Coney Island 13 Including Brighton Beach, Coney Island, Gravesend, Homecrest, Sea Gate and West Brighton

Home , Brighton Beach, Coney Island, Park Slope

BROOKLYN COMMUNITY DISTRICT Coney Island 13 Including Brighton Beach, Coney Island, Gravesend, Homecrest, Sea Gate and West Brighton

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: CONEY ISLAND 1 86 ST CONEY ISLAND AV Who We Are 26 AV AV Y

CORBIN PLACE New York City

New York CityCONEY ISLAND BEACH AND BOARDWALK NYC population by race PAGE 2 PAGE 6 PAGENYC population 2 by race New York City Black PAGENew 2 York City PAGEPopulationConey Black2 by Island race PAGEElementary 6 School Abseentee On time high school graduation 100.0 100.0 Latino POPULATION87.5 87.5 LatinoBlack Black 75.0 NYC population by race 75.0 90 100 BY RACE AND Population by race Other Elementary School Abseentee On time high school graduation 100.062.5 62.5 56% ETHNICITY^ 50.087.5 PAGE 2 100.050.0 PAGEOtherLatino 2 LatinoPAGE 6 37.575.0 29% 32% 87.537.5 Asian 62.5 22% 75.0 Black Black 90 100 25.0 15% 25.0 PopulationAsian by 16%race Other Elementary School Abseentee On time high school graduation75 50.0 100.0 62.5 14%Other12% 56% 12.5 87.5 12.5 White 32% 2% 50.0 Latino100.0 1% Latino 60 New York37.50.0 75.0 City 29% 0.0 22% 87.5 White 25.0 62.5 37.5 75.0 Asian Asian 90 100 Asian15% Black Latino White Other Other Asian Black Latino White Other Other 12.5 50.0 25.0 62.5 16% 56% 75 37.5 29% 32% 2% 50.0 14% 12% 50 0.0 22% 12.5 White 25.0 15% Asian37.5 White 1% Asian 60 NYC population by race Asian Black Latino White Other 0.0 Population by age 12.5 2% 25.0 14% 16% 75 NYC0.0 population by age 12% TOTAL White12.5 Asian Black Latino White 1%Other White 60 30 PAGE 2 Asian Black Latino PAGEWhite 2Other 0.0 PAGE 6 Asian Black Latino White Other 5025 POPULATION 8,537,673 45.0 106,459 NYC populationBlack by age Population byBlack age 50 45.0 Population by race Elementary School Abseentee On time high school graduation 100.0 NYC population by age Population by age 30 87.5 Latino100.032% Latino 27% 30 75.0 87.5 25% 25 POPULATION45.0 45.0 45.0 22% 0 25 0 62.5 75.0 25% 22.5 45.0 19% 90 100 21% Other Other 50.0 BY AGE 22.5 62.532% 56% 37.5 29% 32% 50.032% 22% 25% 14% 8% 27% 25.0 15% 21%9% Asian37.5 25% Asian25%25% 27%22% 0 0 12.5 22.5 25.0 22.5 19% 22.5 2% 21% 14% 16% 22.5 22% 75 0 0 0.0 12.5 14% 12% 0.0 19% Highest Level of Education Achieved 9% White 1% White 60 Asian Black Latino White0.0 Other 0.0 14% 0-17 18-248% 25-44 45-64 65+ 0-17 18-249% 25-44 45-64Asian 65+Black Latino White Other 8% 0.0 0.0 Highest Level50 of Education Achieved 0-17 18-24 25-44 45-64 65+ 0-17 18-24 25-44 45-64 65+ NYC population by age 0.0 Population by age 0.0 Highest Level of Education Achieved 0-17 18-24 25-44 45-64 65+ Born0-17 outside18-24 US25-44 45-64 3065+ English pro ciency 25 45.0 BornBorn outside outside US US45.0 EnglishEnglish pro ciency pro ciencyBorn outside US English pro ciency 32% 25% 27% 21%BORN OUTSIDE 25% 22% 22.5 Born outside US22.5 19% EnglishBorn pro ciency outside US 0 English pro ciency 0 THE US 14% 9% 37% 8% 53% 0.0 0.0 Highest Level of Education Achieved 0-17 18-24 25-44 45-64 65+ 0-17 18-24 25-44 45-64 65+

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

0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 HAVE LIMITED 2000 PAGE 8 Non-fatal Assault Hospitalizations Incarceration ENGLISH 2000 PROFICIENCY 1500 0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 23% PAGE 843%Non-fatal Assault Hospitalizations Incarceration Edit in Indesign. Graph applies to all CDs. 1000 20001500 PAGE 8 Non-fatal Assault0 20 40 Hospitalizations60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 Incarceration ^White, Black, Asian and Other exclude Latino ethnicity. Latino is Hispanic or Latino of any race. 500 2000 Edit in Indesign. Graph applies to all CDs. Note: Percentages may not sum to 100% due to rounding. 15001000 PAGE 8 Non-fatal Assault Hospitalizations0 40 80 120 Incarceration160 200 Sources: Population, Race and Ethnicity and Age: U.S. Census Bureau Population Estimates, 2016; Born Outside the U.S. and English Proficiency: U.S. Census Bureau, American 0 Community Survey, 2012-2016 1500 Edit in Indesign. Graph applies to all CDs. 1000500 Edit in Indesign. Graph applies to all CDs. 1000 2 COMMUNITY0 HEALTH40 PROFILES80 2018: CONEY120 ISLAND160 200 500 500 0

