Chronic Priority Presentation

SCHENECTADY PREVENTION

AGENDA PRIORITIZATION

WORKGROUP

February, 2016

PREVENT CHRONIC

DISEASES

ASTHMA IN

SCHENECTADY

The Effect of Asthma on the Population

Schenectady Capital Region

Current Number of Adults

with Asthma (2013-14)13,000 85,800

Number of ED Visits per year

(2013)1,081 4,901

Number of Hospitalizations

per year (2013)122 785

Number of Deaths per year

(2011-2013)2.33 9.33

Asthma Indicators and Significance Compared to

New York State (excl. NYC)

Schenectady Capital Region Upstate

Age-adjusted percentage of

adults with current asthma (2013-14)

10.0 Lower 11.7% Higher 10.5%

Asthma ED Visits/10,000 (2013) 69.9Sig.

higher51.2 Higher 47.6

Asthma ED Visits ages 0-4/

10,000 (2013)140.6

Sig.

higher139.4

Sig.

higher115.2

Asthma Hospitalizations/

10,000 (2011-2013)9.0 Lower 9.1 Lower 10.9

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Schenectady 13.5 16.1 14.0 11.6 12.9 12.3 10.4 10.5 8.9 7.5

NYS, excl. NYC 12.3 12.4 12.4 11.4 12.0 13.4 11.5 11.5 11.1 10.1

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

Rate

per

10,0

00

Age-adjusted Asthma Hospitalization Rate per 10,000, NYS, excl. NYC, and Schenectady County, 2004-2013

Schenectady NYS, excl. NYC

2005 2006 2007 2008 2009 2010 2011 2012 2013

Schenectady 77.3 72.5 67.1 73.3 79.9 72.9 81.5 80.4 74.8

NYS, excl. NYC 52.8 53.4 52.4 53.0 57.4 52.4 53.6 52.6 51.1

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

Rate

per

10,0

00

Age-adjusted Asthma ED Visit Rate per 10,000, NYS, excl. NYC, and Schenectady County, 2005-2013


EQUITY

Asthma Hospitalizations and ED Visits per 10,000 by Age,

2011-2013

Hospitalizations Schenectady Capital Region Upstate

0-17 years 11.9 11.4 14.1

18-64 years 8.4 7.5 8.4

65+ years 8.8 12.7 17.7

ED Visits

0-17 years 100.9 78.1 75.7

18-64 years 77.2 47.4 46.9

65+ years 14.7 14.2 19.0

Asthma Hospitalizations and ED Visits (Adjusted) per 10,000

by Gender, 2011-2013

Hospitalizations Schenectady Capital Region

Male 7.5 6.8

Female 10.2 10.3

ED Visits

Male 71.1 42.6

Female 82.5 46.3

Asthma Hospitalizations (Adjusted) per 10,000 by

Race/Ethnicity, 2011-2013

Schenectady Upstate

White non-Hispanic 6.4 7.6

Black non-Hispanic 22.3 27.3

Hispanic 8.8 17.6

Top Neighborhood Rates

Asthma ED Visits*

• Schenectady County (69.6)

• Hamilton Hill- 293.0

• Goose Hill/Union- 127.1

• Stockade- 117.4

• Upstate- 47.6

Asthma Hospitalizations*




• Upper State St.- 11.9

• Upstate- 10.9

*per 10,000 population

Asthma Summary

• Schenectady County annually has:

• 13,000 asthmatics

• 1,081 ED Visits

• 122 hospitalizations

• 2 deaths

Asthma Summary

• Schenectady had sig. higher asthma ED visits, but lower asthma hospitalization rates than ROS;

• Schenectady fell into the 4th risk quartile for Asthma ED visits, and 3rd quartile for hospitalizations compared to NYS counties;

• In the past decade, Schenectady showed decreasing trends in asthma hospitalizations, but an increasing trend since 2007 for asthma ED Visit rates;

• The Schenectady BNH population had 3.5 times higher asthma hospitalization rates compared to the WNH population;

• High risk neighborhoods were 2.5 to 6 times higher than the ROS rates for both ED visits and 1.5 to 2 times higher for hospitalizations.

