1 Community Health Needs Assessment Essex County Health Indicators

1

Community Health Needs AssessmentEssex County Health Indicators

2

Health Factors

Health Behaviors

Access to Clinical Care

Clinical Care Measures

Social and Economic

Physical Environment

Behavioral Health

Health Outcomes

Mortality

Years of potential life lost

Infant mortality

Low birth weight

General health status

Mental health status

Morbidity

3

Health Outcomes

Mortality

Heart disease

Cancer

Stroke

Septicemia

Diabetes

Years of potential life lost

Infant mortality

Low birth weight

General health status

Health Status fair or poor

Physically unhealthy days

Disability

Mental health status

Mentally unhealthy days

Suicide

Alcohol & Drug related Deaths

Morbidity

Disease incidence

Notifiable communicable

diseases

4

Health Factors Health Behaviors

Screenings

High Blood Pressure

Cholesterol

Mammogram

Pap test

Colon Cancer Screening

Vaccinations

Adult flu

Pneumonia

Children 19-35 mo

Maternal Health Prenatal Care- First Trimester

No Prenatal Care

High Risk Sexual Behavior STD rates

Teen birth rate

HIV rateTobacco use

Alcohol/Drug

Heavy Drinker

Binge Drinkers

Drug use

Diet and Exercise

Obesity

Exercise

Fruits and vegetables

SNAP

5

Health Factors

Access to Clinical Care

Physician Rate

Health Insurance Coverage

Emergency Dept. use

Clinical Care Measures

ACS Inpatient

Readmission Rates

Cesarean Section


Air Quality

Ozone

Lead Paint

Access to Healthy Foods

Access to Recreation

Behavioral Health

Admission Rates

Emergency Dept. use

Social and Economic

Unemployment per capita

Median income

Poverty

EducationViolent Crime &

Injury Prevention

6

MORTALITY

IndicatorHealthy People

2020 Target

County Health Rankings

BenchmarkNew Jersey

Deaths due to Diseases of the Heart: Age-Adjusted Rate per 100,000 Population

N/A

Deaths due to Diseases of the Heart (Black, Non-Hispanic): Age-Adjusted Rate per 100,000 Population

N/A N/A

Deaths due to Malignant Neoplasms (Cancer): Age-Adjusted Rate per 100,000 Population

N/A

Deaths due to Malignant Neoplasms (Cancer) (Black, Non-Hispanic):

Age-Adjusted Rate per 100,000 Population

N/A N/A

Deaths due to Cerebrovascular Disease (Stroke): Age-Adjusted Rate per 100,000 Population

N/A

Deaths due to Cerebrovascular Disease (Stroke) (Black, Non-Hispanic):

Age-Adjusted Rate per 100,000 Population

N/A N/A

RED: statistically worse than comparison statistic at 95% confidence level YELLOW: no statistical difference between county and GREEN: statistically better than comparison statistic at 95% confidence level comparison statistics at 95% confidence level

7

MORTALITY


2020 Target


BenchmarkNew Jersey

Deaths due to Septicemia: Age-Adjusted Rate per 100,000 Population

N/A N/A

Deaths due to Septicemia (Black, Non-Hispanic): Age-Adjusted Rate per 100,000 Population

N/A N/A

Deaths due to Diabetes Mellitus: Age-Adjusted Rate per 100,000 Population

N/A N/A

Deaths due to Diabetes Mellitus (Black, Non-Hispanic): Age-Adjusted Rate per 100,000 Population

N/A N/A


8

>>Top 10 Causes of Death in Essex County: Age-Adjusted Rate per 100,000 Population

Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment Data

Age-adjusted death rates declined for most of the top ten causes of death. • Exceptions include Septicemia, COPD, and Nephritis. • Cancer and Heart Disease mortality rates have declined, but remain by far the

primary causes of death.

MORTALITY

Cause 2004 Rate 2008 Rate

Heart Disease 227.0 206.4

Cancer 192.6 186.5

Stroke 44.5 36.0

Septicemia 27.6 31.1

Diabetes Mellitus 34.6 29.5

Chronic Lower Respiratory Disease

26.4 29.0

Nephritis 21.6 23.3

HIV 27.4 19.6

Influenza and Pneumonia 19.0 17.0

Alzheimer’s Disease 14.1 14.1Alzheimer's Disease

Influenza and Pneumonia

HIV

Nephritis

Chronic Lower Respiratory Disease

Diabetes Mellitus

Septicemia

Stroke

Cancer

Heart Disease

0 50 100 150 200 250

14.1

17.0

19.6

23.3

29.0

29.5

31.1

36.0

186.5

206.4

Essex County, 2008

9

>>Deaths due to Diseases of the Heart: Age-Adjusted Rate per 100,000 Population

Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment Data, Newark DCFWB Health Planning Division

All geographies have seen a decline in the rate of death due to heart disease over the studied period. • The age-adjusted death rate due to Heart Disease decreased 9.1% between 2004 and 2008 in Essex

County but remains significantly higher then the statewide rate. • The Essex County rate is worse (higher) than the Healthy People 2020 target. • In 2011 the rate for Newark was 176.2. (not shown)

MORTALITY

2004

2005

2006

2007

2008

0 50 100 150 200 250

227

218.1

206.5

196.5

206.4

Essex County Trend 2004-2008

2004 2006 20080

50

100

150

200

250

221.8

201.5 191.2

227.0

206.5 206.4 210.3192.0

177.8

223.3205.2

192.6

New Jersey Essex County Union County Middlesex County

Essex County 2008: 206.4

Baseline: 126.0 Target: 108.8

10

>>Deaths due to Diseases of the Heart by Race/Ethnicity: Age-Adjusted Rate per 100,000 Population (2008)


Despite the decline in deaths due to heart disease among blacks in Essex County between 2004 and 2008 , black residents had the highest rate of heart disease related deaths in Essex County. • The rate of heart disease deaths increased among Hispanics.

MORTALITY

2004

2005

2006

2007

2008

0 50 100 150 200 250 300211.5

210.7

194.0

188.2

198.7

270.6

240.8

243.8

227.3

225.8

114.5

130.8

87.1

100.1

128.0

Essex County Trends 2004-2008

Hispanic Black, non-HispanicWhite, non-Hispanic

New Jersey Essex County Union County Middlesex County0

50

100

150

200

250

196.2 198.7

174.7

205.8 224.7 225.8

244.0

179.3

116.3 128.0

116.0 111.4

White, non-Hispanic Black, non-Hispanic Hispanic

11

>>Deaths due to Malignant Neoplasms (Cancer): Age-Adjusted Rate per 100,000 Population



Source: NJ Department of Health and Senior Services, New Jersey Cancer Registry, Newark DCFWB Health Planning Division

All geographies have had a decline in the rate of deaths due to cancer over the studied period. • Essex County saw a rate decrease of 7.9 points (-4.1%) from 2004 to 2008. • Although the age-adjusted rate for Cancer deaths has declined, it is still worse (higher) than the target rate for

Healthy People 2020. • In 2011, the rate for Newark was 147.5 per 100,000. (not shown)

MORTALITY

2004 2006 20080

50

100

150

200

250

187.4 180.0 174.6191.5

177.6183.6181.7

169.5 170.8185

170.7159.3


2004

2005

2006

2007

2008

0 50 100 150 200 250

191.5

181.0

177.6

185.2

183.6


12

>>Deaths due to Malignant Neoplasms (Cancer) by Race/Ethnicity: Age-Adjusted Rate per 100,000 Population (2008)


While cancer death rates in Essex County decreased for white residents and Hispanics between 2005 and 2008, it rose by 16.6 points (+7.6%) for black residents and was significantly higher than the rate for all county residents.

MORTALITY

2004

2005

2006

2007

2008

0 50 100 150 200 250191.2

179.7

180.0

184.9

167.8

218.6

215.9

204.7

203.6

235.2

109.4

92.1

95.1

109.8

106.8



New Jersey Essex County Union Middlesex0

50

100

150

200

250

182.1167.8

175.6 172.3

210.9

235.2

207.8190.5

105.8 106.8 101.1 104.4


13

>>Deaths due to Cerebrovascular Disease (Stroke): Age-Adjusted Rate per 100,000 Population




All geographies have seen a decline in the rate of stroke related deaths over the studied period. • Deaths due to Stroke remains the third leading cause of death in Essex County. • The rate in Essex County declined 19.1% between 2004 and 2008, and is not statistically different from the

Healthy People 2020 target. • In 2011, the rate for Newark was 38.4 per 100,000. (not shown)

MORTALITY

2004 2006 20080

5

10

15

20

25

30

35

40

45

50

40.8

35.832.9

44.5

40.1

36.0

43.1

36.233.9

36.1 36.0

29.4


2004

2005

2006

2007

2008

0 5 10 15 20 25 30 35 40 45 50

44.5

45.1

40.1

42

36


14

>>Deaths due to Cerebrovascular Disease (Stroke) by Race/Ethnicity: Age-Adjusted Rate per 100,000 Population (2008)

Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment DataNote: *2004, 2005, and 2006 rates for Hispanics did not meet standards of reliability.

Stroke death rates in Essex County dropped among Blacks and Whites between 2004 and 2008. Rates among Hispanics decreased from 2007 to 2008*. Black residents continue to have the highest rate of stroke deaths.

MORTALITY

2004

2005

2006

2007

2008

0 10 20 30 40 50 60 70 80

35.5

35.3

33.8

36.5

29.3

62.2

67.4

49.1

52.3

45.6

24.6

24.1



New Jersey Essex Union Middlesex0

10

20

30

40

50

60

31.629.3 31

28.3

50.245.6

48.7

56.4

22.3 24.1 25.523.4


15

>>Deaths due to Septicemia: Age-Adjusted Rate per 100,000 Population


The death rate from Septicemia in Essex County increased 12.7% between 2004 and 2008, and is significantly higher than the rate statewide.

MORTALITY

2004

2005

2006

2007

2008

0 10 20 30 40

27.6

32.7

30.7

30.8

31.1


2004 2006 20080

5

10

15

20

25

30

35

40

20.6 19.618.3

27.6

30.7 31.1

22.820.9 21.7

18.0 17.0

20.2


16

>>Deaths due to Septicemia by Race/Ethnicity: Age-Adjusted Rate per 100,000 Population (2008)

Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment DataNote: 2004, 2005, 2007, and 2008 rates for Hispanics did not meet standards of reliability.

Septicemia death rates for black residents in Essex County rose by 10/100,000 (+24.4%) between 2004 and 2008. • Black residents have higher Septicemia death rates than other racial/ethnic groups.

MORTALITY

2004

2005

2006

2007

2008

0 10 20 30 40 50 60 70

21.4

20.5

16.2

22.1

19.4

41.0

57.6

52.9

47.8

51.0

37.8




10

20

30

40

50

60

16.819.4 17.9

21.2

36.2

51.0

44.4

27.3

14.3

23.7

15.012.6


17

>>Deaths due to Diabetes Mellitus: Age-Adjusted Rate per 100,000 Population


All geographies have seen a decline in the rate of deaths from Diabetes between 2004 and 2008. The rate in Essex County decreased 14.7%, but remains significantly higher than the rate statewide. • In 2011 the rate for Newark was 37.5 per 100,000. (not shown)

MORTALITY

2004 2006 20080

5

10

15

20

25

30

35

40

28.326.1

23.1

34.636.8

29.530.529.0

23.7

27.525.6

21.3


2004

2005

2006

2007

2008

0 10 20 30 40

34.6

35.6

36.8

31.9

29.5


18

>>Deaths due to Diabetes Mellitus by Race/Ethnicity: Age-Adjusted Rate per 100,000 Population (2008)


The death rate from Diabetes Mellitus in Essex County declined for black residents by 14.5/100,000 (-25.6%), increased for Hispanics, and decreased for white residents. • Essex County black residents have a lower death rate from diabetes than black residents

statewide and in comparative counties. • The mortality rate for black residents was significantly higher than all county residents.

MORTALITY

2004

2005

2006

2007

2008

0 10 20 30 40 50 6022.0

23.0

23.8

22.6

18.8

56.6

54.2

55.8

46.7

42.1

30.2

43.8

41.8

30.8

32.9




10

20

30

40

50

60

20.2 18.8 18.5 19.8

48.2

42.1

55.653.7

23.2

32.9

22.6 23.1


19

YEARS OF POTENTIAL LIFE LOST


2020 Target


BenchmarkNew Jersey

Premature Death: Years of Potential Life Lost Before Age 75: Age-Adjusted Rate per 100,000 Population

N/A


20

>>Premature Death: Years of Potential Life Lost Before Age 75 per 100,000 Population (Age-Adjusted)

Source: County Health Rankings, National Vital Statistics SystemNote: Every death occurring before the age of 75 contributes to the total number of years of potential life lost.

All geographies studied saw a decline in the years of potential life lost (YPLL) between 2004 and 2008. • The number in Essex County declined by 734 but remains significantly higher than the

statewide number and higher than that of comparative counties. • The rate of YPLL in Essex County was far worse (higher) than the national benchmark.

