Conceptual framework! Definitions of race and ethnicity Census Questions, Genetics! Social Class, migration, language proficiency!
|
|
- Rebecca Barrett
- 5 years ago
- Views:
Transcription
1 Conceptual framework! Definitions of race and ethnicity Census Questions, Genetics! Social Class, migration, language proficiency! Patient-physician communication! Clinical Research Examples! Options for Interventions!
2 Source: McGinnis JM, Russo PG, Knickman, JR. Health Affairs, April Contextual Physical environment Social environment! Health care system Technical aspects of health care Communication with clinicians Economic resources Individual-level Demographics - age, gender, race, ethnicity, education, income Psychosocial - beliefs, attitudes, adherence, coping, personality Behavior - exercise, diet, alcohol, smoking, sexual behavior, substance use! Biological - genetics, stress, allostatic load, opiate receptors, metabolism, telomeres Race is a social construct Geographic origin of racially classified groups data compelling Contrast of White and Black simple One-drop rule (1/16th Black = Black) Gradations of pigmentation Colonial Spanish America table
3 Ethnicity refers to self-identity with a group defined in part by racial admixture, geographic origin, culture, religion and/or language! Characterized by sharing nonphenotypic characteristics!
4 100% 90% 80% 3.0% 15% Percent Ancestral Contribution Admixture 70% 60% 50% 40% 30% 20% 52% 24% 45% 61% African Indigenous European 10% 0% Mexican American Puerto Rican Education years of schooling! Annual household income per capita! Occupation: control or autonomy! Life course childhood exposure! Parental occupation and education! Self-perceived standing on a ladder! It all comes down to wealth or assets! Explain independent variance in outcomes that varies by population Strong association between the two constructs Gradient of health exists across all levels of social class Paradox of good health despite adverse social class status
5 Use of jargon, health literacy Race/ethnicity of clinician as an independent predictor of outcomes Cultural competence or factors that affect communication Racism (usually institutional) and discrimination experiences may affect behavior
6 Measure by asking Census question plus preference for health care LEP status patient with discordant MD trumps low health literacy in communication domains Retrospective review of registry of 7023 hospitalized patients % Chinese, 4% Spanish, 4% Russian Similar LOS, cost, mortality LEP patients had higher adjusted odds of readmission: OR = 1.3 ( ) Chinese and Spanish speaking LEP patients had increased odds (1.7 and 1.5) of readmission Karliner L, et al. J Hosp Med 2010; 5:
7 System, Biology, Behavior, Environment Disparities by race/ethnicity and social class exist at a broad level across the health care spectrum: HIV, access, cancer Most marked race differences involve obtaining technical procedures CAD care, early cancer surgery, renal transplantation evaluation, other! Disparities are most evident (and most data exist) for Blacks compared to Whites!
8 SEER registries, US
9 183,813 Af Ams, Japanese-Am, Latino, Native Hawaiian, Whites; age 45-75, in California and Hawaii 1979 cases lung cancer, identified through SEER, from ; 1135 in men African Americans as referent group Stratify by smoking intensity Relative risk of Lung Cancer by race/ ethnicity within smoking level Haiman CA, et al. N Engl J Med. 2006;354(4): Haiman CA, et al. N Engl J Med. 2006;354(4):333-42
10 African Americans have 50% more lung cancer and higher cotinine levels per cigarette despite fewer cigarettes/day Total and renal clearance of cotinine were 20% lower in African Americans Nicotine intake per cigarette was 30% greater in African Americans JAMA 1999;280:152-56
11 African American Latino All AAPI Chinese Japanese Filipino Pacific Islander South Asian African American Latino All AAPI Chinese Japanese Filipino Pacific Islander South Asian *Adjusted for Demographics (age as the timescale, gender, educational level, ADC site, current marital status, living situation), MMSE Score, and age at first dementia symptom
12
13 Medicare data, , from markets with top-ranked cardiac hospitals Evaluate role of race, SES of area, distance to hospital Black with acute MI more likely to go to top ranked hospitals (OR = 1.12; ) No difference in care for CABG Blacks from disadvantaged zip codes were less likely to go to top ranked hospitals (OR = 0.75; ) Popescu, Arch Intern Med 2010; 170: 1209 Percent Tested White 64 Black 62 Asian / PI 56 AI / AN 54 Latino 50 < High School 46 High School / GED 58 Some College / Tech 64 College Graduate 71 MMWR 2010; 59: 810
14
15 Practice in areas with fewer doctors and with higher percent minorities Provide care for more uninsured and Medicaid patients Cultural and linguistic competency Medical School graduates in 2008: 65% White, 20% Asian, 7% Black, 7% Latino, 1% Am Indian, 0.2% Native Hawaiian/PI CDC Health Disparities and Inequalities Report United States, 2011, MMWR, Volume 60, January 14, 2011!
