[PDF] 2012 New York State Minority Health Surveillance Report





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Minority Report of the Working Group on Representation

This minority report expresses dissent from some of the views expressed by the working group on. Representation Governance and Accountability of new Water 

2012

Public Health Information Group

Office of Minority Health and Health Disparities Prevention

Center for Community Health

New York State Department of Health

Table of Contents

Executive Summary ................................................................................................. 1

Introduction ............................................................................................................11

References ........................................................................................................................................................... 18

Racial and Ethnic Groups .....................................................................................20

Hispanics/Latinos ...................................................................................................................... 21

African Americans .................................................................................................................... 22

Asian and Pacific Islander Americans ...................................................................................... 23

American Indians and Alaska Natives ...................................................................................... 24

Figure 1: Geographic Distribution of New York State-Recognized Tribal Nations ........................................... 26

References ........................................................................................................................................................... 27

Population and Socio

demographic Characteristics ..........................................29

Figure 2. Population by Race and Hispanic Origin, New York State, 2010 ....................................................... 30

Figure 3. Percentage Change in Population by Race/Ethnicity, New York State, 2000 and 2010 ..................... 31

Figure 4. Percentage of Population that is Black non-Hispanic by County, New York State, 2010 ................... 32

Figure 5. Percentage of Population that is Asian/Pacific Islander non-Hispanic by County, New York State,

2010 .................................................................................................................................................................... 33

Figure 6. Percentage of Population that is Hispan

ic by County, New York State, 2010 .................................... 34

Figure 7. Percentage of Population Living Below Poverty by Race/Ethnicity and County, ............................... 35

New York State, 2009 .......................................................................................................................................... 35

Figure 8. Percentage of Children Aged Less Than 18 Years Living Below Poverty by Race/Ethnicity, New York

State, 2009 .......................................................................................................................................................... 36

Figure 9. Median Household Income by Race/Ethnicity, New York State, 2009 ................................................ 37

Figure 10. Number and Percentage of Households by Income Category, New York State, 2009 ...................... 38

Figure 11. Percentage of Population Aged 25 Years or over with at Least Some College by Race/Ethnicity,

New York State, 2009 .......................................................................................................................................... 39

Figure 12. Percentage of Households Whose Monthly Housing Costs Were at Least 30% of Total Household

Income by Race/Ethnicity, New York State, 2009 ............................................................................................... 40

References ........................................................................................................................................................... 41

General Health .......................................................................................................42

Figure 13. Age-Adjusted Percentage of Adults Aged 18 Years and Older Reporting Fair or Poor Health by

Race/Ethnicity, New York State, 2001

-2009 ....................................................................................................... 43

Figure 14. Age-Adjusted Percentage of Adults Aged 18 Years and Older Reporting Fair or Poor Health by

Race/Ethnicity and Income Categories, New York State, 2007 -2009 ................................................................. 44 Figure 15. Age-Adjusted Percentage of Adults Aged 18 Years and Older Reporting Poor Mental Health by

Race/Ethnicity, New York State, 2001

-2009 ....................................................................................................... 45

Figure 16. Age-Adjusted Percentage of Adults Aged 18 Years and Older Reporting Poor Mental Health by Race/Ethnicity and Income Categories, New York State, 2007 -2009 ................................................................. 46 Figure 17. Percentage of Deaths that Were Premature (Deaths of Person s <75 Years Old) by Race/Ethnicity,

New York State, 2000

-2009 ................................................................................................................................ 47

Figure 18. Age-Adjusted Years of Potential Life Lost per 100,000 Population by Race/Ethnicity, New York

State, 2000

-2009 ................................................................................................................................................. 48

References ........................................................................................................................................................... 49

Maternal and Child Health ...................................................................................50

Figure 19. Percentage of Preterm Births (Less than 37 Weeks) by Race/Ethnicity, New York State, 2000-2009

............................................................................................................................................................................ 51

Figure 20. Percentage of Births Under 2,500 Grams by Race/Ethnicity, New York State, 2000 -2009 .............. 52

Figure 21. Infant Mortality Rate per 1,000 Live Births by Race/Ethnicity, New York State, 2000-2009 ........... 53

Figure 22. Maternal Mortality Rate per 100,000 Live Births by Race/Ethnicity, New York State, 2000-2009 .. 55

Figure 23. Percentage of Women Who Initiated Breastfeeding by Race/Ethnicity, New York State, 2004 -2009

............................................................................................................................................................................ 56

Figure 24. Percentage of Women Who Breastfed for Eight Weeks or More by Race/Ethnicity, New York State,

2004-2009 ........................................................................................................................................................... 57

Figure 25. Percentage of Babies Put to Sleep on Their Backs by Race/Ethnicity, New York State, 2004-2009. 58

Figure 26. Percentage of Births to Women Who Were Obese Before Pregnancy by Race/Ethnicity, New York