RESPIRATORY DISEASE

IN SCHENECTADY

The Effect of Respiratory Disease on the Population


Number of Current Smokers (2013-14) 22,700 141,000

Number of COPD/CLRD ED Visits per

year (2013)1,889 6,390

Number of COPD/CLRD

Hospitalizations per year (2013)522 2,922

Number of COPD/CLRD Deaths per

year (2013)78 477

Number of Lung Cancer cases per

year (2012)134 902

Number of Lung Cancer deaths per

year (2012)86 582

Respiratory Disease Indicators and Significance Compared

to New York State (excl. NYC)


Adjusted % Cigarette Smoking

among Adults (2013-14)20.3 Higher 19.7 Higher 18.0

Adjusted Lung Cancer

Incidence/ 100,000 (2010-2012)

68.5 Similar 73.5 Higher 68.6

Adjusted Lung Cancer

Mortality/100,000 (2010-2012)

46.4 Similar 52.9Sig.

higher 46.1

Adjusted COPD/CLRD ED

visits/10,000134.7

Sig.

higher67.7 Lower 73.3

Adjusted COPD/CLRD

Hospitalizations/10,000 (2011-2013)

26.9 Lower 27.6 Lower 28.6

Adjusted COPD/CLRD

Mortality/100,000 (2011-2013)

42.7Sig.

higher41.5

Sig.

higher36.8

Adjusted Percent of Adults Who are Current Smokers for

New York State (excl. NYC), Capital Region, Schenectady

County; 2003, 2008-2009, 2013-14

2003 2008-09 2013-14

Schenectady 22.8 17.0 20.3

Capital Region NA NA 19.7

Upstate 22.1 18.9 18.0

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Schenectady 82.9 61.2 79.2 66.2 80.0 81.6 80.9 62.5 73.1 69.0

NYS, excl. NYC 73.0 72.5 72.2 73.5 72.1 73.3 71.4 69.5 69.0 67.2

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

Rate

per

100,0

00

Age-adjusted Cancer Incidence Rate per 100,000, NYS, excl. NYC, and Schenectady County, 2003-2012


2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Schenectady 41.4 46.5 42.2 35.5 32.2 29.5 30.2 26.9 26.1 27.6

NYS, excl. NYC 28.9 30.0 29.7 28.2 31.4 33.3 30.6 30.7 28.8 26.4

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

45.0

50.0

Rate

per

10,0

00

Age-adjusted Chronic Lower Respiratory Disease (CLRD) Hospitalization Rate per 10,000, NYS, excl. NYC, and Schenectady, 2004-2013


2005 2006 2007 2008 2009 2010 2011 2012 2013

Schenectady 120.9 109.6 98.2 108.2 122.2 119.3 143.4 139.2 123.5

NYS, excl. NYC 69.9 68.8 67.9 69.8 75.3 69.3 73.8 74.9 71.4

0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

160.0

Rate

per

10,0

00

Age-adjusted CLRD ED Visit Rate per 10,000, NYS, excl. NYC, and Schenectady County, 2005-2013


2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Schenectady 41.8 39.4 37.6 45.6 49.4 47.9 41.2 40.2 49.0 38.8

NYS, excl. NYC 40.0 40.7 38.0 39.4 39.8 38.6 37.2 37.1 37.7 35.6

0.0

10.0

20.0

30.0

40.0

50.0

60.0

Rate

per

100,0

00

Age-adjusted Chronic Lower Respiratory Disease (CLRD) Mortality Rate per 100,000, NYS, excl. NYC, and Schenectady County, 2004-2013


