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Lower East Side and Chinatown - NYC.gov
Lower East Side
                                                                                     MANHATTAN
                                                                                     COMMUNITY
                                                                                      DISTRICT

                                                                                       3
and Chinatown
Including Chinatown, East Village and Lower East Side

                          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: LOWER EAST SIDE AND CHINATOWN                                    1
4 AV
                                                                                                                                                                                                                                EA
                                                                                                                                                                                                                                     ST
                                                                                                                                                                                                                                        14

                                        Who We Are
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                                                                                                                                                                                               SQUA ER
                                                                                                                                                                                                   RE
                                                                                                                                                                                               COOP
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                                                   New York City
                                                                                                                                                                                 NA
                                                                                                                                                                    BA                  LS
                                                                                                                                                                      XT                  T
                                                                                                                                                                         ER

                                                   New York City
                                                                                                                                                                       ST

                                                                                                                                                                      PEARL ST
                                                                                                                                                                                                                                                          ER
                                                                                                                                                                                                                                                     IV
                                                                                                                                                                                                                                             TR
                                                                                                                                                                                                                                          EAS
                                                   NYC population by race

                                                           New York City
                                                   NYCNew                                                                                               PAGE 2
                                                   PAGE     York
                                                       population
                                                        2         byCity
                                                                    race                                                                                            Lower East Side
                                                                                                                                                        Population  by race
                                                                                                                                                           and     Chinatown
                                                                                                                                                                                                                                                                                                        Black
                                                   PAGE 2                                                                                               PAGE 2
                                                                                                                                                             Black
           POPULATION100.0                                                                                                            100.0                                                                                                                                                             Latino
                       87.5
           BY RACE AND75.0                                 NYC population by race
                                                                                                                                       87.5
                                                                                                                                       75.0
                                                                                                                                                        Population
                                                                                                                                                             Black
                                                                                                                                                             Latino by race                                                                                                                             Black
                      100.0
           ETHNICITY^ 62.5
                       87.5                                                                                                            62.5
                                                                                                                                      100.0                                                                                                                                                             Other
                                   50.0                    PAGE 2                                                                      50.0                         PAGE   2
                                                                                                                                                                       Latino
                                                                                                                                                                       Other                                                                                                                            Latino
                                   75.0
                                                                                    29%         32%                                    87.5                          36%                  30%

New York City
                                   37.5
                                                                                                                                                                                 by25%
                                                                                                                                       37.5                                                                                                                                                             Asian
                                   62.5                                  22%                                                           75.0            Black        Population      race                                                                                            Black
                                   25.0
                                   50.0                    15%                                                                         25.0
                                                                                                                                       62.5                            Asian
                                                                                                                                                                       Other                                                                                                                            Other
                                                   100.0
                                                                                                                                                                              7%
                                   12.5
                                   37.5             87.5                29% 32% 2%                                                     12.5
                                                                                                                                       50.0             100.0
                                                                                                                                                       Latino       36%                    1%                                        2%                                             Latino              White
                                    0.0                          22%                                                                    0.0              87.5
                                                                                                                                                                       White              30%
                                   25.0             75.0
                                                    62.5    15%
                                                           Asian Black Latino White Other
                                                                                                                                       37.5
                                                                                                                                                         75.0          Asian       25%
                                                                                                                                                                    Asian Black Latino White                                        Other
                                                                                                                                                                                                                                                                                                        Asian
                                                                                                                                        25.0
                                   12.5             50.0
                                                                              32%
                                                                                     2%                                                                Other
                                                                                                                                                         62.5
                                                                                                                                                                             7%
                                                                                                                                                                                                                                                                                    Other
                                    0.0             37.5
                                                                            22%
                                                                                      29%                                               12.5             50.0
                                                                                                                                                                         36%
                                                                                                                                                                       White               1%                                       2%                                                                  White
NYC population by race
                                                    25.0   Asian15%Black            Latino      White          Other                     0.0            Population by age
                                                                                                                                                         37.5
                                                                                                                                                       Asian           25%               30%                                                                                        Asian
                                                   NYC population by age
                                                   NYC8,537,673                                                                                            171,103
                                                    12.5                                                      2%                                         25.0
                                                                                                                                                                     Asian              Black
                                                                                                                                                                                            7% Latino White                         Other
           TOTAL                                     0.0
                                                                  Asian     Black    Latino    White      Other
                                                                                                                                                         12.5
                                                                                                                                                       White
                                                                                                                                                          0.0
                                                                                                                                                                                                                   1%         2%                                                    White
PAGE 2 POPULATION                                                                             PAGE 2                                                                                                                           PAGE            6
                                                      population by age                                                                  45.0           Population by age    Asian        Black         Latino White         Other
                                  45.0
                                                           NYC population
                                                                      Black
                                                                             byPopulation
                                                                               age        by race                                                                   Population by  35%
                                                                                                                                                                                   age
                                                                                                                                                                                Black
                                                                                                                                                                                                                                Elementary School Abseentee
                                                                        32%
                                                                       100.0                                                                                                                          Latino           25%
                                  45.0                                Latino                                                             45.0
           POPULATION                              45.0                 87.5     25%                                                                     45.0
                                                           21%                                                                           22.5
                                                                                                                                                                                                        35%                      16%
                                                                                                                                                                                                                                90
                                                                        32%                                                                                                                              35%
                                                                        75.0
           BY AGE     22.5                                               32%
                                                                      Other
                                                                        62.5                                                                                          13%               11%           Other
                    32%29%                                              50.0
                                                                                 25%
                                                                                25%    14%                                                                                                                          25%
                                                                                                                                                                                                                   25%
                                                                                   36%
    15%
               22%
                                  22.5             22.5    21%21%9% Asian
                                                                        37.5
                                                                                             25%                                    30%
                                                                                                                                         22.5            22.5                                         Asian
                                                                                                                                                                                                                             16%
                                             2%                         25.0
                                                                   9% White
                                                                                     14%
                                                                                        14%
                                                                                         7%                                               0.0                         13%
                                                                                                                                                                                 13%          11%                                   16%
   Asian       Black   Latino White0.0 Other                     9%
                                                                        12.5
                                                                         0.0
                                                                                                                                    1%            2%
                                                                                                                                                                      0-17              11%
                                                                                                                                                                                        18-24         White
                                                                                                                                                                                                        25-44          45-64 6065+
                                                    0.0    0-17      18-24          25-44       45-64
                                                                                                    Asian 65+
                                                                                                            Black           Latino White      Other       0.0
                                                                  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
                                                           0-17          18-24      25-44       45-64              65+                                                0-17              18-24          25-44       45-64         65+
                                                                                                                                           Born outside US                                                                      30                               English proficien
                                                   BornBorn
                                                        outside
                                                            outsideUS
                                                                    US
                                                                    45.0                                                          English
                                                                                                                             English         proficiency
                                                                                                                                     proficiencyBorn outside US                                                                                      English proficiency
                                                                                                                            35%
       BORN OUTSIDE
            32%
                                                   Born outside US                                                                  EnglishBorn outside US
                                                                                                                                            proficiency                                                                                                          English proficien
                25%                                                                                                                 25%
    21%THE US                                                                       22.5                                                                                                                                            0
                                         14%                                                        13%                                       16%
                                                                  37%                                                                                                        34%
               9%                                                                                                  11%

