Upper East Side 8 Including Carnegie Hill, Lenox Hill, Roosevelt Island, Upper East Side and Yorkville

Home , Carnegie Hill, East Side (Manhattan), Upper East Side

MANHATTAN COMMUNITY DISTRICT Upper East Side 8 Including Carnegie Hill, Lenox Hill, Roosevelt Island, Upper East Side and Yorkville

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: UPPER EAST SIDE 1 EAST 96 ST

Who We Are

5 AV

EAST 59 ST EAST RIVER NewNew YorkYork CityCity EAST CHANNEL

NYC population by race NYC population by race PAGE 2 PAGE 6 PAGENew 2 York City PAGE 2 PAGEPopulation 2 by race Black PAGE 6 New York City UpperBlack East Side Elementary School Abseentee On time high school graduation 100.0 100.0 Black BlackLatino 87.5 NYC population by race 87.5 Population by race POPULATION100.0 Latino 78% Elementary School Abseentee On time high school graduation 75.0 75.0 BY RACE AND87.5 100.0 90 100 62.5 PAGE 2 62.5 PAGELatino 2 LatinoOther PAGE 6 75.0 87.5 ETHNICITY^ 50.0 50.0 Other 78% 62.5 75.0 37.5 29% 32% 37.5 Black Population by race Black 90 100 50.0 62.5 Other OtherAsian Elementary School Abseentee On time high school graduation 25.0 100.0 22% 25.0 Asian 37.5 87.5 15% 32% 50.0 100.0 75 12.5 29% 12.5 Latino 10% 7% Latino New York25.0 75.0 City22% 2% 37.5 87.5 Asian 3% 78%1% 2% AsianWhite 0.0 62.5 15% 0.0 75.0 60 12.5 25.0 White 90 100 50.0 Asian Black Latino White Other2% Other62.5 Asian10% Black Latino White Other Other 75 0.0 37.5 29% 32% 12.5 50.0 3% 7% 22% White 1% 2% White 60 25.0 Asian15%Black Latino White Other 0.0 Asian37.5 Asian 50 NYC population by race 12.5 2% 25.0 Asian Black Latino White Other 75 Population12.5 10% by age7% 0.0 White 3% 1% 2% White 60 TOTAL NYC populationAsian Black Latino by ageWhite Other 0.0 50 PAGE 2 PAGE 2 Asian Black Latino White OtherPAGE 6 30 POPULATION NYC population by age Population by age 8,537,673 45.0 225,914 50 25 Black Black 45.0 NYC population by Populationage by race Population by 37%age Elementary School Abseentee On30 time high school graduation 100.0 30 87.5 45.0 Latino100.0 45.0 Latino 25 32%87.5 75.0 45.0 78% 45.0 24% 25 75.0 37% 62.5 POPULATION 25% 22.5 37% 9020% 100 0 0 50.0 Other62.532%32% Other 22.5 21% 14% 37.5 BY AGE29% 32% 50.0 25%25% 24%24% 25.0 22% 21% Asian37.5 14% Asian 15% 22.5 22.5 21% 22.5 22.5 20%20% 0 0 0 0 12.5 2% 9% 25.0 14% 14% 5% 75 12.5 10% 7% 14% 0.0 9% White 14%3% 1% 2% White 60 Asian Black Latino White Other 9% 0.0 0.0 5% Highest Level of Education Achieved 0.0 Asian Black Latino White Other 0.0 0.0 0-17 18-245% 25-44 45-64 65+ Highest Level of Education Achieved 0-17 0-1718-2418-24 25-4425-44 45-6445-64 65+ 65+ 0-17 18-24 25-44 45-64 65+ 50 0.0 0.0 Highest Level of Education Achieved NYC population by age 0-17 18-24 25-44 Population45-64 65+ by age 0-17 18-24 25-44 45-64 65+ 30 45.0 Born outside US45.0 English pro ciencyBornBorn outside outside US US EnglishEnglish pro ciency pro ciency 25 Born outside US 37% English pro ciency 32% BORN OUTSIDE25% Born outside US 24%EnglishBorn pro ciency outside US English pro ciency 22.5 21%THE US 22.5 20% 0 0 14% 14% 9% 37% 5% 23% 0.0 0.0 Highest Level of Education Achieved 0-17 18-24 25-44 45-64 65+ 0-17 18-24 25-44 45-64 65+