EQUITY

Adjusted Lung Cancer Incidence per 100,000 by Gender, 2008-

2012


Males 88.0 NA 79.8

Females 63.2 NA 63.5

Adjusted Percent of Adults who are Current Smokers by

Gender, 2013-2014


Males 21.7 21.1 18.8

Females 17.2 17.2 12.7

Adjusted COPD/CLRD Hospitalizations and ED Visits per 10,000

by Gender, 2011-2013


Male 23.3 23.1 26.1

Female 29.4 28.5 30.0

ED Visits

Male 123.4 64.5 67.0

Female 146.0 70.6 79.5

Adjusted COPD/CLRD Hospitalizations per 10,000 by

Race/Ethnicity, Age 18+, 2011-2013

Schenectady Upstate



Hispanic 12.3 40.0

Adjusted COPD/CLRD Mortality per 100,000 by

Race/Ethnicity, Age 18+, 2010-2012

Schenectady Upstate



Hispanic 28.9 14.2


COPD/CLRD ED Visits*



• Stockade- 237.9


• Upstate- 73.3

COPD/CLRD Hospitalizations *



• Stockade- 50.1


• Upstate- 28.6


Respiratory Disease Summary


• 22,700 current smokers (18+yrs)

• 134 new lung cancer cases

• 86 lung cancer deaths

• 1,889 ED Visits for COPD/CLRD

• 522 hospitalizations for COPD/CLRD

• 78 deaths due to COPD/CLRD


• Current Smoking prevalence is higher for Schenectady

compared to ROS;

• Males have a prevalence rate 25% higher than females;

• Schenectady’s Current Smoking prevalence increased

from 2008-09 to 2012-13;

• Schenectady’s lung cancer incidence and mortality rates

are similar to ROS;

• The county’s lung cancer incidence rate fluctuated over

the last decade, with a general decrease since 2008;

• County COPD/CLRD ED visit and mortality rates are sig.

higher than ROS, while the CLRD hospitalization rate is

lower than ROS;


• Schenectady’s shows decreasing COPD/CLRD hospitalization rates over the last decade, but an increasing CLRD ED visit rates since 2007;

• As opposed to smoking prevalence and lung cancer rates, Schenectady females have higher COPD/CLRD ED visit and hospitalization rates than males;

• Black non-Hispanics have higher COPD/CLRD hospitalization rates but lower mortality rates compared to their White non-Hispanic counterparts;

• High risk neighborhoods have over 3.0 to 6.7 times the COPD/CLRD ED rates and 1.4 to 2.6 times hospitalization rates;

DIABETES IN

SCHENECTADY

The Effect of Diabetes on the Population


Current Number of Adults with

Diabetes (2013-14)9,900 70,730

Number of ED Visits per year (2013) 389 1,423

Number of Hospitalizations per year

(primary diagnosis) (2013)243 1,317

Number of Hospitalizations per year

(any diagnosis) (2013)3,688 19,411

Number of short-term complications

per year – 18+ years (2013)102 470

Number of Diabetes Deaths per year

(2013)32 179

Diabetes Indicators and Significance Compared to New

York State (excl. NYC), 2011-2013


Adjusted % of Adults with

Diabetes*7.8 Lower 8.7 Lower 8.9

Adjusted Diabetes (primary

diagnosis) Hospitalizations/10,000

13.0 Lower 12.6 Lower 14.2

Adjusted Diabetes

Mortality/100,00018.6

Sig.


Hospitalizations for Short-term

Complications of Diabetes/10,000 - Ages 18+ years

8.5Sig.


*2013-14

Age-adjusted Prevalence of Adults with Physician Diagnosed

Diabetes, 2013-1014

Age-adjusted Diabetes Hospitalizations per 10,000, 2011-2013

Age-adjusted Diabetes Mortality per

100,000, 2011-2013

Hospitalization for Short-Term Complications of Diabetes 18+ years

per 10,000, 2011-2013

Adjusted Percent of Adults Ever Diagnosed with Diabetes

for New York State (excl. NYC), Capital Region,

Schenectady County; 2003, 2008-2009, 2013-14

2003 2008-09 2013-14



Upstate 7.2 8.5 8.9

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Schenectady 21.7 19.8 26.8 17.1 15.7 19.9 18.3 15.7 24.3 16.2

NYS, excl. NYC 17.5 17.9 17.1 16.6 15.1 15.3 14.2 15.9 15.6 15.4

0.0

5.0

10.0

15.0

20.0

25.0

30.0

Rate

per

100,0

00

Age-adjusted Diabetes Mortality Rate per 100,000, Schenectady County and NYS, excl. NYC, 2004-2013


