Lower East Side and Chinatown - NYC.gov
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
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 ST SQUA ER RE COOP ERY CA BOW 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 Edit in Indesign. Edit in Indesign. Graph applies Graph applies to all CDs. 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 Edit Edit Editin in inIndesign. Indesign. Indesign.Graph Graph Graphapplies applies appliesto to toall all allCDs. CDs. CDs. 1000 1000 1000
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.
You can also read