YEARS OF POTENTIAL LIFE LOST

2004 - 2006 2005 - 2007 2006 - 20080

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

6,294 6,170 5,987

9,144 8,866 8,410

6,179 6,143 5,904 5,159 5,033 4,914


2004 - 2006

2005 - 2007

2006 - 2008

0 2,000 4,000 6,000 8,000 10,000

9,144

8,866

8,410

Essex County Trend 2004-2006 -2006-2008

Essex County 2006 - 2008: 8,410

National Benchmark: 5,466

21

INFANT MORTALITY


2020 Target


BenchmarkNew Jersey

Infant Mortality Rate: Rate of Infant (Under 1 year) Deaths per 1,000 Live Births

N/A

Infant Mortality Rate (Black, non-Hispanic): Rate of Infant (Under 1 year) Deaths per 1,000 Live Births

N/A N/A

22

>>Infant Mortality Rate: Rate of Infant (under 1 year) Deaths per 1,000 Live Births




INFANT MORTALITY

2004 2006 20080

1

2

3

4

5

6

7

8

9

5.7 5.3 5.3

7.6

5.8

8.5

5.54.9

4.64.65.0

3.9


The infant mortality rate in Essex County rose 11.8% from 2004 to 2008 and remains significantly higher than the rate statewide.• The Essex County Infant Mortality rate is worse (higher) than the Healthy People 2020

target.

2004

2005

2006

2007

2008

0 1 2 3 4 5 6 7 8 9

7.6

6.3

5.8

7.4

8.5


23

>>Infant Mortality Rate: Rate of Infant (Under 1 Year) Deaths per 1,000 Live Births by Race

Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment DataNote: Rates for white for all years and for Hispanics for 2003 through 2006 did not meet standards of reliability.

INFANT MORTALITY

White, non-Hispanic

Black, non-Hispanic Hispanic Total0

2

4

6

8

10

12

14

16

3.6

12.7

4.4 5.3

2.9

13.4

6.7

8.5

3.9

9

4.5 4.64

8.1

5.9

3.9


The infant mortality rate for black residents in Essex County is higher than the rates for all other races, and has been increasing since 2006.

2003

2004

2005

2006

2007

2008

0 5 10 15

14.5

9.6

9.5

9.6

10.4

13.4

9.3

7.6

6.3

5.8

7.4

8.5

6.8

6.7


Total HispanicBlack, non-Hispanic

24

LOW BIRTH WEIGHT


2020 Target


BenchmarkNew Jersey

Low (<2500 grams) Birth Weight: Percentage of Live Births

N/A

Low (<2500 grams) Birth Weight (Black, Non-Hispanic): Percentage of Live Births

N/A N/A

Very Low (<1500 grams) Birth Weight: Percentage of Live Births

N/A

Very Low (<1500 grams) Birth Weight (Black, Non-Hispanic): Percentage of Live Births

N/A N/A


25

>> Low Birth Weight: Percent of Live Births with Low and Very Low Birth Weight (2008)

<2500 - Essex County 2008: 10.0%

Baseline: 8.2% Target: 7.8%

Source: : NJ Department of Health and Senior Services, Bureau of Vital Statistics and Registration, N.J. Birth Certificate DatabaseNote: Percentages are based on the total number of live births for county and state.

The percentage of very low birth weight infants declined in Essex County between 2004 and 2008 by 0.1 percentage points, low birth weight infants increased by 0.3 percentage points. • In Essex County the rates for low birth weight and very low birth weight infants are higher

(worse) than the Healthy People 2020 targets and significantly higher than the statewide averages.

LOW BIRTH WEIGHT

<1500 grams <2500 grams0%

2%

4%

6%

8%

10%

12%

1.5%

8.1%

2.0%

10.0%

1.7%

8.4%

1.4%

7.7%

New Jersey Essex County Union CountyMiddlesex County

2004

2005

2006

2007

2008

0% 2% 4% 6% 8% 10% 12%9.7%

10.3%

10.9%

10.4%

10.0%

2.1%

2.4%

2.5%

2.4%

2.0%


<1500 grams <2500 grams<1500 - Essex County 2008: 2.0%


26

>> Percent of Live Births with Low and Very Low Birth Weight in Essex County by Mother’s Race/Ethnicity

Source: : NJ Department of Health and Senior Services, Bureau of Vital Statistics and Registration, N.J. Birth Certificate Database

Low and very low birth weight infants among African-Americans in Essex County remains significantly higher than other racial/ethnic groups.

LOW BIRTH WEIGHT

2004 2006 20080%

5%

10%

15%

7.0%

8.6% 8.6%

13.8%14.7%

13.6%

7.1%7.9% 7.5%7.7%

13.5%

6.9%

Essex County Low Birth Weight by Race

White, non-Hispanic Black, non-HispanicHispanic Other

2004 2006 20080%

5%

10%

15%

1.1%1.8% 1.8%

3.3% 3.8% 3.8%

1.4% 1.4% 1.4%1.8% 2.2% 2.2%

Essex County Very Low Birth Weight by Race

White, non-Hispanic Black, non-Hispanic Hispanic Other

27

GENERAL AND MENTAL HEALTH STATUS


2020 Target


BenchmarkNew Jersey

Reported "Fair" or "Poor" Health: Percentage of Respondents

N/A N/A

Physically Unhealthy Days Reported in the Past 30 Days: Average Age-Adjusted Number

N/A

Disability: Percent of Total Population

N/A N/A

Mentally Unhealthy Days Reported in the Past 30 Days: Average Age-Adjusted Number

N/A

Deaths due to Suicide: Age-Adjusted Rate per 100,000 Population

N/A

Alcohol-Related Deaths: Age-Adjusted Rate per 100,000 Population

N/A N/A

Drug-Related Deaths: Age-Adjusted Rate per 100,000 Population

N/A


28

>> Percent of Respondents Reporting Their Health as "Fair or Poor"

Source: CDC, Behavioral Risk Factor Surveillance SystemNote: MMSA: Metropolitan and Micropolitan Statistical Areas

The percent of Essex County residents reporting their health as poor or fair has declined. • It remains above the percentages reported statewide, in the MMSA, and in

comparison counties but is not statistically different than the statewide rate.

GENERAL HEALTH STATUS

2006

2007

2008

2009

2010

0% 5% 10% 15% 20% 25%

19.5%

18.5%

15.3%

17.8%

18.2%


2006 20100%

5%

10%

15%

20%

25%

16.2%14.7%

19.5%18.2%

15.6%

13.6%

18.9%

15.3%

18.4%

14.1%14.7% 14.7%

New Jersey Essex County Newark-Union, NJ-PA MMSA Union CountyMiddlesex County United States

29

>>Average Age-Adjusted Number of Physically Unhealthy Days Reported in the Past 30 Days

Source: County Health Rankings, National Center for Health StatisticsNote: The poor physical health measure is based on response to the question: “Thinking about your physical health, which

includes physical illness and injury, how many days during the past 30 days was your physical health not good?”

Essex County residents report an average of 3.3 physically unhealthy days per month, which was worse (higher) than the national benchmark of 2.6. • This was an increase over 2008, but is in line with increasing trends statewide.


2002 - 2008 2003 - 2009 2004 - 20100.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

3.3 3.4 3.4 3.2 3.3 3.3 3.4 3.5

3.3 3.1 3.2 3.2


2002 - 2008

2003 - 2009

2004 - 2010

0 0.5 1 1.5 2 2.5 3 3.5

3.2

3.3

3.3

Essex County Trend 2002-2008 -2004-2010

Essex County 2004 - 2010: 3.3

National Benchmark: 2.6

30Source: U.S. Census Bureau, American Community SurveyNote: Percentages are based on the total civilian non-institutionalized population 5 years and older in each region.

All geographies have seen a decline in the percentage of people reporting a disability over the studied period. • The percent of Essex County residents with a disability declined by 12.5 percentage

points between 2000 and 2010.• This indicator was not statistically different from the statewide percentage.

>>Total Population With Any Disability


2000

2005

2010

0% 5% 10% 15% 20% 25%

21.9%

11.5%

9.4%


2000 2005 20105%

7%

9%

11%

13%

15%

17%

19%

21%

23%

25%

18.0%

12.0%

9.7%

21.9%

11.5%

9.4%

18.1%

11.7%

8.2%

16.2%

9.0%8.0%


31

>> Average Number of Mentally Unhealthy Days Reported in the Past 30 Days

Source: County Health Rankings, National Center for Health StatisticsNote: The poor physical health measure is based on response to the question: “Thinking about your mental health, which includes stress, depression, and

problems with emotions, for how many days during the past 30 days was your mental health not good?”

Essex County residents reported an increase in the number of mentally unhealthy days between 2002 - 2008 and 2004 - 2010, from 3.4 to 3.6 per month.• The number of mentally unhealthy days in Essex County is worse (higher) than the

National Benchmark.

MENTAL HEALTH STATUS

2002 - 2008 2003 - 2009 2004 - 20100.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

3.3 3.3 3.3 3.4 3.6 3.6

3.0 3.0 3.0 3.0 3.1 3.0


2002 - 2008

2003 - 2009

2004 - 2010

0 0.5 1 1.5 2 2.5 3 3.5 4

3.4

3.6

3.6

Essex County Trend 2002-2008 - 2004-2010

Essex County 2004 - 2010: 3.6

National Benchmark (2009): 2.3

32

>>Deaths due to Suicide: Age-Adjusted Rate per 100,000 Population


The Essex County suicide rate decreased by 44.1% between 2004 and 2008. • Essex County has a lower suicide rate than the Healthy People 2020 target, and

significantly lower (better) than the statewide rate.


2004 2006 20080

1

2

3

4

5

6

7

8

6.86.4

6.7

5.9

4.4

3.3

4.9 4.9

5.6

5 5.2

6.1


2004

2005

2006

2007

2008

0 2 4 6 8

5.9

4.0

4.4

4.6

3.3




33

>>Alcohol and Drug-Related Deaths: Age-Adjusted Rate per 100,000 Population (2007)

Essex County Drug-related Deaths 2007: 10.2



Drug related deaths were down between 2006 and 2007 in Essex County and the state. • Drug related deaths were not statistically different from the Healthy People 2020

target or the statewide average.• Alcohol related death rates increase over the period but were not significantly

different from the State.


Alcohol-related Drug-related0

2

4

6

8

10

12

4.6

8.5

4.4

10.2

New Jersey Essex County

2006

2007

0 2 4 6 8 10 12 14 16 18

4.1

4.4

15.3

10.2


Drug-related Alcohol-related

34

MORBIDITY


2020 Target


BenchmarkNew Jersey

Cardiovascular Disease: Were You Ever Told You Had Angina or Coronary Heart Disease? %=Yes

N/A N/A

Cardiovascular Disease: Were You Ever Told You Had a Heart Attack (Myocardial Infarction)? %=Yes

N/A N/A

Cardiovascular Disease: Have You Ever Been Told You Had a Stroke? %=Yes

N/A N/A

Asthma: Adults Who Have Ever Been Told They Have Asthma %=Yes N/A N/A

Diabetes: Have You Ever Been Told by a Doctor that You Have Diabetes? %=Yes

N/A N/A

Arthritis: Adults Who Have Been Told They Have Arthritis %=Yes N/A N/A

Overall Cancer Incidence: Age-Adjusted Rate per 100,000 Population

N/A N/A


35

MORBIDITY


2020 Target


BenchmarkNew Jersey

Cancer Incidence by Site - Prostate: Age-Adjusted Rate per 100,000 Population

N/A N/A

Cancer Incidence by Site - Breast: Age-Adjusted Rate per 100,000 Population

N/A N/A

Cancer Incidence by Site - Lung: Age-Adjusted Rate per 100,000 Population

N/A N/A

Cancer Incidence by Site - Colon/Rectum: Age-Adjusted Rate per 100,000 Population

N/A N/A

Cancer Incidence by Site - Melanoma of the Skin: Age-Adjusted Rate per 100,000 Population

N/A N/A

Notifiable Communicable Diseases - Campylobacteriosis: Rate per 100,000 Population

N/A N/A

Notifiable Communicable Diseases - Aseptic Meningitis: Rate per 100,000 Population

N/A N/A

Notifiable Communicable Diseases - Pertusis Rate per 100,000 Population

N/A N/A


36

>> Cardiovascular Disease: Were You Ever Told You Had Angina or Coronary Heart Disease? %=Yes

Source: CDC, Behavioral Risk Factor Surveillance System, Newark DCFWB Health Planning Division

The percent of Essex County residents reporting coronary heart disease declined between 2007 and 2010 by 0.4 percentage points .• At 3.4%, it is not statistically different from the rate statewide. • In 2009, 8% of Newark residents reported Angina or Coronary Heart Disease. (not shown)

MORBIDITY

2007

2008

2009

2010

0% 1% 2% 3% 4% 5%

3.8%

4.2%

3.4%

3.4%


2007 20100%

1%

2%

3%

4%

5%

6%

4.7%

3.9%3.8%3.4%3.3%

3.6%3.7%

5.0%

2.7%

4.4%4.1% 4.1%

New Jersey Essex County Newark-Union, NJ-PA MMSA Union County

Middlesex County United States

37

>>Cardiovascular Disease: Were You Ever Told You Had a Heart Attack (Myocardial Infarction)? %=Yes


