Financial District 1 Including Battery Park City, Civic Center, Financial District, South Street Seaport and Tribeca

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MANHATTAN COMMUNITY DISTRICT Financial District 1 Including Battery Park City, Civic Center, Financial District, South Street Seaport and Tribeca

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: FINANCIAL DISTRICT 1 CANAL ST Who We Are

BAXTER ST

PEARL ST

New York City HUDSON RIVER New York City NYC population by race PAGE 2 EAST RIVER PAGE 6 PAGE 2 NYC population by race Population by race Black New York City FinancialBlack District Elementary School Abseentee On time high school graduation 100.0 New York City PAGE 2 100.0 PAGE 2 Latino PAGE 6 87.5 87.5 Latino 75.0 75.0 POPULATION Black 64% Black 90 100 62.5 NYC population by race 62.5 Population by race Other BY RACE AND100.050.0 50.0 Other Elementary School Abseentee On time high school graduation ETHNICITY^ 37.587.5 29% 32% 100.037.5 PAGE 2 22% PAGELatino 2 LatinoAsian PAGE 6 25.075.0 15% 87.525.0 21%Asian 75 75.0 8% 12.562.5 2% 12.5 Black 3% 64%1% 3% Black White 90 100 62.5 PopulationOther by race Other 60 50.00.0 100.0 0.0 White Elementary School Abseentee On time high school graduation 37.5 87.5 Asian Black Latino29% White32% Other 50.0 Latino100.0 Asian Black Latino White Other Latino New York75.0 City22% 37.5 87.5 25.0 Asian Asian 15% 75.0 50 62.5 25.0 21% 64% 90 100 12.5 Other62.5 Other 75 50.0 2% Population by age8% 0.0 37.5 29% 32% 12.5 50.0 White 3% 1% 3% White NYC25.0 population22% by age 0.0 Asian37.5 Asian 60 NYC populationTOTAL by race Asian15%Black Latino White Other 21% 50% 30 12.5 2% 25.0 Asian Black Latino White Other 75 POPULATION 0.0 12.5 8% 8,537,673 45.0 White 63,3833% 1% 3% White 60 25 PAGE 2 45.0 Asian Black Latino PAGEWhite 2Other 0.0 PAGE 6 50 PopulationAsian Blackby ageLatino White Other NYC population by age 50 Black32% Population by race Population byBlack age 100.0 NYC population by age 50% Elementary School Abseentee On30 time high school graduation POPULATION 100.0 25% 22.5 18% 0 0 87.5 21% Latino Latino50% 30 75.0 22.545.0 87.5 45.0 14% 25 BY AGE 45.0 45.0 11% 25 62.5 75.0 14% 64% 90 100 Other Other 7% 50.0 9% 62.532%32% 37.5 29% 32% 50.0 25.0 22% Asian37.5 25%25% 0.0 Asian Highest Level of Education Achieved 15% 22.5 21%21% 21% 22.5 0 0 12.5 22.50.0 25.0 22.5 0-17 18-24 25-44 18%45-6418% 65+ 75 0 0 2% 14% 8% 14% 0.0 0-17 18-249% White25-4412.5 45-64 14%65+3% 1% 3% 14% 11%White Asian Black Latino White Other 0.0 11% 7%60 9% Asian Black Latino White Other 7% 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+ 50 NYC population by age 0.0 Population by age 0.0 Born outside US English pro ciency Highest Level of Education Achieved Born0-17 outside18-24 US25-44 45-64 65+ English pro ciency0-17 18-24 25-44 45-64 65+ 50% 30 45.0 Born outside US45.0 English pro ciencyBorn outside US English pro ciency 25 32% BORN OUTSIDE25% Born outside US EnglishBorn pro ciency outside US English pro ciency 22.5 21%THE US 22.5 18% 0 0 14% 14% 11% 9% 37% 7% 24% 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+

0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 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 HAVE LIMITED 2000 ENGLISH PAGE 8 Non-fatal Assault Hospitalizations Incarceration2000 PAGE 8 PROFICIENCY 23% 6%Non-fatal Assault Hospitalizations 1500 0 20 40 60 80 Incarceration100 0 20 40 60 80 100 0 20 40 60 80 100 1500 Edit in Indesign. Graph applies to all CDs. 1000 2000