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

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

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

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

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

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

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

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

Sincerely,

Oxiris Barbot, MD

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

COMMUNITY HEALTH PROFILES 2018: CONEY ISLAND 3 Table of Contents

Who We Are Healthy Living PAGE 2 PAGE 13

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

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

Housing and Notes Neighborhood Conditions PAGE 19 PAGE 9-10

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

NAVIGATING THIS DOCUMENT This profile covers all of Brooklyn’s Community District 13, which includesBrighton Beach, Coney Island, Gravesend, Homecrest, Sea Gate and West Brighton. 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 CONEY ISLAND BROOKLYN NEW YORK CITY COMMUNITY DISTRICT

4 COMMUNITY HEALTH PROFILES 2018: CONEY ISLAND 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: CONEY ISLAND 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. Coney Island’s elementary school absenteeism rate is higher than the rate for NYC overall. Seven out of 10 high school students in Coney Island graduate in four years, lower than the citywide rate. PAGE 2PAGE 2 PAGE 6PAGE 6

Black Black ELEMENTARY SCHOOL ABSENTEEISM ON-TIME HIGH SCHOOL GRADUATION PopulationPopulation by race by race ElementaryElementary(percent School of public AbseenteeSchoolschool students Abseentee in grades K through 5 missingOn time On high time(percent school high of public graduationschool school graduation students graduating in four years) 100.0 100.0 Latino Latino 19 or more school days) 87.5 87.5 75.0 75.0 90 90 100 100 96% Other Other 62.5 62.5 56% 56% 50.0 50.0 37.5 37.5 Asian Asian 75% 75% 25.0 71% 25.0 14% 12%14%16%12% 16% 75 75 12.5 12.5 1% 1% White White 60 60 0.0 0.0 PAGEPAGEPAGE 2 2 2 PAGEPAGEPAGE 6 6 6 Asian BlackAsianLatinoBlackWhiteLatinoOtherWhite Other BlackBlackBlack 50 50 PopulationPopulation by age by age PopulationPopulationPopulation by by by race race race ElementaryElementaryElementary School School School Abseentee Abseentee Abseentee OnOnOn time time time high high high school school school graduation graduation graduation 100.0100.0100.0 30 3026% LatinoLatinoLatino 87.587.587.5 20% 45.0 45.0 19% 25 25 75.075.075.0 909090 100100100 OtherOtherOther 62.562.562.5 56%56%56% 50.050.050.0 5% 27%25% 27% 25% 22% 37.537.537.522% AsianAsianAsian 22.5 22.519% 19% 0 0 0 0 25.025.025.0 14%14%14% 12%12%12% 16%16%16% Coney Island Brooklyn NYC Lowest: Coney Island Brooklyn NYC757575 Highest: 12.512.512.5 1%1%1% WhiteWhiteWhite 606060 8% 8% 0.00.00.0 Bayside and Financial District AsianAsianAsian BlackBlackBlack LatinoLatinoLatino WhiteWhiteWhite OtherHighestOtherOther Highest Level of Level Education of Education Achieved AchievedLittle Neck 0.0 0.0 505050 0-17 18-240-17 25-4418-2445-6425-44 65+45-64 65+ Source: NYC Department of Education, 2016-2017 Note: NYC and borough On-time High School Graduation data may differ from rates PopulationPopulationPopulation by by by age age age presented in other published sources. See technical notes in the public use dataset 303030 for more details. Born outsideBorn outside US US 45.045.045.0EnglishEnglish pro ciency pro ciency Source: NYC Department of Education,2525 252017

27%27%27% 25%25%25% 22%22%22% 22.522.522.5 19%19%19% HIGHEST LEVEL OF EDUCATION000 ACHIEVED (percent of adults ages 25 and older) 000

8%8%8% High school Less than 0.00.00.0 HighestHighestHighest Level Level Level graduateof of of Education Education Education or Achieved Achieved Achieved 0-170-170-17 18-2418-2418-24 25-4425-4425-44 45-6445-6445-64 65+65+65+ high school some college College graduate Nearly half of adults Coney Island 18% 37% 45% in Coney Island have BornBornBorn outside outside outside US US US 0 20 40 60 0 80 English20English100English40 600 2080 pro ciency 10040pro ciency pro ciency60 0 80 20 100 40 060 20 80 40100 60 0 80 20 100 40 60 80 100 a college degree. Eighteen percent 2000 2000 Brooklyn 20% 40% 40% of adults have not PAGE 8PAGENon-fatal 8 Non-fatal Assault Assault Hospitalizations Hospitalizations IncarcerationIncarceration completed high 1500 1500 NYC 19% 38% 43% school, a rate similar to the citywide rate. Edit in Indesign.Edit in Indesign. Graph applies Graph appliesto all CDs. to all CDs. 1000 1000 Highest % college graduate: 4% 12% 84% Financial District, Greenwich Village- Soho

