Documente Academic
Documente Profesional
Documente Cultură
LI
OF
I TY
L
G R E AT E R N E W H AV E N UA ITY
Q EQU
CI AL
Community RA
D EMOG
RAP HICS
AT I O N
LIF
EE
HE XPE
AL C TA
TH NC
Y
OU
RI TC
OM
CO SK
ES
MM FA
UN CT
PA R
OR
PUBL
IT
Y S
TIC
TR
IPA
IC RE
US
T
TIO
ALM
Understanding well-being,
economic opportunity, and change in
Greater New Haven neighborhoods
A CORE PROGRAM OF
In collaboration with The Community Foundation for Greater New Haven and other
community partners and a Community Health Needs Assessment for the towns served
by Yale New Haven Hospital
Thank you to our Major Funders
Lead Authors
Mark Abraham, Executive Director, DataHaven
Camille Seaberry, Senior Research Associate, DataHaven
Co-Authors
Josephine Ankrah, Alexandra Bourdillon, Kelly Davila, Emily Finn, Shaun McGann, Aparna Nathan, DataHaven
Jessica Clavette, Volunteer, and Brian Slattery, Consultant
Other Contributors
Matt Higbee, The Community Foundation for Greater New Haven
Brian Weeks, New Haven Health Department
Connecticut Hospital Association ChimeData
Don Levy and Meghann Crawford, Siena College Research Institute
John Kudos and Ashley Wu, Kudos Design Collaboratory™
Linda F Cantley and Deron Galusha, Yale Occupational and Environmental Medicine Program
Calvin Jahnke, Caleb Kassa, John Park, DataHaven Summer Interns, and Carole Bass, Consultant
Please contact DataHaven for permission to reproduce any of the text, images, or graphics in this report. We strongly encourage requests from organizations that
wish to use this information or conduct further analysis to benefit community action. Contact information is listed on the back of the report. Nothing in this report
should be interpreted to represent the official views of any of the participating organizations.
Suggested Citation: Abraham, M., Seaberry, C., Ankrah, J., Bourdillon, A., Davila, K., Finn, E., McGann, S., Nathan, A. (2019). Greater New Haven Community Index 2019.
New Haven, CT: DataHaven. Available at ctdatahaven.org.
© 2019 DataHaven
ISBN 978-1-7340851-1-2 (paperback)
Index en Communit y
Wellb Personal
D ATA H AV E N
dex
C O MMUNI T
IN D E X , P G Y
19
e i n g In
&
H av
G R E AT E R N E W H AV E N D ATA H
A
W EL L V EN P ER S
Da t a
BEING ON
Community
INDE X A L
, PG 2
1
Ec n ge
my
Index 2019
ono
i ve Cha
P OP
UL A
T IO
l u s h ic
INC NC
HAN
In c r a p
OM GE,
EA PG
an g
ND
& em o
HO 37
Understanding well-being, economic US PO
VE
ING
D
opportunity, and change in Greater RT
JO ,P Y, P
BS G4 G4
New Haven neighborhoods AN 6 1
ED DJ
i on UC
AT OB
eg IO SA
ie rR N, CC
h PG ES
e al t 53 S,
PG
aH
CO
g 49
NN
in
eat
EC
Cr
IN
TI
FA
NG
NT
&
HE
Lif e
HE
Ci v ic r uc t ur e
AN
AL
AL
TH
st
In f r a
TH
HE
CH
AN
IL D
A LT
RIS
D
W
KF
HE
HO
EA
STE
AL
AC
LT
C OM
UT
TH
H
WA R
TO
PA R T I
,P
CO
,P
C O N C L U S IO
RS
G
MUN
G
ME
71
DSH
,P
73
C IPAT
S,
G7
IT Y T
IP O
PG
5
82
IO N IN
F TH
RUS
N A ND ENDN
E PU
T AN
P UBL
BL IC
D AP
IC L IF
PREC
RE A
O T E S , P G 10
LM,
E, PG
I AT I O
PG 9
98
N, P G
1
2
96
A festival on the New
Haven Green, the
city’s central public
square. Photo credit:
International Festival
of Arts & Ideas
DataHaven Greater New Haven Community Index 4
Visual Appendix
twitter ctdata
facebook connecticutdata
instagram ctdata
globe ctdatahaven.org
5
CHAP TER 1 FIG 1.4 RESIDENTS ARE FIG 2.2 CHILDREN & YOUNGER INCOME & POVERTY FIG 2.11 GNH'S MIDDLE
HAPPIER & HEALTHIER IN ADULTS ARE MUCH MORE Median Income CLASS HAS SHRUNK
DataHaven PLACES THAT SCORE HIGH
ON COMMUNITY WELL-BEING
RACIALLY DIVERSE PG 25 Disparities
Wage Gaps & Wealth Gaps
DRASTICALLY PG 29
Personal
Wellbeing FIG 2.7 LOW-INCOME RATES
QUALITY OF LIFE
DataHaven Community CHAP TER 2
Index
DataHaven Personal Demographic FIG 2.8 GNH HAS WIDE
FIG 2.12 AVG INCOMES HAVE
RISEN, BUT ONLY IN HIGH-
Wellbeing Index
Change & FIG 2.4 IMMIGRANTS MAKE
INCOME DISPARITIES PG 28 INCOME TOWNS PG 29
A NUMBER OF DIFFERENT 95
FACTORS PG 14
91
15
95
91
15
91
HOUSEHOLDS HAVE FIG 2.10 GNH HAS A WAGE VALUES ARE HIGH IN OUTER
95
91
15
FIG 2.14 RENTER’S COST JOBS & JOBS ACCESS FIG 2.22 BLACK & SPECIAL CHAPTER 3 I NFANT &
BURDEN RATES HAVEN’T EDUCATION STUDENTS ARE CHILD HEALTH
DECLINED POST-RECESSION
PG 31
Regional Job
& Wage Trends SUSPENDED FAR MORE
OFTEN THAN OTHERS PG 34
Creating Healthy Birth
Outcomes
Transportation
& Job Locations A Healthier Environmental Threats
Underemployment
Region
HEALTH RISK FACTORS
FIG 2.19 NEW HAVEN
Inadequate Access to
PROVIDES MANY JOBS & Health & Dental Care
WORKERS TO THE
Experiences of
SURROUNDING REGION PG 33 Discrimination
Adverse Childhood
Experiences
Nutrition, Physical
91 Activity, &
15
FIG 2.23 GNH SCHOOLS Substance Use
95
HAVE WIDE ACHIEVEMENT The Opioid Crisis
GAPS PG 35
CONNECTING HEALTH
& WEALTH HEALTH OUTCOMES
FIG 2.15 THE AVG. RENTER’S 91
Greater New Haven's Early Onset of
INCOME IS $10K SHORT OF
15
15–year Difference Chronic Diseases
in Life Expectancy Mental Health
AFFORDING A 2BR APT. PG 31
95
91
15
95
FIG 3.5 PREVENTABLE FIG 3.8 NEARLY HALF OF CHAPTER 4 FIG 4.2 IN TOWNS W/ MORE
HOSPITAL VISITS SHOW ALL ADULTS SAY YOUTH SURPLUS MONEY, RESIDENTS
LARGE DIFFERENCES ACROSS
AGE & GENDER PG 65
SUSCEPTIBILITY TO DRUG
& ALCOHOL ABUSE IS A
Civic Life RATE NEIGHBORHOOD
ASSETS & FACILITIES MORE
TOSS-UP PG 68 & Infra- HIGHLY PG 89
structure
150
100
FIG 4.3 TOWNS THAT SPEND
50
MORE ON THEIR LIBRARIES
0
SEE GREATER LIBRARY USE
PG 89
DECREASING OVERDOSE 15 15
PG 69 15 15
INEQUALITY IN RATES OF
HOSPITAL ENCOUNTERS & APPRECIATION
PG 67 Local News Coverage
91 91
15 15
95 95
91 91
15 15
PARTICIPATION IN
PUBLIC LIFE
95 95
95
Voting 95
15
Community Design
15
LIVES PG 70 95 95
ONES PG 90
95 95
As federal, Understanding what people need across our regions and neighborhoods helps
answer these questions.
state, and This report, The Greater New Haven Community Index 2019, collects and
analyzes over 100 sources of national, state, and local data that pertain to
local agencies these questions. But we have supplemented that information by conducting
live, in-depth interviews with tens of thousands of randomly-selected adults
wrestle with statewide—over 32,000 in 2015 and 2018, including conversations with 5,000
representative adults in Greater New Haven. The DataHaven Community
one tough Wellbeing Survey (DCWS), believed to be the largest of its type in the United
States, produces reliable data about life satisfaction, physical and mental
budget health, neighborhood conditions, economic opportunity, and civic engagement
that are not available at the local level from any of the other public data
season after sources we work with. We use the latest data from the 2018 DCWS throughout
this report. Data from our 2012 and 2015 DCWS were also discussed in the 2013
another, and and 2016 iterations of this report.1
Working with DataHaven, researchers Jan Wollenberg and Chris
have to decide Barrington-Leigh of McGill University used this survey data to construct a
model that could predict individuals’ levels of life satisfaction.2 The model
how to help accounted for household income, household size, self-reported physical and
mental health, and personal experiences including food security, employment,
the greatest and neighborhood conditions. Using these variables, Wollenberg and
Barrington-Leigh created a life satisfaction score ranging from 0 to 100. Among
number the key findings:
of people Addressing food insecurity would be more likely to increase overall life
satisfaction than addressing unemployment.
with limited Some might think that, after health, employment matters above all else.
Indeed, for adults in the workforce, having employment improved life satisfac-
government tion as much as a nearly six-fold increase in household income did, whereas
food security equaled only a 4.2-fold increase. However, there are approxi-
funds, these mately 400,000 food-insecure Connecticut adults, compared to about 200,000
Connecticut adults who are unemployed, according to the DataHaven survey.
questions Money can buy happiness—but only up to a point.
matter—a lot. Underscoring the importance of food security, the researchers found that
having enough money to consistently buy food for themselves and their
families improved adults’ life satisfaction as much as if they quadrupled their
household income. Meanwhile, even more Connecticut adults than who are
food-insecure—about 680,000, or 19 percent—say they live in neighborhoods
with low walkability. The researchers’ analysis of life satisfaction data shows
that improving quality of life issues such as walkability, trust in neighbors,
and interactions with local government would likely make life better for
many residents.
The old saying about health turned out to be somewhat true, but not for
the reasons we might expect.
Having excellent rather than poor physical and mental health improved life
satisfaction scores by 18 and 26 points, respectively. The sizeable effect of
improving mental health and the number of adults who face challenges in this
area is consistent with other research suggesting that preventing depression
would translate into enormous gains in life satisfaction. Meanwhile, a lack of
DataHaven Greater New Haven Community Index 10
health insurance had just a modest effect on the entire population. This is not
because health insurance is not important—having insurance improved life
satisfaction by 4 points on the scale. But in recent years, Connecticut has done
a relatively good job making sure that all people can get health insurance,
whether through work, state-sponsored insurance, or AccessHealthCT (the
state’s insurance marketplace under the Affordable Care Act). Currently, only
about 5 percent of adults in Connecticut are uninsured. If uninsurance rates
were to rise back to where they were before the Affordable Care Act, the model
suggests that the effect on people’s well-being would be quite significant.
What does all this mean for local and state agencies looking to do the best
they can with what they have? The survey’s insights—whether at the level of
the entire population or a single program—suggest more cost-effective ways
to improve the lives of the widest range of people. Increasing families’ incomes
across the board would be a costly endeavor. Thus, improving access to
nutritious food and health care, strengthening neighborhood assets and
walkability, and deepening people’s relationships with different levels of
government are both more attainable and, perhaps, more effective.
community needs identified within the geographic area on which each hospital
plans to focus. They also outline the processes used by each hospital to
develop CHNAs and Community Health Improvement Plans within each
hospital’s primary service area. Like this report, the additional sections have
benefited from input from dozens of local public health experts. They will be
found on the individual hospital websites when they are finalized this year.
The topics included in this report have been the subject of other studies,
but to our knowledge there has never been a program that has synthesized
them into a single report. Following on our 2016 Community Index, we envision
that this report will continue to serve as a platform to further the availability of
neighborhood-level data and address gaps in disaggregated data related to
age, gender, race, ethnicity, national origin, sexual orientation, disability, and
other demographic characteristics. Since 2016, we have improved the quality
of available data in several ways, including working diligently to ensure that all
persons are represented in the information sources used in the report. Doing
so allows the program to highlight areas where the region is and is not doing
well, and also lets community leaders find data that are relevant to their
interests and see how the work they do across different sectors contributes
to the broader whole.
We recognize that most of the potential demographic or neighborhood
data breakdowns do not fit within the practical confines of this report.
We have published disaggregated data elsewhere on the DataHaven
website (ctdatahaven.org), and we plan to release additional regional and
statewide publications on health equity and other subject-specific topics
in the near future. We encourage community partners to submit requests
for the data that they need, using the instructions on our website:
ctdatahaven.org/ask-mark.
Geography
In this report, Greater New Haven is generally defined as 13 towns: the city of
New Haven, the Inner Ring suburbs (East Haven, Hamden, West Haven), and the
Outer Ring suburbs (Bethany, Branford, Guilford, Madison, Milford, North
Branford, North Haven, Orange, Woodbridge). Data for Milford, the largest town
within the Outer Ring, are sometimes presented in addition to the combined
Outer Ring data. In some cases, data are also presented for specific neighbor-
hoods or groups of neighborhoods within New Haven. SEE CHAPTER 1 In 2019, we
have also worked with partner organizations to publish separate reports that
cover other areas of Connecticut including the Lower Naugatuck Valley,
Fairfield County, and Greater Hartford regions. SEE OUR WEBSITE FOR DETAILS DH
CHAPTER 1
DataHaven Community
Index and Personal
Wellbeing Index
Gross Domestic Product or
Gross Domestic Happiness?
Chapter 1 DataHaven Community Index and Personal Wellbeing Index 13
Why should Asking residents about how they are doing on a daily basis is the most
democratic approach to evaluating the extent to which a region’s communities
we measure are flourishing. Measures of subjective well-being do not presuppose that any
given resident needs a set of specific material goods, such as a paycheck of a
well-being, certain size or a car, in order to be content with life. The greatest hopes and
concerns of residents may lie within social aspects such as supportive
happiness, and friendships; access to fresh air, water, parks, and safe streets; or how they
generally perceive their lives and their communities.
life satisfaction Traditional economic measures such as gross domestic product—the
monetary value of all goods and services produced within the area—often
directly? show that Connecticut’s metropolitan regions are among the wealthiest and
most productive in the world. However, they do not necessarily account for how
that affluence is distributed or how residents experience it. The many
processes and policies that lead to social and economic inequalities, and the
IN THIS CHAPTER
impacts that these inequalities can have on children and adults over time, are
≥ Greater New Haven has relatively fundamental to understanding our current and future levels of well-being.
high well-being compared to other Countries such as the United Kingdom and New Zealand have already begun to
areas nationwide. harness the power of a population well-being framework to inform public policy
decisions.3, 4
≥ But well-being varies by demographic
When integrated with other data, measures of well-being also help
factors like race, income, and
illuminate the deep connections among financial stress, health, and happiness
hometown.
in a way that economic statistics alone do not. For example, 1 in 8 Greater New
Haven adults experience food insecurity. Our analysis suggests that reducing
food insecurity would lead to a dramatic increase in the overall well-being of
the region. The same data suggest that boosting incomes universally would
lead to a much smaller gain.
To summarize and draw connections across these measures, we begin the
report by introducing indexes of the region: the DataHaven Community Index
and Personal Wellbeing Index. Additionally, a Neighborhood Assets Index is
defined later in this report. SEE TABLE 4B Each index is a blend of indicators that
capture the physical and social environments in which people live in Greater
New Haven—including measures of community-wide health, infrastructure,
education, and economics.
Executive Summary
The DataHaven Community Index incorporates 12 indicators into a single
factored score that can be compared across multiple geographies. The indicators
range from common economic measures, including poverty and unemployment
rates, to educational attainment, life expectancy, and other general measures
of quality of life. Greater New Haven would rank 17th among 107 large U.S.
metropolitan areas, but the relatively high standard of living is divided; the
region includes some of the highest- and lowest-scoring areas in our analysis.
Between 2012 and 2017 (the latest year for which these data are available),
many Community Index scores improved, due in large part to economic
recovery and expansion after the Great Recession. Despite this apparent
progress, substantial regional and racial inequalities remain.
DataHaven’s Personal Wellbeing Index—consisting of measures of
self-reported life satisfaction, happiness, anxiety, and health—also reveals a
high degree of inequality by geography, race and ethnicity, and household
income level. Greater New Haven’s score on the Personal Wellbeing Index is
lower than the state average. DH
DataHaven Greater New Haven Community Index 14
FIG 1.1
NEW HAVEN,
MILFORD LOWER-INCOME
OPPORTUNIT Y YOUTH 7% 5% 4% 2% 9%
NEW HAVEN,
OUTER RING LOWER-INCOME
HEALTH INSURANCE 90% 94% 94% 97% 88%
NEW HAVEN,
OUTER RING LOWER-INCOME
HIGH SCHOOL GRADUATES 87% 90% 91% 95% 79%
NEW HAVEN,
OUTER RING LOWER-INCOME
UNEMPLOYMENT 7% 7% 7% 5% 14%
NEW HAVEN,
HAMDEN LOWER-INCOME
YOUNG CHILD POVERT Y 22% 15% 18% 5% 44%
NEW HAVEN, OTHER MILFORD
WORKERS WITH
SHORT COMMUTE 63% 65% 70% 76% 66%
NEW HAVEN,
OUTER RING LOWER-INCOME
POVERT Y 15% 10% 12% 4% 31%
NEW HAVEN,
OUTER RING
SEVERE HOUSING LOWER-INCOME
COST BURDEN 15% 16% 20% 14% 34%
MILFORD EAST HAVEN
PRESCHOOL ENROLLMENT 48% 64% 64% 72% 37%
NEW HAVEN,
OUTER RING LOWER-INCOME
LIFE EXPECTANCY 78.7 yrs 80.3 yrs 79.8 yrs 81.6 yrs 76.8 yrs
NEW HAVEN, OTHER OUTER RING
YOUTHFUL L ABOR FORCE 26% 24% 25% 34% 21%
NEW HAVEN,
OUTER RING
MEDIAN HOUSEHOLD LOWER-INCOME
INCOME $58K $74K $70K $94K $34K
NEW HAVEN,
OUTER RING
COMMUNITY INDEX LOWER-INCOME
OVERALL (0–1,000) 594 657 652 734 453
NOTE: Please refer to text (Chapter 1) and endnotes (Chapter 5) for definitions of indicators used in this Index.
Chapter 1 DataHaven Community Index and Personal Wellbeing Index 15
FIG 1.2
Compared to the US and other metros, well-being is high but varied RELATIVE RANK
BETTER
COMPOSITE SCORE OF THE DATAHAVEN COMMUNITY INDEX, BY TOWN & NEIGHBORHOOD WITH
NEARBY METROS, GREATER NEW HAVEN, 2017
AVERAGE
HAMDEN
701 OUTER RING
734
United States New York, NY WORSE
NOT AVAILABLE
594
586 NEW HAVEN
LOWER-INCOME
453
652 666
INNER RING
651
WEST HAVEN EAST HAVEN
Providence / Worcester, 606 632
Warwick, RI / MA MA / CT
FIG 1.3
White and Asian residents rank well above Black and Latino residents
on well-being measures
COMPONENTS OF THE DATAHAVEN COMMUNITY INDEX BY RACE/ETHNICITY, GREATER NEW HAVEN, 2017
HIGH WORKERS YOUNG SEVERE YOUTHFUL MEDIAN
HEALTH SCHOOL W/ SHORT CHILD OPPORTUNITY HOUSING UNEM- LIFE LABOR HOUSEHOLD
INSURANCE GRADUATES COMMUTE POVERTY POVERTY YOUTH COST BURDEN PLOYMENT EXPECTANCY FORCE INCOME
BL ACK 94% 88% 69% 33% 22% 17% 36% 12% 77 yrs 26% $42K
L ATINO 85% 78% 72% 27% 21% 10% 31% 10% 78 yrs 32% $45K
ASIAN 92% 93% 69% 7% 11% N/A 25% 4% N/A 39% $81K
DataHaven Greater New Haven Community Index 16
FIG 1.4
800
700
HAMDEN
PERSONAL WELLBEING INDEX
MILFORD
600
EAST HAVEN
500
NEW HAVEN
WEST HAVEN
400
COMMUNIT Y INDEX
OUTER RING NOTE: Each index is scaled from 0 (worse) to 1,000 (better).
Chapter 1 DataHaven Community Index and Personal Wellbeing Index 17
800
700
PERSONAL WELLBEING INDEX
HAMDEN MILFORD
600
EAST HAVEN
500
NEW HAVEN
WEST HAVEN
400
OUTER RING NOTE: Each index is scaled from 0 (worse) to 1,000 (better).
DataHaven Greater New Haven Community Index 18
TABLE 1A
New Haven Outer Ring 734 653 12% 24 Seattle, WA ◊ 643 565 14%
3 San Jose, CA ◊ 688 595 16% 29 Kansas City, MO 638 576 11%
5 Ogden, UT 683 612 12% 31 New Haven, CT metro 637 568 12%
(incl. Waterbury)
7 Hartford, CT metro area 671 604 11% East Haven 632 603 5%
(incl. Middlesex County)
8 Albany, NY 669 606 10% New Haven Other Neighborhoods 631 573 10%
Connecticut (state avg.) 657 593 11% 46 Providence, RI 617 554 11%
13 San Francisco, CA ◊ 656 566 16% West Haven 606 570 6%
14 Salt Lake City, UT ◊ 656 574 14% United States (national avg.) 594 529 12%
17 Colorado Springs, CO ◊ 652 574 14% 100 Lakeland, FL ◊ 537 469 14%
Greater New Haven 652 582 12% 101 Stockton, CA ◊ 536 459 17%
(area covered by this report)
New Haven Inner Ring 651 602 8% 103 Riverside, CA ◊ 522 447 17%
22 Rochester, NY 647 587 10% New Haven Lower-Income 453 360 26%
Neighborhoods ◊
Connecticut cities, towns, and neighborhoods ◊ Community Index Score improvement at or above the national average.
Chapter 1 DataHaven Community Index and Personal Wellbeing Index 19
TABLE 1B
United States 7% 15% 87% 22% 90% 48% 7% 78.7 15% 26% 63% $57,652 594
Connecticut 5% 10% 90% 15% 94% 64% 7% 80.3 16% 24% 65% $73,781 657
Greater 4% 12% 91% 18% 94% 64% 7% 79.8 20% 25% 70% $69,812 652
New Haven
New Haven 7% 26% 85% 34% 90% 61% 10% 78.2 29% 32% 74% $39,191 540
Low-Income 9% 31% 79% 44% 88% 58% 14% 76.8 34% 29% 72% $33,763 453
Nbhds
Other Nbhds 4% 20% 90% 23% 91% 64% 7% 79.8 24% 34% 76% $51,057 631
Inner Ring 4% 10% 91% 14% 94% 57% 8% 78.9 19% 25% 72% $65,044 651
East Haven 7% 9% 90% 13% 93% 37% 7% 78.8 19% 25% 74% $63,051 632
Hamden 3% 8% 94% 5% 95% 70% 6% 80.1 17% 24% 69% $74,281 701
West Haven 2% 13% 88% 22% 92% 53% 10% 77.8 22% 26% 74% $55,299 606
Outer Ring 3% 4% 95% 5% 97% 71% 5% 81.6 14% 21% 66% $94,251 734
Milford 2% 6% 95% 12% 96% 72% 6% 80.2 17% 25% 66% $86,382 710
TABLE 1C
DATAHAVEN PERSONAL
DataHaven Index scores WELLBEING INDEX
GREATER NEW HAVEN WITH DEMOGRAPHIC GROUPS
As discussed above, the DataHaven Community
PERSONAL NEIGHBORHOOD Wellbeing Survey’s questions on health, happiness,
LOCATION COMMUNITY INDEX WELLBEING INDEX ASSETS INDEX
anxiety, and life satisfaction help us understand
Connecticut 657 612 556 how people evaluate and experience their day-to-
Greater New Haven 652 570 553 day life across multiple dimensions. Designed by a
panel of local and national survey research
BY DEMOGRAPHIC WITHIN GREATER NEW HAVEN
experts, these questions are regularly used to
Male N/A 612 538
evaluate personal well-being. For this report, we
Female N/A 570 556 integrate the following four items into a Personal
Age 18–34 N/A 432 441 Wellbeing Index score from 0 to 1,000:
Age 35–49 N/A 440 540
≥ How would you rate your overall health?
Age 50–64 N/A 698 464
≥ Overall, how satisfied are you with your
Age 65+ N/A 794 681 life nowadays?
White 686 572 579 ≥ Overall, how happy did you feel yesterday?
≥ Overall, how anxious did you feel yesterday?
Black 465 576 367
FIG 2.1
AGE
-19%
+13%
0–4 5,642 PEOPLE 3,173 PEOPLE
29,666 27,591 24,024 27,197
AGE
+7%
+3%
5–17 4,825 PEOPLE 2,102 PEOPLE
66,776 78,025 71,601 73,703
AGE
-10%
+3%
18–34 12,413 PEOPLE 3,384 PEOPLE
128,496 104,996 116,083 119,467
AGE
+22%
-1%
35–64 32,800 PEOPLE 1,064 PEOPLE
149,353 171,219 182,153 181,089
AGE
+3%
+13%
65–79 1,227 PEOPLE 6,420 PEOPLE
48,384 44,867 49,611 56,031
AGE
+54%
+18%
80+ 7,504 PEOPLE 3,837 PEOPLE
13,877 18,831 21,381 25,218
TOTAL
+6%
+4%
POPUL ATION 436,552 445,529 464,853 482,705 28,301 PEOPLE 17,852 PEOPLE
Chapter 2 Demographic Change and an Inclusive Economy 25
FIG 2.2
19,003
15,347
5,435
20,015
36,614
130,418
65,074
39,652
11,413
FIG 2.3
51%
41%
38%
32%
21%
16% 14%
13%
4%
1990 2017 1990 2017 1990 2017 1990 2017 1990 2017
DataHaven Greater New Haven Community Index 26
FIG 2.4
1990
91
15
95
2017
91
15
95
3 TO 6%
6 TO 9%
9 TO 12%
12 TO 16%
16 TO 19%
FIG 2.5
FIG 2.6
9% 9% 9%
14,931
16,252 16,421 9%
15,464
FIG 2.7
48%
46%
43% WEST HAVEN
34% G REATER
NEW HAVEN
33% EAST HAVEN
32% 32% I NNER RING
31%
30% CONNECTICUT
28%
26%
25% 24%
24% 24%
22% 23%
20% 22%
19% HAMDEN
19% 19% 19% 19% MILFORD
18% 18%
17%
15%
14% O UTER RING
13%
11% 12%
10% 10%
FIG 2.8
MADISON
$108K
WOODBRIDGE
$138K
NEW HAVEN 91
$39K
15
ORANGE
95
$110K
OUTER RING
$94K
The highest-earning 5% makes 10x more Greater New Haven has a wage gap
K
money than the bottom 20% by both gender and race
MEDIAN HOUSEHOLD INCOME BY QUANTILE, GREATER MEDIAN INCOME OF FULL-TIME ADULT WORKERS,
NEW HAVEN, 2016, WITH RATIO TO BOTTOM 20% INCOME GREATER NEW HAVEN, 2016
MALE FEMALE
$70K
10.4x
HIGHER THAN BOT TOM 20%
$61K
$56K $57K
$55K
$51K
$46K
$41K
5.6x $238K
$36K $37K
$129K
2.7x
$62K
$23K
BOT TOM 20% MEDIAN TOP 20% TOP 5% ALL WHITE BL ACK L ATINO OTHER RACE
Greater New Haven’s middle class has Average incomes have risen in
shrunk considerably higher-income towns
DISTRIBUTION OF POPULATION BY NEIGHBORHOOD MEDIAN HOUSHOLD INCOME, GREATER NEW HAVEN,
INCOME LEVEL, GREATER NEW HAVEN, 1980–2017 1990–2017, ADJUSTED TO 2017 DOLLARS
2%
AFFLUENT
6% 5% 5% 3%
7% 6%
HIGH INCOME $94K OUTER RING
7% 14% MIDDLE INCOME $92K
$81K
$76K
47% $76K
$74K HAMDEN
60% 56% 41% 47% $72K $74K CONNECTICUT
$70K $70K G REATER
$68K NEW HAVEN
$65K $65K I NNER RING
$63K EAST HAVEN
17%
8% 8% 11% 13% $39K NEW HAVEN
FIG 2.13
MADISON
$433K
WOODBRIDGE
$479K
NEW HAVEN 91
$189K
15
ORANGE
95
$385K
OUTER RING
$340K
Cost-burden rates are back to pre- The average renter is $10,000 short of
Recession levels, but are still high affording a 2 bedroom apartment
for renters MEDIAN RENTER HOUSEHOLD INCOME AND MINIMUM
COST-BURDEN AND SEVERE COST-BURDEN RATES HOUSEHOLD INCOME TO AFFORD 2BR HOUSING,
BY TENURE, NEW HAVEN COUNTY, 2005–2017 GREATER NEW HAVEN, 2017, WITH SHORTFALL SHOWN
AVG. RENTER INCOME
MIN. AFFORDABLE INCOME
Cost- 52% Based on HUD guideline of housing
Burdened
affordability as housing costs totaling
51% RENTER $60K no more than 30% of household income
49% $15K
43% $12K
39% 38%
38% TOTAL $18K $10K
Severely
Cost- 28%
27% 27% $20K
Burdened
19%
18%
17%
14%
12% 12%
$0K
T
VE R
N
CU
DE
VE
VE
VE
HA TE
FO
HA
HA
HA
M
W EA
TI
IL
HA
EC
NE R
ST
T
M
W
G
ES
NN
NE
EA
CO
FIG 2.16 FIG 2.17
79% 78%
64%
50%
44% 42% 43% 39%
34%
28%
FIG 2.18
NORTH HAVEN
HAMDEN
WOODBRIDGE
NEW HAVEN
EAST HAVEN
WEST HAVEN
HOLC GRADE
A — BEST
B — STILL DESIRABLE
C — DEFINITELY DECLINING
D — HAZARDOUS
Chapter 2 Demographic Change and an Inclusive Economy 33
FIG 2.19
surrounding region
6K TO 10K IN
2K TO 6K IN
2K OUT TO 2K IN
NET INFLOW OF WORKERS BY TOWN AND WAGE, 2015 2K TO 6K OUT
6K+ OUT
Note: Net inflow
defined as number of
Higher-wage workers ($40K or higher) workers commuting
in minus number of
workers commuting
OTHER CT TOWNS MASSACHUSET TS out. Areas with
+200 negative net inflow
+3.2K are those that lose
more workers than
they gain.