                                                                                     0.0                                                                                                                                        Highest Level of Education Achiev
    0-17       18-24   25-44   45-64         65+                                                       0-17        18-24    25-44   45-64         65+

Born outside US                                            English proficiencyBorn outside US                                                                       English proficiency

           HAVE LIMITED                                                                                                                                                                                                                                                                                           20
                                                                                                                                                                    PAGE 8                      Non-fatal Assault Hospitalizations
           ENGLISH
                                                                  23%                                                                                   PAGE 828%
           PROFICIENCY                                                                                                                                                                                                                                                                                            15
                                                                                                                                                                Non-fatal Assault Hospitalizations
                                                                                                                                                                                                                                                                                                                  10
                                                                                                                                                        PAGE 8                            Non-fatal Assault Hospitalizations    0    20   40    60   80    100   0   20   40   60     80    100    0    20   40   60

           ^White, Black, Asian and Other exclude Latino ethnicity. Latino is Hispanic or Latino of any race.                                                                                                                                                                                                      5
           Note: Percentages may not sum to 100% due to rounding.                                                                                                                                                            2000
                                                                                              PAGE 8                 Non-fatal Assault Hospitalizations
                                                                                                                                              0                                                   40                    80                     120        Incarceration
                                                                                                                                                                                                                                                                 160                              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
           Community Survey, 2012-2016                                                                                                               1500

                                                                                                                                                                                                                                                                                            Edit in Ind
                                                                                                                                      1000
           2                                                                                                      0 2018: LOWER
                                                                                           COMMUNITY HEALTH PROFILES        40  EAST SIDE
                                                                                                                                      80  AND CHINATOWN
                                                                                                                                               120     160

                                                                                                                                                                                                                              500
                                                                                                                                                                0                              40                         80                              120                              160
                                                                                                0                      40              80                       120                      160                     200
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: LOWER EAST SIDE AND CHINATOWN                                                                                       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 3, which includes Chinatown,
              East Village and Lower East Side. 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
                LOWER EAST SIDE
                                         MANHATTAN             NEW YORK CITY          COMMUNITY
                AND CHINATOWN
                                                                                        DISTRICT

4                         COMMUNITY HEALTH PROFILES 2018: LOWER EAST SIDE AND CHINATOWN
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: LOWER EAST SIDE AND CHINATOWN                                                                                                                     5
Social and Economic Conditions

                      Education
                     Higher education levels are associated with better health outcomes. Missing too many days of school can cause
                     students to fall behind and increases their risk of dropping out. The Lower East Side and Chinatown’s elementary
                     school absenteeism rate is lower than the rate for NYC overall. Three-quarters of high school students in the Lower
                     East Side
                     PAGE  6 and Chinatown graduate in four years, similar to the citywide rate.
PAGE 6
      ELEMENTARY SCHOOL ABSENTEEISM                                              ON-TIME HIGH SCHOOL GRADUATION
      Elementary
Elementary  School      School
                       Abseentee   Abseentee                    On   time
      (percent of public school students in grades K through 5 missing 19 or
                                                                            On time
                                                                             high     high
                                                                                   school
                                                                                 (percent
                                                                                              school
                                                                                              graduation
                                                                                          of public
                                                                                                        graduation
                                                                                                    school students graduating in four years)
                      more school days)
90                   90                                                                                                                         100                        100                                                                                                                      96%

                                                                                                                                                                                                                          77%                                                          75%
                                                                                                                                                                                75                                                                           73%
                                                                                                                                                   75
60                   60
                                                                                                                     PAGE
                                                                                                                      PAGE
                                                                                                                       PAGE666
                                                                                                                                                   50                           50
                                                                      Black
                                                                       Black
                                                                        Black
                                                                                                                     Elementary
                                                                                                                      Elementary
                                                                                                                       ElementarySchool
                                                                                                                                  School
                                                                                                                                   SchoolAbseentee
                                                                                                                                         Abseentee
                                                                                                                                          Abseentee                                                                                                                                          On
                                                                                                                                                                                                                                                                                             On
                                                                                                                                                                                                                                                                                              Ontime
                                                                                                                                                                                                                                                                                                 time
                                                                                                                                                                                                                                                                                                  timehigh
                                                                                                                                                                                                                                                                                                       high
                                                                                                                                                                                                                                                                                                       highschool
                                                                                                                                                                                                                                                                                                            school
                                                                                                                                                                                                                                                                                                             schoolgraduation
                                                                                                                                                                                                                                                                                                                    graduation
                                                                                                                                                                                                                                                                                                                    graduation
30                   30                                                 Latino20%
                                                                      Latino
                                                                       Latino
                                16%                       18%                                                                                      25                           25
                                                                      Other
                                                                       Other
                                                                        Other
                                                                                                                      90
                                                                                                                       90
                                                                                                                        90                                                                                                                                                             100
                                                                                                                                                                                                                                                                                        100
                                                                                                                                                                                                                                                                                         100
                                                                                                                      5%
    0                       0                                         Asian
                                                                       Asian
                                                                        Asian                                                                            0                          0
        Lower East Manhattan       NYC        Lowest:                                                                                                                                                             Lower East                          Manhattan
                                                                                                                                                                                                                                                                                        75
                                                                                                                                                                                                                                                                                         75
                                                                                                                                                                                                                                                                                       NYC
                                                                                                                                                                                                                                                                                          75       Highest:
 2%
  2%
   2%                     White
                           White
                             White              60
                                                 60
                                                  60
         Side and                      Bayside and Little Neck                                                                                                                                                     Side and                                                                    Financial District
HighestHighest
Other
 Other
  Other Level ofLevel
        Chinatown        of Education
                   Education      Achieved  Achieved                                                                                                                                                              Chinatown
                       Source: NYC Department of Education, 2016-2017
                                                                                                                                                                                                                                                                                        50
                                                                                                                                                                                                                                                                                         50
                                                                                                                                                                                                                                                                                          50
                                                                                                                                                                                                                Note: NYC and borough On-time High School Graduation data may differ from rates
                                                                                                                                                                                                                presented in other published sources. See technical notes in the public use dataset
                                                                                                                      30
                                                                                                                       30
                                                                                                                        30                                                                                      for more details.
                                                                                                                                                                                                                Source: NYC Department of Education,25
                                                                                                                                                                                                                                                     25
                                                                                                                                                                                                                                                      25
                                                                                                                                                                                                                                                     2017