0 0 0 20 20 20 40 40 40 60 60 60 80 80 80 100100100 0 0 0 20 20 20 40 40 40 60 60 60 80 80 80 100100100 0 0 0 20 20 20 40 40 40 60 60 60 80 80 80 100100100 500 500Source: U.S. Census Bureau, American Community Survey, 2012-2016 200020002000 0 0 40 40 80 80 120 PAGEPAGEPAGE120 8 1608 8 Non-fatalNon-fatalNon-fatal160 200 Assault Assault Assault200 Hospitalizations Hospitalizations Hospitalizations IncarcerationIncarcerationIncarceration 0 0 150015001500 6 COMMUNITY HEALTH PROFILES 2018: CONEY ISLAND 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 Coney Island, 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. Coney Island’s unemployment rate is higher 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. Fifty-five percent ofConey Island residents are rent burdened, a higher rate than residents citywide. One way to consider the effect of income on health is by comparing death rates among neighborhoods. “Avertable deaths” are those that could have been avoided if each neighborhood had the same death rate as the five wealthiest neighborhoods.Using this measure, 30% of deaths could have been averted in Coney Island.

ECONOMIC STRESS Coney Island Brooklyn NYC Lowest % Many of the factors that affect Poverty 24% 21% 20% 7% health happen (percent of residents) Upper East Side outside of a doctor’s office. Unemployment 11% 9% 9% 4% This includes (percent of people ages 16 and older) Upper East Side access to quality Rent Burden 55% 52% 51% 37% education, jobs (percent of renter-occupied homes) Park Slope and and safe spaces 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. Sources: Poverty: American Community Survey as augmented by NYC Opportunity, 2012-2016 (community district and NYC), 2016 often lack these (borough); Unemployment and Rent Burden: U.S. Census Bureau, American Community Survey, 2012-2016; Avertable Deaths: resources. NYC DOHMH, Bureau of Vital Statistics, 2011-2015

Is your neighborhood gentrifying? 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 Coney Island is one of seven neighborhoods that is not gentrifying at this time.

Source: NYU Furman Center, 2015

COMMUNITY HEALTH PROFILES 2018: CONEY ISLAND 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 Other 62.5 56% 50.0 37.5 Asian 25.0 14% 12% 16% 75 12.5 1% White 60 0.0 Asian Black Latino White Other 50 Population by age 30

45.0 25

27% 25% 22% 22.5 19% 0 0 8%

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, Coney Island has a similar rate of2000 assault-related hospitalizations. PAGE 8 Non-fatal Assault Hospitalizations Incarceration NON-FATAL ASSAULT HOSPITALIZATIONS (per 100,000 people) 1500 Hospitalizations 51 Coney Island related to injuries fromEdit assaults in Indesign. Graph applies to all CDs. 59 Brooklyn 1000 capture the 59 NYC consequences 500 of community 8 Lowest: Bayside and Little Neck violence. 0 40 80 120 160 200 More healthy Less healthy 0 Source: New York State Department of Health, Statewide Planning and Research Cooperative System, 2012-2014

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

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

460 434 Brooklyn 425 71 NYC 0 Lowest: Upper East Side Coney Island Source: NYC Department of Corrections, 2015-2016 PAGE 8 PAGE 10 PAGE 11 Helpful neighbors ADULTS REPORTING THAT THEIR NEIGHBORS Helpful Neighbors Bike Lanes Late or no prenatal care Strong social connections can have a positive impact ARE WILLING TO HELP ONE ANOTHER on the health of community members. Feeling that our (percent of adults) neighbors are willing to help each other is one aspect of Coney Island11% 77% community connection. In Coney Island, 77% of residents Brooklyn 73% think that their neighbors are willing to help one another. This is similar to the rest of the city. NYC 72% Highest: Tottenville and Great Kills 86% Preterm births

0Less healthy20 40 60 80More healthy100 Source: NYC DOHMH, Community Health Survey, 2015-2016 0 20 40 60 80 100 PAGE 9 8 HomesCOMMUNITY with airHEALTH conditioners PROFILES 2018: CONEY ISLAND Pedestrian Injury 100 Teen births 80