The percent of Essex County residents reporting heart attacks increased by 0.4 percentage points between 2007 and 2010 from 2.7% to 3.1%.• This rate was not statistically different than the statewide rate.• In 2009, 6% of Newark residents, or nearly double the county rate reported a heart

attack. (not shown)

MORBIDITY

2007

2008

2009

2010

0% 1% 2% 3% 4% 5%

2.7%

3.1%

4.0%

3.1%


2007 20100.0%

0.5%

1.0%

1.5%

2.0%

2.5%

3.0%

3.5%

4.0%

4.5%

5.0%

3.9% 3.8%

2.7%

3.1%3.0%

3.4%

4.5%

4.0%

3.2%

2.6%

4.2% 4.2%



38

>> Cardiovascular Disease: Have You Ever Been Told You Had a Stroke? %=Yes


The percent of Essex County residents reporting they had a stroke rose by 1.8% to 3.6%. • The percent of Newark residents reporting a stroke was not statistically different than

the statewide rate.• In 2009, 4% of Newark residents reported having a stroke. (not shown)

MORBIDITY

2007

2008

2009

2010

0% 1% 2% 3% 4%

1.8%

3.3%

1.6%

3.6%


2007 20100.0%

0.5%

1.0%

1.5%

2.0%

2.5%

3.0%

3.5%

4.0%

2.4% 2.4%

1.8%

3.6%

1.6%

2.7%

1.8%

3.5%3.4%

1.2%

2.6% 2.7%



39

>>Asthma: Adults Who Have Ever Been Told They Have Asthma. %=Yes

Source: CDC, Behavioral Risk Factor Surveillance System

The percent of adults reporting they have asthma has risen in all the geographies studied.• Essex County experienced among the smallest increase and is now statistically no

different from the statewide percentage. • In 2009, 16% of Newark residents reported asthma. (not shown)

MORBIDITY

2006

2007

2008

2009

2010

0% 2% 4% 6% 8% 10% 12%

8.2%

6.7%

10.5%

7.2%

8.3%


2006 20100%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

7.6%

8.7%8.2% 8.3%

6.9%7.5%

6.1% 6.3%

7.1%7.5%

8.5%9.1%



40

>>Diabetes: Have You Ever Been Told by a Doctor that You Have Diabetes? %=Yes


Diabetes is on the increase in all the geographic areas studied. • In Essex County the percent of people reporting diabetes increased from 7.8% in 2006 to 10.2% in 2010.• At 10.2% the percent of people reporting diabetes in Essex County was not statistically different than

the state. • In 2009, 17% of Newark residents reported being told by a doctor that they have Diabetes. (not shown)

MORBIDITY

2006

2007

2008

2009

2010

0% 2% 4% 6% 8% 10% 12% 14%

7.8%

12.0%

8.8%

8.9%

10.2%


2006 20100%

2%

4%

6%

8%

10%

12%

7.5%

9.2%

7.8%

10.2%

7.3%

9.6%

7.7%

11.2%

7.9%

9.7%

7.5%

8.7%



41

>>Arthritis: Adults Who Have Been Told They Have Arthritis. %=Yes


Between 2005 and 2009 the percent of Essex County residents reporting Arthritis declined from 19.5% to 18.0%. • The percentage reporting Arthritis in Essex County is significantly lower than the rate

in the state.

MORBIDITY

2005 20090%

5%

10%

15%

20%

25%

30%

24.4%22.7%

19.5%18.0%

21.5%20.6%

21.5%22.7%22.5% 22.5%

27.0%26.0%



2005

2007

2009

0% 5% 10% 15% 20% 25%

19.5%

22.4%

18.0%


42

>>Overall Invasive Cancer Incidence: Age-Adjusted Rate per 100,000 Population

Source: New Jersey Department of Health and Human Services, New Jersey Cancer RegistryNote: The rate for prostate cancer is based on 100,000 males, and the rate for breast cancer is based on 100,000 females

MORBIDITY

All geographies have seen declines in the cancer incidence rate between 2005 and 2009.• Essex County has a significantly lower cancer incidence rate than the state.

2005

2006

2007

2008

2009

0 100 200 300 400 500 600

486.9

497.5

492.1

462.1

427.2


2005 2007 20090

100

200

300

400

500

600

508.9 519.2 487.2 486.9 492.1

427.2

539519.7

458.5

497.6 496.5475.9


43

>>Invasive Cancer Incidence by Site: Age-Adjusted Rate per 100,000 Population (2009)

Source: New Jersey Department of Health and Human Services, New Jersey Cancer Registry, Newark DCFWB Health Planning Division

MORBIDITY

Prostate and Breast cancers are the two most frequently occurring cancers in Essex County. • Between 2005 and 2009 the incidence rate of prostate cancer declined while the rate of breast cancer rose. • Cancer incidence rates for breast and melanoma were significantly better than the state.• Cancer incidence for prostate, lung, and colon were statistically no different from the statewide average.• 2011 rates for Newark: Prostate - 147.3, Breast (f) - 130.6, Lung - 51.3(f) 59 (m), colon/rectum 36.5 (f) 43.8(m).

(not shown).

Prostate Breast Lung Colon/Rec-tum

Melanoma

New Jersey 158.5 130.3 59.9 44.7 20.2

Essex County 171.9 110 48.4 37.8 11.6

Union County 169.5 126.2 44.4 44.8 14.1

Middlesex County 143.6 135.8 56.4 40.1 16.3

10

30

50

70

90

110

130

150

170

190

2005

2006

2007

2008

2009

0 50 100 150 200 250


Melanoma Colon/Rectum LungBreast Prostate

44

>>Notifiable Communicable Diseases: Rate per 100,000 (2010)

Source: N.J. Department of Health and Human Services, Division of Communicable Disease Service, New Jersey Reportable Communicable Disease Report, 2010, 2009, 2008, 2007; U.S. Census Bureau, American Community Survey

The rate of Campylobacteriosis and Aseptic Meningitis in Essex County were both up between 2006 and 2009, only the rate for Pertussis declined. • None of the reported communicable disease rates were significantly different from the statewide average.Bloomfield reported 6 confirmed cases of Campylobacteriosis in 2005, 3 in 2006, 1 in 2007, 6 in 2008, 5 in 2009, 6 in 2010, and 11 in 2011Bloomfield reported: 1 confirmed case of Pertussis in 2005, 2 in 2006, and zero in 2007, 2008, 2009, 2010, 2011Caldwell reported: 1 confirmed case of Campylobacteriosis in 2005, 2006, 2007 and 20011

MORBIDITY

Campylobacteriosis Aseptic Meningitis Pertussis0

2

4

6

8

10

12

10.8

0.3

1.9

9.1

0.30.6

8.9

0.4

1.5

8.1

0.1

1.0


2006

2007

2008

2009

0 2 4 6 8 10 12

8.1

9.7

10.1

9.1

0.1

0.0

0.3

0.3

1.7

2.5

1.0

0.6


Pertussis Aseptic MeningitisCampylobacteriosis

45

SCREENINGS


2020 Target


BenchmarkNew Jersey

Hypertension Awareness: Adults Who Have Been Told They Have High Blood Pressure

N/A

Cholesterol Awareness: Adults Who Have Had Their Cholesterol Checked and Told It Was High

N/A

Percent of Women Age 40+ Who Have NOT Had a Mammogram Within Past Two Years

N/A

Percent of Women 18 Years and Over Who have Had a Pap Test in the Past 3 years

N/A

Percent of Adults 50 Years and Over Who Have Ever Had a Sigmoidoscopy or Colonoscopy

N/A

Percent of Diabetic Medicare Enrollees that Receive HbA1c Screening

N/A


46

>>Hypertension Awareness: Adults Who Have Been Told They Have High Blood Pressure


The percent of people reporting high blood pressure has increased in all geographies studied. • The rate in Essex County is not significantly different than the Healthy People 2020

target or the statewide rate.

SCREENINGS

2005

2007

2009

0 0.05 0.1 0.15 0.2 0.25 0.3 0.35

24.5%

30.1%

27.5%


Essex County 2009: 27.5%


2005 20090%

5%

10%

15%

20%

25%

30%

35%

25.4%28.1%

24.5%

27.5%

23.1%

28.4%

21.6%

30.6%

22.1%

27.5%25.5%

28.7%



47

>> Cholesterol Awareness: Adults Who Have Had Their Cholesterol Checked and Told It Was High


Between 2005 and 2009, adults with high cholesterol rose from 30.6% to 36.7%. • The percentage of people reporting high cholesterol in Essex County is worse than (higher-by

nearly three times) the Healthy People 2020 target. • This indicator was not statistically different from the statewide percentage.

SCREENINGS

2005 20090%

5%

10%

15%

20%

25%

30%

35%

40%

45%

36.7% 37.0%

30.6%

36.7%34.5%

37.7%41.1%

37.2%38.5%36.9%35.6%

37.5%



2005

2007

2009

0% 5% 10% 15% 20% 25% 30% 35% 40% 45%

30.6%

39.0%

36.7%



Baseline: 15.0% Target:13.5%

48

>>Percent of Women Age 40+ Who Have NOT Had a Mammogram Within Past Two Years


The number of Essex County women 40+ and older who have not had a mammogram within the past 2 years has decreased by 8.2 percentage points. • It is not statistically different from the Healthy People 2020 target or the statewide

percentage.

SCREENINGS

2004 20100%

5%

10%

15%

20%

25%

30%

35%

25.1%22.7%

27.6%

19.4%

27.2%

21.5%

30.0%

22.3%25.1% 24.1%

25.2% 24.8%



2004

2006

2008

2010

0% 5% 10% 15% 20% 25% 30%

27.6%

23.7%

22.5%

19.4%




49

>>Percent of Women 18 Years and Over Who have Had a Pap Test in the Past 3 years

Source: CDC, Behavioral Risk Factor Surveillance SystemNote: Healthy People 2020 goal is to, “increase the proportion of women who receive a cervical cancer screening based on the most recent guidelines.”

The percent of women who had a pap test declined between 2004 and 2010. • The percent of Essex County women having a pap test was worse (lower) than the

Healthy People 2020 target. • The percent of women who had a pap test was not statistically different than the

stateside percentage.

SCREENINGS

2004 20100%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

84.3% 84.1%86.8%

81.3%

87.0% 82.8%86.8% 83.4%81.1%

84.7%86.0% 84.0%



2004

2006

2008

2010

0% 25% 50% 75% 100%

86.8%

84.8%

83.5%

81.3%




50

>> Percent of Adults 50 Years and Over Who Have Ever Had a Sigmoidoscopy or Colonoscopy


All geographies have seen a percentage increase in the number of sigmoidoscopies or colonoscopies (among adults age 50+) over the studied period. • The percentage in 2010 is not statistically different from the statewide average or the

Healthy People 2020 target.

SCREENINGS

2004 20100%

10%

20%

30%

40%

50%

60%

70%

80%

56.6%

65.6%62.3%

67.8%

59.6%

65.6%

59.5%

66.6%

53.3%

70.5%65.6% 65.2%



2004

2006

2008

2010

0% 20% 40% 60% 80%

62.3%

58.3%

60.5%

67.8%




51

>>Percent of Diabetic Medicare Enrollees that Receive HbA1c Screening.

Source: County Health Rankings, Medicare/Dartmouth Atlas of Health CareNote: Diabetic screening is calculated as the percentage of diabetic Medicare patients whose blood sugar control was screening in the past year using a test of their glycated hemoglobin (HbA1c) levels.

The percentage of diabetic Medicare enrollees receiving a HbA1c screening in all of the studied geographies increased. • The percentage of diabetic Medicare enrollees in Essex County receiving HbA1c screenings is

not statistically different from the statewide average or County Health Rankings benchmark.

SCREENINGS

2003 - 2006 2006 - 2007 20090%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

76.0% 78.0% 80.0%

71.0%74.0% 78.0%75.0%

78.0% 80.0%79.0% 80.0% 82.0%


2003 - 2006

2006 - 2007

2009

0% 25% 50% 75% 100%

71.0%

74.0%

78.0%

Essex County Trend 2003-2006 -2009

Essex County 2009: 78%

National Benchmark: 89%

52

VACCINATIONS


2020 Target


BenchmarkNew Jersey

Percent of Adults Age 65+ Who Have NOT Had a Flu Shot in the Past Year

N/A

Percent of Adults Age 65+ Who Have NOT Ever Had a Pneumonia Vaccination.

N/A

Biennial Childhood Immunization for Ages 19-35 Months for 4:3:1:3 Vaccination Series

N/A N/A


53

VACCINATIONS>> Percent of Adults Age 65+ Who Have NOT Had a Flu Shot in the Past Year


Baseline: 33% Target: 10%


The percentage of adults 65+ who did not have a flu shot in the past year decreased in Essex County.• The percent of Seniors who did not have a flu shot in Essex County is higher (worse) than the

Health People 2020 target.• The percentage of Essex County Seniors who did not receive a flu shot is not statistically different

from the statewide percentage.

