in- class article review

In- Class Article Review

• Break up in your respective numbered groups

• # 1- Methods

• # 2-Trust

• #3- self advocacy

• # 4- Communication

• #5- Discussion

Health Disparities inthe Bronx and New York City

New York City Department of Health & Mental Hygiene

Can you list the top 10 health concerns on the bronx?

What is health?

Health

is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.

Preamble to the Constitution of the World Health Organization, 1948

(the Definition has not been amended since 1948)

What is Public Health?

Public health is the science and art of preventing diseases, prolonging life, and promoting health through the organized efforts of society.

Common Health Concerns

• Asthma

• High Blood Pressure

• Diabetes

• Obesity

• Malnutrition

• Drug/ Alcohol Dependency

• Mental Health

• HIV/ AIDS

• Cardiovascular Disease

• Tobacco use

Smoking Prevalence in the Bronx, 2002

17

20

25 25

29

25

22

0

5

10

15

20

25

30

35

Healthy People 2010 Goal: 12%

NYC Smoking Reduction 2002-2004

-18.7%

6.2%

-23.1%

-18.9%

-5.1%

-25.0%

-20.0%

-15.0%

-10.0%

-5.0%

0.0%

5.0%

10.0%

Bro

nx

Bro

okly

n

Man

hatt

an

Que

ens

Sta

ten

Isla

nd

2002-2004 decline

Cancer Screening inthe Bronx vs. NYC, 2002

49

78

85

50

7780

0

20

40

60

80

100

Colon Screening Mammogram PAP Smear

Bronx NYC


HIV & AIDS Cases in the Bronx, 2003

774

19504

0

5000

10000

15000

20000

25000

# Living w/HIV & AIDS # New HIV Diagnoses

Figures as of 9/30/2003

Rates of People Living w/HIV & AIDS in the Bronx vs. NYC vs. US, 2001

5.1

7.9

10.7

15.6

17.0 17.0

11.1

9.2

3.23.9

0

2

4

6

8

10

12

14

16

18

Kingsb

ridge

NE Bro

nx

Pelham

Fordha

m-B

ronx

Pk

Croto

na-T

rem

ont

Hunts

Poin

t

Highbr

idge

Bronx

NYC US

Ra

tes

pe

r 1

,00

0 P

op

ula

tio

n


Rates of New HIV Diagnoses in The Bronx vs. NYC vs. US, 2001

0.6

0.8

1.2

1.9

2.1

2.3

1.3

0.8

0.10.3

0.0

0.5

1.0

1.5

2.0

2.5

Kingsb

ridge

NE Bro

nx

Pelham

Fordha

m-B

ronx

Pk

Croto

na-T

rem

ont

Highbr

idge

Hunts

Poin

t

Bronx

NYC US

Ra

tes

pe

r 1

,00

0 P

op

ula

tio

n


Obesity Prevalence in NYC2002, by UHF District

Percent of Overweight NYC Residents

(BMI > 25), by Borough, 2003

44

52 5357

64

53

0

10

20

30

40

50

60

70

Manhattan Queens StatenIsland

Brooklyn Bronx NYC

% O

ve

rwe

igh

t (B

MI

> 2

5)

Percent of Obese NYC Residents (BMI > 30), by Borough, 2003

14

1819

2324

19

0

5

10

15

20

25

30

Manhattan Queens StatenIsland

Brooklyn Bronx NYC

% O

bese (

BM

I >

30)

Percent of Overweight Bronx Residents (BMI > 25), by UHF District, 2003

49

62 62 6368

64

53

0

10

20

30

40

50

60

70

80

% O

ve

rwe

igh

t (B

MI >

25

)

Percent of Obese Bronx Residents (BMI > 30), by UHF District, 2003

15.0

23.025.0

23.0

27.0

24.0

19.0

0

5

10

15

20

25

30

Kingsb

ridge

Fordha

m-B

ronk

Pk

Pelham

-Thro

gs N

eck

NE Bro

nx

South

Bro

nx

Bronx

NYC

% O

be

se

(B

MI >

30

)

Prevalence of Diagnosed Diabetes in NYC

2002, by UHF District

Percent of NYC Residents with Diagnosed Diabetes, by Borough, 2003

5.6

8.59.1

9.7

12.0

9.0

0

2

4

6

8

10

12

14

Manhattan StatenIsland

Queens Brooklyn Bronx NYC

% w

/Dia

gn

os

ed

Dia

be

tes

Percent of Bronx Residents w/ Diagnosed Diabetes, by UHF District, 2003

5.0

10.011.0 11.0

18.0

12.0

9.0

0

2

4

6

8

10

12

14

16

18

20

% w

/Dia

gn

ose

d D

iab

etes

http://www.einstein.yu.edu/video/?startChapter=165&SCID=20&searchMultimedia=searchMultimedia&q=bronx#top





Percent of All Bronx Adults Who Report One or More Binge Drinking Episodes, 2003>5 Drinks per Month (by UHF District)

5.0

9.49.9

11.0 11.0

9.7

14.0

0

2

4

6

8

10

12

14

16

NE Bro

nx

Kingsb

ridge

South

Bro

nx

Fordha

m-B

ronx

Pk

Pelham

-Thro

gs N

eck

Bronx

NYC

Hospital AdmissionsRelated to Mental Disorders

Age adjusted rates per 10,000 population, excluding alcohol-related, by UHF Neighborhood, 2000

