Health
Early Syphilis Rates within Monroe County, by Race/Ethnicity

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Source: Monroe County Department of Public Health

What does this measure?

TThe number of people who are reported to be infected with early syphilis, per 10,000 residents in Monroe County, broken down by race/ethnicity.

Why is this important?

Syphilis is a sexually transmitted disease that is preventable and can be treated and cured if caught early. However, it can cause harmful and costly complications if left untreated, including reproductive health problems, fetal and perinatal health problems, and can spread to the brain and nervous system and potentially result in death.

How is our region performing?

In 2020, early syphilis rates were highest among Monroe County's black or African American residents, with 16 cases for every 10,000 residents. Rates were also higher among Hispanic residents in 2020 at 6. White residents in Monroe County have consistently had the lowest rate for early syphilis, at 2 cases for every 10,000 residents in 2020. These rates have jumped significantly, from 0 per 10,000 cases across all race/ethnic groups in 2000.

Why do these disparities exist?

Racial disparities in early syphilis infection are the result of several factors including poverty, education level, language status, health coverage, health care quality and employment. When access to health care is limited, preventive health screenings may not take place. Mistrust of the health care system may delay Blacks and Hispanics from connecting with the health system for testing and treatment for conditions including sexually transmitted diseases. Living in a community with a high incidence of sexually transmitted disease, having a high number of sexual partners and lack of condom use can all increase the likelihood of infection. Stress caused by racism can weaken the immune system increasing the susceptibility to a STD. A distorted self-image that results from internalized racism can also contribute to involvement with risky sexual behaviors and/or delay in health care. These disparities are further complicated when race intersects with homophobia, transphobia and xenophobia.

Notes about the data

Not all sexually transmitted disease cases are reported. Variations in screening procedures and community awareness can have an impact on recorded trends. The numbers of cases are too low to be broken down by race and ethnicity for the city of Rochester. Early syphilis includes any of the first three stages of syphilis (primary, secondary or early latent of less than 1 year duration).

Early Syphilis Infections in Monroe County, by Race/Ethnicity, 2020
BlackLatino or HispanicWhite
Monroe15.66.01.6

Source: Monroe County Department of Public Health
Notes: Rates are cases per 10,000 residents for the respective racial/ethnic group.




Number of Early Syphilis Cases in Monroe County, by Race/Ethnicity, 2020
BlackLatino or HispanicWhite
Monroe1864483

Source: Monroe County Department of Public Health




Early Syphilis Infections in Monroe County, by Race/Ethnicity, 2000
BlackLatino or HispanicWhite
Monroe0.10.00.0

Source: Monroe County Department of Public Health
Notes: Rates are cases per 10,000 residents for the respective racial/ethnic group.




Number of Early Syphilis Cases in Monroe County, by Race/Ethnicity, 2000
BlackLatino or HispanicWhite
Monroe100

