DOCUMENT RESUME PS 029 158 ED 450 877 Child Health 2000: Report Card for New York State, Regions TITLE and Counties. New York Academy of Medicine, NY.; New York Forum for Child INSTITUTION Health, NY. SPONS AGENCY Foundation for Child Development, New York, NY. PUB DATE 2000-00-00 NOTE 6p. Descriptive Reports Numerical/Quantitative Data (110) PUB TYPE (141) EDRS PRICE MF01/PC01 Plus Postage. Adolescents; Asthma; Birth Weight; *Child Health; *Children; DESCRIPTORS Counties; Drinking; Early Parenthood; Health Insurance; Hospitalized Children; Infant Mortality; Injuries; Low Income Groups; Medical Services; Mortality Rate; *Poverty; Prenatal Care; Smoking; Victims of Crime; Welfare Services Binge Drinking; Childrens Health Insurance Program; IDENTIFIERS *Indicators; Medicaid; *New York; Vaccination; Welfare Reform ABSTRACT This report details the impact of the changing health environment on children's health and access to health care in New York state. The report links key measures of child health with recent policy changes, such as expansions in health insurance coverage, Medicaid managed care, and welfare reform. Data from 1997 are used as a baseline measure for future efforts to track the impact of public policy on child health. The report contains state and national data for indicators of child health in four (1) economics, including poverty rates and public assistance receipt; areas: (2) insurance status, including Medicaid and state health insurance program (3) access and use of medical care services such as prenatal care enrollment; and immunizations; and (4) health and behavioral indicators, including asthma hospitalizations, binge drinking, smoking, and infant mortality rates. Highlights are provided for some indicators comparing county, New York City, and state data. Included is the Web address for a Web-based component providing county and regional comparisons for selected indicators. (KB) Reproductions supplied by EDRS are the best that can be made from the original document. Child Health 2000: Report Card for New York State, Regions and Counties. U.S. DEPARTMENT OF EDUCATION Office of Educational Research and PERMISSION TO REPRODUCE AND Improvement EDUCATIONAL RESOURCES DISSEMINATE THIS MATERIAL HAS INFORMATION BEEN GRANTED BY CENTER (ERIC) O This document has been reproduced as received from the person or Tamar Bauer organizaticm originating it. U Miwr dlanqes have been made to improve reproduction quality TO THE EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC) Points of view or opinions stated in this document do not necessarily represent official OERI position or parley. O C1 Ci) AVAILABLE BEST COPY 2 \ew or Or U M I. :or C eo Child Health 2000: Report Card for New York State, Regions and Counties fr r ; ,e,d1111111p1., ° .(tk !al Supported by the CnFoundation for Child Development The New York Academy of Medicine 1216 Fifth Avenue New York, NY 10029 www.nyam.org (212) 822-7200 3 Child Health 2000: Report Card for New York State, Regions and Counties This report card is designed to monitor the impact of the changing health care environment on children's health and access to health care in It links key measures of child New York State. health with recent policy changes, such as expansions in health insurance coverage (i.e. New York's Child Health Plus (CHP) and separate state insurance programs nationwide), Medicaid managed care, and welfare reform. In 1997 data are the most recent most cases, available and will serve as a baseline measure for future efforts to track the impact of public policy on child health. In order to capture the breadth of underlying factors and barriers that contribute to child health or ill health, this