2006 20100%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

33.7% 34.3%

42.6%

37.5%38.7%

34.1%

47.7%

29.5%27.1%

30.8%30.4%32.5%



2006

2007

2008

2009

2010

0% 5% 10% 15% 20% 25% 30% 35% 40% 45%

42.6%

27.4%

40.1%

39.6%

37.5%


54

>> Percent of Adults Age 65+ Who Have NOT Ever Had a Pneumonia Vaccination. %=Not Had


The percent of seniors who have never had a pneumonia shot rose by 4 percentage points between 2006 and 2010.• It is higher (worse) than the Healthy People 2020 target.

VACCINATIONS

2006 20100%

10%

20%

30%

40%

50%

60%

33.6%35.7%

41.2%45.2%

42.2%

36.5%

48.8%

29.0%

18.2%

23.9%

33.1%31.2%



2006

2007

2008

2009

2010

0% 10% 20% 30% 40% 50% 60%

41.2%

43.9%

41.8%

50.7%

45.2%



Baseline: 40% Target: 10%

55

VACCINATIONS>> Biennial Childhood Immunization for Ages 19-35 Months for 4:3:1:3 Vaccination Series

Source: CDC, Department of Health and Human Services, County-Level Trends in Vaccination Coverage Among Children Aged 19–35 Months — United States, 1995–2008

Childhood immunization rates rose in each of the 3 study counties between 1999 and 2008. • The rate in Essex County rose only by 0.2 percentage points and remains lower than

Union and Middlesex County.• The Essex County rate is not statistically different than the statewide rate.Bloomfield / Caldwell Health Dept. reported immunizing a total of: 269 children in 2005, 1,392 in 2006, 888 in 2007, 1,016 in 2008, 1,996 in 2009, 742 in 2010, and 695 in 2011

1999 - 2000 2003 - 2004 2007 - 20080%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

76.0% 79.7% 77.0%74.8% 76.0% 75.0%

78.6% 82.6% 81.2%77.8%

84.6%

79.0%


1999-2000

2001-2002

2003-2004

2005-2006

2007-2008

0%10%

20%30%

40%50%

60%70%

80%90%

100%

74.8%

68.1%

76.0%

78.9%

75.0%


56

MATERNAL HEALTH


2020 Target


BenchmarkNew Jersey

First Trimester Prenatal Care: Percentage of Live Births

N/A

No Prenatal Care: Percentage of Live Births

N/A N/A


57

>> Percentage of Live Births with First Trimester Prenatal Care



Source: NJ Department of Health and Senior Services, Bureau of Vital Statistics and Registration, N.J. Birth Certificate Database, US Census Bureau, American Community Survey

Note: Percentages are based on total number of live births for county and state.

The percentage of births with first trimester prenatal care in Essex County rose 6.9% points between 2006 and 2010. • The Essex County percentage was significantly below the statewide percentage and

lower (worse) than the Healthy People 2020 target.

MATERNAL HEALTH

2006 2008 20100%

10%

20%

30%

40%

50%

60%

70%

80%

90%

74.1% 75.6%81.1%

62.4%67.4% 69.3%71.5% 73.4%

80.7%83.3%


2006

2008

2010

62.4%

67.4%

69.3%


58

>> Percentage of Live Births with No Prenatal Care

Source: NJ Department of Health and Senior Services, Bureau of Vital Statistics and Registration, N.J. Birth Certificate DatabaseNote: Percentages are based on the total number of live births for county and state.

The percentage of births with no prenatal care in Essex County declined 0.6% points between 2006 and 2010. It remains significantly higher (worse) than the statewide percentage.

MATERNAL HEALTH

2006 2008 2010

-0.5%

0.0%

0.5%

1.0%

1.5%

2.0%

2.5%

3.0%

3.5%

1.1% 1.1%0.9%

2.7%2.6%

2.1%

1.4%1.5%

0.7% 0.7%


2006

2008

2010

0.0% 0.5% 1.0% 1.5% 2.0% 2.5% 3.0%

2.7%

2.6%

2.1%


59

HIGH RISK SEXUAL BEHAVIOR


2020 Target


BenchmarkNew Jersey

Sexually Transmitted Diseases - Chlamydia: Rate per 100,000 Population

N/A

Sexually Transmitted Diseases - Gonorrhea: Rate per 100,000 Population

N/A N/A

Sexually Transmitted Diseases - Syphillis: Rate per 100,000 Population

N/A N/A

Teen Birth Ages 15-19: Rate per 1,000 Female Popultion

N/A

Teen Birth Ages 15-17: Rate per 1,000 Female Popultion

N/A

HIV/AIDS Prevalence: Rate per 100,000 Population

N/A N/A

New Cases of HIV/AIDS Reported: Rate per 100,000 Population

N/A N/A


60

>> Sexually Transmitted Diseases per 100,000 Population (2010)

Source: N.J Department of Health and Senior Services, Division of HIV, STD, and TB Services, Sexually Transmitted Diseases Program, U.S. Census Bureau, American Community Survey

The rates for Chlamydia and Gonorrhea in Essex County increased between 2008 and 2010, while the rate for Syphilis declined. • The rate for Chlamydia, Gonorrhea, and Syphilis are all significantly worse than the statewide rate. • The Chlamydia rate in Essex County is eight times higher (worse) than the National Benchmark.


Chlamydia Gonorrhea Syphilis0

100

200

300

400

500

600

700

800

297.3

66.8

10.8

681.1

218.2

29.3

337.7

62.414.7

214.1

32.65.6


2008

2009

2010

0 100 200 300 400 500 600 700 800643.6

651.2

681.1

215.7

189.3

218.2

42.9

31.2

29.3


Syphilis Gonorrhea Chlamydia

Chlamydia - Essex County 2010: 681.1


61

>>Teen Birth Rate per 1,000 Female Population

Source: National Center for Health Statistics, County Health Rankings; N.J. Department of Health and Senior Services, Center for Health Statistics, State Health Assessment Data

Teen birth rates categorized by 15 to 17 year olds and 15 to 19 year olds declined statewide as well as in Essex County and the surrounding counties. • Births to teens in both groups remain statistically higher for Essex County than statewide rates.• The rate of birth to teens 15-19 in Essex County is nearly twice (worse) than the National

Benchmark• The rate for those 15-17 is better (lower) than the Healthy People 2020 target.


2006 2007 200805

101520253035404550

12.1 12.4 12.0

21.2 22.3 21.0 15.3 14.3 11.9

8.5 7.0 8.3

Trends for Ages 15-17, 2006-2008


2000 - 2006 2001 - 2007 2002 - 200805

101520253035404550

27 26 25

42 41 39

30 29 27

20 19 18

Trends for Ages 15-19, 2006-2008

New Jersey Essex CountyUnion County Middlesex County

15- 19 Essex County 2002 - 2008: 39

National Benchmark: 22

15-17 Essex County 2008: 21.0


62

>>HIV/AIDS Prevalence (2010)

Source: New Jersey Department of Health and Senior Services, Division of HIV, STD, and TB Services, HIV/AIDS Reporting System, Newark DCFWB Health Planning Division.

Note: Prevalence indicates amount of people living with HIV/AIDS at the time.

Essex County’s rate of HIV/AIDS prevalence in 2010 was significantly higher (more than 3 times) the statewide rate, and higher than both comparative counties. • Black residents constitute the majority of HIV/AIDS cases in all geographies, and 77.8% in Essex County.

• As of December 2011 the HIV/AIDS prevalence rate was 2053.6 per 100,000 for Newark Residents (not

shown).


20100

200

400

600

800

1,000

1,200

1,400

409.8

1253.0

499.2

255.1

Overall Prevalence Rate per 100,000 Population


New Jersey Essex Union Middlesex0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

22.1%

6.9%

20.0%25.0%

53.7%

77.8%

61.0%

37.0%

22.5%

14.2%19.0%

36.0%

Prevalence by Race/Ethnicity


63

>>HIV/AIDS: New Cases Reported per 100,000 Population

Source: New Jersey Department of Health and Senior Services, Division of HIV, STD and TB Services, HIV/AIDS Reporting System, U.S. Census, American Community Survey.

Note: New cases reported indicates new cases per year.

The rate of new HIV/AIDS cases reported per 100,000 declined by more than 50% in Essex County between 2005 and 2010, but remains significantly higher than the statewide rate and higher than both comparative counties.


2006

2007

2008

2009

2010

0 25 50 75

61.2

48.1

47.4

50.5

30.4


2006 2008 20100

10

20

30

40

50

60

70

20.0 15.5 15.4

61.2

47.4

30.4

25.2

16.413.4

11.29.4

6.5


64

TOBACCO USE


2020 Target


BenchmarkNew Jersey

Tobacco Use: Adults who are Current Smokers


65

>>Tobacco Use: Adults who are Current Smokers


All geographies have seen a percentage decrease in adults who are smokers over the studied period. • The percent of smokers in Essex County is worse (higher) than the County Health Ranking

benchmark but not significantly different from the Health People 2020 target or the New Jersey State rate.

TOBACCO USE

2006 20100%

5%

10%

15%

20%

25%

18.0%

14.4%16.1%

14.8%16.5%

14.1%

20.0%

12.8%14.2%

12.8%

20.1%

17.3%



2006

2007

2008

2009

2010

0% 2% 4% 6% 8% 10% 12% 14% 16% 18% 20%

16.1%

18.3%

13.0%

14.6%

14.8%


Essex County 2004 - 2010: 16%




66

ALCOHOL/DRUG USE


2020 Target


BenchmarkNew Jersey

Excessive Drinking: Heavy Drinkers Plus Binge Drinkers N/A

Treatment Admissions for Alcohol: Percentage of Total Treatment Admissions

N/A N/A

Treatment Admissions for Heroin/Other Opioids: Percentage of Total Treatment Admissions

N/A N/A

Treatment Admissions for Cocaine: Percentage of Total Treatment Admissions

N/A N/A

Treatment Admissions for Marijuana: Percentage of Total Treatment Admissions

N/A N/A

Treatment Admissions for Other Drugs: Percentage of Total Treatment Admissions

N/A N/A

Total Substance Abuse Treatment Admissions: Rate per 100,000 Population

N/A N/A


67

>>Excessive Drinking: Heavy Drinkers Plus Binge Drinkers

Source: CDC, Behavioral Risk Factor Surveillance SystemNote: Heavy drinkers are defined as adult men who have more than 2 drinks per day and adult women who have more than one drink per day. Binge drinkers are defined as adult men who have 5 or more drinks on one occasion and females who have 4 or more drinks on one occasion.

Total Excessive Drinking fell in Essex County by 1.4 percentage points between 2006-2010. • The percentage of excessive drinkers in Essex County was not statistically different than

the statewide percentage in 2010, but nearly twice as high (worse) than the National Benchmark.

ALCOHOL/DRUG USE

2006

2007

2008

2009

2010

0% 2% 4% 6% 8% 10% 12% 14% 16%4.7%

4.4%

4.7%

4.4%

3.8%

13.8%

14.6%

12.7%

15.0%

12.6%Essex County Trends 2006-2010

Binge Drinkers Heavy Drinkers

2006 20100%

5%

10%

15%

20%

25%

19.0%18.1%

16.8%15.4%

18.5%

16.4%

19.2%17.6%

13.6% 13.7%

20.3% 20.4%



Essex County 2004 - 2010: 14%


68

>> Primary Drug for Treatment Admissions (2010)

Source: NJ Department Human Services, Division of Addiction Services, New Jersey Drug and Alcohol Abuse TreatmentNote: The percentages are based on the total number of treatment admissions for all primary drugs.

The most common drug being treated in Essex County in 2010 was heroin and other opioids, comprising 50% of all treatment admissions. • Heroin, cocaine, and other drug treatment admissions in Essex County were significantly higher than

statewide. • The admission rate for alcohol in Essex County is statistically lower than the statewide average.• Admissions for marijuana were not statistically different from the statewide rate.

ALCOHOL/DRUG USE

2007

2008

2009

2010

0% 10% 20% 30% 40% 50% 60% 70%16%

20%

20%

22%

64%

58%

56%

50%

9%

8%

8%

8%

9%

12%

15%

16%

1%

2%

2%

4%


Other Drugs Marijuana CocaineHeroin & Other Opioids Alcohol

Alcohol Heroin & Other Opi-

oids

Cocaine Marijuana Other Drugs

New Jer-sey

0.34 0.4 0.07 0.16 0.03

Essex County

0.224 0.499000000000001

0.075 0.164 0.038

Union County

0.310000000000001

0.4 0.08 0.19 0.02

Middle-sex County

0.4 0.36 0.05 0.16 0.03

5%

15%

25%

35%

45%

55%

69

>>Total Substance Abuse Treatment Admissions per 100,000 Population

Source: NJ Department Human Services, Division of Addiction Services, New Jersey Drug and Alcohol Abuse Treatment, U.S. Census, American Community Survey

The overall rate of substance abuse treatment admissions declined between 2007 and 2010, but remains significantly higher than the statewide rate.