PAGE 8 Non-fatal Assault0 20 40 Hospitalizations60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 Incarceration Edit in Indesign. Graph applies to all CDs. ^White, Black, Asian and Other exclude Latino ethnicity. Latino is Hispanic or Latino of any race. 500 1000 Note: Percentages may not sum to 100% due to rounding. 2000 1500 Sources: Population, Race and Ethnicity and Age: U.S. CensusPAGE Bureau 8 PopulationNon-fatal Estimates, Assault 2016; Born Hospitalizations Outside0 the U.S. and 40 English Proficiency:80 U.S. Census120 Incarceration Bureau,160 American 200 0 Community Survey, 2012-2016 1500 500 Edit in Indesign. Graph applies to all CDs. 1000 Edit in Indesign. Graph applies to all CDs. 0 40 801000 120 160 200 2 COMMUNITY HEALTH PROFILES 2018: FINANCIAL DISTRICT 0 500 500 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: FINANCIAL DISTRICT 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 1, which includesBattery Park City, Civic Center, Financial District, South Street Seaport and Tribeca. 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 FINANCIAL DISTRICT MANHATTAN NEW YORK CITY COMMUNITY DISTRICT

4 COMMUNITY HEALTH PROFILES 2018: FINANCIAL DISTRICT 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: FINANCIAL DISTRICT 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. The Financial District’s elementary school absenteeism rate is lower than the rate for NYC overall. Almost all high school students in the Financial District graduate in four PAGE 2 PAGE 2 PAGE 6 years,PAGE higher 6 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 Abseentee school students in grades K through 5 missingOn time 19 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 64% 64% 90 90 100 100 96% 62.5 62.5 Other Other 50.0 50.0 37.5 37.5 21% Asian Asian 73% 75% 25.0 25.021% 75 75 12.5 8% 8% 12.5 3% 3%1% 3% 1% 3% White White 60 0.0 0.0 60 Asian BlackAsianLatinoBlackWhiteLatinoOtherWhite Other 50 50 PopulationPopulation by age by age PAGEPAGEPAGE 2 2 2 PAGEPAGEPAGE 6 6 6 50% 50% 30 30 BlackBlackBlack PopulationPopulationPopulation by by by race race race 20% 45.0 45.0 18% ElementaryElementaryElementary25 School School School25 Abseentee Abseentee Abseentee OnOnOn time time time high high high school school school graduation graduation graduation 100.0100.0100.0 LatinoLatinoLatino 87.587.587.5 6% 5% 75.075.075.0 64%64%64% 909090 100100100 OtherOtherOther 22.5 22.5 18% 18%62.562.562.5 0 0 0 0 14% 14% 11% 50.050.050.0 Financial Manhattan NYC Lowest: Financial District Manhattan NYC 11% 37.537.537.5 7% 7% District AsianAsianAsian Bayside and Little Neck Highest 25.025.025.0 21%21%21% 757575 8%8%8% 0.0 0.0 12.512.512.5 3%3%3% 1%1%1% Highest3%3%3% LevelHighest of EducationLevelWhite ofWhiteWhite Education Achieved Achieved606060 0-17 18-24 0-1725-44 18-2445-6425-4465+ 45-64 0.00.00.065+ Source: NYC Department of Education, 2016-2017 Note: NYC and borough On-time High School Graduation data may differ from rates AsianAsianAsian BlackBlackBlack LatinoLatinoLatinoWhiteWhiteWhite OtherOtherOther presented in other published sources. See technical notes in the public use dataset for more details. 505050 PopulationPopulationPopulation by by by age age age Born outsideBorn US outside US English pro ciencyEnglish pro ciency Source: NYC Department of Education, 2017 50%50%50% 303030 45.045.045.0 252525

