Health and Health Care of New Brunswick's Childrendescent, those living in families where adults have low educational attainment, and uninsured children are at the greatest risk for

Health and Health Care of New Brunswick's Children i

Health and Health Care of

New Brunswick's Children

A Chartbook

Joel C. Cantor

Peter Guarnaccia

Susan Brownlee

Carl Schneider

Jose Nova

April 2006

Rutgers Center for State Health Policy, April 2006 ii

Health and Health Care of New Brunswick's Children iii

Health and Health Care of

New Brunswick's Children

A Chartbook

Joel C. Cantor

Peter Guarnaccia

Susan Brownlee

Carl Schneider

Jose Nova

April 2006

Rutgers Center for State Health Policy, April 2006 iv

Health and Health Care of New Brunswick's Children v

Acknowledgements

This chartbook was funded by Johnson & Johnson under a grant to New Brunswick

Tomorrow, with supplemental support from The Robert Wood Johnson Foundation. Many have

contributed to the Healthier New Brunswick Community Survey, including Denise Rodgers,

former senior associate dean at the Robert Wood Johnson Medical School; Al Ronca of

Schulman, Ronca, & Bucuvalas (the survey research firm that conducted the field work); and

Teresa Vivar and Juancy Rodriguez, community survey field staff. Camilla Comer-Carruthers,

director of Healthier New Brunswick 2010 at New Brunswick Tomorrow, and a group of

dedicated volunteers from the New Brunswick Tomorrow Health Care Task Force provided

invaluable advice and guidance throughout this project. Jeff Abramo of the Center assisted in the

production of this report.

Rutgers Center for State Health Policy, April 2006 vi

Health and Health Care of New Brunswick's Children vii

Table of Contents

Executive Summary …………………………………………………………………………… ix

About the Survey ……..………………………………………………………………………… xiii

Charts

Community Context and Health Status ………………………………………………… 3

Family and Community Context …………………………………………………… 3

Child Health Status ………………………………………………………………….. 5

Child Health Risk …………………………………………………………………….. 9

Health Coverage and Access to Care ………………………………………………….. 12

Child Health Insurance Coverage ………………………………………………….. 12

Regular Source of Care ……………………………………………………………… 14

Access to Care ………………………………………………………………………... 16

Conclusions ……………………………………………………………………….............. 19

Tables …………………………………………………………………………………………… 21

Table 1: Demographic Characteristics of Child Residents of New Brunswick,

Urban New Jersey & New Jersey State

Table 2: Immigration Status of Child Residents of New Brunswick,


Table 3: Socioeconomic Status of Child Residents of New Brunswick,


Table 4: Health Status of Child Residents of New Brunswick,


Table 4A: Health Status of Child Residents of New Brunswick by Selected

Demographic Characteristics

Table 4B: Health Status of Child Residents of New Brunswick by Selected

Socioeconomic and Health Characteristics

Table 5: Health Risk Indicators for Child Residents of New Brunswick

Table 5A: Health Status of Child Residents of New Brunswick by Selected


Rutgers Center for State Health Policy, April 2006 viii

Table 5B: Health Status of Child Residents of New Brunswick by Selected


Table 6: Health Insurance Status of New Brunswick, Urban New Jersey

& New Jersey State

Table 6A: Uninsured Child Residents of New Brunswick by Selected


Table 6B: Uninsured Child Residents of New Brunswick by Selected


Table 7: Access to Care of Child Residents of New Brunswick,


Table 7A: Usual Source for Care and Access Difficulty for Child Residents

of New Brunswick by Selected Demographic Characteristics

Table 7B: Usual Source for Care and Access Difficulty for Child Residents of

New Brunswick by Selected Socioeconomic and Health Characteristics

Table 8: Access Barriers Reported by Households with Child Residents

of New Brunswick

Table 8A: Access Barriers Reported by Households with Child Residents

of New Brunswick by Childrens' Usual Source of Care

Health and Health Care of New Brunswick's Children ix

Health and Health Care of New Brunswick's Children

Executive Summary

Prepared by Rutgers Center for State Health Policy

The Healthier New Brunswick Community Survey, part of Healthier New Brunswick 2010,

provides in-depth information about the health and health care of local residents. The survey

was conducted in 2004 by the Rutgers Center for State Health Policy in collaboration with New

Brunswick Tomorrow, Robert Wood Johnson Medical School, and community advisors, with

financial support from Johnson & Johnson and The Robert Wood Johnson Foundation.1

The Healthier New Brunswick Community Survey provides information from a

representative sample of New Brunswick and bordering Somerset residents. The diversity that

enriches the area can create challenges for local health care providers. Majorities of area

children (up to age 18) live in families that do not speak English at home (56%), have at least one

adult immigrant member (55%), or are low income (60%).2 Thirty-one percent of New Brunswick

area children are Mexican, 32% are of Hispanic/Latino background, and 25% are African-

American (non-Hispanic). Nationally and in New Jersey, low income, Hispanic, and immigrant

populations are at greatest risk of lacking health insurance coverage.

Many health indicators for New Brunswick area children mirror those for children in

urban New Jersey generally, with some indicators above and others below the average of other

urban areas. Overall, New Brunswick area children in low-income families, those of Mexican

descent, those living in families where adults have low educational attainment, and uninsured

children are at the greatest risk for poor medical, dental, and mental health outcomes. Some

specific health concerns identified in the survey are:

Overweight and poor physical fitness are disproportionate problems among local

children.

About a quarter of area children are overweight and another 25% are classified as “at risk” of

being overweight. This is considerably higher than the percentage of children nationally who

exceed healthy weight standards (about 15% overweight and another 15% at-risk of

overweight in a recent national study). Moreover, fewer than half (42%) of local children

engage in adequate physical activity by national standards.

1 The Healthier New Brunswick Community Survey is part of a comprehensive community health assessment. For information about survey methods see “About the Survey” below. Other reports from the assessment can be found at www.cshp.rutgers.edu.2 “Low income” is defined as family income below twice the federal poverty line (e.g., $31,340 for a family of three in 2004).

Rutgers Center for State Health Policy, April 2006 x

Many local children (13%) were reported with dental problems.

Although this proportion is lower than the urban New Jersey average (18%), most dental

problems are preventable. Some groups are at higher risk, including Mexican and medically

uninsured children. In focus groups, school nurses also identified dental problems as a high

priority.

Asthma is the most common childhood chronic condition.

One in ten area children were reported with asthma, about half the urban New Jersey asthma

rate. While still below the urban New Jersey average rate, 15% of African-American children

in New Brunswick were reported with asthma.

More than a third of local children (38%) live with a smoker.

Those who do are more likely to be reported with health problems.

Few children in New Brunswick were reported at-risk of exposure to household lead

paint.

However, more than one in three survey respondents with children did not know whether

their home presented a lead paint exposure risk.

Despite the higher proportion of local Hispanic children and children living in immigrant

and low income families, the share of local children without health insurance coverage is similar

to that of other New Jersey cities. One in six New Brunswick area children (17%) is uninsured,

compared to 19% in urban New Jersey and 11% statewide. Outreach efforts of New Brunswick's

community organizations and health care facilities to enroll children in available coverage

programs are paying off. In New Brunswick, the availability of jobs at county agencies and

public educational institutions, which are more likely to provide coverage to low-wage workers,

may also boost coverage rates here. Still, nearly half of New Brunswick children live with at

least one uninsured family member; and more than a quarter of Mexican children, children living

in immigrant families, those just above the poverty line, and teenagers lack health insurance

coverage. Of further concern, children in worse health are more likely than average to lack

coverage.