-1.0K
-8.2K +2.3K
-2.5K
-1.5K
91
-2.3K
15 -3.2K
+33K -5.1K
RHODE ISL AND
95 +200
+ < 100 -2.6K
-3.9K
PENNSYLVANIA
+ < 100
-1.6K
NEW JERSEY
+ < 100
NEW YORK
-600
-1.3K
+4.5K
-500
+800
91
-700
15
-200
+3.8K
RHODE ISL AND
-3.3K 95 - < 100
+1.5K
+3.8K
-5.7K
PENNSYLVANIA
+100
+5.5K
NEW JERSEY
+200
NEW YORK
+900
DataHaven Greater New Haven Community Index 34
FIG 2.20
60K
54K
51K EDUCATIONAL SERV.
46K
44K 44K RETAIL TRADE
31K MANUFACTURING
29K ACCOMMODATION & FOOD SERV.
22K 22K A DMIN., SUPPORT, WASTE MGMT
19K & REMEDIATION SERV.
18K 16K P ROFESSIONAL, SCIENTIFIC
17K & TECHNICAL SERV.
15K 16K WHOLESALE TRADE
13K 15K CONSTRUCTION
12K 11K PUBLIC ADMIN.
8K 11K FINANCE & INSURANCE
10K TRANSPORTATION & WAREHOUSING
2000 2005 2010 2015 2017
New Haven’s Outer Ring school Black and special education students are
districts are much less diverse than suspended far more often than others
the city’s schools PERCENTAGE OF STUDENTS SUSPENDED OR EXPELLED AT
COUNT OF K–12 STUDENTS BY RACE, PER 100 LEAST ONCE DURING SCHOOL YEAR, GREATER NEW HAVEN
STUDENTS, 2018–2019 K–12 DISTRICTS, 2017–2018
7%
INNER RING NEW HAVEN 6% 6%
5%
4%
FIG 2.23
BY GROUP
REGION VS STATE
BY DISTRICT
Note on school years: 1. Class of 2017 2. School year 2017–2018 GNH Benchmark
FIG 2.24
Six years after graduating high school, only 48% of Greater 2-YR DEGREE
New Haven public school students have a college degree 4-YR DEGREE
NUMBER AND PERCENTAGE OF STUDENTS ENROLLING IN, PERSISTING IN, Note on school yrs:
1. Class of 2014
AND GRADUATING FROM COLLEGE, OF GREATER NEW HAVEN HIGH SCHOOL GRADUATES 2. Class of 2010
4,228
75%
ENROLLMENT RATE 88%
PERSISTENCE RATE
3,159
2,792 48%
AT TAINMENT RATE
196
1,845
GRADUATE HIGH SCHOOL 1 ENROLL IN COLLEGE W/I 1 YR 1 PERSIST TO 2ND YR 1 EARN DEGREE IN 6 YRS 2
DataHaven Greater New Haven Community Index 36
FIG 2.25
Greater New Haven residents have very different ideas of what young
people experience
SHARE OF ADULTS RATING AS ALMOST CERTAIN OR VERY LIKELY THAT YOUNG PEOPLE IN THEIR AREA
HAVE THE FOLLOWING EXPERIENCES, 2018
GET A JOB WITH OPPORTUNITIES GET ARRESTED
GRADUATE FROM HIGH SCHOOL FOR ADVANCEMENT FOR A FELONY
BY LOCATION
ALL ADULTS
GNH BY
RACE/ETHNICIT Y
GNH BY INCOME
FIG 2.26
White children from low-income homes in Greater New Haven can expect
greater upward economic mobility than Black children from high-income homes
PROBABILITY (%) OF REACHING TOP 20% OF HOUSEHOLD INCOMES AS ADULTS
BY RACE AND CHILDHOOD HOUSEHOLD INCOME, NEW HAVEN COUNTY
BLACK 33%
LATINO
WHITE
24%
22%
19%
14% 12%
4%
8% 8%
LOW CHILDHOOD INCOME LEVEL MIDDLE CHILDHOOD INCOME LEVEL HIGH CHILDHOOD INCOME LEVEL
Chapter 2 Demographic Change and an Inclusive Economy 37
Ring suburbs are expected to experience strong However, not all towns are diversifying at
growth, with the former increasing by 9 percent, or similar rates and magnitudes. During the same
11,700 people, and the latter increasing by 14 time period, the non-white share of Greater New
percent, or 20,758 people.34 Over the same period, Haven’s Outer Ring population increased from 4
the population of the region’s Outer Ring towns is percent to 14 percent.39 The rapidly-diversifying
expected to decline 8 percent, or 14,606 people.35 Inner Ring towns went from 13 percent non-white
SEE FIG 2.1 in 1990 to 41 percent in 2017. New Haven is much
more diverse than its surrounding towns, with a
Increased Diversity population that is 30 percent white, 32 percent
Between 1990 and 2017, people of color living in Black, 30 percent Latino, and 8 percent other
Greater New Haven increased from 21 percent of races. More than half of the region’s Black and
the population to 38 percent. In 2017, 62 percent of Latino residents live in New Haven. SEE TABLE 2B
Greater New Haven residents were white, 15 Racial and ethnic diversity in Greater New
percent were Black, 15 percent were Latino, 5 Haven is highest among the population under 35,
percent were Asian, and 3 percent were other supporting the proposition that the region will
races.36 Combined, the non-white population in the continue to diversify over the coming decades.40
region nearly doubled to over 175,000 people Based on the most recent decennial census
between 1990 and 2017.37 Meanwhile, the white figures, from 2010, only 30 percent of middle-aged
population in Greater New Haven decreased by residents (ages 35 to 64), 18 percent of younger
over 56,000 between 1990 and 2017—a 16 percent seniors (ages 65 to 79), and 9 percent of older
reduction; statewide the white population seniors (ages 80 and up) in Greater New Haven
decreased 11 percent.38 SEE FIG 2.3 were people of color; however, 55 percent of
TABLE 2A
TABLE 2B
children under five, 46 percent of children ages 5 to core cities, lower shares of immigrants are
17, and 42 percent of young adults (ages 18 to 34) naturalized; for example, in the city of New Haven,
identified as such.41 SEE FIG 2.2 only 26 percent of foreign-born residents are
Greater New Haven’s diverse population naturalized citizens.50 New Haven’s naturalization
includes a substantial and growing immigrant rate is even lower than most large cities in the
community. Between 1990 and 2017, the number of state, which may be driven by the sizeable number
immigrants residing in Greater New Haven doubled, of international students attending the area’s
increasing by 29,617 individuals.42 By 2017, 13 universities. Additionally, immigrants residing in
percent of the region’s residents, or 58,847 New Haven are more likely to have recently arrived
individuals, were foreign-born—a share similar to in the U.S.—67 percent arrived in 2000 or later,
Connecticut overall (14 percent).43 In 2017, Inner compared to 51 percent for Greater New Haven
Ring towns had a higher share of immigrant overall.51 Twenty-three percent of Greater New
population (14 percent) than the Outer Ring (9 Haven’s immigrant population entered the country
percent).44 Immigrants from around the world call in 2010 or later.52
Greater New Haven home, including more than As of 2016, 78 percent of both Connecticut and
2,000 residents each from Mexico, China, India, Greater New Haven residents ages 5 and over live
Ecuador, Jamaica, and Italy.45 SEE FIG 2.4, 2.5 in households where English is the primary
A disproportionate share of Greater New language.53 After English and Spanish, Italian,
Haven’s immigrant population resides in the urban Chinese, French, Polish, and Arabic are the most
core and surrounding Inner Ring suburbs. In 2017, commonly spoken languages in the region—Italian
foreign-born residents comprised 16 percent of being particularly common in Greater New Haven
New Haven’s and West Haven’s total populations.46 compared to other areas of the state.54 In 2017,
Additionally, large immigrant communities existed 7 percent of Greater New Haven residents ages 5
in Hamden (14 percent share), Milford, (11 percent and older struggled with English proficiency,
share), and East Haven (10 percent share).47 In 2017, meaning they spoke English less than very well—
New Haven and West Haven accounted for 40 similar to the state rate of 8 percent.55 While low
percent of the region’s population and 51 percent English proficiency is typically more common in
of its immigrants.48 Connecticut’s large cities (23 percent in Bridgeport
In 2017, 44 percent of immigrants living in and 19 percent in Hartford), the city of New Haven
Greater New Haven were naturalized United States had a comparatively low rate of 11 percent.56
citizens—below the 50 percent naturalization rate Another aspect of diversity among Greater
for immigrants statewide.49 In Connecticut’s major New Haven residents is in sexual orientation and
DataHaven Greater New Haven Community Index 40
gender identity. A 2016 Gallup poll found that 10 Changing Household Structure
million Americans—4.6 percent—identify as In 2017, Greater New Haven had 176,605 total
lesbian, gay, bisexual, or transgender (LGBT), an households, representing a 7 percent increase
increase of 1.75 million people since 2012.57 The from 1990, or 11,184 additional households.58, 59 The
2018 DataHaven Community Wellbeing Survey share of households headed by married couples
found that 8 percent of adults in Connecticut has decreased, from 51 percent of households in
identify as not being straight, with a similar 1990 to 44 percent in 2017. Households composed
proportion in Greater New Haven. Additionally, 0.7 of adults living alone or non-family households
percent of adults in both Connecticut and Greater have shown growth over this period.60 SEE FIG 2.6
New Haven identify as transgender. Quantifying Compared to the state overall, Greater New
diversity in sexual orientation and gender identity Haven had a smaller share of married couple
is valuable in itself, but it also has important households (44 percent of Greater New Haven
implications for other aspects of well-being, like households, 49 percent of Connecticut
health. LGBTQ individuals face specific health households) and a larger share of single adults
challenges, discussed in Chapter 3. living alone (32 percent in Greater New Haven, 28
percent of Connecticut).61 While Connecticut’s
largest core cities generally had fewer married
couple households and larger shares of less-
traditional households compared to other towns
and regions across the state, this trend was
particularly pronounced in the city of New Haven
where 42 percent of households were adults living
alone—perhaps a reflection of the large number of
colleges and universities located in and around the
city.62 SEE TABLE 2C
TABLE 2C
Household structure
HOUSEHOLDS BY TYPE, GREATER NEW HAVEN, 2017
TOTAL MARRIED, MARRIED, MARRIED, MARRIED, SINGLE, SINGLE, LIVING LIVING OTHER OTHER
HOUSEHOLDS W/ CHLD. W/ CHLD. NO CHLD. NO CHLD. W/ CHLD. W/ CHLD. ALONE ALONE HOUSEHOLDS HOUSEHOLDS
LOCATION COUNT COUNT SHARE COUNT SHARE COUNT SHARE COUNT SHARE COUNT SHARE
United States 118.8M 22.7M 19% 34.7M 29% 10.8M 9% 32.9M 28% 17.7M 15%
Connecticut 1,361,755 259,868 19% 404,743 30% 116,400 9% 383,275 28% 197,469 15%
GNH 176,605 27,939 16% 49,210 28% 15,464 9% 56,662 32% 27,330 16%
New Haven 49,987 5,329 11% 6,781 14% 7,159 14% 20,726 42% 9,992 20%
Inner Ring 53,539 7,881 15% 14,905 28% 4,645 9% 17,095 32% 9,013 17%
East Haven 11,270 1,472 13% 3,454 31% 917 8% 3,654 32% 1,773 16%
Hamden 22,882 3,717 16% 7,010 31% 1,418 6% 7,330 32% 3,407 15%
West Haven 19,387 2,692 14% 4,441 23% 2,310 12% 6,111 32% 3,833 20%
Outer Ring 73,079 14,729 20% 27,524 38% 3,660 5% 18,841 26% 8,325 11%
Milford 21,634 3,865 18% 7,398 34% 1,038 5% 6,402 30% 2,931 14%
Chapter 2 Demographic Change and an Inclusive Economy 41
TABLE 2D
concentration of low-income populations. For
example, one such study found that between 2000 Growing neighborhood income inequality
and 2016, the low-income population of POPULATION AND DEFINITION BY NEIGHBORHOOD INCOME
economically declining areas grew by 44 percent LEVEL, GREATER NEW HAVEN, 2017
(5,369,000 people) in the 50 largest U.S.
metropolitan areas; while Greater New Haven was DEFINITION CHANGE IN TOTAL
INCOME BASED ON AVG POPULATION POPULATION POPULATION
not included in the analysis, the New York City and BRACKET FAMILY INCOME 1980 2017 1980–2017
Hartford metropolitan regions reported similar Affluent 1.5x AFI or above 7,754 12,106 56%
increases of 49 percent and 44 percent, High income 1.25 to 1.49x AFI 30,889 63,412 105%
respectively, in the number of low-income people
Middle income 0.75 to 1.24x AFI 248,320 217,236 13%
living in economically declining areas.76
Analyzing population distribution by neighborhood Low income 0.5 to 0.74x AFI 96,287 95,313 1%
income level paints a picture of the shrinking of the Poor Under 0.5x AFI 31,371 77,566 147%
region’s middle class, as increasing numbers of
Note: See Fig. 2.11 for a graphic representation of these data.
people are living in neighborhoods at the extremes.77
Greater New Haven’s middle-class neighborhoods—
those where average family income is similar to economically disadvantaged residents in particular
that of the state overall—have progressively shrunk neighborhoods has negative impacts on well-being
from housing 60 percent of the population in 1980 that stem from fewer educational and job
to only 47 percent in 2017. While the share of opportunities, increased health risks, and limited
residents residing in middle income neighborhoods access to quality community resources.84 Research
in Greater New Haven in 2017 was still substantially indicates that areas that are more residentially
below levels in the 1980s and 1990s, there has segregated by race and income have lower levels of
been improvement since 2010 (an increase of 7 economic mobility, defined as the ability of those in
percentage points, or 30,355 people, living in the next generation to move up the economic ladder
middle income neighborhoods).78 Concurrently, compared to their parents.85 In towns experiencing an
there was a slight reduction in the concentration of increasing concentration of low-income populations,
residents living in low-income, high-income, and local governments may struggle to distribute public
affluent neighborhoods. Indeed, the New Haven- resources in a manner that meets the basic needs
Milford MSA was shown to experience a significant of their residents, resulting in overburdened public
decline in income inequality in recent years (2014 schools, underfunded public libraries, and deferred
to 2016)—the second biggest decline across the maintenance on infrastructure. SEE CHAPTER 4
country’s 100 largest U.S. metros.79 However, Further exacerbating income inequality is the
mirroring the continued national trend of increasing fact that median household incomes have only
concentration among the most economically increased in the region’s higher-income towns.86
disadvantaged, between 2010 and 2017, the share Between 1990 and 2017, only 5 of the region’s 13
of Greater New Haven residents living in the towns saw increases in inflation-adjusted median
poorest neighborhoods increased by 3 percentage household income, all of which were in the Outer
points, or 16,595 people.80 SEE FIG 2.11 Ring.87 The region’s overall median household
These income inequality trends have direct income was stagnant during this period, decreasing
bearing on the well-being of Greater New Haven by around 3 percent—a reflection of the wider
residents. A wealth of research shows that state trend.88 Greater New Haven’s Inner Ring
regardless of objective economic growth, towns experienced a 7 percent decline, with West
communities will not become happier without Haven seeing a decrease of 15 percent, while the
addressing inequality.81 Income inequality city of New Haven declined 17 percent.89 SEE FIG 2.12
fragments communities by dismantling trust and
ties, especially across income lines.82 In regions Rising Low-Income Rate
with higher levels of inequality, people are less Since 2000, the low-income rate in Greater New
likely to belong to social organizations and Haven has been on the rise.90 “Low-income”
participate in civic life—all important components denotes individuals living in households with
of community well-being.83 As discussed annual incomes of less than twice the federal
throughout this report, the concentration of poverty level, also encompassing those living
Chapter 2 Demographic Change and an Inclusive Economy 43
below the poverty line.91 In 2017, a family of two The ALICE Project (Asset Limited, Income
earning $32,480 or less was considered low- Constrained, Employed), a United Way initiative
income, as was a family of four earning $49,200 or spanning a number of states including Connecticut,
less.92 Between 2000 and 2017, the share of Greater utilizes a “household survival budget” based on
New Haven’s population living in low-income the actual costs of basic necessities such as
households increased from 22 percent to 26 housing, childcare, food, transportation, and
percent, similar to the statewide increase from 19 healthcare for different types of households in
percent to 23 percent. The low-income rate in New each county in Connecticut to establish an ALICE
Haven is substantially higher than the region income threshold which encompasses households
overall, approaching 50 percent in 2017; above the poverty line that earn less than the basic
additionally, the low-income rate for the Inner Ring cost of living in the county.95 The most recent ALICE
(25 percent) was nearly double that of the Outer analysis found that, in 2016, 33 percent of the
Ring (13 percent).93 SEE TABLE 2E region’s households qualified as ALICE—along with
In Greater New Haven and statewide, the an additional 11 percent of households below the
low-income rate among children is both higher and poverty line. Taken together, 44 percent of house-
growing faster than for the population as a whole. holds were struggling to satisfy basic needs required
In 2017, nearly two out of three children ages 0 to 17 to live and work, well above the 26 percent low-
in New Haven lived in low-income households, income rate for Greater New Haven defined above.96
meaning in the city alone, almost 18,000 youth faced DataHaven’s 2018 Community Wellbeing
severe economic hardship.94 Though New Haven Survey results revealed many Greater New Haven
had the highest child low-income rate in the region residents face financial stress: 34 percent of
in 2017, the rate among Inner Ring suburbs has adults in the region report that they are just getting
seen a far sharper uptick, from 24 percent in 2000 by or finding it difficult to manage financially.97
to 32 percent in 2017. SEE FIG 2.7 These rates have changed little since the last time
the survey was conducted, in 2015. SEE TABLE 2F
Financial Security When people are forced to choose among
While this report uses the low-income threshold basic needs, such as rent, childcare, transportation
to identify those living under severe economic to work, or treating a health condition, they are
hardship, many individuals and families above left with no good options—their well-being will
that line struggle mightily to make ends meet. ultimately suffer.
TABLE 2E
Low-income population
LOW-INCOME (<200% FPL) POPULATION BY AGE GROUP, GREATER NEW HAVEN, 2017
ALL AGES, ALL AGES, ALL AGES, AGES 0–17, AGES 0–17, AGES 0–17, AGES 0–5, AGES 0–5,
POVERTY STAT. LOW- LOW-INCOME POVERTY STAT. LOW- LOW-INCOME POVERTY STAT. LOW- AGES 0–5,
LOCATION DETERMINED INCOME RATE DETERMINED INCOME RATE DETERMINED INCOME LOW-INCOME RATE
United States 313M 102.5M 33% 72.4M 30.6M 42% 23.4M 10.6M 45%
Connecticut 3,486,033 802,453 23% 752,655 225,715 30% 221,412 72,246 33%
Greater New Haven 446,916 116,457 26% 93,138 31,709 34% 28,157 10,258 36%
New Haven 122,320 58,932 48% 28,672 17,874 62% 9,725 6,123 63%
Inner Ring 136,850 33,693 25% 27,420 8,718 32% 8,445 2,616 31%
East Haven 28,741 6,451 22% 5,438 1,811 33% 1,513 477 32%
Hamden 56,160 10,621 19% 10,736 2,076 19% 3,369 484 14%
West Haven 51,949 16,621 32% 11,246 4,831 43% 3,563 1,655 46%
Outer Ring 187,746 23,832 13% 37,046 5,117 14% 9,987 1,519 15%
Milford 53,399 8,027 15% 9,563 1,813 19% 2,823 624 22%
DataHaven Greater New Haven Community Index 44
TABLE 2F
Financial insecurity
SHARE OF ADULTS, GREATER NEW HAVEN, 2018
$200K+ 8% 9% 2% 6% 2% 1% 2%
BY GEOGRAPHY
TABLE 2G
Homeownership
HOMEOWNERSHIP RATE, TOTAL AND BY RACE OF HOUSEHOLDER, GREATER NEW HAVEN, 2017
United States 118.8M 75.8M 64% 81.3M 58.2M 72% 14.5M 6.1M 42% 15.1M 7M 46%
Connecticut 1.4M 906,798 67% 1M 762,221 76% 130,942 51,237 39% 164,460 55,650 34%
Greater New Haven 176,605 106,429 60% 118,683 85,359 72% 27,727 9,794 35% 20,345 6,350 31%
New Haven 49,987 13,913 28% 17,447 6,396 37% 17,095 4,553 27% 12,182 2,287 19%
Inner Ring 53,539 33,550 63% 35,420 25,012 71% 9,288 4,382 47% 5,836 2,559 44%
East Haven 11,270 7,787 69% 9,284 6,685 72% 218 196 90% 1,243 496 40%
Hamden 22,882 14,857 65% 14,600 10,805 74% 5,015 2,541 51% 1,631 779 48%
West Haven 19,387 10,906 56% 11,536 7,522 65% 4,055 1,645 41% 2,962 1,284 43%
Outer Ring 73,079 58,966 81% 65,816 53,951 82% 1,344 859 64% 2,327 1,504 65%
Milford 21,634 16,525 76% 18,927 14,962 79% 544 303 56% 958 585 61%
Chapter 2 Demographic Change and an Inclusive Economy 47
TABLE 2H
Connecticut 1.5M 974K 65% 336.7K 23% 185K 12% 10,323 4,032 61% 8,440 1,844 78% 1,883 2,188 16%
GNH 194.8K 112.4K 58% 50,274 26% 32,071 17% 896 469 48% 645 131 80% 251 338 35%
New Haven 56,360 13,257 24% 28,664 51% 14,439 26% 122 128 5% 70 5 93% 52 123 137%
Inner Ring 59,310 35,064 59% 13,008 22% 11,238 19% 154 73 53% 122 19 84% 32 54 69%
East Haven 12,494 8,363 67% 2,389 19% 1,742 14% 56 7 88% 45 7 84% 12 0 100%
Hamden 24,865 14,921 60% 4,564 18% 5,380 22% 68 24 65% 48 4 92% 20 20 0%
West Haven 21,951 11,780 54% 6,055 28% 4,116 19% 29 42 45% 29 8 72% 0 34 N/A
Outer Ring 79,089 64,093 81% 8,602 11% 6,394 8% 620 268 57% 453 107 76% 167 160 4%
Milford 23,329 17,522 75% 3,046 13% 2,761 12% 223 182 18% 110 22 80% 114 160 40%
surrounding towns, white homeowners have 2016. In Greater New Haven, 6 percent of
median home values that are similar to the regional mortgages in 2017 were high-cost, but the percent
median, while Black and Latino homeowners’ of high-cost mortgages varied widely by town, from
median values are only about $189,000.107 The 12 percent in West Haven and 10 percent in New
substantial differences in housing values between Haven to 1 percent in Woodbridge and 2 percent in
towns in the region mean that many prospective Milford and Madison.112
homeowners are limited to more affordable Historically, Black and Latino homebuyers
communities, potentially contributing to the have received high-cost mortgages more often
region’s neighborhood income inequality. Overall, than white borrowers. In Greater New Haven in
inflation-adjusted median housing values in the 2017, just 4 percent of white borrowers received
region increased by $44,382, or 19 percent, high-cost mortgages, compared to 13 percent of
between 2000 and 2017; the statewide increase Latino borrowers and 15 percent of Black
during this period was $40,853, or 18 percent.108 borrowers. Statewide in the same year, 4 percent
New Haven saw a particularly large increase of 27 of white borrowers, 12 percent of Black borrowers,
percent during this period, though the city’s and 11 percent of Latino borrowers received
median home values still lagged significantly high-cost mortgages. These loans are often
behind the region as a whole.109 SEE FIG 2.13 concentrated in areas with more non-white
In Connecticut in 2017, more than 37,000 residents. The average high-cost mortgage in
mortgages were issued to homebuyers,110 5 percent Greater New Haven in 2017 went to a homebuyer in
of which qualified as high-cost. High-cost a census tract where 41 percent of the residents
mortgages have annual percentage rates that were people of color. Non-high cost mortgages
exceed by a certain threshold the rate that would were given in census tracts with 24 percent people
be granted to a well-qualified borrower.111 These of color, on average.113
mortgages are more expensive for borrowers, Homebuyers with lower incomes are more
theoretically increasing the risk of default. In likely to receive high-cost mortgages. In Greater
Connecticut, the proportion of mortgages New Haven, the median income for high-cost
qualifying as high-cost held around 1 percent from borrowers in 2017 was $66,000, compared to
2010 to 2012, peaked at 7 percent in 2014, sharply $84,000 for borrowers with non-high cost
declined, and now appears to be increasing as of mortgages. The median loan amount for a high-
DataHaven Greater New Haven Community Index 48
cost mortgage was $177,000, compared to In 2017, the median rent for a two-bedroom
$218,000 for other mortgages.114 In both cases, loan housing unit in Greater New Haven was $1,301 per
amounts are lower than the median home value of month, or $15,612 annually.120 Based on this, the
$279,333 in Greater New Haven, suggesting that average renting household in Greater New Haven
more affordable housing is in demand. would need to earn $52,040 per year to be able to
Housing affordability is a serious issue in avoid being cost-burdened—about $10,000 more
Greater New Haven. The 2018 DataHaven than the median household income of the region’s
Community Wellbeing Survey found that 9 percent renter households. This rent affordability shortfall
of adults in Greater New Haven did not have varies across the region, but is particularly high in
enough money for housing or shelter at some point the Inner Ring towns and in New Haven, where the
in the preceding year.115 But two of every five vast majority of households rent and where
Greater New Haven households are either housing affordable housing is scarce.121 SEE FIG 2.15
cost-burdened (21 percent)—meaning that they Renters facing this affordability shortfall may
spend more than the recommended 30 percent of also face the possibility of eviction when their
income on housing116 —or severely cost-burdened wages are not enough to cover rent. The eviction
(20 percent), meaning more than 50 percent of their rate (number of evictions per renter-occupied
income goes toward housing. Renters are generally household) in Connecticut between 2001 and 2016
at heightened risk: 29 percent of renter-occupied averaged 3.1 percent, peaking at 3.9 percent in
households are severely housing cost-burdened, 2003. In 2016, the eviction rate in Connecticut was
more than double the 14 percent of owner- 3.0 percent—or 13,800 households, slightly higher
occupied households.117 than the national average that year of 2.3 percent.
The overall cost-burden rate in New Haven In Greater New Haven, 3.3 percent, or approximately
County peaked in 2010 during the Great Recession 2,500 households, were evicted in 2016. Sixty
at 43 percent, and has steadily decreased during percent of these formal evictions took place in
the post-recession years.118 While the cost-burden New Haven, where 1,481, or 4.1 percent percent of
rate for homeowners has actually improved since renter-occupied households, were evicted in 2016.