State, 2004

-2009 ................................................................................................................................................. 59

Figure 27. Percentage of Births Receiving Early Prenatal Care by Race/Ethnicity, New York State, 2000

-2009

............................................................................................................................................................................ 60

Figure 28. Percentage of Births with Adequa

te Prenatal Care (Kotelchuck Index) by Race/Ethnicity, New York

State, 2000

-2009 ................................................................................................................................................. 61

Figure 29. Percentage of Women Smoking During the Last Three Months of Pregnancy by Race/Ethnicity,

New York State, 2004-2009 ................................................................................................................................ 62

Figure 30. Percentage of Women Drinking During the Last Three Months of Pregnancy by Race/Ethnicity,

New York State, 2004

-2009 ................................................................................................................................ 63

Figure 31. Percentage of Births Resulting From an Unintended Pregnancy by Race/Ethnicity, New York State,

2004-2009 ........................................................................................................................................................... 64

Figure 32. Teenage Pregnancy Rate per 1,000 Females Ages 15 -17 by Race/Ethnicity, New York State, 2000-

2009 .................................................................................................................................................................... 65

References ........................................................................................................................................................... 66

Risk Factors ............................................................................................................67

Figure 33. Age-Adjusted Percentage of Adults 18 Years and Older for Whom Cost Prevented Doctor Visits by

Race/Ethnicity, New York State, 2003

-2009 ....................................................................................................... 68

Figure 34. Age-Adjusted Percentage of Adults 18 Years and Older for Whom Cost Prevented Doctor Visits by

Race/Ethnicity and Income Categories, New York State, 2007 -2009 ................................................................. 69

Figure 35. Percentage of Adults Aged 18

-64 Years with No Health Insurance by Race/Ethnicity, New York

State, 2001

-2009 ................................................................................................................................................. 70

Figure 36. Percentage of Adults Aged 18

-64 Years with No Health Insurance by Race/Ethnicity and Income

Categories, New York State, 20

07

-2009 ............................................................................................................. 71

Figure 37. Age-Adjusted Percentage of Adults 18 Years and Older who Were Current Smokers by

Race/Ethnicity, New York State, 2001

-2009 ....................................................................................................... 72

Figure 38. Age-adjusted Percentage of Adults Aged 18 Years and Older who Were Current Smokers by Race/Ethnicity and Income Categories, New York State, 2007 -2009 ................................................................. 73

Figure 39. Percentage of High School Students who Smoked Cigarettes on One or More of the Past 30 Days

by Race/Ethnicity, New York State, 2010 ............................................................................................................ 74

Figure 40. Age-Adjusted Percentage of Adults 18 Years and Older who Were Obese by Race/Ethnicity, New

York State, 2001

-2009 ........................................................................................................................................ 75

Figure 41. Age-Adjusted Percentage of Adults Aged 18 Years and Older who Were Obese by Race/Ethnicity

and Income Categories, 2007

-2009 .................................................................................................................... 76

Figure 42. Percentage of Obesity Among Children Ages 2 -4 Years in the WIC Program by Race/Ethnicity,

New York State, 2000

-2009 ................................................................................................................................ 77

Figure 43. Percentage of High School Students who Were Obese by Race/Ethnicity, New York State, 2009 .... 78

Figure 44. Age-Adjusted Percentage of Adults Aged 18 Years and Older Reporting No Leisure-Time Physical

Activity by Race/Ethnicity, New York State, 2001-2009 ..................................................................................... 79

Figure 45. Age-Adjusted Percentage of Adults Aged 18 Years and Older Reporting No Leisure-Time Physical

Activity by Race/Ethnicity and Income Categories, New York State, 2007-2009 ............................................... 80

Figure 46. Percentage of High School Students Who Did Not Participate in at Least 60 Minutes of Physical

Activity on Any Day by Race/Ethnicity, New York State, 2009 ........................................................................... 82

Figure 47. Percentage of High School Students Who Watched Three or More Hours of Television per Day on

an Average School Day by Race/Ethnicity, New York State, 200

9 ..................................................................... 83

Figure 48. Binge Drinking Among High School Students During the Past 30 Days by Race/Ethnicity, New York

State, 2009 .......................................................................................................................................................... 84

Figure 49

. High School Students who Ever Had Sexual Intercourse During Their Lifetime by Race/Ethnicity,

New York State, 2009 .......................................................................................................................................... 85

Figure 50. Percentage of Sexually Active High School Students Who Used a Co ndom During Last Sexual

Intercourse by Race/Ethnicity, New York State, 2009 ........................................................................................ 86

Figure 51. Female High School Students who Have Ever Been Forced to Have Sexual Intercourse During

their Lifetime by Race/Ethnicity, New York State, 2009 ..................................................................................... 87

