preterm births Most heat stroke deaths in NYC occur in Though air quality is improving in NYC in general, it varies Preterm births homes without air conditioning. Nearly nine by community district. In Sunset Park, levels of the most 0 PAGE20 8 40 60 80 100 PAGE 10 PAGE 11 out of 10 households in Sunset Park have harmful air pollutant, fine particulate matter (PM2.5), are 0 20 40 60 80 100 0 20 40 60 80 100 Helpfulworking Neighbors air conditioners. Bike 8.5Lanes micrograms per cubic meter. PAGE 9 Late or no0 prenatal20 care40 60 80 100 AIR CONDITIONING PAGEAIR POLLUTION 9 Homes (percentwith air of households) conditioners Pedestrian(micrograms Injury of fine particulate matter per cubic meter) 99% Homes with air conditioners Pedestrian Injury 100 11% 85% 85% 89% Teen births 100 80 More Teen births healthy 80 60 8.5 60 Preterm births 40 Sunset Park 7.8 7.5 40 Brooklyn 20 NYC 0 20 40 60 80 100 Less healthy 20 6.0 0 0 20 40 60 80 100 Lowest: Sunset Park Brooklyn NYC Highest: 0 PAGE 9 Tottenville and Rockaway and Broad Channel Homes with air conditionersGreat Kills 0 Pedestrian20 40 Injury60 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 80 100 0 Teen births20 40 60 80 100 70 0 20 40 60 80 100 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 50 60 PAGE 12 PAGE 12 poor health outcomes, including worsened asthma and other60 respiratory illnesses. In Sunset Park, only 49% of renter- 40 50 PAGE 12 PAGE 12 40 30 occupied homes are adequately maintained by landlordsChild – Asthmafree40 from emergencyheating breakdowns, cracks, holes, peelingChildhood paint Obesity 20 20 and other defects. Twenty-eight percent of Sunset Parkdepartment households30 visits report seeing cockroaches, which is a potential Child Asthma emergency Childhood Obesity 10 asthma trigger. 20 department visits 0 0 250 10 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 28% Sunset Park 60 100 49% 50 44% PAGE 12 PAGE 12 100 41% 26% Brooklyn 40 50 30 Child Asthma emergency Childhood 50Obesity 20 0department visits23% NYC 0 10 20 40 60 80 100 Less 0 healthy 0 00% 20 40 Lowest:60 Tottenville80 and Great100 Kills Sunset Park Brooklyn NYC Highest: 250 Tottenville and Cockroaches Great Kills 200 Note: Maintenance defects include water leaks, cracks and holes, inadequate Source: NYC Housing and Vacancy Survey, 2014 heating, presence of mice or rats, toilet breakdowns or peeling paint. 150 Source: NYC Housing and Vacancy Survey, 2014 100