Having a regular place of health care, sometimes called a "medical home", is important for

access and continuity of care. New Brunswick’s health centers and hospitals play an unusually

large role in providing access to care for local children. Over 40% of families identify local health

centers (e.g., the Chandler Clinic and the St. Peter’s Family Health Care Center/How Lane Clinic)

and hospital outpatient programs as the regular place of care for their children, compared to only

about 8% in urban New Jersey overall. While few New Brunswick area children (8%) lack a

regular place of care, 25% of uninsured children in New Brunswick lack such a medical home.

Health and Health Care of New Brunswick's Children xi

Failure to get needed health care was reported by few respondents, but gaps were most often

reported for sick children. Despite favorable access indicators overall, the survey shows

evidence of stressed capacity in New Brunswick’s “safety net”, with many respondents reporting

serious appointment and in-office waiting time problems.

Despite mounting system pressures, New Brunswick faces unique challenges in

promoting the health and assuring health care access for area children. Local health providers

must respond to the community’s cultural and linguistic diversity. Even with the broad eligibility

rules of the state coverage program, NJ FamilyCare, it is historically difficult to enroll children

from immigrant families. Still, New Brunswick has done comparatively well in providing access.

Compared to other urban areas, the much larger role that New Brunswick’s health centers and

hospitals play in providing access may be one reason that many local health indicators compare

well to urban New Jersey generally. New Brunswick’s health care “safety net” has done well, but

its capacity to continue to do so is under stress. Challenges to improving child health in New

Brunswick remain, including: 1) enhancing health services delivery to address the problem of

long waiting times for services, 2) improving child fitness and reducing the number of overweight

children, 3) addressing dental health problems, and 4) caring for children with asthma or other

health needs.

Rutgers Center for State Health Policy, April 2006 xii

Health and Health Care of New Brunswick's Children xiii

About the Survey

The Healthier New Brunswick Community Survey was conducted under the auspices of

Rutgers Center for State Health Policy in late 2004 using tested and validated questions and

professional, trained interviewers. The interviews were conducted by telephone, and cell phones

were provided to families without landlines (4% of the interviews were completed via cell

phones). The interview was conducted with the family member aged 18 or over who was most

knowledgeable about the health and health care needs of the family. The interviews averaged 40

minutes in length, and were conducted in either English or Spanish. The response rate was 52.3%

of all families sampled and the cooperation rate was 96% (i.e., only 4% of families contacted

refused to participate). These are high rates for this type of survey. Sampling was conducted by

random-digit-dialing, a common method for generating representative samples. This method was

supplemented through area-probability sampling of households without landlines in the 4 New

Brunswick census tracks that have the lowest telephone coverage according to Census data.

Those living here primarily to attend college were excluded. A token of $10 was provided to

respondents ($20 for cell phone cases). The final sample consisted of 595 New Brunswick and

bordering Somerset families covering 1,572 individuals. In addition, the New Brunswick data

was compared to New Jersey overall and to other NJ urban areas (i.e., municipalities with at

least 25,000 people and population density of at least 9,000 per square mile) using data from the

2001 New Jersey Family Health Survey. The New Jersey Family Health Survey was conducted by

Rutgers Center for State Health Policy with funding by The Robert Wood Johnson Foundation.

Additional copies of this report can be downloaded from the CSHP website at:

http://www.cshp.rutgers.edu

Rutgers Center for State Health Policy, April 2006 xiv

Charts

Health and Health Care of New Brunswick's Children 1

Family and Community ContextFamily and Community Context

• Many low-income families– Over 60% in families below 200% of the federal poverty line

• Rich ethnic and racial diversity– 31% Mexican– 25% African American (non-Hispanic)– 10% Dominican– 7% Puerto Rican– 15% Other Hispanic/Latino

– 55% live with at least one immigrant– 56% in families that do not speak English at home

See Tables 1 to 3 for additional data & community context.

29.3 28.013.7

35.3 40.8

26.0

0

20

40

60

80

100

New Brunswick Urban NJ New Jersey

Perc

ent o

f Chi

ldre

n . Near Poor

(101% - 200%)

Poor (belowpoverty)

Many Poor and Near-Poor Children in New Brunswick and Urban NJ

Sources: Healthier New Brunswick Community Survey, 2004; New Jersey Family Health Survey, 2001

Family Income Relative to Poverty


6.2

24.6

61.7

7.411.9

35.9

48.0

4.2

57.5

16.8 19.5

6.3

0

20

40

60

80

100

White (non-Hispanic)

Black (non-Hispanic)

Hispanic / Latino Other

Perc

ent


Nearly Two-Thirds of New Brunswick Children are Hispanic/Latino and One-Fourth are Black


49.4

11.6 11.7 16.311.1

3.6

19.8

39.4

8.6

28.5

8.0

19.8

32.3

7.9

32.1

0

20

40

60

80

100

Mexican Central /South

American

Puerto Rican Dominican OtherHispanic /

Latino

Perc

ent


Nearly Half of New Brunswick Hispanic/Latino Children are Mexican


4 Rutgers Center for State Health Policy, April 2006

56.0 55.6

29.022.1

15.1

32.3

0

20

40

60

80

100

Lives with an Immigrant Non-English Speaken at Home

Perc

ent


Many Children in New Brunswick Live in Families with Immigrants and Do Not Speak English at Home


Child Health StatusChild Health Status

• Perceived General, Dental, and Mental Health– “Would you say [family member’s] health is excellent,

very good, good, fair, or poor?”– Poor, Mexican, low education in family, and uninsured

children at greatest risk

• Chronic Conditions– 10% with asthma, African American children at greater risk– Few children with other serious conditions

See Tables 4 to 4B for additional data on health status.


8.313.2

5.0

11.8

18.8

5.410.9

0

20

40

60

General Health Dental Health Mental Health**

Perc

ent


Percent of Children Reported with “Fair or Poor”* Health Lower in New Brunswick than Urban NJ

Sources: Healthier New Brunswick Community Survey, 2004; New Jersey Family Health Survey, 2001*Based on scale: Excellent, Very Good, Good, Fair, Poor**Not available for Urban NJ or New Jersey

15.4

12.6

10.1

10.1

8.3

0 5 10 15 20 25

All

Near Poor*

Mexican

No High SchoolGrad in Family

Uninsured

Percent Fair/Poor

Children in Fair or Poor General Health

Source: Healthier New Brunswick Community Survey, 2004*101% and 200% of the federal poverty level


25.7

24.6

23.9

20.2

19.8

19.8

18.8

17.9

13.2

0 5 10 15 20 25 30 35 40

All

No High School Grad in Family

Mexican

Uninsured

Non-Citizen in Family

Below Poverty

Age 6 to 12

Non-English at Home

Near-Poor*

Percent Fair/Poor

Children in Fair or Poor Dental Health

Source: Healthier New Brunswick Community Survey, 2004*101% and 200% of the federal poverty level

11.0

8.1

5.0

0 5 10 15 20 25

All

Uninsured

Mexican

Percent Fair/Poor

Children in Fair or Poor Mental Health

Source: Healthier New Brunswick Community Survey, 2004


10.2

2.3

21.214.7

0

20

40

60

Asthma Other Serious Condition*

Perc

ent


Percent of Children Reported with Asthma Lower in New Brunswick than Urban NJ

Sources: Healthier New Brunswick Community Survey, 2004; New Jersey Family Health Survey, 2001*Not available for Urban NJ or New Jersey

14.8

14.5

10.2

0 5 10 15 20 25

All

African American

Near-Poor*

Percent with Asthma

Children with Asthma

Source: Healthier New Brunswick Community Survey, 2004Note: “Other” race/ethnicity not shown due to small sample size. *101% and 200% of the federal poverty level.