ALCOHOL/DRUG USE

2007

2008

2009

2010

0 200 400 600 800 1,000 1,200

1,096

1,041

1,006

892


2006 2008 20100

200

400

600

800

1000

1200

630.8

738.1 817.5

864.5

1,040.8

892.4

562.1 542.6

654.2

423.3344.1

556.9


70

DIET AND EXERCISE


2020 Target


BenchmarkNew Jersey

Obesity: Percent with Reported BMI of >= 30

Adults with 30+ Minutes of Moderate Physical Activity 5 or More Days/Week, or Vigorous Physical Activity for 20+ Minutes

3 or More Days/WeekN/A

During the Past Month, Did You Participate in Any Physical Activities? %=Yes

N/A

Adults Who Have Consumed Fruits and Vegetables Five or More Times/Day

N/A N/A

Percent of Population Receiving SNAP N/A N/A

Percent of Children Receiving SNAP N/A N/A


71

>> Obesity: Percent with Reported BMI of >= 30


Obesity in Essex County rose between 2006 and 2010. In 2010 the Essex County percentage was higher than all other geographies except the national percentage. • Obesity In Essex County is statistically similar to the statewide average, Healthy

People 2020 target and the County Health rankings benchmark.

DIET AND EXERCISE

2006 20100%

5%

10%

15%

20%

25%

30%

22.6%24.8%24.2%

27.3%

21.7%

23.9%22.4%

20.4%

22.5% 23.0%25.1%

27.5%



2006

2007

2008

2009

2010

0% 10% 20% 30%

24.2%

24.3%

26.0%

25.3%

27.3%






72

DIET AND EXERCISE>> Adults with 30+ Minutes of Moderate Physical Activity 5 or More Days/Week, or Vigorous

Physical Activity for 20+ Minutes 3 or More Days/Week.



Source: CDC, Behavioral Risk Factor Surveillance SystemNote: Healthy People 2020 baseline and target are defined as, “moderate intensity for at least 150 minutes/week, or 75/minutes/week of vigorous intensity, or an equivalent combination.”

The percent of Essex County adults engaging in adequate physical activity declined by 2.9 percentage points between 2005 and 2009. • In 2009 it was worse than (below) the Healthy People 2020 target.• The percent of Essex County adults engaging in adequate physical activity is not

statistically different than the statewide percentage.

2005 20090%

10%

20%

30%

40%

50%

60%

45.9% 47.5%46.0%43.1%

54.8%

43.1%

54.2%

39.2%40.5%

49.3%49.1%51.0%



2005

2007

2009

0% 10% 20% 30% 40% 50% 60%

46.0%

52.0%

43.1%


73

>> During the Past Month, Did You Participate in Any Physical Activities? %=Yes


The percentage of Essex County residents reporting any exercise activity rose only 0.2 percentage points between 2005 and 2010, it is statistically no different from the statewide percentage. • The percent of Essex County residents participating in any physical activity was lower (worse) than the County

Health rankings Benchmark• In 2011, 69% of Newark residents reported participating in physical activities during the past month. (not

shown)

DIET AND EXERCISE

2006

2007

2008

2009

2010

0% 25% 50% 75% 100%

70.7%

73.0%

71.9%

70.7%

70.9%


2006 20100%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

73.0% 73.4%70.7% 70.9%

72.1% 73.9%70.0% 69.9%

74.8%70.9%

77.4% 76.1%





74

>>Adults Who Have Consumed Fruits and Vegetables Five or More Times/Day


The percentage of Essex County residents reporting fruit and vegetable consumption 5 or more times a day declined 0.4% points between 2005 and 2009. • This indicator is not statistically different from the statewide percent.

DIET AND EXERCISE

2005 20090%

5%

10%

15%

20%

25%

30%

35%

25.9% 26.4%28.5% 28.1%27.7%

28.6%

26.6%28.1%

24.0% 24.6%23.2% 23.4%



2005

2007

2009

0% 5% 10% 15% 20% 25% 30% 35%

28.5%

26.5%

28.1%


75

The percent of Essex County residents receiving food stamps increased by 5.2 percentage points between 2006 and 2011 and the percentage of children receiving food stamps increased 10.5 points. • Essex County has significantly higher percentages of SNAP recipients (Total and Children) than

the state.

>>Percent of Population Receiving SNAP (2011)

Total Children0%

5%

10%

15%

20%

25%

30%

35%

9.1%

18.5%

14.7%

30.4%

8.1%

16.2%

5.5%

11.6%


2007

2009

2011

0% 5% 10% 15% 20% 25% 30% 35%

9.5%

10.9%

14.7%

19.9%

26.7%

30.4%

Essex Trends 2007-2011

Children Total

DIET AND EXERCISE

Source: NJ Department of Human Services, Division of Family Development, Current Program Statistics, 2011; U.S. Census, ACS, Claritas 2011-2017 Projection / Intervening Year: Straight Line Method. Note: The total percentages are based on the total and the percentages of children are based on the number of children (<18 years). Percentages are for December of each year given.

76

ACCESS TO CLINICAL CARE


2020 Target


BenchmarkNew Jersey

Primary Care Physicians: Rate per 100,000 Population

N/A

Total Physicians: Rate per 100,000 Population

N/A N/A

Health Care Access/Coverage: Do You Have Any Kind of Coverage? %=No.

N/A

Total ACSC ED Visits for Children (Age 0-17): Rate per 1,000 Population

N/A N/A

Total ACSC ED Visits for Children (Age 0-17) - ENT: Rate per 1,000 Population

N/A N/A

Total ACSC ED Visits for Children (Age 0-17) - Asthma: Rate per 1,000 Population

N/A N/A

Total ACSC ED Visits for Children (Age 0-17) - GI Obstruction: Rate per 1,000 Population

N/A N/A

Total ACSC ED Visits for Children (Age 0-17) - Cellulitis: Rate per 1,000 Population

N/A N/A


77



2020 Target


BenchmarkNew Jersey

Total ACSC ED Visits for Children (Age 0-17) - Bacterial Pneumonia: Rate per 1,000 Population

N/A N/A

Total ACSC ED Visits for Adults (Age 18+): Rate per 1,000 Population

N/A N/A

Total ACSC ED Visits for Adults (Age 18+) - ENT: Rate per 1,000 Population

N/A N/A

Total ACSC ED Visits for Adults (Age 18+) - Asthma: Rate per 1,000 Population

N/A N/A

Total ACSC ED Visits for Adults (Age 18+) - Cellulitis: Rate per 1,000 Population

N/A N/A

Total ACSC ED Visits for Adults (Age 18+) - Kidney/Urinary Tract Infection:

Rate per 1,000 Population

N/A N/A

Total ACSC ED Visits for Adults (Age 18+) - Dental Conditions: Rate per 1,000 Population

N/A N/A

ED Visits by Adults (18 to 64 years) For Primary Care Conditions: Rate per 1,000 Population

N/A N/A

78

>> Rate of Physicians per 100,000 Population (2008)

Source: New Jersey Council of Teaching Hospitals, New Jersey Physician Workforce Task Force Report, 2008

Primary care physicians represent less than one third of the physicians practicing in Essex County. • Essex County has a significantly higher proportion of total physicians than are available statewide, but is

below (worse) than the CHR national benchmark for primary care physicians.• The percentage of primary care physicians in Essex County is not statistically different than the statewide

average.• In 2011, 84% of Newark Residents reported having a doctor.


0

25

50

75

100

125

92.9 99.784.9

107.9

Primary Care Physicians


0

50

100

150

200

250

300

350

252.9

305.2

216.9

280.3

Total Physicians




79

>>Health Care Access/Coverage: Do You Have Any Kind of Coverage? %=No




A significantly higher percentage of Essex County residents lack any kind of health care coverage when compared to the state. • The Essex County rate is higher than the Healthy People 2020 target.


2006 20100%

5%

10%

15%

20%

25%

14.2%

11.5%

19.1% 19.1%

14.5% 14.1%

17.3%

15.2%13.9%

10.5%

14.5% 15.0%



2006

2007

2008

2009

2010

0% 5% 10% 15% 20% 25%

19.1%

17.2%

20.7%

19.0%

19.1%


80Source: NJDHSS 2008-2010 UB-04 Data – NJ ResidentsPopulation: United States Census


ACSC - ED Rate/1000

COUNTY NJ 2010CUMBERLAND 95.68

CAMDEN 87.67ATLANTIC 84.67

ESSEX 82.64MERCER 77.35SALEM 75.56

CAPE MAY 70.88PASSAIC 66.21UNION 65.98OCEAN 63.88

HUDSON 62.98

ACSC - ED Rate/1000

COUNTY NJ 2010GLOUCESTER 51.32MONMOUTH 50.66MIDDLESEX 48.54

BURLINGTON 47.24WARREN 42.62SUSSEX 35.85MORRIS 32.55BERGEN 30.43

SOMERSET 27.02HUNTERDON 21.92

STATEWIDE RATE 57.55

>>Total ACSC ED Admissions – Rate/1000 PopulationAmbulatory Care Sensitive Conditions (ACSCs) are medical problems that are potentially preventable. With proper medication and management of care, most people should not need to be hospitalized for these conditions.

Higher rates of ACSC conditions in Emergency Departments may indicate primary care access issues, poor(er) preventative care among the population and, in some instances, health barriers related to socio-economic status.

At right, the total ACSC Emergency Department Rate is shown by County. Dark Red shading represents the counties with the 5 highest rates in the State. White Shading represents the counties with the 5 lowest rates in the State. Pink Shading represents counties between the highest and lowest “Top 5s”. Rates, ranked highest to lowest by County and Statewide, are shown below.

81

2008

2009

2010

0 20 40 60 80 100 120 140 160

119.8

135.2

104.0


>>Total ACSC ED Visits for Children (Age 0-17): Rate per 1,000 Population.

Source: NJDHSS 2008-2010 UB-04 Data – NJ Residents, U.S. Census Bureau, American Community Survey

Shown here are total Emergency Department ACSC Rates/1000 population for age 0-17.• While the Essex County ACSC ED visit rate for children decreased from 2008-2010, it

remains significantly higher than the NJ Statewide rate.


2008 20100

20

40

60

80

100

120

140

77.5 78.2

119.8

104.0

83.4 80.8

96.0 98.3

New Jersey Essex County Middlesex Union

82

2008

2009

2010

0 10 20 30 40 50 60 70 80 90

65.9

78.6

54.9

16.3

17.1

15.6

14.1

13.7

11.8

5.0

5.2

4.8

4.2

5.3

3.7


Bacterial Pneumonia Cellulits GI Obstruction AsthmaENT

>>Total ACSC ED Visits for Children (Age 0-17): Rate per 1,000 Population. Top 5 Conditions (2010)


Essex County’s ACSC ED rate for ENT was statistically higher than the statewide rate. • Its rates for Asthma, GI Obstruction, Cellulitis, and Bacterial Pneumonia were not

statistically different the state.


ENT Asthma GI Obstruction Cellulitis Bacterial Pneumonia0

10

20

30

40

50

60

41.5

9.57.6

4.1 3.9

54.9

15.611.8

4.8 3.7

48.6

6.8 7.4

2.5 3.3

56.1

9.6 9.8

4.0 4.4


83

2008

2009

2010

0 10 20 30 40 50 60 70 80 90

76.1

81.3

75.4


>>Total ACSC ED Visits for Adults (Age 18+): Rate per 1,000 Population.


Shown here are total Emergency Department ACSC Rates/1000 population for adults. • The rate for Essex County marginally decreased from 2008-2010 but remains

significantly higher than the Statewide rate.


2008 20100

10

20

30

40

50

60

70

80

47.751.2

76.1 75.4

38.0 38.9

50.755.4


84

>>Total ACSC ED Visits for Adults (Age 18+): Rate per 1,000 Population. Top 5 Conditions (2010)


Essex County had the highest ACSC ED visit rate of all the studied geographies and for the top 5 conditions.• Between 2008 and 2010 only Asthma had a consistently declining rate, but it remains the only

ACSC condition with a significantly higher ED visit rate than the statewide rate.


0

2

4

6

8

10

12

14

8.0

4.9

7.56.7

6.1

12.6

10.39.3 9.0

8.17.2

3.74.7

6.0

4.4

9.4

5.3

7.17.8

4.7


2008

2009

2010

0 2 4 6 8 10 12 14 16 18

13.6

16.5

12.6

10.9

10.9

10.3

9.0

9.2

9.3

9.2

9.4

9.0

7.3

7.7

8.1


Dental Conditions Kidney/UT Infection Cellulitis

Asthma ENT

85

>>ED Visits by Adults (18 to 64 years) For Primary Care Conditions: Aggregated Rate per 1,000 Population (2010)

Source: New Jersey Discharge Data Collection System, Uniform Billing DataNote: Unadjusted crude rates show hospital emergency department treat-and-release visits by each age category for select primary care conditions as primary diagnoses during 2006, 2008, and 2010, calculated based on total population for each age category and expressed per 1,000 population.

ED visits by adults for Primary Care conditions in Essex County were significantly higher than the state and have been on the rise since 2006.