COMMUNITY HEALTH PROFILES 2018: SUNSET PARK 50 9

0 0 20 40 60 80 100 PAGE 8 PAGE 10 PAGE 11

Helpful Neighbors Bike Lanes Late or no prenatal care

11% Housing and Neighborhood Conditions

Preterm births Bicycle network coverage Pedestrian injury 0Nine percent20 of40 roads in60 Sunset80 Park 100have bike Sunset Park residents have a similar pedestrian injury PAGE 8 PAGElanes, which10 is lower than NYC overall. PAGE0hospitalization 11 20 40rate compared60 with80 NYC100 overall. PAGE 9 Helpful Neighbors BikeBICYCLEHomes Lanes with NETWORK air conditioners COVERAGE Late orPEDESTRIANPedestrian no prenatal Injury care INJURY HOSPITALIZATIONS (percent of streets with bike lanes) (per 100,000 people) 100 Teen births 11% 80 9% Sunset Park 23 Sunset Park 60 13% Brooklyn 23 Brooklyn 40 NYC 23 NYC 20 10% Preterm births Highest: Crown Heights 0 45% and Prospect Heights 9 Lowest: Greenwich Village and Soho 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 0 20 40 60 80 100 Homes with air conditioners 80PedestrianAccess to Injury bike lanes can make it easier and Planning and Research Cooperative System, 2012-2014 70 safer to ride a bike more often. 100 60 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 10Food environment SUPERMARKET TO BODEGA RATIO 0 For every one supermarket in Sunset Park, there are 45 bodegas. 20 Bodegas are less likely to have healthy food options than 250 supermarkets. The lowest ratio among NYC community 0 45 districtsCockroaches is one supermarket for every three bodegas 200 (healthier); the highest is one supermarket for every 57 0 20 40 60 80 100 150 Homes without maintenance defects bodegas (less healthy). Sunset Park is home to two of NYC’s farmers markets, another source of healthy food. 80 0 100 20 40 60 80 100 70 60 50 50 PAGEIt is 12 easier to make healthy choices when PAGE 12 40 healthy, affordable food is readily available. 0 30 Child0 Asthma20 emergency40 60 80 100 Childhood Obesity 20 department visits 10 0 250 1

Cockroaches 200

150 Supermarket Bodegas

100 Source: Farmers Markets: NYC DOHMH Bureau of Chronic Disease Prevention and Tobacco Control, 2017; Supermarket to Bodega Ratio: New York State Department of 50 Agriculture and Markets, October 2016

0 0 20 40 60 80 100

10 COMMUNITY HEALTH PROFILES 2018: SUNSET PARK Maternal and Child Health

Pregnancy outcomes In Sunset Park, the rate of expectant mothers receiving late or no Access to quality health prenatal care is lower than the citywide rate. One in 13 births to Sunset care is critical to a mother’s Park residents is preterm (three or more weeks before the due date), health before, during and after lower than the citywide rate. pregnancy, and to the health of our littlest New Yorkers.

PAGE 8 PAGE 10 LATEPAGE 11OR NO PRENATAL CARE (percent of live births) Helpful Neighbors Bike Lanes Late or no prenatal care 6.7% NYC PAGE 8 PAGE 10 PAGE 11 1.3% 2.7% 6.2% Helpful Neighbors11% Bike Lanes Late or no prenatal care Lowest: Sunset Park Brooklyn PAGE 8 FinancialPAGE District 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 11% 40 60 80 100 (percentPreterm of live births births) PAGE 9 8.3% Brooklyn 8.7% NYC Preterm birth is 0 20 40 60 80 100 Homes with air conditioners Pedestrian Injury a key driver of 0 20 40 60 80 100 5.4% 7.9% infant death. 100 PAGE 9 Teen births Preterm births Homes80 with air conditioners Pedestrian Injury Lowest: Greenpoint Sunset Park and Williamsburg 60 0 20 40 60 80 100 100 Source:Teen NYC births DOHMH, Bureau of Vital Statistics, 2015 40 0 20 40 60 80 100 80 PAGE 9 20 60 Homes with air conditioners Pedestrian Injury 0 40 100 Teen pregnancy TEENTeen births BIRTHS 20 0 20 40 60 80 100 Teen pregnancy has declined across NYC; (per 1,000 females ages 15 to 19) Homes without maintenance defects 80 0 Sunset Park’s teen birth rate is 29.3 per 60 29.3 Sunset Park 80 01,000 teen girls.20 40 60 80 100 40 70 0 20 40 60 80 100 19.9 Brooklyn 60Homes without maintenance defects 20 50 PAGE 12 PAGE 12 0 20 40 60 80 100 NYC 4080 0 19.3 3070 Child Asthma emergency Childhood Obesity 2060 department visits Lowest: Greenwich Village and Soho 0 20 40 60 80 100 1.0* 1050 HomesPAGE 12 without maintenance defects PAGE 12 400 250 30 80Child Asthma emergency Childhood Obesity 0*Interpret estimate20 with caution due40 to small number60 of events. 80 100 20 70department visits Source: NYC DOHMH, Bureau of Vital Statistics, 2013-2015 Cockroaches 200 10 60 0 50 PAGE 12 PAGE 12 150250 40 30 Child Asthma emergency Childhood Obesity Cockroaches 100200 department visits 20 COMMUNITY HEALTH PROFILES 2018: SUNSET PARK 11 10 15050 0 250 1000 0 20 40 60 80 100 Cockroaches 200 50 150 0 0 20 40 60 80 100 100

