coney island - brooklyn hospital center · 2018-01-01 · coney island. between 2002-2012, the...

Coney Island

Neighborhood Health Profiles 2015

Keeping Brooklyn Healthy by AssessingPopulation Health and Driving Innovation

11223, 11224, 11229, 11235

Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237

Neighborhood Health Profiles 2015Coney Island

Neighborhood at a glance… Population: 285,502

TBHC Service Areas: Outside the Service Area for The Brooklyn Hospital Center

85 yrs andolder

80-84 yrs

75-79 yrs

70-74 yrs

65-69 yrs

60-64 yrs

55-59 yrs

50-54 yrs

45-49 yrs

40-44 yrs

35-39 yrs

30-34 yrs

25-29 yrs

20-24 yrs

18-19 yrs

15-17 yrs

12-14 yrs

10-11 yrs

5-9 yrs

1-4 yrs

Younger than1 yr

Age Group

5,584

2,634

6,954

5,566

1,186 3,676

1,466

1,846

3,218

6,408

1,348

1,408

3,878

2,667

1,247

1,832

1,652

1,882

1,602

1,080

6,179

5,010

5,289

1,659

1,300

1,690

2,525

5,725

1,235

1,365

2,855

5,073

1,613

1,483

1,513

1,063

4,271

1,011

4,311

454

394

644

446

526

626

706

496

418

608

718

398

427

492

540

960

880

840

539

990

525

635

663 673

861

771

1,954

4,744

5,276

1,616

5,066

3,576

1,516

1,396

1,158

1,518

5,587

8,297

4,697

5,927

1,777

4,067

4,387

2,387

5,477

1,302

7,072

1,642

1,362

1,440

1,220

1,289

1,520

1,239

1,120

1,639

6,020

1,265

1,915

5,235

1,091

7,571

6,051

2,611

854

864

726

766

446

898

548

907

687

762

562

612

510

730

830

470

699

670

610

940535

545

475

653

663

963

671

901

711

951

01,0002,0003,0004,0005,0006,0007,0008,0009,00010,000Male

0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 10,000Female

Population pyramid with panes showing gender/age groups, color shows details about race. The marks are labeled by population counts for males and females across age groups in year 2010

Source: New York City Department of Health and Mental Hygiene. Epiquery: NYC Interactive Health Data System - NYC 2010 Census. http://nyc.gov/health/epiquery



Socioeconomic Conditions

Median income ranges from $31,415 to $49,629 across the four zip codes

Zip code 11224 has the highest proportion of people living in poverty at 25.8%

Economic Conditions

Percentage of population in each zip code representing the various economic indicators

Source: U.S. Census Bureau. 2012 American Community Survey 5-year estimates



Nativity and Language

Educational Attainment

Percentage of foreign born population and primary language spoken in each zip code


Highest level of education attained by population 18 years and over


More than 60% of the population in zip code 11235 is foreign born

Diverse languages are spoken throughout the neighborhoods with less than 50% of the population in each zip code speaking only English in the household

Over 50% of residents living in zip codes 11229 and 11235 have completed some college

Prim ary Language

Other languages

Asian and Pacific I s lander languages

Other I ndo-European languages

Eng lish only

S panish



Between 2002-2012, the uninsured population increased to 21.4%

Health Insurance Status: 2002-2012

Trends in health insurance types from 2002-2012, by percentage of population within each category

Source: Community Health Survey. 2002-2012. New York City Department of Health & Mental Hygiene



Health Conditions

Compared to 2002, there has been a 142.8% increase in the percentage to residents reporting their health as fair or poor in 2012

Self-reported Health Status: 2002-2012

Trends in self-reported health from 2002-2012, by percentage of population within each category

Source: Community Health Survey, 2002-2012. New York City Department of Health & Mental Hygiene



In 2012, 11.8% of the population reported having diabetes, the same proportion found in Brooklyn’s overall population

64.9% of individuals reported being overweight or obese in 2012

Of all three conditions, hypertension had the largest increase, going from a prevalence of 8.0% in 2002 to 26.4% in 2012

Prevalence of Diabetes Body Weight: 2002-2012

Burden of Illness: 2002-2012

Trends in self-reported medical conditions based on diagnosis through lab results or having been told by a physician from 2002-2012


Trends in self-reported medical conditions based on diagnosis through lab results or having been told by a physician from 2002-2012




The overall prevalence of HIV/AIDS is lower in Coney Island than in other Brooklyn neighborhoods