Born outside US English pro ciencyBorn outside US English pro ciency 0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 2000 HAVE LIMITED 0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 ENGLISH PAGE 8 Non-fatal Assault Hospitalizations Incarceration PROFICIENCY 23% 6% 1500 20000 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 PAGE 8 Non-fatal Assault Hospitalizations EditIncarceration in Indesign. Graph applies to all CDs. 1000 2000 PAGE 8 Non-fatal Assault Hospitalizations 1500 Incarceration 0 20 40 60 80 100 0 20 40 60 80 100 0 20 40 60 80 100 500 ^White, Black, Asian and Other exclude Latino ethnicity. Latino is Hispanic or Latino of any race. 2000 1500 Edit in Indesign. Graph applies to all CDs. Note: Percentages may not sum to 100% due to rounding. PAGE 8 Non-fatal Assault Hospitalizations0 40 80 120 Incarceration160 200 1000 0 Sources: Population, Race and Ethnicity and Age: U.S. Census Bureau Population Estimates, 2016; Born Outside the U.S. and English Proficiency:1500 U.S. Census Bureau, American Edit in Indesign. Graph applies to all CDs. Community Survey, 2012-2016 1000 Edit in Indesign. Graph500 applies to all CDs. 1000 2 COMMUNITY0 HEALTH40 PROFILES 2018:80 UPPER120 EAST SIDE160 200 500 500 0 0 40 80 120 160 200 0 40 80 120 160 200 0 0 Note from Oxiris Barbot, Commissioner, New York City Department of Health and Mental Hygiene

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

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

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

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

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

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

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

Sincerely,

Oxiris Barbot, MD

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

COMMUNITY HEALTH PROFILES 2018: UPPER EAST SIDE 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 8, which includesCarnegie Hill, Lenox Hill, Roosevelt Island, Upper East Side and Yorkville. 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 UPPER EAST SIDE MANHATTAN NEW YORK CITY COMMUNITY DISTRICT

4 COMMUNITY HEALTH PROFILES 2018: UPPER EAST SIDE 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: UPPER EAST SIDE 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. Upper East Side’s elementary school absenteeism rate is lower than the rate for NYC overall. Nine out of 10 high school students in the Upper East Side graduate in four years, PAGE 2 PAGE 2 PAGE 6 PAGEhigher 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 78% 78% 75.0 75.0 90 90 100 100 96% 62.5 62.5 Other Other 91% 50.0 50.0 37.5 37.5 Asian Asian 73% 75% 25.0 25.0 75 75 12.5 12.510% 10% 7% 7% 3% 3% 1% 2%1% 2% White White 60 0.0 0.0 60 Asian BlackAsianLatinoBlackWhiteLatinoOtherWhite Other PAGEPAGEPAGE 2 2 2 PAGEPAGEPAGE 6 6 6 50 50 BlackBlackBlack PopulationPopulation by age by age PopulationPopulationPopulation by by by race race race ElementaryElementaryElementary School School School Abseentee Abseentee Abseentee OnOnOn time time time high high high school school school graduation graduation graduation 30 100.0100.0100.0 30 LatinoLatinoLatino 87.587.587.5 20% 45.0 45.0 78%78%78% 18% 25 25 37% 37% 75.075.075.0 909090 100100100 OtherOtherOther 62.562.562.5 8% 5% 24% 24% 50.050.050.0 37.537.537.5 22.5 22.5 20% 20% 0 0 AsianAsianAsian 0 0 14% 25.025.025.0 14% 10%10%10% Upper Manhattan NYC Lowest: Upper Manhattan NYC757575 Highest: 12.512.512.5 3%3%3% 7%7%7% 1%1%1% 2%2%2% WhiteWhiteWhite 5% 5% 0.00.00.0 East Side Bayside and606060 Little Neck East Side Financial District AsianAsianAsian BlackBlackBlack LatinoLatinoLatinoWhiteWhiteWhite OtherOtherOther 0.0 0.0 HighestHighest Level of Level Education of Education Achieved Achieved 0-17 18-240-1725-4418-2445-6425-44 65+45-64 65+ Source: NYC Department of Education, 2016-2017 Note: NYC and borough On-time High 50School5050 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. Source: NYC Department of Education, 2017 Born outsideBorn outside US US 45.045.045.0EnglishEnglish pro ciency pro ciency 252525 37%37%37%