0 0 20 40 60 80 100 PAGE 8 PAGE 10 PAGE 11

Helpful Neighbors Bike Lanes Late or no prenatal care

11%

Preterm births

0 20 40 60 80 100

0 20 40 60 80 100 PAGE 9 Homes with air conditioners Pedestrian Injury

100 Teen births 80

0 PAGE 8 PAGE 10 PAGE 11

Helpful Neighbors 0 20 40 60 80 100 Bike Lanes Late or no prenatal care Homes without maintenance defects Maternal and Child Health

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 Nearly one out of fiveSunset Park children in Child Asthma emergency Childhood Obesity 30 grades K through 8 has obesity. This is similar to 18% 19% 20% 5% 20 department visits Preterm births 10 the citywide rate. 0 0 20 40 60250 80 100

Cockroaches 200 0 20 40 60 80 100 PAGE 9 150 Sunset Park Brooklyn NYC Lowest: Homes with air conditioners Pedestrian Injury Financial District 100 100 Source: NYC Department of Education, 2016-2017 Teen births 80 50

60 0 0 20 40 60 80 100 40

20 Children’s hospitalizations and emergency department visits “Avoidable hospitalizations” are those that could be prevented with timely access to quality outpatient care. The rate of 0 avoidable pediatric hospitalizations among children ages 4 and younger in Sunset Park 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, secondhand smoke and other asthma triggers, and by taking daily medication. The asthma emergency department 80 visit rate among children ages 5 to 17 in Sunset Park is less than half of the citywide rate. The TCNY 2020 goal is to have 0 20 40 60 80 100 70 fewer than 210 asthma emergency department visits per 10,000 children across the entire city. 60 50 PAGE 12 PAGE 12 40 PAGEAVOIDABLE 12 HOSPITALIZATIONS PAGE 15 CHILD ASTHMA EMERGENCY 30 AMONG CHILDREN Child AsthmaDEPARTMENT emergency VISITS Childhood Obesity department visits 20 Avoidable(per 100,000 children hospitalizations ages 4 and younger) HPV (per 10,000 children ages 5 to 17)Flu 10 among children 0 100 100 250 223 390 Sunset Park80 80 Cockroaches 200 186 60 60 502 Brooklyn 150 40 104 40 100 623 NYC 20 20 50 28 118 Lowest: Borough Park0 0 0 0 20 40 60 80 100 Sunset Park Brooklyn NYC Lowest: 0 100 200 300 400 500 600 700 800 Financial PAGE 16 80 District PAGE 13 HIV Sources: Avoidable Hospitalizations among Children: New York State Department 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.

0 20 40 60 80 100 12 COMMUNITY HEALTH PROFILES 2018: SUNSET PARK 0 PAGE 14 PAGE 17 150 Avoidable Hospitalizations HEP C

Edit in Indesign. Graph applies to all CDs.

0 300 600 900 1200 1500 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 Sunset Park 74% Edit in Indesign. Graph applies to all CDs. and physical health. Seventy-four percent of Sunset Park residents rank their health Brooklyn 77% as “excellent,” “very good” or “good,” similar NYC 78% to the rest of NYC. The TCNY 2020 goal for Highest: Upper West Side 93% 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 Sixty-eight percent of Sunset Park adults reportAvoidable getting anyHospitalizations physical activity in the past HEP C 30 days, similar to New Yorkers overall. The percentage of Sunset Park adults who report Federal guidelines eating at least one serving of fruits or vegetables in the past day is similar to the citywide recommend 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 Sunset Park adults drink at least likely to live longer, one sugary drink a day. 0 300 600 900 1200 1500 healthier lives.0 PAGE 18 The adult smoking rate in Sunset Park is similar to the rest of the borough and other Falls Psychiatric hospitalizations Infant Mortality 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)