2005—currently standing at 31 percent—the rate Madison had the lowest eviction rate, 0.8 percent
for renters has actually gone up slightly, from 49 or 9 households. These rates are derived from the
percent to 51 percent.119 SEE FIG 2.14 / SEE TABLES 1B, 2I best available nationwide evictions dataset, which
TABLE 2I
Housing costs
MEDIAN HOUSING VALUE AND SEVERE HOUSING COST BURDEN, GREATER NEW HAVEN, 2017
MEDIAN NUMBER OF SEVERELY COST SEVERE COST- NUMBER OF RENTER SEVERELY COST RENTER SEVERE
LOCATION HOUSING VALUE HOUSEHOLDS BURDENED BURDEN RATE HOUSEHOLDS BURDENED COST-BURDEN RATE
Greater New Haven $279,333 176,605 34,870 20% 70,176 20,450 29%
is based on court-reported filings and whether an Seventy-eight percent of people in A-grade areas
eviction took place as a result. Because not all were white, compared to just 28 percent in D-grade
evictions take place through the legal system, and areas.128 SEE FIG 2.16, 2.17, 2.18
because these data are based solely on available Zoning is perhaps the most common and
court records, these rates likely do not capture the powerful tool policymakers have at their disposal
true magnitude of evictions.122 to encourage the development of more and more
Evictions, whether formal or informal, do not affordable housing where it is needed most, but
affect all families equally. The 2018 DataHaven local zoning codes are often used instead to
Community Wellbeing Survey found that 16 percent prevent the development of affordable units. At
of white adults, 25 percent of Black adults, and their worst, zoning regulations further perpetuate
39 percent of Latino adults in Greater New Haven decades of race- and class-based discrimination.
had moved within the past three years; of these A recent Connecticut Mirror/ProPublica article
adults, who were mostly renters, about 4 percent reveals the extent to which zoning regulations in
had been evicted.123 Of those renters who were southwest Connecticut prevent willing developers
not evicted, about 1 in 10 adults said they had from building affordable housing despite evident
moved in part because of rent increases at their need and demand.129 When they are permitted to
previous home, and about 1 in 14 said they moved break ground, these affordable developments are
because their landlord would not fix things.124 disproportionately located in low-income
Low-income adults (earning less than $30,000 per neighborhoods and communities of color, further
year) and adults living with children were more reinforcing social and economic segregation. For
likely to report having been unable to afford example, according to the Connecticut Department
adequate housing. For children in housing-insecure of Housing, 32 percent of New Haven’s total
families, educational and cognitive development housing units were given some form of government
outcomes are a concern as they must cope with housing assistance in 2018, compared to about 5
the stress of increased residential mobility and percent of units in Milford and about 11 percent of
risk of homelessness.125 the state’s housing stock overall.130
Housing Discrimination
Redlining is the shorthand used to refer to the
practice of rating certain neighborhoods as risky or JOBS AND
undesirable for investment for reasons historically JOBS ACCESS
rooted in the races, ethnicities, occupations, and
income levels of the areas’ residents. In the early
1930s, the federal government established the Regional Job and Wage Trends
Home Owners’ Loan Corporation (HOLC) to help Since 2000, the number of jobs in Greater New Haven
fund mortgages for homebuyers. HOLC created (represented in this subsection by New Haven County,
maps of cities that rated neighborhoods from as data were only available at that level) has ebbed
A (“Best”) to D (“Hazardous”), including large parts and flowed in line with the larger economic climate.
of New Haven and the Inner Ring towns.126 The total job count fell following the early 2000s
Neighborhoods rated as “hazardous” were shaded recession, nearly bounced back by 2007, and
red and were subsequently considered to be too sharply decreased following the Great Recession.
risky for mortgage loans or other investments. By 2017, the number of jobs in New Haven County
Today, the impact of redlining on communities (365,909) had somewhat recovered since the last
across the country remains apparent. Comparing peak in 2007 (372,606).131 This pattern was similar
the neighborhoods targeted for investment to the statewide trend over the same time period.
decades ago to demographics from 2010,127 we While the total number of jobs in New Haven
notice comparatively high rates of homeownership County in 2017 was similar to the number in 2000,
in higher-grade areas—79 percent in Greater New they have shifted dramatically toward a service
Haven’s A–grade areas compared to 44 percent economy. In the early 2000s, the county’s two
overall and just 34 percent in D-grade areas. The largest sectors were health care and social
areas are also racially segregated, and higher– assistance and manufacturing. Since then,
grade areas were predominantly white in 2010. manufacturing jobs have plummeted by more than
DataHaven Greater New Haven Community Index 50
TABLE 2J TABLE 2K
All NAICS Sectors $57,091 $1,806 3.3% All NAICS Sectors $21,000,000,000 N/A N/A N/A
Health Care and $50,486 $34 0.1% Health Care and $3,600,000,000 14.8% 17.1% 2.3%
Social Assistance Social Assistance
Educational Services $63,144 $8,614 15.8% Educational Services $3,200,000,000 11.7% 15.5% 3.8%
Professional, Scientific, $94,707 $2,814 2.9% Professional, Scientific, $1,600,000,000 8.8% 7.4% 1.4%
and Technical Services and Technical Services
Retail Trade $31,486 $4,011 11.3% Retail Trade $1,400,000,000 8.0% 6.7% 1.3%
Wholesale Trade $81,447 $2,656 3.4% Wholesale Trade $1,300,000,000 6.6% 6.3% 0.3%
Finance and Insurance $94,779 $16,273 20.7% Finance and Insurance $1,100,000,000 5.1% 5.2% 0.1%
Administrative and Support $44,765 $9,026 25.3% Administrative and Support $970,000,000 3.3% 4.6% 1.3%
and Waste Management and Waste Management
and Remediation Services and Remediation Services
Public Administration $68,531 $8,340 13.9% Public Administration $790,000,000 3.5% 3.8% 0.3%
Management of Companies $129,232 $49,531 62.1% Management of Companies $690,000,000 1.5% 3.3% 1.8%
and Enterprises and Enterprises
Accommodation and $20,169 $98 0.5% Accommodation $580,000,000 2.2% 2.8% 0.6%
Food Services and Food Services
Transportation and $45,613 $864 1.9% Transportation $470,000,000 1.9% 2.2% 0.3%
Warehousing and Warehousing
Other Services (except $31,198 $2,933 8.6% Other Services (except $460,000,000 2.0% 2.2% 0.2%
Public Administration) Public Administration)
Real Estate and $56,049 $8,132 17.0% Real Estate and $330,000,000 1.2% 1.6% 0.4%
Rental and Leasing Rental and Leasing
Arts, Entertainment, $36,637 $5,388 17.2% Arts, Entertainment, $250,000,000 0.9% 1.2% 0.3%
and Recreation and Recreation
Agriculture, Forestry, $32,435 $2,093 6.1% Agriculture, Forestry, $26,000,000 0.1% 0.1% 0.0%
Fishing and Hunting Fishing and Hunting
Mining, Quarrying, and $76,203 $4,487 5.6% Mining, Quarrying, and $14,000,000 0.1% 0.1% 0.0%
Oil and Gas Extraction Oil and Gas Extraction
a third, and health care jobs have grown to 71,000 2016 forecast estimates that, statewide, the health
employees.132 Home health aides, nurses, and care and social assistance sector will grow by an
health care managers and executives are among additional 11 percent by 2026.134 Both educational
the most common occupations within this sector.133 services and accomodation and food services also
As New Haven County’s senior population grows, saw growth from 2000 to 2017, adding about 7,400
health care and social assistance workers will and 6,600 jobs, respectively.135 SEE FIG 2.20
likely continue to be in high demand. The In 2017, the average wage in New Haven County
Connecticut Department of Labor’s most recent was $57,091—nearly $10,000 below the state average
Chapter 2 Demographic Change and an Inclusive Economy 51
of $66,990.136 Between 2000 and 2017, the average a reasonable commuting distance, as well as
wage in New Haven County increased by about 3 necessary services such as shopping and health
percent, outpacing the 1 percent wage growth care. Results from the 2018 DataHaven Community
statewide during that period.137 In the county’s Wellbeing Survey indicate that 14 percent of
fast-growing service sectors, wages are generally Greater New Haven’s adults do not have access to
lower, and since 2000 have been largely stagnant. a car when they need it.141 In the region, 46 percent
Meanwhile, wages in some higher-paying sectors, of adults who earn less than $15,000 per year and
such as finance and insurance, have continued to 26 percent who earn between $15,000 and $30,000
climb. Educational services, now the second- report not having access to a car when needed.142
largest sector, posted wage increases of 16 As detailed in a 2014 report, How Transportation
percent over this period.138 SEE TABLE 2J Problems Keep People Out of the Workforce in
While the finance and insurance sector Greater New Haven, these adults also face much
accounts for an outsized share of total payroll in higher levels of underemployment.143 Additionally,
Fairfield and Hartford Counties, the same cannot about half of adults who face transportation
be said in New Haven County, where the sectors insecurity also report that they have missed a
with the largest shares of total payroll in 2017 were doctor’s appointment in the past year due to lack
educational services and health care and social of reliable transportation.144 These survey data
assistance, at 16 and 17 percent, respectively.139 underscore the importance of alternative local
These sectors also demonstrated the largest transportation options. SEE TABLE 2L
growth in share of total payroll between 2000 and Lack of car access is far more common for
2017, which tracks with their increasing number of Black residents (21 percent) and Latino residents
employees over this time period. SEE TABLE 2K (26 percent) than among white residents (only 10
percent).145 As discussed above, the substantial
Transportation and Job Locations disparity in median household income and family
Transportation is a key factor in access to quality wealth between white households and Black and
jobs. With Greater New Haven residents holding Latino households in Greater New Haven is one
jobs throughout the county and state, and important factor in explaining these differences in
sometimes even beyond state lines, the importance car access.
of reliable and affordable transportation cannot be Additionally, it is important to consider the
overstated.140 As is the case in other large cities, potential trade-offs between housing and
New Haven experiences a large net inflow of transportation costs. Adults who seek lower-cost
higher-wage workers (33,000) each day due to it housing farther from work or services may shoulder
having a high concentration of higher-paying jobs, a much greater burden of transportation expenses,
with earnings of at least $40,000 per year, though and have to cope with the many other potentially-
only 20 percent of these high-wage jobs in New negative impacts of longer daily travel times,
Haven are held by city residents. The issue known including those related to employment and health.146
as spatial mismatch, in which many workers
experience “reverse” commutes to get to lower- Underemployment
paying jobs in outer suburbs, is also a concern. Though Greater New Haven’s average unemployment
While New Haven has the highest share of rate from 2013 to 2017 mirrored the statewide and
residents who hold jobs in the same town that they nationwide rates (all 7 percent), there was
live in, two-thirds of the lower-income workers who significant variation by place and race/ethnicity
live in the city travel to surrounding towns for work; within the region.147 SEE FIG 1.3, TABLE 1B
this is seen in the net inflow of lower-wage workers However, a much greater number of
in the Outer Ring suburbs of Milford (5,500), North residents—particularly within certain population
Haven (4,500), Orange (3,800), and Branford groups—find economic opportunities to be limited.
(1,500). SEE FIG 2.19 The unemployment rate counts people without a
Regional commuter rail connections, bus job but looking for work; it does not consider
services, and walking or biking provide options for part-time workers who would prefer full-time work,
some workers, especially those employed in city nor those who are interested in working but not
centers. However, most residents rely on a car to actively searching for a job. The DataHaven
reach the greatest number of available jobs within Community Wellbeing Survey captures both of
DataHaven Greater New Haven Community Index 52
TABLE 2L
Economic opportunity
SHARE OF ADULTS, GREATER NEW HAVEN, 2018
BY GEOGRAPHY
these groups in its underemployment measure. underemployment (27 percent) than adults ages 35
In 2018, 20 percent of Greater New Haven to 64 (15 percent).150 Additionally, the dispropor-
adults reported being underemployed. This figure tionately high rates of underemployment among
was slightly higher than that of the state, and communities of color may play a role in the more
triple the region’s official unemployment rate in negative outlook regarding economic opportunities
that same year.148 The underemployment rate reported by Black and Latino residents. Overall,
in Greater New Haven varies; for example, three the survey results suggest that Greater New Haven
times the share of adults in New Haven were residents who earn more than $75,000 per year are
underemployed (30 percent) as in the Outer Ring almost twice as likely as residents earning less
suburbs (10 percent).149 Across Greater New Haven, than $30,000 per year to be optimistic about job
adults under age 35 face higher rates of opportunities for residents in their area. SEE TABLE 2L
Chapter 2 Demographic Change and an Inclusive Economy 53
consistently had passing rates 3 to 6 percentage preparatory programs. Many high schools offer
points below the state’s average in both English/ college and career readiness (CCR) programs,
language arts (ELA) and math, though math scores including Advanced Placement (AP), International
have improved from 33 percent passing in the Baccalaureate (IB), career education, and other
2014–15 school year to 43 percent in 2017–18. ELA opportunities. In the 2017–18 school year, 66
scores are generally higher: 51 percent of Greater percent of Greater New Haven’s 11th- and
New Haven students passed ELA in the 2017–18 12th-graders were in CCR courses and programs—
school year, only 1 percentage point above the or more than 5,800 upperclassmen. This varies
2014–15 test.163 widely between districts, from 90 percent of
Stark disparities in standardized test Madison upperclassmen being in CCR to 46
performance exist throughout Greater New Haven. percent in East Haven; in New Haven, 64 percent
In the 2017–18 school year, white students had are in CCR.167
about twice the pass rate (66 percent) of Black (31 While three out of four high school graduates in
percent) and Latino students (34 percent) in ELA; the area enroll in college within a year, and 88 percent
these gaps are even wider in math. Gaps of similar of those students re-enroll for a second consecutive
magnitude exist as well between students eligible year, less than half of the public high school
for FRPM and those ineligible, and are more severe graduates in Greater New Haven have a college
between students in special education and those degree six years after graduating high school.168
not, and ELL versus non-ELL students.164 SEE FIG 2.23 A 2019 report from Fairfield County’s Community
Though Greater New Haven’s four-year high Foundation highlights the importance of post-
school graduation rate is about the same as the secondary certificates offered in expanding job
state average—rising from 80 percent of the class sectors at community colleges.169 SEE FIGURE 2.24 /
of 2011 to 87 percent of the class of 2017 SEE TABLE 2M
graduating on time—the region’s achievement gap The city of New Haven has seen several
appears here as well. Of the class of 2017, 91 positive trends in high school and college
percent of the region’s white students graduated graduation rates since the introduction of New
on time, several percentage points above the rates Haven Promise in 2010. This program provides up
of Black students (80 percent) and Latino students to full-tuition college scholarships to qualifying
(79 percent), a pattern mirrored statewide. The public school students. Since 2010, school
gaps are even wider for high-needs students: the enrollment in New Haven public schools increased
four-year high school graduation rate is only 68 by 17 percent.170 During this time, graduation rates
percent for special education students, 73 percent for the district’s Black and Latino students have
for ELL students, and 77 percent for FRPM increased from 61 percent of the class of 2010 to
students in the region.165 78 percent of the class of 2017, the highest among
In discussing achievement gaps, it is worth Connecticut’s four largest districts.171 According to
noting the role of school segregation and the program, Promise Scholars are completing
distribution of resources. There are 14 public college within six years at a rate of 65 percent,
school districts within Greater New Haven, but the compared to 48 percent of students in Greater
majority of Black, Latino, FRPM, and ELL students New Haven.172 Black students, who comprise nearly
are concentrated in just a few. Three districts— half of the Promise Scholars attending four year
New Haven, Hamden, and West Haven—educate a colleges, have a college graduation rate of 64
combined 55 percent of the region’s students, but percent, more than 20 points higher than the
are home to 93 percent of the region’s Black national average, and 63 percent of the students
students, 83 percent of Latino students, 77 from the lowest household income bracket (under
percent of FRPM-eligible students, and 85 percent $30,000)—the largest segment of Promise
of ELL students.166 Sixty-eight percent of the region’s scholars—graduated within six years.173
Black students go to school in New Haven alone. Adults with high school diplomas or college
These are also towns that have less money available degrees have more employment options and
to spend on students and other resources that can considerably higher potential earnings, on average,
support opportunities for young people. SEE CHAPTER 4 than those who do not finish high school.174 In 2017,
One way to level the playing field moving into 9 percent of adults ages 25 and older in the region
adulthood might be through post-secondary had less than a high school education. This is about
Chapter 2 Demographic Change and an Inclusive Economy 55
TABLE 2M
Connecticut 37,708 27,697 73% 24,540 89% 18,706 49% 16,400 2,306
Greater New Haven 4,228 3,159 75% 2,792 88% 2,041 48% 1,845 196
New Haven 1,049 705 67% 542 77% 216 22% 189 27
Inner Ring 976 672 69% 584 87% 415 39% 352 63
Outer Ring 2,203 1,782 81% 1,666 93% 1,410 64% 1,304 106
27,900 people. While 40 percent of adults in the maintenance.178 SEE FIG 2.23
region have four-year college degrees, attainment Academic disadvantages that result from
rates are not as high in some areas, particularly in chronic absenteeism are also at play for students
the city of New Haven where 15 percent of adults who miss class due to in-school or out-of-school
25 years and older lack a high school diploma.175 suspensions. Students who are suspended or
SEE TABLE 1B, 2N expelled from school are more likely to have
negative perceptions of school179 and to have lower
Risk Factors for Youth GPAs.180 Perhaps most gravely, they are also more
There is room for improvement regarding chronic likely to be involved with the juvenile justice
absenteeism in Greater New Haven, which is a system.181 Black and Latino students—particularly
detriment to academic success, especially when it boys—are expelled or suspended far more frequently
occurs in early grades. A national study found that than white students,182 even as early as preschool.183
over half of chronically-absent kindergarteners Even when the confounding effects of socioeconomic
became chronically-absent first graders.176 Chronic status are controlled for, Black students are still
absenteeism is defined as a student missing at disciplined more frequently than their white
least 10 percent of the days for which they were counterparts.184 In Greater New Haven public
enrolled during a school year. In the 2017–18 school schools, Black students are suspended or expelled
year, 13 percent of students in Greater New Haven at a rate three times greater than white students and
were chronically absent from school. This rate special education students are suspended or
included 8 percent of white students, 20 percent of expelled more than twice as often as students who
Black students, 18 percent of Latino students, and are not in special education. SEE FIG 2.22
9 percent of students of other races/ethnicities. Adults’ perceptions of what youth in their
Further, special education students and those towns are likely to experience are generally
eligible for FRPM were more than twice as likely to positive, but vary greatly from town to town. For
miss so many days of school as their lower-risk example, in New Haven, adults are much less likely
counterparts.177 Factors that contribute to chronic to think that a young person in their town will
absenteeism may include individual- and family- graduate from high school or get a job with
level predictors such as asthma and other chronic opportunities for advancement compared to adults
diseases, poverty, and parent involvement, as well in the state and surrounding towns. New Haven
as school-level factors such as bullying and school residents are three times more likely than
DataHaven Greater New Haven Community Index 56
TABLE 2N
Educational attainment
EDUCATIONAL ATTAINMENT, ADULTS AGE 25+, GREATER NEW HAVEN BY TOWN, 2017
residents statewide to think that a young person in a low-income white child growing up to be within
their neighborhood will get arrested for a felony. In the top 20 percent of households by income (19
addition to perceptual differences by place within percent) is almost twice that of a high-income Black
the region, adults also perceive youth experiences child (12 percent), and nearly five times that of a
differently depending on race. Black and Latino low-income Black child (4 percent).188 As a result of
adults in Greater New Haven are more than three factors beyond their control, these children are
times as likely as white adults to think that children subject to the effects of differential access to
in their neighborhood will someday be arrested for quality education, post-secondary and
a felony. Lastly, wealth correlates with more employment opportunities, and wealth-building
positive perceptions of young people’s future opportunities. Those with better access tend to
experiences. For example, 43 percent of adults have correspondingly better overall health and
earning under $30,000 think that their higher quality of life than people with limited
neighborhood youth are very likely to get a job with access to those opportunities. SEE FIG 2.26 DH
opportunities for advancement, compared to 73
percent of adults earning $100,000 or more who
think the same.185 SEE FIG 2.25
The relationship between education and
subsequent economic opportunity is apparent.
The quality of a child’s education is highly
correlated with upward mobility,186 but a person’s
economic future is largely dependent upon the
circumstances of their youth. The place a child
grows up, their race, and their family’s income will
generally determine whether that child will move
up the socioeconomic ladder. Children in
Connecticut are slightly more advantaged than
children nationwide187 —partially due to the state’s
overall wealth—but other disparities are evident.
White children in New Haven County, regardless of
their family’s income, are more likely than their
Black or Latino peers to experience upward economic
mobility. In New Haven County, the probability of
Families walk along the
Creating A
Healthier Region
Overall, Greater New Haven is a
healthy place to call home.
Chapter 3 Creating a Healthier Region 59
FIG 3.1
BY CENSUS TRACT
NEW HAVEN
78.2 YEARS
91
15
ORANGE
83.4 YEARS
95
WEST HAVEN
77.8 YEARS
FIG 3.2
Cancers and infant/fetal mortality impact GREATER NEW HAVEN OUTER RING
YEARS OF POTENTIAL LIFE LOST BEFORE AGE 75 PER 100,000 LARGER GNH TOWNS
RESIDENTS BY CAUSE OF DEATH, GREATER NEW HAVEN, 2010–2014
YEARS OF POTENTIAL LIFE LOST TO AGE 75 AVG. YEARS DEATHS BEFORE
PER 100K RESIDENTS LOST PER DEATH AGE 75
GENERAL CAUSES
CANCER
13 2,346
ACCIDENT
30 587
HEART DISEASE
14 1,221
DRUGS
32 312
NEW HAVEN
HOMICIDE
39 136
SUICIDE
30 185
CHRONIC 17 172
LIVER DISEASE
DIABETES
13 229
STROKE
12 164
SEPSIS
14 135
KIDNEY DISEASE
10 125
CANCER T YPES
LUNG
11 618
PANCREATIC
11 152
POISONING
32 273
FIG 3.3
Rates of hospitalizations and GREATER NEW HAVEN EAST HAVEN NEW HAVEN
2,000
1,500
AGE-ADJUSTED RATES
1,000
500
0
SUBSTANCE HOMICIDE &
HYPERTENSION DIABETES FALL COPD DENTAL
ABUSE ASSAULT
MENTAL DEPRESSIVE MOTOR VEHICLE DIABETES,
ASTHMA HEART DISEASE
DISORDER DISORDER ACCIDENTS UNCONTROLLED
REL ATIVE AGE-ADJUSTED RATES
2
(CONNECTICUT = 1.0)
0
DataHaven Greater New Haven Community Index 64
FIG 3.4
CHRONIC DISEASE, ENCOUNTER RATE (PER 10,000 RESIDENTS), 2015–2017 NEW HAVEN INNER RING
3,000
Heart 4,000
Diabetes
Disease
3,000
2,000
2,000
1,000
1,000
0 0
F M F M F M F M F M F M F M F M F M F M F M
20–44 45–64 65–74 75–84 85+ 0–19 20–44 45–64 65–74 75–84 85+
6,000
Hypertension 300 Diabetes,
Uncontrolled
4,000 200
2,000 100
0 0
F M F M F M F M F M F M F M F M F M F M F M F M
0–19 20–44 45–64 65–74 75–84 85+ 0–19 20–44 45–64 65–74 75–84 85+
Asthma 2,000
COPD
1,500
1,500
1,000
1,000
500
500
0 0
F M F M F M F M F M F M F M F M F M F M F M
0–4 5–19 20–44 45–64 65–74 75+ 20–44 45–64 65–74 75–84 85+
Chapter 3 Creating a Healthier Region 65
FIG 3.5
OTHER HEALTH ISSUES, ENCOUNTER RATE (PER 10,000 RESIDENTS), 2015–2017 NEW HAVEN INNER RING
Depressive 1,000
Substance
750 Disorder Abuse
750
500
500
250
250
0 0
F M F M F M F M F M F M F M F M F M F M F M F M
0–19 20–44 45–64 65–74 75–84 85+ 0–19 20–44 45–64 65–74 75–84 85+
2,500
1,500
75
1,000
50
500
25
0 0
F M F M F M F M F M F M F M F M F M F M F M F M
0–19 20–44 45–64 65–74 75–84 85+ 0–19 20–44 45–64 65–74 75–84 85+
160 300
Homicide Motor Vehicle
150
120
& Assault Accidents
200
100
80
100
50
40
00 0
F M F M F M F M F M F M F M F M F M F M
0–19 20–44 45–64 65–74 0–19 20–44 45–64 65–74 75–84 85+
DataHaven Greater New Haven Community Index 66
FIG 3.6
NEW HAVEN
Heart EAST HAVEN RELATIVE RATE, 2012–2014 TO 2015–2017
Disease
WEST HAVEN
INNER RING BETTER WORSE
GNH
HAMDEN
CT
NORTH BRANFORD
BRANFORD
MILFORD
NORTH HAVEN
OUTER RING
WOODBRIDGE
GUILFORD
MADISON
ORANGE
BETHANY
FIG 3.7
Disorder CT
WEST HAVEN
GNH
WEST HAVEN
GNH CT
INNER RING INNER RING
BRANFORD BRANFORD
HAMDEN MILFORD
MILFORD HAMDEN
NORTH BRANFORD BETHANY
NORTH HAVEN OUTER RING
OUTER RING NORTH HAVEN
GUILFORD NORTH BRANFORD
WOODBRIDGE WOODBRIDGE
MADISON
BETHANY GUILFORD
MADISON
Substance
ORANGE ORANGE Abuse
100 170 240 310 380 450 50 150 250 350 450
FIG 3.8
TOTAL
NOT AT ALL LIKELY
NOT VERY LIKELY
CONNECTICUT 7% 21% 42% 21% 8% A TOSS UP
VERY LIKELY
ALMOST CERTAIN
RACE/ETHNICITY
INCOME
FIG 3.9
Overdose death rates have skyrocketed, but are beginning to subside again
AGE-ADJUSTED MONTHLY RATE OF DRUG OVERDOSE DEATHS PER 1 MILLION RESIDENTS, 2012–2018
40
31 New Haven
30
RATE PER 1 MILLION
22 CT
20
15 GNH
10 10
8
5
FIG 3.10
75
60
45
59%
COUNT OF DEATHS
30
49% 50%
49%
15
36% 53%
11% 19%
6% 6% 9% 8%
0% 0%
0
2012 2013 2014 2015 2016 2017 2018
DataHaven Greater New Haven Community Index 70
FIG 3.11
Residents often see their race as major reason for discrimination in multiple areas
of their lives
PERCENT OF ADULTS REPORTING PERCEIVED REASONS FOR THEIR DISCRIMINATION, OF RACE
ADULTS CITING A REASON FOR EXPERIENCES OF DISCRIMINATION, GREATER NEW HAVEN, 2018 S OME OTHER ASPECT OF
PHYSICAL APPEARANCE
H EALTH
INSURANCE STATUS
52% GENDER
AGE
46% 44%
NOTE: SURVEY RESPONDENTS
WERE ALLOWED TO CITE MORE
THAN ONE REASON.
UNFAIR POLICE STOPS PREVENTED FROM MOVING UNEQUAL ACCESS TO HEALTHCARE WORKPL ACE DISCRIMINATION
FIG 3.12
20%
18%
15%
14%
12%
11%
10%
9%
8% 8% 8%
5%
4% 4% 4%
3%
1%
CT GNH NEW HAVEN WHITE BL ACK L ATINO HIGH SCHOOL SOME COLLEGE BACHELOR’S
OR LESS OR ASSOCIATE’S OR HIGHER
TOTAL RACE/ETHNICITY EDUCATION
Chapter 3 Creating a Healthier Region 71
typical American, life expectancy in one of New Haven, consider the more than five year difference
Haven’s low-income neighborhoods is just 71 in life expectancy between the adjacent towns of
years—nearly 15 years lower than that of the West Haven and Orange. For every 100,000
neighborhood with the highest life expectancy residents under the age of 75, a total of 6,646 years
(85.8 years, in Orange).195 Town-wide averages range of potential life were lost due to all premature
from a maximum of 83.4 years in Orange to a deaths in West Haven each year from 2010 to 2014,
minimum of 77.8 years in West Haven and 78.2 compared to 2,967 in Orange. Heart disease, one of
years in New Haven, a difference of more than 5 the leading causes of premature death, cost 1,073
years.196 SEE FIG 3.1 years of life per 100,000 residents in West Haven
Differences within cities and towns are also (based on 38 premature deaths each year, with an
significant. Within New Haven, life expectancies in average age at death of 60) and 517 in Orange
the Westville (83.9 years), Wooster Square (83.5 (seven premature deaths each year, with an
years), and East Rock (82.8 years) neighborhoods average age at death of 65). Injury, a cause of
are well above the state average of 80.3 years. premature death including overdoses, motor
Those of the Dixwell (73.2 years), Newhallville vehicle crashes, homicide, and suicide, led to the
(71.7 years), and several other neighborhoods are loss of 1,231 years of life per 100,000 residents in
far lower.197 Large differences in life expectancy West Haven (21 premature deaths from injury each
are also found within the Inner Ring suburbs and year, with an average age at death of 44), and 501 in
in Milford. Orange (three premature deaths per year, with an
These variations in life expectancy can be average age at death of 51). SEE TABLE 3A
explained by differences in the rates of premature
death within the population—calculated based on Leading Causes of Death:
the number of years of potential life lost by residents Cancer, Heart Disease, and Injuries
before they reach their 75th birthdays (YPLL-75). In Cancers were among the most common causes of
Greater New Haven, cancers, fetal and infant premature death in Greater New Haven from 2010
mortality, cardiovascular diseases, opioid use to 2014, with lung cancer by far the most common
disorders, suicides, motor vehicle crashes, and cause of cancer-related premature mortality.
homicides are most prominent among the causes of Premature death rates from lung cancer in most of
premature death as measured by YPLL-75. SEE FIG 3.2 Greater New Haven’s towns and cities were not
To illustrate the impact of the differences in statistically different from the statewide average
the rates of premature death in Greater New of 297 years lost per 100,000 residents. Also,
TABLE 3A
Greater New Haven 5,579 1,408 930 770 457 255 237 245
New Haven 7,055 1,263 1,588 924 589 223 265 697
Inner Ring 5,644 1,484 875 813 380 253 208 187
East Haven 6,153 1,740 395 895 420 292 112 125
West Haven 6,646 1,660 1,204 1,073 338 286 276 205
Greater New Haven residents experienced rates of homicides in New Haven has substantially
lung cancer-related encounters at hospitals and declined. However, the opioid crisis throughout the
emergency departments that were similar to those region has made injuries even more significant as a
of residents statewide.198 However, elevated rates cause of reduced life expectancy in recent years.
of premature mortality due to lung cancer were Topics related to the leading causes of death are
measured in West Haven, East Haven, and discussed below in more detail.