%
                                             000 ACHIEVED
                      HIGHEST LEVEL OF EDUCATION                                                                                                                                                (percent of adults ages 25 and older)                                                    000
    16%
     16%
      16%
                                                                                                                                                                             High school
                                                                                                                      Highest
                                                                                                                      Highest
                                                                                                                       Highest
                                                                                                                       Less than Level
                                                                                                                                  Level
                                                                                                                                   Levelgraduate
                                                                                                                                       ofof
                                                                                                                                          ofEducation
                                                                                                                                             Education
                                                                                                                                              Education
                                                                                                                                                 or   Achieved
                                                                                                                                                       Achieved
                                                                                                                                                        Achieved
    65+
     65+
      65+                                                                                                                  high school                                       some college                                        College graduate
                                                                                                                                                                                                                                                                                             Half of adults in the
                                                    Lower East Side and Chinatown                                                      24%                                                   28%                                                        48%                                  Lower East Side and
                             English
                              English
                               Englishproficiency
                                       proficiency
                                       proficiency
     20   40    60   0 80   20 100   40   60
                                          0    80
                                               20   100
                                                    40    60   0 80   20 100   40   060    80
                                                                                          20    100
                                                                                                40    60   0 80   20 100   40     60       80      100

                                                                                                                                                                                                                                                                                             Chinatown have
00             2000                    Manhattan                                                                                   13%                                                    23%                                                                  64%                           a college degree.
                         Incarceration
                  Incarceration                                                                                                                                                                                                                                                              Twenty-four percent
                                                                                                                                                                                                                                                                                             of adults have not
00             1500                                                                                        NYC                         19%                                                       38%                                                 43%                                     completed high
                                                                                                                                                                                                                                                                                             school, a rate higher
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                                                                                                          to all CDs.
00             1000                                 Highest % college graduate:
                                                                                                                                4%                                                    12%                                                                                84%                 than the citywide rate.
                                     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

00     500
         Source: U.S. Census Bureau, American Community Survey, 2012-2016
                                                  2000
                                                   2000
                                                    2000
sault
ault
 saultHospitalizations
00    Hospitalizations
       Hospitalizations                                               Incarceration
                                                                       Incarceration
                                                                        Incarceration
  0       0
                                                  1500
                                                   1500
                                                    1500
                      6                                                                                                                  COMMUNITY HEALTH PROFILES 2018: LOWER EAST SIDE AND CHINATOWN
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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 Lower East Side and Chinatown, 18% 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 Lower East Side and Chinatown’s unemployment rate is similar
to the citywide average of 9%. Rent burdened households pay more than 30% of their income for housing and may
have difficulty affording food, clothing, transportation and health care. Forty-eight percent of Lower East Side and
Chinatown residents are rent burdened, a lower 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,
18% of deaths could have been averted in the Lower East Side and Chinatown.

ECONOMIC STRESS                           Lower East Side
                                          and Chinatown             Manhattan                  NYC                Lowest %          Many of the
                                                                                                                                    factors that affect
Poverty                                           18%                   14%                   20%                    7%             health happen
(percent of residents)                                                                                          Upper East Side     outside of a
                                                                                                                                    doctor’s office.
Unemployment                                      8%                     7%                    9%                    4%             This includes
(percent of people ages 16 and older)                                                                           Upper East Side
                                                                                                                                    access to quality
                                                                                                                                    education, jobs
Rent Burden                                      48%                    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; 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, of the 24 neighborhoods were considered low-income
    in 1990, and the Lower East Side and Chinatown is one of 17 neighborhoods that is gentrifying.

Source: NYU Furman Center, 2015

COMMUNITY HEALTH PROFILES 2018: LOWER EAST SIDE AND CHINATOWN                                                                                             7
Born outside US                                                  English proficiency

                             Social and Economic Conditions

   Violence
                                                                                                                  0   20   40   60   80   100   0   20    40    60   80     100   0   20   40   60   80   100

                                                                   2000
  Compared with the citywide rate, the Lower East Side and Chinatown has a lower rate of assault-related hospitalizations.
PAGE 8    Non-fatal Assault Hospitalizations                                    Incarceration
  NON-FATAL ASSAULT HOSPITALIZATIONS (per 100,000 people)
                                                                   1500                         Hospitalizations
                                42                              Lower East Side and Chinatown
                                                                                                                                                                     related to injuries
                                                                                                                                                                        Edit
                                                                                                                                                                     from    in Indesign. Graph ap
                                                                                                                                                                          assaults
                                   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

                                                                                             449                                                                          425
                                                                                                                                                                          NYC
                                                                                                                                                                          407
             71                                                                                                                                                           Manhattan
         0
             Lowest: Upper East Side                                                          Lower East Side and Chinatown
             Source: NYC Department of Corrections, 2015-2016

                                                                                                   PAGE 8                                                                                                       PAGE
   Helpful neighbors                                                                               ADULTS REPORTING THAT THEIR NEIGHBORS
                                                                                                   Percent of adults who agree that their                                                                       Bike L
   Strong social connections can have a positive impact                                            ARE WILLING
                                                                                                   neighbors  are TO HELPtoONE
                                                                                                                  willing      ANOTHER
                                                                                                                            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                                           Lower East Side and Chinatown                   66%
   of community connection. In the Lower East Side and
                                                                                                    Manhattan                                            70%
   Chinatown, 66% of residents think that their neighbors
   are willing to help one another. This is similar to the rest                                     NYC                                                  72%
   of the city.                                                                                     Highest: Tottenville and Great Kills                             86%

