Healthy communities are built on a foundation of healthy children, youth and adults.
In this section, we highlight the trends several indicators: 1) individuals without health insurance; 2) early prenatal care; 3) low birth rate and; 4) infant mortality.
In all cases, comparisons to state statistics reflect the state excluding New York City.
About 8% of Dutchess residents lacked health insurance in 2014. More than 8% of babies had low birth weights, above the state rate. Infant mortality was slightly higher (5.6) than the state at 5.1 deaths per 1,000 live births in 2014. The rates of people living HIV and AIDS in Dutchess both decreased over the decade, while mental health clinic visits decreased.
In 2014, 8% of Dutchess residents under age 65 lacked health insurance, on par with the statewide rate and below the national rate of 14%. Dutchess’ rate of uninsured residents was below the rate in Ulster (9%) and on par with Orange.
Early prenatal care varied among racial and ethnic groups in Dutchess, similar to statewide trends. In 2014, 87% of white mothers in Dutchess reported receiving early prenatal care, compared to 71% of African American mothers and 80% of Hispanic mothers. These rates were above respective racial and ethnic group rates in Orange and Ulster counties. Dutchess also had higher rates compared to statewide rates for each group.
The rate of low birth weight babies in Dutchess County has fluctuated between 6.1% and 8.6% since 2000, while the state’s rates have remained relatively consistent. In 2014, 8.6% of babies born in Dutchess had low birth weights, a 2 point increase from 2000. Dutchess was above the rate for both the state (7.7%) and region (7.5%).
Dutchess County’s infant mortality rate has fluctuated since 2000, surpassing the rates for the region and state for some years. In 2013, Dutchess had the highest rate in the region at 6.6 infant deaths per 1,000 live births, above the 6.3 in the region and 5.5 statewide. Since 2000, Dutchess’ infant mortality rate has averaged 5.2, below the state’s average of 5.7.
The rate of people living with HIV has decreased since 2002 in Dutchess, to 82 people per 100,000 residents in 2014. This compared to 92 in Orange, 84 in Ulster and 82 in the state. The rate has decreased by 27% in Dutchess since 2002, larger than the regional decrease and in contrast to the state increase (6%).
People living with AIDS also decreased in Dutchess over the decade, in contrast to the regional trend. In 2014, 121 people per 100,000 were living with AIDS in Dutchess, a 2% decrease from 2002. Compared with rates in Orange (128) and Ulster (131), Dutchess had a lower rate but it was above the state rate of 110.
Dutchess County’s rate of mental health clinic visits declined, but remained the highest in the region. There were 6.4 mental health clinic visits per 1,000 residents in Dutchess County in 2013, higher than Orange (3.8), Ulster (4.3) and the state (5.3). Dutchess consistently had the highest rate each year over the decade, but declined 23% since 2001.