Health






This section takes a population-based approach to our region's health by exploring measures of access to health care, the prevalence of selected diseases, mortality rates and behavioral health, including the growing problem of opioid addiction.

A lower percentage of people in our region (5%) lacked health insurance in 2017 compared to the state (7%) and nation (10%). Proportions have remained relatively stable since 2008 in the region, state, and nation.

Mortality rates associated with leading causes of death have declined since 2000 in our region. The overall mortality rate fell 14% from 2000 to 2017.

The region’s rate of reported chlamydia increased from 2001 to 2018, yet the rate of gonorrhea cases decreased by 14% since 2000. Reported rates of both infections were particularly high in the City of Rochester, about three and four times state rates. Rates of both infections were also higher for African Americans and Hispanics in Monroe County than for whites. In 2018, the rates of chlamydia and gonorrhea infections were over 10 times higher for African Americans than whites.

The share of residents living with HIV decreased since 2002 for most counties while  AIDS increased, although the advent of new drug treatments has dramatically changed the progression of the disease and increased the life expectancy of those affected. The region's HIV and AIDS rates continued to be above state levels (excluding NYC) because of high rates in Monroe County. Rates broken down by race and ethnicity for both HIV and AIDS were much higher for people of color, particularly African Americans.

While overall admissions to substance abuse treatment centers have been fairly flat over the past decade, admissions related to heroin use skyrocketed 195% in the region, rising from about 2,160 in 2007 to over 6,300 in 2018. 








Worse than NYS by 10% or more
Up to 10% worse than NYS
Equal to or better than NYS


