Morningside Heights and Hamilton Heights 1 W 155 St

Home , Harlem, Upper West Side, West Side (Manhattan)

MANHATTAN COMMUNITY Morningside Heights DISTRICT 9 and Hamilton Heights Including Hamilton Heights, Manhattanville, Morningside Heights and West Harlem

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: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS 1 W 155 ST

Who We Are EDGECOMBE AV

HUDSON RIVER

ST NICHOLAS AV NewNew YorkYork CityCity CATHEDRAL PARKWAY NYC population by race MORNINGSIDE AV NYC population by race PAGE 2 PAGE 6 PAGE 2 Morningside Heights New York City Population by race Black PAGE 2 PAGE 2Black PAGEElementary 6 School Abseentee On time high school graduation 100.0 New York City and Hamilton Heights 100.0 PopulationBlack by race BlackLatino POPULATION87.5 NYC population by race 87.5 Latino Elementary School Abseentee On time high school graduation 100.075.0 75.0 100.0 90 100 BY RACE AND62.587.5 62.5 PAGELatino 2 LatinoOther PAGE 6 PAGE 2 87.5 50.075.0 50.0 Other 44% ETHNICITY^ 75.0 37.562.5 29% 32% 37.5 Black Population by race Black Asian 90 100 22% 62.5 Other24% Other Elementary School Abseentee On time high school graduation 25.050.0 100.0 15% 25.0 Asian 22% 87.5 50.0 100.0 75 12.537.5 29% 32% 12.5 Latino 7% 44% Latino 75.0 2% 87.5 3% White New York25.0 City22% 37.5 Asian 1% Asian 60 0.0 62.5 15% 0.0 75.0 White24% 25.0 22% 90 100 12.5 50.0 Asian Black Latino White Other Other62.5 Other 75 2% Asian7% Black Latino White Other 0.0 37.5 29% 32% 12.5 50.0 White 44% 1% 3% White 22% 37.5 60 50 25.0 Asian15% Black Latino White Other 0.0 Asian 24% 22% Asian NYC population by race 12.5 25.0 75 2% PopulationAsian7% Black by Latinoage White Other NYC0.0 population by age White12.5 1% 3% White 60 TOTAL Asian Black Latino White Other 0.0 30 50 PAGE 2 PAGE 2 PopulationAsian Blackby age Latino White OtherPAGE 6 POPULATION NYC population by age 45.0 50 25 8,537,673Black 111,287Black 45.0 NYC population by Populationage by race Population by age 30 100.0 34% Elementary School Abseentee On time high school graduation 30 87.5 45.0 Latino100.032% 45.0 Latino 25 75.0 45.0 87.5 45.0 25 62.5 75.0 25% 22.5 21% 90 100 0 0 POPULATION Other 17% Other34%34% 50.0 22.5 21% 62.532%32% 16% 37.5 BY AGE29% 32% 50.0 25%25% 44% 12% 25.0 22% 21% Asian37.5 14% Asian 21% 0 0 15% 22.5 22.5 21% 24% 22%22.5 22.5 17% 21% 0 0 12.5 9% 25.0 14% 17% 16% 75 2% 7% 16% 12% 0.0 9% White12.5 14% 1% 0.03% White 12% Highest Level of Education Achieved 0.0 60 Asian Black Latino White0.0 Other 9% 0-17 18-24 25-44 45-64 65+ 0.0 Asian Black Latino White Other 0.0 Highest Level of Education Achieved 0-170-17 18-24 18-24 25-44 25-44 45-64 45-64 65+ 65+ 0-17 18-24 25-44 45-64 65+ 50 0.0 Population by age 0.0 Highest Level of Education Achieved NYC population by age 0-17 18-24 25-44 45-64 65+ 0-17 18-24 25-44 45-64 65+ 30 Born outside US English pro ciencyBornBorn outside outside US US EnglishEnglish pro ciency pro ciency 45.0 Born outside US45.0 English pro ciency 25 BORN OUTSIDE32% 34% 25% Born outside US EnglishBorn pro ciency outside US English pro ciency 22.5 21% 22.5 21% 0 0 THE US 17% 16% 14% 12% 9% 37% 34% 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 ciencyBorn outside US English pro ciency 0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 2000 HAVE LIMITED 0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 PAGE 8 Non-fatal Assault Hospitalizations Incarceration ENGLISH PROFICIENCY 23% 20% 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 EditIncarceration in Indesign. Graph applies to all CDs. 1000 2000 PAGE 8 Non-fatal Assault Hospitalizations 1500 Incarceration 0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 ^White, Black, Asian and Other exclude Latino ethnicity. Latino is Hispanic or Latino of any race. 500 1500 Note: Percentages may not sum to 100% due to rounding. 2000 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 Edit in Indesign. Graph applies to all CDs. Community Survey, 2012-2016 1500 1000 Edit in Indesign. Graph500 applies to all CDs. 1000 2 COMMUNITY HEALTH PROFILES 2018: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS 0 40 80 120 160 200 500 500 0 0 40 80 120 160 200 0 40 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: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS 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 Manhattan’s Community District 9, which includes Hamilton Heights, Manhattanville, Morningside Heights and West Harlem. 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:

MORNINGSIDE LOWEST/HIGHEST HEIGHTS AND MANHATTAN NEW YORK CITY COMMUNITY HAMILTON HEIGHTS DISTRICT

4 COMMUNITY HEALTH PROFILES 2018: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS 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: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS 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. Morningside Heights and Hamilton Heights’ elementary school absenteeism rate is higher than the rate for NYC overall. Two-thirds of high school students in PAGE 2PAGE 2 PAGE 6MorningsidePAGE 6 Heights and Hamilton Heights graduate in four years, lower than the citywide rate.

Black Black ELEMENTARY SCHOOL ABSENTEEISM ON-TIME HIGH SCHOOL GRADUATION PopulationPopulation by race by race Elementary School Abseentee On time high school graduation Elementary(percent School of public school Abseentee students in grades K through 5 missingOn 19time or high(percent school of public graduation school 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% 62.5 62.5 Other Other 50.0 50.0 44% 44% 37.5 37.5 24% 24% 22% Asian Asian 73% 75% 25.0 25.0 22% 75 75 12.5 7% 7% 65% 12.5 1% 3%1% 3% White White 60 0.0 0.0 60 Asian BlackAsianLatinoBlackWhiteLatinoOtherWhite OtherPAGEPAGEPAGE 2 2 2 PAGEPAGEPAGE 6 6 6 50 50 BlackBlackBlack 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 30 27% 100.0100.0100.0 30 LatinoLatinoLatino 87.587.587.5 20% 45.0 45.0 18% 25 25 75.075.075.0 909090 100100100 34% 34% 62.562.562.5 OtherOtherOther 50.050.050.0 44%44%44% 5% 21% 21%37.537.537.5 22.5 22.5 17% 24%24%24% 0 0 AsianAsianAsian 0 0 17% 16% 16% 25.025.025.0 22%22%22% 757575 12% 12% 7%7%7% Morningside Manhattan NYC Lowest: Morningside Manhattan NYC Highest: 12.512.512.5 1%1%1% 3%3%3% WhiteWhiteWhite 0.00.00.0 Heights and Bayside60 and6060 Little Neck Heights and Financial District AsianAsianAsian BlackBlackBlack LatinoLatinoLatinoWhiteWhiteWhite OtherOtherOther 0.0 0.0 HighestHamiltonHighest Level Heights of Level Education of Education Achieved Achieved Hamilton Heights 0-17 18-240-17 25-4418-24 45-6425-44 65+45-64 65+ 505050 PopulationPopulationPopulation by by by age age age Source: NYC Department of Education, 2016-2017 Note: NYC and borough On-time High School Graduation data may differ from rates presented in other published sources. See technical notes in the public use dataset 303030 for more details. Born outsideBorn outside US US EnglishEnglish pro ciency pro ciency 252525 45.045.045.0 Source: NYC Department of Education, 2017 34%34%34%

22.522.522.5 21%21%21% 000 000 17%17%17% 16%16%16% HIGHEST LEVEL OF EDUCATION ACHIEVED (percent of adults ages 25 and older) 12%12%12% High school 0.00.00.0 HighestHighestLessHighest than 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 Half of adults in Morningside Heights and Hamilton Heights 21% 30% 49% BornBornBorn outside outside outside US US US 0 20 40 60 0 80English20EnglishEnglish100 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 Morningside Heights and Hamilton 2000 2000 Manhattan 13% 23% 64% Heights have a PAGE 8PAGENon-fatal 8 Non-fatal Assault Assault Hospitalizations Hospitalizations IncarcerationIncarceration college degree. Twenty-one percent 1500 1500 NYC 19% 38% 43% of adults have not completed high Edit in Indesign.Edit in Indesign. Graph appliesGraph applies to all CDs. to all CDs. 1000 1000 Highest % college graduate: 4% 12% 84% school, a rate similar Financial District, Greenwich Village-Soho to the citywide rate. 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: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS 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 Morningside Heights and Hamilton Heights, 24% 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. Morningside Heights and Hamilton Heights’ 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-one percentMorningside of Heights and Hamilton Heights residents are rent burdened, a similar rate compared with 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, 25% of deaths could have been averted in Morningside Heights and Hamilton Heights. ECONOMIC STRESS Morningside Many of the factors Heights and that affect health Hamilton Heights Manhattan NYC Lowest % happen outside of Poverty 24% 14% 20% 7% a doctor’s office. (percent of residents) Upper East Side This includes access to quality Unemployment 8% 7% 9% 4% education, jobs (percent of people ages 16 and older) Upper East Side and safe spaces to live. Residents Rent Burden 51% 45% 51% 37% in high-poverty (percent of renter-occupied homes) Park Slope and neighborhoods Carroll Gardens often lack these

Note: Unemployment data may differ from rates presented in other published sources. See technical notes in the public use dataset resources. for more details. 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 Morningside Heights and Hamilton Heights is one of 17 neighborhoods that is gentrifying.

