Wellbeing Incongruities in New York City.


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Weakness is packed in certain New York City neighborhoods. ... Dispensing with wellbeing differences in New York City would spare a large number of lives every year. ...
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Wellbeing Disparities in New York City Yvonne J. Graham, R.N., MPH

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Health Disparities Health abberations are contrasts in the frequency, pervasiveness, dismalness and mortality that exist among particular populace groups.  

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What Causes Disparities in Health Status? Abberations in wellbeing status of groups are overwhelmingly socially related Health care incongruities emerge from contrasts in: Health care access Insurance scope Availability and nature of treatment Other social connections

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Broader Social, Political, and Economic Contexts Broader social, political, and financial strengths result in wellbeing variations, e.g.: Poverty Income imbalance Poor lodging Poor training Discrimination and shame Addressing these more extensive powers can diminish inconsistencies and enhance wellbeing results

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Race and Ethnicity Brooklyn Overview 34% White 33% Black/African American 20% Latino 8% Asian 41% of inhabitants are remote conceived

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Population by Race/Hispanic Origin New York City and Boroughs, 2006 Source: NYC Dept. of City Planning

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Top Countries of Birth for the Foreign-conceived New York City and Brooklyn, 2006 New York City Brooklyn Total = 3,038,073 Total = 948,680 Source: NYC Dept of City Planning *Includes Mainland China, Hong Kong, and Taiwan

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White Nonhispanics by Census Tract Brooklyn, 2000 BROOKLYN NAVY YARD PROSPECT PARK GREENWOOD CEMETERY JAMAICA BAY DYKER BEACH GOLF COURSE FORT HAMILTON MARINE PARK FLOYD BENNETT FIELD Source: NYC Department of City Planning

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Hispanics by Census Tract Brooklyn, 2000 BROOKLYN NAVY YARD PROSPECT PARK GREENWOOD CEMETERY JAMAICA BAY DYKER BEACH GOLF COURSE FORT HAMILTON MARINE PARK FLOYD BENNETT FIELD Source: NYC Department of City Planning

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Asian Nonhispanics by Census Tract Brooklyn, 2000 BROOKLYN NAVY YARD PROSPECT PARK GREENWOOD CEMETERY JAMAICA BAY DYKER BEACH GOLF COURSE FORT HAMILTON MARINE PARK FLOYD BENNETT FIELD Source: NYC Department of City Planning

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Black Nonhispanics by Census Tract Brooklyn, 2000 BROOKLYN NAVY YARD PROSPECT PARK GREENWOOD CEMETERY JAMAICA BAY DYKER BEACH GOLF COURSE FORT HAMILTON MARINE PARK FLOYD BENNETT FIELD Source: NYC Department of City Planning

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Median Household Income New York City and 5 Boroughs, 2006 $68,620 $60,017 $51,190 $46,480 $40,393 $31,494

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29.1 Percent of Persons Living Below the Poverty Level New York City and 5 Boroughs, 2006 22.6 19.2 18.3 12.2 9.2 Source: NYC Department of City Planning

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Access to social insurance Poor New Yorkers experience more difficulty getting to medicinal services than more prosperous New Yorkers. Individuals without wellbeing scope are more averse to get preventive consideration than those with scope. Focal Brooklyn inhabitants encounter a bigger number of boundaries to medicinal services access than those in NYC by and large, with about 3 in 10 without a customary specialist. The percent of uninsured in Central Brooklyn about multiplied somewhere around 2002 and 2004. As of now, around 400,000 Brooklynites are uninsured or underinsured.

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Source: NYC Department of Health & Mental Hygiene

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Life Expectancy Source: NYC Department of Health & Mental Hygiene

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Life Expectancy Source: NYC Dept. of Health & Mental Hygiene

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Death Rates Higher in Low-Income Neighborhoods Data for 2001

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Racial Disparities taking all things together Cause Mortality, NYC 14 12 30% higher 10 20% higher 8 Rate for each 100,000 populace 6 4 2 0 White Black White Black Men Women Every year, this uniqueness in death rates represents more than 4000 passings among African-American New Yorkers Source: NYC Dept. of Health & Mental Hygiene

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HIV and AIDS

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Source: Epidemiology & Field Services Semiannual Report, NYC DOHMH HIV, October 2007

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Percent of New Yorkers who are Obese NYC, by Neighborhood, 2003

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Medical Complications of Obesity Almost every organ framework is influenced Source: Rudd Center for Food Policy and Obesity