                                                                                                   Less healthy                                                More healthy

                                                                                                   Source: NYC DOHMH, Community Health Survey, 2015-2016                                                        0
                                                                                    PAGE 9
   8                                                                                Homes
                                                                     COMMUNITY HEALTH      with2018:
                                                                                      PROFILES   airLOWER  EAST SIDE AND CHINATOWN Pedes
                                                                                                     conditioners
                                                                                                   100

                                                                                                    80
PAGE 8                           Housing and Neighborhood
                                                  PAGE 10 Conditions                                                             PAGE 11
                                                                                          PAGE 8                                             PAGE 1
Percent of adults who agree that their                                             Bike Lanes                                   Late or no prenata
neighbors are willing to help one another                                                 Percent of adults who agree that their             Bike L
                                                                                          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     births
                                                                                                                                                it varies by
        without air conditioning. Nine out of 10 households                                  community district. In the Lower East Side and Chinatown,
   PAGE in
         8 the Lower East Side and Chinatown have working                               PAGE levels
                                                                                              10 of the most harmful air pollutant, fine particulate
                                                                                                                                                  PAGE 11
        air conditioners.                                   0                              20matter  (PM2.5),
                                                                                                    40      60are  8.9 micrograms
                                                                                                                       80      100 per cubic meter.
  Percent
PAGE 9 AIRofCONDITIONING
             adults who agree that their                                             Bike Lanes                                                                           Late or no0prena
  neighbors    are willing to help one another                                             AIR POLLUTION
                                                                                          PAGE    9
Homes (percent
       with air     conditioners
               of households)                                                      Pedestrian   Injury
                                                                                           (micrograms of fine particulate matter per cubic meter)
                                                 99%                                      Homes with air conditioners                                                                      Pedes
100           89%          93%      89%                                                                                                                                 Teen births
                                                                                                   100
 80                                                             More
                                                                healthy                                80 8.9                  9.0
 60
                                                                                                       Lower East Side    Manhattan
 40
                                                                                                       60
                                                                                                        and Chinatown                              7.5                    Preterm births
                                                                                                       40                                          NYC
 20                                                             Less                                                                                                 6.0
                                                                healthy                                20
  0                                                                                                                                                               Lowest:
                                                                                        0              20           40         60          80        100
       Lower East Manhattan NYC    Highest:                                                             0                                                Rockaway and Broad Channel
   PAGE 9
        Side and                Tottenville and
                                                                                  0               20           40         60          80         100
   Homes   with air conditioners
       Chinatown
Homes without maintenance defects Great Kills                                           Pedestrian Injury                                                   0
          Source: NYC Housing and Vacancy Survey, 2014                                      Source: NYCwithout
                                                                                            Homes      DOHMH, Community Air Survey, 2016defects
                                                                                                                 maintenance
80 100                                                                                                                                          0 Teen births
                                                                                                                                                        20
70       Housing quality                                                                          80
    80
60       Every resident has the right to live in housing that is safe and70pest-free. Poorly maintained housing is associated
50 60    with poor health outcomes, including worsened asthma    PAGEand12                                                 PAGE 12
                                                                         60other respiratory illnesses. In the Lower East Side
40                                                                       50                                                           PAGE 1
30 40
         and Chinatown, only 36% of renter-occupied homesChild   are adequately
                                                                        Asthma    maintained
                                                                                   emergency    by landlords – free from heating
                                                                                                                           Childhood Obesity
                                                                         40
20 20                                                            department
         breakdowns, cracks, holes, peeling paint and other defects.             visits
                                                                         Thirty-six
                                                                         30         percent of Lower East Side and Chinatown          Child A
10       households report seeing cockroaches, which is a potential 20   asthma trigger.                                              depar
 0   0                                                                                            10
       HOMES WITHOUT MAINTENANCE                                                       300
                                                                                                   0HOMES            REPORTING COCKROACHES
                                                                                                                                                                                            300
       DEFECTS (percent of renter-occupied homes)                                      250         (percent of 40
                                                                                                               households)
 Cockroaches
  Homes without maintenance defects
                                                                                        0           20                  60                 80        100
                                                                                                                                                                                            250
                                                                                       200         Cockroaches
                                                                More                                                                                                      0               20200
  80                                               75%
                                                                healthy                150
  70                                                                                                                       36%         Lower East Side and Chinatown
  60                                                                                                                                                                                        150
  50
                           48%        44%
                                                                                       100
                                                                                        PAGE 12                                                                           PAGE 12
              36%                                                                                                   20%                                    Manhattan                        100
  40                                                                                   50
  30                                                                                    Child Asthma emergency                                                            Childhood Obes
                                                                                                                                                                                    50
  20                                                                                    department
                                                                                        0             23%
                                                                                                   visits                                                         NYC
0 10     20           40         60           80          100 Less                                                                                                                            0
                                                              healthy                              00%          20         40        Lowest:
                                                                                                                                        60 Tottenville80and Great Kills
                                                                                                                                                                  100
   0
        Lower East Manhattan          NYC        Highest:                                   300
         Side and                             Tottenville and
                                                                                            250
   Cockroaches
        Chinatown                               Great Kills
         Note: Maintenance defects include water leaks, cracks and holes, inadequate        200    Source: NYC Housing and Vacancy Survey, 2014
         heating, presence of mice or rats, toilet breakdowns or peeling paint.
         Source: NYC Housing and Vacancy Survey, 2014                                       150

                                                                                            100
         COMMUNITY HEALTH PROFILES 2018: LOWER EAST SIDE AND CHINATOWN                                                                                                                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 p
    neighbors are willing to help one another

                       Housing and Neighborhood Conditions

                                                                                                                                                         Preterm bir
    Bicycle network coverage                                                 Pedestrian injury
    Thirty-seven percent of roads in the Lower East                         Lower East Side and Chinatown residents have a
    Side and Chinatown have bike lanes, which is                            similar pedestrian injury hospitalization rate compared
    PAGE
    higher 10
           than NYC overall.                                           PAGE0with
                                                                             11 NYC 20      40
                                                                                       overall.
                                                                                                     60      80       100
    PAGE   9
    BICYCLE
    Homes
    Bike     NETWORK
            with
         Lanes           COVERAGE
                 air conditioners                                           PEDESTRIAN
                                                                            Pedestrian
                                                                       Late or              INJURY HOSPITALIZATIONS
                                                                                       Injury
                                                                               no prenatal care
r   (percent of streets with bike lanes)                                     (per 100,000 people)
     100                                                                                                                                                 Teen births
      80
                             37%       Lower East Side and Chinatown                        20             Lower East Side and Chinatown