24%24%24% 22.522.522.5 20%20%20% 000 (percent of adults ages 25 and older) 000 14%14%14% HIGHEST LEVEL OF EDUCATION ACHIEVED 5%5%5% High school 0.00.00.0 HighestHighestLessHighest than Level Level Level graduateof of of Education Education Education or Achieved Achieved Achieved 0-170-170-17 18-2418-2418-24 25-4425-4425-44 45-6445-6445-64 65+65+65+ high school some college College graduate Four out of five Upper East Side 3% 14% 83% adults in the Upper 0 20 40 60 0 80 20 100 40 600 2080 10040 60 0 80 20 100 40 060 2080 40100 60 0 80 20 100 40 60 80 100 BornBornBorn outside outside outside US US US EnglishEnglishEnglish pro ciency pro ciency pro ciency East Side have a college degree. Three 2000 2000 Manhattan 13% 23% 64% PAGE 8 PAGENon-fatal 8 Non-fatal Assault Assault Hospitalizations Hospitalizations IncarcerationIncarceration percent of adults have not completed 1500 1500 NYC 19% 38% 43% high school, a rate lower than the Edit in Indesign.Edit in Indesign. Graph applies Graph appliesto all CDs. to all CDs. citywide rate. 1000 1000 Highest % college graduate: 4% 12% 84% Financial District, Greenwich Village-Soho

0 0 0 20 20 20 40 40 40 60 60 60 80 80 80 100100100 0 0 0 20 20 20 40 40 40 60 60 60 80 80 80 100100100 0 0 0 20 20 20 40 40 40 60 60 60 80 80 80 100100100 500 500Source: U.S. Census Bureau, American Community Survey, 2012-2016 200020002000 0 0 40 40 80 80 120 PAGEPAGEPAGE120 1608 8 8 Non-fatalNon-fatalNon-fatal160 200 Assault Assault Assault200 Hospitalizations Hospitalizations Hospitalizations IncarcerationIncarcerationIncarceration 0 0 150015001500 6 COMMUNITY HEALTH PROFILES 2018: UPPER EAST SIDE EditEditEdit in in in Indesign. Indesign. Indesign. Graph Graph Graph applies applies applies to to to all all all CDs. CDs. CDs. 100010001000

500500500

000 404040 808080 120120120 160160160 200200200 000 Social and Economic Conditions

Economic stress Living in high-poverty neighborhoods limits healthy options and makes it difficult to access quality health care and resources that promote health. In the Upper East Side, 7% 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 Upper East Side’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. Forty-one percent of Upper East Side residents are rent burdened, a lower rate than residents citywide.