22.522.522.5 18%18%18% HIGHEST LEVEL OF EDUCATION000 ACHIEVED (percent of adults ages 25 and older) 000 14%14%14% 11%11%11% 7%7%7% High school Less than 0.00.00.0 HighestHighestHighest Level Level Level graduateof of of Education Education Education or Achieved Achieved Achieved Four out of five adults high school some college College graduate 0-170-170-17 18-2418-2418-24 25-4425-4425-44 45-6445-6445-64 65+65+65+ in the Financial 0 20 40 60 80 0 10020 40 0 60 20 80 40 10060 80 0 10020 40 0 6020 8040 10060 80 0 10020 40 60 80 100 Highest Financial District 4% 12% 84% District have a BornBornBorn outside outside outside US US US 2000 2000EnglishEnglishEnglish pro ciency pro ciency pro ciency college degree. Four PAGE 8 PAGENon-fatal 8 Non-fatal Assault Hospitalizations Assault Hospitalizations IncarcerationIncarceration percent of adults Manhattan 13% 23% 64% have not completed 1500 1500 high school, a rate lower than the Edit in Indesign.EditNYC in Indesign. Graph19% applies Graph to applies38% all CDs. to all 43%CDs. 1000 1000 citywide rate.

500 500Source: U.S. Census Bureau, American Community Survey, 2012-2016 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

0 0 40 4080 80120 120160 160200 200 0 0 200020002000 PAGEPAGEPAGE 8 8 8 Non-fatalNon-fatalNon-fatal Assault Assault Assault Hospitalizations Hospitalizations Hospitalizations IncarcerationIncarcerationIncarceration 6 150015001500 COMMUNITY HEALTH PROFILES 2018: FINANCIAL DISTRICT

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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 the Financial District, 9% 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. The Financial District’s unemployment rate is lower than 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. Thirty-eight percent of Financial District residents are rent burdened, a lower rate than residents citywide.

ECONOMIC STRESS Financial District Manhattan NYC Lowest % Many of the factors that affect Poverty 9% 14% 20% 7% health happen (percent of residents) Upper East Side outside of a doctor’s office. Unemployment 4% 7% 9% 4% (percent of people ages 16 and older) This includes Upper East Side access to quality education, jobs Rent Burden 38% 45% 51% 37% (percent of renter-occupied homes) and safe spaces Park Slope and Carroll Gardens to live. Residents in high-poverty Note: Unemployment data may differ from rates presented in other published sources. See technical notes in the public use dataset neighborhoods for more details. often lack these Sources: Poverty: American Community Survey as augmented by NYC Opportunity, 2012-2016 (community district and NYC), 2016 (borough); Unemployment and Rent Burden: U.S. Census Bureau, American Community Survey, 2012-2016 resources.

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, of the 24 neighborhoods that were considered low- income in 1990, 17 were considered to be gentrifying. The Financial District is one of 35 neighborhoods within the highest 60% of average household income in 1990 and was excluded from the measure.

Source: NYU Furman Center, 2015

COMMUNITY HEALTH PROFILES 2018: FINANCIAL DISTRICT 7 PAGE 2 PAGE 6

Black Population by race Elementary School Abseentee On time high school graduation 100.0 Latino 87.5 75.0 64% 90 100 62.5 Other 50.0 37.5 Asian 25.0 21% 75 8% 12.5 3% 1% 3% White 0.0 60 Asian Black Latino White Other 50 Population by age 50% 30 45.0 25

22.5 18% 0 0 14% 11% 7%

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, the Financial District has a lower2000 rate of assault-related hospitalizations. PAGE 8 Non-fatal Assault Hospitalizations Incarceration NON-FATAL ASSAULT HOSPITALIZATIONS (per 100,000 people) 1500 Hospitalizations 24 Financial District related to injuries fromEdit assaults in Indesign. Graph applies to all CDs. 49 Manhattan 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

425 NYC 152 Financial District 407 71 Manhattan 0 Lowest: Upper East Side 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 of Financial District 70% community connection. In the Financial District, 70% of Manhattan 70% residents think that their neighbors are willing to help one another. This is similar to the rest of the city. NYC 72% Highest: Tottenville and Great Kills 86% Preterm births

Less healthy20 40 60 80More healthy100

Source: NYC DOHMH, Community Health Survey, 2015-2016 0 20 40 60 80 100 PAGE 9 8 COMMUNITYHomes with HEALTH air PROFILES conditioners 2018: FINANCIAL DISTRICT 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 0 300