      60
                         29%                             Manhattan                          21                                Manhattan
      40
                10%                                            NYC                           23                                       NYC
      20                                                               Preterm births
                                              Highest: Crown Heights
       0                         45%            and Prospect Heights                 9                 Lowest: Greenwich Village and Soho

    0Less healthy
               20       40        60          80    More100
                                                         healthy            0More healthy
                                                                                       20         40           60         80         100
                                                                                                                          Less healthy
    Homes without maintenance defects
                                                                             Source: New York State Department of Health, Statewide
     Pedestrian Injury
    80                                                                                                                                                  0          20
                                                                             Planning and Research Cooperative System, 2012-2014
    70 Access to bike lanes can make it easier and
    60 safer to ride a bike more often.                                Teen births
    50                                                                      PAGE 12                                                                      PAGE 12
    40
     Source: NYC Department of Transportation, 2017                          Child Asthma emergency
    30                                                                                                                                                   Childhood
    20                                                                       department visits
    10

    Food environment
     0
                                                                             300
     Bodegas are less likely to have healthy food options than               SUPERMARKET
                                                                             250         TO BODEGA RATIO
      Cockroaches
     supermarkets. The lowest ratio among NYC community                      For every one supermarket in the Lower East Side and Chinatown,
                                                                              200 are 18 bodegas.
                                                                             there
    0districts
             20is one 40
                      supermarket
                              60   for80
                                       every three
                                              100 bodegas
     (healthier); the highest is one supermarket for every
     57 bodegas (less healthy). The Lower East Side and 0
                                                                             150
                                                                                    20              40              60
                                                                                                                             18 80                  100
                                                                             100
     Chinatown is home to four of NYC’s farmers markets,
                                                                               50
     another source of healthy food.
    PAGE 12                                                            PAGE 12
                                                                                0
    Child
    0      Asthma
             20     emergency
                     40     60      80     100                         Childhood Obesity
      It is easier visits
    department     to make healthy choices when
         healthy, affordable food is readily available.                                     1
     300

     250
                                                                                      Supermarket                           Bodegas
     200

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

      50

         0

    10                                                   COMMUNITY HEALTH PROFILES 2018: LOWER EAST SIDE AND CHINATOWN
Maternal and Child Health

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

          PAGE 11
         LATE OR NO PRENATAL CARE
         Late orof no
         (percent       prenatal care
                   live births)
                                      4.9%
          PAGE 11
                      1.3%                                          5.0%               6.7%
         Late or no prenatal care
                    Lowest:                        Manhattan        Lower East Side     NYC
                Financial District                                  and Chinatown

         Preterm
         Source:  PAGE
                 NYC     10Bureau of Vital Statistics, 2015
                       births
                     DOHMH,                                                                   PAGE 11

r                Bike Lanes                                                                 Late or no prenatal care
nother
         PRETERM   BIRTHS
         Preterm births
         (percent of live births)                                                                           8.3% 8.7%
                                                                                                                                             Preterm birth is
                                                                         5.4%                             8.2%                               a key driver of
         Teen births                                                                                                                         infant death.
                                                                       Lowest:                Preterm      births
                                                                                               Lower East Side Manhattan       NYC
                                                              Greenpoint and Williamsburg       and Chinatown
         TeenNYC
         Source: births
                   DOHMH, Bureau of Vital Statistics, 2015
                0           20         40         60           80          100

                 Pedestrian Injury
         Teen pregnancy                                                                       TEEN  BIRTHS
                                                                                              Teen births
          Teen pregnancy has declined across NYC;                                             (per 1,000 females ages 15 to 19)

         0the Lower East
                       20 Side and  40Chinatown's60 teen                   80           100           10.1                                       Lower East Side and Chinatown
          birth rate is 10.1 per 1,000 teen girls.

         PAGE 12                                                                                        12.0                                                        Manhattan
         0        20       40                            60                80           100
          Childhood Obesity                                                                                     19.3                                                     NYC

         PAGE0 12           20         40         60           80          100
                                                                                               1.0*                                         Lowest: Greenwich Village and Soho

                                                                                             *Interpret estimate with caution due to small number of events.
         Childhood Obesity
                                                                                            0Source: NYC DOHMH,
                                                                                                             20 Bureau of Vital
                                                                                                                              40 Statistics, 2013-2015
                                                                                                                                               60              80           100

                 PAGE 12                                                                      PAGE 12
            Child Asthma
         COMMUNITY HEALTHemergency                       Childhood
                         PROFILES 2018: LOWER EAST SIDE AND        Obesity
                                                            CHINATOWN                                                                                                      11
                 department visits

                    300
PAGE 10

adults who
cts
          0 agree
              20  that
                   40  their80
                       60      100     Maternal and Child Health
                                                             Bike Lanes
are willing to help one another
                                                                                                       0                20                40           60              80               100

         Childhood
               PAGEobesity
                   12                                                                                  CHILDHOOD
                                                                                                       PAGE 12   OBESITY
         One out of six Lower East Side and Chinatown                                                  (percent of public school children in grades K through 8)
                   Child Asthma emergency                                                               Childhood Obesity
         children in grades K through 8 has obesity. This                                                              16%                 16%                   20%                    5%
                   department visits
         is lower than the citywide rate of one in five.
                            300

                            250                                                                            0                 20                40            60                  80             100
                            200
                                                                                                        Lower East Side Manhattan                          NYC                 Lowest:
th air conditioners
           150
                                                                                                          Pedestrian
                                                                                                        and Chinatown        Injury                                        Financial District

                            100
                                                                                                       Source: NYC Department of Education, 2016-2017