Branford (405, 411, and 456 years lost per 100,000
residents, respectively).
Premature deaths due to other specific types
of cancer were, for the most part, not statistically INFANT AND
different from statewide averages, so few CHILD HEALTH
substantial differences within the region were
observed beyond the fact that cancer death rates
overall were slightly lower in wealthier towns. Other Healthy Birth Outcomes
than lung cancer, the most notable difference was A person’s childhood is formative in almost every
that premature death rates due to liver cancer in way. For instance, the health of a child in the first
New Haven and West Haven (117 and 124 years lost few years of their life strongly determines how
per 100,000 residents, respectively) were twice the healthy they will be as an adult. This path begins
state average (61 years lost per 100,000 residents). while the child is still in the womb—with the health
This is equivalent to about eight “excess premature of the child’s mother.
deaths” per year —defined as the number of Since the dawn of modern public health,
premature deaths every year from liver cancer over statistics on infant outcomes have been considered
and above what the number would have been if it one of the most effective indicators of the overall
had corresponded with the statewide average. health of a community. Despite rising life
Cigarette smoking is one notable risk factor for expectancy overall due to medical advances, rates
cancer, causing an estimated 48.5 percent of all of infant mortality in the U.S. remain very high
deaths from 12 major types of cancer combined.199 relative to what they are in many other advanced
It is a contributing factor in up to 90 percent of lung economies. In 2017, France, Spain, Italy, the Czech
cancer deaths, as smokers are 15 to 30 times more Republic, South Korea, and Hong Kong had infant
likely to die of lung cancer than non-smokers,200 as mortality rates of between 2.6 and 3.3 deaths per
well as half of bladder cancer deaths. While 1,000 live births—about half the rate of 5.8 deaths
smoking rates have fallen during the past two per 1,000 live births experienced in the U.S. that
decades, they remain relatively high in parts of the year.202 In 2015, the rate of infant mortality in
region. Obesity, unhealthy diets, alcohol Greater New Haven was 5.3 deaths per 1,000 live
consumption, and physical inactivity are also births; within New Haven, this rate was higher, at
considered to be significant risk factors for cancer. 6.3 deaths per 1,000 live births. These rates were
Heart disease and other cardiovascular not significantly different from the state average of
diseases cause one-third of U.S. deaths overall,201 5.6 deaths per 1,000 live births, but are still
and are also a leading cause of premature death in considered high by international standards.203
Greater New Haven. In 2010 to 2014, rates of Regional and city-level averages mask large
premature mortality due to heart disease in the disparities by race and ethnicity. In Greater New
city of New Haven were 46 percent higher than the Haven between 2011 and 2015, the average infant
rates in the Outer Ring. mortality rate of babies born to Black mothers was
Injury is also a leading cause of death, 10.5 per 1,000 live births, higher than the 6.9 per
particularly among younger adults and children. From 1,000 births to Latina mothers, and 2.7 times
2010 to 2014, the impact of injuries on premature higher than the rate of 3.9 per 1,000 babies born to
death rates was similar to that of cancer in most white mothers. These differences follow a pattern
towns. Higher premature death rates in New Haven observed statewide and nationally.204
were in large part attributable to the 19 residents The two most significant causes of infant
who lost their lives due to homicide during each of mortality are birth defects and conditions related
those five years, on average, with an average age at to preterm birth or low birthweight. Birth defects
death of just 28 years. Since 2014, the number of have many causes, some of which are unknown,
DataHaven Greater New Haven Community Index 74
TABLE 3B
Birth outcomes
DATAHAVEN ANALYSIS OF CTDPH VITAL STATISTICS DATA, 2006–2010 AND 2011–2015
Connecticut 200,357 8.0% 20% 181,687 7.8% 23% -9% 3% 14%
Greater New Haven 26,183 8.8% 18% 23,586 7.5% 19% -10% 15% 5%
New Haven 10,460 10.1% 24% 9,280 8.6% 23% -11% 14% 5%
Inner Ring 8,380 8.4% 16% 7,483 7.7% 18% -11% 9% 11%
East Haven 1,500 8.8% 15% 1,318 7.1% 17% -12% 19% 13%
Hamden 3,248 8.3% 14% 2,940 7.3% 16% -9% 12% 17%
West Haven 3,632 8.4% 19% 3,225 8.2% 20% -11% 2% 7%
Outer Ring 7,343 7.4% 12% 6,823 5.6% 15% -7% 24% 25%
Milford 2,448 7.7% 12% 2,244 6.1% 17% -8% 21% 40%
but some of the most preventable risk factors may The rate of non-adequate prenatal care—
include a lack of folic acid, alcohol use and meaning that the mother went to fewer than 80
smoking, obesity, and uncontrolled diabetes.205 percent of the expected prenatal care visits or did
Similarly, the causes of premature birth and low not start the visits until her second trimester—
birthweight are complex, but some are related to rose from 18 to 19 percent of births in Greater New
health inequities such as a lack of adequate Haven between 2006–2010 and 2011–2015, similar
prenatal care, poor nutrition, and factors that to the trend observed statewide during that time
exacerbate the risk of chronic diseases. As shown period (an increase from 20 to 23 percent). The
elsewhere in this report, the rates at which women increase in the region was significantly smaller
face these conditions diverge along than that seen in the state primarily because New
socioeconomic, racial, and geographic lines. Haven was one of the few places in Connecticut
The rate of low birthweight babies—defined as that saw an improvement in its rate of non-
the percentage of infants born that weigh fewer adequate prenatal care, with the share of births
than roughly five and a half pounds—has been with non-adequate care in that city declining from
significantly improving throughout most of Greater 24 percent to 23 percent between 2006–2010 and
New Haven during the past decade. Between 2011–2015. For comparison, in the similarly-sized
2006–2010 and 2011–2015, the five-year periods cities of Bridgeport and Stamford, non-adequate
used for our analysis of local area data, the rate of prenatal care rates were 33 percent in the 2011–
low birthweight babies in Greater New Haven 2015 period.
improved, falling from 8.8 percent to 7.5 percent.
Statewide, the rate of low birthweight babies fell Environmental Threats
from 8.0 percent to 7.8 percent during that same While lead—a dangerous neurotoxin—is toxic to
time period. The low birthweight rate varied from everyone, lead poisoning is of particular concern to
5.6 percent of infants in the Outer Ring to 8.6 children under the age of six due to rapid
percent in New Haven, but these areas saw large development in early childhood. Health problems
improvements relative to the statewide trend. related to lead are a constant concern in areas with
West Haven also experienced a fairly high rate and older housing stock that contain lead paint. As
was the only large town without a substantial such, regulations that aim to limit children’s
improvement; its low birthweight rate held steady exposure have been tightened. Even at relatively
at between 8.2 and 8.4 percent of infants during low levels, however, lead poisoning can cause
that time period. SEE TABLE 3B behavioral changes and cognitive impairment in
Chapter 3 Creating a Healthier Region 75
children. As of May 2013, the state’s reference level Haven public school districts fell below the
is 5 micrograms of lead per deciliter of blood (μg/ statewide average, including in Orange,
dL); a child under six years old with a level higher Woodbridge, and Milford where the rates were
than that is classified as lead poisoned. In 2016, lower than 8 percent. On the other hand, New
there were 399 children under six years old in Haven, East Haven, and West Haven had the
Greater New Haven with blood lead concentrations highest rates among public school districts in
higher than the reference, or 4.4 percent of those Greater New Haven. Rates of hospital and
tested. The vast majority of these cases were emergency room encounters for asthma among
among children living in New Haven (314 cases).206 children four years old and younger also differ from
That city’s rate of lead poisoning has declined, town to town across the region.210 SEE TABLE 3C
from 9.0 percent of all children tested in 2013 to 7.6
percent in 2016, but still has one of the highest
rates in the state. By comparison, in the Inner Ring
and Outer Ring suburbs of Greater New Haven, HEALTH RISK
rates of lead poisoning were 2.5 percent and 0.9 FACTORS
percent, respectively, in 2016.207
Children are also at increased risk of asthma
exacerbations due to environmental factors, Inadequate Access to Health
including cockroaches, mold, and traffic and Dental Care
pollution.208 Childhood asthma affects children’s Health-related challenges begin with access to
quality of life and performance in school and it can healthcare. In 2018, the percentage of uninsured
be fatal if left untreated. According to the State of adults in Greater New Haven was the same as that
Connecticut Department of Public Health’s of Connecticut overall (5 percent),212 yet there are
School-Based Asthma Surveillance Report of 2019, notable disparities. While only 4 percent of Greater
levels of childhood asthma are generally lower in New Haven’s white population lacks insurance, the
Greater New Haven public schools than statewide numbers jump to 7 percent for its Black population
between 2012 and 2014; however, there are and 12 percent for Latinos.213 SEE TABLE 3E
noticeable differences from town to town.209 Across Having health insurance, however, does not
Connecticut, one in seven children in the public guarantee timely or high-quality medical care.
school system had asthma (about 14 percent). Reasons for foregoing medical care are complex
Rates of childhood asthma in most Greater New and overlapping, and lower-income residents may
disproportionately be faced with the challenge of
pursuing medical care in lieu of other basic
necessities. In 2018, 22 percent of Greater New
Haven adults reported having postponed necessary
TABLE 3C medical care within the past year, and 9 percent
reported having failed to get care altogether.214
Asthma prevalence by public school district They cited myriad reasons. Nearly half of survey
CT DPH SCHOOL-BASED ASTHMA SURVEILLANCE, 2012–2014 respondents who missed or postponed care cited
having been too busy with work or other
SCHOOL DISTRICT 211 ASTHMA PREVALENCE
commitments (48 percent), not feeling their issues
Connecticut 14.3% were serious enough (45 percent), or fearing the
Greater New Haven 12.0% cost would be too high (40 percent). Scheduling
New Haven 14.7% problems can disrupt care: 30 percent of adults
who missed or postponed care could not get an
Inner Ring 11.7%
appointment soon enough, and 20 percent could
East Haven 13.1%
not get to a provider during their open hours.
Hamden 10.5% Insurance not paying for treatment was an issue
West Haven 12.2% for 21 percent of adults missing or delaying care,
Outer Ring 9.7%
and insurance not being accepted was an issue for
15 percent. Additionally, 19 percent of those with
Milford 7.9%
disrupted care cited their caregiving obligations.215
DataHaven Greater New Haven Community Index 76
TABLE 3D
STAYED HOME
DIDN'T GET FROM DOCTOR PHYSICALLY
MEDICAL CARE IN PAST YEAR THREATENED WITH ATTACKED OR
NO HEALTH THEY NEEDED IN TRANSPORT DUE TO LACK OF UTILITY SHUTOFF THREATENED IN
INSURANCE PAST YEAR FOOD INSECURE INSECURE TRANSPORT IN HOME PAST YEAR
Relative risk:
Frequent users vs. 1.6x 2.7x 3.5x 3.8x 9.9x 4.1x 3.5x
non-users of ER
In Greater New Haven, 12 percent of adults— prescription medicines last year because they
including 21 percent of young adults—lack a could not afford to get more of them.221
medical home, meaning that they do not have any Dental care is also important because oral
person or place that they consider to be their health affects many other areas of life, including
personal doctor, who they see on an ongoing basis.216 overall well-being and performance at school and
Lacking affordable medical care may play a in work. Good oral health helps prevent infections,
role in residents relying on the emergency room. In heart disease, stroke, adverse birth outcomes, and
2018, 26 percent of Greater New Haven adults other serious conditions, and has other impacts on
reported receiving care in a hospital emergency room quality of life.222 According to the CDC, over 40
at least once.217 While only 5 percent of adults in the percent of US adults experience mouth pain each
region did so three or more times during the past year, causing many people to miss work for
year, this figure was more than double among those emergency dental care. In Connecticut, about 16
earning less than $30,000 per year (11 percent).218 percent of elementary school-age children have
Lack of transportation, food insecurity, and untreated tooth decay.223
unstable housing also contribute to frequent use of In 2018, 28 percent of Greater New Haven
emergency rooms. In Greater New Haven, residents adults said they had not been to the dentist in the
lacking health insurance were slightly more likely past year. This rate was substantially higher among
than those with insurance to be frequent users of younger adults (34 percent), New Haven residents
an emergency room last year, but residents who (34 percent), and residents earning less than
experienced food or transportation insecurity were $30,000 per year (44 percent).224
substantially more likely to have visited an Emergency room encounters related to
emergency room than other residents.219 SEE TABLE 3D preventable dental conditions are considered an
Affordability is a challenge for many residents. incidence proxy for the lack of timely and adequate
In 2018, 15 percent of Greater New Haven residents oral health care. Seeking acute care at a hospital
earning less than $30,000 per year did not get for a severe tooth infection, for example, may not
prescription medicines they needed because they address the underlying need for preventive dental
could not afford the medication, compared to 9 care. Overall, from 2015 to 2017, Greater New
percent of residents overall, and 5 percent of Haven had slightly lower rates of emergency room
residents earning over $100,000 per year.220 encounters and hospitalizations for preventable
Additionally, 7 percent of adults in Greater New dental conditions than the state average. However,
Haven said that they altered the way they take their New Haven had higher reported rates, with 98
Chapter 3 Creating a Healthier Region 77
TABLE 3E
School of Public Health.225 Discrimination is a social
Barriers to healthcare stressor that impacts mental and physical health
SHARE OF ADULTS, GREATER NEW HAVEN, 2018 both directly and indirectly, especially within the
broader context of structural, institutional, and
LOCATION DIDN’T GET CARE POSTPONED CARE NO MEDICAL HOME cultural racism.226 In Greater New Haven, some
Connecticut 9% 23% 12% adults reported that discrimination affected their
ability to get the health care they needed. In 2018,
Greater New Haven 9% 22% 12%
10 percent of all adults in the region said that,
BY DEMOGRAPHIC WITHIN GREATER NEW HAVEN when seeking health care, they had been treated
Male 8% 19% 14% with less respect, or received worse care than what
Female 9% 24% 10% others received.227 For these adults, health
insurance status and race were the two most
Age 18–34 11% 27% 21%
commonly reported reasons for discrimination.
Age 35–49 11% 25% 16%
Most of these adults experienced this issue
Age 50–64 8% 23% N/A repeatedly: 64 percent said such incidents had
Age 65+ 4% 12% N/A happened multiple times in the past 3 years.
White 7% 22% N/A
LGBTQ individuals, as a group, have a higher
risk for a variety of conditions, including sexually-
Black 9% 23% N/A
transmitted diseases, poor mental health,
Latino 18% 26% N/A homelessness, harassment, violence, and social
Under $30K 16% 26% N/A isolation.228 They also face stigmas, lack of cultural
$30K-$100K 8% 23% N/A competency in healthcare providers, and
exclusionary insurance policies.229 Transgender
$100K+ 4% 23% N/A
people in particular often have difficulty simply
BY GEOGRAPHY accessing care: statewide, only 57 percent of
New Haven 12% 26% 19% self-identifying transgender participants in the
Inner Ring 10% 25% 11% DataHaven Community Wellbeing Survey reported
that their primary care provider can provide them
East Haven 9% 23% 13%
with trans-inclusive services, and 44 percent said
Hamden 8% 20% 11%
they had forgone medical care in the past year for
West Haven 12% 30% 7% fear of harassment or mistreatment.230 These
Outer Ring 5% 16% 8% findings match research done nationally by
Milford 8% 22% 11%
organizations seeking to understand the concrete
ways discrimination and lack of access to
resources impair the health of LGBTQ people.231
In addition to asking about health care
encounters per 100,000 residents per year across discrimination, the 2018 survey probed residents’
all age groups, compared to 58 per 100,000 experiences with negative interactions with and
statewide. The greatest burden of encounters for unfair stops by police, differential treatment while
preventable dental conditions fall in the under 45 searching for housing, and unfair treatment when
age groups. New Haven also saw remarkably higher seeking employment or a promotion. Combining
rates in the 0–19 age group compared to the the survey items into an experiences-of-
statewide average, with signs that this burden is discrimination scale suggests a link between
growing among children and youth. SEE FIG 3.3, 3.4, 3.5, discrimination and poor health in Greater New
3.6, 3.7 Haven. In a future report, we will complete a more
rigorous statistical analysis of these data. SEE FIG
Experiences of Discrimination 3.11, 3.12 / SEE TABLE 3F
In 2018, the DataHaven Community Wellbeing
Survey included for the first time a sequence of Adverse Childhood Experiences
questions about experiences of discrimination According to the Connecticut Department of Public
(EOD), drawn from a body of scientific work Health, adverse childhood experiences (ACEs) can
pioneered largely by David Williams of the Harvard affect a child’s social, emotional, and cognitive
DataHaven Greater New Haven Community Index 78
TABLE 3F
development; their adoption of risky behavior later
in life; and their chances of disease and even early Experiences of discrimination
death. Three of five adults across the state SHARE OF ADULTS HAVING EVER EXPERIENCED DISCRIMINATION,
reported having had at least one ACE—ranging GREATER NEW HAVEN, 2018
from an incarcerated household member or sexual
abuse to the more prevalent household drinking PREVENTED RECEIVED
LOCATION WORKPLACE POLICE STOPS FROM MOVING POOR SERVICE
problems, divorced parents, and emotional abuse.
Two-thirds of those who had had at least one ACE Connecticut 27% 11% 4% 10%
thought it was likely that youth would abuse drugs Age 18–34 23% 12% 3% N/A
or alcohol, 9 percent thought it was likely that Age 35–49 36% 17% 5% N/A
youth would join a gang, and 12 percent felt the
Age 50–64 35% 14% 9% N/A
same about the chances of youth getting arrested
Age 65+ 20% 7% 4% N/A
for felonies.233 These data varied by town and
neighborhood, however. In the city of New Haven, White 27% 8% 3% N/A
the corresponding figures were 44 percent, 24 Black 35% 23% 11% N/A
percent, and 30 percent, respectively. SEE FIG 2.25, 3.8 Latino 30% 20% 11% N/A
Attaining and maintaining good health requires not $75K+ 26% 12% 4% N/A
only access to high quality medical services, but BY GEOGRAPHY
also engagement in daily behaviors that promote
New Haven 37% 18% 8% 8%
health. However, broader issues of income,
education, employment, and racial and gender Inner Ring 24% 13% 6% 8%
TABLE 3G
DENTAL
VERY GOOD CURRENT VISIT DEPRE- FOOD
LOCATION SELF-RATED HEALTH ANXIETY DIABETES ASTHMA OBESITY HAS HEALTH INSURANCE PAST YR SSION SMOKING INSECURITY
Connecticut 59% 12% 10% 11% 29% 95% 74% 9% 14% 13%
GNH 58% 14% 9% 11% 30% 95% 72% 11% 16% 13%
Male 60% 14% 10% 9% 31% 93% 69% 11% 17% 12%
Female 57% 13% 9% 13% 28% 96% 76% 12% 14% 14%
Age 18–34 62% 19% 2% 14% 27% 92% 66% 17% 19% 18%
Age 35–49 58% 16% 5% 12% 31% 95% 70% 12% 18% 20%
Age 50–64 61% 10% 11% 10% 34% 97% 78% 9% 17% 10%
Black 51% 13% 13% 13% 40% 93% 70% 12% 19% 20%
Latino 51% 21% 11% N/A 39% 88% 72% 22% N/A 38%
Under $30K 42% 21% 16% N/A 38% 91% 56% 21% 22% 29%
$30K–$100K 58% 13% 8% N/A 28% 95% 71% 11% 15% 13%
BY GEOGRAPHY
New Haven 55% 15% 10% 14% 31% 93% 66% 15% 19% 21%
Inner Ring 52% 15% 11% 10% 35% 96% 71% 11% 16% 14%
East Haven 54% 11% 13% 9% 34% 95% 70% 12% 19% 11%
Hamden 56% 14% 10% 11% 31% 95% 74% 9% 13% 12%
West Haven 45% 17% 14% 12% 40% 95% 69% 14% 17% 18%
Outer Ring 67% 12% 9% 12% 28% 97% 82% 10% 12% 6%
Milford 67% 10% 10% 13% 29% 97% 78% 10% 12% 9%
percent in 2018 according to the DataHaven the actual obesity rate by a few percentage points.
Community Wellbeing Survey,236 and from 25 Despite major reductions in cigarette smoking
percent in 2015 to 27 percent in 2017 according to over the past several decades, there is still room
the Behavioral Risk Factor Surveillance System.237 for significant progress. The connection between
The share of Greater New Haven adults who smoking and cancer is discussed above, and
reported exercising fewer than three days per week smoking and secondhand smoke have been linked
increased slightly, from 38 percent to 42 percent, to many other health issues including infant health,
between 2015 and 2018.238 Childhood obesity is also asthma, and stroke. More adults smoke cigarettes
a major concern, though Connecticut’s estimated in Greater New Haven (16 percent) than in the state
11.9 percent obesity rate among youth ages 10 to overall (14 percent). The region’s smoking rate
17 is lower than the U.S. rate of 15.8 percent.239 increased slightly between 2015 and 2018, but is
Local, state, and national rates are calculated still relatively high among residents earning less
based on self-reported or parent and caregiver- than $50,000 per year, and is 19 percent in East
reported height and weight, and likely underestimate Haven and New Haven.240 When looking at smoking
DataHaven Greater New Haven Community Index 80
patterns by age, as of 2018, 19 percent of the was driven mostly by a steep rise in opiate- and
region’s adults between the ages of 18 and 34 opioid-related deaths.249 The weight of overdose
reported that they currently smoke cigarettes.241 deaths comes not only from sheer numbers, but
Vaping is becoming more common, particularly also from the epidemic’s reach: the median age for
among young adults. In 2018, 10 percent of adults fatal overdoses in Greater New Haven is 44, about
in Greater New Haven reported using e-cigarettes 36 years younger than the region’s overall life
or vaping more than once a month, slightly above expectancy.250 When ranking major causes of
the statewide rate of 8 percent; among adults age premature death by years of potential life lost prior
18 to 34, 36 percent had tried e-cigarettes as of to age 75 (YPLL-75) in Greater New Haven, we
2018.242 SEE TABLE 3G estimate that deaths from opioid-related
Some in the region struggle with alcohol, overdoses between 2015 and 2018 would rank 5th
marijuana, and opioid use disorders. In 2018, 8 highest after cancer, infant and fetal mortality,
percent of adults reported drinking heavily (more accidents, and heart disease.251 SEE FIG 3.9, 3.10
than four drinks at once for women or five drinks The Centers for Disease Control and
for men) at least six times in the past month. Eight Prevention characterizes the epidemic as
percent of adults—including 14 percent of those multilayered with three distinct waves.252
ages 18 to 34—reported using marijuana more Prescription opioids were the main drivers of the
than 10 times during any given month.243 Drinking first wave (1990s); heroin was largely responsible
too much can dramatically change mood and for the rise in 2010; and synthetic opioids, such as
behavior, and long-term alcohol use can damage fentanyl, have driven the current wave, which
organs including the heart and liver, increasing the began in 2013.253
risk of cancers and other diseases.244 Like alcohol,
marijuana is associated with depression and
anxiety, though it is not yet known whether this is a
causal relationship.245 The opioid crisis, which has TABLE 3H
connections to the use of other substances such Overdose deaths by substance
as alcohol, is covered below.
TOTAL COUNT AND ANNUALIZED AGE-ADJUSTED OVERDOSE
DEATH RATE PER 100K RESIDENTS BY PRESENCE OF OPIATES OR
The Opioid Crisis OPIOIDS, GREATER NEW HAVEN, 2015–2018
The opioid crisis has made headlines across the
country, with some of the highest overdose death ANY ANY
rates occurring in the northeast U.S. In 2016, LOCATION
SUBSTANCE
COUNT
SUBSTANCE
RATE
OPIATE/OPIOID
COUNT
OPIATE/OPIOID
RATE
Connecticut ranked 11th among all states in the
Connecticut 3,423 24.2 3,202 22.8
country in the rate of overdose deaths, and several
nearby states—including New Hampshire, Greater New Haven 432 23.0 405 21.6
Massachusetts, Rhode Island, and Maine—fell Inner Ring 147 24.8 141 24.0
within the top 10.246 Thousands of Americans die of Outer Ring 131 19.6 127 19.0
opioid overdoses each month, including an average
of 67 Connecticut residents per month from 2015
to 2018. Between 2015 and 2018, Greater New
Haven averaged 23 drug overdose deaths per TABLE 3I
100,000 residents per year, just below the state’s Overdose deaths by race and ethnicity
rate of 24.2 per 100,000; filtered for just opiate- TOTAL COUNT AND ANNUALIZED AGE-ADJUSTED OVERDOSE
and opioid-related deaths, these rates become DEATH RATE PER 100K RESIDENTS BY RACE, GREATER NEW
21.6 and 22.8, respectively.247, 248 SEE TABLES 3H, 3I HAVEN, 2015–2018
The full effect of the opioid crisis is not
captured in the comprehensive 2010–2014 WHITE WHITE BLACK BLACK LATINO LATINO
premature mortality data that we used toward the LOCATION COUNT RATE COUNT RATE COUNT RATE
beginning of this chapter. Over just a few years, the Connecticut 2,673 29.5 296 18.9 393 19.1
number of deaths from drug overdoses in Greater Greater New Haven 324 29.1 69 22.6 33 12.9
New Haven increased by 80 percent, from 67
Inner Ring 123 37.1 16 14.1 8 8.6
deaths in 2014 to 121 deaths in 2016; this increase
Chapter 3 Creating a Healthier Region 81
These patterns hold true in Greater New per year) compared to those in the Outer Ring
Haven, where the death rate from drug overdoses (105 encounters per 10,000 residents). Rates in
has mirrored the upward trend seen throughout the New Haven were the highest in the region and
state and country, generally staying tied with the grew considerably from 412 encounters per
statewide rate. Similar also is the skyrocketing 10,000 residents annually in 2012–2014 to 454 in
prominence of fentanyl: the substance was 2015–2017, even as rates declined in Outer Ring
detected in only four of Greater New Haven’s towns. Statewide trends across age groups and
110 overdose deaths (under 4 percent) in 2012 genders are also reflected in the Greater New
and 2013, but in 118 of the 223 deaths (53 percent) Haven region, with greater burden on male
in 2017 and 2018. One positive note for the region populations in the 20-44 and 45-64 age groups.257
is that unlike most other regions of the state, SEE FIG 3.3, 3.4, 3.5, 3.6, 3.7
Greater New Haven’s overdose death rate began The reach of the opioid crisis goes beyond just
trending back downward around late 2017; the people who have struggled with addiction
region’s monthly death rate continued declining themselves. In the 2018 DataHaven Community
for all of 2018.254 Wellbeing Survey, nearly one in every three adults
As is the case elsewhere, men make up much in Greater New Haven reported knowing someone
larger shares of drug overdose deaths in Greater who has struggled with opioid abuse or addiction in
New Haven than women: since 2012, women have the past three years. Out of that one-third of
never accounted for more than a third of the respondents, 6 percent said they themselves were
region’s overdose deaths in a given year. Rates for struggling with opioids, 40 percent cited a family
white residents are higher as well: between 2015 member, 38 percent cited a close friend, and 44
and 2018, white residents’ age-adjusted overdose percent cited an acquaintance. These numbers
death rate was 29.1 per 100,000 residents per year, include adults who knew multiple people dealing
higher than Black residents’ rate of 22.6 and with addiction.258
Latinos’ 12.9.255 Of all Greater New Haven adults, 25 percent
For every person who dies of an opioid overdose, reported knowing at least one person who died of
many more seek treatment, often multiple times. an opioid overdose. Twenty-one percent of these
Between the 2014 and 2018 fiscal years, Greater New adults lost a family member to an opioid overdose,
Haven residents were admitted to opioid treatment 44 percent lost a close friend, and 60 percent lost
programs a total of 20,140 times, averaging 4,028 an acquaintance.259
admissions per year, or 865 admissions per 100,000 A 2019 New England Public Policy Center
residents per year. East Haven, New Haven, and West report found that counties with the lowest rates of
Haven had rates above the regional average; the rate opioid prescribing are also those with the lowest
in East Haven was 1.8 times as high, at 1,540 rates of fatal overdoses.260 Additionally, some
admissions per 100,000 residents per year. The research has suggested a relationship between
majority of these admissions were to programs opioid misuse and frequent drinking261 and tobacco
funded by the state Department of Mental Health use.262 The frequent use of these substances has
and Addiction Services. Though harder to track, been associated with higher pain intensity, which
people often are admitted to programs multiple may increase the person’s likelihood of developing
times within one year.256 an opioid dependency. In particular, many studies
Many residents also seek or receive care for of alcohol use disorders have established that
substance use disorders at area hospitals and heavy drinking is a strong predictor of opioid
emergency rooms. For hospital and emergency misuse.263 In addition to improving our understanding
room encounters related to substance use, a of addiction and expanding access to prevention
category that includes diagnoses related to use and treatment services, strategies to address the
of opioids and other drugs, rates in Greater New opioid crisis may include the promotion of
Haven are comparable to those of statewide overdose-reversing drugs such as naloxone,
averages, although the rate has been increasing improved prescription monitoring, evidence-based
more slowly between the 2012–2014 and 2015–2017 pain management, and public education.
time periods. A greater burden of substance use
encounters exists within towns in the New Haven
Inner Ring (173 encounters per 10,000 residents
DataHaven Greater New Haven Community Index 82
TABLE 3J
Greater New Haven 288 709 346 272 1,346 659 215
AGE-SPECIFIC RATES OF HOSPITALIZATIONS AND ED VISITS FOR DIABETES AND HEART DISEASE
DIABETES HEART DISEASE
LOCATION AGE 20–44 AGE 45–64 AGE 65–74 AGE 20–44 AGE 45–64 AGE 65–74
Note: See Figures 3.4 and 3.5 for additional age- and gender-specific rates.