Source: NYU Furman Center, 2015

COMMUNITY HEALTH PROFILES 2018: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS 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 44% 37.5 24% Asian 25.0 22% 75 7% 12.5 1% 3% White 0.0 60 Asian Black Latino White Other 50 Population by age 30 45.0 25 34%

22.5 21% 0 0 17% 16% 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

Violence 0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 Compared with the citywide rate, Morningside Heights and Hamilton Heights has a similar rate of assault-related hospitalizations. 2000 PAGE 8 Non-fatal Assault Hospitalizations Incarceration NON-FATAL ASSAULT HOSPITALIZATIONS (per 100,000 people) Hospitalizations 1500 related to injuries 57 Morningside Heights and Hamilton Heights from assaults Edit in Indesign. Graph applies to all CDs. 49 Manhattan 1000 capture the consequences 59 NYC of community 500 violence. 8 Lowest: Bayside and Little Neck 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

633 425 NYC 407 71 Manhattan 0 Lowest: Upper East Side Morningside Heights and Hamilton Heights Source: NYC Department of Corrections, 2015-2016 PAGE 8 PAGE 10 PAGE 11 ADULTS REPORTING THAT THEIR NEIGHBORS Helpful neighbors Percent of adults who agree that their Bike Lanes Late or no prenatal care Strong social connections can have a positive impact AREneighbors WILLING are TO willing HELP to ONE help ANOTHER one another on the health of community members. Feeling that our (percent of adults) neighbors are willing to help each other is one aspect Morningside Heights and Hamilton Heights 73% of community connection. In Morningside Heights and Manhattan 70% Hamilton Heights, 73% of residents think that their neighbors are willing to help one another. This is similar NYC 72% to the rest of the city. Highest: Tottenville and Great Kills 86% Preterm births

Less healthy More healthy

Source: NYC DOHMH, Community Health Survey, 2015-2016 0 20 40 60 80 100 PAGE 9 8 COMMUNITY HEALTH PROFILES 2018:Homes MORNINGSIDE with air conditioners HEIGHTS AND HAMILTON HEIGHTS 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 0 350

Cockroaches 300 250

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 Percent of adults who agree that their Bike Lanes Late or no prenatal care neighbors are willing to help one another Percent of adults who agree that their Bike Lanes Late or no prenatal care neighbors are willing to help one another The environment we live in can make it easier or more difficult for New Yorkers to lead healthy lives.