Child Health RiskChild Health Risk

• Weight and Fitness– Overweight more prevalent in New Brunswick– Many children do not get adequate physical activity

• Smoker in Household– More than 1 in 3 children – Sick kids more likely to live with smoker

• Household Lead Risk– Few children reported at risk, but many families are

unaware

See Tables 5 to 5B for additional data on health risks.

16.8 22.7 15.1

15.0 15.225.3

23.725.3

0

20

40

60

80

100

Boys - NB Boys - US* Girls - NB Girls - US*

Perc

ent

Overweight At-Risk of Overweight

Percent of Children Overweight and At-Risk for Overweight in New Brunswick is Higher than National AverageNational data based on examination, New Brunswick based on proxy report

Sources: Healthier New Brunswick Community Survey, 2004.; Children ages 2 to 18.*Hedley, AA, et al., JAMA., Vol. 291, No. 23, p. 2848, Table 2.; Children ages 6 to 19. NJ benchmark unavailable.


41.5

35.5

32.7

30.2

29.9

24.0

0 10 20 30 40 50

All

Non-English at Home

Hispanic/Latino

High School Grad orLess in Family

Poor or Near-Poor*

Under Age 12

Percent Overweight

Overweight Children

Source: Healthier New Brunswick Community Survey, 2004*Up to 200% of the federal poverty level

70.6

62.3

61.7

59.8

58.4

56.1

42.6

64.4

0 20 40 60 80 100

All


Mexican

Fair/Poor Dental Health

Non-English at Home


Uninsured

Below Poverty

Percent with Inadequate Activity

Children (age 5+) at Risk of Inadequate Physical Activity or Exercise (less than 60 minutes per day)



59.2

54.3

46.4

43.7

37.6

55.7

0 20 40 60 80

All

Fair/Poor MentalHealth

Fair/Poor GeneralHealth

African American

High School Grad inFamily*

Uninsured

Percent Living with Smoker

Children Living with a Smoker

Source: Healthier New Brunswick Community Survey, 2004*but no member with greater than HS education

No Risk Exposure

24.5%

Unknown39.3%

Pre-1960 Dwelling, No Peeling or

Chipping Paint29.4%

Previously lived in pre-1960

Dwelling3.1%

Pre-1960 Dwelling with

Peeling or Chipping Paint

3.6%

Children at Risk of Exposure to Household Lead Paint

Sources: Healthier New Brunswick Community Survey, 2004


Child Health Insurance CoverageChild Health Insurance Coverage

• New Brunswick children are at high risk for uninsurance (many low-income, Hispanic, and immigrant children)

• One in 6 children uninsured– Not higher than urban NJ, despite greater risk– Nearly half live with at least one uninsured family member

• Most at risk…– Mexican, immigrants in family, near-poor, teens, and low

parental education– Children in fair or poor health

See Tables 6 to 6B for additional coverage data.

17.3

41.5 41.2

19.4

40.5 40.2

10.720.7

68.7

0

20

40

60

80

100

Uninsured Public Coverage Private Coverage

Perc

ent


Health Coverage of Children in New Brunswick is Similar to Urban NJ Overall; 1 in 6 is Uninsured



27.8

27.1

26.3

26.2

24.2

21.8

17.3

0 10 20 30 40

All

Mexican


Near-Poor*

Age 13 to 18

Non-English at Home


Percent Uninsured

Uninsured Children

Source: Healthier New Brunswick Community Survey, 2004*Between 101% and 200% of the federal poverty level

37.6

31.4

21.5

17.3

0 10 20 30 40

All

Fair/Poor MentalHealth

Fair/Poor DentalHealth

Fair/Poor GeneralHealth

Percent Uninsured

Uninsured Children (continued)



Regular Source of CareRegular Source of Care

• A regular source of care, sometimes called a “medical home”, is important for access to and continuity of care

• New Brunswick health care institutions play a verylarge role in providing access

• Uninsured and near-poor children are two to three times more likely to lack a regular source of care

See Tables 7 to 7B for additional source of care data.

10.6 6.9

21.6 7.1

48.4

74.984.8

8.1 4.06.46.2 0.8

1.0 3.6

15.7

0%

20%

40%

60%

80%

100%


Perc

ent

Private DoctorHospital ClinicHealth CenterOther*None**

Few Children Lack a “Regular Place of Care”; Many in New Brunswick Rely on Hospitals and Health Centers

Sources: Healthier New Brunswick Community Survey, 2004; New Jersey Family Health Survey, 2001*Includes those stating they have a regular place but do not know what type of place it is. **Includes a small number reporting the emergency department as their regular place, or stating that they do not know whether they have a regular place.

Regular Place of Care


25.4

16.4

10.3

10.6

10.2

10.3

10.3

8.1

0 10 20 30 40

All

Uninsured

Near-Poor*


Mexican



Non-English at Home

Percent with No Usual Place of Care

Children Without a Regular Place of Care

Source: Healthier New Brunswick Community Survey, 2004Note: Includes a small number reporting the emergency department as their regular place or stating that they do not know whether they have a regular place. *Between 101% and 200% of the federal poverty level

25.438.0

21.6

19.248.4

18.3

50.4

8.1

3.25.1

6.2

2.331.9 6.215.7

0%

20%

40%

60%

80%

100%

All Children - NewBrunswick

UninsuredChildren - New

Brunswick

UninsuredChildren - Urban

NJ

Perc

ent Private Doctor

Hospital ClinicHealth CenterOther*None**

Uninsured Children in New Brunswick More Likely to Lack a “Regular Place of Care” or Rely on Hospitals and Clinics

Sources: Healthier New Brunswick Community Survey, 2004*Includes those stating they have a regular place but do not know what type of place it is. **Includes a small number reporting the emergency department as their regular place, or stating that they do not know whether they have a regular place.

Regular Place of Care


Access to CareAccess to Care

• Few children lack a regular place of care overall, but 1 in 4 uninsured kids lack a medical home

• New Brunswick hospitals & health centers provide much more access compared to other urban areas– Regular place of care for 50% of uninsured area children

• Failure to get needed care reported by few, but sick kids most often reported as lacking care

• Evidence of stressed capacity in New Brunswick’s “safety net”– Appointment and in-office waiting time problems

4.71.6 0.6

9.04.7

7.82.8 2.3

11.9

4.67.4

3.6 1.5

12.2

4.0

0

20

40

60

Prescription Dental Care Medical/SurgicalCare

Mental HealthCare

Any Type of Care

Perc

ent


Nearly 1 in 10 Reported Not Getting Needed Care for New Brunswick Children



30.2

21.5

20.5

20.3

18.5

14.3

9.0

0 10 20 30 40

All

Fair/Poor General Health


Uninsured

Fair/Poor Mental Health

Moderate Income**

Near-Poor*

Percent Reporting Not Getting Needed Care

Children with reported Not Getting Needed CareAny type of care

Source: Healthier New Brunswick Community Survey, 2004*101% and 200% of the federal poverty level; **201% to 350% of the federal poverty level

12.3 12.5 13.0 8.1 9.0

22.8 12.9 15.1 13.524.818.6

26.0

0

20

40

60

80

100

Wait fo

r App

t.

Hours

Availa

ble

Parking

Langu

age

Dayca

re*

Transp

ortatio

n

Perc

ent

Major Problem Minor Problem

Percent of Families Reporting Access Problems

Sources: Healthier New Brunswick Community Survey, 2004Note: Asked of one adult respondent per family. *Among respondents with young children.