DataHaven Greater New Haven Community Index 84
Statewide and across most towns in Greater New most common STI, are nearly double what they
Haven, the rates of these encounters did not were 15 years ago. In 2011 and 2015, reported
change drastically from 2012–2014 to 2015–2017 chlamydia infection rates in New Haven (973 per
time periods. 100,000 persons in 2015) were between 2.6 and 3.1
The burden of injuries related to motor vehicle times higher than the statewide average, and about
crashes is also considerable. In 2013, among twice as high as the region’s rate (458 per 100,000
high-income countries, the U.S. experienced the people in 2015). Gonorrhea infections in Greater
highest rates of road traffic deaths and second New Haven have slightly declined over the past two
highest in crash deaths related to alcohol.280 Motor decades. While rates are generally too small to be
vehicle accidents are preventable using interventions reportable for smaller towns, reported gonorrhea
that improve seat belt use, create safer streets for infection rates in New Haven in 2015 (190 per
vulnerable road users, and enhance the enforcement 100,000 persons) were still more than twice the
of traffic safety laws, especially among youth who region’s rate and three times the state average.284
are at risk.281 The rate of road crash-related STIs can increase the risk of transmission and
hospital encounters in Greater New Haven is acquiring diseases such as HIV or hepatitis C.
slightly higher to that of the state as a whole, but According to analysis provided by the New Haven
the burden is drastically higher in New Haven Health Department, in the city of New Haven in
compared to the Outer Ring. The highest rates are 2017, 63 percent of new HIV diagnoses were among
seen in the 20–44 age group, both statewide and Black residents, followed by 25 percent that were
within the region. Overall, rates within the region among Latino residents. The primary transmission
appear to be decreasing over time. pathway was via men who have sex with men
Intentional injuries, such as those related to (MSM) at 63 percent; overall, 84 percent of all new
youth violence, domestic violence, and suicide HIV diagnoses were among men. STI prevention
attempts, are also troubling. Within Greater New continues to be a focus area for many local health
Haven, rates of hospital encounters related to departments and partners.
homicide and assault were slightly higher than Other infectious diseases are also important
statewide averages, with the greatest rates in New to the health of the region. The Connecticut
Haven. As with statewide trends, these rates were Department of Public Health routinely tracks
highest among the 20–44 age group, and slightly reports of certain infectious diseases such as
higher among males compared to females. Most Lyme disease, West Nile virus, and tuberculosis in
towns did not experience significant changes in order to identify trends and help prevent and
these rates between 2012–2014 and 2015–2017. control outbreaks. Vaccine Preventable Diseases
On the other hand, hospital encounters related to (VPDs) continue to be a major concern, as these
suicide and self-harm decreased during this time diseases can be prevented via adherence to the
period. For suicide and self-harm encounters, the CDC’s immunization schedules. VPDs include
greatest burden was on females ages 0 to 19, and measles, mumps, hepatitis A and B, influenza,
on both men and women ages 20 to 44.282 Strikingly, pertussis, tetanus, and others. For example, as of
New Haven saw disproportionately high rates of August 2019, there have been over 1,000 confirmed
homicide/assault and suicide/self-harm among measles cases in the United States, even though in
males in the 45–64 age group. The Connecticut the year 2000, the CDC had declared measles
Suicide Prevention Plan (PLAN 2020) contains eliminated from the United States. In 2019, the
detailed information on suicide and self-harm data Greater New Haven region experienced measles
and prevention.283 exposure scenarios related to outbreaks
propagated by poor vaccine compliance and
Infectious Diseases international travel. The growing concern of
Sexually transmitted infections (STIs) are a reduced vaccination compliance is applicable to
concern in Greater New Haven, as throughout the most VPDs, as herd immunity, in which the majority
state and nation. Like other infectious organisms, of a community is immunized against the disease,
STIs can have long-term implications for health, mitigates the spread of infection.285 DH
including reproductive health problems and certain
types of cancers. Generally speaking, reported
infection rates in Connecticut for chlamydia, the
CHAPTER 4
FIG 4.1
Wealthier towns net more money from property values and spend
more money on education
+$200 $152K
-$300 $90K
+$300 $171K
+$1.1K $231K
+$500 91
+$100 $186K 91
$124K
15
-$300
15
$101K $201K
-$1.1K +$600 $78K
95 95
-$200 $176K
GAP
$500 TO $1.1K SURPLUS NET
$100 TO $500 SURPLUS $69K TO $90K
$100 SURPLUS TO $100 GAP $90K TO $124K
$100 TO $300 GAP $124K TO $176K
$300 TO $1.1K GAP $176K TO $202K
$202K TO $231K
$5.5K $18.2K
$4.3K $18.8K
$3.2K $15.9K
$5.0K $18.1K
$5.8K 91 $4.7K $17.7K 91 $15.6K
15 $5.0K 15 $18.4K
$4.4K $15.6K
$3.2K $18.1K
95 95
$3.4K $19.3K
EXPENDITURE EXPENDITURE
$3.2K TO $3.5K $13.9K TO $15.9K
$3.5K TO $3.8K $15.9K TO $18.0K
$3.8K TO $4.7K $18.0K TO $18.4K
NOTE: OTHER THAN MUNICIPAL
GAP, VALUES ARE GIVEN BY $4.7K TO $5.0K $18.4K TO $18.8K
FISCAL YEAR. $5.0K TO $5.8K $18.8K TO $19.3K
Chapter 4 Community Life and Infrastructure 89
FIG 4.2
In towns with more surplus money, residents rate neighborhood assets and facilities
more highly
NEIGHBORHOOD ASSETS INDEX VS MUNICIPAL SURPLUS PER CAPITA GNH TOWNS OTHER CT TOWNS
750
MILFORD
NEIGHBORHOOD ASSETS INDEX
HAMDEN
Gap ← → Surplus
-$1K $0 +$1K +$2K +$3K +$4K +$5K
FIG 4.3
Towns that spend more on their libraries see greater library use
AVERAGE TOWN PUBLIC LIBRARY VISITS PER CAPITA AND CIRCULATION PER CAPITA
VERSUS TOTAL LIBRARY EXPENSES PER CAPITA, 2017–2018 GNH TOWNS OTHER CT TOWNS
Library Library
15 Visits 25 Circulation
20
CIRCUL ATION PER CAPTIA
CAPITA
10
VISITS PER CAPITA
WOODBRIDGE
15
BRANFORD GUILFORD
ORANGE
WOODBRIDGE BRANFORD
GUILFORD
MADISON 10
NORTH HAVEN NORTH HAVEN MADISON
5
EAST HAVEN NEW HAVEN HAMDEN ORANGE
HAMDEN NORTH BRANFORD NORTH BRANFORD
5 MILFORD
MILFORD BETHANY BETHANY
WEST HAVEN EAST HAVEN
HAMDEN
0 0 WEST HAVEN NEW HAVEN
FIG 4.4
Voter turnout is high for national and state elections, but much lower
in municipal ones
PERCENT OF ELIGIBLE VOTERS WHO VOTED IN ELECTIONS, WITH GREATER NEW HAVEN HIGHEST AND
LOWEST TOWN RATES, 2016–2018
CONNECTICUT NEW HAVEN ORANGE
87% GREATER NEW HAVEN GUILFORD
77% 80%
73%
65% 67%
58%
54%
48%
30% 31%
21%
INTRODUCTION STEWARDSHIP OF
Civic life, defined broadly as the attitudes, THE PUBLIC REALM
activities, and investments that build on the
collective resources, skills, expertise, and
Investment in Public Resources:
knowledge of citizens to improve the quality of life
Municipal Financial Capacity
in communities, is a powerful dimension of our
Residents rely on their local governments to provide
overall health and well-being.286 We view civic life
a wide array of resources. While public education,
broadly, encompassing both engagement and trust,
social and health services, public safety, and infra-
as the sum of all efforts that promote the common
structure may come to mind as the key municipal
good within communities. These range from the
responsibilities, local governments offer many
more recognizable—like informed local voting and
additional programs and services—like public
volunteering—to the less obvious, such as access
libraries and related programming, transportation
to and quality of public resources, design and
assistance, and adult education—which
upkeep of public parks, and residents’ sense of
underserved or at-risk populations may dispropor-
safety in their neighborhoods. Measures of civic
tionately rely on. The fiscal health of local govern-
life provide insight as to how residents feel about
ments directly impacts their ability to invest in
their communities, the ways they choose to get
such programs and services. These resources are
involved, and opportunities for improving life in the
truly a cornerstone of civic life, helping to mitigate
cities and towns they share.
socioeconomic inequalities, bridging social divides,
As a growing body of research continues to
and ultimately, fostering trust in the responsiveness
illuminate the strength of the link between civic
of government to community needs.293
life and community health and well-being, we are
Local government revenue comes from
reminded that our connection to and involvement
municipal taxes and fees (almost exclusively
in our communities is inextricably linked to quality
property tax in Connecticut), as well as state and
of life.287 Higher levels of civic trust, participation,
federal grants. On a per capita basis, Connecticut’s
and engagement are correlated with both more
wealthier suburbs—able to draw on stronger tax
equitable economic outcomes and many positive
bases—are the biggest spenders.294 For example,
health outcomes, such as lower mortality rates,
in 2017 Woodbridge spent the most per resident of
improved mental and physical health, and lower
Greater New Haven’s municipalities at $5,557—
crime rates.288, 289, 290, 291 Based on this body of work,
much higher than the $3,139 spent per resident in
we chose to frame our Civic Life section using three
West Haven, the region’s lowest-spending
key domains: Stewardship of the Public Realm,
municipality.295 Between 2002 and 2015, spending
Community Trust and Appreciation, and
in the state’s wealthiest communities increased
Participation in Public Life.292
much faster than spending in the poorest
Greater New Haven towns and cities each have
communities.296 In some ways, a more telling figure
a unique sense of community, with varying
is expenditures per daytime “resident”—that is,
traditions, public resources, and physical spaces.
the spending done to support the number of people
Each reader should reflect on the dynamics of civic
present in a town during the average workday. This
life within their particular community as they read
helps illustrate the spending towns must do to
this section, in order to recognize local assets and
meet the needs of people who work, but do not live,
identify specific ways in which they can strengthen
in that town, such as road maintenance and public
their communities.
safety needs. In municipalities with large inflows of
workers, this measure of per-capita spending
drops; bigger cities that act as regional job centers
are most impacted. It is a fiscal challenge for these
urban areas to provide the resources necessary to
support a large inflow of workers while being
unable to draw on these workers as an asset to
their taxbase. In New Haven, the city with the
largest net inflow of workers in the region,
municipal spending in 2017 was well above the
DataHaven Greater New Haven Community Index 92
regional average at $4,572 per resident, but state statutory obligations for the 2015–16 fiscal
spending per daytime population was only $3,189, year, but actually received only $43.5 million—a
below the regional average of $3,694.297 SEE FIG 4.1 / $63.7 million shortfall.306
SEE TABLE 4A Local property taxes play an important role in
Research has confirmed that disparities in funding public schools; in Connecticut, 58 percent
towns’ “municipal gap”—the difference between a of all education funding comes from this source.307
town’s costs of providing public services and its Though spending per student varies widely, even
ability to pay for such services—are driven among municipalities with similar populations, the
primarily by differences in revenue-raising state’s wealthiest suburbs generally spend more
capacity.298 Wealthier municipalities with greater per student than its largest cities.308, 309 In Greater
tax-generating ability can afford to fund more New Haven, the city of New Haven spent above the
high-quality public resources, while fiscally regional average in 2017, at a similar level as the
distressed municipalities may experience region’s wealthier towns (but still below the level of
challenges in meeting the needs of their spending in the state’s wealthiest suburbs in
residents.299 Among most of Greater New Haven’s Fairfield County). While the Inner Ring towns of
Outer Ring towns, which generally have larger tax West Haven and East Haven spent below the
bases, this municipal gap becomes a surplus, with regional average, Hamden spent more per student
towns taking in more dollars per person in revenue than any town except Milford. While most towns in
than they need to spend; meanwhile, New Haven Greater New Haven spent at levels similar to the
operates on a gap of more than $1,100 per regional average ($17,485), there were disparities
resident.300 There is a strong correlation between between the extremes; for example, West Haven
the size of a municipality’s equalized net grand list spent $13,903 per student, while Milford spent over
per capita (an estimate of the market value of all $19,000.310 SEE FIG 4.1 / SEE TABLE 4A
taxable property per resident) and overall
spending; even when they do not have high tax
rates, towns with more taxable wealth are able to
TABLE 4A
spend more money on resources for residents. In
Greater New Haven, Outer Ring suburbs have Municipal expenditures and financial
higher equalized net grand lists; in 2017 Guilford, capacity indicators
Madison, and Orange had equalized net grand lists INDICATORS BY TOWN, GREATER NEW HAVEN, FY 2017
per capita in excess of $200,000, compared to
between $69,000 and $101,000 in the Inner Ring MUNICIPAL GAP EXPENDITURE EQ. NET SCHOOL
OR SURPLUS PER DAYTIME GRAND LIST SPENDING
towns and the city of New Haven.301 LOCATION PER CAPITA POPULATION PER CAPITA PER PUPIL
Connecticut municipalities’ reliance on
Connecticut N/A $3,816 $150,956 $16,592
property taxes to generate revenue is particularly
Greater New Haven N/A $3,694 $122,562 $17,485
troublesome for larger cities, many of which are
home to a disproportionate number of tax-exempt Bethany +$183 $5,473 $151,991 $18,246
state-owned and private properties, like hospitals Branford +$319 $3,726 $184,471 $17,978
and colleges.302 For example, over 54 percent of
East Haven -$343 $4,413 $100,960 $15,596
New Haven’s 2016 total grand list was tax-
Guilford +$641 $5,025 $200,984 $18,378
exempt—the highest share of any major city in
Connecticut; to compare, this figure ranges Hamden -$336 $4,277 $90,103 $18,786
between 6 and 8 percent in the region’s towns with Madison +$1,145 $4,959 $231,330 $18,094
the highest equalized net grand lists per capita Milford -$161 $3,433 $176,043 $19,261
(Guilford, Madison, and Orange).303 While state
New Haven -$1,101 $3,189 $78,225 $18,091
payment in lieu of taxes (PILOT) grants were
North Branford +$67 $4,667 $123,836 $15,602
designed to partially reimburse municipalities for
funds lost due to tax-exempt properties, these North Haven +$254 $3,214 $170,883 $15,941
reimbursements have declined in recent years.304, 305 Orange +$247 $3,780 $201,609 $17,941
A 2017 report estimated that New Haven should West Haven -$750 $3,498 $68,586 $13,903
have received $107.2 million in PILOT reimbursements
Woodbridge +$467 $5,837 $186,448 $17,726
for tax-exempt hospitals and colleges based on
Note: Other than municipal gap, values are given by fiscal year.
Chapter 4 Community Life and Infrastructure 93
TABLE 4B
NEIGHBOR-
GOVERNMENT GOOD CONDITION REC FACILITIES HOOD ASSETS
LOCATION IS RESPONSIVE GOOD TO RAISE KIDS OF PARKS SAFE SIDEWALKS SAFE BIKING AVAILABLE INDEX
BY GEOGRAPHY
Cities and towns with lower property values Perceived Access to and Quality
may be forced to levy higher property taxes to fund of Community Resources
public education and other critical municipal On the whole, Greater New Haven respondents to
programs and services. For example, based on the DataHaven’s 2018 Community Wellbeing Survey
most updated mill rates for the 2019 fiscal year, indicated general satisfaction with the quality of
the owner of a $200,000 home would pay $3,926 of and access to public resources while acknowledging
property taxes in Madison, but $6,017 in the city of room for improvement. When asked about the
New Haven.311 Nonetheless, research shows that responsiveness of their local government, 48
the property tax has the largest impact on Connecticut percent of adults in Greater New Haven described
households of any state or municipal tax and is it as “excellent” or “good,” lower than the
indeed regressive, meaning low-income households statewide average (51 percent).313 When asked
pay a higher share of their incomes than wealthy whether the area in which they lived was getting
households because assessed property value, rather better or worse, 27 percent indicated that it was
than income level, determines the tax.312 getting much or somewhat better, while 51 percent
DataHaven Greater New Haven Community Index 94
reported that it was about the same.314 Seventy As libraries have evolved over the years, the
percent rated the condition of public parks and way residents interact with and utilize them is
other public recreational facilities as “excellent” or changing; statewide, library circulation per capita
“good,” a few points below the state average.315 has trended downward since the early 2000s,
Disaggregating survey results by respondents’ decreasing from averaging 8.5 in 2001 and 2002 to
town and income levels reveals that wealthier 6.7 in 2017 and 2018.323 For lower-income residents—
individuals and residents of wealthier towns report less likely to own an internet connected device or
greater access to and satisfaction with goods and have wifi access at home—library computers are a
services, cultural events, and recreational facilities critical resource. In 2017 and 2018, Greater New
in their communities.316 SEE FIG 4.2 / SEE TABLE 4B Haven’s higher-spending Outer Ring towns had
Food deserts, defined as areas where it is more public library computers available per 10,000
difficult to purchase fresh fruits, vegetables, and residents (10.6) than the region’s Inner Ring towns
other healthful whole foods, typically occur in (5.6).324 The city of New Haven has made a strong
economically distressed urban areas.317 The investment in computers, with 17.4 available per
low-income people who live in those areas are less 10,000 residents.325
likely to have the car access needed to get to
grocery stores across the region.318 In 2018, only Highlight: Climate Stewardship
58 percent of adults in both New Haven and West Carbon dioxide and other greenhouse gas
Haven reported good or excellent access to emissions, driven by human activity, are increasing
affordable, high-quality fruits and vegetables, global temperatures and thus contributing to
contrasted with 83 percent of Hamden and 81 issues that have major implications for Greater
percent of Outer Ring adults.319 New Haven: damage to ecosystems, severe storms,
extreme flooding, and more heat waves.326 One
Highlight: Public Libraries study projects that the average summer high
Public libraries are invaluable anchor institutions temperature in New Haven in 2050 will be 85.8
that transcend their traditional role of lending degrees, an increase of 4.5 degrees since 2000.327
books. While their utilization and functions vary With a substantial shoreline, Greater New Haven
greatly from community to community, they often is particularly vulnerable to the dangers of sea
act as centers for educational programming, level rise, coastal storms, and flooding.328 Estimates
incubators for entrepreneurs and ideas, hubs for suggest New Haven County’s “100-year flood
technology and digital learning, and platforms for height”—the level of flooding that statistically has a
civic engagement and arts education and 1 percent chance of occurring any given year—is 5.8
appreciation. Overall, library spending in Greater feet above the high tide line.329, 330 The region is home
New Haven in fiscal years 2017 and 2018 averaged to more than 15,062 residents that live in areas six
$51 per resident—below the state average of feet or less above the high tide line, meaning their
$60.320 However, some towns spent much less, while property would be at risk of exposure if a 100-year
others spent more; Milford spent $31 per capita, flood were to occur; an estimate puts the property
while Woodbridge spent $109.321 value in this exposure zone at $2.7 billion.331 One risk
Towns that spend more on their libraries model estimates a 49 percent chance of a 100-year
generally see higher use; in other words, towns flood that reaches 6 feet or more above the local high
with higher total library expenses per capita tend tide line in New Haven County occurring between
to experience more visits and have higher 2016 and 2050.332
circulation per capita than lower-spending towns. Looking at the bigger picture, efforts to address
For example, in 2017 and 2018, East Haven’s public climate change should lead to changes that reduce
library had 4.3 visits per capita and a circulation emissions, such as more efficient housing,
per capita of 3.0, while Woodbridge’s public library transportation, and land use. Currently, the
had 6.8 visits per capita and a circulation per estimated annual carbon footprint of each Greater
capita of 15.8.322 Greater New Haven’s Outer Ring New Haven household ranges from roughly 35 metric
suburbs spent $56 per capita, compared to $34 tons of emissions in the central areas of New
among Inner Ring towns; the higher-spending Outer Haven, to between 60 and 75 metric tons in Orange,
Ring suburbs also saw slightly more library use Woodbridge, Bethany, Guilford, and Madison.333
than the Inner Ring towns. SEE FIG 4.3
“Between 2002 and 2015,
spending in the state’s
wealthiest communities
increased much faster
than spending in the
poorest communities.”
TABLE 4C
BY GEOGRAPHY
TABLE 4D
UTILIZE ARTS & NEIGHBORS INVOLVED IN NEIGHBORS WOULD ORGANIZE CAN INFLUENCE LOCAL
LOCATION VOLUNTEER CULTURAL RESOURCES IMPROVING AREA FOR FIRE STATION GOVERNMENT
TABLE 4E
midterm election, and only 31 percent in the 2017
Recent voter turnout municipal election.363 These rates were similar to
SHARE OF ELIGIBLE VOTERS VOTING IN 2016, 2017, AND 2018 the statewide marks, and higher than national
ELECTIONS levels. In Greater New Haven, turnout for the 2016
presidential election increased only slightly from
LOCATION 2018 MIDTERM 2017 MUNICIPAL* 2016 PRESIDENTIAL that in 2012, while turnout for the 2018 midterm
Connecticut 65% 30% 77% election was 14 percentage points higher than for
Greater New Haven 67% 31% 73%
the 2014 midterms.364 Nationally, turnout in the
2018 midterms was the highest in four decades,
New Haven 58% 21% 54%
reversing a trend of declining interest in midterm
Inner Ring 66% 34% 80% elections and likely reflecting the tumultuous
East Haven 60% 42% 75% political landscape following the 2016 presidential
Hamden 75% 31% 85% election.365 But turnout in local elections has
West Haven 59% 32% 78%
continued to trend downward in both the state and
Greater New Haven over time. In the 2007 municipal
Outer Ring 71% 34% 81%
elections, 41 percent of registered Greater New
Milford 67% 28% 78% Haven residents cast a ballot—10 percentage
points higher than turnout for the 2017 municipal
* Unofficial Results: note, only towns holding November municipal elections were included in
these rates. election a decade later.366 SEE FIG 4.4 / SEE TABLE 4E
Town-level voter turnout rates reinforce
the finding that socioeconomic status affects
connect, build trust, and cultivate understanding, participation in public life. Across the three
local arts and cultural resources act as platforms most recent major elections, turnout rates were
for public dialogue and engagement—critical lowest in the city of New Haven, near or above
elements of a healthy democracy.359 the Greater New Haven average in the Inner Ring,
Research has shown access to arts and and highest in the Outer Ring. New Haven’s recent
culture fosters stewardship, participation, and voter turnout rates were 58 percent in the 2018
civic trust. People who partake in the arts and midterm, 21 percent in the 2017 municipal
cultural activities were 12 percent more likely to elections, and 54 percent in the 2016 presidential
donate money to a local organization, 14 percent election. Meanwhile, recent turnout rates for
more likely to attend local events, and 21 percent Outer Ring suburbs were higher, at 71 percent,
more likely to rate local leaders as effective.360 In 34 percent, and 81 percent, respectively.367
2018, 67 percent of Greater New Haven adults Low voter turnout is driven by a range of factors,
utilized arts and cultural resources in the area— including a lack of basic information on elections,
such as concerts, museums and cultural events— distance to polling stations and hours of operation,
at least a few times over the past year, which was inflexible work schedules, limited transportation,
similar to the statewide rate.361 As with and other barriers that disproportionately
volunteering, statewide data show that individuals affect economically distressed communities
with higher levels of educational attainment and and communities of color.
personal income utilize arts and cultural resources Between 2015 and 2018, Greater New Haven
more often: 51 percent of adults with a high school adults’ perceived ability to influence local
degree or less compared to 70 percent with a government decisionmaking increased substantially,
bachelor’s degree or higher, and 56 percent of a trend also seen statewide. The share of residents
individuals earning less than $30,000 per year believing they had at least a little influence on local
versus 70 percent of those earning above $100,000.362 government increased by 11 percentage points—
from 62 percent to 73 percent for Greater New
Voting Haven (and from 62 percent to 70 percent
As is the trend nationally, voter turnout in Greater statewide).368 This jump may reflect the recent
New Haven varies by type of election, with greater surge in political energy and interest across the
turnout for higher-office elections. The region’s nation, and particularly among younger voters;
turnout rate was 73 percent in the 2016 voter turnout for adults ages 18 to 29 increased a
presidential election, 67 percent in the 2018 whopping 79 percent between the 2014 and 2018
DataHaven Greater New Haven Community Index 100
Conclusion and
Endnotes
Behind every number in this
document are people, families,
and communities that are
far more complex than a few
summary statistics. Human
beings never match all the
averages used to describe them.
Chapter 5 Conclusion and Endnotes 103
FIG 1.3. COMPONENTS OF THE DATAHAVEN TABLE 1B. DATAHAVEN COMMUNIT Y INDEX AND
COMMUNIT Y INDEX BY RACE/ETHNICIT Y, 2017 ITS COMPONENTS BY AREA AND NEIGHBORHOOD, Chapter 2
2017
SEE FIG 1.1 Many American Community Survey
SEE FIG 1.1 FIG 2.1. POPUL ATION AND CHANGE BY AGE
subtables are available for individual racial/ GROUP, 1990–2035
ethnic groups; these were used to calculate
DataHaven analysis (2019). 1990 and 2000
Community Index indicators by race/ethnicity. TABLE 1C. DATAHAVEN INDEX SCORES BY
DEMOGRAPHIC GROUP AND TOWN, 2017 figures are from the U.S. Census Bureau
For indicators not available through American
Decennial Census; for 1990, SF1 Table P11;
Community Survey tables (severe housing DataHaven analysis (2019) of questions from
and for 2000, SF1 Table P12, Sex by Age.
cost burden, and the share of workers with 2018 DataHaven Community Wellbeing Survey.
2015 figures are from U.S. Census Bureau
short commutes), additional DataHaven The Personal Wellbeing Index is an aggregate
American Community Survey 2015 5-year
analysis (2019) of U.S. Census Bureau American of survey participants’ positive ratings on four
estimates Table B01001. 1990 figures
Community Survey 2017 5-year public use indicators about their health: (1) current anxiety,
accessible via Census Data API; all other
microdata sample (PUMS) data was conducted. (2) current happiness, (3) satisfaction with their
above tables available at https://factfinder.