Air conditioning Air pollution Most heat stroke deaths in NYC occur in homes Though air quality is improving in NYC in general,Preterm it varies births without air conditioning. Nearly nine out of 10 by community district. In Morningside Heights and Preterm births PAGEhouseholds 8 in Morningside Heights and Hamilton PAGEHamilton 10 Heights, levels of the most harmful air pollutant,PAGE 11 Heights have working air conditioners. 0 fine20 particulate40 60matter (PM2.5),80 100are 8.0 micrograms per PAGEPercent 9 of adults who agree that their Bikecubic Lanes meter. Late or no0 prenatal20 care40 60 80 100 neighborsAIR CONDITIONING are willing to help one another Homes(percent with of households)air conditioners PedestrianPAGE 9Injury AIR POLLUTION 99% Homes(micrograms with of fine air particulate conditioners matter per cubic meter) Pedestrian Injury 100 93% 86% 89% Teen births 100 80 More Teen births healthy 80 60 9.0 60 8.0 Manhattan Preterm births 40 7.5 40Morningside NYC 20 Less Heights and Hamilton20 Heights 6.0 0 healthy 0 20 40 60 80 100 Lowest: Morningside Manhattan NYC Highest: 0 PAGE Heights9 and Tottenville and Rockaway and Broad Channel 0 20 40 60 80 100 Hamilton Heights Great Kills HomesHomes without with air maintenance conditioners defects Pedestrian Injury 0 20 40 60 80 100 Source: NYC Housing and Vacancy Survey, 2014 Source: NYC DOHMH, Community Air Survey, 2016 Homes without maintenance defects 0 20 40 60 80 100 80 100 Teen births 70 Housing quality 80 0 20 40 60 80 100 80 60 Every resident has the right to live in housing that is safe and70 pest-free. Poorly maintained housing is associated 50 60 with poor health outcomes, including worsened asthmaPAGE and60 other12 respiratory illnesses. In Morningside HeightsPAGE and 12 40 50 PAGE 12 PAGE 12 40 Hamilton Heights, only 37% of renter-occupied homes are adequately maintained by landlords – free from heating 30 Child40 Asthma emergency Childhood Obesity 20 breakdowns, cracks, holes, peeling paint and other defects.department Thirty-three visits percent of Morningside Heights and Hamilton 20 30 Child Asthma emergency Childhood Obesity 10 Heights households report seeing cockroaches, which is a potential20 asthma trigger. department visits 0 0 350 10 HOMES WITHOUT MAINTENANCE 0HOMES REPORTING COCKROACHES 350 CockroachesDEFECTS (percent of renter-occupied homes) 3000 (percent20 of households)40 60 80 100 Homes without maintenance defects 300 250 Cockroaches More 75% 200 0 20250 40 60 80 100 80 healthy Morningside Heights 70 150 33% 200 60 and Hamilton Heights 48% 150 50 44% 100PAGE 12 PAGE 12 37% 20% Manhattan 40 50 100 30 Child Asthma emergency Childhood Obesity NYC 50 20 department0 visits23% 0 20 40 60 80 100Less 10 0 healthy 0 00% 20 40 Lowest:60 Tottenville80 and Great 100Kills Morningside Manhattan NYC Highest: 350 Heights and Tottenville and 300 CockroachesHamilton Heights Great Kills Note: Maintenance defects include water leaks, cracks and holes, inadequate 250 Source: NYC Housing and Vacancy Survey, 2014 heating, presence of mice or rats, toilet breakdowns or peeling paint. 200 Source: NYC Housing and Vacancy Survey, 2014 150

100 COMMUNITY HEALTH PROFILES 2018: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS 9 50

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Percent of adults who agree that their Bike Lanes Late or no prenatal care neighbors are willing to help one another Housing and Neighborhood Conditions

Bicycle network coverage Pedestrian injury Preterm births Twenty percent of roads in Morningside Heights Morningside Heights and Hamilton Heights residents and Hamilton Heights have bike lanes, which is have a similar pedestrian injury hospitalization rate PAGE 8 PAGEhigher 10than NYC overall. PAGE0compared 11 20 with 40NYC overall.60 80 100 PAGE 9 Percent of adults who agree that their BikeBICYCLEHomes Lanes with NETWORK air conditioners COVERAGE Late orPEDESTRIANPedestrian no prenatal Injury care INJURY HOSPITALIZATIONS neighbors are willing to help one another (percent of streets with bike lanes) (per 100,000 people) 100 Teen births Morningside Heights 80 Morningside Heights 21 20% and Hamilton Heights and Hamilton Heights 60 29% Manhattan 21 Manhattan 40 NYC 23 NYC 20 10% Preterm births Highest: Crown Heights 0 45% and Prospect Heights 9 Lowest: Greenwich Village and Soho

0Less healthy20 40 60 80 More100 healthy 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 80Pedestrian Injury Planning and Research Cooperative System, 2012-2014 70 Access to bike lanes can make it easier and 100 60 safer to ride a bike more often. Teen births 50 PAGE 12 PAGE 12 80 40 Source: NYC Department of Transportation, 2017 60 30 Child Asthma emergency Childhood Obesity 20 department visits 40 10 20 0 Food environment 350 0 300 BodegasCockroaches are less likely to have healthy food options than SUPERMARKET TO BODEGA RATIO supermarkets. The lowest ratio among NYC community For250 every one supermarket in Morningside Heights and Hamilton 0 20 40 60 80 100 Homes without maintenance defects districts is one supermarket for every three bodegas Heights200 , there are 11 bodegas. (healthier); the highest is one supermarket for every 150 80 0 20 40 60 80 100 57 bodegas (less healthy). Morningside Heights and 70 100 11 Hamilton Heights is home to three of NYC’s farmers 60 50 50 PAGEmarkets, 12 another source of healthy food. PAGE 12 40 0 0 20 40 60 80 100 30 Child Asthma emergency Childhood Obesity department visits 1 20 It is easier to make healthy choices when 10 0 healthy, affordable food is readily available. 350 Supermarket Bodegas Cockroaches 300 250 Source: Farmers Markets: NYC DOHMH Bureau of Chronic Disease Prevention and 200 Tobacco Control, 2017; Supermarket to Bodega Ratio: New York State Department of Agriculture and Markets, October 2016 150

100

0 0 20 40 60 80 100 10 COMMUNITY HEALTH PROFILES 2018: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS Maternal and Child Health