20100

20

40

60

80

100

120

140

160

180

200

136.9

178.1


2006

2008

2010

0 20 40 60 80 100 120 140 160 180 200

162.8

173.7

178.1


86

CLINICAL CARE MEASURES


2020 Target


BenchmarkNew Jersey

Overall ACSC Inpatient Admissions: Rate per 1,000 Population

N/A N/A

ACSC IP Admissions by Top 5 Conditions - Congestive Heart Failure:


N/A N/A

ACSC IP Admissions by Top 5 Conditions - Diabetes: Rate per 1,000 Population

N/A N/A

ACSC IP Admissions by Top 5 Conditions - Asthma: Rate per 1,000 Population

N/A N/A

ACSC IP Admissions Rate by Top 5 Conditions - Bacterial Pneumonia: Rate per 1,000 Population

N/A N/A

ACSC IPAdmissions by Top 5 Conditions - Cellulitis: Rate per 1,000 Population

N/A N/A


87



2020 Target


BenchmarkNew Jersey

30 Day Hospital Readmissions Primary Diagnosis - Heart Attack: Rate per 1,000 Medicare Beneficiaries

N/A N/A

30 Day Hospital Readmissions by Primary Diagnosis - COPD: Rate per 1,000 Medicare Beneficiaries

N/A N/A

30 Day Hospital Readmissions by Primary Diagnosis - Heart Failure:

Rate per 1,000 Medicare Beneficiaries

N/A N/A

30 Day Hospital Readmissions by Primary Diagnosis - Pneumonia:

Rate per 1,000 Medicare Beneficiaries

N/A N/A

Primary C-Section Rate: Percent of Total Live Births

N/A

Repeat C-Section Rate: Percent of Total Live Births

N/A N/A


88Source: NJDHSS 2008-2010 UB-04 Data – NJ Residents

CLINICAL CARE MEASURES>>Total Inpatient & ED Admissions – Rate/1000 Population Cape May County has the highest Inpatient Use Rate in NJ,

while Somerset has the lowest. However, among ED Use Rates, more populated and urbanized counties rank first second and third. Hunterdon and Somerset Counties have the lowest use rates in the State for both Inpatient and ED utilization.

SOMERSET

HUNTERDON

MORRIS

BURLINGTON

GLOUCESTER

MIDDLESEX

UNION

BERGEN

SUSSEX

CAMDEN

MERCER

PASSAIC

ESSEX

ATLANTIC

CUMBERLAND

MONMOUTH

WARREN

HUDSON

SALEM

OCEAN

CAPE MAY

STATEWIDE

0.00 100.00 200.00 300.00 400.00 500.00

INPATIENT 2010ED 2010

HOSPITAL USE RATE BY COUNTY - Rate/1000

COUNTY INPATIENT 2010 IP RANK

ED 2010 ED RANKSTATEWIDE 171.81 316.17

CAPE MAY 229.04 1 371.83 6OCEAN 226.26 2 364.47 7SALEM 200.04 3 335.66 9

HUDSON 197.72 4 330.50 11WARREN 197.55 5 312.05 12

MONMOUTH 195.15 6 295.44 14CUMBERLAND 188.63 7 403.47 4

ATLANTIC 181.80 8 432.35 2ESSEX 180.86 9 413.67 3

PASSAIC 174.51 10 359.37 8MERCER 172.76 11 387.01 5CAMDEN 169.42 12 442.96 1SUSSEX 163.21 13 250.99 17BERGEN 157.95 14 216.70 19UNION 157.21 15 332.01 10

MIDDLESEX 155.91 16 260.47 16GLOUCESTER 149.24 17 303.98 13BURLINGTON 147.63 18 280.35 15

MORRIS 141.60 19 216.97 18HUNTERDON 132.41 20 189.40 20

SOMERSET 126.51 21 176.71 21

89Source: NJDHSS 2008-2010 UB-04 Data – NJ ResidentsPopulation: United States Census

CLINICAL CARE MEASURES>>Total ACSC IP Admissions – Rate/1000 Population

Ambulatory Care Sensitive Conditions (ACSCs) are medical problems that are potentially preventable. With proper medication and management of care, most people should not need to be hospitalized for these conditions.

Higher rates of ACSC conditions among inpatient care may indicate primary care access issues, poor(er) preventative care among the population and, in some instances, health barriers related to socio-economic status.

At right, the total ACSC Inpatient Rate/1000 is shown by County. Dark Orange shading represents the counties with the 5 highest rates in the State. White Shading represents the counties with the 5 lowest rates in the State. Light Orange Shading represents counties between the highest and lowest “Top 5s”. Rates, ranked highest to lowest by County and Statewide, are shown below.

ACSC - IP Rate/1000

COUNTY NJ 2010SALEM 33.97

CAPE MAY 31.16 CUMBERLAND 30.15

OCEAN 28.60 HUDSON 28.28 CAMDEN 26.27

ESSEX 25.15 ATLANTIC 24.97 MERCER 23.09 PASSAIC 22.76 WARREN 22.76

ACSC - IP Rate/1000

COUNTY NJ 2010MONMOUTH 22.57 GLOUCESTER 20.88 BURLINGTON 20.52

SUSSEX 20.20 UNION 19.00

MIDDLESEX 18.84 BERGEN 18.07

HUNTERDON 14.84 MORRIS 14.51

SOMERSET 13.77 STATEWIDE RATE 22.65

90

>> Total ACSC Inpatient Admissions Rate per 1,000 Population

Source: NJDHSS 2008-2010 UB 04 Data – NJ Residents; U.S. Census, American Community Survey

The overall rate of ACSC inpatient admissions among inpatients decreased in Essex County, the State and comparative counties between 2008 and 2010. • The rate in Essex County is not statistically different than the statewide rate.


2008 2009 20100

5

10

15

20

25

30

35

23.5 23.622.6

29.0 28.3

25.2

21.1 20.719.0

21.0 20.218.8


2008

2009

2010

0 5 10 15 20 25 30 35

29.0

28.3

25.2


91

>> ACSC Inpatient Admissions Rate by Top 5 Conditions per 1,000 Population (2010)

Source: NJDHSS 2008-2010 UB 04 Data – NJ Residents; U.S. Census, American Community Survey

Congestive heart failure is the most common condition for ACSC inpatient care in all geographies studied for 2010. • The rates for congestive heart failure, bacterial pneumonia, and cellulitis saw consistent declines

during the 3 year time frame. • None of the rates for the Top 5 ACSC conditions were statistically different than the statewide

rates.


2008

2009

2010

0 1 2 3 4 5 6

4.9

4.8

4.4

3.3

3.1

3.4

3.1

3.3

2.9

3.6

3.5

2.7

2.8

2.8

2.5


Cellulits Bacterial Pneumonia Asthma

Diabetes Congestive Heart Failure

Congestive Heart Failure

Diabetes Asthma Bacterial Pneumonia

Cellulitis0

1

2

3

4

5

6

3.8

2.11.8

2.82.4

4.4

3.4

2.92.7

2.5

3.4

2.0

1.4

2.6

1.8

5.0

2.5

1.9

3.9

3.2


92

>> 30 Day Hospital Readmissions per 1,000 Medicare Beneficiaries by Primary Diagnosis (2010)

Source: Healthcare Quality Strategies, Inc. (HQSI), Report of Medicare FFS claims for New Jersey, 2011

Thirty day readmission rates are higher in Essex County than statewide for heart attack, heart failure, Pneumonia and COPD, but were not statistically different from the statewide average. • Between 2006 and 2010 only the COPD rate saw a consistent decline.


Heart Attack COPD Heart Failure Pneumonia0

1

2

3

4

5

6

7

8

1.8

5.9

2.3 2.1 2.1

7.5

3.0

2.4


2006

2008

2010

0 2 4 6 8 10 12

2.0

2.0

2.1

10.2

8.9

7.5

3.9

3.0

3.0

2.1

2.8

2.4


Pneumonia Heart FailureCOPD Heart Attack

93

>> C-Section Rates (2010)

Source: N.J. Department of Health and Senior Services, Bureau of Vital Statistics and Registration, N.J. Birth Certificate DatabaseNote: Percentages are based on the total number of live births for county and state.

C-section rates in Essex County are over 40% of all deliveries. • The Primary C-section rate in Essex County is statistically higher than the statewide average.• The Primary C-section rates in Essex County is better (below) than the Healthy People 2020

target.• Repeat C-Section rates in Essex County were statistically no different than the statewide rate.


2006

2008

2010

0% 5% 10% 15% 20% 25% 30%14.2%

14.0%

13.2%

25.1%

27.0%

27.3%


Repeat Primary

Primary Cesarean Repeat Cesarean0%

5%

10%

15%

20%

25%

30%

12.0%

27.4%

13.2%

27.3%


Primary C-Section Essex County 2010: 13.2%


94

PHYSICAL ENVIRONMENT

Indicator

Healthy People 2020 Target


BenchmarkNew Jersey

Annual Number of Unhealthy Air Quality Days Due to Fine Particulate Matter

N/A

Annual Number of Unhealthy Air Days Due to Ozone N/A

Blood Lead Levels of Children (less than 17 years) Tested for Lead Poisoning: 10-19 ug/DL

N/A N/A

Blood Lead Levels of Children (less than 17 years) Tested for Lead Poisoning: 20+ ug/DL

N/A N/A

Housing Built Before 1950 with Possible Lead-based Paint Hazard

N/A N/A

Recreational Facilities: Rate per 100,000 Population

N/A

People Who Are Low Income and Do Not Live Close to a Grocery Store:

Percent of Total Population

N/A N/A

Fast Food Establishments: Percent of all Restuarants

N/A N/A

Liquor Stores: Rate per 100,000 Population

N/A N/A


95

>>Annual Number of Unhealthy Air Quality Days Due to Fine Particulate Matter

Source: County Health Rankings, PHASE project, a collaborative effort between the CDC and EPA


2005 2006 20070

2

4

6

8

10

12

14

16

45 5

98 8

14 14 14

7

4 4


2005

2006

2007

0 1 2 3 4 5 6 7 8 9 10

9

8

8


The number of unhealthy air quality days due to fine particulate matter decreased between 2005 and 2007 in Essex County. • The number of unhealthy air quality days was worse (higher) than the National

Benchmark.

Essex County 2007: 8


96

>> Annual Number of Unhealthy Air Days Due to Ozone

Source: County Health Rankings, PHASE project, a collaborative effort between the CDC and EPA


2005 2006 20070

5

10

15

20

25

14

11 1112

9 9

12

9 9

22

13 13


2005

2006

2007

0 2 4 6 8 10 12 14

12

9

9


Improvement has been made in the reduction of unhealthy days due to ozone.• The number of days of unhealthy air quality due to ozone is worse (higher) than the

national benchmark. • This indicator was not significantly different than the statewide number.



97

>> Blood Lead Levels of Children (less than 17 years) Tested for Lead Poisoning (2010)

Source: NJ Department of Health and Senior Services, Division of Family Health Services , Maternal and Child Health Services, Child and Adolescent Health Program, Centers for Disease Control

Note: The CDC defines a blood lead level of 10 ug/dL as the threshold that should prompt public health actions.

Essex County’s children have significantly higher blood lead levels than found in children statewide.• This was true for blood lead levels ranging from 10-19 ug/dL and for levels over 20 ug/dL.The Bloomfield / Caldwell Health Dept. reported: 1 case of lead poisoning amongst children in 2005, 11 in 2006, 4 in 2007, 0 in 2008, 8 in 2009, 1 in 2010, and 5 in 2011.


10 - 19 ug/dL 20 + ug/dL0.0%

0.2%

0.4%

0.6%

0.8%

1.0%

1.2%

0.5%

0.1%

1.0%

0.2%

0.5%

0.1%

0.4%

0.2%


2006

2008

2010

0.0% 0.5% 1.0% 1.5% 2.0% 2.5% 3.0% 3.5% 4.0%

3.5%

1.7%

1.0%

0.1%

0.4%

0.2%


20 + ug/dL 10 - 19 ug/dL

98

>>Housing Built Before 1950 with Possible Lead-based Paint Hazard/Access to Recreational Facilities

Source: U.S. Census Bureau, County Health Rankings, United States Department of Agriculture (USDA), Food Environment Atlas

Essex County and its major cities continue to have a significantly larger amount of housing built before 1950 than exists statewide. • The rate of recreational facilities per thousand is not statistically different than the statewide

average or the national benchmark.Bloomfield / Caldwell Health Dept. reported 9, 624 possible lead hazards in all 1-4 family buildings


2000 20100%

10%

20%

30%

40%

50%

60%

70%

47.5%

27.3%

66.0%

43.2%

60.8%

37.9%

64.3%

40.6%

65.30%

38.30%

Housing Built Before 1950

New Jersey Essex County Newark Irvington East Orange

2008 20090.02.04.06.08.0

10.012.014.016.0 15.0 15.0

10.0 10.0

14.0 14.0

11.0 11.0

Rate of Recreational Facilities per 100,000 Population

New Jersey Essex County Union CountyMiddlesex County



99

>>Limited Access to Healthy Foods

Source: County Health Rankings, U.S. Census Bureau’s County Business Patterns, United States Department of Agriculture Food Environment Atlas

In 2006, 1% of low income Essex County residents did not live close to a grocery store compared to 4% statewide. • In 2009, 53% of all restaurants in Essex County were fast food restaurants compared to 50% statewide. • This is worse (more than double) the national benchmark. • The higher rate of liquor stores per 100,000 residents was not statistically different than the statewide average






New Jersey

Essex County

Union County

Middlesex County

Percent of population who are low income and do not live close to a grocery store (2006)

4.0% 1.0% 1.0% 3.0%

Percent of all restaurants that are fast food establishments (2009)

50.0% 53.0% 46.0% 44.0%

Number of liquor stores per 100,000 population (2006)

20.0 25.0 23.0 16.0

100

BEHAVIORAL HEALTH


2020 Target


BenchmarkNew Jersey

Hospital Admissions for Mental/Behavioral Health Conditions: Rate per 1,000 Population

N/A N/A

ED Visits for Mental/Behavioral Health Conditions by Age: Rate per 1,000 Population

N/A N/A

ED Visitis by Adult for Primary Care Conditions by Alcohol Dependence:


N/A N/A

ED Visits by Adults for Primary Care Conditions by Other Mental Disorders:


N/A N/A


101

>> Hospital Admissions for Mental/Behavioral Health Conditions by Age: Rate per 1,000 Population (2010)

Source: New Jersey Discharge Data Collection System, 2011; N.J. Department of Human Services, Division of Mental Health Services, Mental Health Subsidy Allocation, 2011, U.S. Census, American Community Survey. Note: Mental/Behavioral health conditions include MCD 19 Mental Diseases and Disorders and MDC 20 Alcohol/Drug Use and Alcohol/Drug-Induced Organic Mental Disorders.