11.6

40.9

7.4

41.1

13.3

58.0

20.524.1

0

20

40

60

80

100

Long Wait for Appointment Hours Available

Perc

ent "

Maj

or P

robl

em"

Doctor's Office Hospital Clinic Health Center None*

“Major Problem” Waiting for Appointment Most Often Reported by Health Center Users; Hours Less of a Problem

Sources: Healthier New Brunswick Community Survey, 2004Notes: Based on usual place of care of respondents in households with children. “Other Place” not shown due to small sample size. *Includes a small number reporting the emergency department as their “usual place”, or stating that they do not know whether they have a “usual place.”

31 - 60 min.27.3%

Over 1 hour21.4%

Up to 15 min.26.4%

16 - 30 min.24.9%

Percent of New Brunswick Residents with Long In-Office Waiting Times

Sources: Healthier New Brunswick Community Survey, 2004Note: Among respondents in households with children.


24.3 28.8 22.920.5

29.433.3

31.0

8.50

20

40

60

80

100

Doctor's Office Hospital Clinic Health Center None**

Usual Place of Care*

Perc

ent

Over 1 Hour 31 to 60 Minutes

Hospital and Health Center Users Report Long In-Office Waiting Times

Sources: Healthier New Brunswick Community Survey, 2004* “Other Place” not shown due to small sample size. **Includes a small number reporting the emergency department as their “usual place”, or stating that they do not know whether they have a “usual place.”

ConclusionsConclusions

Demographic Challenges– New Brunswick is rising to the challenge of diversity

Health Challenges– Over 1 in 10 children reported with dental problems – 1 in 10 reported with asthma– 1 in 3 children exposed to cigarette smoke at home– Many are overweight and engage in inadequate physical

activity


ConclusionsConclusions

Health Care Challenges– Despite higher risk for lacking health insurance, New Brunswick

children are covered at the same rate as those in other NJ urban areas

– Hospitals and health centers play much larger role in providing access

– Nevertheless, signs that New Brunswick ‘safety net’ capacity is under stress


Tables

Health and Health Care of New Brunswick’s Children 21



Tabl

e 1:

Dem

ogra

phic

Cha

ract

eris

tics

of C

hild

Res

iden

ts o

f New

Bru

nsw

ick,

Urb

an N

ew J

erse

y &

New

Jer

sey

Stat

e

Chi

ldre

n U

nder

Age

19

N%

N%

N%

Age U

nder

64,

517

42.7

148,

127

28.2

672,

031

30.1

6-

122,

908

27.5

229,

283

43.7

879,

726

39.4

13

-18

3,14

729

.814

7,58

528

.168

1,75

430

.5

Gen

der

Fe

mal

e4,

990

47.2

271,

071

51.6

1,03

6,08

546

.4

Mal

e5,

582

52.8

253,

923

48.4

1,19

7,42

553

.6

Rac

e/Et

hnic

ity

Whi

te (n

on-H

ispa

nic)

658

6.2

62,5

2111

.91,

283,

464

57.5

B

lack

(non

-His

pani

c)2,

602

24.6

188,

437

35.9

374,

016

16.8

H

ispa

nic

6,52

661

.725

1,92

448

.043

6,39

919

.5

All

othe

r78

67.

422

,112

4.2

139,

632

6.3

His

pani

c Su

b-G

roup

s

Pue

rto R

ican

761

7.2

99,3

6118

.914

0,85

06.

3

Mex

ican

3,22

730

.59,

002

1.7

34,8

811.

6

Cen

tral o

r Sou

th A

mer

ican

754

7.1

49,9

209.

586

,357

3.9

D

omin

ican

1,06

110

.021

,790

4.2

34,3

701.

5

Oth

er H

ispa

nic/

Latin

o72

46.

871

,852

13.7

139,

941

6.3

Sou

rces

: Hea

lthie

r New

Bru

nsw

ick

Com

mun

ity S

urve

y, 2

004;

the

New

Jer

sey

Fam

ily H

ealth

Sur

vey,

200

1†

Incl

udes

two

Som

erse

t Cen

sus

tract

s bo

rder

ing

New

Bru

nsw

ick

* U

rban

is d

efin

ed a

s ar

eas

with

pop

ulat

ions

> 2

5,00

0 an

d de

nsity

> 9

,000

peo

ple

per s

quar

e m

ileN

is th

e w

eigh

ted

num

ber o

f res

iden

ts

New

Bru

nsw

ick†

Urb

an N

ew J

erse

y*To

tal N

ew J

erse

y(N

=10,

572)

(N=5

24,9

95)

(N=2

,233

,511

)

Hea

lth

and

Hea

lth

Car

e of

New

Bru

nsw

ick'

s C

hild

ren

23

Tabl

e 2:

Imm

igra

tion

Stat

us o

f Chi

ld R

esid

ents

of N

ew B

runs

wic

k, U

rban

New

Jer

sey

& N

ew J

erse

y St

ate

C

hild

ren

Und

er A

ge 1

9

N%

N%

N%

Imm

igra

tion

Stat

us

US

Bor

n9,

332

88.3

474,

023

90.3

2,13

9,70

795

.8

Bor

n ou

tsid

e U

S

C

itize

n43

04.

113

,859

2.6

21,8

371.

0

N

on-C

itize

n81

07.

737

,113

7.1

71,3

953.

2

Chi

ldre

n liv

ing

with

N

on-U

S b

orn,

US

citi

zen

2,30

921

.810

3,13

519

.632

7,05

014

.6

Non

-US

citi

zen

4,34

741

.110

8,21

220

.626

7,96

412

.0

Lang

uage

spo

ken

at h

ome

E

nglis

h4,

659

44.4

373,

009

71.1

1,89

6,97

184

.9

Oth

er5,

834

55.6

151,

985

29.0

336,

540

15.1

Sou

rces

: Hea

lthie

r New

Bru

nsw

ick

Com

mun

ity S

urve

y, 2

004;

the

New

Jer

sey

Fam

ily H

ealth

Sur

vey,

200

1†

Incl

udes

two

Som

erse

t Cen

sus

tract

s bo

rder

ing

New

Bru

nsw

ick

* U

rban

is d

efin

ed a

s ar

eas

with

pop

ulat

ions

> 2

5,00

0 an

d de

nsity

> 9

,000

peo

ple

per s

quar

e m

ileN

is th

e w

eigh

ted

num

ber o

f res

iden

ts

New

Bru

nsw

ick†

Urb

an N

ew J

erse

y*To

tal N

ew J

erse

y(N

=10,

572)

(N=5

24,9

95)

(N=2

,233

,511

)

24R

utge

rs C

ente

r fo

r St

ate

Hea

lth

Pol

icy,

Apr

il 20

06

Tabl

e 3:

Soc

ioec

onom

ic S

tatu

s of

Chi

ld R

esid

ents

of N

ew B

runs

wic

k, U

rban

New

Jer

sey

& N

ew J

erse

y St

ate

C

hild

ren

Und

er A

ge 1

9

N%

N%

N%

Perc

ent o

f Fed

eral

Pov

erty

Lev

el

0% to

100

%3,

083

29.3

146,

975

28.0

304,

485

13.7

10

1% to

200

%3,

712

35.3

214,

249

40.8

578,

971

26.0

20

1% to

350

%1,

775

16.9

124,

182

23.7

685,

829

30.8

G

reat

er th

an 3

50%

1,

954

18.6

39,5

897.