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

PAGE 8 PAGE 10 PAGE 11 LATE OR NO PRENATAL CARE Percent of adults who agree that their Bike Lanes (percentLate or of nolive births)prenatal care neighbors are willing to help one another PAGE 8 PAGE 10 PAGE 11 1.3% 4.9% 6.7% 11.0% Percent of adults who agree that their Bike Lanes Late or no prenatal care neighbors are willing to help one another Lowest: Manhattan NYC Morningside PAGE 8 FinancialPAGE District 10 PAGE 11 Heights and Hamilton Heights Preterm births Percent of adults who agree that their Source: NYCBike DOHMH, Lanes Bureau of Vital Statistics, 2015 Late or no prenatal care neighbors are willing to help one another

0 20 40 60 80 100 PRETERMPreterm births BIRTHS PAGE 9 (percent of live births) 8.3% 8.7% Homes with air conditioners Pedestrian Injury Preterm birth is 0 20 40 60 80 100 a key driver of 100 5.4% 8.2% PAGE 9 Teen births Preterm births infant death. 80 Homes with air conditioners Pedestrian Injury Lowest: Morningside Manhattan NYC 60 Greenpoint and Heights and 100 Teen births Williamsburg Hamilton Heights 40 Source: NYC0 DOHMH,20 Bureau of40 Vital Statistics,60 2015 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 (per 1,000 females ages 15 to 19) Homes without maintenance defects 80 0 NYC; Morningside Heights and Hamilton 60 10.9 Morningside Heights and Hamilton Heights 80 0Heights' teen20 birth rate40 is 10.9 per 1,00060 80 100 70 40 0 20 40 60 80 100 teen girls. 12.0 Manhattan 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 12 400 350 *Interpret estimate with caution due to small number of events. 30 Child Asthma emergency Childhood Obesity 0 20 40 60 80 100 80 Source: NYC DOHMH, Bureau of Vital Statistics, 2013-2015 20 70department300 visits 10Cockroaches 60250 0 50350 PAGE 12 PAGE 12 40200 300 Child Asthma emergency Childhood Obesity Cockroaches 30150 20250 COMMUNITYdepartment HEALTH visits PROFILES 2018: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS 11 10100 200 0 50 350 150 0 300 0 20 40 60 80 100 Cockroaches100 250 50 200 0 0 20 40 60 80 100 150 100

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

Percent of adults who agree that their Bike Lanes Late or no prenatal care neighbors are willing to help one another

Preterm births

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

100 Teen births 80

20 PAGE 8 PAGE 10 PAGE 11 0

Percent of adults 0 who20 agree40 that60 their80 100 Bike Lanes Late or no prenatal care Homes without maintenanceneighbors defects are willingMaternal to help one and another Child Health

80 0 20 40 60 80 100 70 60 50 ChildhoodPAGE obesity 12 CHILDHOODPAGE 12 OBESITY (percent of public school children in grades K through 8) 40 A quarter of Morningside Heights and Hamilton Child Asthma emergency Childhood Obesity 30 Heights children in grades K through 8 has 25% 16% 20% 5% 20 department visits Preterm births 10 obesity. This is higher than the citywide rate of 0 one in five. 350 0 20 40 60 80 100 Cockroaches 300 PAGE 9 250 Morningside Manhattan NYC Lowest: Homes with air conditioners200 Pedestrian Injury Heights and Financial District 100 150 Hamilton Heights Teen births 100 Source: NYC Department of Education, 2016-2017 80 50 60 0 0 20 40 60 4080 100 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 20 avoidable pediatric hospitalizations among children ages 4 and younger in Morningside Heights and Hamilton Heights 0 is similar to the citywide rate.

Many childhood asthma emergency department visits could be prevented0 by20 reducing the40 presence60 of pests, mold,80 100 Homes withoutsecondhand maintenance smoke and other defects asthma triggers, and by taking daily medication. The asthma emergency department 80 visit rate among children ages 5 to 17 in the Morningside Heights and Hamilton Heights is higher than the citywide 0 20 40 60 80 100 70 rate. The TCNY 2020 goal is to have fewer than 210 asthma emergency department visits per 10,000 children across 60 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 10 Avoidable(per 100,000 children hospitalizations ages 4 and younger) HPV (per 10,000 children ages 5 to 17)Flu 0 among children 100 350 333 100

300 Morningside Heights 80 264 80 Cockroaches 654 and Hamilton Heights 250 223 60 60 488 Manhattan 200 40 150 40 623 NYC 100 20 20 50 28 118 Lowest: Borough Park 0 0 0 0 20 40 60 80 100 Morningside Manhattan NYC Lowest: 0 100 200 300 400 500 600 700 800 PAGE 16 Heights and Financial 80 Hamilton Heights District PAGE 13 HIV Self-ReportedSources: Avoidable Hospitalizations Health among Children: New York State Department of Health, Statewide Planning and Research Cooperative System, 2014; Child Asthma Emergency 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: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS 0 PAGE 14 PAGE 17 Avoidable Hospitalizations HEP C 150