Hospital admissions for mental health conditions in Essex County exceeds the state’s rate but was not statistically higher. • Rates in Essex County have increased among all age groups except for the elderly.

BEHAVIORAL HEALTH

Total Children Adults Elderly0

2

4

6

8

10

12

14

16

7.4

2.3

9.9

4.1

10.8

3.7

14.5

5.6


2006

2008

2010

0 2 4 6 8 10 12 14 16

9.2

8.1

10.8

2.6

0.8

3.7

12.5

11.7

14.5

5.9

4.7

5.6


Elderly Adults Children Total

102

>> ED Visits for Mental/Behavioral Health Conditions by Age: Rate per 1,000 Population (2010)

Source: New Jersey Discharge Data Collection System, 2011; N.J. Department of Human Services, Division of Mental Health Services, Mental Health Subsidy Allocation, 2011, U.S. Census, American Community Survey. Note: Mental/Behavioral health conditions include MCD 19 Mental Diseases and Disorders and MDC 20 Alcohol/Drug Use and Alcohol/Drug-Induced Organic Mental Disorders.

Adults have the highest rate of ED visits in both Essex County and statewide. • From 2006 to 2010 the rate of ED visits for behavioral health conditions rose for each

age group. • Total ED visits for mental health conditions were not statistically different than the

statewide rate.

BEHAVIORAL HEALTH

2006

2008

2010

0 5 10 15 20 25

12.7

17.9

18.4

5.5

8.3

9.0

17.1

23.6

23.8

5.7

8.7

9.2


Elderly Adults Children Total

Total Children Adults Elderly0

5

10

15

20

25

15.4

8.9

19.6

7.4

18.4

9.0

23.8

9.2


103

>> ED Visits by Adults (18 to 64 Years) for Primary Care Conditions: Rate per 1,000 Population (2010)

Source: New Jersey Discharge Data Collection SystemNote: Other mental disorders excludes drug or alcohol dependence and includes metal retardation. Alcohol dependence and other mental disorders represent two of the top ten ED visits for primary care conditions for adults.

Essex County has a lower rate of ED visits by adults for alcohol dependence than the state but a higher rate for ED visits for mental disorders.• Neither rate was statistically different from the statewide rate.

BEHAVIORAL HEALTH

2006

2008

2010

0 5 10 15 20 25

20.7

22.6

21.7

13.5

12.5

13.4


Other Mental Disorders Alcohol Dependence

Alcohol Dependence Other Mental Disorders0

5

10

15

20

25

30

23.9

8.8

21.7

13.4


104

SOCIAL AND ECONOMIC FACTORS


2020 Target


BenchmarkNew Jersey

Percent of Labor Force Unemployed N/A N/A

Per Capita Income N/A N/A

Median Household Income N/A N/A

Percent of Total Population with Income in the Past Year Below Federal Poverty Level

N/A N/A

Percent of Families with Income in the Past Year Below Federal Poverty Level

N/A N/A

Percent of Children with Income in the Past Year Below Federal Poverty Level

N/A N/A

Percent of Seniors with Income in the Past Year Below Federal Poverty Level

N/A N/A


105



2020 Target


BenchmarkNew Jersey

Percent of Total Population Receiving TANF N/A N/A

Percent of Children Receiving TANF N/A N/A

Estimated Homelessness: Rate per 1,000 Population

N/A N/A

Educational Attainment: No High School Diploma N/A N/A

Limited English Proficiency (LEP) Population N/A N/A


106

>> Percent of Labor Force Unemployed

Source: New Jersey Department of Labor, New Jersey Labor Force Estimates by AreaNote: The data represents unadjusted annual averages.


2000

2005

2008

2009

2010

2011

0% 2% 4% 6% 8% 10% 12%

4.5%

5.6%

6.6%

10.2%

11.1%

10.8%


Unemployment rates are higher in Essex County and its major cities than statewide. • The Essex County unemployment rate is worse (higher) than the rate statewide.

2000 2005 2010 2011

New Jersey 0.037 0.045 0.096 0.0930000000000002

Essex County 0.045 0.056 0.111 0.108

Newark-Union, NJ-PA

0.036 0.045 0.094 0.092

Newark 0.08 0.0830000000000001

0.154 0.152

Irvington 0.065 0.068 0.137 0.132

East Orange 0.066 0.073 0.139 0.108

1%

3%

5%

7%

9%

11%

13%

15%

17%


National Benchmark (2010): 5.4%

107Source: U.S. Census Bureau, American Community Survey

>> Per Capita Income

2000

2005

2010

$0 $10,000 $20,000 $30,000 $40,000

$24,943

$28,232

$31,120


2000 2005 2010

New Jersey 27006 31471 33555

Essex County 24943 28232 29674

Newark 13009 15346 17147

Irvington 16874 19936 19380

East Orange 16488 16525 20874

$2,500

$7,500

$12,500

$17,500

$22,500

$27,500

$32,500

$37,500


Per Capita income though rising for Essex County residents remains significantly lower than the per capita income of residents statewide, and income per capita in all of Essex County’s major cities is lower than the county figure.


>> Median Household Income

2000

2005

2010

$0 $10,000 $20,000 $30,000 $40,000 $50,000 $60,000

$44,944

$49,460

$54,252


2000 2005 2010

New Jersey 55146 61672 67681

Essex County 44944 49460 52394

Newark 26913 30665 34816

Irvington 36575 46262 39166

East Orange 32346 29691 40312

$5,000

$15,000

$25,000

$35,000

$45,000

$55,000

$65,000

$75,000


While median income in Essex County significantly lags behind the statewide average, median income in the county’s major cities lags behind both the county and state.

109

Source: U.S. Census Bureau, American Community SurveyNote: People are defined as the entire population in each geographic area, children are defined as the population under 18 years, and seniors are defined as the population over 65 years.

>> Percent of Population With Income in the Past Year Below Federal Poverty Level (2009)

People Families Children Seniors

New Jersey 0.094 0.07 0.135 0.0790000000000002

Essex County 0.145 0.119 0.21 0.122

Newark 0.239 0.212 0.334000000000001

0.156

Irvington 0.177 0.162 0.253 0.22

East Orange 0.2 0.176 0.354 0.165

3%

8%

13%

18%

23%

28%

33%

38%

2000

2005

2009

0% 5% 10% 15% 20% 25%

15.6%

14.7%

14.5%

12.8%

12.3%

11.9%

20.8%

19.1%

21.0%

12.2%

12.0%

12.2%


Seniors Children Families People

Poverty rates for Essex County children increased from 20.8% to 21.0% between 2000 and 2009. Poverty rates for people and families decreased. The rate for seniors remained static. • The rates for all groups are significantly higher than the statewide average.


110Source: NJ Department of Human Services, Division of Family Development, Current Program Statistics, U.S. Census, American Community Survey;

Claritas 2011-2017 Projection / Intervening Year: Straight Line Method.

The percent of Essex County residents receiving Temporary Assistance for Needy Families (TANF) benefits is significantly higher than the state rate. • The same can be said of the percent of Essex County children receiving TANF benefits.• The percentage of Newark families and children receiving various types of public assistance is twice that of the US average and

three times that of the State of New Jersey (not shown). • In 2011, 18.3% of Newark households received SSI, Cash Public Assistance, or SNAP in the last 12 months (not shown).• In 2011, 35.6% of children living in households received SSI, Cash Public Assistance, or SNAP in the last 12 months (not shown).

>>Percent of Population Receiving TANF (2011)

Percent of Total Population Percent of Children0%

1%

2%

3%

4%

5%

6%

7%

8%

1.2%

3.4%

2.9%

7.5%

1.0%

2.7%

0.5%

1.5%


2007

2009

2011

0% 1% 2% 3% 4% 5% 6% 7% 8%

2.8%

2.8%

2.9%

6.9%

7.5%

7.5%

Essex Trends 2007-2011

Children Total


111

Source: Corporation for Supportive Housing, 2010 New Jersey Point in Time Count of the Homeless Data Report, U.S. Census Bureau, American Community Survey, Claritas 2011-2017 Projection / Intervening Year: Straight Line Method.

Note: The rates are based on the total population in each age group. New Jersey data for 2009 was unavailable.

In 2012 the homeless population estimate rate per 1,000 for Essex County was not statistically different from the statewide rate. • The rate for Essex County declined by 0.7 percentage points between 2009 and 2012.

>>Estimated Homelessness Rate per 1,000 Population

2009

2010

2011

2012

0 1 2 3 4 5 6

4.8

4.2

4.2

4.1


2009 20120

2

4

6

8

10

12

14

4.8 4.1

12.8

7.4

3.3 4.1

3.3




The percentage of residents with no high school diploma has decreased in New Jersey, Essex County, and in the major cities in Essex County between 2000 and 2009. • The percent of Essex County residents without a high school diploma is significantly

higher than the statewide average.

>> Educational Attainment (2009)

2000

2005

2009

0% 5% 10% 15% 20% 25% 30% 35% 40% 45%

No High School Diploma Trends 2000-2009

East Orange Irvington Newark New Jersey Essex County




No High Sc

hool Diploma

High Sc

hool Grad

uate

Some Colle

ge, A

ssocia

te's

Degree

Bachelors,

Profe

ssional,

or Grad

uate Degre

e0%5%

10%15%20%25%30%35%40%

12.6%

29.4%

23.6%

34.5%

16.5%

30.4%

22.1%

31.0%


113

>>Limited English Proficiency (LEP) Population

Source: U.S. Census, American Community Survey. Note: The U.S. Census Bureau defines LEP Population as persons who reported speaking English less than “very well.“ Data

for East Orange for 2005 and 2009 is unavailable.

The percent of Essex County residents with limited English proficiency (LEP) rose between 2000 and 2009. • In 2009 the percentage in Essex County was significantly higher than statewide percentage

with LEP. • Nearly 25% of Newark’s population had LEP.

2000 2005 20090%

5%

10%

15%

20%

25%

30%

11.1% 11.5% 12.1%13.3%

14.2%15.1%

22.4% 22.0%

24.8%

11.4% 11.7%

15.1%

0.06

New Jersey Essex County Newark Irvington East Orange

2000

2005

2009

0% 5% 10% 15% 20%

13.3%

14.2%

15.1%



114

VIOLENT CRIME AND INJURY PREVENTION


2020 Target


BenchmarkNew Jersey

Violent Crime: Rate per 100,000 Population

N/A

Deaths due to Assault (Homicide) N/A N/A

Burglary: Rate per 1,000 Population

N/A N/A

Domestic Violence Arrests: Rate per 1,000 Population

N/A N/A

Children Reported for Abuse/Neglect: Rate per 1,000 Population

N/A N/A

Percent of Children with Abuse/Neglect Reports Substantiated N/A N/A

Total Children (under 18 years) Under DYFS Supervision: Rate per 1,000 Children

N/A N/A


115



2020 Target


BenchmarkNew Jersey

Children (under 18 years) Under DYFS Supervision Receiving In-Home Services:

Rate per 1,000 Children

N/A N/A

Children (under 18 years) Under DYFS Supervision Receiving Out-Of-Home Services:

Rate per 1,000 Children

N/A N/A

Deaths due to Motor Vehicle Crashes: Rate per 100,000 Population

Deaths due to Falls: Rate per 100,000 Population

N/A

Deaths due to Poisoning: Rate per 100,000 Population

N/A


116

>>Violent Crime Rate per 100,000 Population

Source: NJ Department of Law and Public Safety, Division of State Police, Uniform Crime Reporting Unit, U.S. Census, American Community Survey

Between 2006 and 2010 the violent crime rate decreased in Essex County, Middlesex County and the state as a whole. • Essex County’s violent crime rate is significantly higher than the statewide rate.• Essex violent crime rate was higher (worse) than the national benchmark.

