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
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Neighborhood Health Profiles 2015Coney Island
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
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Neighborhood Health Profiles 2015Coney Island
Nativity and Language
Educational Attainment
Percentage of foreign born population and primary language spoken in each zip code
Source: U.S. Census Bureau. 2012 American Community Survey 5-year estimates
Highest level of education attained by population 18 years and over
Source: U.S. Census Bureau. 2012 American Community Survey 5-year estimates
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
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Neighborhood Health Profiles 2015Coney Island
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
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Neighborhood Health Profiles 2015Coney Island
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
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Neighborhood Health Profiles 2015Coney Island
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
Source: Community Health Survey. 2002-2012. New York City Department of Health & Mental Hygiene
Trends in self-reported medical conditions based on diagnosis through lab results or having been told by a physician from 2002-2012
Source: Community Health Survey. 2002-2012. New York City Department of Health & Mental Hygiene
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Neighborhood Health Profiles 2015Coney Island
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
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Neighborhood Health Profiles 2015Coney Island
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
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Neighborhood Health Profiles 2015Coney Island
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
Source: Community Health Survey. 2002-2012. New York City Department of Health & Mental Hygiene
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Neighborhood Health Profiles 2015Coney Island
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
Source: Community Health Survey. 2002-2012. New York City Department of Health & Mental Hygiene
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Neighborhood Health Profiles 2015Coney Island
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
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Neighborhood Health Profiles 2015Coney Island
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
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Neighborhood Health Profiles 2015Coney Island
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
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Neighborhood Health Profiles 2015Coney Island
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
Neighborhood Profiles 2015 : Williamsburg - Bushwick 11206, 11221, 11237
Neighborhood Health Profiles 2015Coney Island
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