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 2500 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5

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

Binge Drinking (use graph below to mark points) 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 Morningside Heights and Hamilton Heights 83% Edit in Indesign. Graph applies to all CDs. and physical health. Eighty-three percent Manhattan 83% of Morningside Heights and Hamilton Heights residents rank their health as NYC 78% “excellent,” “very good” or “good,” higher Highest: Upper West Side 93% than the rest of NYC. The TCNY 2020 goal 0 20 40 60 80 100 for the city is at least 82%. Less healthy More healthy Source: NYC DOHMH, Community Health Survey, 2015-2016 0 PAGE 14 Physical activity, diet and smoking PAGE 17 Seventy-six percent of Morningside Heights Avoidableand Hamilton Hospitalizations Heights adults report getting HEP C 150 any physical activity in the past 30 days, similar to New Yorkers overall. The percentage of Federal guidelines Morningside Heights and Hamilton Heights adults who report eating at least one serving recommend of fruits or vegetables in 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 active are more drink consumption to less than 19% citywide. More than a quarter of Morningside likely to live longer, 0 300 600 900 1200 1500 Heights and Hamilton Heights adults drink at least one sugary drink a day. healthier lives.0 PAGE 18 The adult smoking rate in Morningside HeightsFalls and Hamilton Heights is similar to the rest of the borough and other parts of NYC. The City is committed to reducing the citywide adult smoking Psychiatricrate to 12% by hospitalizations 2020. Infant Mortality

PHYSICAL ACTIVITY, DIET AND SMOKING (percent of adults) Morningside Heights and Hamilton Heights Manhattan NYC Highest %

Any physical activity in the past 30 days 76% 81% 73% 90% Financial District, Greenwich Village- Soho

At least one serving of fruits or 0 500 1000 1500 2000 2500 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5 vegetables per day 88% 90% 87% 96% Financial District, Morningside Greenwich Village- Soho Heights and CD NYC HamiltonBinge Drinking Heights Manhattan (use graph to theNYC right to mark points)Lowest % Premature One or more 12-ounce sugary drinks 29% 17% 23% 8% Death per day Financial District, Greenwich Village- Soho Current smokers 17% 13% 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: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS 13 Binge Drinking (use graph below to mark points) 100 80 60 40 20 00 20 40 60 80 100 PAGE 1212 PAGEPAGE 15 15

Avoidable hospitalizationshospitalizations HPVHPV Flu Flu among childrenchildren Health Care 100100 100 100

8080 80 80 Access to health care 6060 60 60 Citywide, the percentage of uninsured New Yorkers decreased in the last five years from Health insurance 4040 40 40 20% to 12%. In Morningside Heights and Hamilton Heights, 11% of adults are uninsured can make it easier and 10% report going without needed medical care in the past 12 months, similar to the to get affordable2020 20 20 rest of NYC. The TCNY 2020 goal is to have less than 9% of New Yorkers going without primary care, which can help0 0 0 0 needed medical care. New Yorkers ACCESS TO HEALTH CARE (percent of adults) 0 100 200200 300300 400400 500500 600600 700700800800 manage chronicPAGEPAGE 16 16 Morningside conditions and 8080 PAGE 1313 HIVHIV Heights and stay healthy. Hamilton Heights Manhattan Self-ReportedNYC Health HealthLowest %

Adults without 11% 9% 12% 3%* EditEdit in Indesign. in Indesign. Graph Graph applies applies to all to CDs. all CDs. health insurance Stuyvesant Town and Turtle Bay

Adults without 10% 10% 10% 3%* needed medical care Bayside and 0 2020 Little4040 Neck 6060 80 80 100 100

*Interpret estimate with caution due to small sample size. 0 0 Source: NYC DOHMH, Community Health Survey, 2015-2016 PAGE 1414 PAGEPAGE 17 17 AVOIDABLE HOSPITALIZATIONS Avoidable hospitalizations Avoidable HospitalizationsHospitalizations HEPHEP C C 150150 “Avoidable hospitalizations” are those that could be AMONG ADULTS (per 100,000 adults) prevented if adults had access to quality primary care. 1,345 Morningside Heights The rate of avoidable hospitalizations among adults in and Hamilton Heights EditEdit in Indesign. in Indesign. Graph Graph applies applies to all to CDs. all CDs. Morningside Heights and Hamilton Heights is higher 1,072 Manhattan than the citywide rate. 1,033 NYC