Sunset Park Brooklyn NYC Highest %

Any physical activity in the past 30 days 68% 72% 73% 90% Financial District, Greenwich Village- Soho At least one serving of fruits or vegetables per day 87% 86% 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

Sunset Park Brooklyn NYC Lowest % CD NYC One or more 12-ounce sugary drinks Binge24% Drinking (use24% graph to 23%right to mark points)8% Premature per day Financial District, Death Greenwich Village- Soho Current smokers 12% 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: SUNSET PARK 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 the last five years from Health insurance40 40 20% to 12%. In Sunset Park, 22% of adults are uninsured, higher than the rest of NYC, can make it easier20 20 20 20 and 4% report going without needed medical care in the past 12 months, lower than the to get affordable primary care, 0 0 rest of NYC. The TCNY 2020 goal is to have less than 9% of New Yorkers going without 0 0 which can help needed medical care. 0 100 200 300 400 500 600 700 800 0 100 200 300 400 500 600 700 800 New Yorkers PAGE 16 ACCESS TO HEALTH CARE (percent of adults) PAGE 13 manage chronicPAGE 16 80 PAGE 13 HIV 80 Self-Reported Health conditions and HIV Sunset Park Brooklyn Self-ReportedNYC HealthLowest % stay healthy. Edit in Indesign. Graph applies to all CDs. Adults without 22% 12% 12% 3%* Edit in Indesign. Graph applies to all CDs. health insurance Stuyvesant Town and Turtle Bay Adults without 4% 10% 10% 3%* needed medical care Bayside and 0 20 Little40 Neck 60 80 100 0 20 40 60 80 100 *Interpret estimate with caution due to small sample size. 0 Source: NYC DOHMH, Community Health Survey, 2015-2016 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 rate of avoidable hospitalizations among adults in Sunset 1,230 Sunset Park Edit in Indesign. Graph applies to all CDs. Edit in Indesign. Graph applies to all CDs. Park is higher than the citywide rate. 1,420 Brooklyn

1,033 NYC Lowest: Greenwich 426 Village and Soho

0 Source:300 New York State600 Department900 of Health,1200 Statewide1500 0 0 Planning300 and Research600 Cooperative900 System,1200 2014 1500 0 PAGE 18 PAGE 18 FallsFALL-RELATED HOSPITALIZATIONS AMONGPsychiatric hospitalizations Infant Mortality Fall-related hospitalizations Falls Psychiatric hospitalizations Infant Mortality Sunset Park's rate of fall-related hospitalizations among OLDER ADULTS (per 100,000 adults ages 65 and older) adults ages 65 and older is similar to the citywide average. The TCNY 2020 goal is fewer than 1,410 hospitalizations per 1,748 Sunset Park 100,000 older adults citywide. 1,526 Brooklyn

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: SUNSET PARK

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 human papillomavirus (HPV) vaccine protects against cancers caused by HPV. The vaccine is recommended for all children between the ages of 11 and 12. Seventy-two percent of teens ages 13 to 17 in Sunset Park receive all recommended doses of the HPV vaccine. Two out of fiveSunset Park 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 72%80 healthy 80 80 healthy 59% 62% 60 60 60 60 43% 40% 43% 40 40 40 40 38%

20 20 20 20 Less Less 0 0 healthy 0 0 healthy Sunset Park Brooklyn NYC Highest: Sunset Park Brooklyn NYC Highest: Hunts Point and Upper West Side 0 100 200 0300 100400 200500 300600 400700 500800 600 700 800 PAGE 16PAGE 16 Longwood 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: SUNSET PARK 15

0 3000 600300 900600 1200900 15001200 1500 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 Sunset Park's adult obesity rate is 24%, 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 Sunset Park adults have been diagnosed with diabetes and 27% of adults have been told they have hypertension. Rates for both are similar to the rest of NYC.

