The new report illustrates some public health categories that saw significant gains under Mayor Michael R. Bloomberg, but have stalled during Mr. de Blasio’s tenure.

The adult smoking rate has plateaued at about 13 percent. About a quarter of all adults are obese, just as when Mr. de Blasio took office. And more than one in five adults drink an average of one or more sugar-sweetened beverages a day.

But other health trends are more promising. The number of new diagnoses of H.I.V., the virus that causes AIDS, continues a long-term downward trend, falling to 1,953 during the fiscal year, a reduction from 3,016 four years earlier and 4,186 in the 2009 fiscal year. But the number of syphilis cases has increased markedly, to 1,775 in the 2018 fiscal year, up from 1,234 in the 2014 fiscal year. That increase is part of a national trend, which the health department noted last year, as it promoted condom use as a preventive measure against H.I.V.

Against that backdrop, the city fell far short in its condom distribution program last fiscal year. Only 20.9 million condoms were distributed, compared with an average of 36.4 million annually during the previous four years.

A health department spokesman said the shortfall was the result of a reduction in federal funding for H.I.V. prevention.