2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Schenectady 4.8 6.3 4.5 5.1 6.7 6.0 6.4 7.8 7.2 10.3

NYS, excl. NYC 4.2 4.3 4.3 4.5 4.7 4.8 5.1 5.4 5.7 6.1

0.0

2.0

4.0

6.0

8.0

10.0

12.0

per

10,0

00

Diabetes short-term Complications Hospitalization Rate per 10,000-Aged 18+ Years, Schenectady, and NYS,excl. NYC, 2014-2013


EQUITY

Adjusted Diabetes Mortality per 100,000 by Race/Ethnicity, 2011-2013

Schenectady Upstate



Hispanic 43.7 14.3

Adjusted Diabetes Hospitalizations per 10,000 by Race/Ethnicity,

2011-2013

Schenectady Upstate



Hispanic 7.5 17.9

Diabetes Short Term Complications Hospitalizations Aged 18+ Years per

10,000 by Race/Ethnicity, 2011-2013

Schenectady Upstate



Hispanic s 5.3

Adjusted Adult Diabetes Prevalence per 100, 2013-14 and Diabetes

Hospitalizations per 10,000 by Gender, 2011-2013

Phy. Diagnosed Diabetes Schenectady Capital Region Upstate

Male 8.8 10.9 10.9 (NYS)

Female 7.7 7.9 8.3

Hospitalizations

Male 15.0 13.2 16.2

Female 11.1 10.6 12.0


Diabetes ED Visits*



• Stockade- 62.4

• Upper state St.- 47.5

• Upstate- 14.0

Diabetes Hospitalizations*




• Stockade- 21.6

• Upstate- 14.2


Diabetes Summary


• 9,9000 diabetics

• 389 ED Visits (primary diagnosis)

• 243 hospitalizations (primary diagnosis)

• 102 short-term complication hospitalizations (18+yrs)

• 32 deaths

Diabetes Summary

• Diabetes prevalence is lower in Schenectady compared to ROS;

• The county’s prevalence decreased from 2008-09 to 2013-14;

• Schenectady’s diabetes mortality rate was higher, but diabetes hospitalization lower than ROS;

• The County had sig. higher short term complication (18+yrs) hospitalization rates than ROS, Schenectady fell into the 4th risk quartile;

• Schenectady’s diabetes mortality fluctuated over the past decade, but showed an overall decreasing trend.

• The diabetes short term complication hospitalization trend has been increasing since 2006.

Diabetes Summary

• BNH have 3.2 times the prevalence, 3.9 times the rate of

hospitalizations, and 3.5 times the mortality than WNH;

• Males had 1.2 times the diabetes prevalence rate and 1.1

to 1.4 the hospitalization rate compared to females;

• The high risk neighborhoods have up to 3.5 to 7 times the

ED rates and 1.5 to 3.2 times the hospitalization rates

compared to ROS.

CHRONIC KIDNEY DISEASE

IN SCHENECTADY

The Effect of Chronic Kidney Disease on the Population


Number of ED Visits per year-

any diagnosis (2013)1,046 11,855

Number of Hospitalizations

per year-any diagnosis (2013)2,173 11,848

Chronic Kidney Disease Indicators and Significance Compared

to New York State (excl. NYC)


Chronic Kidney Disease ED

Visits/10,000-any diagnosis (2011-2013)

47.3Sig.

lower97.2 Higher 95.0

Chronic Kidney Disease

Hospitalizations/10,000-any diagnosis (2011-2013)

109.6Sig.