Cockroaches 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. Almost all households in by community district. In the Financial District, levels Preterm births PAGE20 the8 Financial40 60District80 have working100 air conditioners. PAGE of10 the most harmful air pollutant, fine particulatePAGE matter 11 20 40 60 80 100 0 20(PM2.5),40 are 9.660 micrograms80 per100 cubic meter. Percent of adults who agree that their Bike Lanes Late or no prenatal care PAGE 9 AIR CONDITIONING 0 20 40 60 80 100 neighbors are willing to help one another PAGEAIR POLLUTION 9 Homes (percent with airof households) conditioners Pedestrian(micrograms Injury of fine particulate matter per cubic meter) 99% Homes with air conditioners Pedestrian Injury 100 96% 93% 89% Teen births 100 9.6 80 More Teen births healthy Financial80 District 9.0 60 60 Manhattan 40 Preterm births 40 7.5 20 20 40 60 80 100 Less NYC 20 0 healthy 6.0 0 20 40 60 80 100 Financial Manhattan NYC Highest: 0 Lowest: PAGE 9District Tottenville and Rockaway and Broad Channel 0 20 40 60 80 100 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 with 50 60 poor health outcomes, including worsened asthmaPAGE and other 1260 respiratory illnesses. In the Financial DistrictPAGE, only 12 40 50 PAGE 12 PAGE 12 56% of renter-occupied homes are adequately maintained by landlords – free from heating breakdowns, cracks, holes, 30 40 Child Asthma40 emergency Childhood Obesity 20 peeling paint and other defects. Eleven percent of Financialdepartment District30 householdsvisits report seeing cockroaches, which is a Child Asthma emergency Childhood Obesity 20 10 potential asthma trigger. 20 department visits 0 0 10 300 HOMES WITHOUT MAINTENANCE 0HOMES REPORTING COCKROACHES (percent of households) 300 CockroachesDEFECTS (percent of renter-occupied homes) 2500 20 40 60 80 100 Homes without maintenance defects 250 200 Cockroaches More 80 75% 0 20200 40 60 80 100 healthy 150 70 11% Financial District 150 60 56% 48% 100 50 44% PAGE 12 20% Manhattan PAGE 12 100 40 50 30 Child Asthma emergency Childhood Obesity50 23% NYC 20 department0 visits 0 20 40 60 80 100Less 10 0 healthy 0 20 40 Lowest: Tottenville60 and80 Great Kills100 0 0% Financial Manhattan NYC Highest: 300 District Tottenville and Cockroaches Great Kills 250 Source: NYC Housing and Vacancy Survey, 2014 Note: Maintenance defects include water leaks, cracks and holes, inadequate 200 heating, presence of mice or rats, toilet breakdowns or peeling paint. Source: NYC Housing and Vacancy Survey, 2014 150

100 COMMUNITY HEALTH PROFILES 2018: FINANCIAL DISTRICT 9 50

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 Housing and Neighborhood Conditions

Preterm births Bicycle network coverage Pedestrian injury Thirty-six20 percent40 of roads60 in the80 Financial100 District Financial District residents have a lower pedestrian injury have bike lanes, which is higher than NYC overall. hospitalization rate than NYC overall. PAGE 8 PAGE 10 PAGE0 11 20 40 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

80 36% Financial District 10 Financial District 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 20 40 60 80 100

0Less healthy20 40 60 80 More healthy100 0More healthy20 40 60 Less80 healthy100 PAGE 9 Homes without maintenance defects Source: New York State Department of Health, Statewide Homes with air conditioners 80Pedestrian Injury Planning and Research Cooperative System, 2012-2014 0 20 40 60 80 100 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 0 20 300 0 FoodCockroaches environment 250 Bodegas are less likely to have healthy food options than 200 0 20 40 60 80 100 SUPERMARKET TO BODEGA RATIO Homes without maintenance defects supermarkets. The lowest ratio among NYC community For every one supermarket in the Financial District, 150 districts is one supermarket for every three bodegas 0 there20 are six bodegas.40 60 80 100 80 100 70 (healthier); the highest is one supermarket for every 57 6 60 bodegas (less healthy). The Financial District is home to six 50 50 PAGEof NYC’s 12 farmers markets, another source of healthy food.PAGE 12 40 0 0 20 40 60 80 100 1 30 Child Asthma emergency Childhood Obesity department visits 20 It is easier to make healthy choices when 10 0 healthy, affordable food is readily available. 300 Supermarket Bodegas