0 20 40 60 80 100 Homes without maintenance defects

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

Cockroaches 200

150

100

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

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

Air conditioning Air pollution Most heat stroke deaths in NYC occur in homes Though air quality is improving in NYC in general,Preterm it births Preterm births without air conditioning. Nine out of 10 households PAGE 8 PAGE varies10 by community district. In Coney Island, levelsPAGE of 11 0 20in Coney40 Island60 have working80 100 air conditioners. the most harmful air pollutant, fine particulate matter 0 20 40 60 80 100 Helpful Neighbors 0 Bike 20Lanes(PM2.5),40 are 6.7 60micrograms80 per100 cubic meter. Late or no prenatal care PAGE 9 0 20 40 60 80 100 AIR CONDITIONING PAGEAIR POLLUTION 9 Homes(percent with of air households) conditioners Pedestrian(micrograms Injury of fine particulate matter per cubic meter) Homes with air conditioners Pedestrian Injury 11% 99% 100 90% 89% Teen births 85% 100 Teen births 80 More healthy 80 60 60 7.8 Preterm births 40 7.5 Brooklyn 40 6.7 NYC 020 20 40 60 80 100 Less Coney Island 6.0 healthy 20 0 0 20 40 60 80 100 Lowest: PAGE Coney9 Island Brooklyn NYC Highest: 0 Rockaway and Broad Channel Tottenville and Homes with air conditionersGreat Kills 0 Pedestrian20 Injury40 60 80 100 Homes without maintenance defects 0 20 40 60 80 100 Source: NYC Housing and Vacancy Survey, 2014 HomesSource: NYC without DOHMH, Community maintenance Air Survey, 2016 defects 100 0 Teen births20 40 60 80 100 80 0 20 40 60 80 100 70 80 Housing quality 80 60 Every resident has the right to live in housing that is safe and70 pest-free. Poorly maintained housing is associated 60 50 with poor health outcomes, including worsened asthmaPAGE and 6012 other respiratory illnesses. In Coney Island, onlyPAGE 44% 12 40 50 PAGE 12 PAGE 12 40 of renter-occupied homes are adequately maintained by landlords – free from heating breakdowns, cracks, holes, 30 Child 40Asthma emergency Childhood Obesity 20 20 peeling paint and other defects. Twenty-six percent of departmentConey 30Island households visits report seeing cockroaches, which is a Child Asthma emergency Childhood Obesity 10 potential asthma trigger. 20 department visits 0 0 10 250 0 HOMES WITHOUT MAINTENANCE HOMES REPORTING COCKROACHES 250 0 (percent20 of households)40 60 80 100 CockroachesHomesDEFECTS without (percentmaintenance of renter-occupied defects homes) 200 Cockroaches 200 More 150 0 20 40 60 80 100 80 75% healthy 150 70 26% Coney Island 60 100 50 PAGE 12 PAGE 12 100 44% 41% 44% 26% Brooklyn 40 50 30 Child Asthma emergency Childhood Obesity50 23% NYC 20 department0 visits Less 0 20 40 60 80 100 0 10 healthy 0 00% 20 40 Lowest:60 Tottenville80 and Great100 Kills Coney Island Brooklyn NYC Highest: 250 Tottenville and Cockroaches Great Kills 200 Note: Maintenance defects include water leaks, cracks and holes, inadequate Source: NYC Housing and Vacancy Survey, 2014 heating, presence of mice or rats, toilet breakdowns or peeling paint. 150 Source: NYC Housing and Vacancy Survey, 2014 100

COMMUNITY HEALTH PROFILES 2018: CONEY ISLAND50 9

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

Helpful Neighbors Bike Lanes Late or no prenatal care

11% Housing and Neighborhood Conditions

Preterm births Bicycle network coverage Pedestrian injury 0 20 40 60 80 100 Thirteen percent of roads in Coney Island have Coney Island residents have a similar pedestrian injury PAGE 8 PAGEbike lanes, 10 which is higher than NYC overall. PAGE0hospitalization 1120 rate40 compared60 with80 NYC 100overall. PAGE 9 Helpful Neighbors BICYCLEBikeHomes Lanes with NETWORK air conditioners COVERAGE Late orPEDESTRIANPedestrian no prenatal Injury care INJURY HOSPITALIZATIONS (percent of streets with bike lanes) (per 100,000 people) 100 Teen births 11% 80 13% Coney Island 22 Coney Island 60 13% Brooklyn 23 Brooklyn 40 NYC 23 NYC 20 10% Preterm births Highest: Crown Heights Lowest: Greenwich Village and Soho 0 45% and Prospect Heights 9 0 20 40 60 80 100