426 Lowest: Greenwich Village and Soho

Source: New York State Department of Health, Statewide 0 300 600 900 1200 1500 0 Planning300 and Research600 Cooperative900 System,1200 20141500 0 0 FALL-RELATED HOSPITALIZATIONS AMONG PAGEPAGE 18 18 Fall-related hospitalizations Falls Morningside Heights and Hamilton Heights’ rate of OLDER ADULTS (per 100,000 adults ages 65 and older) PsychiatricPsychiatric hospitalizations hospitalizations InfantInfant Mortality Mortality fall-related hospitalizations among adults ages 65 Morningside Heights and older is lower than the citywide average. The 1,232 and Hamilton Heights TCNY 2020 goal is fewer than 1,410 hospitalizations 1,813 Manhattan per 100,000 older adults citywide. 1,604 NYC

667 Lowest: Queens Village

Source: New York State Department of Health, Statewide 0 500 1000 1500 2000 2500 0 Planning500 and Research1000 Cooperative1500 System,2000 2012-20142500 0 0100 100200 200300 300400 400500 500600 600700 700800 800 0 0 1 12 23 34 45 5

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. CD CDNYC NYC Binge DrinkingDrinking (use (use graph graph to to the the right right to to mark mark points) points) PrematurePremature DeathDeath 14 COMMUNITY HEALTH PROFILES 2018: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS

Binge DrinkingDrinking (use (use graph graph below below to to mark mark points) points) 100 100 80 80 60 60 40 40 20 20 00 0200 2040 4060 6080 10080 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. Sixty-six percent of teens ages 13 to 17 in Morningside Heights and Hamilton Heights receive all recommended doses of the HPV vaccine. Nearly half of Morningside Heights and Hamilton Heights 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) AvoidableAvoidable hospitalizations hospitalizations HPV HPVrecommended doses of the vaccine) Flu Flu among childrenamong children 100 100 100 100 85% More More 80 80 80 80 66% healthy healthy 63% 59% 62% 60 60 60 60 50% 45% 43% 40 40 40 40

20 20 20 20 Less Less 0 0 healthy 0 0 healthy Morningside Manhattan NYC Highest: Morningside Manhattan NYC Highest: 0 100 200 0300 100400 200500 300600 400700 500800 600 700 800 Heights and Hunts Point and Heights and Upper West Side PAGE 16HamiltonPAGE 16 Longwood Hamilton 80 80 PAGE 13PAGE 13 HIV HIVHeights Heights Self-ReportedSelf-Reported Health Health Sources: HPV Vaccination: NYC DOHMH, Citywide Immunization Registry, 2017; Flu Vaccination: NYC DOHMH, Community Health Survey, 2015-2016 Edit in Indesign.Edit in Indesign. Graph applies Graph toapplies all CDs. to all CDs.

0 0 20 20 40 40 60 60 80 80100 100

0 0 PAGE 14PAGE 14 PAGE 17PAGE 17 AvoidableAvoidable Hospitalizations Hospitalizations HEP C HEP150 C 150

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

COMMUNITY HEALTH PROFILES 2018: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS 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 25002000 2500 0 100 2000 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 the right to the to markright topoints) mark points) PrematurePremature Death Death

Binge DrinkingBinge Drinking (use graph (use below graph to below mark topoints) mark points) 100 80 100 60 80 40 60 20 40 00 20 20 00 40 20 60 40 80 60 10080 100 Health Outcomes

Obesity, diabetes and hypertension Morningside Heights and Hamilton Heights’ adult obesity rate is 21%, 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. Ten percent of Morningside Heights and Hamilton Heights adults have been diagnosed with diabetes and 29% 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) Morningside Heights and Hamilton Heights Manhattan NYC Lowest % Obesity can lead to diabetes, high Obesity 21% 15% 24% 4% Financial District, blood pressure Greenwich and other health Village- Soho conditions.

Diabetes 10% 8% 11% 3% Hypertension, Financial District, Greenwich also known as high Village- Soho blood pressure, is a leading risk factor Hypertension 29% 23% 28% 15% 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)

34.1 28.5 Manhattan 24.0 NYC

0 Morningside Heights and Hamilton Heights 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: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS PAGE 12 PAGE 15

Avoidable hospitalizations HPV Flu among children 100 100

80 80

60 60

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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.