ECONOMIC STRESS Upper East Side Manhattan NYC Lowest % Many of the factors that affect Poverty 7% 14% 20% health happen (percent of residents) Upper East Side outside of a doctor’s office. Unemployment 4% 7% 9% This includes (percent of people ages 16 and older) Upper East Side access to quality education, jobs Rent Burden 41% 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 Upper East Side 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: UPPER EAST SIDE 7 PAGE 2 PAGE 6

Black Population by race Elementary School Abseentee On time high school graduation 100.0 Latino 87.5 78% 75.0 90 100 62.5 Other 50.0 37.5 Asian 25.0 10% 75 12.5 3% 7% 1% 2% White 0.0 60 Asian Black Latino White Other 50 Population by age 30 45.0 25 37%

24% 22.5 20% 0 0 14% 5% 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 Upper East Side has a lower rate2000 of assault-related hospitalizations. PAGE 8 Non-fatal Assault Hospitalizations Incarceration NON-FATAL ASSAULT HOSPITALIZATIONS (per 100,000 people) 1500 Hospitalizations 15 Upper East Side 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 407 71 Manhattan 0 Upper East Side Lowest rate 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 Upper East Side 62% community connection. In the Upper East Side, 62% of Manhattan 70% residents think that their neighbors are willing to help one another. This is lower than 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 COMMUNITYHomes with HEALTH air conditioners PROFILES 2018: UPPER EAST SIDE 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 Upper East Side, levels of Preterm births 0 PAGE20 the8 Upper40 East60 Side have80 working100 air conditioners. PAGE the10 most harmful air pollutant, fine particulate PAGEmatter 11 0 20 40 60 80 100 0 20(PM2.5),40 are 9.1 60micrograms80 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) Homes with air conditioners Pedestrian Injury 97% 99% 100 93% 89% Teen births 100 Teen births 80 More 9.1 9.0 healthy 80Upper East Side 60 Manhattan 60 40 7.5 Preterm births 40 20 NYC 0 20 40 60 80 100 Less 6.0 20 0 healthy 0 20 40 60 80 100 Lowest: Upper Manhattan NYC Highest: 0 Rockaway and Broad Channel PAGE East9 Side Tottenville and 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 Upper East SidePAGE, 64% 12of 40 50 PAGE 12 PAGE 12 renter-occupied homes are adequately maintained by landlords – free from heating breakdowns, cracks, holes, peeling 30 40 Child Asthma40 emergency Childhood Obesity 20 paint and other defects. Twelve percent of Upper Eastdepartment Side households30 visits report seeing cockroaches, which is a potential Child Asthma emergency Childhood Obesity 20 10 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 64% 12% Upper East Side 150 60 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% Upper Manhattan NYC Highest: 300 East Side 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: UPPER EAST SIDE 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 0Thirty percent20 of40 roads60 in the Upper80 East100 Side have bike Upper East Side residents have a lower pedestrian injury 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 30% Upper East Side 19 Upper East Side 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 0 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 Upper East Side, 150 districts is one supermarket for every three bodegas 0 there20 are five bodegas.40 60 80 100 80 100 70 (healthier); the highest is one supermarket for every 57 5 60 bodegas (less healthy). The Upper East Side is home to two 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 20 department visits 10 It is easier to make healthy choices when 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: UPPER EAST SIDE Maternal and Child Health

Pregnancy outcomes In the Upper East Side, the rate of expectant mothers receiving late or Access to quality health no prenatal care is lower than the citywide rate. One in 14 births to Upper care is critical to a mother’s East Side residents is preterm (three or more weeks before the due date), health before, during and after lower than the citywide rate. pregnancy, and to the health of our littlest New Yorkers.

PAGE 8 PAGE 10 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 PAGE1.3% 11 1.4% 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 Lowest: Upper East Side Manhattan NYC PAGE 8 FinancialPAGE District 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 0 20 40 60 80 100 0 20 40 60 80 100 PRETERMPreterm births BIRTHS PAGE 9 (percent of live births) 8.7% 0Homes20 with40 air conditioners60 80 100 Pedestrian Injury Preterm birth is 0 20 40 60 80 100 a key driver of 100 5.4% 7.3% 8.3% PAGE 9 Teen births Preterm births infant death. Homes80 with air conditioners Pedestrian Injury Lowest: Upper East Side NYC 0 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 Upper East Side’s teen birth rate is 3.4 60 3.4 Upper East Side 0 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: UPPER EAST SIDE 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