250 Cockroaches 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: FINANCIAL DISTRICT Maternal and Child Health

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

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% Percent of adults who agree that their Bike Lanes Late or no prenatal care neighbors are willing to help one another Financial District Manhattan NYC PAGE 8 PAGELowest 10 PAGE 11

Source: NYC DOHMH, Bureau of Vital Statistics, 2015 Percent of adults who agree that their PretermBike births Lanes Late or no prenatal care neighbors are willing to help one another 20 40 60 80 100 0 20 40 60 80 100 PRETERMPreterm births BIRTHS PAGE 9 (percent of live births) 8.7% Homes20 with40 air conditioners60 80 100 Pedestrian Injury Preterm birth is 0 20 40 60 80 100 a key driver of 100 5.4% 7.7% 8.3% PAGE 9 Teen births Preterm births infant death. Homes80 with air conditioners Pedestrian Injury Lowest: Financial District NYC 20 40 60 80 100 Greenpoint and Williamsburg Manhattan 60 100 Source:Teen NYC0 births DOHMH,20 Bureau of40 Vital Statistics,60 2015 80 100 40 80 PAGE 9 20 Homes with air conditioners Pedestrian Injury 60 0 40 100 Teen pregnancy TEENTeen births BIRTHS Teen pregnancy has declined across NYC; (per 1,000 females ages 15 to 19) 20 0 80 20 40 60 80 100 Homes without maintenance defects the Financial District’s teen birth rate is 60 2.2* Financial District 0 2.2* per 1,000 teen girls. 80 0 20 40 60 80 100 40 Manhattan 70 0 20 40 60 80 100 12.0 60Homes without maintenance defects 20 50 PAGE 12 PAGE 12 NYC 0 19.3 4080 0 20 40 60 80 100 70 Child Asthma emergency Childhood Obesity 30 1.0* Lowest: Greenwich Village and Soho 2060 department visits 0 20 40 60 80 100 1050 HomesPAGE 12 without maintenance defects PAGE 12 400 300 0*Interpret estimate20 with caution due40 to small number60 of events. 80 100 30 80Child Asthma emergency Childhood Obesity 70 Source: NYC DOHMH, Bureau of Vital Statistics, 2013-2015 20 department250 visits 10Cockroaches 60 0 50200 PAGE 12 PAGE 12 40300 30150 Child Asthma emergency Childhood Obesity 250 Cockroaches 20 department visits 100 COMMUNITY HEALTH PROFILES 2018: FINANCIAL DISTRICT 11 10200 0 50 300 150 0 250 0 20 40 60 80 100 Cockroaches100 200 50 150 0 0 20 40 60 80 100 100

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

20 40 60 80 100

0 20 40 60 80 100 PAGE 8 PAGE 9 PAGE 10 PAGE 11 Homes with air conditioners Pedestrian Injury Percent of adults who agree that their Bike Lanes Late or no prenatal care neighbors are willing100 to help one another Teen births 80

0 Preterm births

20 40 60 80 100 0 20 40 60 80 100 Homes without maintenance defects Maternal and Child Health 0 20 40 60 80 100 PAGE 9 80 0 20 40 60 80 100 70 Homes with air60 conditioners Pedestrian Injury 50 ChildhoodPAGE obesity 12 CHILDHOODPAGE 12 OBESITY (percent of public school children in grades K through 8) 100 40 One out of 20 Financial District children in Teen births Child Asthma emergency Childhood Obesity 80 30 grades K through 8 has obesity. This is lower 5% 16% 20% 20 department visits 60 10 than the citywide rate of one in five. 0 40 300 20 Cockroaches 250 200 0 Financial District Manhattan NYC 150 Lowest 0 20Source: NYC Department40 of Education, 2016-201760 80 100 Homes without maintenance defects 100