                             50

                                 0

         Children’s hospitalizations and emergency department visits
  100

         “Avoidable hospitalizations” are those that could be prevented with timely access to quality outpatient care. The rate
         of avoidable pediatric hospitalizations among children ages 4 and younger in the Lower East Side and Chinatown is
         lower than the citywide rate.
                                                                                                           0                 20                40            60                  80             100
hout Many childhood asthmadefects
     maintenance          emergency 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
         visit rate among children ages 5 to 17 in the Lower East Side and Chinatown is higher than the citywide rate. The TCNY
         2020 goal is to have fewer than 210 asthma emergency department visits per 10,000 children across the entire city.
                                                                                                    PAGE 12
         AVOIDABLE HOSPITALIZATIONS                                                                        CHILD ASTHMA EMERGENCY
         PAGE
         AMONG12 CHILDREN                                                                   PAGE 15 Child Asthma
                                                                                                           DEPARTMENT     emergencyVISITS
         (per 100,000 children ages 4 and younger)                                                  department         visits
                                                                                                           (per 10,000 children ages 5 to 17)
         Avoidable hospitalizations                                                        HPV                                              Flu
         among children                                                                                                             297
                                                                                           100                 300                                                100
                                                                                                                                                 264
                                                                     Lower East Side and                       250
hes                                              411                         Chinatown
                                                                                           80                                                                    22380
                                                                                                               200
                                                                                           60                                                                      60
                                                   488                       Manhattan
                                                                                                               150
                                                                                           40                                                                      40
                                                                                                               100
                                                              623                  NYC
                                                                                           20                                                                      20
                                                                                                                50                                                                28
                           118                                      Lowest: Borough Park    0                      0                                                   0
        40                  60                          80                  100                                                 Lower          Manhattan         NYC           Lowest:
         0     100   200   300       400   500   600    700   800                                                            East Side and                                     Financial
                                                                          PAGE 16
         PAGE 13                                                                             80                               Chinatown                                         District
                                                                          HIV
         Self-Reported          Health among Children: New York State Department of Health, Statewide Planning and Research Cooperative System,
         Sources: Avoidable Hospitalizations
         2014; Child Asthma Emergency Department Visits: New York State Department of Health, Statewide Planning and Research Cooperative System, 2015
                                                                                                                                          Edit in Indesign. Graph applies to all CD
             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      COMMUNITY
                                                                                   80     HEALTH
                                                                                           100   PROFILES 2018: LOWER EAST SIDE AND CHINATOWN

                                                                                                               0
         PAGE 14
60

                                                                                                                                                    40

                                                                                                                                                    20
                      Healthy Living                                                                                                                 0

                                                                  0     100   200    300   400   500   600    700   800
                                                                                       PAGE 16
                                                                                                80
Self-reported health                       ADULTS
                                          PAGE  13 REPORTING THEIR OWN HEALTHHIV        AS "EXCELLENT,"
                                           "VERY GOOD"
How residents feel about their own health Self-Reported  OR "GOOD" (percent of adults)
                                                        Health
can be a good measure of overall mental                                Lower East Side and Chinatown                                   70%                                                         E
and physical health. Seventy percent of
                                                                       Manhattan                                                               83%
Lower East Side and Chinatown residents
rank their health as “excellent,” “very good”                          NYC                                                                   78%
or “good,” lower than the rest of NYC. The                             Highest: Upper West Side                                                       93%
TCNY 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
Seventy-seven percent of Lower East Side and Chinatown adults report getting any
                                                Avoidable Hospitalizations                                                                          HEP C 150
physical activity in the past 30 days, similar to New Yorkers overall. The percentage of                                                         Federal guidelines
Lower East Side and Chinatown adults who report eating at least one serving of fruits or                                                         recommend
vegetables in the past day is similar to the citywide average of 87%.                                                                            that adults get                                   E
                                                                                                                                                 150 minutes of
Sugary drink consumption can increase the risk of type 2 diabetes, heart disease, cavities,                                                      moderate exercise
weight gain and obesity. Industry marketing can affect behavior and sugary drinks are                                                            each week. People
heavily marketed to youth and communities of color. While sugary drink consumption has                                                           who are physically
decreased to 23% in NYC, the TCNY 2020 goal is to reduce sugary drink consumption to                                                             active are more
less than 19% citywide. Sixteen percent of Lower East Side and Chinatown adults drink at                                                         likely to live longer,
least one sugary drink a day.
                                             0      300    600     900     1200    1500                                                          healthier lives.0

The adult smoking rate in the Lower East Side and Chinatown is higher than the rest of the
                                             Falls
borough and other parts of NYC. The City is committed to reducing the citywide adult smoking rate toPsychiatric
                                                                                                    12% by 2020. hospitalizatio

PHYSICAL ACTIVITY, DIET AND SMOKING (percent of adults)
                                                                  Lower East Side
                                                                  and Chinatown                   Manhattan                      NYC                         Highest %

        Any physical activity in the past 30 days                          77%                         81%                   73%                              90%
                                                                                                                                                       Financial District,
                                                                                                                                                    Greenwich Village- Soho
        At least one serving of fruits or
        vegetables per day                                       0        88%
                                                                           500             1000        90%
                                                                                                        1500         2000    87%
                                                                                                                              2500                       0     96%
                                                                                                                                                              100200     300   400    500   600   700
                                                                                                                                                       Financial District,
                                                                                                                                                    Greenwich Village- Soho
                                                                  Lower East Side
                                                                  and Chinatown                   Manhattan                      NYC                         Lowest %
                                                                  Binge Drinking (use graph to the right to mark points)
        One or more 12-ounce sugary drinks                            16%         17%          23%                 8%
        per day                                                                                                                                        Financial District,
                                                                                                                                                    Greenwich Village- Soho
        Current smokers                                                    20%                         13%                   14%                               8%
                                                                                                                                                         Upper East Side
Source: NYC DOHMH, Community Health Survey, 2015-2016
 Take Care New York 2020 (TCNY 2020) is the City’s blueprint for giving everyone the chance to live a healthier life.
 For more information, visit nyc.gov/health and search for TCNY.

COMMUNITY HEALTH PROFILES 2018: LOWER EAST SIDE AND CHINATOWN                                                                                                                        13
                                                                  Binge Drinking (use graph below to mark points)
PAGE 12                                                                           PAGE 15

                                                                                         Avoidable hospitalizations                                                      HPV
                      Health Care                                                        among children
                                                                                                                                                                         100

                                                                                                                                                                           80

                                                                                                                                                                           60
Access to health care
Citywide, the percentage of uninsured New Yorkers decreased in the last five years from                                                           Health insurance 40
20% to 12%. In the Lower East Side and Chinatown, 11% of adults are uninsured and 8%                                                              can make it easier
report going without needed medical care in the past 12 months, similar to the rest of                                                            to get affordable20
NYC. The TCNY 2020 goal is to have less than 9% of New Yorkers going without needed
                                                                                                                                                  primary care,
                                                                                                                                                                    0
                                                                                                                                                  which can help
medical care.
                                                                                         0    100   200   300   400    500   600   700   800
                                                                                                                                                  New Yorkers
ACCESS TO HEALTH CARE (percent of adults)                                                                                                         manage chronicPAGE 16
                                                                                                                                                                                             80
                                                                                         PAGE 13                                                  conditions and HIV
                                           Lower East Side
                                           and Chinatown             Manhattan           Self-Reported
                                                                                              NYC      Health
                                                                                                       Lowest %                                   stay healthy.