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

Percent of0 adultsMaternal20 who40 agree60 and that80 their Child100 HealthBike Lanes Late or no prenatal care Homes without maintenance defects neighbors are willing to help one another 80 0 20 40 60 80 100 70 60 50 ChildhoodPAGE obesity 12 CHILDHOODPAGE 12 OBESITY (percent of public school children in grades K through 8) 40 One out of 17 Upper East Side children in Child Asthma emergency Childhood Obesity 30 grades K through 8 has obesity. This is lower 6% 16% 20% 5% 20 department visits Preterm births 10 than the citywide rate of one in five. 0 0 20 300 40 60 80 100 Cockroaches 250 0 20 40 60 80 100 PAGE 9 200 Upper East Side Manhattan NYC Lowest: Homes with air conditioners Pedestrian Injury 150 Financial District Source: NYC Department of Education, 2016-2017 100 100 Teen births

80 50

60 0 0 20 40 60 80 100 Children’s hospitalizations and emergency department visits 40“Avoidable hospitalizations” are those that could be prevented with timely access to quality outpatient care. The rate 20of avoidable pediatric hospitalizations among children ages 4 and younger in the Upper East Side is lower than the 0citywide rate.

Many childhood asthma emergency department visits could be prevented by reducing the presence of pests, mold, 0 20 40 60 80 100 Homessecondhand without smoke maintenance and other asthma defects triggers, and by taking daily medication. The asthma emergency department visit rate among children ages 5 to 17 in the Upper East Side is less than a quarter of the citywide rate. The TCNY 2020 80 0 20 40 60 80 100 70 goal is to have 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 0 100 100 300 264 179 Upper East Side 80 80 Cockroaches 250 223 60 200 60 488 Manhattan 150 40 40 623 NYC 100 20 49 20 50 28 118 Lowest: Borough Park 0 0 0 0 20 40 60 80 100 Upper Manhattan NYC Lowest: 0 100 200 300 400 500 600 700 800 East Side Financial District PAGE 16 80 PAGESources: Avoidable13 Hospitalizations among Children: New York State DepartmentHIV 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.

012 20 40 60 80 100 COMMUNITY HEALTH PROFILES 2018: UPPER EAST SIDE 0 PAGE 14 PAGE 17 Avoidable Hospitalizations HEP C 150

Edit in Indesign. Graph applies to all CDs.

0 200 400 600 800 1000 1200 0 PAGE 18 Falls Psychiatric hospitalizations Infant Mortality

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

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

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

Avoidable hospitalizations HPV Flu among children 100 100

80 80

60 60

40 40

20 20

Healthy Living 0 0

0 100 200 300 400 500 600 700 800 PAGE 16 80 Self-reported health PAGEADULTS 13 REPORTING THEIR OWN HEALTHHIV AS "EXCELLENT," How residents feel about their own health Self-Reported"VERY GOOD" Health OR "GOOD" (percent of adults) can be a good measure of overall mental Upper East Side 89% Edit in Indesign. Graph applies to all CDs. and physical health. Eighty-nine percent Manhattan 83% of Upper East Side 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 Eighty-seven percent of Upper East Side adultsAvoidable report getting Hospitalizations any physical activity in the FederalHEP C guidelines past 30 days, higher than New Yorkers overall. The percentage of Upper East Side adults recommend who report eating at least one serving of fruits or vegetables in the past day is higher than that adults get Edit in Indesign. Graph applies to all CDs. the 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. Thirteen percent of Upper East Side 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 Upper East Side is lower than 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)

Upper East Side Manhattan NYC Highest %

Any physical activity in the past 30 days 87% 81% 73% 90% Financial District, Greenwich Village- Soho At least one serving of fruits or 94% 90% 87% 96% 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