Source: Monroe County Department of Public Health







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 78% 2018 3 1
Increasing
Prenatal Care, by Race/Ethnicity 0 10 Not Applicable*
Babies Born with Low Birth Weights 8.4% 2019 2 1
Increasing
Babies Born with Low Birth Weights, Race/Ethnicity, Monroe County 0 10 Not Applicable*
Infant Mortality Rate 6.9 2017-19 2 0
Maintaining
Infant Mortality Rate, Race/Ethnicity, Monroe County 0 10 Not Applicable*
Children with Elevated Blood Lead Levels 0.8% 2018 2 -1
Decreasing
Children in Poverty 19% 2016-20 3 1
Increasing
Children in Poverty, Race/Ethnicity 2016-20 0 10 Not Applicable*
Single-Parent Families 39% 2016-20 2 1
Increasing
Single-Parent Families, by Race/Ethnicity 2016-20 0 10 Not Applicable*
Rate of Child Abuse and Neglect 20 2020 2 1
Increasing
Rate of Foster Care Admissions 1.8 2020 2 -1
Decreasing
Rate of Teen Pregnancy 1.3% 2019 3 -1
Decreasing
Rate of Teen Births 12 2019 2 -1
Decreasing
Arts and Culture Attendance 2019 0 10 Not Applicable*
Tourism Spending $894 2020 1 -1
Decreasing
Recreation Spending $52 2020 1 -1
Decreasing
Voter Registration Rate 83% 2020 2 1
Increasing
Voter Participation Rate 64% 2020 3 1
Increasing
Registered Library Borrowers 58% 2019 2 -1
Decreasing
Library Visits 5.4 2019 3 -1
Decreasing
Charitable Contributions as a Percentage of Income 0.8% 2019 2 -1
Decreasing
Households Without Vehicles 10% 2016-20 3 0
Maintaining
Total Population 1.9% 2020 2 1
Increasing
Population by Age 2016-20 0 10 Not Applicable*
Population by Race/Ethnicity 2016-20 0 10 Not Applicable*
Population by Age and Race/Ethnicity 2016-20 0 10 Not Applicable*
Disengaged Youth, Ages 16 to 19 6% 2016-20 3 -1
Decreasing
Median Household Income $61,376 2016-20 1 -1
Decreasing
Median Household Income, by Race/Ethnicity 2016-20 0 10 Not Applicable*
People Living in Poverty 13% 2016-20 3 1
Increasing
People Living in Poverty, by Race/Ethnicity 2016-20 0 10 Not Applicable*
People Living in Poverty, by Sex 2016-20 0 10 Not Applicable*
Public Assistance Recipients 1.7% 2020 3 -1
Decreasing
Approval Rate for Public Assistance Applications 24% 2020 0 -1
Decreasing
Females Living in Poverty, by Race/Ethnicity 2016-20 0 10 Not Applicable*
Seniors Living in Poverty, by Sex 2016-20 0 10 Not Applicable*
Households Receiving SNAP 13% 2016-20 3 -1
Decreasing
Households Receiving SNAP by Race/Ethnicity 2016-20 0 10 Not Applicable*
Female Seniors Living in Poverty, by Race/Ethnicity 2016-20 0 10 Not Applicable*
Tax Filers Receiving Earned Income Tax Credit 15% 2019 3 -1
Decreasing
EITC Dollars $173 2019 1 -1
Decreasing
Change in Total Jobs -8% 2020 3 -1
Decreasing
Change in Number of Business Establishments by Sector 2020 0 10 Not Applicable*
Change in Jobs by Sector 2020 0 10 Not Applicable*
Sector Shares of Regional Total Employment 2020 0 10 Not Applicable*
Unemployment Rate 8.1% 2020 3 1
Increasing
Unemployment Rate by Race/Ethnicity 2016-20 0 10 Not Applicable*
Average Salary by Sector 2020 0 10 Not Applicable*
Change in Average Salary Since 2000 12% 2020 3 1
Increasing
Change in Average Salary Since 2000 by Sector 2020 0 10 Not Applicable*
Employment-to-Population Ratio 60% 2016-20 2 -1
Decreasing
Prekindergarten Participation 58% 2020 3 1
Increasing
School Spending Per Student $23,561 2020 1 1
Increasing
Instructional Spending Per Student $16,983 2020 1 1
Increasing
Students Receiving Special Education Services 2021 0 -1
Decreasing
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 89% 2021 3 1
Increasing
Cohort Graduation Rate, Beyond Four Years 89% 2021 3 1
Increasing
Four-Year Cohort Graduation Rate by Race/Ethnicity 2021 0 10 Not Applicable*
Education Levels of Adults 2016-20 0 10 Not Applicable*
Education Levels of Adults by Race/Ethnicity 2016-20 0 10 Not Applicable*
People Without Health Insurance 4% 2019 3 -1
Decreasing
Supply of Doctors 35.3 2019 1 1
Increasing
Mortality Rate 693 2019 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
Maternal Health, by Race/Ethnicity 2016-18 0 10 Not Applicable*
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 104 2019 0 1
Increasing
People Living with HIV by Race/Ethnicity 2019 0 10 Not Applicable*
People Living with AIDS 132 2019 0 1
Increasing
People Living with AIDS by Race/Ethnicity 2019 0 10 Not Applicable*
Percent of Days with Good Air Quality 0 10 Not Applicable*
Alcohol-related Crashes 2.5 2020 2 -1
Decreasing
Median Home Value $143,640 2016-20 1 1
Increasing
Admissions to Substance Abuse Treatment by Primary Substance 2020 0 10 Not Applicable*
Median Rental Prices $896 2016-20 3 -1
Decreasing
Housing Affordability for Homeowners 2.3 2016-20 3 0
Maintaining
Housing Affordability for Homeowners by Race/Ethnicity 2016-20 0 10 Not Applicable*
Overall Housing Cost Burden 28% 2016-20 3 -1
Decreasing
Housing Affordability for Renters 32% 2016-20 3 10 Not Applicable*
Rent Burdened Households 47% 2016-20 3 -1
Decreasing
Housing Affordability for Renters by Race/Ethnicity 2016-20 0 10 Not Applicable*
Homeownership Rate 68% 2016-20 3 -1
Decreasing
Homeownership Rate by Race/Ethnicity 2016-20 0 10 Not Applicable*
Vacant Housing Units 9% 2016-20 3 1
Increasing
Homeless Persons 0 10 Not Applicable*
Serious Crimes 170 2020 3 -1
Decreasing
Violent Crimes 24 2020 3 1
Increasing
Victims of Domestic Violence 57 2020 0 -1
Decreasing
Incarceration Rates 8.7 2020 0 -1
Decreasing
Incarceration Rates, by Race/Ethnicity 2018 0 10 Not Applicable*
Arrest Rates 130.1 2020 2 -1
Decreasing
Arrest Rates, by Race/Ethnicity 2020 0 10 Not Applicable*
Per-Capita Spending for Local Government $3,731 2019 0 1
Increasing
Female to Male Earnings Ratio 0.68 2016-20 3 0
Maintaining
*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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