52.9 55.862.5

87.5 90.599.3 99.5

69.4 66.5

0

20

40

60

80

100

120

Pelham

-Thro

gs N

eck

Kingsb

ridge

NE Bro

nx

Croto

na-T

rem

ont

Fordha

m-B

ronx

Pk

High B

ridge-

Morri

sani

a

Hunts

Poin

t-Mott

Haven

Bronx

NYCHo

sp

ita

liza

tio

n R

ate

pe

r 1

0,0

00

Po

pu

lati

on

Teen Pregnancy in NYC, 2000(by UHF Neighborhood)

NYC Teen Pregnancy Rates1996-2000, by Year & Borough of Residence

50

100

150

200

1996 1997 1998 1999 2000

per

1,0

00 f

emal

es a

ge

15-1

9

Manhattan Bronx Brooklyn Queens Staten Isl.

Adolescent Pregnancy Rates in the Bronx, U.S., and Europe

137.2

79.8

20.2 16.1 8.7

0

50

100

150

Bronx UnitedStates

France Germany Netherlands

Rate of pregnancy per 1,000 women ages 15 to 19

Too Few People areGetting Flu Shots, 2003

Influenza Immunizations in Past 12 Months*only people aged 50 and over

4853 56 56

524846

0

20

40

60

80

100

NE Bro

nx

Pelham

-Thro

gs N

eck

Kingsb

ridge

South

Bro

nx

Fordha

m-B

ronx

Pk

Bronx

NYC

% Im

mu

niz

ed


Flu and Pneumonia Vaccinationsby Bronx Neighborhood, 2003

*only people aged 50 and over

56

46 4853 52

48

56

30

3732

3935

42 40

0

20

40

60

80

100

Fordha

m-B

ronx

Pk

NE Bro

nx

South

Bro

nx

Pelham

-Thro

gs N

eck

Kingsb

ridge

Bronx

NYC

% Im

mu

niz

ed

Flu vaccinations in past 12months

Pneumonia vaccinations inlifetime

Gender and Racial Disparities in Vaccinations, Bronx, 2003

Influenza Immunizations in Past 12 Months *only people aged 50 and over

53 5559

4237

49

0

20

40

60

80

100

Male Female White Hispanic Black Asian

% Im

mu

niz

ed


Gender and Racial Disparitiesin Vaccinations, Bronx, 2003

Pneumococcus Immunizations in Lifetime *only people aged 50 and over

39 3844

31

24

35

0

20

40

60

80

100

Male Female White Hispanic Black Asian

% Im

mu

niz

ed


Trends in NYC Asthma HospitalizationsRates per 1,000 persons, 1990-2000, All Ages

3.44.03.7

4.3

4.64.64.65.1

4.74.34.0

0

1

2

3

4

5

6

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000

Rat

e pe

r 1,0

00 P

erso

ns

Asthma Hospitalizations in The BronxHospitalization rate of children under age 15,

per 1,000 population, by UHF neighborhood, 2002

4.8

8.8 9.0

10.0 10.1

11.7

9.7

6.0

9.4

0

2

4

6

8

10

12

14

Kingsb

ridge

NE Bro

nx

Hunts

Pt-Mott

Haven

Pelha

m-T

hrog

s Nec

k

Fordha

m-B

ronx

Pk

High B

ridge

-Morr

isan

ia

Croto

na-Tre

mont

Bronx

NYC

Asthma Hospitalization Rates in Children Aged 0-14 in NYC, US, and South Bronx

(2002)

3.081.72

6.02

11.69

10.058.98

0

2

4

6

8

10

12U

S

NY

S

NY

C

Cro

ton

a-

Tre

mo

nt

Hig

hB

rid

ge

-M

orr

isa

nia

Hu

nts

Po

int-

Mo

ttH

av

en

Ra

te p

er

1,0

00

Po

pu

lati

on

(excluding NYC)

Hospitalization rates for children in South Bronx (ages 0-14) have gone down over the past 5 years

16.1618.53

22.49

9.4311.69

10.05 8.98

6.02

0

5

10

15

20

25

Crotona-Tremont

High Bridge-Morrisania

Hunts Point-Mott Haven

NYC

rate

per

100

0 ch

ildr

en

1997

2002

27.2% decrease 45.7% decrease 60.1% decrease 36.2% decrease

Weekend Agenda

Saturday, August 9, 11am to 12:30pm

Bronx native Sam Goodman, an urban planner in the Office of the Bronx Borough President, will lead a tour of the Grand Concourse, the borough's major thoroughfare on which the Bronx Museum is located. While visiting key sites, Goodman will provide a brief history of the Grand Concourse and discuss the health issues that have impacted its neighborhoods and communities.

Free admissionLocation: Meet at 11am in the North Wing Lobby of the Bronx Museum

No RSVP required

1040 Grand Concourse

Bronx, New York 10456

T: 718-681-6000

Sunday August 10,2014

Webinar at 10 am. Information to be sent via email

Reminders!

Don’t forget to answer questions on discussion board

Next week

Article review #

Weekend reflection paper

in- class article review

Documents