INDICATORS - Grouped by Topic REGIONAL VALUE YEAR NYS COMPARISON TREND | REGION
Prenatal Care 77% 2017 3 0
Maintaining
Prenatal Care, by Race/Ethnicity 0 10 Not Applicable*
Babies Born with Low Birth Weights 8% 2017 3 1
Increasing
Babies Born with Low Birth Weights, Race/Ethnicity, Monroe County 0 10 Not Applicable*
Infant Mortality Rate 6.7 2015-17 2 0
Maintaining
Infant Mortality Rate, Race/Ethnicity, Monroe County 0 10 Not Applicable*
Children with Elevated Blood Lead Levels 0.9% 2016 2 -1
Decreasing
Children in Poverty 20% 2014-18 3 1
Increasing
Children in Poverty, Race/Ethnicity 2014-18 0 10 Not Applicable*
Single-Parent Families 39% 2014-18 2 1
Increasing
Single-Parent Families, by Race/Ethnicity 2014-18 0 10 Not Applicable*
Rate of Child Abuse and Neglect 20 2018 2 1
Increasing
Rate of Foster Care Admissions 2.3 2018 2 -1
Decreasing
Rate of Teen Pregnancy 2% 2017 3 -1
Decreasing
Rate of Teen Births 13 2017 2 -1
Decreasing
Arts and Culture Attendance 2018 0 10 Not Applicable*
Tourism Spending $1,419 2018 1 1
Increasing
Recreation Spending $80 2018 1 -1
Decreasing
Voter Registration Rate 83% 2018 3 1
Increasing
Voter Participation Rate 46% 2018 3 -1
Decreasing
Registered Library Borrowers 61% 2017 3 -1
Decreasing
Library Visits 5.9 2017 3 -1
Decreasing
Charitable Contributions as a Percentage of Income 1.7% 2017 2 0
Maintaining
Households Without Vehicles 10% 2014-18 3 0
Maintaining
Total Population 0.3% 2018 2 0
Maintaining
Population by Age 2014-18 0 10 Not Applicable*
Population by Race/Ethnicity 2014-18 0 10 Not Applicable*
Population by Age and Race/Ethnicity 2014-18 0 10 Not Applicable*
Disengaged Youth, Ages 16 to 19 6% 2014-18 3 -1
Decreasing
Median Household Income $57,350 2014-18 1 -1
Decreasing
Median Household Income, by Race/Ethnicity 2014-18 0 10 Not Applicable*
People Living in Poverty 14% 2014-18 3 1
Increasing
People Living in Poverty, by Race/Ethnicity 2014-18 0 10 Not Applicable*
Public Assistance Recipients 2.3% 2018 3 0
Maintaining
Approval Rate for Public Assistance Applications 25% 2018 0 -1
Decreasing
Households Receiving SNAP 14% 2014-18 3 1
Increasing
Households Receiving SNAP by Race/Ethnicity 2014-18 0 10 Not Applicable*
Tax Filers Receiving Earned Income Tax Credit 15% 2017 3 -1
Decreasing
EITC Dollars $175 2017 1 -1
Decreasing
Change in Total Jobs 1.3% 2018 2 1
Increasing
Change in Number of Business Establishments by Sector 2018 0 10 Not Applicable*
Change in Jobs by Sector 2018 0 10 Not Applicable*
Sector Shares of Regional Total Employment 2018 0 10 Not Applicable*
Unemployment Rate 4.2% 2018 2 0
Maintaining
Unemployment Rate by Race/Ethnicity 2014-18 0 10 Not Applicable*
Average Salary by Sector 2018 0 10 Not Applicable*
Change in Average Salary Since 2000 2.9% 2018 3 1
Increasing
Change in Average Salary Since 2000 by Sector 2018 0 10 Not Applicable*
Employment-to-Population Ratio 74% 2018 3 -1
Decreasing
Per-Capita Spending for Local Government $3,590 2018 0 1
Increasing
Prekindergarten Participation 45% 2018 2 1
Increasing
School Spending Per Student $22,703 2018 1 1
Increasing
Instructional Spending Per Student $16,363 2018 1 1
Increasing
Students Receiving Special Education Services 9% 2018 3 1
Increasing
Grade 3 English 44% 2019 2 1
Increasing
Grade 3 English by Student Subgroup 2019 0 10 Not Applicable*
Grade 3 English by Race/Ethnicity 2019 0 10 Not Applicable*
Grade 3 Math 49% 2019 2 1
Increasing
Grade 3 Math by Student Subgroup 2019 0 10 Not Applicable*
Grade 3 Math by Race/Ethnicity 2019 0 10 Not Applicable*
Grade 8 English 39% 2019 2 1
Increasing
Grade 8 English by Student Subgroup 2019 0 10 Not Applicable*
Grade 8 English by Race/Ethnicity 2019 0 10 Not Applicable*
Grade 8 Math 49% 2019 2 1
Increasing
Regents Algebra 1 73% 2019 3 1
Increasing
Regents English 83% 2019 2 1
Increasing
Four-Year Cohort Graduation Rate 86% 2019 3 1
Increasing
Cohort Graduation Rate, Beyond Four Years 88% 2019 3 1
Increasing
Four-Year Cohort Graduation Rate by Race/Ethnicity 2019 0 10 Not Applicable*
Education Levels of Adults 2014-18 0 10 Not Applicable*
Education Levels of Adults by Race/Ethnicity 2014-18 0 10 Not Applicable*
People Without Health Insurance 5% 2017 3 -1
Decreasing
Supply of Doctors 34.7 2017 1 1
Increasing
Mortality Rate 700 2017 1 -1
Decreasing
Chlamydia Rate 55 2018 3 1
Increasing
Chlamydia Rates, Race/Ethnicity, Monroe County 0 10 Not Applicable*
Gonorrhea Rate 18 2018 3 -1
Decreasing
Gonorrhea Rates, Race/Ethnicity, Monroe County 0 10 Not Applicable*
Early Syphilis Rates 1.8 2018 3 1
Increasing
Early Syphilis Rates within Monroe County, by Race/Ethnicity 0 10 Not Applicable*
People Living with HIV 106 2017 0 1
Increasing
People Living with HIV by Race/Ethnicity 2017 0 10 Not Applicable*
People Living with AIDS 138 2017 0 1
Increasing
People Living with AIDS by Race/Ethnicity 2017 0 10 Not Applicable*
Percent of Days with Good Air Quality 0 10 Not Applicable*
Alcohol-related Crashes 3.1 2018 2 -1
Decreasing
Median Home Value $135,915 2014-18 1 -1
Decreasing
Admissions to Substance Abuse Treatment by Primary Substance 2018 0 10 Not Applicable*
Median Rental Prices $855 2014-18 3 -1
Decreasing
Housing Affordability for Homeowners 2.4 2014-18 3 0
Maintaining
Housing Affordability for Homeowners by Race/Ethnicity 2014-18 0 10 Not Applicable*
Overall Housing Cost Burden 30% 2014-18 3 -1
Decreasing
Housing Affordability for Renters 34% 2014-18 3 10 Not Applicable*
Rent Burdened Households 50% 2014-18 3 -1
Decreasing
Housing Affordability for Renters by Race/Ethnicity 2014-18 0 10 Not Applicable*
Homeownership Rate 68% 2014-18 3 -1
Decreasing
Homeownership Rate by Race/Ethnicity 2014-18 0 10 Not Applicable*
Vacant Housing Units 10% 2014-18 3 1
Increasing
Homeless Persons 0 10 Not Applicable*
Serious Crimes 190 2018 1 -1
Decreasing
Violent Crimes 24 2018 3 1
Increasing
Victims of Domestic Violence 59 2018 0 -1
Decreasing
Incarceration Rates 13.2 2018 2 -1
Decreasing
Incarceration Rates, by Race/Ethnicity 2015 0 10 Not Applicable*
Arrest Rates 188.2 2018 3 -1
Decreasing
Arrest Rates, by Race/Ethnicity 2018 0 10 Not Applicable*
*No or multiple regional values for this indicator


Worse than NYS by 10% or more
Up to 10% worse than NYS
Equal to or better than NYS





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