Health






Healthy communities are built on a foundation of healthy children, youth and adults. In all cases, comparisons to state statistics reflect the state excluding New York City.

The rate of individuals without health insurance fell between 2012 and 2022.
The percentage of residents under the age of 65 without health insurance in the region fell from 11% in 2012 to 5% in 2022.  This puts the region on par with the statewide rate yet below the national rate (10%). Ulster, Columbia and Sullivan counties were on the higher end of rates of uninsured residents (7% and 6%, respectively), while Putnam had the lowest rate, at 4%.

Early prenatal care rates varied among racial and ethnic groups throughout the region, similar to statewide trends. 
In 2022, the share of white mothers receiving early prenatal care ranged from 63% in Sullivan County to 88% in Putnam. African American mothers’ rates ranged from 93% in Putnam County to 30% in Greene County. Rates among Hispanic mothers ranged from 75% in Putnam County to 58% in Columbia and Orange counties. Dutchess and Putnam counties were the only counties to surpass statewide rates for each racial and ethnic category.

The rate of low birth weight babies has been steady since 2010, similar to statewide trends.
In 2022, 7.5% of babies born in the region had low birth weights, below the state and national rates of 8.1% and 8.6% respectively, but up from 7.1% in 2010.  Sullivan and Ulster counties had the highest rate in 2022 (8.7% and 8.5%, respectively), while Columbia County had the lowest rate, at 5.7%, followed by Putnam (6.6%). 

Deaths from drug poisoning have increased in the region similar to statewide and national trends. 
There were 34 drug poisoning deaths per 100,000 residents in the Mid-Hudson Valley region in 2022, an increase of 361% since 2010. That put the region above the state rate of 26 drug poisoning deaths per 100,000 residents.  Sullivan County had the highest rate of drug poisoning deaths in the region at 62.  Greene and Putnam counties had the lowest rates (21 and 22 respectively).

The rate of people living with HIV has slightly increased since 2010 in the Mid-Hudson Valley region, however the rate of newly diagnosed cases has decreased since 2016. In 2023, there were 108 people per 100,000 residents with HIV,  slightly above the state rate of 99. The rate has increased by 30% in the region since 2010, similar to the increase in the state (33%). Columbia County had a rate of 155 per 100,000 residents, while Putnam County had the lowest rate in 2023, at 72 people per 100,000 residents with HIV. The rate of newly diagnosed cases in the region has decreased by 21% from 2016 to 2023, going from 7.4 per 100,000 residents to 5.9 per 100,000 residents, below the state rate. Putnam had the lowest rate of new cases (2.0) while Columbia had the highest rates (8.3).  

The region’s rate of mental health clinic visits slightly decreased since 2001. There were 5.7 mental health clinic visits per 1,000 residents in the region in 2023, compared to 6.0 in 2001.  Dutchess had the lowest rate (3.9) and Greene County (8.5) had the highest rate. Dutchess County had the largest decline (-53%), while Orange County had the largest increase (72%).





INDICATORS TREND | STATE
Children Living in Poverty Decreasing
Children Living in Poverty, by Race/Ethnicity Increasing
Single-Parent Families Increasing
Single-Parent Families, by Race/Ethnicity Increasing
Rate of Child Abuse and Neglect Decreasing
Rate of Foster Care Admissions Maintaining
Teen Pregnancy Decreasing
Voter Registration Rate Increasing
Voter Participation Rate Decreasing
Total Population Increasing
Population by Age Decreasing
Population by Race/Ethnicity Increasing
Household Types Increasing
Change in Total Jobs Increasing
Foreign-Born Population Increasing
Change in Jobs by Sector Increasing
Spending for County Government Maintaining
Tourism Revenue Maintaining
Preschoolers Receiving Special Education Services Increasing
Prekindergarten Participation Increasing
Students Receiving Special Education Services Increasing
Per-Student Spending Maintaining
Student Performance on Grade 4 English, by Student Group Increasing
Student Performance on Grade 4 English, by Race/Ethnicity Maintaining
Student Performance on Grade 4 Math, by Student Group Increasing
Student Performance on Grade 4 Math, by Race/Ethnicity Increasing
High School Cohort Graduation Rate Increasing
High School Cohort Dropout Rate Decreasing
High School GED Rate Maintaining
Education Levels of Adults Increasing
Education Levels of Adults, by Race/Ethnicity Decreasing
Median Household Income Maintaining
Median Household Income, by Race/Ethnicity Maintaining
People Living in Poverty Maintaining
People Living in Poverty, by Race/Ethnicity Increasing
Seniors Living in Poverty Increasing
Veterans Living in Poverty Decreasing
Children Receiving Subsidized Child Care Decreasing
Economically Disadvantaged Students Increasing
Earned Income Tax Credit Participation Increasing
Living Wage Rate by Household Type Maintaining
Income in Relation to Poverty Level Increasing
Households Receiving SNAP Maintaining
People Without Health Insurance Decreasing
Early Prenatal Care, by Mother's Race/Ethnicity Not Applicable
Food Insecurity Not Applicable
Deaths from Drug Overdoses Increasing
Babies with Low Birth Weights Maintaining
Newly Diagnosed Cases of HIV Decreasing
People Living wth HIV Increasing
Mental Health Clinic Visits Maintaining
Homeownership Rates Maintaining
Homeownership Rates, by Race/Ethnicity Decreasing
Cost of Homeownership Maintaining
Cost of Rent Increasing
Cost of Rent, by Race/Ethnicity Not Applicable
Violent Crimes Decreasing
Homeless Persons Decreasing
Domestic Violence Maintaining
Arrest Rates, by Race/Ethnicity Not Applicable
Incarceration Rates, by Race/Ethnicity Decreasing
Children Living in Poverty, by Race/Ethnicity Increasing
Single-Parent Families, by Race/Ethnicity Increasing
Population by Race/Ethnicity Increasing
Student Performance on Grade 4 English, by Race/Ethnicity Maintaining
Student Performance on Grade 4 Math, by Race/Ethnicity Increasing
Education Levels of Adults, by Race/Ethnicity Decreasing
Median Household Income, by Race/Ethnicity Maintaining
People Living in Poverty, by Race/Ethnicity Increasing
Early Prenatal Care, by Mother's Race/Ethnicity Not Applicable
Homeownership Rates, by Race/Ethnicity Decreasing
Cost of Rent, by Race/Ethnicity Not Applicable
Arrest Rates, by Race/Ethnicity Not Applicable
Incarceration Rates, by Race/Ethnicity Decreasing


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