report includes poverty rates, behavioral and status assistance public information available, is When indicators. reported for subsets of children by income or Data are presented at the state race/ethnicity. and national level, with the Healthy People 2010 objectives identified where available. Indicators including the were selected based upon criteria of the their well as source, as reliability availability at county, state, and national levels. www.nyam.org The web-based component of this report card provides county and regional comparisons for It-may be utilized as an selected indicators. makers, policy for resource interactive researchers, and advocates. We look forward to regarding the your comments and suggestions kinds of data and analyses that might be useful in addressing child health policy goals. for \ew York -orurn leoltil Chi 01 The I is a broad-based collaborative body dedicated to enhancing the health of all children in New York State by improving access to health insurance and quality health care services. ) g r s e r o s e o i l ) e v . 2 v p l m a ) i 1 f h 4 i o a o - g s t e 6 y r n e e 2 c B - p n i c 5 y P e t s 0 0 0 0 0 . r k C r y t 0 0 w e 0 1 5 C o u i s ' . . . s . . t l D g b - - - - - - - . 6 e . 0 5 n 5 0 - p i - . o . y a D w 3 5 R a 4 4 g u s e u 1 C S O 9 2 9 5 ( C h t w a R o Q n h ( 0 ; c t t e t H ; r e . H t H u 0 l H m 0 a 0 a c a O o . h O 8 O n O 8 e 1 e Y e D C a y r D D l D 0 i r e C b H S u C u C S S v y S a 2 D q Y s D r Y Y t D l Y s e u i i C N A c R C t a N N S C N i v n a , . h s n e t n , , E r r o a o - , i . q i c s l 6 0 4 4 0 3 2 0 0 3 0 l 5 9 . n l . 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' . . . ) 1 . 1 7 1 . 7 . p 2 3 . . 7 e . . . g 3 2 3 2 o , o . . 4 2 6 6 U 6 7 9 1 4 7 9 7 c 6 g 1 1 r 1 1 g 7 7 2 C - 9 7 8 8 w 9 a m ( , - n t , 0 9 1 0 a a e , ) 9 9 9 s 0 , 7 9 a 0 9 0 , , r a 1 1 r 1 9 , , , t s 1 o 9 : , r r 1 s 0 ) 1 ) 0 n e o e o u 1 t J l s m 9 e , f t - , 2 0 l s e g e ; 7 f h s ) s S 0 i 1 , e e m , 2 V t - r a l a n 1 t , 0 t 1 Y a g r i e s n , 7 r e , i , m - o 1 e l , e i t , a r ) o 1 l , 0 h N . s s l b s S e 0 l : O t 7 8 4 2 2 8 4 7 ( 1 o 7 6 7 0 e e 8 a 7 3 e - r e t t Y a . . . . . . . . t . g 7 0 0 8 1 0 8 y . . . . . 7 0 1 ( . . s 3 i a 0 e r e i g ) 6 4 a 6 6 7 7 5 f n m 1 1 1 1 1 N 7 6 6 7 w t n r e n 9 0 0 t b p v t 7 a o a u e r h s g s i e , 9 0 i i e 1 k m 1 e o j t r s s e , l a n 0 1 e v n i . t - t m g e o n r 8 w i l 0 o 0 t r , o o i , a t t u d a m 0 o a 7 9 e s 0 a s a c p c l a g r s e 1 p i o 1 9 e r a r , 0 r n s a t e s d i i n ( g d r l n 1 - a J , 7 , f l i p s r s g a a g i 1 7 0 i 9 i o e ( 4 o z e a h a k e 9 r m w 9 7 a c , n g r i p - 9 i 8 e e 1 c r t s s n 9 n p m t s 0 1 i r a o , d e d a r / i 1 , e n t 7 i e ) 7 i r s 9 u P d , a n p r s f e l r e ) b 9 - l e o e s o e c h 9 r o 1 c d e m a 9 a H 0 g e f e n t c ( t e t r n s 1 t r 9 t p M m n a i s a f g a n m l i % , e h b e C a 9 s m , e 1 e s a 0 r i n a m c a h r g g e e e t t n 1 2 ( e r t o s v a 0 d a a t r r i , i i g r a n n r e u i l - r , i 7 i d s o u c e y s m c l a a t 0 i o s b g n 5 a c s i i n a 0 t e 1 t t n d a f s n n c b t 1 m f s i s a e 1 i n 0 H f c l c r o , n - i r ( s o a 0 I e i b d ( u o r e t e i e f 0 f i g , i o a n i n s ( p d w l , i 1 d d e o i s l t d y l c 7 n h n b t t e e b a r b e l a e e s e a t r e 9 a h u r i u t i t o f e y , a g i i c e a h e c . 