565

5,53

029

.5

Hig

hest

edu

catio

n in

hou

seho

ld

Less

than

hig

h sc

hool

3,34

632

.276

,251

14.5

151,

986

6.9

H

igh

scho

ol3,

646

35.1

271,

700

51.8

680,

570

30.7

M

ore

than

hig

h sc

hool

3,41

032

.817

7,04

433

.71,

385,

833

62.5

Sou

rces

: Hea

lthie

r New

Bru

nsw

ick

Com

mun

ity S

urve

y, 2

004;

the

New

Jer

sey

Fam

ily H

ealth

Sur

vey,

200

1†

Incl

udes

two

Som

erse

t Cen

sus

tract

s bo

rder

ing

New

Bru

nsw

ick

* U

rban

is d

efin

ed a

s ar

eas

with

pop

ulat

ions

> 2

5,00

0 an

d de

nsity

> 9

,000

peo

ple

per s

quar

e m

ileN

is th

e w

eigh

ted

num

ber o

f res

iden

ts

(N=1

0,57

2)(N

=524

,995

)(N

=2,2

33,5

11)

New

Bru

nsw

ick†

Urb

an N

ew J

erse

y*To

tal N

ew J

erse

y

Hea

lth

and

Hea

lth

Car

e of

New

Bru

nsw

ick'

s C

hild

ren

25

Tabl

e 4:

Hea

lth S

tatu

s of

Chi

ld R

esid

ents

of N

ew B

runs

wic

k, U

rban

New

Jer

sey

& N

ew J

erse

y St

ate

C

hild

ren

Und

er A

ge 1

9

N%

N%

N%

Gen

eral

hea

lth s

tatu

s

Exc

elle

nt/V

ery

Goo

d5,

983

56.8

310,

335

59.2

1,63

7,07

973

.4

Goo

d3,

682

34.9

151,

538

28.9

474,

101

21.3

F

air/P

oor

873

8.3

62,1

2511

.811

9,45

05.

3

Den

tal h

ealth

sta

tus

E

xcel

lent

/Ver

y G

ood

4,92

847

.626

8,05

053

.11,

358,

382

63.2

G

ood

4,06

339

.214

2,22

628

.255

7,98

625

.9

Fai

r/Poo

r1,

369

12.3

94,9

9918

.823

4,34

310

.9

Men

tal h

ealth

sta

tus^

E

xcel

lent

/Ver

y G

ood

6,26

859

.9--

----

--

Goo

d3,

664

35.0

----

----

F

air/P

oor

525

5.1

----

----

Chr

onic

con

ditio

ns

Ast

hma

1,07

310

.211

1,29

821

.232

7,53

614

.7

Oth

er s

erio

us c

ondi

tion^

254

2.4

----

----

Sou

rces

: Hea

lthie

r New

Bru

nsw

ick

Com

mun

ity S

urve

y, 2

004;

the

New

Jer

sey

Fam

ily H

ealth

Sur

vey,

200

1†

Incl

udes

two

Som

erse

t Cen

sus

tract

s bo

rder

ing

New

Bru

nsw

ick

* U

rban

is d

efin

ed a

s ar

eas

with

pop

ulat

ions

> 2

5,00

0 an

d de

nsity

> 9

,000

peo

ple

per s

quar

e m

ile^

Not

ask

ed o

n th

e N

ew J

erse

y Fa

mily

Hea

lth S

urve

yN

is th

e w

eigh

ted

num

ber o

f res

iden

ts

New

Bru

nsw

ick†

Urb

an N

ew J

erse

y*To

tal N

ew J

erse

y(N

=10,

572)

(N=5

24,9

95)

(N=2

,233

,511

)

26R

utge

rs C

ente

r fo

r St

ate

Hea

lth

Pol

icy,

Apr

il 20

06

Tabl

e 4A

: Hea

lth S

tatu

s of

Chi

ld R

esid

ents

of N

ew B

runs

wic

k† by

Sele

cted

Dem

ogra

phic

Cha

ract

eris

tics

C

hild

ren

Und

er A

ge 1

9

% w

ithN

Gen

eral

Den

tal

Men

tal

Ast

hma

Age U

nder

64,

517

7.2

9.8

2.8

8.6

6-

122,

908

9.0

19.8

5.9

12.1

13

-18

3,14

79.

211

.87.

410

.6

Gen

der

Fe

mal

e4,

990

8.2

13.1

5.3

7.9

M

ale

5,58

28.

413

.34.

812

.2

Rac

e/Et

hnic

ity

Whi

te (n

on-H

ispa

nic)

658

9.8

5.2

5.2

5.0

B

lack

(non

-His

pani

c)2,

602

5.4

3.5

3.7

14.9

M

exic

an3,

227

12.6

24.3

8.1

7.1

O

ther

His

pani

c/La

tino

3,29

97.

111

.74.

28.

2

All

othe

r (no

n-H

ispa

nic)

786

3.9

13.0

0.0

19.8

Imm

igra

tion

Stat

us

US

Bor

n9,

332

8.5

12.0

4.6

11.2

B

orn

outs

ide

US

Citi

zen

430

0.0

14.8

3.8

7.6

Non

-Citi

zen

810

10.9

26.1

10.9

0.0

Chi

ldre

n liv

ing

with

N

on-U

S b

orn,

US

citi

zen

2,30

96.

39.

45.

45.

6

Non

-US

citi

zen

4,34

79.

620

.25.

28.

5

Lang

uage

spo

ken

at h

ome

E

nglis

h4,

659

7.8

6.3

4.1

14.1

O

ther

5,83

48.

818

.95.

97.

2

Sou

rce:

Hea

lthie

r New

Bru

nsw

ick

Com

mun

ity S

urve

y, 2

004

† In

clud

es tw

o S

omer

set C

ensu

s tra

cts

bord

erin

g N

ew B

runs

wic

kN

is th

e w

eigh

ted

num

ber o

f res

iden

ts

% w

ith F

air o

r Poo

r Hea

lth S

tatu

s

Hea

lth

and

Hea

lth

Car

e of

New

Bru

nsw

ick'

s C

hild

ren

27

Tabl

e 4B

: Hea

lth S

tatu

s of

Chi

ld R

esid

ents

of N

ew B

runs

wic

k† by

Sele

cted

Soc

ioec

onom

ic a

nd H

ealth

Cha

ract

eris

tics

C

hild

ren

Und

er A

ge 1

9

% w

ithN

Gen

eral

Den

tal

Men

tal

Ast

hma

Perc

ent o

f Fed

eral

Pov

erty

Lev

el

0% to

100

%3,

083

5.0

19.8

5.7

6.7

10

1% to

200

%3,

712

15.4

17.9

7.4

14.5

20

1% to

350

%1,

775

5.5

5.4

1.8

4.6

G

reat

er th

an 3

50%

1,

954

2.6

0.9

2.6

12.7

Hig

hest

edu

catio

n in

hou

seho

ld

Less

than

hig

h sc

hool

3,34

610

.125

.77.

18.

2

Hig

h sc

hool

3,64

69.

28.

04.

511

.5

Mor

e th

an h

igh

scho

ol3,

410

6.0

6.7

3.4

11.1

Hea

lth in

sura

nce

cove

rage

P

rivat

e4,

264

6.1

5.5

2.6

10.2

P

ublic

4,29

79.

416

.85.

112

.4

Uni

nsur

ed1,

796

10.1

23.9

11.0

6.0

Fair/

Poor

Hea

lth S

tatu

s

Gen

eral

hea

lth87

3--

42.6

42.1

32.2

D

enta

l hea

lth1,

369

26.1

--27

.016

.3

Men

tal h

ealth

526

67.2

70.3

--20

.8

Sou

rce:

Hea

lthie

r New

Bru

nsw

ick

Com

mun

ity S

urve

y, 2

004

† In

clud

es tw

o S

omer

set C

ensu

s tra

cts

bord

erin

g N

ew B

runs

wic

kN

is th

e w

eigh

ted

num

ber o

f res

iden

ts

% w

ith F

air o

r Poo

r Hea

lth S

tatu

s

28R

utge

rs C

ente

r fo

r St

ate

Hea

lth

Pol

icy,

Apr

il 20

06

Tabl

e 5:

Hea

lth R

isk

Indi

cato

rs fo

r Chi

ld R

esid

ents

of N

ew B

runs

wic

k†

C

hild

ren

Und

er A

ge 1

9

N%

N%

N%

Wei

ght S

tatu

s*¹

U

nder

wei

ght

140

5.1

826.