50 80 0 20 40 60 80 100 70 0 60 0 20 40 60 80 100 50 PAGE 12 PAGE 12 40 CHILD ASTHMA EMERGENCY 30 Children’s emergency departmentChild visits Asthma emergency Childhood Obesity 20 Many childhood asthma emergency departmentdepartment visits DEPARTMENT visits VISITS (per 10,000 children ages 5 to 17) 10 could be prevented by reducing the presence of pests, 0 mold, secondhand smoke and other asthma300 triggers, 264 and by taking daily medication. The asthma emergency 250 Cockroaches department visit rate among children ages 5 to 17 in the 223 Financial District is less than a quarter of the200 citywide

rate. The TCNY 2020 goal is to have fewer than150 210 asthma emergency department visits per 10,000 children 100 across the entire city. 50 28

0 0 20 40 60 80 100 Financial District Manhattan NYC Lowest

Source: New York State Department of Health, Statewide Planning and Research Cooperative System, 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.

12 COMMUNITY HEALTH PROFILES 2018: FINANCIAL DISTRICT 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 Financial District 91% Edit in Indesign. Graph applies to all CDs. and physical health. Ninety-one percent Manhattan 83% of Financial District residents rank their health as “excellent,” “very good” or “good,” NYC 78% higher than the rest of NYC. The TCNY Highest: Upper West Side 93% 2020 goal for the city is at least 82%. 0 20 40 60 80 100 Less healthy More healthy Source: NYC DOHMH, Community Health Survey, 2015-2016 0 PAGE 14 Physical activity, diet and smoking PAGE 17 150 Ninety percent of Financial District adults reportAvoidable getting Hospitalizations any physical activity in the past FederalHEP C guidelines 30 days, higher than New Yorkers overall. The percentage of Financial District adults who recommend report eating at least one serving of fruits or vegetables in the past day is higher than the that adults get Edit in Indesign. Graph applies to all CDs. citywide average of 87%. 150 minutes of moderate exercise Sugary drink consumption can increase the risk of type 2 diabetes, heart disease, cavities, each week. People weight gain and obesity. Industry marketing can affect behavior and sugary drinks are heavily who are physically marketed to youth and communities of color. While sugary drink consumption has decreased active are more to 23% in NYC, the TCNY 2020 goal is to reduce sugary drink consumption to less than 19% likely to live longer, citywide. Eight percent of Financial District adults drink at least one sugary drink a day. healthier lives. 0 200 400 600 800 1000 1200 0 The adult smoking rate in the Financial District is similar to the rest of the borough and PAGE 18 other parts of NYC. The City is committed toFalls reducing the citywide adult smoking rate to Psychiatric hospitalizations Infant Mortality 12% by 2020.

PHYSICAL ACTIVITY, DIET AND SMOKING (percent of adults)

Financial District Manhattan NYC Highest %

Any physical activity in the past 30 days 90% 81% 73% Financial District, Greenwich Village- Soho At least one serving of fruits or 96% 90% 87% vegetables per day 0 500 1000 1500 2000 2500 0 100 200 300 400 500 600 700 800 Financial District, 0 1 2 3 4 5 Greenwich Village- Soho

Financial District Manhattan NYC Lowest % CD NYC Binge Drinking (use graph to the right to mark points) Premature One or more 12-ounce sugary drinks 8% 17% 23% per day Financial District, Death Greenwich Village- Soho Current smokers 16% 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: FINANCIAL DISTRICT 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 the Financial District, 4%* of adults are uninsured, lower than the rest of can make it easier20 20 20 20 NYC, and 7%* report going without needed medical care in the past 12 months, similar to get affordable primary care, 0 0 to the rest of NYC. The TCNY 2020 goal is to have less than 9% of New Yorkers going 0 0 which can help without needed medical care. 0 100 200 300 400 500 600 700 800 New Yorkers PAGE 16 0 100 200 300 400 500 600 700 800 80 ACCESS TO HEALTH CARE (percent of adults) PAGE 13 manage chronicHIVPAGE 16 PAGE 13 80 Financial District Manhattan Self-ReportedNYC HealthLowest % conditions and HIV Self-Reported Health stay healthy. Adults without 4%* 9% 12% 3%* Edit in Indesign. Graph applies to all CDs. health insurance Stuyvesant Town Edit in Indesign. Graph applies to all CDs. and Turtle Bay