Analysis of PUMS data involves weighting life, and (4) overall self-rated health. Likert-
census.gov. 2035 projected figures are from
survey responses to reflect overall population style responses (e.g. “excellent,” “very good,”
the Connecticut State Data Center (2017)
demographics. For life expectancy, results “good,” “fair,” “poor”) were converted to scaled
2015–2040 Population Projections—Town
are reported as the population-weighted life numeric values, averaged, and used for factor
Level. Available at https://data.ct.gov/
expectancy for tracts by racial/ethnic group analysis to get a single composite score for each
resource/hxnh-2e3k
comprising the largest share of population location and demographic group. These scores
in that tract. Due to low sample sizes, age were then scaled to range from 0 (lower ratings
ranges for preschool enrollment differ between of health) to 1,000 (higher ratings of health). FIG 2.2. POPUL ATION BY AGE AND RACE, 2010
population-level tables and subtables. Since DataHaven analysis (2019) of U.S. Census
the two are not comparable, that indicator is Bureau Decennial Census SF1 Table P12; and
removed from this Index. subtables P12B, Sex by Age (Black or African-
American Alone); P12H, Sex by Age (Hispanic
PUMS data accessed via IPUMS. Steven Ruggles,
or Latino); and P12I, Sex by Age (White Alone,
Sarah Flood, Ronald Goeken, Josiah Grover, Erin
not Hispanic or Latino). Available at https://
Meyer, Jose Pacas and Matthew Sobek. IPUMS
factfinder.census.gov
USA: Version 9.0 2013–2017 ACS 5-year Census
microdata. Minneapolis, MN: IPUMS, 2019.
https://doi.org/10.18128/D010.V9.0 FIG 2.3. NON-WHITE SHARE OF POPUL ATION,
1990–2017
DataHaven analysis (2019). 1990 figures are
FIG 1.4. DATAHAVEN PERSONAL WELLBEING
INDEX VS COMMUNIT Y INDEX; DATAHAVEN from U.S. Census Bureau Decennial Census
PERSONAL WELLBEING INDEX VS SF1 Tables P1 and P8, accessible via Census
NEIGHBORHOOD ASSETS INDEX
Data API. 2017 figures are from U.S. Census
SEE FIG 1.1 FOR COMMUNITY INDEX DETAILS / Bureau American Community Survey 2017
SEE TABLE 1C FOR PERSONAL WELLBEING INDEX 5-year estimates, Table B03002, Hispanic or
DETAILS The Neighborhood Assets Index is Latino Origin by Race. Available at https://
an aggregate of 2018 DataHaven Community factfinder.census.gov
Wellbeing Survey participants’ positive ratings
on 6 indicators about the area where they live:
FIG 2.4. FOREIGN-BORN SHARE OF
(1) condition of local parks, (2) quality of the area POPUL ATION, 1990 AND 2017
as a place to raise children, (3) responsiveness
DataHaven analysis (2019). 1990 figures are
of local government, (4) availability of recreation
from U.S. Census Bureau Decennial Census
facilities, and the presence of (5) safe places
SF3 Table P42, accessible via Census Data
to bike and (6) safe sidewalks and crosswalks.
API. 2017 figures are from U.S. Census
Likert-style responses (e.g. “excellent,” “good,”
Bureau American Community Survey 2017
“fair,” “poor”) were converted to scaled numeric
5-year estimates, Table B05001, Nativity
values, averaged, and used for factor analysis to
and Citizenship Status in the United States.
get a single composite score for each location
Available at https://factfinder.census.gov
and demographic group. These scores were
then scaled to range from 0 (lower ratings of
assets) to 1,000 (higher ratings of assets). FIG 2.5. FOREIGN-BORN SHARE OF
POPUL ATION, 2017
SEE TABLE 4B
DataHaven analysis (2019) of U.S. Census
Bureau American Community Survey 2017
TABLE 1A. DATAHAVEN COMMUNIT Y INDEX
SCORES FOR L ARGE U.S. METROPOLITAN 5-year estimates, Table B05001. Available at
AREAS AND LOCAL CITIES, TOWNS, AND https://factfinder.census.gov
NEIGHBORHOODS, 2012 AND 2017
SEE FIG 1.1 FOR METHODOLOGY AND DETAILS
The top-ranking 35 metropolitan areas are
reported, along with the seven bottom-ranking
areas and select areas in New England.
Metropolitan areas’ boundaries change
periodically, most recently in 2015. This analysis
considers all U.S. metropolitan areas using 2015
geographic boundaries with populations of at
least 500,000 in 2017.
DataHaven Greater New Haven Community Index 106
FIG 2.6. HOUSEHOLDS BY T YPE, 1990–2017 and worked an average of at least 35 hours per Income in the Past 12 Months; and B25091.
DataHaven analysis (2019). 1990 and 2000 week. Median income is defined as each group’s Available at https://factfinder.census.gov
figures are from the U.S. Census Bureau median earnings from work, excluding other
non-work sources of income. SEE FIG 2.9 FOR 2005 ACS data is only available for the largest
Decennial Census; for 1990, SF1 Table P16; towns in Connecticut; as such, values here are
and for 2000, SF1 Table P18, Household Size, DETAIL ON CONSTRUCTION OF GEOGRAPHIES FOR
PUMS ANALYSIS for New Haven County for each year shown.
Household Type, and Presence of Own Children.
2010 and 2017 figures are from U.S. Census PUMS data accessed via IPUMS. Ruggles et al.
Bureau American Community Survey 2010 and FIG 2.15. MEDIAN RENTER HOUSEHOLD INCOME
2012–2016 ACS 5-year Census microdata. AND MINIMUM HOUSEHOLD INCOME TO AFFORD
2017 5-year estimates Tables B11001, Household 2BR HOUSING, 2017
Type (Including Living Alone); and B11003, Family DataHaven analysis (2019) of U.S. Census
Type by Presence and Age of Own Children Under FIG 2.11. DISTRIBUTION OF POPUL ATION BY
NEIGHBORHOOD INCOME LEVEL, 1980–2017 Bureau American Community Survey 2017 5-year
18 Years.1990 figures accessible via Census Data estimates, Tables B25031, Median Gross Rent
API; all other above tables available at https:// DataHaven analysis (2019) of household income
and population data by census tract. Due to by Bedrooms; B25042, Tenure by Bedrooms; and
factfinder.census.gov B25119, Median Household Income the Past 12
changes in census tract boundaries over time, in
order to allow comparability to current census Months (in 2017 Inflation-Adjusted Dollars) by
FIG 2.7. LOW-INCOME RATE BY AGE, 2000–2017 tract data, the 1980, 1990, and 2000 figures from Tenure. Available at https://factfinder.census.
DataHaven analysis (2019). 2000 figures are the U.S. Census Bureau Decennial Census are gov. For comparison, we only studied two-
from U.S. Census Bureau Decennial Census SF3 provided by Neighborhood Change Database bedroom apartments, both for median rent and
Tables P88, Ratio of Income in 1999 to Poverty (NCDB) created by GeoLytics and the Urban median household income. Because some towns
Level; and PCT50, Age by Ratio of Income in 1999 Institute with support from the Rockefeller have few renters, leading to larger margins
to Poverty Level. U.S. Census Bureau American Foundation (2012), a dataset that is designed to of error, values were filtered to only include
Community Survey 2017 5-year estimates, hold neighborhood-level geographic boundaries towns with relatively small margins of error
Tables B17024, Age by Ratio of Income to Poverty constant over time. 2017 values are calculated compared to median rent and where at least 20
Level in the Past 12 Months; and C17002, Ratio of from U.S. Census Bureau American Community percent of households were renter-occupied.
Income to Poverty Level in the Past 12 Months. Survey 2017 5-year estimates Tables B01003, Rent is considered affordable based on Federal
Available at https://factfinder.census.gov. As Total Population; B19101, Family Income in the Department of Housing and Urban Development
described in the report text, “low-income” is Past 12 Months (in 2017 Inflation-Adjusted (HUD) guidelines that housing costs total no
defined here as individuals living in households Dollars); and B19127. Available at https:// more than 30 percent of a household’s total
where the household income is less than twice factfinder.census.gov. Neighborhood income income. We calculated the minimum household
(200 percent of) the federal poverty level. categories are determined by comparing average income needed for the median rent of a two-
family income by census tract to the state bedroom apartment to be affordable under this
average family income, using ratios described guideline, and consider the shortfall to be the
FIG 2.8. MEDIAN HOUSEHOLD INCOME BY TOWN,
2017 in table. The percent of total population living difference between this minimum household
in each neighborhood income category is income and the median income of a renter
DataHaven analysis (2019) of U.S. Census
compared across decades to illustrate change household in a two-bedroom apartment.
Bureau American Community Survey 2017 5-year
estimates, Table B19013. Available at https:// in neighborhood inequality. SEE TABLE 2D FOR See also HUD, “Defining Housing Affordability,”
factfinder.census.gov DEFINITIONS OF INCOME BRACKETS https://www.huduser.gov/portal/pdredge/pdr-
edge-featd-article-081417.html
FIG 2.9. MEDIAN HOUSEHOLD INCOME BY FIG 2.12. MEDIAN HOUSEHOLD INCOME,
QUANTILE, 2016 1990–2017
FIG 2.16. HOMEOWNERSHIP RATE BY HISTORIC
DataHaven analysis (2019) of U.S. Census Bureau DataHaven analysis (2019).1990 figures come REDLINING GRADE, 2010
American Community Survey 2016 5-year public from U.S. Census Bureau Decennial Census SF3 DataHaven analysis (2019). To calculate current
use microdata sample (PUMS) data. Analysis of Table P80A, accessible via Census Data API. 2017 demographics data of areas by HOLC grade, we
PUMS data involves weighting survey responses figures are from U.S. Census Bureau American used digitized versions of historical HOLC maps
to reflect overall population demographics. Community Survey 2017 5-year estimates, Table from Mapping Inequality SEE REFERENCE BELOW
Values shown here represent the 20th, 50th B19013. Available at https://factfinder.census. and overlaid these shapefiles with shapefiles of
(median), 80th, and 95th percentiles of total gov. Inflation adjustment for 1990 incomes current blocks from U.S. Census Bureau TIGER/
household incomes. SEE NOTE ON GEOGRAPHY was done using the Bureau of Labor Statistics’ Line shapefiles, available at https://www.
AT THE BEGINNING OF THIS SECTION PUMS data Consumer Price Index, Urban Consumers, census.gov/programs-surveys/geography/
accessed via IPUMS. Ruggles et al. 2012–2016 Research Series (CPI-U-RS), available at https:// geographies/mapping-files.html. We then
ACS 5-year Census microdata. www.bls.gov/cpi/research-series/home.htm aggregated 2010 Decennial Census data, the
most recent data available at the block level,
FIG 2.10. MEDIAN INCOME OF FULL-TIME ADULT FIG 2.13. MEDIAN HOUSING VALUE BY TOWN, 2017 for each of these graded areas. Homeownership
WORKERS, 2016 DataHaven analysis (2019) of U.S. Census data comes from U.S. Census Bureau 2010
DataHaven analysis (2019) of U.S. Census Bureau Bureau American Community Survey 2017 5-year Decennial Census SF1 Table H4, Tenure,
American Community Survey 2016 5-year public estimates, Table B25077, Median Value (Dollars). available at https://factfinder.census.gov. SEE
use microdata sample (PUMS) data. Analysis of Available at https://factfinder.census.gov FIG 2.18 FOR LOCAL RECREATION OF HOLC MAPS
PUMS data involves weighting survey responses See Robert K. Nelson, LaDale Winling, Richard
to reflect overall population demographics. To FIG 2.14. COST-BURDEN AND SEVERE COST- Marciano, Nathan Connolly, et al., “Mapping
enable comparison between groups, as well as BURDEN RATES BY TENURE, 2005–2017 Inequality,” American Panorama, ed. Robert K.
comparison with other related analyses, adults DataHaven analysis (2019). All figures are from Nelson and Edward L. Ayers, available at https://
here are filtered to only include those ages 25 U.S. Census Bureau American Community dsl.richmond.edu/panorama/redlining
and over working full-time. In this and other Survey. 2005 values are from Tables B25070 and
analyses, we define full-time workers as workers B25091. 2010 and 2015 figures are from 5-year
with positive earnings who, over the previous estimates, Tables B25074, Household Income
12 months, were employed at least 50 weeks by Gross Rent as a Percentage of Household
Chapter 5 Conclusion and Endnotes 107
FIG 2.17. WHITE SHARE OF POPUL ATION BY each endpoint are their respective years’ annual FIG 2.24. NUMBER AND SHARE OF STUDENTS
HISTORIC REDLINING GRADE, 2010 averages, not quarterly counts. QWI data is only ENROLLING IN, PERSISTING IN, AND GRADUATING
FROM COLLEGE
DataHaven analysis (2019) of U.S. Census Bureau available at county levels; therefore, numbers
2010 Decennial Census SF1 Table P5, Hispanic here are for all of New Haven County. DataHaven analysis (2019) of data from the
or Latino Origin by Race, available at https:// Connecticut State Department of Education,
factfinder.census.gov; and Nelson, et al. accessed via EdSight at http://edsight.ct.gov.
FIG 2.21. COUNT OF K–12 STUDENTS BY RACE, Enrollment rates are defined as the percentage
Mapping Inequality. White population is defined PER 100 STUDENTS, 2018–2019
as non-Hispanic white residents of each area. of students from a given graduating class who
DataHaven analysis (2019) of 2018–2019 school enroll in college within one year of graduation.
SEE FIG 2.16 FOR SPATIAL ANALYSIS METHODOLOGY / year enrollment data from the Connecticut State
SEE FIG 2.18 FOR LOCAL RECREATION OF HOLC MAPS Persistence rates are defined as the percentage
Department of Education, accessed via EdSight of students who, after enrolling in college
at http://edsight.ct.gov. For this and other within one year of high school, continue into a
FIG 2.18. HOLC REDLINED AREAS, 1937 indicators based on public school districts, second, consecutive year of college. Attainment
DataHaven recreation of Robert K. Nelson, regional districts were included as parts of rates are the percentage of students who earn
LaDale Winling, Richard Marciano, Nathan regions to which their sending towns belong; a two- or four-year degree within six years of
Connolly, et al., “Mapping Inequality,” American in some cases, these towns also run their own graduating high school, out of the entire high
Panorama, ed. Robert K. Nelson and Edward L. districts for elementary school, but send middle school graduating class. The most recent
Ayers, available at https://dsl.richmond.edu/ and/or high school students to the regional available data is shown here, which is the high
panorama/redlining district. Greater New Haven values include school graduating class of 2014 for graduation,
Regional School District 5, commonly known as enrollment, and persistence rates, and the class
Amity and comprised of middle and high school of 2010 for degree attainment rates. SEE FIG 2.21
FIG 2.19. NET INFLOW OF WORKERS BY TOWN AND students from the towns of Bethany, Orange,
WAGE, 2015 FOR DETAILS ON REGIONAL DISTRICTS
and Woodbridge.
DataHaven analysis (2019) of U.S. Census Bureau
Longitudinal Employer-Household Dynamics FIG 2.25. SHARE OF ADULTS RATING AS ALMOST
Origin-Destination Employment Statistics FIG 2.22. PERCENTAGE OF STUDENTS CERTAIN OR VERY LIKELY THAT YOUNG PEOPLE IN
SUSPENDED OR EXPELLED AT LEAST ONCE, K–12 THEIR AREA HAVE THE FOLLOWING EXPERIENCES,
(LODES) to construct a directional network of DISTRICTS, 2017–2018 2018
workers moving between pairs of towns in the DataHaven analysis (2019) of 2017–2018 school DataHaven analysis (2019) of questions from
region. LODES data reports the census block year discipline data from the Connecticut the 2018 DataHaven Community Wellbeing
in which workers live and the census block in State Department of Education, accessed via Survey. Indicators show percentage of survey
which they are employed, though employer EdSight at http://edsight.ct.gov. Numbers participants who believe the chances of each
locations are based on the location of payroll here represent the share of students who experience are almost certain or very likely,
and other financial offices, rather than physical have been suspended (in-school or out-of- disaggregated by location, self-reported
place of employment. Presumably, workers school) or expelled in the past school year, not race/ethnicity, and income. SEE COMMUNITY
work in the same town as the financial office deduplicated suspension rates. SEE FIG 2.21 FOR WELLBEING SURVEY NOTE AT THE START OF THIS
that represents the employer. The analysis DETAILS ON REGIONAL DISTRICTS SECTION
includes people who 1) both live and work in
Connecticut; 2) live in New York, New Jersey,
Rhode Island, Massachusetts, or Pennsylvania FIG 2.23. SHARE OF PUBLIC K–12 STUDENTS FIG 2.26. PROBABILIT Y (%) OF REACHING TOP 20%
MEETING ACHIEVEMENT MEASURES, 2017–2018 OF HOUSEHOLD INCOMES AS ADULTS BY RACE
but work in Connecticut; or 3) live in Connecticut AND CHILDHOOD HOUSEHOLD INCOME
but work in New York, New Jersey, Rhode DataHaven analysis (2019) of data from the
Connecticut State Department of Education, DataHaven analysis (2019) of data from Chetty,
Island, Massachusetts, or Pennsylvania. This
accessed via EdSight at http://edsight.ct.gov. R., Friedman, J. N., Hendren, N., Jones, M. R.,
should capture most workers with interstate
Graduation rates presented are four-year & Porter, S. R. (2018). The Opportunity Atlas:
commutes, but may miss small numbers of
cohort graduation rates, giving the percentage Mapping the Childhood Roots of Social Mobility.
people working remotely and either living or
of students in the graduating class of 2017 Table 5: All Outcomes by County, Race, Gender
working in Connecticut. In this analysis, high-
who earned a high school diploma alongside and Parental Income Percentile. See paper
wage jobs are those paying more than $3,333 per
the cohort with which they started 9th grade. and data at https://opportunityinsights.org/
month, or $39,996 annually, while low-wage jobs
A student is considered chronically absent paper/the-opportunity-atlas. Chetty et al. used
are those paying $39,996 or less annually. Block-
if they miss at least 10 percent of the school deidentified Census data to model the upward
level LODES files are available at http://lehd.ces.
days for which they were enrolled in a year for mobility of people of different demographic
census.gov/data
any reason; the chronic absenteeism rate is groups, based on the percentile of household
then the percentage of enrolled students who income of the household in which they grew
FIG 2.20. NUMBER OF JOBS BY SECTOR,
are chronically absent in a year. The Smarter up. Percentages here represent the share of
2000–2017
Balanced Assessment Consortium (SBAC) children of each racial group born between
DataHaven analysis (2019) of U.S. Census Bureau standardized test is the Common Core-aligned 1978 and 1983 whose childhood household was
Quarterly Workforce Indicators, available at test used in Connecticut since 2015 for low-income (at the national 25th percentile),
http://qwiexplorer.ces.census.gov at the county both English/language arts (ELA) and math. middle-income (50th percentile), or high-income
level. Industries are categorized based on the Students are considered to pass a test if they (75th percentile) who then lived in households
North American Industry Classification System score as meeting or exceeding grade-level with incomes in the top 20 percent nationally in
(NAICS); those shown are sectors in which there goals; proficiency rates here are the share of 2014 and 2015.
were an average of at least 10,000 workers in students taking each test who passed. Chronic
the region in 2017. Job trends displayed are absenteeism and SBAC proficiency rates are
actually quarterly counts adjusted with the from the 2017–2018 school year. SEE FIG 2.21 FOR
LOESS method to show changes within years DETAILS ON REGIONAL DISTRICTS
while smoothing out sharp fluctuations. In a
few cases, quarterly counts were unavailable
and thus annual averages were not reported; in
these cases, annual values are the mean of that
year’s available quarters. Numbers shown at
DataHaven Greater New Haven Community Index 108
TABLE 2A. POPUL ATION AND GROW TH, 1990 AND to lack of reliable transportation. Likewise, food TABLE 2K. CHANGING INDUSTRY FOOTPRINT,
2017 insecurity is defined as the share of participants 2000–2017
DataHaven analysis (2019). 1990 population reporting that at some point in the past 12 months, DataHaven analysis (2019) of U.S. Census Bureau
figures are from the U.S. Census Bureau Decennial they were unable to afford to buy food they Quarterly Workforce Indicators, available at
Census, SF1 Table P1, accessible via Census needed. Utility shutoffs are based on participants http://qwiexplorer.ces.census.gov at county
Data API. 2017 population figures are from U.S. who reported having received a utility shutoff level. Each share is given as that sector’s divided
Census Bureau American Community Survey 2017 warning or completion during the past 12 months. by the region’s total payroll across all sectors.
5-year estimate, Table B01003. 2000 median age Values are disaggregated by location and self- This includes the sectors with fewer than 10,000
is from U.S. Census Bureau Decennial Census, reported demographic groups. SEE COMMUNITY workers that were excluded from Fig 2.20. SEE
SF1 Table P13, Median Age by Sex. 2017 median WELLBEING SURVEY NOTE AT THE BEGINNING OF FIG 2.20 FOR DETAILS ON GEOGRAPHY
age is from U.S. Census Bureau American THIS SECTION
Community Survey 2017 5-year estimate, Table TABLE 2L. ECONOMIC OPPORTUNIT Y, 2018
B01002, Median Age by Sex. All above tables TABLE 2G. HOMEOWNERSHIP, 2017
available at https://factfinder.census.gov. DataHaven analysis (2019) of questions from the
Population density is based on 2017 population DataHaven analysis (2019) of U.S. Census 2018 DataHaven Community Wellbeing Survey.
(above) and land area calculated from U.S. Bureau American Community Survey 2017 Access to good opportunities for employment is
Census Bureau TIGER/Line shapefiles, available 5-year estimates, Tables B25003, Tenure; the share of survey participants rating the ability
at https://www.census.gov/programs-surveys/ B25003B, Tenure (Black or African American of residents to obtain suitable employment
geography/geographies/mapping-files.html Alone Householder); B25003H, Tenure (White as excellent or good. Youth opportunities for
Alone, Not Hispanic or Latino Householder); job advancement is the share of participants
and B25003I, Tenure (Hispanic or Latino estimating that it is almost certain or very likely
TABLE 2B. CHARACTERISTICS BY RACE AND Householder). Tables available at https:// that young people in their area will get a job with
ORIGIN, 2017
factfinder.census.gov opportunity for advancement. Car access is
DataHaven analysis (2019). Populations by the share of participants saying they very often
race and ethnicity are from U.S. Census or fairly often have access to a car when they
Bureau American Community Survey 2017 TABLE 2H. HOUSING UNITS AND NEW HOUSING
PERMITS need it. Underemployment is calculated as the
5-year estimates, Table B03002. Foreign-born share of participants not working within the
population comes from U.S. Census Bureau DataHaven analysis (2019). Counts of housing
unit types, and shares of all housing units, are past 30 days but wanting to work, plus the share
American Community Survey 2017 5-year working part-time but preferring full-time work.
estimates, Table B05001. Tables available at from U.S. Census Bureau American Community
Survey 2017 5-year estimates, Table B25024, SEE COMMUNITY WELLBEING SURVEY NOTE AT THE
https://factfinder.census.gov BEGINNING OF THIS SECTION
Units in Structure. Available at https://
factfinder.census.gov. Data on housing permits
TABLE 2C. HOUSEHOLD STRUCTURE, 2017 from Connecticut Department of Economic and TABLE 2M. COLLEGE ENROLLMENT,
DataHaven analysis (2019) of U.S. Census Community Development Export, Housing, and PERSISTENCE, AND COMPLETION
Bureau American Community Survey 2017 5-year Income Data, available at https://portal.ct.gov/ SEE FIG 2.24 / SEE FIG 2.21 FOR DETAILS ON
estimates, Tables B11001 and B11003. Tables DECD/Content/About_DECD/Research-and- REGIONAL DISTRICTS
available at https://factfinder.census.gov Publications/01_Access-Research/Exports-
and-Housing-and-Income-Data. Numbers of TABLE 2N. EDUCATIONAL AT TAINMENT, 2017
TABLE 2D. GROWING NEIGHBORHOOD INCOME permits are averaged over four-year periods to
INEQUALIT Y, 2017 smooth out fluctuations in construction from DataHaven analysis (2019) of U.S. Census
year to year, for example when a single large Bureau American Community Survey 2017
SEE NOTE FOR FIG 2.11 5-year estimates, Table B15003, Educational
building is built.
Attainment for the Population 25 Years and Over.
TABLE 2E. LOW-INCOME POPUL ATION, 2017 Available at https://factfinder.census.gov
TABLE 2I. HOUSING COSTS, 2017
DataHaven analysis (2019) of U.S. Census
Bureau American Community Survey 2017 5-year DataHaven analysis (2019) of U.S. Census Bureau
estimates, Tables B17024; and C17002. Tables American Community Survey 2017 5-year
available at https://factfinder.census.gov. estimates, Tables B25077, B25074, and B25091.
As described in the report text, “low-income” is Tables available at https://factfinder.census.gov.
defined here as individuals living in households SEE ALSO FIG 2.13 AND 2.14
where the household income is less than twice
(200 percent of) the federal poverty level. TABLE 2J. WAGE TRENDS BY SECTOR, 2000–2017
DataHaven analysis (2019) of U.S. Census Bureau
TABLE 2F. FINANCIAL INSECURIT Y, 2018 Quarterly Workforce Indicators, available at
DataHaven analysis (2019) of questions from the http://qwiexplorer.ces.census.gov at county
2018 DataHaven Community Wellbeing Survey. For level. Average wages are given, and are
share “just getting by,” survey participants, when calculated here as means of total annual payroll
asked how well they were managing financially, over annual average employment by sector.
responded that they were just getting by, finding it 2000 wages are adjusted for inflation in order to
difficult, or finding it very difficult. Less than two accurately calculate changes in average wages
months savings is based on participants’ estimate. over time. Industries are categorized based
Negative net worth is based on participants’ on the North American Industry Classification
estimates of whether they would have money left System (NAICS); those shown are sectors in
over were their household to liquidate its assets which there were at least 10,000 workers in
and major possessions and pay off all debts. the region in 2017. SEE FIG 2.20 FOR DETAILS ON
Transportation insecurity is defined as the share GEOGRAPHY
of participants reporting that at some point in the
past 12 months, they could not go somewhere due
Chapter 5 Conclusion and Endnotes 109
Connecticut hospital would be included in this participants guessing that chances of each
Chapter 3 dataset, regardless of where they received experience are of each likelihood shown,
treatment. Each encounter observation had a disaggregated by location and self-reported
FIG 3.1. ESTIMATED LIFE EXPECTANCY IN YEARS,
2010–2015 unique encounter ID and was populated with race/ethnicity and income. Unlike similar
one or more “indicator flags” representing a questions where the focus was the percentage
DataHaven analysis (2019) of National Center variety of conditions. Each encounter could of adults estimating each event as almost certain
for Health Statistics. U.S. Small-Area Life include multiple indicator flags. Because CHIME or very likely, on this indicator, we chose to focus
Expectancy Estimates Project (USALEEP): is Connecticut-based, only hospital encounters instead on participants’ uncertainty, illustrating
Life Expectancy Estimates Files, 2010–2015. occurring in CT were captured; therefore, that the risk of drug and alcohol abuse is a
National Center for Health Statistics. 2018. encounters for individuals residing in CT towns problem seen across demographic groups. SEE
Available from https://www.cdc.gov/nchs/ bordering other states are more likely under- FIG 2.25 FOR OTHER QUESTIONS IN THIS BANK, AND
nvss/usaleep/usaleep.html. Town and regional reported in some cases. COMMUNITY WELLBEING SURVEY NOTE
averages were calculated as population-
weighted means of available Census tract Annualized encounter rates were calculated
values. See also Arias, E., Escobedo, L. A., for the indicator flags assigned within the FIG 3.9. AGE-ADJUSTED MONTHLY RATE OF DRUG
OVERDOSE DEATHS PER 1 MILLION RESIDENTS,
Kennedy, J., Fu, C., & Cisewki, J. (2018). U.S. dataset including Asthma, COPD, Substance 2012–2018
Small-area Life Expectancy Estimates Project: Abuse, and many other conditions. Analyses in DataHaven analysis (2019) of data from the
Methodology and Results Summary. Vital and this document describe data on “all hospital Connecticut Office of the Chief Medical
Health Statistics. Series 2, Data Evaluation and encounters” including inpatient, emergency Examiner, available at https://data.ct.gov/
Methods Research, (181), 1–40. department (ED), and observation encounters. resource/rybz-nyjw. Data is given for each
Annualized encounter rates per 10,000 persons individual to have died in Connecticut of a drug
FIG 3.2. YEARS OF POTENTIAL LIFE LOST BEFORE were calculated for the three-year period overdose from 2012 to 2018. For this analysis,
AGE 75 PER 100,000 RESIDENTS BY CAUSE OF 2012–2014 and the three-year period 2015–2017 data was filtered to only include people with
DEATH, 2010–2014 by merging CHIME data with population data. a Connecticut town listed as their place of
DataHaven analysis (2019) of data from the For each geographic area and indicator, our residence at the time of death and with their age
Connecticut Department of Public Health. For analysis generally included an annualized on record. Monthly counts by age were used to
Years of Potential Life Lost (YPLL), we created encounter rate for populations in each of six age calculate crude rates of overdose deaths per 1
annualized YPLL rates (or “Premature Death strata (0–19, 20–44, 45–64, 65–74, 75–84, and million residents of each age group. To get age-
Rates”) by cause using the 2010–2014 dataset 85+ years), and by gender, as well as a single adjusted rates, crude rates by age group were
at the town level; geographies presented age-adjusted annualized encounter rate. It is then weighted with the U.S. Centers for Disease
here include the state, county, and selected important to note that there is no way to discern Control and Prevention (CDC) 2000 U.S. Standard
individual towns. Data represent annualized the unique number of individuals in any zip code, Population 18 age group weights available at
averages over that five year period of time. We town, area or region who experienced hospital https://seer.cancer.gov/stdpopulations. The
calculated the YPLL rate as the sum of the YPLL encounters during the period under examination rates shown here are 6-month rolling averages;
divided by (the total population under 75 years or the number of encounters that represented that is, the rate for any given point shown in the
old*5)*100,000. The average YPLL under 75 years repeat encounters by the same individual for the chart represents the age-adjusted overdose
of age, or “Years Lost Per Death,” was calculated same or different conditions. To better examine death rate for that month averaged with the
by taking the sum of the YPLL divided by the encounter rates for asthma, a more appropriate rates of the five months preceding it.
