Community Health Assessment Tompkins County, NY 20052010
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Purpose Describes the health of the community Basis for
strategic planning Determine health priorities Data and technical
assistance for researchers, community NYSDOH categorical grants
Fulfills NYSDOH mandate
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CHA Structure
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Structure Demographics Health Care environment CHA Core
Indicators Data Analysis Resources Opportunities for Action
Figures, Tables, Maps
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CHA Core Indicators Designated by NYSDOH Healthy People 2010:
15 categories Article 6 references
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CHA Core Indicators (NYSDOH)
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Data Sources Community Health Assessment (CHA) Clearinghouse,
NYSDOH NY Community Health Data Set County Health Indicator
profiles CHA Indicators (CHAIs), NYSDOH 13 health topic areas U.S.
Census Bureau
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Data Sources: Local TC Health Department TC Planning Department
TC Youth Services Health Planning Council County Office for the
Aging Cayuga Medical Center COMPASS II
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Working with the data ~Working with small pops. ~ Using 3-year
averages
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Sampling Error CHA p. 121 (Expanded BRFSS, 2003 - NYSDOH) SMALL
POPULATIONS
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Distorted Rates Maternal Mortality: Rate /100,000 live births
CHA p. 148 (NYS Vital Stats) Total maternal deaths Upstate,
2000-200220 Total maternal deaths Tompkins, 2000-021 SMALL
POPULATIONS
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Working with the data ~Working with small populations ~ Using
3-year averages
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Evens out ups & downs CHA p. 128 (TCHD Annual Report,
2001-2003) 3-YR AVERAGE
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1 spike lasts 3 years CHA p. 135 (NYS SPARCS data as of Aug.
2004) 3-YR AVERAGE Deaths in only 2 of 7 yrs Yet, rate >0 in 5
of 7 yrs
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Numbers of Note Demographics
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Special Tab #137 (U.S. Census 2000) Tompkins County Planning
Department College students + non-college students Long form
question 8a: at any time since February 1, 2000, has this person
attended regular school or college? Yes for ages 17+ years =
college student Demographics
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Population Transience Over half of Tompkins 2000 pop. had lived
in a different county 5 years earlier. One-fifth in a different
state CHA pp. 20, 31 (U.S. Census 2000: Residence in 1995 for the
pop. 5 years and over.) Demographics
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Poverty (Individuals) Tompkins individual poverty rate is the
highest in the area. Excl. students, its close to the lowest. CHA
p. 34 (TC Planning Dept, Spec. Tab 137) Demographics
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Median Income Tompkins median household income is below that of
NYS; Tompkins median family income > NYS CHA p. 33 (TC Planning
Dept, Spec. Tab 137); 2000 Census SF-3 [P77] Demographics
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Numbers of Note Health Indicators
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Breast cancer incidence CHA p. 68 (NYS Cancer Registry data as
of Aug. 2004) Age adj. Rate /100,000 female residents,
1997-2001
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Breast cancer mortality CHA p. 67 (NYS Vital Statistics data as
of Aug. 2004) Crude Rate /100,000 female residents
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Colorectal cancer mortality CHA p. 71 (NYS Vital Statistics
data as of Aug. 2004) Age adj. Rate /100,000 residents,
1998-2002
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Prostate Cancer Tompkins incidence rate is significantly higher
than both NYS and Upstate (age-adj.) Mortality rates: the only
significant difference is for Tioga County (see chart, next slide)
CHA p. 74 (NYS Cancer Registry)
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Incidence rate CHA p. 74 (NYS Cancer Registry) Prostate
cancer
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Incidence by ZIP CHA p. 74 (NYS Cancer Registry) Prostate
cancer: expected
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Expected by ZIP New York State Department of Health, New York
State Cancer Registry Prostate Cancer Incidence by ZIP Code, New
York State, 1994-1998 Tompkins County Zip CodePost Office # of
Cancers Observ'd# of Cancers Expected Pct Differ from Expected
14882Lansing* 14 9.3 50 to 100% above expected 13053Dryden* 9
11.015 to 50% below expected 13068Freeville 6 10.715 to 50% below
expected 13073Groton 15 17.1within 15% of expected 13736Berkshire*
6 5.4within 15% of expected 13864Willseyville* 1 3.0more than 50%
below expected 14817Brooktondale* 7 6.8within 15% of expected
14850Ithaca 173 116.315 to 49% above expected 14867Newfield 15
13.7within 15% of expected 14883Spencer* 14 10.815 to 49% above
expected 14886Trumansburg* 17 19.8within 15% of expected * This ZIP
Code crosses county boundaries. The values provided are for the
entire ZIP Code, not just the portion in this county
Revised:September 2001Accessed: 11/30/2004 Prostate cancer
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Late stage incidence CHA p. 75 (NYS Cancer Registry) Prostate
Cancer: Expected incidence
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Diabetes incidence CHA p. 81 (NYSDOH Expanded BRFSS, 2003)
Expanded BRFSS, 2003
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Diabetes related hospitalizations CHA p. 82 (SPARCS data as of
Sep. 2004) Rate /10,000 residents, 1998-2003
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Adult Diabetes in NYS CHA p. 80 (NYS BRFSS as of Dec. 2004)
BRFSS: Percent residents age 18+
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Cardiovascular disease mortality CHA p. 101 (NYS Vital
Statistics data as of Aug. 2004) Average Age adj. Rate /100,000
residents, 2000-2002
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Diseases of the heart: Mortality CHA p. 102 (NYS Vital
Statistics) Crude Rate /100,000 residents
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Birth Rate: /1,000 females age 15-44 CHA p. 88 (NYS Vital Stats
2000-2002) Family Planning
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Teens age 15-19 Tompkins has the lowest teenage birth rates in
the area. CHA p. 88 (NYS Vital Stats 2000-2002) Births per 1,000
female residents
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Births to mothers age 30-44 years Almost half of Tompkins
births are to mothers age 3044. CHA p. 92 (NYS Vital Stats
2000-2002) Percent of live births
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Postneonatal Mortality (28 days1 yr.) CHA p. 153 (NYS Vital
Stats, 2000-2002) Average Rate per 1,000 Live Births
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3-year average CHA p. 155 (NYS Vital Stats as of Aug 2004) (Age
28 days1 yr) Postneonatal Mortality (28 days1 year) 2,525
births
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Infant Mortality (up to age 1 yr.) CHA p. 154 (NYS Vital Stats,
2000-2002) Neonatal + Postneonatal = Infant
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Child Immunization CHA p. 123 (TCHD Annual Reports)
Percent
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Oral Health CHA p. 173 Percent Tompkins County 3rd graders
Caries Untreated caries Sealants Dental visit Insurance Flouride
supp
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Suicides CHA p. 133 (NYS Vital Stats 2000-2002) Age. adj. Rate
/100,000 residents
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Teen suicides CHA p. 134 (NYS SPARCS data as of Aug. 2004) Age.
adj. Rate /100,000 residents
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Priorities
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Compass II Lack of specialty care Lack of affordable primary
care Lack of money to pay for Rx and doctor visits Cost of health
care premiums Poverty a critical problem
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TCHD Aging population and need for related services Emergency
preparedness and response Emerging infectious disease Reduction in
State financial support
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Commission for a Healthy CNY Access to dental care Obesity
Access to mental health care Stroke medical management