The prevalence of HIV/AIDS has declined among Hispanics from 2006-2011

The highest prevalence of HIV/AIDS continues to be in Blacks

People living with HIV/AIDS by Race/Ethnicity: 2006-2011

People living with HIV/AIDS per 100,000 from 2006-2011, by race/ethnicity

Source: HIV/AIDS Surveillance Data, New York City Department of Health & Mental Hygiene



Since 2000, the all-cause age-adjusted mortality rate declined by 17.8% to 6 per 1,000 residents in 2011

All-Cause Mortality: 2000-2011

Trend in all-cause mortality (age-adjusted per 1,000) from 2000-2011

Source: Deaths Epiquery, 2000-2011. NYC Vital Statistics. New York City Department of Health & Mental Hygiene



The percentage of current smokers declined by 6.9% between 2002-2012

78.8% of women had breast cancer screening in 2012

Colon cancer screening has increased significantly since 2002 (p<0.01)

Cigarette Smoking Status: 2002-2012

Cancer Screening: 2002-2012

Trends in self-reported cigarette smoking status from 2002-2012, by percentage of population within each category

Source: Community Health Survey, 2002-2012. New York City Department of Health & Mental Hygiene

Trends in self-reported breast and colon cancer screening from 2002-2012




In 2012, nearly 86% of the population reported having a ‘personal doctor’ and over half the population underwent HIV testing

Access to Healthcare Services: 2002-2012

Trends in self-reported HIV testing and having a ‘personal doctor’ from 2002-2012




Data Sources:The data presented in these Brooklyn Neighborhood Health Profiles (BNHP) is public use data, made available from the New York City Department of Health and Mental Hygiene as well as U.S. Census Bureau via the American Community Survey (ACS) estimates.

The Community Health Survey (CHS) is a telephone survey conducted annually by the New York City Department of Health and Mental Hygiene since 2002. It is a cross-sectional survey providing self-reported data from an annual sample of approximately 8,500 randomly selected adults aged 18 years and older from New York City. For the purpose of these profiles, data for indicators related to vital statistics, health out-comes, health services, health behaviors, built environment, education and insurance were obtained from CHS.

The U.S. Census Bureau’s ACS is an ongoing survey that provides data every year related to age, sex, race, family and relationships, income, health insurance, education, veteran status, disabilities, commute and housing. Most of the socioeconomic and demographic data is obtained with zip codes as statistical areas from the ACS.

Geographic area definitions:For the purpose of Phase 1 of BNHP, we have used United Hospital Fund definitions (UHF) to define the eleven neighborhoods throughout Brooklyn. The CHS uses stratified random sampling according to UHF neighborhood descriptions to collect data. We have also used the zip code statistical areas to retrieve data from ACS. These two different geographic areas are combined to present data in UHF neighborhood defini-tions with the aid of an equivalency table.

Domains and Indicators:A total of thirty-eight indicators are included in BNHP and categorized within eight domains, each describ-ing the social environment of an individual (Table 1). To develop the Health Needs Index using the social indicators approach and for ranking the neighborhoods based on unmet needs, we shortlisted fourteen indicators across seven domains using a correlation matrix to eliminate skewing from highly correlated indicators (Table 2). Data for indicators obtained from CHS is age-adjusted.

Technical Notes



Table 1: Domains and Indicators:Domain Subdomain Indicator Year/Period

1. Demographics Population Population 2010

Veterans 2008-2012

Birth Birth data 2000-2007

Fertility data 2000-2007

Mortality Age adjusted mortality rate 2000-2011

Migration Foreign born 2008-2012

2. socioeconomic Economic Median household income 2008-2012

Unemployment status 2008-2012

Below poverty level (individuals) 2008-2012

Below poverty level (families) 2008-2012

Education Educational attainment 2008-2012

Language Language spoken at home 2008-2012

Insurance Health insurance type 2002-2012

3. health outcomes Morbidity Prevalence of diabetes 2002-2012

Prevalence of asthma 2002-2012

Prevalence of obesity 2002-2012

Prevalence of hypertension 2002-2012

Disability status 2002-2012

Serious psychological distress 2002-2012

4. health services Preventive services Flu vaccination 2002-2012

Colon cancer screening 2002-2012

Breast cancer screening 2002-2012

Treatment related services Mental health counseling or treatment 2002-2012

Personal doctor 2002-2012

HIV testing 2002-2012



Indicators used to develop theHealth Needs Index

Table 1: Domains and Indicators (cont):Domain Subdomain Indicator Year/Period

5. health behaviors Health awareness Rode bicycle in past year 2002-2012

Last routine health check up 2002-2012

Exercise 2002-2012

Condom use 2002-2012

Nutrition Healthy diet 2002-2012

Consumption of fruits and vegetables 2002-2012

Economic Heavy drinking 2002-2012

Binge drinking 2002-2012

Smoking Smoking status 2002-2012

Quit smoking attempts 2002-2012

6. Quality of life Health related quality of life Self-reported health status 2002-2012

7. environmental health Air quality Secondhand smoke 2002-2012

Transport Walk/bike for transport 2002-2012

Table 2: Indicators used to develop Health Needs Index:Domain Subdomain Indicator Year