            Adults without                         11%                     9%                       12%                      3%*
            health insurance                                                                                          Stuyvesant Town
                                                                                                                       and Turtle Bay

            Adults without                          8%                    10%                       10%                      3%*
            needed medical care                                                                                         Bayside and
                                                                                         0                 20           Little 40
                                                                                                                               Neck               60             80                 100

*Interpret estimate with caution due to small sample size.
Source: NYC DOHMH, Community Health Survey, 2015-2016                                                                                                                                            0
                                                                                         PAGE 14
                                                                                                                                                                           PAGE 17
Avoidable hospitalizations                                                                AVOIDABLE HOSPITALIZATIONS
                                                                                         Avoidable Hospitalizations                                                        HEP C 150
“Avoidable hospitalizations” are those that could be                                      AMONG ADULTS (per 100,000 adults)
prevented if adults had access to quality primary care.
                                                                                                                                                                 Lower East Side and
The rate of avoidable hospitalizations among adults in                                                                                         1,207                     Chinatown
the Lower East Side and Chinatown is higher than the
                                                                                                                                         1,072                           Manhattan
citywide rate.
                                                                                                                                         1,033                                      NYC

                                                                                                            426                                   Lowest: Greenwich Village and Soho

                                                                                          Source: New York State Department of Health, Statewide
                                                                                        0 Planning
                                                                                                 300        600 Cooperative
                                                                                                                      900 System,
                                                                                                                                12002014 1500
                                                                                                   and Research                                                                                  0
Fall-related hospitalizations                                                             FALL-RELATED HOSPITALIZATIONS AMONG
                                                                                         Falls
                                                                                          OLDER ADULTS (per 100,000 adults ages 65 and older) Psychiatric h
The Lower East Side and Chinatown’s rate of fall-
related hospitalizations among adults ages 65 and
older is higher than the citywide average. The TCNY                                                                                       1,837        Lower East Side and Chinatown

2020 goal is fewer than 1,410 hospitalizations per
                                                                                                                                          1,813                          Manhattan
100,000 older adults citywide.
                                                                                                                                    1,604                                           NYC

                                                                                                           667                                                Lowest: Queens Village

                                                                                          Source: New York State Department of Health, Statewide
                                                                                        0 Planning
                                                                                                 500       1000Cooperative
                                                                                                   and Research      1500 System,
                                                                                                                                2000        2500
                                                                                                                                    2012-2014                                   0    100   200   300

 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 the right to mark points)

14                                                         COMMUNITY HEALTH PROFILES 2018: LOWER EAST SIDE AND CHINATOWN
Health Care

                  Influenza (flu) and pneumonia are the third leading causes of death in NYC. Everyone ages 6 months
                  and older should get the flu vaccine every year.

              Vaccinations
              The human papillomavirus (HPV) vaccine protects against cancers caused by HPV. The vaccine is recommended for all
              children between the ages of 11 and 12. Sixty-eight percent of teens ages 13 to 17 in the Lower East Side and Chinatown
              receive all recommended doses of the HPV vaccine. Half of Lower East Side and Chinatown adults report getting a flu
              vaccine in the past 12 months, similar to the rest of NYC.

          HPV
 PAGE 15PAGE 15 VACCINATION                                                                               FLU VACCINATION
                 (percent of teens ages 13 to 17 who received all                                         (percent of adults)
HPV           HPVrecommended doses of the vaccine)             Flu                 Flu
100           100                                                      100          100
                                                    85%
                                                                 More                                                                               More
 80             80                                               healthy 80          80
               68%                                                                                                                                  healthy
                           63%         59%                                                                                             62%
 60             60                                                         60        60                       50%
                                                                                                  47%                     43%
 40             40                                                         40        40

 20             20                                                         20        20
                                                                 Less                                                                               Less
                                                                 healthy                                                                            healthy
  0              0                                                          0          0
            Lower East Manhattan        NYC       Highest:                                      Lower East Manhattan       NYC       Highest:
             Side and                          Hunts Point and                                   Side and                         Upper West Side
PAGE         PAGE 16
          16Chinatown                            Longwood                                       Chinatown
                  80            80
HIV            HIV
              Sources: HPV Vaccination: NYC DOHMH, Citywide Immunization Registry, 2017; Flu Vaccination: NYC DOHMH, Community Health Survey, 2015-2016

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

      80100          100

                     0           0
PAGE 17PAGE 17
       150 C 150
HEP C HEP

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

              COMMUNITY HEALTH PROFILES 2018: LOWER EAST SIDE AND CHINATOWN                                                                                   15

                     0           0
Health Outcomes

Obesity, diabetes and hypertension
The Lower East Side and Chinatown’s adult obesity rate is 10%, 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. Eleven percent of Lower East Side and
Chinatown adults have been diagnosed with diabetes and 22% of adults have been told they have hypertension. The rate
of diabetes in this community is similar to the NYC average, while the rate of hypertension is lower.

OBESITY, DIABETES AND HYPERTENSION                                              (percent of adults)
                                           Lower East Side
                                           and Chinatown             Manhattan                   NYC                    Lowest %
                                                                                                                                        Obesity can lead
                                                                                                                                        to diabetes, high
              Obesity                             10%                     15%                   24%                       4%
                                                                                                                  Financial District,   blood pressure
                                                                                                                     Greenwich          and other health
                                                                                                                    Village- Soho       conditions.
              Diabetes                             11%                    8%                     11%                      3%            Hypertension,
                                                                                                                  Financial District,
                                                                                                                     Greenwich          also known as high
                                                                                                                    Village- Soho       blood pressure, is a
                                                                                                                                        leading risk factor
              Hypertension                        22%                    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)
     80

                                                                                                                                                   28.5
                                                                                                                                                   Manhattan
                                                                                                                                                   24.0
                                                    15.2                                                                                           NYC

