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 2008 and 2020.
The percentage of residents under the age of 65 without health insurance in the region fell from 13% in 2008 to 5% in 2019. This puts the region on par with the statewide rate yet below the national rate (10%). Columbia, Greene, Ulster and Sullivan counties were on the higher end of rates of uninsured residents (6%), 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 2020, the share of white mothers receiving early prenatal care ranged from 89% in Putnam County to 67% in Sullivan County. African American mothers' rates ranged from 83% in Putnam County to 51% in Sullivan County. Rates among Hispanic mothers ranged from 73% in Putnam County to 61% in Orange County. 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 increased since 2000, similar to statewide trends.
In 2020, 7.5% of babies born in the region had low birth weights, below the state and national rates of 7.8% and 8.2%, but up from 6.5% in 2000. Greene County had the lowest rate in 2020 (5%), while Sullivan County had the highest rate at 9.6%. 

Deaths from drug poisoning have increased in the region similar to statewide and national trends. 
There were 35 drug poisoning deaths per 100,000 residents in the Mid-Hudson Valley region in 2021, an increase of almost 750% since 2000. That put the region above the state rate of 27 drug poisoning deaths per 100,000 residents.  Sullivan County had the highest rate of drug poisoning deaths in the region at 53.  Columbia and Putnam counties had the lowest rates (26 and 29 respectively).

The rate of people living with HIV has decreased since 2002 in the Mid-Hudson Valley region. In 2021, there were 103 people per 100,000 residents with HIV,  similar to the state rate of 93. The rate has increased by 2% in the region since 2002, in contrast to an increase in the state (18%). Greene County had a rate of 157 per 100,000 residents with HIV followed by Columbia County (152). Putnam County had the lowest rate in 2021 at 72 people per 100,000 residents with HIV. 

The region’s rate of mental health clinic visits declined since 2001. There were 5.8 mental health clinic visits per 1,000 residents in the region in 2019, compared to 6.0 in 2001.  Orange had the lowest rate (4.8), followed by Putnam (4.9), and Greene County (8.5) had the highest rate. Dutchess County had the largest decline (30%), compared to a 4% decrease region-wide, while Greene County had the largest increase (50%).

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