0Less healthy20 40 60 80 More healthy100 0More healthy20 40 60 80Less healthy100 PAGE 9 Homes without maintenance defects Source: New York State Department of Health, Statewide Homes with air conditioners Pedestrian Injury Planning and Research Cooperative System, 2012-2014 0 20 40 60 80 100 80 Access to bike lanes can make it easier and 70 100 60 safer to ride a bike more often. Teen births 50 PAGE 12 PAGE 12 80 40Source: NYC Department of Transportation, 2017 60 30 Child Asthma emergency Childhood Obesity 20 department visits 40 10 20 0 Food environment SUPERMARKET250 TO BODEGA RATIO 0 For every one supermarket in Coney Island, there are 21 bodegas. BodegasCockroaches are less likely to have healthy food options than 200 supermarkets. The lowest ratio among NYC community 0 20 40 60 80 100 Homes without maintenance defects districts is one supermarket for every three bodegas 150 21 (healthier); the highest is one supermarket for every 57 0 100 20 40 60 80 100 80 bodegas (less healthy). Coney Island is home to one of 70 60 NYC’s farmers markets, another source of healthy food. 50 50 PAGE 12 PAGE 12 40 0 30 0ChildIt is Asthma easier20 to emergency40 make healthy60 choices80 when100 Childhood Obesity 20 departmenthealthy, affordable visits food is readily available. 10 0 250 1

Cockroaches 200

150 Supermarket Bodegas

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

0 0 20 40 60 80 100

10 COMMUNITY HEALTH PROFILES 2018: CONEY ISLAND Maternal and Child Health

Pregnancy outcomes In Coney Island, the rate of expectant mothers receiving late or no Access to quality health prenatal care is higher than the citywide rate. One in 11 births to care is critical to a mother’s Coney Island residents is preterm (three or more weeks before the health before, during and after due date), higher than the citywide rate. pregnancy, and to the health of our littlest New Yorkers.

PAGE 8 PAGE 10 LATEPAGE OR 11NO PRENATAL CARE (percent of live births) Helpful Neighbors Bike Lanes Late or no prenatal care 6.7% NYC PAGE 8 PAGE 10 PAGE 11 1.3% 6.2% 9.5% Helpful Neighbors11% Bike Lanes Late or no prenatal care Lowest: Brooklyn Coney Island PAGE 8 FinancialPAGE District 10 PAGE 11 11% Source:Preterm NYC DOHMH, births Bureau of Vital Statistics, 2015 Helpful Neighbors Bike Lanes Late or no prenatal care 0 20 40 60 80 100 PRETERM BIRTHS 0 20 11% 40 60 80 100 (percentPreterm of live births births) PAGE 9 8.3% Brooklyn Preterm birth is 0Homes20 with40 air conditioners60 80 100 Pedestrian Injury a key driver of 0 20 40 60 80 100 5.4% 8.7% 9.5% infant death. PAGE100 9 Teen births Preterm births Homes80 with air conditioners Pedestrian Injury Lowest: Greenpoint NYC Coney Island and Williamsburg 60 0 20 40 60 80 100 100 Teen births 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 NYC; (per 1,000 females ages 15 to 19) Homes without maintenance defects 80 0 Coney Island’s teen birth rate is 20.2 per 1,000 60 20.2 Coney Island 80 0teen girls. 20 40 60 80 100 40 70 0 20 40 60 80 100 19.9 Brooklyn 60Homes without maintenance defects 20 50 PAGE 12 PAGE 12 0 20 40 60 80 100 NYC 4080 0 19.3 3070 Child Asthma emergency Childhood Obesity 60 department visits Lowest: Greenwich Village and Soho 20 0 20 40 60 80 100 1.0* 1050 HomesPAGE 12 without maintenance defects PAGE 12 400 250 30 80Child Asthma emergency Childhood Obesity 0*Interpret estimate20 with caution due40 to small number60 of events. 80 100 20 70department visits Source: NYC DOHMH, Bureau of Vital Statistics, 2013-2015 Cockroaches 200 10 60 0 50 PAGE 12 PAGE 12 150250 40 30 Child Asthma emergency Childhood Obesity Cockroaches 100200 department visits 20 COMMUNITY HEALTH PROFILES 2018: CONEY ISLAND 11 10 150 0 50 250 1000 0 20 40 60 80 100 Cockroaches 200 50 150 0 0 20 40 60 80 100 100

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

Helpful Neighbors Bike Lanes Late or no prenatal care

11%

Preterm births

0 20 40 60 80 100

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

100 Teen births 80

0 PAGE 8 PAGE 10 PAGE 11

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

80 0 20 40 60 80 100 70 11% 60 50 ChildhoodPAGE obesity 12 CHILDHOODPAGE 12 OBESITY (percent of public school children in grades K through 8) 40 Nearly one out of fiveConey Island children in Child Asthma emergency Childhood Obesity 30 grades K through 8 has obesity. This is similar to 18% 19% 20% 5% 20 department visits Preterm births 10 the citywide rate. 0 0 20 40 60250 80 100

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

60 0 0 20 40 60 80 100 40

20 Children’s hospitalizations and emergency department visits “Avoidable hospitalizations” are those that could be prevented with timely access to quality outpatient care. The rate of 0 avoidable pediatric hospitalizations among children ages 4 and younger in Coney Island is similar to the citywide rate.

