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 2013 and 2023.
The percentage of residents under the age of 65 without health insurance in the region fell from 11% in 2013 to 6% in 2023. This puts the region slightly higher than the statewide (excluding NYC) rate of 5%, and below the 9% national rate. Ulster county had the highest rate of uninsured residents (7%) in 2023. Orange and Sullivan were next on the higher end of rates of uninsured residents (6%) in 2023. Putnam had the lowest rate, at 4.4%.
Early prenatal care rates varied among racial and ethnic groups throughout the region, similar to statewide trends. In 2023, the share of White mothers receiving prenatal care ranged from a low of 62% in Sullivan to a high of 90% in Putnam. African American mothers had somewhat lower rates, ranging from a low of 55% in Ulster to a high of 68% in Columbia. Rates for Hispanic mothers ranged from a low of 51% in Sullivan to 77% in Putnam.
The rate of low birth weight babies has been steady since 2010, similar to statewide trends.
In 2023, 7.4% of babies born in the region had low birth weights, which was below both the state and national rates of 8.3% and 8.6%, respectively. Columbia and Dutchess had the highest rates in 2023 (10.3% and 8.3%, respectively) while Putnam had the lowest (5.8%). Columbia went from having the lowest rate in 2022 to the highest rate in 2023.
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 2024, there were 109 people per 100,000 residents with HIV per 100,000 residents in the Mid-Hudson Valley region, slightly higher than the state rate of 101. The rate increased by 31% in the region since 2010. Columbia had the highest rate per 100,000 residents (146), followed by Greene (134). Putnam and Sullivan counties had the lowest rates (72 and 106 respectively). The rate of newly diagnosed cases in the region has decreased by 26% from 2016 to 2024, going from 7.4 per 100,000 residents to 5.5 per 100,000 residents, below the state rate of 6.4 per 100,000 residents (10), followed by Orange (7.3). Sullivan and Putnam counties had the lowest rates (2.5 and 3, respectively).
Deaths from drug poisoning have increased in the region similar to statewide and national trends.
There were 28 drug poisoning deaths per 100,000 residents in the Mid-Hudson Valley region in 2023, an increase of 283% since 2010. This was lower than the national rate (32) and slightly above the state (excluding NYC) rate of 26. Sullivan had the highest rate of drug poisoning deaths in the region at 47 per 100,000 residents, while Putnam and Greene counties had the lowest (16 and 19, respectively).
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 |
|---|---|
| People Without Health Insurance | Decreasing |
| Early Prenatal Care, by Mother's Race/Ethnicity | 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 |
Children & Youth
Community
Demographics
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Education
Financial Stability
Health
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