2005 2006 2007 2008 2009 2010 2011 2012 2013

Schenectady 13.7 38.0 80.6 78.4 90.1 90.2 39.7 45.3 56.8

NYS, excl. NYC 16.9 47.5 68.8 76.4 81.8 87.8 92.3 95.2 97.5

0.0

20.0

40.0

60.0

80.0

100.0

120.0

Rate

per

10,0

00

Age-Adjusted Chronic Kidney disease ED Visit Rate per 10,000

population, NYS, excl. NYC, and Schenectady County, 2005-2013

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Schenectady 13.6 14.4 44.4 87.8 89.3 100.5 95.8 106.8 109.0 113.2

NYS, excl. NYC 10.3 18.5 56.8 81.0 87.0 92.7 96.4 98.0 95.8 92.0

0.0

20.0

40.0

60.0

80.0

100.0

120.0

Rate

per

10,0

00

Age-Adjusted Chronic Kidney Disease Hospitalization Rate per 10,000,

NYS, excl. NYS, and Schenectady County, 2004-2013


EQUITY

Adjusted Kidney Disease (any diagnosis) Hospitalizations per

10,000 by Gender, 2011-2013


Male 196.1 157.4 171.9

Female 129.9 113.0 113.1

Adjusted Kidney Disease (any diagnosis) Hospitalizations

per 10,000 by Race/Ethnicity, 2011-2013

Schenectady Upstate



Hispanic 145.7 181.4


Kidney Disease Hospitalizations*




• Stockade- 227.4

• Upstate-142.5


Chronic Kidney Disease Summary


• 1,046 ED Visits (any diagnosis)

• 2,173 hospitalizations (any diagnosis)

Chronic Kidney Disease Summary

• Schenectady had sig. higher chronic kidney disease hospitalization rates , sig. lower ED visit rates compared to ROS;

• The County’s chronic disease hospitalization rate fell into the 4th risk quartile;

• The chronic kidney disease (any diagnosis) ED visit rates increased from 2005 to 2010, took a precipitous drop in 2011, with a slight increase from 2011 to 2013;

• The County’s chronic kidney disease hospitalizations increased over the past decade;

• BNH have 2.1 times the rate of kidney disease hospitalizations than WNH;

• Males have 1.5 the kidney disease hospitalization rates compared to females;

• The high risk neighborhoods have up to 1.6 to 2.8 times the hospitalization rates compared to ROS.

CARDIOVASCULAR

DISEASE IN

SCHENECTADY

The Effect of Cardiovascular Disease on the

Population, 2013


Number of Heart Attack

Hospitalizations per year355 1,570

Number of Heart attack Deaths per

year51 288

Number of CHD Hospitalizations

per year532 2,531

Number of CHD Deaths per year 272 1,440

Number of CHF Hospitalizations

per year480 2,422

Number of CHF Deaths per year 38 228

Number of Stroke Hospitalizations

per year435 2,355

Number of Stroke Deaths per year 71 340

Cardiovascular Disease Indicators and Significance

Compared to New York State (excl. NYC), 2011-2013


Adjusted Heart Attack

Hospitalization/10,00019.2

Sig.


Adjusted Heart Attack

Mortality/100,00028.2

Sig.

lower 26.8 Lower 34.8

Adjusted Coronary Heart

Disease Hospitalization/10,000 29.6 Lower 22.8 Lower 32.6

Adjusted Coronary Heart

Disease Mortality/100,000 124.8 Lower 120.8 Lower 131.6

Adjusted Congestive Heart

Failure Hospitalization/10,000 25.4

Sig.


Adjusted Congestive Heart

Failure Mortality/100,000 18.1

Sig.


Adjusted Cerebrovascular

Disease (Stroke) Hospitalization/10,000

24.1 Higher 21.4 Higher 23.6

Adjusted Cerebrovascular

Disease (Stroke) Mortality/100,000

33.3Sig.

higher30.0 Same 29.8

Adjusted Heart Attack Hospitalization

Rate per 10,000, NYS, 2011-2013Adjusted CHD Hospitalization Rate per

10,000, NYS, 2011-2013

Adjusted CHF Hospitalization rate per

10,000, NYS, 2011-2013

Adjusted Stroke Hospitalization rate

per 10,000, NYS, 2011-2013

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Schenectady 51.1 50.7 51.0 43.2 35.3 32.6 27.9 31.9 28.9 27.9

NYS, excl. NYC 62.9 58.5 56.2 50.4 48.0 43.5 39.8 35.9 32.4 29.4

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

per

10,0

00

Age-adjusted Coronary Heart Disease Hospitalization rate per 10,000,

Schenectady and NYS, excl. NYC, 2004-2013

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Schenectady 34.0 32.2 32.1 27.2 30.4 28.5 26.4 28.3 24.3 23.6

