Using a population-based, representative telephone survey, ~930,000 New York City residents had COVID-19 illness beginning March 20–April 30, 2020, a period with limited testing. For every 1000 persons estimated with COVID-19 illness, 141.8 were tested and reported as cases, 36.8 were hospitalized, and 12.8 died, varying by demographic characteristics.

Bike share programs are becoming increasingly popular across U.S. cities. However, their impact on persistent disparities in cycling by gender, race, and socioeconomic status remains understudied. We examined whether subscribers of Citi Bike, New York City’s (NYC) largest bike share program, reflect the sociodemographic profile of NYC cyclists. Using NYC Community Health Survey data, we described adult NYC residents of neighborhoods with ≥1 Citi Bike stations who rode a bicycle at least once a month. Citi Bike members were also described using first-time subscriber survey data. We compared the sociodemographic characteristics of these groups via a z-score with pooled variance. Approximately 2.2 million residents lived in 15 NYC neighborhoods with ≥1 Citi Bike station, and 449,000 (20.5%) reported cycling at least once a month in the past 12 months. Among first-time Citi Bike subscribers, 23,223 (11.5%) completed the survey. Compared with NYC cyclists, Citi Bike subscribers were more likely to be women, aged 24 to 45, White, college graduates, and from a household with an income >400% than the poverty level. Compared with the general population, cyclists were more likely to be White, male, and from a household with an income >400% than the poverty level. Race/ethnicity and socioeconomic status (not gender) disparities were larger among Citi Bike subscribers than NYC cyclists. With the emergence of cycling as an alternative transportation during the COVID-19 pandemic and the extension of bike share programs, this highlights the need for ongoing, systematic monitoring of bike share user socioeconomic characteristics to evaluate equitable use and access.

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Neighborhood conditions influence people’s health; sustaining healthy neighborhoods is a New York City (NYC) Health Department priority. Gentrification is characterized by rapid development in historically disinvested neighborhoods. The gentrification burden, including increased living expenses, and disrupted social networks, disproportionally impacts certain residents. To ultimately target health promotion interventions, we examined serious psychological distress time trends in gentrifying NYC neighborhoods to describe the association of gentrification and mental health overall and stratified by race and ethnicity. We categorized NYC neighborhoods as hypergentrifying, gentrifying, and not-gentrifying using a modified New York University Furman Center index. Neighborhoods with ≥100% rent growth were hypergentrifying; neighborhoods with greater than median and <100% rent growth were gentrifying; and neighborhoods with less than median rent growth were not-gentrifying. To temporally align neighborhood categorization closely with neighborhood-level measurement of serious psychological distress, data during 2000–2017 were used to classify neighborhood type. We calculated serious psychological distress prevalence among adult populations using data from 10 NYC Community Health Surveys during 2002–2015. Using joinpoint and survey-weighted logistic regression, we analyzed serious psychological distress prevalence time trends during 2002–2015 by gentrification level, stratified by race/ethnicity. Among 42 neighborhoods, 7 were hypergentrifying, 7 were gentrifying, and 28 were not gentrifying. In hypergentrifying neighborhoods, serious psychological distress prevalence decreased among White populations (8.1% to 2.3%, β = -0.77, P = 0.02) and was stable among Black (4.6% to 6.9%, β = -0.01, P = 0.95) and Latino populations (11.9% to 10.4%, β = -0.16, P = 0.31). As neighborhoods gentrified, different populations were affected differently. Serious psychological distress decreased among White populations in hypergentrifying neighborhoods, no similar reductions were observed among Black and Latino populations. This analysis highlights potential unequal mental health impacts that can be associated with gentrification-related neighborhood changes. Our findings will be used to target health promotion activities to strengthen community resilience and to ultimately guide urban development policies.

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