OBESITY, DIABETES AND HYPERTENSION (percent of adults)

Sunset Park Brooklyn NYC Lowest % Obesity can lead Obesity 24% 27% 24% 4% to diabetes, high Financial District, blood pressure Greenwich and other health Village- Soho conditions. Diabetes 11% 12% 11% 3% Financial District, Hypertension, Greenwich also known as high Village- Soho blood pressure, is a Hypertension 27% 29% 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

24.0 NYC 14.3 22.1 Brooklyn

0 Sunset Park Source: NYC DOHMH, HIV/AIDS Surveillance 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: SUNSET PARK 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 0 300 600 900 1200 401500 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 tested because hepatitis C can be cured. 20 20 PAGE 18

NEW HEPATITISFalls C REPORTS (per 100,000 people) 0 Psychiatric hospitalizations0 Infant Mortality 150 0 100 200 300 400 500 600 700 800 PAGE 16 80 PAGE 13 HIV Self-Reported Health 71.8 Edit in Indesign.NYC Graph applies to all CDs. 48.2 67.9 Brooklyn

0 500 1000 1500 2000 0 100 200 300 400 500 600 700 800 0 20 40 60 80 100 0 1 2 3 4 5 0 Sunset Park Source: NYC DOHMH, Communicable Disease Surveillance Registry, 2016 0 PAGE 14 CD NYC PAGE 17 Binge drinkingBinge Drinking (use graph to right to150 mark points) Premature HEP C BingeAvoidable drinking is linkedHospitalizations to high-risk behaviors and chronic health problems. The binge drinking rate in Sunset Park is Death lower 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% 12% 15% 17%

Lowest: Sunset Park Brooklyn NYC Bensonhurst 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 0 300 600 900 1200 1500 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 Sunset Park Psychiatric(per 100,000 adults) hospitalizations Infant Mortality is lower than the citywide rate. 401 Sunset Park High psychiatric hospitalization rates likely reflect the challenges residents in 684 Brooklyn 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

COMMUNITY HEALTH PROFILES 2018: SUNSET PARK 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. 0 300 600 900 1200 1500 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 Sunset0 Park the infant mortality rate is lower than the Sunset Park PAGE 14 2.0 citywide rate. The TCNY 2020 goal is a citywide rate of PAGE 17 less150 than 4.4 per 1,000 live births. 3.6 Brooklyn 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 Binge Drinking (use graph to right to mark points)Premature death Premature Death 0 300 600 900 1200 1500 Cancer0 and heart disease are the leading causes of premature death (death before the age of 65) in Sunset Park, similar to the rest of NYC. However, Sunset Park residentsPAGE 18die prematurely at a lower rate. Lung cancer, liver cancer Falls Psychiatricand breast hospitalizations cancer (among women) are the three leadingInfant causes Mortality of cancer-related premature death in Sunset Park.

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 0 1 2 3 4 5 Rank Sunset Park NYC Rank Overall rate 133.9CD 169.5NYC Binge Drinking (use graph to right to mark points) Premature 43.5 46.2 Cancer Death 1 (243) 1 27.0 32.9 Heart disease 2 (148) 2 6.1 9.4 Drug-related 3 (38) 3 5.7 6.4 Accidents (excluding drug poisoning) 4 (33) 4 5.1 5.1 Suicide 5 (30) 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: SUNSET PARK 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 citations, 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, Oni Blackstock, 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, Olivia Giordano, Sharon Greene, Sophia Greer, Danielle Gurr, Samson Hadush Mesfin, Myla Harrison, Fangtao He, 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: SUNSET PARK 19 Life Expectancy by Community District

Sunset Park’s average life expectancy is 1.4 years longer than NYC overall.

75.1-79.6 years

79.7-81.4 years

81.5-83.8 years

83.9-85.9 years

Unpopulated areas

82.6 Life Expectancy

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

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

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 citation: 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, Brooklyn Community District 7: Sunset Park; 2018; 31(59):1-20.