NYS, excl. NYC 30.5 29.5 29.8 28.8 27.8 27.1 25.8 24.2 23.0 22.9

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

per

10,0

00

Age-adjusted Congestive Heart Failure Hospitalization rate per 10,000,


2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Schenectady 32.4 32.7 33.0 33.6 27.8 23.1 24.3 25.7 24.3 22.3

NYS, excl. NYC 27.3 26.6 26.7 26.4 25.5 25.5 25.0 24.5 23.7 22.6

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

per

10,0

00

Age-adjusted Cerebrovascular Hospitalization rate per 10,000,


EQUITY

Adjusted CVD Hospitalizations per 10,000 by Gender,

2011-2013

Heart Disease Schenectady Upstate

Male 81.3 113.0

Female 53.9 71.3

CHF

Male 22.6 27.8

Female 16.4 19.3

Stroke

Male 21.5 25.4

Female 18.9 21.7

Adjusted Coronary Heart Disease Mortality per 100,000 by Race/Ethnicity,

2011-2013

Schenectady Upstate



Hispanic 110.1 89.7

Adjusted Coronary Heart Disease Hospitalizations per 10,000 by


Schenectady Upstate



Hispanic 19.6 34.0

*Fewer than 10 events in numerator; rate is unstable

Adjusted Congestive Heart Failure Mortality per 100,000 by


Schenectady Upstate


Black non-Hispanic 8.6* 13.8

Hispanic 0.0* 8.1

Adjusted Congestive Heart Failure Hospitalizations per 10,000

by Race/Ethnicity, 2011-2013

Schenectady Upstate



Hispanic 26.3 34.5


Adjusted Stroke Mortality per 100,000 by Race/Ethnicity, 2011-

2013

Schenectady Upstate


Black non-Hispanic 20.9* 38.1

Hispanic 24.8* 24.9

Adjusted Stroke Hospitalizations per 10,000 by

Race/Ethnicity,

2011-2013

Schenectady Upstate



Hispanic 16.8 29.8




Heart Disease Hospitalization*




• Stockade- 111.9

• Upstate- 92.2

CHF Hospitalization*




• Stockade- 34.7

• Upstate- 23.4


Stroke Hospitalizations*




• Stockade- 27.7

• Upstate- 21.4


Cardiovascular Disease Summary


• 532 coronary heart disease hospitalizations;

• 272 deaths due to coronary heart disease;

• 480 hospitalizations for CHF;

• 38 deaths due to CHF;

• 355 heart attack hospitalizations;

• 51 heart attack deaths;

• 435 stroke hospitalizations;

• 71 deaths due to stoke

Cardiovascular Disease Summary

• Schenectady was higher than ROS for Heart Attack

hospitalization rate, CHF hospitalization and mortality, and

stroke hospitalization and mortality;

• The County was in the 3rd risk quartile for heart attack

hosp., CHF hosp. and mort., and stroke hosp. and mort.;

• Coronary heart disease CHF and stroke show decreasing

trends in past decade;

• Males have higher rates compared to females for CVD

indicators;

• BNH’s have higher hospitalization but lower mortality

rates compared to WNH’s;

• High risk neighborhoods were 1.2-2.3 times higher than

ROS for the CVD indicators.

CANCER IN

SCHENECTADY

The Effect of Cancer on the Population


Number of Adults (ages 50-75) who did

not Receive Colorectal Cancer Screening

in the past year(2013-14)

14,100 82,500

Number of New Colorectal Cancer Cases

per year (2012)59 477

Colorectal Cancer Deaths per year

(2012)30 157

Number of Women 40+ who did not have

a mammogram in the past 2 years (2013-

14)

10,800 65,500

Number of New Female Breast Cancer

Cases per year (2012)136 804

Number Female Breast Cancer Cases

diagnosed in late stage (2012)37 245

Female Breast Cancer Deaths per year

(2012)20 130

Cancer Indicators and Significance Compared to New

York State (excl. NYC), 2010-2012


% Receiving Colorectal Cancer

Screening (ages 50-75) (2013-14)65.9 Lower 69.4

Slightly

lower70.0

Adjusted Colorectal cancer

Incidence/100,00037.3 Lower 43.5 Higher 41.2

Adjusted Colorectal Cancer

Mortality/100,00015.4 Higher 14.3 Higher 13.9

% Women40+ years with

mammogram in past 2 years (2013-14)