0 20 40 60 80 100 Homes withoutMany maintenance childhood asthma emergency defects department visits could be prevented by reducing the presence of pests, mold, secondhand smoke and other asthma triggers, and by taking daily medication. The asthma emergency department 0 20 40 60 80 100 80 visit rate among children ages 5 to 17 in Coney Island is lower than the citywide rate. The TCNY 2020 goal is to have 70 fewer than 210 asthma emergency department visits per 10,000 children across the entire city. 60 50 PAGE 12 PAGE 12 40 PAGEAVOIDABLE 12 HOSPITALIZATIONS PAGE 15 CHILD ASTHMA EMERGENCY 30 AMONG CHILDREN Child AsthmaDEPARTMENT emergency VISITS Childhood Obesity department visits 20 Avoidable(per 100,000 children hospitalizations ages 4 and younger) HPV (per 10,000 children ages 5 to 17)Flu 10 among children 0 100 100 250 223 423 Coney Island 80 80 Cockroaches 200 186 60 147 60 502 Brooklyn 150 40 40 100 623 NYC 20 20 50 28 118 Lowest: Borough Park 0 0 0 0 20 40 60 80 100 Coney Island Brooklyn NYC Lowest: 0 100 200 300 400 500 600 700 800 Financial PAGE 16 80 District PAGE 13 HIV Sources: Avoidable Hospitalizations among Children: New York State Department of Health, Statewide Planning and Research Cooperative System, Self-Reported2014; Child Asthma Emergency Health Department Visits: New York State Department of Health, Statewide Planning and Research Cooperative System, 2015 Edit in Indesign. Graph applies to all CDs.

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

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

Edit in Indesign. Graph applies to all CDs.

0 500 1000 1500 2000 0 0 PAGE 18 Falls Psychiatric hospitalizations Infant Mortality

0 500 1000 1500 2000 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5 6

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

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

Avoidable hospitalizations HPV Flu among children 100 100

80 80

60 60

40 40 Healthy Living 20 20 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 Coney Island 70% and physical health. Seventy percent of Edit in Indesign. Graph applies to all CDs. Coney Island residents rank their health Brooklyn 77% as “excellent,” “very good” or “good,” lower NYC 78% than the rest of NYC. The TCNY 2020 goal Highest: Upper West Side 93% for the city is at least 82%. 0 20 40 60 80 100 Less healthy More healthy Source: NYC DOHMH, Community Health Survey, 2015-2016 0 PAGE 14 Physical activity, diet and smoking PAGE 17 150 Seventy-one percent of Coney Island adults reportAvoidable getting Hospitalizations any physical activity in the HEP C 150 past 30 days, similar to New Yorkers overall. The percentage of Coney Island adults who Federal guidelines report eating at least one serving of fruits or vegetables in the past day is similar to the recommend citywide average of 87%. that adults get Edit in Indesign. Graph applies to all CDs. 150 minutes of Sugary drink consumption can increase the risk of type 2 diabetes, heart disease, moderate exercise cavities, weight gain and obesity. Industry marketing can affect behavior and sugary each week. People drinks are heavily marketed to youth and communities of color. While sugary drink who are physically consumption has decreased to 23% in NYC, the TCNY 2020 goal is to reduce sugary drink active are more consumption to less than 19% citywide. Twenty-one percent of Coney Island adults likely to live longer, drink at least one sugary drink a day. 0 500 1000 1500 2000 healthier lives.0 0 PAGE 18 The adult smoking rate in Coney Island is similarFalls to the rest of the borough and other Psychiatric hospitalizations Infant Mortality parts of NYC. The City is committed to reducing the citywide adult smoking rate to 12% by 2020.

PHYSICAL ACTIVITY, DIET AND SMOKING (percent of adults)

Coney Island Brooklyn NYC Highest %

Any physical activity in the past 30 days 71% 72% 73% 90% Financial District, Greenwich Village- Soho At least one serving of fruits or vegetables per day 91% 86% 87% 96% 0 500 1000 1500 2000 Financial0 100 District,200 300 400 500 600 700 800 0 1 2 3 4 5 6 Greenwich Village- Soho

Coney Island Brooklyn NYC Lowest % One or more 12-ounce sugary drinks Binge21% Drinking (use24% graph to 23%right to mark points)8% Premature per day Financial District, Death Greenwich Village- Soho Current smokers 19% 14% 14% 8% Upper East Side Source: NYC DOHMH, Community Health Survey, 2015-2016

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

100 80 60 40 20 00 20 40 60 80 100 COMMUNITY HEALTH PROFILES 2018: CONEY ISLAND 13 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 Coney Island, 14% of adults are uninsured and 11% report going without can make it easier20 20 20 20 needed medical care in the past 12 months, similar to the rest of NYC. The TCNY 2020 to get affordable primary care, 0 0 goal is to have less than 9% of New Yorkers going without needed medical care. 0 0 which can help 0 100 200 300 400 500 600 700 800 ACCESS TO HEALTH CARE (percent of adults) 0 100 200 300 400 500 600 700 800 New Yorkers PAGE 16 PAGE 13 manage chronicPAGE 16 80 Coney Island Brooklyn PAGENYC 13 Lowest % HIV 80 Self-Reported Health conditions and HIV Adults without 14% 12% Self-Reported12% Health3%* stay healthy. health insurance Stuyvesant Town Edit in Indesign. Graph applies to all CDs. and Turtle Bay Edit in Indesign. Graph applies to all CDs. Adults without 11% 10% 10% 3%* needed medical care Bayside and Little Neck