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Mortality from Diabetes Mortality from AIDS Source: Bureau of Vital Statistics, NYC DOHMH, 2002; US Census 2000/NYC Dept of City Planning

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Racial Disparities in Colon Cancer Screening Compared with Death Rates NYC, 2002 Source: NYCDOHMH

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Hospitalizations for Asthma (youngsters) Hospitalizations for Drug Use Source: NYS DOH SPARCS, 2001; US Census 2000/NYC Dept of City Planning

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Mental Health of New Yorkers % of Adults Reporting 3 or More Days with Poor Mental Health in Past 30 Days, by Race/Ethnicity, 2004 Source: NYC Dept. of Health & Mental Hygiene

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Assault Injuries Among Women Rates of Assault Injuries Requiring Hospital Care, per 10,000 Women, 2001 Source: NYC Dept. of Health & Mental Hygiene

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Infant Mortality by Ethnic Group, NYC 2006 Source: Bureau of Vital Statistics, NYC DOHMH

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Late or No Prenatal Care in NYC, by Community District, 2006 East New York Brownsville – 9.3% Crown Heights South – 8.4% East Flatbush – 9.4% Source: Bureau of Vital Statistics, NYC DOHMH

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Health Behaviors Among Adolescents Teen pregnancy rates (2005) in the South Bronx, East and Central Harlem, Bedford Stuyvesant and Bushwick are much higher than both the national and New York City\'s teenager pregnancy rates. Sexually transmitted ailment (STD) among youths keeps on being an issue—with around 3 million new STD cases for each year broadly, and HIV disease is the 6th driving reason for death in individuals matured 15 to 24. HIV contamination is on the ascent among young fellows who have intercourse with men (MSM) in New York City and more than 90% of the MSM under age 20 determined to have HIV in 2006 were Black or Hispanic. (NYCDOHMH) One in 10 New York City adolescents reports having been hit, slapped or physically hurt deliberately by their beau or sweetheart amid the previous year. Around 10% of aggressive behavior at home casualties found in the City\'s open healing facilities are less than 20 years old. (Chairman\'s Office to Combat Domestic Violence) Citywide, endeavored suicide is right around 4 times as pervasive among LGBT teenagers (31%) as among hetero youth (8%). Source: NYC DOHMH District Public Health Office 2008

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Summary Substantial imbalances exist among New Yorkers of various monetary and racial/ethnic gatherings. Poor New Yorkers, and also African-American and Hispanic New Yorkers, bear an unbalanced weight of disease and sudden passing. Weakness is moved in certain New York City neighborhoods. Variables connected with weakness, for example, next to zero access to medicinal consideration, undesirable practices, and poor living conditions are more normal among certain monetary and racial/ethnic gatherings. Taking out wellbeing variations in New York City would spare a huge number of lives every year.

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Recommendations Combine a multidisciplinary approach with conventional, demonstrated general wellbeing procedures. Certain groups reliably have weakness results and would advantage most from focused endeavors to enhance wellbeing and prosperity. Target assets and mediations to the neighborhoods and groups most at danger because of poor social and monetary conditions.

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Policy for a Healthier New York City

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Take Care New York: NYC Health Policy 10 need intercessions Important and winnable fights Proven to be agreeable to mediation Best tended to through facilitated activity by City offices, social insurance suppliers, group associations, organizations, and people Things we can take care of today Source: NYCDOHMH

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Take Care New York

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Take Care New York

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Recommendations Utilize an all encompassing way to deal with enhancing wellbeing: Ensure access to preventive and socially capable restorative consideration. Guarantee the physical and social conditions that empower sound decisions. Lessen the weight of neediness and other social hindrance.

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Recommendations Expand concern and obligation regarding general wellbeing past the human services and general wellbeing groups. Wellbeing is influenced by more than hereditary qualities and medicinal consideration. Instruction, lodging, parks, occupation, welfare, social value, and monetary advancement are exceptionally imperative for wellbeing, and wellbeing differences can\'t be tended to effectively without advancement in, and joint effort over these fields.

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Recommendations Become part of the arrangement. President Barack Obama has set up an official office for human services change with an end goal to enhance access to social insurance, the nature of such care, and the supportability of the medicinal services framework. We have to convey the exchange from today\'s procedures to the table.

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Healthy Neighborhoods Healthy neighborhoods are those with city assets, for example, libraries and parks, simple access to fantastic therapeutic consideration, satisfactory and top notch lodging, spots to practice and buy solid nourishments, financial open doors, protected and secure situations and solid group connectedness.

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