Figure 52. Percentage of Adults 50 Years and Older Reporting They Had Received an Influenza Vaccine within the Past 12 Months by Race/Ethnicity, 2001 -2009 .................................................................................. 88 Figure 53. Percentage of Adults 50 Years and Older Reporting They Had Received an Influenza Vaccine within the Past 12 Months by Race/Ethnicity and Income Categories, New York State, 2007 -2009 .................. 89

References ........................................................................................................................................................... 90

Disease Prevalence .................................................................................................91

Figure 54. Age-Adjusted Percentage of Adults aged 18 Years and Older Ever Diagnosed with Diabetes by

Race/Ethnicity, New York State, 2001

-2009 ....................................................................................................... 92

Figure 55. Age-Adjusted Percentage of Adults aged 18 Years and Older Ever Diagnosed with Diabetes by Race/Ethnicity and Income Categories, New York State, 2007 -2009 ................................................................. 93

Figure 56. Age-Adjusted Percentage of Adults aged 18 Years and Older Diagnosed with Current Asthma by

Race/Ethnicity, New York State, 2001-2009 ....................................................................................................... 94

Figure 57. Age-Adjusted Percentage of Adults Aged 18 Years and Older with Current Asthma by Race/Ethnicity and Income Categories, New York State, 2007 -2009 ................................................................. 95 Figure 58. Age-Adjusted Female Breast Cancer Incidence and Mortality Rates per 100,000 Population by

Race/Ethnicity, New York State, 2004

-2008 ....................................................................................................... 96

Figure 59. Age-Adjusted Female Breast Cancer Mortality Rates per 100,000 Population by Race/Ethnicity,

New York State, 1999

-2008 ................................................................................................................................ 97

Figure 60. Percentage of Female Breast Cancer Ca

ses Diagnosed in Early Stages by Race/Ethnicity, New

York State, 1999

-2008 ........................................................................................................................................ 98

Figure 61. Age-Adjusted Cervical Cancer Incidence and Mortality Rates per 100,000 Population by

Race/Ethnicity, New York State, 2004-2008 ....................................................................................................... 99

Figure 62. Age-Adjusted Cervical Cancer Mortality Rates per 100,000 Population by Race/Ethnicity, New

York State, 1999

-2008 ...................................................................................................................................... 100

Figure 63. Percentage of Cervical Cancer Cases Diagnosed in Early Stages by Race/Ethnicity, New York

State, 1999

-2008 ............................................................................................................................................... 101

Figure 64. Age-Adjusted Prostate Cancer Incidence and Mortality Rates per 100,000 Population by

Race/Ethnicity, New York State, 2004

-2008 ..................................................................................................... 102

Figure 65. Age-Adjusted Prostate Cancer Mortality Rates per 100,000 Population by Race/Ethnicity, New

York State, 1999-2008 ...................................................................................................................................... 103

Figure 66. Percentage of Prostate Cancer Diagnosed in Early Stages by Race/Ethnicity, New York State,

1999-2008 ......................................................................................................................................................... 104

Figure 67. Age-Adjusted Colorectal Cancer Incidence and Mortality Rates per 100,000 Population by Gender

and Race/Ethnicity, New York State, 2004

-2008 .............................................................................................. 105

Figure 68. Age-Adjusted Male Colorectal Cancer Mortality Rates per 100,000 Population by Race/Ethnicity,

New York State, 1999

-2008 .............................................................................................................................. 106

Figure 69. Age-Adjusted Female Colorectal Cancer Mortality Rates per 100,000 Population by

Race/Ethnicity, New York State, 1999-2008 ..................................................................................................... 107

Figure 70. Percentage of Male Colorectal Cancer Cases Diagnosed in Early Stages by Race/Ethnicity, New

York State, 1999

-2008 ...................................................................................................................................... 108

Figure 71. Percentage of Female Colorectal Cancer Cases Diagnosed in Early Stages by Race/Ethnicity, New

York State, 1999

-2008 ...................................................................................................................................... 109

Figure 72. HIV New Case Rate p

er 100,000 Population by Race/Ethnicity, New York State, 2005 and 2009 110

Figure 73. Age-Adjusted HIV/AIDS Mortality Rate per 100,000 Population by Race/Ethnicity, New York State,

2000-2009 ......................................................................................................................................................... 111

Figure 74. Incidence Rate of Elevated Blood Lead Level per 100,000 Employed Adults by Race/Ethnicity, New

York State, 1999

-2009 ...................................................................................................................................... 112

References ......................................................................................................................................................... 113

Emergency Department Visits and Hospitalizations ........................................115 Figure 75. Age-Adjusted Asthma-Related Emergency Department Visit Rate per 10,000 Population by

Race/Ethnicity, New York State, 2005

-2009 ..................................................................................................... 116

Figure 76. Age-Adjusted Unintentional Injury-Related Emergency Room Visit Rate per 10,000 Population by

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