0 20 40 60 80 100 *Interpret estimate with caution due to small sample size. 0 20 40 60 80 100 Source: NYC DOHMH, Community Health Survey, 2015-2016 0 PAGE 14 0 PAGE 14 PAGE 17 Avoidable hospitalizations AVOIDABLE HOSPITALIZATIONS PAGE 17150 150 Avoidable Hospitalizations HEP C 150 150 “Avoidable hospitalizations” are those that could be AvoidableAMONG ADULTS Hospitalizations (per 100,000 adults) HEP C prevented if adults had access to quality primary care. The rate of avoidable hospitalizations among adults in 1,524 Coney Island Edit in Indesign. Graph applies to all CDs. Edit in Indesign. Graph applies to all CDs. Coney Island is higher than the citywide rate. 1,420 Brooklyn

1,033 NYC Lowest: Greenwich 426 Village and Soho

0 Source: New500 York State 1000Department of1500 Health, Statewide2000 0 0 0 Planning and500 Research Cooperative1000 System,1500 2014 2000 0 0 PAGE 18 PAGE 18 FallsFALL-RELATED HOSPITALIZATIONS AMONGPsychiatric hospitalizations Infant Mortality Fall-related hospitalizations Falls Psychiatric hospitalizations Infant Mortality Coney Island's rate of fall-related hospitalizations OLDER ADULTS (per 100,000 adults ages 65 and older) among adults ages 65 and older is higher than the citywide average. The TCNY 2020 goal is fewer than 1,410 1,800 Coney Island hospitalizations per 100,000 older adults citywide. 1,526 Brooklyn

1,604 NYC

667 Lowest: Queens Village

0 Source: New500 York State 1000Department of1500 Health, Statewide2000 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5 6 0 Planning and500 Research Cooperative1000 System,1500 2012-20142000 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5 6

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. Binge Drinking (use graph to right to mark points) Premature Binge Drinking (use graph to right to mark points) DeathPremature Death 14 COMMUNITY HEALTH PROFILES 2018: CONEY ISLAND

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. Forty percent of teens ages 13 to 17 in Coney Island receive all recommended doses of the HPV vaccine. Two out of fiveConey Island adults report getting a flu vaccine in the past 12 months, similar to the rest of NYC.

PAGE 12PAGE 12 PAGE 15PAGEHPV 15 VACCINATION FLU VACCINATION (percent of teens ages 13 to 17 who received all (percent of adults) recommended doses of the vaccine) AvoidableAvoidable hospitalizations hospitalizations HPV HPV Flu Flu among childrenamong children 100 100 100 100 85% More More 80 80 healthy 80 80 healthy 59% 62% 60 60 60 60 40% 43% 42% 43% 40 40 40 40 38%

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

0 0 20 2040 4060 6080 80100 100

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

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

COMMUNITY HEALTH PROFILES 2018: CONEY ISLAND 15

0 5000 1000500 15001000 20001500 2000 0 0 0 0 PAGE 18PAGE 18 Falls Falls PsychiatricPsychiatric hospitalizations hospitalizations Infant MortalityInfant Mortality

0 5000 1000500 15001000 20001500 2000 0 100 200 0 300100400200500300600400700500800600 700 800 0 1 02 13 24 35 46 5 6

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

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

Obesity, diabetes and hypertension Coney Island's adult obesity rate is 28%, 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. Fifteen percent ofConey Island adults have been diagnosed with diabetes and 31% 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) Coney Island Brooklyn NYC Lowest % Obesity can lead Obesity 28% 27% 24% 4% to diabetes, high Financial District, blood pressure Greenwich and other health Village- Soho conditions. Diabetes 15% 12% 11% 3% Financial District, Hypertension, Greenwich also known as high Village- Soho blood pressure, is a Hypertension 31% 29% 28% 15% leading risk factor Financial District, for heart disease Greenwich and stroke. Village- Soho

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

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

NEW HIV DIAGNOSES (per 100,000 people) 80

24.0 16.9 NYC 22.1 Brooklyn

0 Coney Island 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: CONEY ISLAND PAGE 12 PAGE 15

Avoidable hospitalizations HPV Flu among children 100 100

80 80

60 60

40 40

20 20

0 0

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

0 20 40 60 80 100

0 PAGE 14 PAGE 17 150 Avoidable Hospitalizations HEP C 150

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

60 60 New hepatitis C reports 0 500 1000 1500 402000 0 40 Hepatitis C is a virus that damages the liver. New Yorkers born between 1945 and 1965 and people who have ever injected 0 drugs should be tested because hepatitis C can be cured. 20 20 PAGE 18 Falls Psychiatric hospitalizations Infant Mortality NEW HEPATITIS C REPORTS (per 100,000 people) 0 0 150 0 100 200 300 400 500 600 700 800 PAGE 16 80 115.5 PAGE 13 HIV Self-Reported Health 71.8 Edit in Indesign.NYC Graph applies to all CDs. 67.9 Brooklyn