2006 2008 20100

100

200

300

400

500

600

700

800

900

350.1325.7 309.1

780.5

704.6673.6

402.6437.7

466.5

218.2194.8 179.4


2006

2007

2008

2009

2010

0 100 200 300 400 500 600 700 800 900

780.5

686.6

704.6

667.6

673.6


Essex County 2007 - 2009: 679



117

>>Deaths due to Assault (Homicide): Age-Adjusted Rate per 100,000 Population


The homicide rate decreased between 2004 and 2008 statewide and in Essex County.• However, the Essex County rate is significantly (nearly 3 times) higher than the state

rate.

2004 2006 20080.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

20.0

4.8 5.34.4

17.918.8

13.2

4.4

8.1

5.2

3.0 2.6 3.0


2004

2005

2006

2007

2008

0 5 10 15 20 25

17.9

19.1

18.8

17.4

13.2



118

>>Burglary Rate per 1,000 Population


Between 2006 and 2010 burglary rates declined in Essex County as well as in Middlesex County and the state as a whole. • The Essex County rate was not significantly different than the statewide rate.

2006 2008 20100

1

2

3

4

5

6

7

8

4.5 4.64.4

6.7 6.7

6.0

4.3

5.1

4.5

4.0 3.9

3.1


2006

2008

2010

0 1 2 3 4 5 6 7 8

6.7

6.7

6.0



119

>>Total Domestic Violence Arrests, Rate per 1,000 Population


Domestic violence rates were up in Essex County between 2006 and 2010, while they remained stable statewide and declined in comparative counties. • The Essex County rate was not significantly different than the statewide rate.

2006 2008 20100.0

0.5

1.0

1.5

2.0

2.5

3.0

2.62.5

2.6

2.01.9

2.2

2.42.2 2.2

2.1

1.8 1.7


2006

2007

2008

2009

2010

0.0 0.5 1.0 1.5 2.0 2.5 3.0

2.0

1.9

1.9

2.1

2.2



120

>> Rate of Children Reported for Abuse/Neglect per 1,000 Population (2010)

Source: N.J. Department of Children and Families, Child Abuse and Neglect Substantiations, U.S. Census Bureau, American Community Survey

For Essex County’s major cities, child abuse reports are well above the county’s rate. • The rate of reports in Essex county increased between 2006 and 2010 but was not

statistically different from the statewide rate. • The rate of reports in Essex County’s major cities is 1.5 times that of the county.

0

10

20

30

40

50

60

70

80

90

45.4 49.8

34.1 34.7

75.573.2

77.0

New Jersey Essex Union MiddlesexNewark Irvington East Orange

2006

2008

2010

0 10 20 30 40 50 60

45.6

44.0

49.8



121

>>Percent of Children with Abuse/Neglect Reports Substantiated (2010)

Source: N.J. Department of Children and Families, Child Abuse and Neglect Substantiations, U.S. Census Bureau, American Community SurveyNotes: Percentages are based on the total number of children with abuse/neglect reported.

The percent of child abuse reports substantiated in Essex County is not statistically different from the statewide percentage. • The highest rate of substantiated reports occurred in East Orange.

0%

2%

4%

6%

8%

10%

12%

14%

16%

10.0%

11.1%

13.1%

8.2%

11.6%

10.3%

14.3%

New Jersey Essex Union MiddlesexNewark Irvington East Orange

2006

2008

2010

0% 2% 4% 6% 8% 10% 12% 14% 16% 18%

15.9%

12.4%

11.1%



122

>>Children (under 18 years) Under DYFS Supervision per 1,000 Children (2010)

Source: NJ Department of Children and Families, Division of Youth and Family Services

The rate of children under DYFS supervision was down in Essex County between 2006 and 2010, but still exceeded the statewide rate though it was statistically no different than the state rate..

2006

2008

2010

0 5 10 15 20 25 30 35 40 45 50

47.4

34.3

30.5

35.1

24.1

24.2

12.3

10.2

6.3


Out-of-Home Services In-Home ServicesTotal

Total In-Home Services Out-of-Home Services0

5

10

15

20

25

30

35

21.9

18.4

3.5

30.5

24.2

6.3



123

>>Motor Vehicle Crash Death Rate: Age-Adjusted Rate per 100,000 Population

Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment DataNote: Rates are calculated per 100,000 population of the county and state and are age-adjusted to the 2000 U.S. standard million population.

The motor vehicle crash death rate declined in Essex County and all geographies studied between 2004 and 2008. • The Essex County motor vehicle crash death rate was better (lower) than the Healthy

People 2020 target and the County Health rankings benchmark.


2004 2006 20080.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

98.6

6.4

9.3

8.0

6.2

11.0

8.4

7.2

8.78.0

5.7


2004

2005

2006

2007

2008

0 2 4 6 8 10

9

8.2

7.8

6.4

6.2




Essex County 2002 - 2008: 8.0

National Benchmark: 12.0

124

>>Deaths due to Falls: Age-Adjusted Rate per 100,000 Population

Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment DataNote: The Healthy People 2020 goal is to, “prevent an increase in fall-related deaths.” 2004 Essex Data not Statistically Significant due to too

few cases.

Deaths due to falls increased between 2004 and 2008 in New Jersey, Essex County, and Middlesex County. • The 2008 Essex County rate is even with the statewide rate, at 4.4 per 100,000. This is

better (lower) than the Healthy People 2020 target.


2004 2006 20080.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

4.2 4.24.4

3.0

4.24.44.5

3.53.7

3.3

2.7

4.5


2004

2005

2006

2007

2008

0 1 2 3 4 5 6

3.0

5.3

4.2

4.5

4.4




125

>>Deaths due to Poisoning: Age-Adjusted Rate per 100,000 Population

Source: NJ Department of Health and Senior Services, Center for Health Statistics, NJ State Health Assessment DataNote: The Healthy People 2010 goal is to, “prevent an increase in the rate of poisoning deaths.”

Deaths due to poisoning per 100,000 decreased in Essex County between 2004 and 2008.• The rate of deaths due to poisoning was lower (better) than the Healthy People 2020

target. • The rate of poisoning deaths was not statistically different than the statewide rate.


2004 2006 20080

2

4

6

8

10

12

14

7.6

10.2

9.29.2

12.7

8.7

5.44.7

5.85.66.5

9.0


2004

2005

2006

2007

2008

0 2 4 6 8 10 12 14 16 18 20

9.2

19.0

12.7

8.8

8.7





Essex County’s population is stagnating behind statewide growth. • Irvington and East Orange are facing significant population declines, while Newark is

seeing slight growth.

-12%

-10%

-8%

-6%

-4%

-2%

0%

2%

4%

6%4.5%

-1.2%

1.3%

-11.1%

-8.0%

Population Change: 2000 - 2010

New Jersey Essex County NewarkIrvington East Orange

Population Change

Geography 2000 2005 2010 % Change

New Jersey 8,414,350 8,521,427 8,791,894 4.5%

Essex County 793,633 769,628 783,969 -1.2%

Newark 273,546 265,375 277,140 1.3%

Irvington 60,695 59,532 53,926 -11.1%

East Orange 69,824 62,240 64,270 -8.0%

DEMOGRAPHICS

127Source: U.S. Census Bureau, American Community SurveyNote: Numbers may not add up to 100%.

White Black/African-Americans

Hispanic/Latino Asian

New Jersey 0.686 0.137 0.177 0.0830000000000001

Essex County 0.426 0.409 0.203 0.046

Newark 0.263 0.524 0.338000000000001

0.016

Irvington 0.056 0.854000000000001

0.106 0.009

East Orange 0.041 0.885 0.0790000000000002

0.00700000000000001

5%

15%

25%

35%

45%

55%

65%

75%

85%

95%

2010 Population by Race/EthnicityEssex County Trends

Ethnicity 2000 2010 % Change

White 352,859 333,868 -5.4%

Black 327,324 320,479 -2.1%

Asian 29,429 35,789 21.6%

Native Amer. 1,861 3,056 64.2%

Two or more 27,155 24,804 -8.7%

Hispanic 122,347 159,117 30.1%

Essex County and its major cities had higher percentages of African-American and Hispanic populations than New Jersey as a whole.

DEMOGRAPHICS


The population age cohorts with the highest growth between 2000 and 2010 in Essex County were those 45 – 64 and 85+.

Essex County Trends

Age 2000 2010 % Change

0 – 17 206,950 194,918 -5.8%

18 – 24 74,308 74,126 -0.2%

25 – 44 247,139 223,876 -9.4%

45 – 64 170,856 200,762 17.5%

65 – 84 82,069 76,660 -6.6%

85 + 12,311 13,627 10.7%

0 -17 18 - 24 25 - 44 45 - 64 65 - 84 85 +

New Jersey 0.235 0.087 0.267 0.277 0.115 0.02

Essex County 0.249 0.095 0.275 0.257 0.099 0.017

Newark 0.256 0.119 0.319 0.221 0.077 0.008

Irvington 0.254 0.106 0.3 0.251 0.081 0.009

East Orange 0.257 0.102 0.278 0.246 0.103 0.015

3%

8%

13%

18%

23%

28%

33%

2010 Population by Age

Median Age (2010)

New Jersey 39.0

Essex County 36.4

Newark 32.3

Irvington 34.0

East Orange 35.0

DEMOGRAPHICS

129

Essex County Health Issues identified by Secondary Data

Heart Disease• Age adjusted mortality rate higher than the Healthy People (HP)

2020 target. The rate of cardiovascular disease, heart attack, and diabetes among

Newark residents is almost twice as high as the county rates• Essex County residents report higher cholesterol levels at a rate (3

times) higher than the HP 2020 target.Cancer• The age adjusted rates above the HP 2020 target.

Mortality rates among blacks in Essex County were significantly higher than the rate county wide.

• The percent of women who had a pap smear in the last 3 years was 11.7% points below the HP 2020 target.

130

Septicemia and Diabetes• Mortality rates for Septicemia and diabetes were significantly higher in

Essex County than statewide. Blacks had significantly higher mortality rates for septicemia and diabetes

than residents county wide.Years of Potential Life Lost• Essex County residents had a higher rate of premature deaths than

residents statewide and far worse than the county health ranking (CHR) national benchmarks.

Maternal and Child Health• Infant mortality rates higher than the state.• The rate of low birth weight and very low birth weight infants higher

than the HP 2020 target and the state average. The rates for both indicators were higher among blacks than all County

residents.• The percent of Essex County women receiving 1st trimester care was

8.6% points below HP 2020 target.


131


• The percent of women receiving no prenatal care was significantly higher than the statewide rate.

• Teen births 15-19 were nearly double the CHR benchmark.• Primary C-section rates were significantly higher than the statewide

rate.Health and Behavioral Health Status and Prevention• Essex County residents report significantly more mentally and

physically unhealthy days than the CHR benchmarks.• Immunizations for flu and pneumonia were 27.5% and 35.2% points

lower than HP 2020 target.• Essex County adults reporting any physical activity in the last month

7% points below the benchmark. Newark 10% below benchmark.

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Substance Abuse and Mental Health• Tobacco use 2.8% points higher than HP 2020 target.• Excessive drinking reported 6.0% points higher CHR benchmark.• Admission rates for heroin/other opiods, cocaine ,and other

drugs significantly higher than statewide rates.High Risk Sexual Behaviors• STD rates significantly higher than the state rate.

Chlamydia seven times higher than CHR benchmark.• HIV/AIDS prevalence in Newark twice the County rate.

Three times higher than state Blacks represent 77.8% cases. The prevalence rate in Newark is nearly twice the county rate.

• New HIV/AIDS cases declined between 2006 and 2010 by 50% but remain significantly higher than the State.

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Health Care Access• Lack of Primary Care Physicians

Essex County has significantly fewer primary care physicians (99.7/100,000) than the national benchmark (158.5/100,000).

• 19.1% of adults 18-64 report being without insurance coverage.• Essex County ranks third statewide in ED utilization• Adult ED visits for primary Care conditions in Essex County were

significantly higher than statewide.• ACSC visits among children and adults significantly higher than

statewide. Top 5 ACSC among children – ENT*, asthma, GI obstruction, cellulites,

and bacterial pneumonia Top 5 ACSC conditions among adults ENT, asthma*, cellulites,

kidney/UTI, dental conditions.

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• Air Quality Number of unhealthy air quality days for fine particulate matter

and ozone significantly higher than CHR benchmark.

• Lead Paint Hazard Aging infrastructure poses lead-based paint hazard. The percentage of Essex County children with high and very high

blood lead levels significantly higher than statewide.

• Ready access to Fast Food and liquor – limited access to Recreation. 53% of all restaurants fast food benchmarks 25% High concentration of liquor stores. Less recreational facilities than statewide.

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Social and Economic Factors• Low income, high poverty and unemployment compared to state.

Essex County has significantly higher percentage of SNAP residents than the state.

• The percentage of Newark families receiving various types of public assistance is two times the national average and three times that of New Jersey.

• Education and Health Literacy 16.5% of Essex County Residents did not complete high school. East Orange, Irvington, and Newark report 1.5 to two times the county

level. Increasing number of residents with limited English Proficiency.

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Violence & Injury Prevention• Safety is a major concern, violent crime rate are two times the

state rate ten times the national benchmark.• Homicide rates three times the state rate.• Rate of Children under DYFS supervision is significantly higher that

the statewide average.

Documents

1 Community Health Needs Assessment Essex County Health Indicators