058

4.1

N

orm

al1,

285

46.5

588

43.4

697

49.5

A

t ris

k fo

r Ove

rwei

ght

677

24.5

343

25.3

334

23.7

O

verw

eigh

t66

224

.034

325

.331

922

.7

Inad

equa

te P

hysi

cal A

ctiv

ity o

r Exe

rcis

e**

2,12

942

.6--

----

--

Live

s w

ith S

mok

er3,

974

37.6

----

----

Hou

seho

ld L

ead

Pain

t

Cur

rent

ly li

ves

in a

t-ris

k dw

ellin

g^37

63.

6--

----

--

Pre

viou

sly

lived

in a

t-ris

k dw

ellin

g, b

ut d

oes

not c

urre

ntly

^32

73.

1--

----

--

Cur

rent

ly li

ves

in p

re-1

960

dwel

ling

with

out p

aint

pro

blem

3,16

229

.4--

----

--

Unk

now

n ex

posu

re4,

132

39.3

----

----

N

o ris

k ex

posu

re2,

576

24.5

----

----

Sou

rce:

Hea

lthie

r New

Bru

nsw

ick

Com

mun

ity S

urve

y, 2

004

† In

clud

es tw

o S

omer

set C

ensu

s tra

cts

bord

erin

g N

ew B

runs

wic

k*

Bas

ed o

n pe

rcen

tile

of B

ody

Mas

s In

dex

amon

g ch

ildre

n ag

es 2

to 1

8 by

age

ben

chm

ark

¹ See

http

://w

ww

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.gov

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dphp

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a/bm

i/chi

ldre

ns_B

MI/a

bout

_chi

ldre

ns_B

MI.h

tm fo

r ref

eren

ce**

Les

s th

an 6

0 m

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er d

ay a

mon

g ch

ildre

n ag

es 5

to 1

8^

At r

isk

= P

re-1

960

dwel

ling

with

pee

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king

pai

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sam

ple

size

insu

ffici

ent

N is

the

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mbe

r of r

esid

ents

Fem

ale

Tota

lM

ale

Hea

lth

and

Hea

lth

Car

e of

New

Bru

nsw

ick'

s C

hild

ren

29

Tabl

e 5A

: Hea

lth S

tatu

s of

Chi

ld R

esid

ents

of N

ew B

runs

wic

k† by

Sele

cted

Dem

ogra

phic

Cha

ract

eris

tics

C

hild

ren

Und

er A

ge 1

9

%%

%%

Inad

equa

teLi

ve W

ithLe

adN

Ove

rwei

ght

Act

ivity

Smok

erR

isk*

Age U

nder

64,

517

22.0

--36

.513

.8

6-12

2,90

830

.353

.039

.817

.0

13-1

83,

147

16.8

57.0

37.2

15.2

Gen

der

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mal

e4,

990

22.7

57.6

36.1

14.7

M

ale

5,58

225

.354

.138

.915

.4R

ace/

Ethn

icity

W

hite

(non

-His

pani

c)65

88.

842

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.818

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Bla

ck (n

on-H

ispa

nic)

2,60

212

.329

.854

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Mex

ican

3,22

737

.278

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Oth

er H

ispa

nic/

Latin

o3,

299

34.7

63.9

30.6

10.4

A

ll ot

her (

non-

His

pani

c)78

619

.618

.129

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mig

ratio

n St

atus

U

S B

orn

9,33

224

.756

.340

.016

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Bor

n ou

tsid

e U

S

C

itize

n43

029

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.0

N

on-C

itize

n81

013

.546

.416

.80.

0

Chi

ldre

n liv

ing

with

N

on-U

S b

orn,

US

citi

zen

2,30

936

.670

.218

.214

.0

Non

-US

citi

zen

4,34

740

.973

.531

.215

.1

Lang

uage

spo

ken

at h

ome

E

nglis

h4,

659

14.3

31.3

47.7

17.1

O

ther

5,83

441

.576

.929

.813

.7

Sou

rce:

Hea

lthie

r New

Bru

nsw

ick

Com

mun

ity S

urve

y, 2

004

† In

clud

es tw

o S

omer

set C

ensu

s tra

cts

bord

erin

g N

ew B

runs

wic

k*

Incl

udes

cas

es w

here

risk

exp

osur

e is

unk

now

nN

is th

e w

eigh

ted

num

ber o

f res

iden

ts

30R

utge

rs C

ente

r fo

r St

ate

Hea

lth

Pol

icy,

Apr

il 20

06

Tabl

e 5B

: Hea

lth S

tatu

s of

Chi

ld R

esid

ents

of N

ew B

runs

wic

k† by

Sele

cted

Soc

ioec

onom

ic a

nd H

ealth

Cha

ract

eris

tics

C

hild

ren

Und

er A

ge 1

9

%%

%%

Inad

equa

teLi

ve W

ithLe

adN

Ove

rwei

ght

Act

ivity

Smok

erR

isk*

Perc

ent o

f Fed

eral

Pov

erty

Lev

el

0% to

100

%3,

083

29.3

65.4

31.4

9.8

10

1% to

200

%3,

712

30.7

57.6

41.2

19.4

20

1% to

350

%1,

775

24.4

50.4

34.5

23.2

G

reat

er th

an 3

50%

1,

954

9.8

39.6

44.3

8.2

Hig

hest

edu

catio

n in

hou

seho

ld

Less

than

hig

h sc

hool

3,34

655

.386

.627

.218

.2

Hig

h sc

hool

3,64

622

.035

.246

.412

.9

Mor

e th

an h

igh

scho

ol3,

410

12.9

48.4

39.7

15.1

Hea

lth in

sura

nce

cove

rage

P

rivat

e4,

264

28.0

64.6

33.9

10.3

P

ublic

4,29

731

.060

.337

.321

.5

Uni

nsur

ed1,

796

18.8

49.0

43.7

11.4

Fair/

Poor

Hea

lth S

tatu

s

Gen

eral

hea

lth87

315

.849

.855

.721

.9

Den

tal h

ealth

1,36

934

.474

.741

.720

.7

Men

tal h

ealth

526

21.6

45.8

59.2

17.5

Sou

rce:

Hea

lthie

r New

Bru

nsw

ick

Com

mun

ity S

urve

y, 2

004

† In

clud

es tw

o S

omer

set C

ensu

s tra

cts

bord

erin

g N

ew B

runs

wic

k*

Incl

udes

cas

es w

here

risk

exp

osur

e is

unk

now

nN

is th

e w

eigh

ted

num

ber o

f res

iden

ts

Hea

lth

and

Hea

lth

Car

e of

New

Bru

nsw

ick'

s C

hild

ren

31

Tabl

e 6:

Hea

lth In

sura

nce

Stat

us fo

r Chi

ld R

esid

ents

of N

ew B

runs

wic

k, U

rban

New

Jer

sey

& N

ew J

erse

y St

ate

C

hild

ren

Und

er A

ge 1

9

N%

N%

N%

Hea

lth in

sura

nce

cove

rage

P

rivat

e^4,

264

41.2

209,

490

40.2

1,51

9,25

068

.7

Pub

lic^^

4,29

641

.521

1,04

240

.545

6,51

420

.7

Uni

nsur

ed1,

796

17.3

100,

879

19.4

237,

722

10.7

Chi

ldre

n liv

ing

with

one

or m

ore

5,07

648

.024

2,27

546

.254

4,58

324

.4un

insu

red

adul

ts

Sou

rces

: Hea

lthie

r New

Bru

nsw

ick

Com

mun

ity S

urve

y, 2

004;

the

New

Jer

sey

Fam

ily H

ealth

Sur

vey,

200

1†

Incl

udes

two

Som

erse

t Cen

sus

tract

s bo

rder

ing

New

Bru

nsw

ick

* U

rban

is d

efin

ed a

s ar

eas

with

pop

ulat

ions

> 2

5,00

0 an

d de

nsity

> 9

,000

peo

ple

per s

quar

e m

ile^

Em

ploy

er-s

pons

ored

and

oth

er p

rivat

e^^

Mos

tly M

edic

aid

and

NJ

Fam

ilyC

are

N is

the

wei

ghte

d nu

mbe

r of r

esid

ents

New

Bru

nsw

ick†

Urb

an N

ew J

erse

y*To

tal N

ew J

erse

y(N

=10,

572)

(N=5

24,9

95)

(N=2

,233

,511

)

32R

utge

rs C

ente

r fo

r St

ate

Hea

lth

Pol

icy,

Apr

il 20

06

Tabl

e 6A

: Uni

nsur

ed C

hild

Res

iden

ts o

f New

Bru

nsw

ick† b

y Se

lect

ed D

emog

raph

ic C

hara

cter

istic

s

Chi

ldre

n U

nder

Age

19

%N

Uni

nsur

edA

ge Und

er 6

4,45

712

.2

6-12

2,87

716

.0

13-1

83,

023

26.2

Gen

der

Fe

mal

e4,

872

18.6

M

ale

5,48

516

.3R

ace/

Ethn

icity

W

hite

(non

-His

pani

c)60

90.

0

Bla

ck (n

on-H

ispa

nic)

2,52

512

.8

Mex

ican

3,21

227

.8

Oth

er H

ispa

nic/

Latin

o3,

224

17.0

A

ll ot

her (

non-

His

pani

c)78

64.

3Im

mig

ratio

n St

atus

U

S B

orn

9,33

212

.6

Bor

n ou

tsid

e U

S

C

itize

n43

020

.8

N

on-C

itize

n81

068

.3

Chi

ldre

n liv

ing

with

N

on-U

S b

orn,

US

citi

zen

2,30

914

.8

Non

-US

citi

zen

4,30

227

.1

Lang

uage

spo

ken

at h

ome

E

nglis

h4,

519

8.9

O

ther

5,75

924

.2

Sou

rce:

Hea

lthie

r New

Bru

nsw

ick

Com

mun

ity S

urve

y, 2

004

† In

clud

es tw

o S

omer

set C

ensu

s tra

cts

bord

erin

g N

ew B

runs

wic

k*

Incl

udes

cas

es w

here

risk

exp

osur

e is

unk

now

nN

is th

e w

eigh

ted

num

ber o

f res

iden

ts

Hea

lth

and

Hea

lth

Car

e of

New

Bru

nsw

ick'

s C

hild

ren

33

C

hild

ren

Und

er A

ge 1

9

%N

Uni

nsur

edPe

rcen

t of F

eder

al P

over

ty L

evel

0%

to 1

00%

3,05

320

.4

101%

to 2

00%

3,63

726

.3

201%

to 3

50%

1,75

88.

7

Gre

ater

than

350

%

1,86

03.

3

Hig

hest

edu

catio

n in

hou

seho

ld

Less

than

hig

h sc

hool

3,31

521

.8

Hig

h sc

hool

3,46

221

.2

Mor

e th

an h

igh

scho

ol3,

410

6.9

Fair/

Poor

Hea

lth S

tatu

s

Gen

eral

hea

lth84

321

.5

Den

tal h

ealth

1,36

931

.4

Men

tal h

ealth

526

37.6

Sou

rce:

Hea

lthie

r New

Bru

nsw

ick

Com

mun

ity S

urve

y, 2

004

† In

clud

es tw

o S

omer

set C

ensu

s tra

cts

bord

erin

g N

ew B

runs

wic

k*

Incl

udes

cas

es w

here

risk

exp

osur

e is

unk

now

nN

is th

e w

eigh

ted

num

ber o

f res

iden

ts

Tabl

e 6B

: Uni

nsur

ed C

hild

Res

iden

ts o

f New

Bru

nsw

ick† b

y Se

lect

ed S

ocio

econ

omic

and

Hea

lth C

hara

cter

istic

s

34R

utge

rs C

ente

r fo

r St

ate

Hea

lth

Pol

icy,

Apr

il 20

06

Tabl

e 7:

Acc

ess

to C

are

of C

hild

Res

iden

ts o

f New

Bru

nsw

ick,

Urb

an N

ew J

erse

y &

New

Jer

sey

Stat

e

Chi

ldre

n U

nder

Age

19

N%

N%

N%

Reg

ular

pla

ce o

f car

e

Priv

ate

Doc

tor

5,12

048

.439

3,42

574

.91,

893,

872

84.8

H

ospi

tal /

Clin

ic1,

655

15.7

37,2

857.

179

,166

3.6

H

ealth

Cen

ter

2,28

821

.65,

398

1.0

17,3

530.

8

Oth

er65

06.

233

,463

6.4

89,2

254.

0

Non

e^86

08.

155

,424

10.6

152,

938

6.9

Diff

icul

ty g

ettin

g

Pre

scrip

tion

drug

s38

63.

723

,145

4.4

82,1

173.

7

Den

tal

499

4.7

41,1

597.

816

5,87

37.

4

Med

ical

or s

urgi

cal c

are

170

1.6

14,6

152.

880

,844

3.6

M

enta

l hea

lth c

are

590.

611

,979

2.3

33,4

991.

5

D

iffic

ulty

get

ting

any

of th

e ab

ove

954

9.0

62,6

4511

.927

2,53

112

.2

Sou

rces

: Hea

lthie

r New

Bru

nsw

ick

Com

mun

ity S

urve

y, 2

004;

the

New

Jer

sey

Fam

ily H

ealth

Sur

vey,

200

1†

Incl

udes

two

Som

erse

t Cen

sus

tract

s bo

rder

ing

New

Bru

nsw

ick

* U

rban

is d

efin

ed a

s ar

eas

with

pop

ulat

ions

> 2

5,00

0 an

d de

nsity

> 9

,000

peo

ple

per s

quar

e m

ile^

Incl

udes

em

erge

ncy

depa

rtmen

tN

is th

e w

eigh

ted

num

ber o

f res

iden

ts

New

Bru

nsw

ick†

Urb

an N

ew J

erse

y*To

tal N

ew J

erse

y

Hea

lth

and

Hea

lth

Car

e of

New

Bru

nsw

ick'

s C

hild

ren

35

C

hild

ren

Und

er A

ge 1

9

Usu

al S

ourc

e fo

r Car

e%

%%

%H

ospi

tal

Hea

lth%

Any

Acc

ess

NPr

ivat

e/O

ther

Clin

icC

ente

rN

one*

Diff

culty

Age U

nder

64,

517

45.4

19.2

27.6

7.8

5.9

6-

122,

908

57.3

16.0

19.2

7.5

11.1

13

-18

3,14

765

.310

.315

.39.

211

.6G

ende

r

Fem

ale

4,99

056

.014

.221

.87.

910

.1

Mal

e5,

582

53.2

17.0

21.5

8.3

7.8

Rac

e/Et

hnic

ity

Whi

te (n

on-H

ispa

nic)

658

78.7

4.7

9.5

7.1

12.2

B

lack

(non

-His

pani

c)2,

602

66.3

9.6

16.0

8.2

8.9

M

exic

an4,

265

32.3

26.6

30.5

10.6

5.0

O

ther

His

pani

c/La

tino

3,29

955

.815

.620

.77.