Adults without 7%* 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. Source: NYC DOHMH, Community Health Survey, 2015-2016 0 PAGE 14 0 PAGE 14 PAGE 17 AVOIDABLE HOSPITALIZATIONS Avoidable hospitalizations Avoidable Hospitalizations HEPPAGE C 17150 “Avoidable hospitalizations” are those that could be AvoidableAMONG ADULTS Hospitalizations (per 100,000 adults) HEP C 150 prevented if adults had access to quality primary care. The rate of avoidable hospitalizations among adults in the 698 Financial District Edit in Indesign. Graph applies to all CDs. Edit in Indesign. Graph applies to all CDs. Financial District is lower than the citywide rate. 1,072 Manhattan

1,033 NYC Lowest: Greenwich 426 Village and Soho Source: New York State Department of Health, Statewide 0 200 400 600 800 1000 1200 Planning and Research Cooperative System, 2014 0 0 200 400 600 800 1000 1200 0 PAGE 18 FallsFALL-RELATED HOSPITALIZATIONS AMONG PAGE 18 Fall-related hospitalizations Falls Psychiatric hospitalizations Infant Mortality The Financial District’s rate of fall-related hospitalizations OLDER ADULTS (per 100,000 adults ages 65 and older) Psychiatric hospitalizations Infant Mortality among adults ages 65 and older is higher than the citywide average. The TCNY 2020 goal is fewer than 1,410 2,020 Financial District hospitalizations per 100,000 older adults citywide. 1,813 Manhattan

1,604 NYC

667 Lowest: Queens Village 0 500 1000 1500 2000 2500 Source: New York State Department of Health, Statewide 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5 0 Planning500 and Research1000 Cooperative1500 System,2000 2012-20142500 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 CD NYC For more information, visit nyc.gov/health and search for TCNY. Binge Drinking (use graph to the right to mark points) Premature Binge Drinking (use graph to the right to mark points) DeathPremature Death 14 COMMUNITY HEALTH PROFILES 2018: FINANCIAL DISTRICT

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. Sixty-one percent of teens ages 13 to 17 in the Financial District receive all recommended doses of the HPV vaccine. Nearly half of Financial District adults report getting a flu vaccine in the past 12 months, similar to the rest of NYC.

PAGE 12PAGE 12 PAGE 15PAGEHPV 15 VACCINATION FLU VACCINATION (percent of teens ages 13 to 17 who received all (percent of adults) recommended doses of the vaccine) AvoidableAvoidable hospitalizations hospitalizations HPV HPV Flu Flu among childrenamong children 100 100 100 100 85% More More 80 80 healthy 80 80 healthy 61% 63% 59% 62% 60 60 60 60 50% 47% 43% 40 40 40 40

20 20 20 20 Less Less 0 0 healthy 0 0 healthy Financial Manhattan NYC Highest: Financial Manhattan NYC Highest: 0 100 200 0300 100400 200500 300600 400700 500800 600 700 800 District Hunts Point and District Upper West Side 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 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: FINANCIAL DISTRICT 15

0 200 0 400200600400800600100080012001000 1200 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

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 The Financial District’s adult obesity rate is 4%, which is lower than 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. Three percent of Financial District adults have been diagnosed with diabetes and 15% of adults have been told they have hypertension. Rates for both are lower than the rest of NYC.

OBESITY, DIABETES AND HYPERTENSION (percent of adults) Financial District Manhattan NYC Lowest % Obesity can lead to diabetes, high Obesity 4% 15% 24% Financial District, blood pressure Greenwich and other health Village- Soho conditions.

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

22.1 28.5 Manhattan 24.0 NYC

0 Financial District 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: FINANCIAL DISTRICT 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 Avoidable Hospitalizations HEP C 150

PAGE 12 PAGE 15 Edit in Indesign. Graph applies to all CDs.