number of deaths under 75 years of age. For set of age groupings was used (0–4, 5–19, 20–44,
YPLL due to fetal/infant deaths (summed fetal 45–64, 65–74, and 75+ years), so age-adjusted
deaths plus infant deaths), we used annualized rates were not calculated for asthma. Please FIG 3.10. COUNT OF DRUG OVERDOSE DEATHS
AT 6-MONTH INTERVALS BY PRESENCE OF
CTDPH data and used an average age at death of contact DataHaven for further information. FENTANYL, WITH PERCENTAGE OF DEATHS THAT
0.5 years, hence the average YPLL of 74.5 years ARE FENTANYL-REL ATED, 2012–2018
per death computed for these deaths as the FIG 3.4. CHRONIC DISEASE, ENCOUNTER RATES DataHaven analysis (2019) of data from the
basis of the comparison to standard causes of PER 10,000 RESIDENTS 2015–2017 Connecticut Office of the Chief Medical
death. SEE FIG 3.3 Examiner, available at https://data.ct.gov/
resource/rybz-nyjw. In data on drug overdose
FIG 3.3. AGE-ADJUSTED AND REL ATIVE AGE- deaths, individuals are marked for several
FIG 3.5. OTHER HEALTH ISSUES, ENCOUNTER
ADJUSTED ENCOUNTER RATES PER 10,000 RATES PER 10,000 RESIDENTS, 2015–2017 common substances that may be found by
RESIDENTS, 2015–2017
the medical examiner, and may also have a
DataHaven analysis (2019) of CHIME data. 2018. SEE FIG 3.3
more detailed cause of death written out. The
Data about residents’ visits to hospitals and categories in the data include heroin, fentanyl,
emergency rooms may be used as a tool to FIG 3.6. CHRONIC DISEASE, AGE-ADJUSTED RATE and generic names of several opioids, such as
examine variations in health and quality of life OF HOSPITALIZATIONS AND ED ENCOUNTERS PER
10,000 RESIDENTS, 2012–2014 TO 2015–2017 oxycodone and hydromorphone. We used text
by geography and within specific populations. mining techniques to find additional names
Unless otherwise noted, all information from SEE FIG 3.3 of opiates and opioids from the cause of
this source is based on a DataHaven analysis of death text in order to fill in cases where those
2012–2014 and 2015–2017 CHIME data provided FIG 3.7. OTHER HEALTH ISSUES, AGE- substances were not checked off otherwise,
by the Connecticut Hospital Association upon ADJUSTED RATE OF HOSPITALIZATIONS AND ED relevant substances didn’t fit into a given
ENCOUNTERS PER 10,000 RESIDENTS, 2012–
request from and special study agreement with 2014 TO 2015–2017 category, or where substances were misspelled
partner hospitals and DataHaven. or abbreviated. In total, more than a dozen
SEE FIG 3.3
substances were included as search terms
The CHIME hospital encounter data extraction
to mark a death as opiate- or opioid-related;
included de-identified information for each FIG 3.8. RESIDENTS’ RATING OF LIKELIHOOD THAT
YOUTH IN THEIR AREA WILL ABUSE DRUGS OR these deaths may have involved non-opiates as
of over 10,000,000 Connecticut hospital and
ALCOHOL, BY RACE AND INCOME, 2018 well. Similarly, cases were marked as fentanyl-
emergency department encounters incurred
related if either checked categories or text fields
by any residents of any town in Connecticut DataHaven analysis (2019) of questions from
reported fentanyl or any fentanyl-analogues
during the six year period studied. Any encounter the 2018 DataHaven Community Wellbeing
being found. SEE ALSO FIG 3.9
incurred by any resident of these towns at any Survey. Indicators show percentage of survey
DataHaven Greater New Haven Community Index 110
FIG 3.11. PERCENT OF ADULTS REPORTING Departments-and-Agencies/DPH/dph/hems/ Participants were asked to self-report whether
PERCEIVED REASONS FOR THEIR asthma/pdf/SBASS_2012_2014.pdf?la=en. they currently have health insurance, and
DISCRIMINATION, OF ADULTS CITING A REASON
FOR EXPERIENCES OF DISCRIMINATION, 2018 Asthma prevalence rates for regions are given whether they had seen a dentist in the past 12
as the weighted average of districts within the months. SEE COMMUNITY WELLBEING SURVEY NOTE
DataHaven analysis (2019) of questions from
region based on the percent of students enrolled AT THE BEGINNING OF THIS SECTION
the 2018 DataHaven Community Wellbeing
in that district in the 2018–2019 academic year.
Survey. Survey participants were asked a bank
Very small school districts had suppressed
of questions on experiences of discrimination, TABLE 3H. OVERDOSE DEATHS BY SUBSTANCE,
values and were omitted from averages. 2015–2018
namely whether at any point in their lives
particpants had been discriminated against DataHaven analysis (2019) of data from the
or treated unfairly in each of several settings, TABLE 3D. FREQUENT EMERGENCY ROOM USE Connecticut Office of the Chief Medical
including workplace hiring and promotion; police AND HEALTH-REL ATED SOCIAL NEEDS, 2018 Examiner, available at https://data.ct.gov/
encounters; ability to move into a neighborhood, DataHaven analysis (2019) of questions from resource/rybz-nyjw. Shown here are aggregated
based on access to renting or buying housing; the 2018 DataHaven Community Wellbeing counts of accidental overdose deaths between
and quality of health care services. If Survey. Respondents were asked to self-report 2015 and 2018, with annualized age-adjusted
respondents answered that they had been the number of times in the past 12 months they rates over that period. SEE FIG 3.9 FOR DETAILS ON
discriminated against in one of these areas, visited the emergency room or urgent care clinic. AGE-ADJUSTMENT / SEE FIG 3.10 FOR DETAILS ON
they were then asked to identify the reasons We then looked at other responses provided by CATEGORIZING OF SUBSTANCES
why they thought this happened; those reasons those adults to further reveal characteristics
are included here if at least 20 percent of about their health and well-being, including TABLE 3I. OVERDOSE DEATHS BY RACE AND
respondents cited them. Note that respondents whether, in the past 12 months, they chose to ETHNICIT Y, 2015–2018
were allowed to identify more than one issue. forego medical care for any reason; there had DataHaven analysis (2019) of data from the
SEE COMMUNITY WELLBEING SURVEY NOTE AT THE been times they were unable to afford food; they Connecticut Office of the Chief Medical
BEGINNING OF THIS SECTION had access to a car less than “fairly often” when Examiner, available at https://data.ct.gov/
needed; were threatened with a utility shut-off resource/rybz-nyjw. Shown here are aggregated
FIG 3.12. PERCENT OF ADULTS REPORTING notice; or whether they self-reported that they counts of accidental overdose deaths between
UNFAIR POLICE STOPS, SEARCHES, OR OTHER had been physically attacked or threatened. 2015 and 2018 by race/ethnicity as given in their
MISTREATMENT AND FREQUENCY OF INCIDENTS,
BY RACE AND EDUCATION, 2018 medical examiner record, with annualized age-
TABLE 3E. BARRIERS TO HEALTHCARE, 2018 adjusted rates over that period. SEE FIG 3.9 FOR
DataHaven analysis (2019) of questions from
DataHaven analysis (2019) of questions from DETAILS ON AGE-ADJUSTMENT
the 2018 DataHaven Community Wellbeing
Survey. Survey participants were asked about the 2018 DataHaven Community Wellbeing
whether they had ever been unfairly stopped, Survey. Survey participants were asked several TABLE 3J. SELECTED HOSPITAL ENCOUNTERS
questions about their access to and use of AND HOSPITAL ENCOUNTERS BY AGE, 2015–2017
searched, or otherwise mistreated by police; if
so, they were then asked about the frequency medical care, including whether at any point SEE FIG 3.3
of these incidents within the past three years. in the previous 12 months they postponed or
SEE COMMUNITY WELLBEING SURVEY NOTE AT THE did not receive medical care they needed, and
BEGINNING OF THIS SECTION whether they have any person or place they
think of as their personal doctor or medical care
provider. SEE COMMUNITY WELLBEING SURVEY
TABLE 3A. PREMATURE DEATH RATES BY
GEOGRAPHY, 2010–2014 NOTE AT THE BEGINNING OF THIS SECTION.
SEE FIG 3.2
TABLE 3F. EXPERIENCES OF DISCRIMINATION,
2018
TABLE 3B. BIRTH OUTCOMES, 2006–2010 AND
2011–2015 SEE FIG 3.11
DataHaven analysis (2019) of data from the
Connecticut Department of Public Health Vital TABLE 3G. HEALTH RISK FACTORS, 2018
Statistics for the 2006–2010 and 2011–2015 DataHaven analysis (2019) of questions from
periods, available at https://portal.ct.gov/DPH/ 2018 DataHaven Community Wellbeing Survey.
Health-Information-Systems--Reporting/ Adult respondents were asked to rate their
Hisrhome/Vital-Statistics-Registration- overall health; report recent levels of depression
Reports. Low birthweight is defined as 2,500 and anxiety; and report whether they had even
grams (roughly 5.5 pounds). Non-adequate been told by a doctor or medical professional
prenatal care indicate that the mother attended that they had diabetes or asthma. Participants
fewer than 80 percent of expected prenatal care reported their height and weight, from which
visits, or did not start attended visits until the their body mass index (BMI) was calculated;
second trimester. Both the low birthweight rate obesity in adults is defined as a BMI of 30 or
and non-adequate prenatal care rates are given higher. For food insecurity, participants were
as a percent of total births for each of the 5-year asked whether there had been times in the past
periods. Percent change in both indicators are 12 months that they did not have enough money
given as a percent change in the rate of each. to provide food for their families. Smoking
rates were calculated based on the number of
TABLE 3C. ASTHMA PREVALENCE BY PUBLIC participants who estimated having smoked at
SCHOOL DISTRICT, 2012–2014 least 100 cigarettes in their entire lives; those
DataHaven analysis (2019) of data from the who said they had were then asked whether
Connecticut Department of Public Health they smoked every day, some days, or not at all.
School-Based Asthma Surveillance Report of Smoking prevalence for the entire population
2019, available at https://portal.ct.gov/-/media/ was then extrapolated from these two figures.
Chapter 5 Conclusion and Endnotes 111
13 U.S. Census Bureau. American Community 25 SEE NOTES FOR TABLE 2A Median age of the 54 Ibid.
Survey 2017 5-year estimates, Table B17001, region is determined by taking the mean of
Poverty Status in the Past 12 Months by Sex all the towns’ median ages weighted by town 55 U.S. Census Bureau. American Community
by Age. populations. Survey 2017 5-year estimates, Table B06007,
Place of Birth by Language Spoken at Home
14 DataHaven analysis (2019) of data from 26 Ibid. and Ability to Speak English in the United
the National Center for Health Statistics. States.
U.S. Small-Area Life Expectancy Estimates 27 Ibid.
Project (USALEEP): Life Expectancy 56 Ibid.
28 SEE NOTES FOR FIG 2.1
Estimates Files, 2010–2015. Available at 57 Reynolds, D. (2017, January 12). Gallup Poll:
https://www.cdc.gov/nchs/nvss/usaleep/ 29 Ibid. A Record Number of Americans Identify as
usaleep.html LGBT. Advocate. Retrieved from https://
30 Ibid.
15 For life expectancy, results are reported as www.advocate.com. While our preference,
the population-weighted life expectancy for 31 Ibid. and what we use elsewhere, is the grouping
tracts by the plurality of population by race/ “lesbian, gay, bisexual, transgender, or
32 Ibid. queer” (LGBTQ), we follow the language used
ethnicity in that tract.
33 Ibid. in sources such as this one.
16 U.S. Census Bureau. American Community
Survey 2017 5-year estimates, Tables 34 Ibid. 58 In data from the U.S. Census Bureau and
B19013B, B19013D, B19013H, and B19013I, represented here, a household is defined
Median Household Income in the Past 12 35 Ibid. as one or more people who occupy a house,
Months (in 2017 Inflation-Adjusted Dollars). apartment, or other group of rooms with
36 SEE NOTES FOR FIG 2.3 separate living quarters.
Census data used here references the race
of the head of household, which may differ 37 Ibid. 59 SEE NOTES FOR FIG 2.6
from other members of the household. For
purposes of simplicity, “white households” 38 Ibid. 60 Ibid.
means households with a white head of 39 Ibid.
household. 61 SEE NOTES FOR TABLE 2C
40 SEE NOTES FOR FIG 2.2 62 Ibid.
17 U.S. Census Bureau. American Community
Survey 2017 5-year estimates, Tables 41 Ibid. 63 SEE NOTES FOR FIG 2.8
B17020B, B17020D, B17020H, and B17020I,
Poverty Status in the Past 12 Months by Age. 42 SEE NOTES FOR FIG 2.4 64 SEE NOTES FOR FIG 2.12
18 U.S. Census Bureau. American Community 43 SEE NOTES FOR FIG 2.5 65 Berube, A. (2018, February 5). City and
Survey 2017 5-year estimates, Table B08303, 44 Ibid. metropolitan income inequality data reveal
Travel Time to Work. ups and downs through 2016. Retrieved from
45 U.S. Census Bureau. American Community https://www.brookings.edu/research/city-
19 U.S. Census Bureau. American Community Survey 2017 5-year estimates, Table and-metropolitan-income-inequality-data-
Survey 2012 and 2017 5-year estimates, B05006, Place of Birth for the Foreign-Born reveal-ups-and-downs-through-2016
Table B15003, Educational Attainment for Population in the United States.
the Population 25 Years and Over. 66 SEE NOTES FOR FIG 2.8
46 SEE NOTES FOR FIG 2.5
20 SEE NOTES FOR FIG 1.1 67 SEE NOTES FOR FIG 2.9
47 Ibid.
21 U.S. Census Bureau. American Community 68 SEE NOTES FOR FIG 2.10
Survey 2017 5-year estimates, Tables 48 Ibid.
C23002B, C23002D, C23002H, and C23002I, 69 Ibid.
Sex by Age by Employment Status for the 49 U.S. Census Bureau. American Community
Survey 2017 5-year estimates, Table B05001, 70 DataHaven analysis (2019) of Ruggles et al.
Population 16 Years and Over. American Community Survey 2016 5-year
Nativity and Citizenship Status in the United
22 DataHaven analysis (2019) of Ruggles, S., et States. Census microdata. SEE ALSO NOTE ON
al. (2019). IPUMS USA: Version 9.0 American GEOGRAPHY IN THE TABLE AND FIGURE NOTES
Community Survey 2017 5-year Census 50 Ibid.
71 Ibid.
microdata. https://doi.org/10.18128/D010. 51 U.S. Census Bureau. American Community
V9.0 SEE ALSO NOTE ON GEOGRAPHY IN THE Survey 2017 5-year estimates, Table B05007, 72 Ibid.
TABLE AND FIGURE NOTES Place of Birth by Year of Entry by Citizenship 73 Urban Institute. (2017, October 5). Nine
23 Belfield, C. R., Levin, H. M., & Rosen, R. Status for the Foreign-Born Population. Charts about Wealth Inequality in America.
(2012). The Economic Value of Opportunity 52 Ibid. Retrieved from https://apps.urban.org/
Youth. Retrieved from https://files. features/wealth-inequality-charts
eric.ed.gov/fulltext/ED528650.pdf. For 53 DataHaven analysis (2019) of Ruggles et al.
Connecticut-specific data on Opportunity American Community Survey 2016 5-year 74 Perry, A. M., Rothwell, J., & Harshbarger,
Youth produced by The Parthenon Group, Census microdata. Because of changes the D. (2018, November 27). The devaluation of
please see www.ctopportunityproject.org Census Bureau made to classification of assets in black neighborhoods: The case of
languages, including Haitian Creole, values residential property. Retrieved from https://
24 U.S. Census Bureau. American Community here may not be directly comparable to ACS www.brookings.edu/research/devaluation-
Survey 2017 5-year estimates, Table B01001, tables. SEE ALSO NOTE ON GEOGRAPHY IN THE of-assets-in-black-neighborhoods
Sex by Age. TABLE AND FIGURE NOTES 75 SEE NOTES FOR TABLE 2F
Chapter 5 Conclusion and Endnotes 113
76 Institute on Metropolitan Opportunity at 92 U.S. Department of Health & Human 112 DataHaven analysis (2019) of data from the
the University of Minnesota Law School. Services. 2017 poverty guidelines. Retrieved Federal Financial Institutions Examination
(2019, April). Executive summary: American from https://aspe.hhs.gov/2017-poverty- Council Home Mortgage Disclosure Act Loan
neighborhood change in the 21st century. guidelines Application Register datasets, available at
Retrieved from https://www.law.umn. https://www.ffiec.gov/hmda
edu/institute-metropolitan-opportunity/ 93 SEE NOTES FOR FIG 2.7
gentrification 113 Ibid.
94 SEE NOTES FOR FIG 2.7 AND TABLE 2E
77 SEE NOTES FOR FIG 2.11 114 Ibid.
95 United Way of Connecticut. (2018). ALICE: A
78 Ibid. study of financial hardship in Connecticut. 115 DataHaven. (2018). DataHaven Community
Retrieved from http://alice.ctunitedway.org/ Wellbeing Survey. SEE SURVEY NOTE IN THE
79 Berube, A. (2018). wp-content/uploads/2018/08/CT-United- TABLE AND FIGURE NOTES
Ways-2018-ALICE-Report-8.13.18_Hires-1.
80 SEE NOTES FOR FIG 2.11 AND TABLE 2D pdf 116 Guidance for housing affordability comes
from the federal Department of Housing
81 Oishi, S., & Kesebir, S. (2015). Income 96 United Way of Connecticut. (2018). ALICE in and Urban Development (HUD). See Defining
inequality explains why economic New Haven County, 2016 Point-in-Time Data. Housing Affordability, https://www.
growth does not always translate to an Retrieved from http://alice.ctunitedway. huduser.gov/portal/pdredge/pdr-edge-
increase in happiness. Psychological org/wp-content/uploads/2018/09/New- featd-article-081417.html
Science, 26(10), 1630–1638. https://doi. Haven-County-_2018-ALICE-9.26.18.pdf
org/10.1177/0956797615596713. See also 117 SEE NOTES FOR FIG 2.14
Mikucka, M., Sarracino, F., & Dubrow, 97 SEE NOTES FOR TABLE 2F
J. (2017). When does economic growth 118 Ibid. Note that due to availability in the 2005
improve life satisfaction? Multilevel analysis 98 SEE NOTES FOR TABLE 2G ACS, values for cost burden trends are for
of the roles of social trust and income New Haven County, not the 13-town region.
99 U.S. Census Bureau. American Community
inequality in 46 countries, 1981–2012. World Survey 2017 5-year estimates, Table B25003, 119 Ibid.
Development, 93, 447–459. https://www. Tenure; and GeoLytics and Urban Institute.
sciencedirect.com/science/article/pii/ 2013. CensusCD Neighborhood Change 120 SEE NOTES FOR FIG 2.15
S0305750X17300049 Database (NCDB). 121 Ibid.
82 Buttrick, N., Heintzelman, S., & Oishi, S. 100 Ibid.
(2017). Inequality and well-being. Current 122 DataHaven analysis (2019) of data from
Opinion in Psychology, 18, 15–20. https://doi. 101 SEE NOTES FOR TABLE 2G The Eviction Lab at Princeton University, a
org/10.1016/j.copsyc.2017.07.016. See also project directed by Matthew Desmond and
Rothstein, B., & Ulsander, E. (2005). All for 102 Ibid. designed by Ashley Gromis, Lavar Edmonds,
all: Equality, corruption, and social trust. James Hendrickson, Katie Krywokulski,
103 SEE NOTES FOR TABLE 2H Lillian Leung, and Adam Porton. The Eviction
World Politics, 58(1), 41–72. https://doi.
org/10.1353/wp.2006.0022 104 Ibid. Lab is funded by the JPB, Gates, and Ford
Foundations as well as the Chan Zuckerberg
83 Buttrick, N. Heintzelman, S., Oishi, S. (2017). 105 Ibid. Initiative. More information is found at
evictionlab.org
84 Chetty, R., Friedman, J., Hendren, N., Jones, 106 U.S. Census Bureau. American Community
M., & Porter, S. (2018). The Opportunity Survey 2017 5-year estimates, Table B25077, 123 DataHaven. (2018). DataHaven Community
Atlas: Mapping the childhood roots of Median Value (Dollars). SEE ALSO FIG 2.14 Wellbeing Survey. SEE SURVEY NOTE IN THE
social mobility. Available at https://www. TABLE AND FIGURE NOTES The DCWS asked
opportunityatlas.org 107 DataHaven analysis (2019) of Ruggles et adults about their experience with their
al. 2017 ACS 5-year Census microdata. SEE last apartment, whereas the Eviction Lab
85 Chetty, R., Hendren, N., Kline, P., & Saez, E. ALSO NOTE ON GEOGRAPHY IN THE TABLE AND data referenced above summarizes court-
(2014). Where is the land of opportunity? The FIGURE NOTES reported filings by address. These rates are
geography of intergenerational Mobility in therefore not directly comparable, but are
the United States. The Quarterly Journal of 108 DataHaven analysis (2019) of U.S. Census
Bureau. American Community Survey 2017 provided to supplement our understanding
Economics, 129(4), 1553–1623. https://doi. of formal and informal evictions in the
org/10.3386/w19843 5-year estimates, Table B25077; and U.S.
Census Bureau. (1990). Decennial Census region.
86 SEE NOTES FOR FIG 2.12 Summary File 3, Table H085. 124 Ibid.
87 Ibid. 109 Ibid. 125 See further SchoolHouse Connection.
88 Ibid. 110 DataHaven analysis (2019) of data from the (2018). Positive School Discipline
Federal Financial Institutions Examination Practices for Students Experiencing
89 Ibid. Council Home Mortgage Disclosure Act Loan Homelessness. Available at https://www.
Application Register datasets available at schoolhouseconnection.org/positive-
90 SEE NOTES FOR FIG 2.7 school-discipline-practices-for-students-
https://www.ffiec.gov/hmda. The subset of
91 In 2017, approximately 12 percent of Greater loans considered here are for 1- to 4-family experiencing-homelessness/. See also
New Haven’s population lived below the homes. These were loans intended for a American Psychological Association.
federal poverty line, slightly above the home purchase, not remodel, with the intent Education and Socioeconomic Status.
statewide rate of 10 percent and below the of being occupied by the owner. Available at https://www.apa.org/pi/ses/
nationwide rate of 15 percent. U.S. Census resources/publications/education
Bureau. American Community Survey 2017 111 For first-lien mortgages, the threshold is 1.5
5-year estimates, Table C17002, Ratio of percentage points above the average prime
Income to Poverty Level in the Past 12 Months. offer rate, or APOR, and for subordinate
liens, 3.5 percentage points above APOR.
DataHaven Greater New Haven Community Index 114
126 Nelson, R. K., Winling, L., Marciano, R., 144 SEE NOTES FOR TABLE 2L 162 Ibid.
Connolly, N., et al. Mapping Inequality.
American Panorama. Available at https:// 145 Ibid. 163 DataHaven analysis (2019) of data from the
dsl.richmond.edu/panorama/redlining. Connecticut State Department of Education.
146 Slavin, P. (2014, September 10). Factoring Smarter Balanced, 2014–2015 through
SEE FIGURE 2.18 See also Seaberry, C. transit costs into housing affordability.
(2018). CT Data Story: Housing Segregation 2017–2018. Available at http://edsight.
Urban Land. Retrieved from https:// ct.gov. SEE ALSO NOTES FOR FIG 2.23
in Greater New Haven. Available at https:// urbanland.uli.org/news/factoring-transit-
ctdatahaven.org/reports/ct-data-story- costs-housing-affordability 164 Ibid.
housing-segregation-greater-new-haven
147 SEE NOTES FOR FIG 1.1 AND 1.3 165 DataHaven analysis (2019) of data from the
127 Because the HOLC maps use very small Connecticut State Department of Education.
geographical units, 2010 data was used 148 SEE NOTES FOR TABLE 2L Four-Year Graduation Rates. Available at
because it is available at correspondingly http://edsight.ct.gov. SEE NOTES FOR FIG 2.23
small geographies. 149 Ibid.
178 Lochmiller, C. (2013). Improving student 190 Centers for Disease Control and Prevention, 204 Ibid.
attendance in Indiana’s schools. Indiana National Center for Chronic Disease
University Center for Evaluation and Prevention and Health Promotion, Division 205 National Institutes of Health, National
Education Policy. Retrieved from https:// of Population Health. (2017). BRFSS Institute of Child Health and Human
www.attendanceworks.org/wp-content/ Prevalence & Trends Data. 2017 data. Development. (2017). How many people are
uploads/2017/08/Improving-Student- Available at https://www.cdc.gov/brfss/ affected by/at risk for birth defects? Retrieved
Attendance-in-Indianas-Schools-CEEP- brfssprevalence from https://www.nichd.nih.gov/health/
Indiana-DOE-Oct-2013.pdf . See also topics/birthdefects/conditioninfo/risk
Burdick-Will, J., Stein, M., & Grigg, J. (2019). 191 DeSalvo, K.B., Bloser, N., Reynolds, K.,
He, J., & Muntner, P. (2006). Mortality 206 Connecticut Department of Public Health,
Danger on the way to school: Exposure Lead and Healthy Homes Program. (2016).
to violent crime, public transportation, prediction with a single general self-
rated health question: A meta-analysis. Annual lead surveillance report. Available at
and absenteeism. Sociological Science, 6, https://portal.ct.gov/DPH/Environmental-
118–142. https://doi.org/10.15195/v6.a5 Journal of General Internal Medicine, 21(3),
267–275. https://doi.org/10.1111/j.1525- Health/Lead-Poisoning-Prevention-and-
179 Steinberg, M. P., Allensworth, E., & 1497.2005.00291.x Control/Screening--Surveillance-Data
Johnson, D. W. (2013). What conditions 207 Ibid.
jeopardize and support safety in urban 192 SEE NOTES FOR FIG 3.1
schools? The influence of community 193 Hero, J., Zaslavsky, A. M., & Blendon, R. J. 208 Agency for Toxic Substances and Disease
characteristics, school composition and (2017). The United States leads other nations Registry. (2016). Environmental triggers of
school organizational practices on student in differences by income in perceptions asthma. Retrieved from https://www.atsdr.
and teacher reports of safety in Chicago. of health and health care. Health Affairs, cdc.gov/csem/csem.asp?csem=32&po=6
Retrieved from https://escholarship.org/uc/ 36(6), 1032–40. https://doi.org/10.1377/
item/2mx8c60x 209 DataHaven analysis (2019) of data from
hlthaff.2017.0006 the Connecticut Department of Public
180 Rocque, M. (2010). Office discipline and 194 SEE NOTES FOR TABLE 3G Health. (2019). Connecticut school-based
student behavior: Does race matter?. asthma surveillance report 2019. Retrieved
American Journal of Education, 116(4), 195 SEE NOTES FOR FIG 3.1 The tract with from https://portal.ct.gov/DPH/Health-
557–581. https://doi.org/10.1086/653629 the lowest life expectancy (71.0 years) Education-Management--Surveillance/
is 09009140200 in New Haven’s Hill Asthma/Asthma-Burden-Report
181 Okilwa, N. S., & Robert, C. (2017, February neighborhood; the tract with the highest
6). School discipline disparity: Converging (85.8 years) is 09009157300. 210 SEE NOTES FOR FIG 3.4
efforts for better student outcomes. Urban
Review: Issues and Ideas in Public Education, 196 Ibid. 211 Prevalence estimate not available for
49(2), 239–262. https://doi.org/10.1007/ Bethany.
s11256-017-0399-8 197 Ibid.