73.9 Lower 74.3 Lower 77.8 (NYS)

Adjusted female Breast Cancer

Incidence/100,000 128.5 Lower 132.9

Slightly

lower133.2

Adjusted Late Stage Female

Breast Cancer Incidence/100,00038.6 Lower 44.4 Higher 42.7

Adjusted Female Breast Cancer

Mortality/100,000 21.6 Higher 21.2

Slightly

higher 20.9

% Females 40+ Years with Breast Cancer

Screening in Past 2 Years, 2013-14

% of Medicaid Women 50-74 Years Who Had

a Mammogram between Oct 1, 2011 and Dec 31, 2013, 2013

Adjusted Female Breast Cancer Incidence

per 100,000, 2010-2012

Adjusted Female Breast Cancer Late Stage

Incidence Rate per 100,000, 2010-2012

Adjusted Female Breast Cancer Mortality Rate per 100,000, 2010-2012

% Adults 50-75 Years Who Received Colorectal Screening based on most recent

guidelines, 2013-14

Adjusted Colorectal Cancer Mortality per

100,000, 2010-2012

Percent Receiving CRC Screening ages 50-75 for NYS (excl. NYC),


2003 2008-09 2013-14

Schenectady NA 67.9 65.9


Upstate NA 68.4 70.0

2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 2010-12

Schenectady 16.3 14.3 17.5 17.8 18.3 16.8 15.6 15.4

NYS, excl. NYC 18.1 17.3 16.5 16.1 15.6 15.0 14.4 13.9

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

20.0

Rate

per

100,0

00

Age-adjusted Colorectal Cancer Mortality Rate per 100,000,

Schenectady, and NYS, excl. NYC, 2003-2012


Percent of Mammography Screening among Women ages 40+ for

New York State (excl. NYC), Capital Region, Schenectady County;

2003, 2008-09, 2013-14

2003 2008-09 2013-14



Upstate 78.2 81.9 NA

2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 2010-12

Schenectdy 26.5 23.8 19.7 19.1 21.6 25.1 23.9 21.6

NYS, excl. NYC 24.5 23.2 22.9 22.3 22.1 21.7 21.5 20.9

0.0

5.0

10.0

15.0

20.0

25.0

30.0

Rate

per

100,0

00

Age-adjusted Female Breast Cancer Mortality Rate per 100,000


Schenectdy NYS, excl. NYC

2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 2010-12

Schenectady 45.4 39.4 39.2 44.7 46.6 48.1 40.0 38.6

NYS, excl. NYC 45.6 45.9 46.0 45.9 45.7 44.9 44.3 42.7

0.0

10.0

20.0

30.0

40.0

50.0

60.0

Rate

per

100,0

00

Age-adjusted Late Stage Female Breast Cancer Incidence Rate per

100,000, Schenectady, and NYS, excl. NYC, 2003-2012


EQUITY

Colorectal Cancer Incidence and Mortality Rates by

Gender, 2008-2012

CRC Incidence per 100,000 Schenectady Upstate

Male 43.8 48.4

Female 39.9 38.2

CRC Mortality per 100,000 Schenectady Upstate

Male 18.6 16.9

Female 13.4 12.5

Selected Cancers Summary

• Schenectady County annually has:• 14,100 adults 50-75 years with no colorectal screening;

• 59 new cases of colorectal cancer (CRC);

• 30 deaths due to colorectal cancer;

• 10,800 women 40+ years of age without mammography in past two years;

• 136 new cases of female breast cancer;

• 37 new cases of female breast cancer with late stage diagnosis;

• 20 deaths due to female breast cancer.


