Higher smoking rates in the Capital District region, compared to Upstate, may be contributing to poor health outcomes for residents in some counties of the region, specifically higher rates of both lung and bronchus cancer cases and Asthma ED visits for who ages 0 to 17.

• Smoking rates were higher in Greene (24.5%), Rensselaer (23.8%) and Columbia (21.0%) counties than Upstate (19.8%) and the region as a whole (19.1%)
• Lung and bronchus cancer cases per 100,000 population were higher than Columbia (115.3), Greene (110.4) counties compared Upstate (89.5) and the region as a whole (89.6).

Schenectady (100.9) and Rensselaer (84.6) counties. Higher percentage of adults reporting poor mental health in the Capital District region, compared to Upstate, may be contributing to a higher rate of self-inflicted injuries hospitalizations.

• 13.1% of adults in the region reported poor mental health, higher than Upstate (12.1%); highest in Greene (16.7%) and Rensselaer (16.3%) counties.
• 8.3 self-inflicted injury hospitalizations per 10,000 population in the region were higher than Upstate (7.8); highest in Schenectady (12.3) and Rensselaer (8.6) counties.

Many health indicators in the Capital District region are comparable to or below Upstate levels, though smaller, rural counties in the region have poorer health outcomes for selected conditions.

• 116.9 active primary care physicians per 100,000 population were higher than Upstate (109.9); though lower than Upstate in all counties outside Albany county, with the lowest rate in Greene County (61.9).
• 239.3 heart disease deaths per 100,000 population in the region were slightly higher than Upstate (237.2); highest in Columbia (299.0), Schenectady (267.4) and Greene (265.6) counties.