212 SEE NOTES FOR TABLE 3G
182 SEE NOTES FOR FIG 2.22 See also Rocque, M. 198 SEE NOTES FOR FIG 3.2, 3.3, AND TABLE 3A
213 Ibid.
(2010). 199 American Cancer Society. (2015, June 16).
Study: Smoking causes almost half of 214 SEE NOTES FOR TABLE 3E
183 U.S. Department of Education Office for
Civil Rights. (2016). 2013–2014 Civil rights deaths from 12 cancer types. Retrieved 215 DataHaven. (2018). DataHaven Community
data collection: A first look. Retrieved from from https://www.cancer.org/latest-news/ Wellbeing Survey. SEE SURVEY NOTE IN TABLE
https://www2.ed.gov/about/offices/list/ study-smoking-causes-almost-half-of- AND FIGURE NOTES
ocr/docs/2013-14-first-look.pdf deaths-from-12-cancer-types.html
216 SEE NOTES FOR TABLE 3E
184 Rocque, M. (2010). 200 Centers for Disease Control and Prevention,
Division of Cancer Prevention and Control. 217 SEE NOTES FOR TABLE 3D
185 SEE NOTES FOR FIG 2.25 (2019). What are the risk factors for lung
cancer? Available at https://www.cdc.gov/ 218 Ibid.
186 Chetty, R., Hendren, N., Kline, P., & Saez, E. cancer/lung/basic_info/risk_factors.htm
(2014). 219 Ibid.
201 Centers for Disease Control and Prevention, 220 DataHaven. (2018). DataHaven Community
187 DataHaven analysis (2019) of data from National Center for Chronic Disease
Chetty, R., Friedman, J. N., Hendren, N., Wellbeing Survey. SEE SURVEY NOTE IN TABLE
Prevention and Health Promotion. (2019). AND FIGURE NOTES
Jones, M. R., & Porter, S. R. (2018). The Division for Heart Disease and Stroke
Opportunity Atlas: Mapping the Childhood Prevention at a glance. Available at https:// 221 Ibid.
Roots of Social Mobility. Table 5: All www.cdc.gov/chronicdisease/resources/
Outcomes by County, Race, Gender and publications/aag/heart-disease-stroke. 222 California HealthCare Foundation. (2009).
Parental Income Percentile. SEE ALSO NOTES htm Snapshot: Emergency department visits for
FOR FIG 2.26 preventable dental conditions in California.
202 Central Intelligence Agency. (2016). Infant Retrieved from https://www.chcf.org/
188 SEE NOTES FOR FIG 2.26 mortality rate. In The World Factbook wp-content/uploads/2017/12/PDF-
189 DataHaven. (2018). DataHaven Community 2016–17. Washington DC. Retrieved from EDUseDentalConditions.pdf
Wellbeing Survey. SEE SURVEY NOTE IN TABLE https://www.cia.gov/library/publications/
the-world-factbook/fields/354.html 223 Centers for Disease Control and Prevention,
AND FIGURE NOTES National Center for Chronic Disease
203 SEE NOTES FOR TABLES 3A AND 3B Local data Prevention and Health Promotion, Division of
on the overall impact of fetal and infant Oral Health. (2017). Explore oral health data
deaths are included above, in the section on by location. Retrieved from https://www.
premature mortality. cdc.gov/oralhealthdata/index.html
DataHaven Greater New Haven Community Index 116
224 DataHaven. (2018). DataHaven Community 237 Centers for Disease Control and Prevention, 254 SEE NOTES FOR FIG 3.10
Wellbeing Survey. SEE SURVEY NOTE IN TABLE National Center for Chronic Disease
AND FIGURE NOTES Prevention and Health Promotion, Division of 255 SEE NOTES FOR TABLE 3I
Population Health. (2017). BRFSS prevalence 256 DataHaven analysis (2019) of data from the
225 Williams, D. (2016). Measuring discrimination & trends data. Available at https://www.cdc.
resource. Retrieved from https://scholar. Connecticut Department of Mental Health
gov/brfss/brfssprevalence/index.html and Addiction Services. (2019). Opioid
harvard.edu/files/davidrwilliams/files/
measuring_discrimination_resource_ 238 DataHaven. (2018). DataHaven Community related treatment admissions by town in
june_2016.pdf Wellbeing Survey. See also DataHaven. Department of Mental Health and Addiction
(2015). DataHaven Community Wellbeing Services programs. Available at https://
226 Williams, D. R., Lawrence, J. A., & Davis, B. Survey, available at http://ctdatahaven.org/ data.ct.gov/resource/4pv7-jhxb
A. (2019). Racism and health: evidence and reports/datahaven-community-wellbeing-
needed research. Annual Review of Public 257 SEE NOTES FOR FIGS 3.3, 3.4, 3.5, 3.6, AND 3.7
survey
Health, 40, 105–125 https://doi.org/10.1146/ 258 DataHaven. (2018). DataHaven Community
annurev-publhealth-040218-043750 239 Robert Wood Johnson Foundation. (2018). Wellbeing Survey. SEE SURVEY NOTE IN TABLE
National and state by state obesity rates, AND FIGURE NOTES
227 SEE NOTES FOR TABLE 3F AND FIG 3.11 youth ages 10–17 (Issue brief). Retrieved
228 Office of Disease Prevention and Health from https://media.stateofobesity.org/ 259 Ibid.
Promotion. Healthy People 2020: Lesbian, uploads/2018/10/RWJF_NSCHDataBrief.
pdf. Data are from the National Survey of 260 Manchester, J., & Sullivan, R. (2019).
gay, bisexual, and transgender health. Exploring causes of and responses to the
Retrieved from https://www.healthypeople. Children’s Health (NSCH).
opioid epidemic in New England. New
gov/2020/topics-objectives/topic/lesbian- 240 DataHaven. (2018). DataHaven Community England Public Policy Center Reports Paper
gay-bisexual-and-transgender-health Wellbeing Survey. SEE SURVEY NOTE IN TABLE No. 19-2. Retrieved from https://www.
229 Kates, J., Ranji, U., Beamesderfer, A., AND FIGURE NOTES See also DataHaven. bostonfed.org/publications/new-england-
Salganicoff, A., & Dawson, L. (2018). Health (2015). DataHaven Community Wellbeing public-policy-center-policy-report/2019/
and access to care and coverage for lesbian, Survey, available at http://ctdatahaven.org/ exploring-causes-of-and-responses-to-
gay, bisexual, and transgender individuals in reports/datahaven-community-wellbeing- the-opioid-epidemic-in-new-england.aspx
the U.S. Kaiser Family Foundation. Retrieved survey
261 Kao, S. C., Tsai, H. I., Cheng, C. W., Lin,
from https://www.kff.org/report-section/ 241 DataHaven. (2018). DataHaven Community T. W., Chen, C. C, & Lin, C. S. (2017). The
health-and-access-to-care-and-coverage- Wellbeing Survey. SEE SURVEY NOTE IN TABLE association between frequent alcohol
lgbt-individuals-in-the-us-the-lgbt- AND FIGURE NOTES drinking and opioid consumption after
community abdominal surgery: A retrospective analysis.
242 Ibid. PLOS ONE 12(3), e0171275. https://doi.
230 DataHaven. (2018). DataHaven Community
Wellbeing Survey. SEE SURVEY NOTE IN TABLE 243 Ibid. org/10.1371/journal.pone.0171275
AND FIGURE NOTES 262 Zale L., Dorfman, M. L., Hooten, W. M.,
244 National Institutes of Health, National
231 National Center for Transgender Equality. Institute of Alcohol Abuse and Alcoholism. Warner, D. O., Zvolensky, M. J., & Ditre,
(2017). 2015 U.S. Transgender Survey: Alcohol’s effects on the body. Retrieved J. W. (2014). Tobacco smoking, nicotine
Connecticut state report. Retrieved from https://www.niaaa.nih.gov/alcohol- dependence, and patterns of prescription
from http://www.transequality. health/alcohols-effects-body opioid misuse: Results from a nationally
org/sites/default/files/docs/usts/ representative sample. Nicotine & Tobacco
USTSCTStateReport%281017%29.pdf 245 Centers for Disease Control and Prevention, Research, 17(9), 1096–1103. https://doi.
National Center for Chronic Disease org/10.1093/ntr/ntu227
232 Connecticut Department of Public Health. Prevention and Health Promotion. (2018).
(2018). Adverse childhood experiences in Marijuana: How can it affect your health? 263 Zale, E. L., Maisto, S. A., & Ditre, J. W. (2015).
Connecticut. Retrieved from http://www. Retrieved from https://www.cdc.gov/ Interrelations between pain and alcohol:
ct.gov/dph/BRFSS marijuana/health-effects.html An integrative review. Clinical Psychology
Review, 37, 57–71. https://doi.org/10.1016/j.
233 SEE NOTES FOR FIG 2.25 246 Ankrah, J. (2018, September 3). cpr.2015.02.005
Connecticut’s opioid epidemic: A glimpse of
234 Alvarado, S. E. (2019). The indelible the past five years. CT Mirror. Retrieved from 264 Centers for Disease Control and
weight of place: Childhood neighborhood https://ctmirror.org Prevention, National Center for Chronic
disadvantage, timing of exposure, and Disease Prevention and Health Promotion.
obesity across adulthood. Health & Place, 247 SEE NOTES FOR FIG 3.9 AND TABLE 3H (2019). Chronic diseases in America.
58, p. 102–159. https://doi.org/10.1016/j. Available at https://www.cdc.gov/
healthplace.2019.102159 248 Ibid. chronicdisease/resources/infographic/
249 Ibid. chronic-diseases.htm
235 Robert Wood Johnson Foundation. (2018).
The State of Obesity. Adult obesity in the 250 Ibid. 265 Centers for Disease Control and Prevention,
United States. Available at https://www. National Center for Chronic Disease
stateofobesity.org/adult-obesity 251 Ibid. Prevention and Health Promotion. (2019).
Health and economic costs of chronic
236 DataHaven. (2018). DataHaven Community 252 Centers for Disease Control and Prevention. diseases. Retrieved from https://www.cdc.
Wellbeing Survey. See also DataHaven. (2015). (2018). Opioid overdose: Understanding the gov/chronicdisease/about/costs/index.htm
DataHaven Community Wellbeing Survey, epidemic. Retrieved from https://www.cdc.
available at http://ctdatahaven.org/reports/ gov/drugoverdose/epidemic/index.html
datahaven-community-wellbeing-survey
253 Ibid.
Chapter 5 Conclusion and Endnotes 117
266 Holt, J. B., Huston, S. L., Heidari, K., 278 Centers for Disease Control and Prevention. 288 Cullen, M., & Whiteford, H. (2001). The
Schwartz, R., Gollmar, C. W., Tran, A., ... (2016). Home and recreational safety: Costs of interrelations of social capital with
Croft, J. B. (2015, January 9). Indicators falls among older adults. Available at https:// health and mental health. Canberra:
for chronic disease surveillance—United www.cdc.gov/homeandrecreationalsafety/ Commonwealth of Australia.
States, 2013. Morbidity and Mortality Weekly falls/fallcost.html
Report: Recommendations and Reports, 289 Buonanno, P., Montolio, D., & Vanin, P.
64(1), 1–246. Retrieved from https://www. 279 Centers for Disease Control and (2009). Does social capital reduce crime?
cdc.gov/mmwr/pdf/rr/rr6401.pdf Prevention. (2017). Home and recreational The Journal of Law and Economics, 52(1),
safety: Important facts about falls. 145–170. https://doi.org/10.1086/595698
267 Skinner, H. G., Blanchard, J., & Elixhauser, Available at https://www.cdc.gov/
A. (2014, September). Trends in emergency homeandrecreationalsafety/falls/ 290 Putnam, R. D. (2016). Our kids: The American
department visits, 2006–2011: Statistical adultfalls.html dream in crisis. New York, NY: Simon and
brief #179. Retrieved from https://www. Schuster.
hcup-us.ahrq.gov/reports/statbriefs/ 280 Centers for Disease Control and Prevention.
(2017). Vital signs: Motor vehicle crash 291 Guiso, L., Sapienza, P., & Zingales, L.
sb179-Emergency-Department-Trends.pdf (2011). Civic capital as the missing link. In J.
deaths. Available at https://www.cdc.gov/
268 Centers for Disease Control and Prevention, vitalsigns/motor-vehicle-safety/index.html Benhabib, A. Bisin, & M. O. Jackson (Eds.),
National Center for Health Statistics. Handbook of Social Economics (Vol. 1, pp.
(2017). Table 76. Visits to physician offices, 281 Ibid. 417–480). Amsterdam: North Holland/Elsevier.
hospital outpatient departments, and 282 SEE NOTES FOR FIGS 3.4 AND 3.5 292 Adapted from the Center for Active
hospital emergency departments, by age, Design’s Four Key Civic Life Outcomes
sex, and race: United States, selected years 283 Connecticut Suicide Advisory Board. framework. Retrieved from https://
2000–2015. Retrieved from https://www. (2014). Connecticut Suicide Prevention centerforactivedesign.org/assembly
cdc.gov/nchs/data/hus/2017/076.pdf Plan 2020 (PLAN 2020). Retrieved from
https://www.preventsuicidect.org/ 293 Organisation for Economic Co-operation
269 SEE NOTES FOR FIGS 3.4, 3.5, 3.6, AND 3.7 wp-content/uploads/2015/04/Suicide- and Development. (2018). Opportunities
270 Jolly, S., Vittinghoff, E., Chattopadhyay, Prevention-Plan.pdf for all: A framework for policy action
A., & Bibbins-Domingo, K. (2010). Higher on inclusive growth. https://doi.
284 DataHaven analysis (2019) of data from org/10.1787/9789264301665-en
cardiovascular disease prevalence and the Connecticut Department of Public
mortality among younger blacks compared Health, STD statistics in Connecticut. 294 Phaneuf, K., & Silber, C. (2018, May 30).
to whites. The American Journal of Medicine, Available at https://portal.ct.gov/DPH/ Invisible walls: Among Connecticut cities
123(9), 811–818. https://doi.org/10.1016/j. Infectious-Diseases/STD/STD-Statistics- and towns, the wealthiest are the big
amjmed.2010.04.020 in-Connecticut. Rates were not calculated if spenders. CT Mirror. Retrieved from https://
271 SEE NOTES FOR FIGS 3.4 AND 3.5 fewer than 20 cases were reported. ctmirror.org
272 SEE NOTES FOR FIGS 3.6. AND 3.7 285 Connecticut Department of Public Health. 295 SEE NOTES FOR FIG 4.1 AND TABLE 4A
(2019). Infectious diseases statistics.
273 Shao, Z., Richie, W. D., & Bailey, R. K. Available at https://portal.ct.gov/DPH/ 296 Thomas, J. R., & Kara, J. (2017, August 14).
(2015). Racial and ethnic disparity in major Epidemiology-and-Emerging-Infections/ The state of CT’s cities and towns in charts.
depressive disorder. Journal of Racial and Infectious-Diseases-Statistics. Current CT Mirror. Retrieved from https://ctmirror.org
Ethnic Health Disparities, 3(4), 692–705. data on measles outbreaks nationally, 297 SEE NOTES FOR FIG 4.1
https://doi.org/10.1007/s40615-015-0188-6 as well as historical information about
measles, are posted at the Centers for 298 Zhao, B., & Weiner, J. (2015). Measuring
274 Grenard, J. L., Munjas, B. A., Adams, J. L., Disease Control and Prevention website, municipal fiscal disparities in Connecticut.
Suttorp, M., Maglione, M., McGlynn, E. https://www.cdc.gov/measles/cases- Federal Reserve Bank of Boston, New
A., & Gellad, W. F. (2011). Depression and outbreaks.html, and https://www.cdc.gov/ England Public Policy Center Research
medication adherence in the treatment of measles/about/history.html, respectively. Report, 15–1. Retrieved from https://
chronic diseases in the United States: a www.bostonfed.org/publications/new-
meta-analysis. Journal of General Internal 286 This is a slightly abridged version of the england-public-policy-center-research-
Medicine, 26(10), 1175–1182. https://doi. definition used in Corporation for National report/2015/measuring-municipal-fiscal-
org/10.1007/s11606-011-1704-y and Community Service & National disparities-in-connecticut.aspx. Note
Conference on Citizenship. (2010). Civic that this analysis only takes into account
275 DataHaven. (2018). DataHaven Community life in America: Key findings on the civic
Wellbeing Survey. SEE SURVEY NOTE IN TABLE “nonschool” public services.
health of the nation (Issue brief). Retrieved
AND FIGURE NOTES from https://ncoc.org/wp-content/ 299 The Coalition for a Livable Future, Portland
276 Centers for Disease Control and Prevention. uploads/2015/04/2010AmericaIssueBrief. State University. (2007). The Regional Equity
(2017). Injury prevention & control: Key data pdf. See also Bringle, R. G., Hatcher, J. Atlas: Metropolitan Portland’s geography of
and statistics. Available at https://www.cdc. A., & Holland, B. (2007). Conceptualizing opportunity.
gov/injury/wisqars/overview/key_data.html civic engagement: Orchestrating change
at a metropolitan university. Metropolitan 300 SEE NOTES FOR FIG 4.1
277 Centers for Disease Control and Universities, 18(3), 57–74. 301 Ibid.
Prevention. (2017). Home and recreational
safety: Important facts about falls. 287 Boarini, R., Comola, M., Smith, C., Manchin, 302 Thomas, J. R., & Kara, J. (2017).
Available at https://www.cdc.gov/ R., & de Keulenaer, F. (2012). What makes
homeandrecreationalsafety/falls/ for a better life?: The determinants of 303 Ibid. SEE ALSO NOTES FOR FIG 4.1
adultfalls.html subjective well-being in OECD countries
– evidence from the Gallup World Poll. 304 Phaneuf, K., & Silber, C. (2018).
OECD Statistics Working Papers, No.
2012/03, OECD Publishing. https://doi.
org/10.1787/5k9b9ltjm937-en
DataHaven Greater New Haven Community Index 118
305 Connecticut Conference of Municipalities. 327 Irfan, U., Barclay, E., & Sukumar, K. (2019). 343 Holder, S. (2019, April 11). Shrinking
(2018). The property tax: How over-reliance Weather 2050. Retrieved from https://www. newsrooms means less local political
jeopardizes Connecticut’s economic future. vox.com/a/weather-climate-change-us- engagement. CityLab. Retrieved from
Retrieved from http://www.ccm-ct.org/ cities-global-warming https://www.citylab.com/life/2019/04/
sites/default/files/files/2016Bulletins_ local-news-decline-journalist-news-
MunicipalFinance_final_rev.pdf 328 Connecticut Institute for Resilience and desert-california-data/586759. See
Climate Adaptation (CIRCA). (2019). Sea level also Rubado, M. E., & Jennings, J. T.
306 Connecticut Conference of Municipalities. rise. Available at https://circa.uconn.edu/ (2019). Political consequences of the
(2017). Securing the future: Service sharing sea-level-rise endangered Local watchdog: Newspaper
and revenue diversification for Connecticut decline and mayoral elections in the
municipalities. See Table 7.4. Retrieved from 329 U.S. Geological Survey. The 100-Year flood.
Retrieved from https://www.usgs.gov/ United States. Urban Affairs Review.
https://www.ccm-ct.org/sites/default/ doi:10.1177/1078087419838058
files/files//ThisReportIsDifferent012317.pdf special-topic/water-science-school/
science/100-year-flood?qt-science_ 344 Hayes, D., & Lawless, J. L. (2018). The
307 Connecticut School Finance Project. center_objects=0#qt-science_center_ decline of local news and its effects: New
(2019). Obstacles to equitable funding— objects evidence from longitudinal data. The Journal
varying property taxes. Available at http:// of Politics, 80(1), 332–336. https://doi.
ctschoolfinance.org/obstacles-to-equity/taxes 330 Climate Central. (2016). Sea level rise
and coastal flood exposure: Summary for org/10.1086/694105
308 Connecticut School Finance Project. (2019). New Haven County, CT. Surging Seas Risk 345 Capps, K. (2018, May 30). The hidden costs
Spending per student. Available at http:// Finder file created July 21, 2016. Available of losing your city’s newspaper. CityLab.
ctschoolfinance.org/spending/per-student at https://riskfinder.climatecentral.org/ Retrieved from https://www.citylab.
county/new-haven-county.ct.us com/equity/2018/05/study-when-local-
309 Phaneuf, K., & Silber, C. (2018).
331 Ibid. newspaper-close-city-bond-finances-
310 SEE NOTES FOR FIG 4.1 suffer/561422
332 Ibid.
311 State of Connecticut, Office of Policy and 346 Bauder, D., & Lieb, D. A. (2019, March 11).
Management. (2018). FY 2019 mill rates. 333 UC Berkeley CoolClimate Network. (2013). Decline in readers, ads leads hundreds of
Retrieved from https://portal.ct.gov/-/ Average annual household carbon footprint. newspapers to fold. AP News. Retrieved
media/OPM/IGPP-Data-Grants-Mgmt/ Available at https://coolclimate.org/maps from https://apnews.com
GL-2017-FY-2019-Mill-Rates-UPDATE.pdf
334 Granovetter, M. (2002). Economic action 347 Pew Research Center, Journalism & Media.
312 Sullivan, K. (2014). Connecticut tax and social structure: The problem of (2019). What are the local news dynamics
incidence. Hartford, CT: State of embeddedness. In N. W. Biggart (Ed.), in your city? Available at https://www.
Connecticut, Department of Revenue Readings in Economic Sociology (pp. 63–68). journalism.org/interactives/local-news-
Services. Retrieved from http:// https://doi.org/10.1002/9780470755679.ch5 habits/35300
ctstatefinance.org/assets/uploads/files/
Tax-Incidence-Report-2014.pdf 335 Putnam, R. (1993). The prosperous 348 Ibid.
community: Social capital and public life.
313 SEE NOTES FOR TABLE 4B The American Prospect. Retrieved from 349 DataHaven analysis (2019) of raw data on
https://prospect.org/article/prosperous- users by Connecticut town provided by
314 Ibid. community-social-capital-and-public-life Bruce Putterman, Connecticut Mirror, July
13, 2019.
315 Ibid. 336 SEE NOTES FOR TABLE 4C
350 Americans for the Arts. (2008). The arts and
316 Ibid. 337 Ibid. civic engagement: Strengthening the 21st
317 American Nutrition Association (2010). century community. Retrieved from https://
338 Ibid. www.americansforthearts.org/sites/
USDA defines food deserts. Nutrition
Digest, 38(2). Retrieved from http:// 339 Ibid. SEE ALSO NOTES FOR FIG 3.12 default/files/2008_NAPR_full_report.PDF
americannutritionassociation.org/ 351 Cullinan, D. (2017, March 22). Civic
newsletter/usda-defines-food-deserts 340 Hodgson, J., & Pond, A. (2018). How
community philanthropy shifts power. engagement: Why cultural institutions must
318 DataHaven. (2018). DataHaven Community Foundation Center. Retrieved from https:// lead the way. Stanford Social Innovation
Wellbeing Survey. SEE SURVEY NOTE IN TABLE grantcraft.org/wp-content/uploads/ Review. Retrieved from https://ssir.org/
AND FIGURE NOTES sites/2/2018/12/Community_Philanthropy_ articles/entry/civic_engagement_why_
paper.pdf cultural_institutions_must_lead_the_way
319 Ibid.
341 Kübler, D., & Goodman, C. (2018). Newspaper 352 Buchanan, M., Pandey, E., & Abraham,
320 SEE NOTES FOR FIG 4.3 markets and municipal politics: How M.(2016). 2016 Connecticut Civic Health
audience and congruence increase turnout Index. The Secretary of the State of
321 Ibid. Connecticut, National Conference on
in local elections. Journal of Elections, Public
322 Ibid. Opinion and Parties, 29(1), 1–20. https://doi. Citizenship, and Everyday Democracy.
org/10.1080/17457289.2018.1442344 Retrieved from http://ctdatahaven.org/
323 Ibid. reports/2016-connecticut-civic-health-
342 Mitchell, A., Holcomb, J., Barthel, M., index
324 Ibid. & Mahone, J. (2016, November 3). Civic
engagement strongly tied to local news 353 SEE NOTES FOR TABLE 4D
325 Ibid.
habits. Pew Research Center. Retrieved from 354 Ibid.
326 City of Hartford (2017). Hartford Climate https://www.journalism.org/2016/11/03/
Action Plan. Retrieved from https:// civic-engagement-strongly-tied-to-local-
hartfordclimate.files.wordpress. news-habits
com/2017/12/cap1.pdf
Chapter 5 Conclusion and Endnotes 119
355 Sampson, R. J., Raudenbush, S. W., & Earls, 370 DataHaven. (2018). DataHaven Community
F. (1997). Neighborhoods and violent crime: Wellbeing Survey. See also DataHaven.
A multilevel study of collective efficacy. (2015). DataHaven Community Wellbeing
Science, 277(5328), 918–924. https://doi. Survey, available at http://ctdatahaven.
org/10.1126/science.277.5328.918 org/reports/datahaven-community-
wellbeing-survey
356 DataHaven. (2018). DataHaven Community
Wellbeing Survey. SEE SURVEY NOTE IN TABLE 371 Peters, K., Elands, B., & Buijs, A. (2010).
AND FIGURE NOTES Social interactions in urban parks:
Stimulating social cohesion? Urban Forestry
357 The Corporation for National and & Urban Greening, 9(2), 93–100. https://doi.
Community Service. (2018). Volunteering org/10.1016/j.ufug.2009.11.003
in U.S. hits record high; worth $167
billion. Retrieved from https://www. 372 Rigolon, A., Derr, V., & Chawla, L. (2015).
nationalservice.gov/newsroom/press- Green grounds for play and learning: An
releases/2018/volunteering-us-hits- intergenerational model for joint design and
record-high-worth-167-billion use of school and park systems. Handbook
on Green Infrastructure, 281–300. https://
358 Nowak, J. (2007). Creativity and neighborhood doi.org/10.4337/9781783474004.00023
development: Strategies for community
investment. The Reinvestment Fund in 373 Center for Active Design. (2017). The
collaboration with the Social Impact of the Assembly Civic Engagement Survey: Key
Arts Project at the University of Pennsylvania. findings and design implications. Retrieved
Retrieved from https://www.reinvestment. from https://centerforactivedesign.org/
com/wp-content/uploads/2015/12/ assembly
Creativity_and_Neighborhood_
Development_Strategies_for_Community- 374 Cohen, D. A., Inagami, S., & Finch,
Investment-Report_2008.pdf B. (2008). The built environment and
collective efficacy. Health & Place, 14(2),
359 Cullinan, D. (2017). Civic engagement: 198–208. https://doi.org/10.1016/j.
Why cultural institutions must lead the healthplace.2007.06.001
way. Stanford Social Innovation Review.
Retrieved from https://ssir.org/articles/ 375 Center for Active Design. (2017).
entry/civic_engagement_why_cultural_ 376 Götschi, T., Tainio, M., Maizlish, N.,
institutions_must_lead_the_way Schwanen, T., Goodman, A., & Woodcock,
360 Center for Active Design. (2016). J. (2015). Contrasts in active transport
Assembly: Shaping space for civic behaviour across four countries: How do
life. Research Brief 1. Retrieved from they translate into public health benefits?.
https://centerforactivedesign.org/ Preventive Medicine, 74, 42–48. https://doi.
assemblyresearchbriefone org/10.1016/j.ypmed.2015.02.009
361 SEE NOTES FOR TABLE 4D 377 Zuniga-Teran, A., Orr, B., Gimblett, R.,
Chalfoun, N., Guertin, D., & Marsh, S. (2017).
362 Ibid. Neighborhood design, physical activity, and
wellbeing: applying the walkability model.
363 SEE NOTES FOR FIG 4.4 International Journal of Environmental
364 Ibid. Research and Public Health, 14(1), 76.
https://doi.org/10.3390/ijerph14010076
365 Misra, J. (2019, April 23). Voter turnout rates
among all voting age and major racial and 378 Grahn, P., & Stigsdotter, U. A. (2003).
ethnic groups were higher than in 2014. The Landscape planning and stress. Urban
United States Census Bureau. Retrieved Forestry & Urban Greening, 2(1), 1–18.
from https://www.census.gov/library/ https://doi.org/10.1078/1618-8667-00019
stories/2019/04/behind-2018-united- 379 Sugiyama, T., Leslie, E., Giles-Corti,
states-midterm-election-turnout.html B., & Owen, N. (2008). Associations of
366 SEE NOTES FOR FIG 4.4 neighbourhood greenness with physical and
mental health: do walking, social coherence
367 Ibid. and local social interaction explain the
relationships?. Journal of Epidemiology
368 DataHaven. (2018). DataHaven Community & Community Health, 62(5). https://doi.
Wellbeing Survey. See also DataHaven. org/10.1136/jech.2007.064287
(2015). DataHaven Community Wellbeing
Survey, available at http://ctdatahaven.
org/reports/datahaven-community-
wellbeing-survey