• Schenectady’s colorectal screening rates fell into the 3rd risk

quartile, and showed a slight decrease from 2007-08 to 2013-

14;

• CRC incidence and mortality rates fell into the 3rd risk

quartiles for Schenectady;

• The county’s CRC mortality rate during the past decade

increased through 2007-09 then decreased through 2010-12;

• CRC incidence and mortality rates were higher in males

compared to females.


• Mammography screening decreased in Schenectady

between 2008-09 and 2013-14, and fell in the 3rd risk

quartile for the general population and for the Medicaid

population;

• Schenectady fell into the 3th risk quartile for both breast

cancer incidence, and mortality;

• Schenectady showed similar trends for mortality and late

stage incidence over the last decade: decrease from

2003-05 to 2006-08; increase through 2008-10; then

decrease through 2010-12.

OBESITY IN

SCHENECTADY

The Effect of Obesity on the Population


Number of Obese Adults (2013-

14)37,900 196,000

Number of Obese Children and

Adolescents (2012-14)4,750 24,900

Number of Obese Children (2-4

yrs.) in WIC (2012)215 1,041

Number of Adults not engaged in

Leisure Time Physical Activity in

past 30 days (2013-14)

28,000 174,500

Obesity Indicators and Significance Compared to

New York State (excl. NYC)


Age-adjusted percentage of adults

who are obese (30+ BMI) (2013-14)

32.8 Higher 27.8 Similar 27.0

% of Children and Adolescents who

are Obese (2012-14)18.8 Higher 17.2 Similar 17.3

% WIC Children (2-4 years) who are

Obese (2010-2012)14.7 Lower 14.8 Lower 15.2

Age-adjusted percentage of adults

not engaged in some type of leisure time physical activity in the last 30 days (2013-14)

22.3 Lower 23.4 Lower 26.2

Age-adjusted % of Adults who are

Obese (BMI 30+), 2013-14

Age-adjusted % of Adults not engaged in Leisure Physical Activity in the past Month,

2013-14

2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09 2008-10 2009-11 2010-12

Schenectady 17.5 16.6 15.1 14.0 14.1 14.9 15.3 15.4 14.8 14.7

NYS, excl. NYC 16.4 16.8 15.6 15.1 15.0 15.2 15.2 15.2 15.3 15.2

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

20.0

Rate

per

100

Percent of Children (2-4 yrs.) in WIC who are Obese, Schenectady and

NYS excl. NYC, 2001-03 to 2010-12


Percent of Children and Adolescents who are Obese for New York State

(excl. NYC), Capital Region, Schenectady County; 2010-12, 2012-14

2010-12 2012-14

Schenectady 19.5 18.8

Capital Region NA 17.2

Upstate 17.6 17.3

Percent of Obese Adults for New York State (excl. NYC), Capital Region,


2003 2008-09 2013-14



Upstate 20.8 24.2 27.0

Percent of Adults engaged in some type of leisure time physical activity

for New York State (excl. NYC), Capital Region, Schenectady County;

2003, 2008-09, 2013-14

2003 2008-09 2013-14



Upstate 77.6 78.9 73.8

EQUITY

Obesity Indicators by Age


WIC Children (2-4 years)

(2010-12)14.8 14.8%

Children and Adolescents

(5-17 years) (2012-14)18.8 17.2%

Adults (18+ years) (2013-14) 32.8 27.8%

Obesity Summary

• Schenectady annually has:

• 37,900 adults 18+ years who are obese;

• 4,750 children/adolescents who are obese;

• 215 WIC children (2-4 years) who are obese;

• 28,000 adults 18+ years with no leisure time physical

activity

Obesity Summary

• Schenectady falls in the 4th risk quartile for both adult obesity

and no leisure time physical activity;

• The County’s % adults obese increased only slightly between

2007-08 and 2013-14, while “no leisure time physical activity”

showed a larger increase;

• Schenectady school children and WIC children’s obesity rates

were lower than ROS and did not fall in a high risk quartile;

• There was a slight decrease in Schenectady school student

obesity rates from 2010-12 to 2012-14;

• The WIC children obesity trend decreased in the early part of

the last decade and has been fairly stable in the latter paart of

the decade;

• The prevalence of obesity increases with age.

Documents

Chronic Priority Presentation