1. Demographics Migration Foreign born 2011

2. socioeconomic Economic Below poverty level (individuals) 2011

Education High school graduates 2012

Insurance Health insurance - Medicaid 2012

3. health outcomes Morbidity Prevalence of diabetes 2012

Prevalence of asthma 2012

Prevalence of hypertension 2012

4. health services Treatment related services HIV testing 2012

5. health behaviors

(healthy)

Health awareness Condom use 2012

Nutrition Consumption of fruits and vegetables 2012

5. health behaviors (un-

healthy)

Economic Heavy drinking 2012

Smoking Quit smoking attempts 2012

6. Quality of life Health related quality of life Self-reported health status 2012



Table 3: Neighborhood Ranks based on Health Needs Index(from highest need to lowest need)

11234

11214

11204

11224

11206

11236

11216

11226

11208

11238

11218

11228

11217

11207

11237

11212

11210

11220

11232

11230

11222

11229

11209

11219

11239

11225

11235

11215

11205

11203

11223

11213

11233

11211

11231

1122111201

Brooklyn Neighborhood Health Needs Index

111

Neighborhood Rank (..

Map based on Longitude (generated) and Latitude (generated). Color shows average of Ranks. The marks are labeled by Zip.

Neighborhood Rank

Williamsburg/Bushwick 1

East New York/New Lots 2

Greenpoint 3

Sunset Park 4

Borough Park 5

Canarsie and Flatlands 6

Bedford Stuyvesant/Crown Heights 7

Coney Island 8

Flatbush 9

Bay Ridge/Bensonhurst 10

Downtown Brooklyn/Heights/Slope 11



Acknowledgments

We are grateful to the Young Leadership Council of The Brooklyn Hospital Center, for providing seed funding for development of the Brooklyn Neighborhood Health Profiles. The Profiles would not have been feasible without grant funding from the New York State Vital Access Program and the Everest Foundation. We are indebted to the Prevention Steering Committee for providing guidance and feedback throughout development of the Profiles. Above all, we are grateful to each person who will use the

Profiles toward keeping Brooklyn healthy

HSR TEAM

Jean Ford, MDFounding Director

Carlos Castillo-Salgado, MD, JD, DrPHDirector of the Global Public Health Observatory, The Johns Hopkins Bloomberg School of Public Health, Consultant

Manuel Vidaurre, MCScPrincipal Information Technology Consultant

Sam Amirfar, MD, MSDirector of Medical Informatics

Heather Mavronicolas, PhD, MPHDirector of Research Training Tanyka Sam, MD, MPHDirector of Research in Community-Oriented Primary Care

Tejal Shah, MBBS, MPHData Analyst

Allyson Ho, MPHEducation Manager

Deeba Zivari, MSCommunications Strategist and ResearchCoordinator

Aracelis Torres, MPH, PhD CandidateResearch Assistant

Karina Christiansen , MPP, PhD CandidateResearch Assistant

Health Situation RoomThe Brooklyn Hospital Center

121 Dekalb AvenueMaynard Building, Suite 14D

Brooklyn, NY [email protected]

Suggested Citation: Health Situation Room, The Brooklyn Hospital Center: Brooklyn Neighborhood Health Profiles 2015, Coney Island. Brooklyn, New York, USA. 2015

Principal Investigator: Jean Ford

Design by: Manuel Vidaurre

Graphs by: Tejal Shah

Text by: Tejal Shah, Aracelis Torres, Deeby Zivari, Rebecca Schwarz and Tanyka Sam

Health Needs Index by: Carlos Castillo-Salgado

Photographs by: Deeba Zivari, Allyson Ho, & Rebecca Schwarz

Some pictures are from the Wikimedia Commons, the free media repositor. For

author attribution please check our website

coney island - brooklyn hospital center · 2018-01-01 · coney island. between 2002-2012, the...

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