0 500 1000 1500 2000 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5 6 0 20 40 60 80 100 0 Coney Island Source: NYC DOHMH, Communicable Disease Surveillance Registry, 2016 0 PAGE 14 Binge Drinking (use graph to PAGEright 17 to mark points) Premature Binge drinking 150 150 BingeAvoidable drinking is linkedHospitalizations to high-risk behaviors and chronicHEP health C problems. The binge drinking rate in Coney Island is Death lower than the rest of NYC. The TCNY 2020 goal is to reduce binge drinking to less than 17% citywide. 15% Edit in Indesign. Graph applies to all CDs. BINGE DRINKING (percent of adults) 9% 11% 15% 17%

Lowest: Coney Island Brooklyn NYC Bensonhurst

Note: Binge drinking is defined as five or more drinks for men and four or more drinks for women on one occasion during the past 30 days. Source: NYC DOHMH, Community Health Survey, 2015-2016 100 80 60 40 20 00 20 40 60 80 100 0 500 1000 1500 2000 0 0 Psychiatric hospitalizations PSYCHIATRIC HOSPITALIZATIONS PAGE 18 The rateFalls of adult psychiatric hospitalization in Coney Island Psychiatric(per 100,000 adults) hospitalizations Infant Mortality is higher than the citywide rate. 765 Coney Island High psychiatric hospitalization rates likely reflect the challenges residents in 684 Brooklyn underresourced neighborhoods face, including 676 NYC difficulty accessing preventive services and early care, greater exposure to stressors and 223 Lowest: Woodside and Sunnyside interruptions in health insurance coverage. Source: New York State Department of Health, Statewide Planning and Research 0 500 1000 1500 2000 0 100 200 300 400 500 600 700 800 Cooperative System, 2015 0 1 2 3 4 5 6

COMMUNITY HEALTH PROFILES 2018: CONEY ISLAND 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 12Self-Reported Health PAGE 15 Avoidable hospitalizations HPV Edit in Indesign.Flu 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 20 150 150 Avoidable Hospitalizations 0 HEP C 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 0 500 1000 1500 2000 0 0

0 20 40 60 80 100 PAGE 18 Falls InfantPsychiatric mortality hospitalizations Infant Mortality INFANT MORTALITY (per 1,000 live births) NYC’s0 infant mortality rate has declined in recent years. In PAGE 14 Coney Island the infant mortality rate is higher than the PAGE 17 5.6 Coney Island citywide150 rate. The TCNY 2020 goal is a citywide rate of less 150 Avoidable Hospitalizations HEP C than 4.4 per 1,000 live births. 3.6 Brooklyn

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 0 100 200 300 400 500 600 700 800 0 1 2 3 4 5 6 Source: NYC DOHMH, Bureau of Vital Statistics, 2013-2015 Premature death Cancer and heart disease are the leading causes of premature death (death before the age of 65) in Coney Island, similar 0 500Binge 1000Drinking1500 (use graph2000 to right to mark points)0 Premature to the rest of NYC. However, Coney IslandDeath residents die prematurely at a higher rate. Lung cancer, breast cancer (among0 women) and colorectal cancer are the three leading PAGEcauses 18 of cancer-related premature death in Coney Island. Falls 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) Rank Coney Island NYC Rank 0 500 1000 1500 2000 0 100 200 300 400 500 600 700 800 Overall rate 0 1 2 215.53 4 169.55 6 56.9 46.2 Cancer 1 (308) 1 Binge Drinking (use graph to right to mark points) Premature 43.9 32.9 Heart disease Death2 (239) 2 13.6 9.4 Drug-related 3 (63) 3 9.3 6.4 Accidents (excluding drug poisoning) 4 (41) 4 8.3 4.9 Homicide 5 (33) 8 6.9 5.1 5 (33) 7 Suicide 100 80 60 40 20 00 20 40 60 80 100 5.9 6.0 Diabetes mellitus 5 (33) 5

Note: 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: CONEY ISLAND 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: CONEY ISLAND 19 Life Expectancy by Community District

Coney Island’s average life expectancy is 0.8 years shorter than NYC overall.

75.1-79.6 years

79.7-81.4 years

81.5-83.8 years

83.9-85.9 years

Unpopulated areas

80.4 Life Expectancy

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

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

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

Suggested citation: Hinterland K, Naidoo M, King L, Lewin V, Myerson G, Noumbissi B, Woodward M, Gould LH, Gwynn RC, Barbot O, Bassett MT. Community Health Profiles 2018, Brooklyn Community District 13: Coney Island; 2018; 37(59):1-20.