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Avoidable hospitalizations HPV Flu among children Health Outcomes 100 100 80 80

60 60 0 300 600 900 1200 1500 0 New hepatitis C reports 40 40 Hepatitis C is a virus that damages the liver. New Yorkers born between 1945 and 1965 and people who have ever injected PAGE 18 drugs shouldFalls be tested because hepatitis C can be cured. 20 20 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 77.5 Edit in Indesign.Manhattan Graph applies to all CDs. 71.8 50.3 NYC

0 500 1000 1500 2000 2500 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5

0 20 40 60 80 100 0 Morningside Heights and Hamilton Heights CD NYC Source: NYC DOHMH, Communicable Disease Surveillance Registry, 2016 0 PAGE 14Binge Drinking (use graph to the right to mark points) Premature Binge drinking PAGE 17 Death BingeAvoidable drinking is linkedHospitalizations to high-risk behaviors and chronicHEP health C problems.150 The binge drinking rate in Morningside Heights and Hamilton Heights is similar to 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 9% 17% 21% 25% (percent of adults)

Lowest: Bensonhurst NYC Morningside Manhattan Heights and Hamilton Heights 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 Binge Drinking (use graph below to mark points) 100 80 60 40 20 00 20 40 60 80 100 Psychiatric hospitalizations PSYCHIATRIC HOSPITALIZATIONS PAGE 18 Falls (per 100,000 adults) The rate of adult psychiatric hospitalization in Psychiatric hospitalizations Infant Mortality Morningside Heights and Hamilton Heights is similar to Morningside Heights the citywide rate. 726 and Hamilton Heights

750 Manhattan High psychiatric hospitalization rates likely reflect the challenges residents in 676 NYC underresourced neighborhoods face, including difficulty accessing preventive services and 223 Lowest: Woodside and Sunnyside early care, greater exposure to stressors and interruptions0 500 1000in health1500 insurance2000 coverage.2500 0 Source:100 New200 York300 State400 Department500 600 of700 Health,800 Statewide Planning and Research 0 1 2 3 4 5 Cooperative System, 2015 CD NYC Take Care New York 2020 (TCNY 2020) is the City’s blueprint for giving everyone the chance to live a healthier life. For moreBinge information, Drinking visit nyc.gov/health (use graph and search to for the TCNY right. to mark points) Premature Death

COMMUNITY HEALTH PROFILES 2018: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS 17

Binge Drinking (use graph below to mark points) 100 80 60 40 20 00 20 40 60 80 100 PAGE 12 PAGE 15

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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 Avoidable Hospitalizations 20 HEP C 150 20 0 0

0 100 200 300 400 500 600 700 800 Edit in Indesign. Graph applies to all CDs. PAGE 16 80 PAGE 13 HIV Self-Reported Health EditHealth in Indesign. Outcomes Graph applies to all CDs. 0 300 600 900 1200 1500 0 PAGE 18 0 20 Falls 40 60 80 100 Infant mortality Psychiatric hospitalizations InfantINFANT Mortality MORTALITY (per 1,000 live births) NYC’s infant mortality rate has declined in recent years. 0 In Morningside Heights and Hamilton Heights the Morningside Heights PAGE 14 4.5 and Hamilton Heights PAGE 17 infant mortality rate is similar to the citywide rate. The TCNY 2020 goal is a citywide rate of less than 4.4 per 3.4 Manhattan Avoidable Hospitalizations HEP C 150 1,000 live births. 4.4 NYC

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

*Interpret estimate with caution due to small number of events. 0 500 1000 1500 2000 2500 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5 Source: NYC DOHMH, Bureau of Vital Statistics, 2013-2015

Premature death CD NYC Binge Drinking (use graph to the right to markCancer points) and heart disease are the leadingPremature causes of premature death (death before the age of 65) in Morningside Death 0 300 600 900 1200 1500 0 Heights and Hamilton Heights, similar to the rest of NYC. Morningside Heights and Hamilton Heights residents die prematurely at a similar rate to residents citywide. Lung cancer, colorectal cancer and pancreatic cancer are the three PAGE 18 Falls leading causes of cancer-related premature death in Morningside Heights and Hamilton Heights. Psychiatric hospitalizations 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.

Binge Drinking (use graph below to mark points)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 2500 0 100 200 300 400 500 600 700 800 Morningside0 Heights1 2 and3 4 5 Rank Hamilton Heights NYC Rank Overall rate 167.4CD 169.5NYC 45.1 46.2 Binge Drinking (use graph to the right to mark points) Cancer Premature 1 (212) 1 Death 31.7 32.9 Heart disease 2 (149) 2 9.1 9.4 Drug-related 3 (45) 3 9.2 5.9 HIV 4 (44) 6 7.2 6.0 Diabetes mellitus 5 (34) 5

Binge Drinking (use graph below to mark points) Note: NYC rate includes premature deaths among100 NYC residents80 only60 and will differ40 from 20 other published00 sources.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: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS 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: MORNINGSIDE HEIGHTS AND HAMILTON HEIGHTS 19 Life Expectancy by Community District

Morningside Heights and Hamilton Heights' average life expectancy is 0.2 years longer than NYC overall. 81.4 75.1-79.6 years 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 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, Manhattan Community District 9:Morningside Heights and Hamilton Heights; 2018; 9(59):1-20.