Westchester County Community Health Assessment 2019 - 2021 Acknowledgement The Westchester County Department of Health would like to thank the following organizations and agencies for their contribution and partnership in developing and distributing the Community Health Needs Assessment Survey as well as in the process of the Community Health Assessment. Blythedale Children's Hospital Montefiore Health System Burke Rehabilitation Hospital Montefiore Mount Vernon Hospital Montefiore New Rochelle Hospital White Plains Hospital New York Presbyterian Regional Hospital Network Hudson Valley Hospital Lawrence Hospital NewYork-Presbyterian Hospital/Westchester Division Northwell Health Northern Westchester Hospital Phelps Memorial Hospital St. John's Riverside Hospital Saint Joseph's Medical Center Westchester Medical Center Project Director: Jiali Li, Ph.D., Director of Research & Evaluation Renee Recchia, MPH, Acting Deputy Commissioner of Administration Project Staff: Camille Jimenez, Medical Data Analyst Thomas Peer, Medical Data Analyst With assistance and input from Victor Arriaga, Elissa Cestone, Linda Hakim, Caren Halbfinger, Heather McGill, Kevin Morrison, Jillian Pennacchio Contact: Jiali Li, Ph.D. Westchester County Department of Health, Planning & Evaluation 10 County Center Road, 2nd Floor, White Plains, New York, 10607 OREWORD F The Westchester County Department of Health (WCDH) plays a leading role in promoting health, preventing disease, and prolonging meaningful life for Westchester County residents. The WCDH’s ongoing mission involves monitoring and controlling the spread of diseases, regulating air and water quality, enforcing state and local sanitary codes, promoting and endorsing local public health activities, and ensuring the availability of community health services. To comply with New York State Public Health Law, WCDH has collaborated with local hospitals and other community health partners to complete a Community Health Assessment (CHA) survey, which describes the current health status of Westchester County residents, identifies existing gaps and health care barriers, assesses the availability and accessibility of health care services, and specifies public health priorities in the county. The first section of this document describes the process of developing and conducting the Community Health Needs Assessment (CHA) survey among members of the public, as well as the key findings from this assessment among Westchester county respondents. In addition to the community health assessment survey, the WCDH and local hospitals hosted a Health Summit on April 5th, 2019, in which nearly 80 stakeholders from local agencies and organizations participated. Four of the five priority areas of the New York State Prevention Agenda were discussed based on the preliminary findings of the CHA Survey: 1. Prevent Chronic Diseases 2. Promote a Healthy and Safe Environment 3. Promote Healthy Women, Infants and Children 4. Promote Well-being and Prevent Mental and Substance Use Disorders The stakeholders reviewed the focus areas within each of the four priority areas, brainstormed the strengths and resources in each area, identified opportunities and gaps, and suggested action items and solutions. A summary report of the Summit prepared by Premier, the company that facilitated the discussions at the Summit, is included as an appendix in this document. Based on the CHA findings and discussions from the Summit, a Community Health Improvement Plan (CHIP) was developed to lay out the specific objectives, goals, and actions of the Health Department which address the public health priorities identified in the Community Health Assessment. The Health Department elected two Prevention Agenda Priority Areas, a). prevent chronic diseases, and b). promote well-being and prevent mental and substance use disorders, in its Community Health Improvement Plan (CHIP) for the next three years. The Community Health Improvement Plan is presented in detail in a separate document. The second section of this document presents the regional profiles for each of the county’s 25 towns. The profiles present information on demographic and socioeconomic characteristics, births and deaths, emergency room visits, hospitalizations, as well as communicable diseases. Supplementing this document, six additional data reports provide detailed data addressing specific areas relevant to the county’s community health status. These reports are: • Westchester County Community Health Assessment Supplemental Data Report 1. Population (2013-2017 ACS) • Westchester County Community Health Assessment Supplemental Data Report 2. Vital Statistics (2011-2017) • Westchester County Community Health Assessment Supplemental Data Report 3. Communicable Diseases (2013-2018) • Westchester