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

60 60 0 200 400 600 800 1000 1200 New hepatitis C reports 40 0 40 Hepatitis C is a virus that damages the liver. New Yorkers born between 1945 and 1965 and people who have ever injected 20 20 PAGE 18 drugs shouldFalls be tested because hepatitis C can be cured. 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 104.1 77.5 Edit in Indesign.Manhattan Graph applies to all CDs. 71.8 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 Financial District Source: NYC DOHMH, Communicable Disease Surveillance Registry, 2016 0 CD NYC PAGE 14 Binge Drinking (use graph to thePAGE right 17 to mark points) Premature BingeAvoidable drinking Hospitalizations HEP C 150 Death Binge drinking is linked to high-risk behaviors and chronic health problems. The binge drinking rate in the Financial District is higher than the rest of NYC. The TCNY 2020 goal is to reduce binge drinking to less than 17% citywide. Edit in Indesign. Graph applies to all CDs. BINGE DRINKING 9% 17% 25% 30% (percent of adults)

Lowest: Bensonhurst NYC Manhattan Financial District

Note: Binge drinking is defined as five or more drinks for men and four or more drinks for women on one occasion during the past 30 days. Source: NYC DOHMH, Community Health Survey, 2015-2016 0 200 400 600 800 1000 1200 0 Psychiatric hospitalizations PSYCHIATRIC HOSPITALIZATIONS 100 80 60 40 20 00 20 40 60 80 100 PAGE 18 The rateFalls of adult psychiatric hospitalization in the (per 100,000 adults) Financial District is less than half the citywide rate. Psychiatric hospitalizations Infant Mortality 318 Financial District High psychiatric hospitalization rates likely reflect the challenges residents in 750 Manhattan 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 2500 0 100 200 300 400 500 600 700 800 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: FINANCIAL DISTRICT 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 PAGE 12 Self-Reported Health PAGE 15

Avoidable hospitalizations HPV EditFlu in Indesign. Graph applies to all CDs. among children 100 100

80 80

0 20 40 60 60 80 100 60

40 0 40 PAGE 14 20 PAGE 17 20 Avoidable Hospitalizations HEP C 150 0 0

0 100 200 300 400 500 600 700 800 PAGE 16 Edit in Indesign. Graph applies to all CDs. 80 PAGE 13 HIV Self-Reported Health Edit in Indesign. Graph applies to all CDs. Health Outcomes 0 200 400 600 800 1000 1200 0

0 20 40 60 80 100 PAGE 18 Falls Infant mortality Psychiatric hospitalizations InfantINFANT Mortality MORTALITY (per 1,000 live births) 0 NYC’s infant mortality rate has declined in recent years. PAGE 14 In the Financial District the infant mortality rate is lower 3.2* Financial District PAGE 17 than the citywide rate. The TCNY 2020 goal is a citywide 150 Avoidable Hospitalizations HEP C rate of less than 4.4 per 1,000 live births. 3.4 Manhattan

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 the Financial District, 0 200 400 600 800 1000 1200 0 similar to the rest of NYC. However, FinancialDeath District residents die prematurely at a lower rate. Lung cancer, breast cancer (among women) and brain cancer are the three leading causes of cancer-related premature death in the PAGE 18 Falls Financial District. 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.

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 0 1 2 3 4 5 Rank Financial District NYC Rank Overall rate 86.1CD 169.5NYC 31.2 46.2 Binge Drinking (use graph to the right to mark points) Cancer Premature 1 (74) 1 Death 9.1 32.9 Heart disease 2 (21) 2 5.3 5.1 Suicide 3 (19) 7 5.1 9.4 Drug-related 4 (16) 3 3.9* 6.4 Accidents 5 (9) 4 (excluding drug poisoning)

*Interpret estimate with caution due to small number100 of events.80 60 40 20 00 20 40 60 80 100 Note: Top causes of premature cancer deaths are based on a small number of events and may fluctuate from year to year. NYC rate includes premature deaths among NYC residents only and will differ from other published sources. 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: FINANCIAL DISTRICT 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: FINANCIAL DISTRICT 19 Life Expectancy by Community District

The Financial District’s average life expectancy is 4.6 years longer than NYC overall. 85.8 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 1: Financial District; 2018; 1(59):1-20.