912

.7

All

othe

r (no

n-H

ispa

nic)

786

81.8

0.0

18.2

0.0

7.9

Imm

igra

tion

Stat

us

US

Bor

n9,

332

55.8

15.6

21.4

7.2

8.3

B

orn

outs

ide

US

Citi

zen

430

46.4

21.8

17.2

14.6

17.6

Non

-Citi

zen

810

45.0

13.0

26.7

15.3

13.1

Chi

ldre

n liv

ing

with

N

on-U

S b

orn,

US

citi

zen

2,30

972

.814

.17.

75.

59.

5

Non

-US

citi

zen

4,34

739

.420

.129

.910

.78.

4

Lang

uage

spo

ken

at h

ome

E

nglis

h4,

659

72.1

6.7

15.7

5.6

11.4

O

ther

5,83

440

.023

.026

.710

.37.

2

Sou

rce:

Hea

lthie

r New

Bru

nsw

ick

Com

mun

ity S

urve

y, 2

004

† In

clud

es tw

o S

omer

set C

ensu

s tra

cts

bord

erin

g N

ew B

runs

wic

k*

Incl

udes

em

erge

ncy

depa

rtmen

tN

is th

e w

eigh

ted

num

ber o

f res

iden

ts

Tabl

e 7A

: Usu

al S

ourc

e fo

r Car

e an

d A

cces

s D

iffic

ulty

for C

hild

Res

iden

ts o

f New

Bru

nsw

ick† b

y Se

lect

ed D

emog

raph

ic C

hara

cter

istic

s

36R

utge

rs C

ente

r fo

r St

ate

Hea

lth

Pol

icy,

Apr

il 20

06

C

hild

ren

Und

er A

ge 1

9

Usu

al S

ourc

e fo

r Car

e%

%%

%H

ospi

tal

Hea

lth%

Any

Acc

ess

NPr

ivat

e/O

ther

Clin

icC

ente

rN

one*

Diff

culty

Perc

ent o

f Fed

eral

Pov

erty

Lev

el

0% to

100

%3,

083

35.8

20.5

38.5

5.2

2.5

10

1% to

200

%3,

712

38.5

23.3

21.8

16.4

14.3

20

1% to

350

%1,

775

80.8

7.2

12.0

0.0

18.5

G

reat

er th

an 3

50%

1,

954

89.8

1.5

4.0

4.7

0.8

Hig

hest

edu

catio

n in

hou

seho

ld

Less

than

hig

h sc

hool

3,34

633

.425

.331

.110

.26.

7

Hig

h sc

hool

3,64

652

.518

.619

.99.

09.

4

Mor

e th

an h

igh

scho

ol3,

410

78.4

3.8

13.2

4.6

11.3

Hea

lth in

sura

nce

cove

rage

P

rivat

e4,

265

86.6

5.5

5.4

2.5

7.1

P

ublic

4,29

735

.923

.734

.26.

26.

6

Uni

nsur

ed1,

796

23.4

19.2

31.9

25.4

20.5

Fair/

Poor

Hea

lth S

tatu

s

Gen

eral

hea

lth87

343

.026

.821

.39.

030

.2

Den

tal h

ealth

1,36

941

.815

.132

.810

.321

.5

Men

tal h

ealth

526

47.4

17.3

26.1

9.2

20.3

Sou

rce:

Hea

lthie

r New

Bru

nsw

ick

Com

mun

ity S

urve

y, 2

004

† In

clud

es tw

o S

omer

set C

ensu

s tra

cts

bord

erin

g N

ew B

runs

wic

k*

Incl

udes

em

erge

ncy

depa

rtmen

tN

is th

e w

eigh

ted

num

ber o

f res

iden

ts

Tabl

e 7B

: Usu

al S

ourc

e fo

r Car

e an

d A

cces

s D

iffic

ulty

for C

hild

Res

iden

ts o

f New

Bru

nsw

ick† b

y Se

lect

ed S

ocio

econ

omic

and

Hea

lth

Cha

ract

eris

tics

Hea

lth

and

Hea

lth

Car

e of

New

Bru

nsw

ick'

s C

hild

ren

37

Tabl

e 8:

Acc

ess

Bar

riers

Rep

orte

d by

Hou

seho

lds

with

Chi

ld R

esid

ents

of N

ew B

runs

wic

k†

A

dult

Res

pond

ers

Age

s 19

+

N%

N%

N%

Prob

lem

s T

rans

porta

tion

856

10.5

1,26

815

.56,

050

74.0

Day

care

*47

67.

991

415

.24,

616

76.9

Fin

ding

par

king

1,35

616

.91,

472

18.4

5,18

264

.7 L

angu

age

1,51

218

.41,

122

13.6

5,60

868

.0 H

ours

ava

ilabl

e1,

088

13.3

1,99

524

.35,

124

62.4

Wai

t for

app

oint

men

t2,

485

30.2

2,27

127

.63,

463

42.1

N%

Wai

t in

offic

e

Up

to 1

5 m

inut

es2,

114

26.4

1

6 - 3

0 m

inut

es1,

997

24.9

3

1 - 6

0 m

inut

es2,

188

27.3

O

ver 6

0 m

inut

es1,

716

21.4

Sou

rce:

Hea

lthie

r New

Bru

nsw

ick

Com

mun

ity S

urve

y, 2

004

† In

clud

es tw

o S

omer

set C

ensu

s tra

cts

bord

erin

g N

ew B

runs

wic

k*A

mon

g ho

useh

olds

with

a c

hild

und

er a

ge 1

2N

is th

e w

eigh

ted

num

ber o

f res

iden

ts

Maj

or P

robl

emM

inor

Pro

blem

Not

a P

robl

em

38R

utge

rs C

ente

r fo

r St

ate

Hea

lth

Pol

icy,

Apr

il 20

06

Tabl

e 8A

: Acc

ess

Bar

riers

Rep

orte

d by

Hou

seho

lds

with

Chi

ld R

esid

ents

of N

ew B

runs

wic

k† by

Chi

ldre

ns' U

sual

Sou

rce

of C

are

Usu

al S

ourc

e of

Car

e%

%%

Hos

pita

lH

ealth

%Pr

ivat

e/O

ther

Clin

icC

ente

rN

one^

Rep

ortin

g M

ajor

Pro

blem

with

… T

rans

porta

tion

8.0

18.4

5.6

21.6

Day

care

*4.

715

.77.

411

.7 F

indi

ng p

arki

ng15

.612

.721

.740

.8 L

angu

age

8.8

30.0

29.9

38.0

Hou

rs a

vaila

ble

11.6

7.4

13.3

20.5

Wai

t for

app

oint

men

t24

.140

.941

.158

.0

In-O

ffice

Wai

t Tim

e

31 to

60

min

utes

22.6

23.6

31.9

41.6

O

ver 6

0 m

inut

es14

.043

.838

.434

.7

Sou

rce:

Hea

lthie

r New

Bru

nsw

ick

Com

mun

ity S

urve

y, 2

004

† In

clud

es tw

o S

omer

set C

ensu

s tra

cts

bord

erin

g N

ew B

runs

wic

k^

Incl

udes

em

erge

ncy

depa

rtmen

t*A

mon

g ho

useh

olds

with

a c

hild

und

er a

ge 1

2

Hea

lth

and

Hea

lth

Car

e of

New

Bru

nsw

ick'

s C

hild

ren

39

Documents

Health and Health Care of New Brunswick's Childrendescent, those living in families where adults have low educational attainment, and uninsured children are at the greatest risk for