      0
                                                    Lower East Side and Chinatown
          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: LOWER EAST SIDE AND CHINATOWN
PAGE 12                                                                             PAGE 15                                                                     Edit in Indesig
        Avoidable hospitalizations                                                         HPV                                                                       Flu
        among children
                                                                                           100                                                                        100
                         Health Outcomes                                                    80                                                                         80

                                                                                            60                                                                         60
      0     300    600                                          900           1200        1500
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
drugs shouldFalls
              be tested because hepatitis C can be cured.
                                                                                                                          Psychiatric hospitalizations
NEW HEPATITIS C REPORTS                                        (per 100,000 people)          0                                                      0

  150   0    100   200   300   400   500   600    700    800
                                                                                           PAGE 16
        PAGE 13                                                                                                  80
                                                                                           HIV
        Self-Reported Health
                                                                                            64.3                                                                     77.5
                                                                                                                                           Edit in Indesign.Manhattan
                                                                                                                                                             Graph applies to
                                                                                                                                                                     71.8
                                                                                                                                                                     NYC

                   0            500          1000              1500           2000        2500                            0    100   200    300   400    500   600   700    800
        0                 20                 40                   60                 80                100
    0
                                                                                            Lower East Side and Chinatown
          Source: NYC DOHMH, Communicable Disease Surveillance Registry, 2016                                      0
        PAGE 14
         Binge Drinking (use graph to thePAGE
                                          right17
                                                to mark points)                                                                                                                       Prematu
Binge drinking
   Avoidable Hospitalizations            HEP C 150                                                                                                                                    Death
Binge drinking is linked to high-risk behaviors and chronic health problems. The binge drinking rate in the Lower East Side
and Chinatown is similar to the rest of NYC. The TCNY 2020 goal is to reduce binge drinking to less than 17% citywide.
                                                                                                                                           Edit in Indesign. Graph applies to
BINGE DRINKING                                                  9%                                17%                         23% 25%
(percent of adults)

                                                        Lowest: Bensonhurst                           NYC          Lower East Side    Manhattan
                                                                                                                   and Chinatown
Note: Binge drinking is defined as five or more drinks for men and four or more drinks for women on one occasion during the past 30 days.
Source: NYC DOHMH, Community Health Survey, 2015-2016
      0         300         600          900       1200       1500
                                                                                                                   0
Psychiatric hospitalizations
        Binge Drinking (use graph below toPSYCHIATRIC
                                           mark points)HOSPITALIZATIONS                                                                                                                        00
The rate of adult psychiatric hospitalization in the Lower                                            (per 100,000 adults)                                                             PAGE 18
     Falls
East Side and Chinatown is similar to the citywide rate.                                         Psychiatric hospitalizations                                                          Infant M
                                                                                                                                        632             Lower East Side and Chinatown
    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.
      0            500         1000        1500           2000         2500                           Source: New York State Department of Health, Statewide Planning and Research
                                                                                                  0     100 200 300 400 500 600 700 800                                               0    1
                                                                                                      Cooperative System, 2015

 Take Care New York 2020 (TCNY 2020) is the City’s blueprint for giving everyone the chance to live a healthier life.
 For more information, visit nyc.gov/health and search for TCNY.
        Binge Drinking (use graph to the right to mark points)                                                                                        Premature
                                                                                                                                                      Death

COMMUNITY HEALTH PROFILES 2018: LOWER EAST SIDE AND CHINATOWN                                                                                                                         17
Edit in Indesign. Graph applies to all CDs.
16
       80

                                             Edit in Indesign. Graph applies to all CDs.
                                             Health Outcomes
                                       0
                                                                                                          PAGE 18
                 Infant mortality                                                                          INFANT  MORTALITY (per 1,000 live births)
                  Psychiatric hospitalizations                                                            Infant Mortality
                 NYC’s infant mortality rate has declined in recent years.
           0     In the Lower East Side and Chinatown the infant mortality                                                                 3.0                    Lower East Side and Chinatown
 17              rate is lower than the citywide rate. The TCNY 2020 goal is
C 150            a citywide rate of less than 4.4 per 1,000 live births.                                                                        3.4                                     Manhattan

                                                                                                                                                       4.4                                   NYC

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

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

                 Premature death                                                                                                          CD        NYC
         Cancer
ht to mark      and heart disease are the leading
           points)                                 causes of premature death (death before the age of 65) in the Lower East
                                              Premature
       0 Side and Chinatown, similar to the rest of NYC. Lower East Side and Chinatown residents die prematurely at a similar
                                              Death
                 rate to residents citywide. Lung cancer, liver cancer and colorectal cancer are the three leading causes of cancer-
                 related premature death in the Lower East Side PAGE
                                                                   and18
                                                                       Chinatown.
chiatric 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
mark points)                                           001                                     08         06          04         02            0       20       40         60          80     100
        rate of death before age 65 per 100,000 people
                 (number of deaths)
00   200   300     400    500    600    700    800
                                                                                   Lower
                                                                                   0    1
                                                                                          East
                                                                                             2
                                                                                               Side3                       4          5
                                                           Rank                     and Chinatown                          NYC                                                  Rank

                 Overall rate                                                                  173.0
                                                                                                  CD                       169.5
                                                                                                                            NYC
 ints)                                                 Premature                 52.2                                                               46.2
                 Cancer                                   1                       (421)                                                                                         1
                                                       Death
                                                                                              29.4                                         32.9
                 Heart disease                              2                                  (237)                                                                             2

                                                                                                        12.9                   9.4
                 Drug-related                               3                                           (104)                                                                   3

                                                                                                              8.4          5.9
                 HIV                                        4                                                 (67)                                                              6

                                                                                                               7.3         5.1
                 Suicide                                    5                                                  (57)                                                             7

                 Note: NYC rate includes premature deaths among
                                                          001 NYC0residents
                                                                   8        only
                                                                            06 and will
                                                                                    04differ from
                                                                                                02other published
                                                                                                          0       sources.
                                                                                                                    20                         40      60      80        100
                 Source: NYC DOHMH, Bureau of Vital Statistics, 2011-2015

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

                 18                                                          COMMUNITY HEALTH PROFILES 2018: LOWER EAST SIDE AND CHINATOWN
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. The public 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: LOWER EAST SIDE AND CHINATOWN                                                                   19
Life Expectancy by Community District

The Lower East Side and Chinatown’s
average life expectancy is one year
longer than NYC overall.

                                                    82.2
               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 profiles@health.nyc.gov.
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 3: Lower East Side and Chinatown; 2018; 3(59):1-20.
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