County Community Health Assessment Supplemental Data Report 4. Cancer (2012-2016) • Westchester County Community Health Assessment Supplemental Data Report 5. Emergency Room Visits (2012-2016) • Westchester County Community Health Assessment Supplemental Data Report 6. Hospitalizations (2012-2016) TABLE OF CONTENTS Foreword Table of Contents Section I. Community Health Assessment Survey Process and Findings 1 Overview 2 Community Health Assessment Survey Report Community Health Assessment Report Highlights 4 Demographics of Survey Respondents 5 General Health Status 6 Priority Health Issues For Self 13 Existing Health Issues 20 Access to Care Health Insurance Type 27 Barriers to Obtaining Medical Care by a Health Care Provider 34 Personal Health Care Provider 41 Perceived Discrimination 48 Priority Health Issues for the Community 49 Population Needing the Greatest Attention 56 Actions Needed to Improve the Health of the Community 63 2019 Westchester County Community Health Survey Questionnaire 70 English version 71 Spanish version 73 Unweighted and Weighted Responses, Westchester ZIP Codes Only 75 Section II. Westchester County Regional Health Profiles 81 Overview 82 Regional Profile Definitions and Data Sources 83 Regional Profile Westchester County 85 Bedford Town 89 Cortladt Town 93 Eastchester Town 97 Greenburgh Town 101 Harrison Town/Village 105 Lewisboro Town 109 Mamaroneck Town 113 Mount Kisco Town/Village 117 Mount Pleasant Town 121 Mount Vernon City 125 New Castle Town 129 New Rochelle City 133 North Castle Town 137 North Salem Town 141 Ossining Town 145 Peekskill City 149 Pelham Town 153 Pound Ridge Town 157 Rye City 161 Rye Town 165 Scarsdale Town/Village 169 Somers Town 173 White Plains City 177 Yonkers City 181 Yorktown Town 185 Appendix: Health Summit Summary Report from Primier 189 Overview 190 Report from Premier 191 List of Tables 1 Demographic and Employment Characteristics of the Community Survey Sample Population compared to Westchester County, 2019 5 2 Percent of Respondents Who Reported Feeling Emotionally Upset Based on Treatment due to: Age, Gender Identity, Race/Ethnicity, Sexual Orientation, Perceived Immigration Status, Religion and Disability, Westchester County, 2019 48 List of Figures 1 Percent Distribution of General Health Status, Westchester County, 2019 6 2 Percent Distribution of General Health Status by Gender, Westchester County, 2019 7 3 Percent Distribution of General Health Status by Race/ Ethnicity, Westchester County, 2019 8 4 Percent Distribution of General Health Status by Age, Westchester County, 2019 9 5 Percent Distribution of General Health Status by Educational Attainment, Westchester County, 2019 10 6 Percent Distribution of General Health Status by Language Spoken at Home, Westchester County, 2019 11 7 Percent Distribution of General Health Status by Employment Status, Westchester County, 2019 12 8 Priority Health Issues for Self (%), Westchester County, 2019 13 9 Priority Health Issues for Self (%) by Gender, Westchester County, 2019 14 10 Priority Health Issues for Self (%) by Race/Ethnicity, Westchester County, 2019 15 11 Priority Health Issues for Self (%) by Age, Westchester County, 2019 16 12 Priority Health Issues for Self (%) by Educational Attainment, Westchester County, 2019 17 13 Priority Health Issues for Self (%) by Language Spoken at Home, Westchester County, 2019 18 14 Priority Health Issues for Self (%) by Employment Status, Westchester County, 2019 19 15 Existing Health Issues Ranked by the Percent of Respondents with the Condition, Westchester County, 2019 20 16 Existing Health Issues (%) by Gender, Westchester County, 2019 21 17 Existing Health Issues (%) by Race/Ethnicity, Westchester County, 2019 22 18 Existing Health Issues (%) by Age, Westchester County, 2019 23 19 Existing Health Issues (%) by Educational Attainment, Westchester County, 2019 24 20 Existing Health Issues (%) by Language Spoken at Home, Westchester County, 2019 25 21 Existing Health Issues (%) by Employment Status, Westchester County, 2019 26 22 Health Insurance used by Respondents (%), Westchester County, 2019 27 23 Health Insurance used by Respondents (%) by Gender, Westchester County, 2019 28 24 Health Insurance used by Respondents (%) by Age, Westchester County, 2019 29 25 Health Insurance used by Respondents (%) by Race/Ethnicity, Westchester County, 2019 30 26 Health Insurance used by Respondents (%) by Educational Attainment, Westchester County, 2019 31 27 Health Insurance used by Respondents (%) by Language Spoken at Home, Westchester County, 2019 32 28 Health Insurance used by Respondents (%) by Employment Status, Westchester County, 2019 33 29 Percent Distribution of Barriers to Obtaining Medical Care, Westchester County, 2019 34 30 Percent of Respondents