Upper East Side Manhattan NYC Lowest % CD NYC Binge Drinking (use graph to the right to mark points) Premature One or more 12-ounce sugary drinks 13% 17% 23% 8% per day Financial District, Death Greenwich Village- Soho Current smokers 8% 13% 14% 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: UPPER EAST SIDE 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 Upper East Side, 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 of 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 Upper East Side 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 547 Upper East Side Edit in Indesign. Graph applies to all CDs. Edit in Indesign. Graph applies to all CDs. Upper East Side 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 Upper East Side’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 2,098 Upper East Side 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: UPPER EAST SIDE

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. Fifty-five percent of teens ages 13 to 17 in theUpper East Side receive all recommended doses of the HPV vaccine. Nearly three out of five Upper East Side adults report getting a flu vaccine in the past 12 months, higher than 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 63% 59% 62% 55% 55% 60 60 60 60 50% 43% 40 40 40 40

20 20 20 20 Less Less 0 0 healthy 0 0 healthy Upper Manhattan NYC Highest: Upper Manhattan NYC Highest: 0 100 200 0300 100400 200500 300600 400700 500800 600 700 800 East Side Hunts Point and East Side 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: UPPER EAST SIDE 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 Upper East Side’s adult obesity rate is 11%, 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. Four percent of Upper East Side adults have been diagnosed with diabetes and 15% have been told they have hypertension. Rates for both are lower than the rest of NYC.

OBESITY, DIABETES AND HYPERTENSION (percent of adults) Upper East Side Manhattan NYC Lowest % Obesity can lead to diabetes, high Obesity 11% 15% 24% 4% Financial District, blood pressure Greenwich and other health Village- Soho conditions.

Diabetes 4% 8% 11% 3% Hypertension, Financial District, Greenwich also known as high Village- Soho blood pressure, is a leading risk factor Hypertension 15% 23% 28% 15% Financial District, for heart disease Greenwich and stroke. Village- Soho

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

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

NEW HIV DIAGNOSES (per 100,000 people)

28.5 Manhattan 24.0 NYC 6.6 0 Upper East Side 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: UPPER EAST SIDE 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 should beFalls 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 77.5 Edit in Indesign.Manhattan Graph applies to all CDs. 71.8 NYC 24.3 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 Upper East Side 0 CD NYC PAGESource: NYC 14 DOHMH, Communicable Disease Surveillance Registry, 2016 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 Upper East Side 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% 29% (percent of adults)

Lowest: Bensonhurst NYC Manhattan Upper East Side

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) Upper East Side is less than half the citywide rate. Psychiatric hospitalizations Infant Mortality

304 Upper East Side 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: UPPER EAST SIDE 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. In PAGE 14 the Upper East Side the infant mortality rate is lower than 0.8* Lowest rate Upper East Side PAGE 17 the citywide rate. The TCNY 2020 goal is a citywide rate of 150 Avoidable Hospitalizations HEP C less than 4.4 per 1,000 live births. 3.4 Manhattan

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

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 Upper East 0 200 400 600 800 1000 1200 0 Side, similar to the rest of NYC. However,Death Upper East Side residents die prematurely at a disproportionately lower rate. Lung cancer, breast cancer (among women) and pancreatic cancer are the three leading causes of cancer-related PAGE 18 Falls premature death in the Upper East Side. 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 Upper East Side NYC Rank Overall rate 90.9CD 169.5NYC 35.9 46.2 Binge Drinking (use graph to the right to mark points) Cancer Premature 1 1 Death (380) 12.0 32.9 Heart disease 2 (128) 2

3 6.4 5.1 7 Suicide (70) 4.8 9.4 Drug-related 4 (50) 3 3.4 6.4 Accidents 5 (37) 4 (excluding drug poisoning)

100 80 60 40 20 00 20 40 60 80 100 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: UPPER EAST SIDE 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: UPPER EAST SIDE 19 Life Expectancy by Community District

The Upper East Side’s average life expectancy is 4.7 years longer than NYC overall. 85.9 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 8: Upper East Side; 2018; 8(59):1-20.