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County profile New York Metropolitan HRSA MUA/P

Black health in Bronx County, New York

415,000

Black residents (ACS)

28.94%

Of county population

$39,500

Median household income, Black

10.10%

Uninsured, Black residents

The Bronx has roughly 415,000 Black residents and consistently ranks last of New York's 62 counties on the County Health Rankings. The south Bronx has the highest rate of hospitalisations for asthma, diabetes, and congestive heart failure in New York state. NYC Health + Hospitals/Jacobi and NYC Health + Hospitals/Lincoln anchor the county's public hospital system; Montefiore Health System, the county's largest employer, runs the Montefiore Einstein Division's Black maternal-health initiative.

The 1970s closure of South Bronx community hospitals during the city's fiscal crisis is still visible in today's primary-care geography; the Bronx has among the highest patient-to-primary-care-physician ratios in New York state.

Headline outcomes

Race-stratified county-level figures pulled from CDC WONDER small-area estimates, the annual County Health Rankings, and the CDC NVSS state/county life tables. County values with cell counts below CDC suppression thresholds are marked as data pending.

Life expectancy (Black)

75.90 yrs

At birth, CDC NVSS Small-Area LE

Infant mortality (Black)

10.30

Per 1,000 live births, CDC WONDER

CVD mortality (Black)

345.80

Age-adjusted per 100k, CDC WONDER I00-I99

County Health Rankings

#62

Overall rank in New York (lower = better)

HRSA Medically Underserved Area / Population HPSA: Primary Care HPSA: Mental Health

Policy context in Bronx

New York has adopted Medicaid expansion under the Affordable Care Act, which gives low-income Black adults in this county a direct pathway to primary-care and prescription coverage. Medicaid in this state covers doula services. Postpartum Medicaid coverage extends for 12 months after delivery — the federal recommended standard, in place here.

Where to get help in Bronx

References & primary sources

  1. Demographics: US Census ACS 5-year 2019–2023, Tables B03002 (race), B01003 (total population), S1903 (median income), B27010B (uninsured by race).
  2. Mortality and life expectancy: CDC WONDER county-level Multiple Cause of Death and Underlying Cause of Death, pooled 2020–2022; CDC NVSS Small-Area Life Expectancy Estimates, 2016–2020 release.
  3. County Health Rankings: University of Wisconsin Population Health Institute & Robert Wood Johnson Foundation, 2024 release.
  4. HRSA shortage-area designations: HRSA HPSA Find and MUA/P Find, current as of 2025.
  5. Rural-Urban Continuum Codes: USDA Economic Research Service, 2023 release.

Data refreshed:

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