9 z m t E i r r l r s M p ' z t g s g h c t a g 1 l b r l i C e c a s g i r o r r r s i s r s d d e i l s l i t t l , u o n i v r u h n l o a a c y s a r l i a h e s n l i n l r , a e t o t u l i e n e v p o o o t o a p e w o a i e n t e t t w a o i o t o t M , e n b a e o a a i i f i s t m e i p r s a d i d d d c e p o a l e p i d a t g g t p c n h s s u n ( i n r r b a n n s n t h e c n a e a d o e p h l r s r i i e e n i a n n e i i s e t a i g H t n g n t g t t o r e a z l s r r e e t o r h d y r c r s r i R z o I a i a i i s i i h u a i t u r a r r t u r g i u i l i n o r u r B h d a v v h - O O U l s O r n i n l t h i d u b g s a t o p a s d t g y c s e y l s s a m s S r i i i r r N e n I e c w t a i c c l n h s i n o n b t e a a e e n b u l i i n t d i a i w i d i l l g d i d u n i n h t n b i i , i g a i v m c s c c c h i a e e n e . e n i n m e : i a h t a a p k k : . e n t t v ) n n a t n o u v k r t / l n s t r i p e e o i p i i I p t e e t C c c n p c i i h i c o v U o i c n i P i C d s h U H i i h m b s h l s s a a U h a a a h t N s a R R e U h s T L i m H i i L a U W n l l W l W n o N l S e e W i H B H e H B B w B t B h o e t c % f s s h o e % H t a % M d s o e e % % % d n % % % % n H % % % A % s C R n L T T A n % a n t r I a e f a l u . % . % % n o . a m . s . . . . c w h . . . . . . . . C . I . . . . 1 s s d g u v . e h b k n o p q s c t e . a f . c . i t . . e r l b d a c j n a c E H A e c I H A Child Health 2000: Report Card for New York State, Regions and Counties Highlights from County Comparisons Infant Mortality Rate. 1995-1997 Average For each indicator below, the three counties with the (deaths per 1,000 live births) highest (#1) and lowest (#62) rankings are provided. A full ranking of New York State counties and a &plc fialg County ranking by region are available at www.nyam.org. Hamilton (0/48) 0 1 Please note that the rankings serve as a general guide to 2 Schuyler 1.5 relative differences between counties. Statistics that are based Greene 3.3 3 7.8 New York City on a small number of vital events are subject to a large degree 9.2 Bronx 60 Rest of State 6.5 of variability and inferences should be drawn with care. For 9.2 Genessee 61 counties that have fewer than 50 people in the denominator, 9.2 Cayuga 62 actual numbers are included. Unless otherwise stated, 1997 was used as the baseline year for all indicators. Indicators were chosen by availability of data at the county level from Teen Pregnancy Rate. ages 15-19 the New York State Department of Health. (per 1,000 women) 1997 % Receiving Early Prenatal Care (first trimester). 1997 Ras Bank County 21.5 Putnam 1 Age Rank County 2 27.3 Otsego 88.7% Clinton 29.9 3 Livingston 134.4 New York City 1 86.9% Nassau 2 60 Kings 131.8 Rest of State 57.3 85.9% Saratoga 3 64.9% New York City 135.6 New York 61 62.6% 60 Kings Rest of State 79.2% Bronx 194.5 62 56.8% Bronx 61 54.4% 62 Yates Asthma Hospitalizations. ages 0-4 (rates per 10,000) 1996-1998 Average % Medicaid or Self-Pay Deliveries. 1997 Bath figtg County Rank Rate County 5.0 Schuyler 1 1 (least) 5.4% Putnam 9.0 Tioga 2 2 Saratoga 15.1% Yates 3 135.8 13.3 New York City Nassau 18.9% 57.7% 3 New York City 60 Fulton 129.1 37.3 Rest of State Allegany 54.9% 60 Rest of State 27.9% New York 148.4 61 59.6% Kings 61 221.9 Bronx 62 62 (most) 70.7% Bronx Asthma Hospitalizations, ages 5-14 % Low Birthweight Babies. 1997 (rates per 10,000) 1996-1998 Average Ate Rank County Rank County BA& 3.6% Washington 1 3.5 Greene 1 4.3% Otsego 2 2 4.1 Yates 4.6% Cortland 8.8% New York City 3 4.2 Essex 59.6 3 New York City 9.1% Kings Rest of State 7.0% 60 Kings 50.5 60 13.5 Rest of State r 9.9% Bronx 61 81.1 6 New York 61 Hamilton (5/46) 10.9% 62 Bronx 96.1 62 ERIC U.S. Department of Education Office of Educational Research and Improvement (OERI) National Library of Education (NLE) Educational Resources Information Center (ERIC) REPRODUCTION RELEASE (Specific Document) I. 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