ELIMINATING HEALTH DISPARITIES IN AN URBAN AREA. VIRGINIA A. CAINE, M.D., DIRECTOR MARION COUNTY HEALTH DEPARTMENT INDIANAPOLIS, INDIANA May 1, 2002
ELIMINATING HEALTH DISPARITIES IN AN URBAN AREA VIRGINIA A. CAINE, M.D., DIRECTOR MARION COUNTY HEALTH DEPARTMENT INDIANAPOLIS, INDIANA May 1, 2002 Racial and ethnic disparities in health care are unacceptable
More informationIssues in Women & Minority Health
Issues in Women & Minority Health Dr. Dawn Upchurch Professor Department of Community Health Sciences PH 150 Dr. Upchurch 1 Overview of Session HP 2010 Model: Determinants of Health Review of HP 2010 Goals
More informationNational Landmark Reports Highlighting Cancer Disparities Problem
National Landmark Reports Highlighting Cancer Disparities Problem Pre - 1980 1986 1989 1996 1999 2001 2002 2003 5 Leading Causes of Death, U.S., 2003, Female 1 2 3 4 5 All races Cardiovascular Cancer Cerebrovascular
More informationHealth Disparities Research. Kyu Rhee, MD, MPP, FAAP, FACP Chief Public Health Officer Health Resources and Services Administration
Health Disparities Research Kyu Rhee, MD, MPP, FAAP, FACP Chief Public Health Officer Health Resources and Services Administration Outline on Health Disparities Research What is a health disparity? (DETECT)
More informationChanging Patient Base. A Knowledge to Practice Program
Changing Patient Base A Knowledge to Practice Program Learning Objectives By the end of this tutorial, you will: Understand how demographics are changing among patient populations Be aware of the resulting
More informationReporting by Racial Subgroups Hawai i. Jill Miyamura, PhD Hawaii Health Information Corporation
Reporting by Racial Subgroups Hawai i Jill Miyamura, PhD Hawaii Health Information Corporation Issues Regarding Race Hawai i Disparities: Asians and Pacific Islanders Population estimates US Census 2
More informationSystematic Review of Dementia Prevalence and Incidence of Dementiain United States Race/Ethnic Populations
DEMENTIA & ETHNICITY IN THE U.S.: PREVALENCE AND INCIDENCE IN ETHNIC AND RACIAL POPULATIONS Gwen Yeo, PhD, AGSF Updates on Dementia Conference May 11, 2017 Systematic Review of Dementia Prevalence and
More informationRacial disparities in health outcomes and factors that affect health: Findings from the 2011 County Health Rankings
Racial disparities in health outcomes and factors that affect health: Findings from the 2011 County Health Rankings Author: Nathan R. Jones, PhD University of Wisconsin Carbone Cancer Center Introduction
More informationHealth Disparities Research
Health Disparities Research Kyu Rhee, MD, MPP, FAAP, FACP Chief Public Health Officer Health Resources and Services Administration Outline on Health Disparities Research What is a health disparity? (DETECT)
More informationPRINCIPLES FOR ELIMINATING DISPARITIES THROUGH HEALTH CARE REFORM. John Z. Ayanian, MD, MPP
PRINCIPLES FOR ELIMINATING DISPARITIES THROUGH HEALTH CARE REFORM John Z. Ayanian, MD, MPP Harvard Medical School Brigham and Women s Hospital Harvard School of Public Health 8 th Annual National Summit
More informationUnequal Treatment: Disparities in Access, Quality, and Care
Unequal Treatment: Disparities in Access, Quality, and Care Brian D. Smedley, Ph.D. National Collaborative for Health Equity www.nationalcollaborative.org Healthcare Disparities: Are We Making Progress?
More informationCommunity Engagement to Address Health Disparities
Community Engagement to Address Health Disparities Health Disparities Service-Learning Collaborative Meeting April 11, 2007, Toronto, ON Canada Elmer R. Freeman, Executive Director Center for Community
More informationMeasuring Equitable Care to Support Quality Improvement
Measuring Equitable Care to Support Quality Improvement Berny Gould RN, MNA Sr. Director, Quality, Hospital Oversight, and Equitable Care Prepared by: Sharon Takeda Platt, PhD Center for Healthcare Analytics
More informationDiversity and Dementia
Diversity and Dementia Kala M. Mehta, DSc, MPH January 17, 2012 Overview Background Incidence and Prevalence of Dementia Why are these differences found? What s important for diverse dementia patients
More informationSystematic Review of Dementia Prevalence and Incidence of Dementia in United States Race/Ethnic Populations. Search. Data Base.
BREAKOUT SESSION DEMENTIA & ETHNICITY IN THE U.S.: PREVALENCE AND INCIDENCE IN ETHNIC AND RACIAL POPULATIONS Gwen Yeo, PhD, AGSF. Meeting of the Minds Conference March 18, 2017 Systematic Review of Dementia
More informationThe Differential Health of Women and Minorities
The Differential Health of Women and Minorities CHS 150, November, 6, 2013 Marjorie Kagawa Singer, PhD, MA,MN,RN, FAAN UCLA Fielding School of Public Health and Asian American Studies Minority Non-Minority
More informationDisparities in Vison Loss and Eye Health
Disparities in Vison Loss and Eye Health Xinzhi Zhang, MD, PhD, FACE, FRSM National Institute on Minority Health and Health Disparities National Institutes of Health Disclaimer The findings and conclusions
More informationRSR Crosswalk. Variable Client Race Race ID Values White 1 Black 2 Asian 3 Hawaiian / PI 4 Native American (AK native) 5
October 2017 Purpose RSR Crosswalk This document can help you compare the data you currently collect in your data management system to the data required in the Ryan White Services Report (RSR). The Crosswalk
More informationWill Equity Be Achieved Through Health Care Reform?
Will Equity Be Achieved Through Health Care Reform? John Z. Ayanian, MD, MPP Director & Alice Hamilton Professor of Medicine Mass Medical Society Public Health Leadership Forum April 4, 214 OBJECTIVES
More information601 TAMALPAIS DRIVE CORTE MADERA, CA
6,477 SF Retail Available for Lease Conceptual Elevation Existing Stand-Alone Retail Opportunity John Cumbelich & Associates is pleased to present this rare, stand-alone retail opportunity in the heart
More informationCMS Office of Minority Health: Working To Achieve Health Equity through Understanding, Solutions, and Action
CMS Office of Minority Health: Working To Achieve Health Equity through Understanding, Solutions, and Action Cara V. James, PhD CMS Office of Minority Health September 2015 A Quick Overview of Health Disparities
More informationNational Institute on Aging
National Institute on Aging Recruitment and Retention Outreach to Minority and Health Disparity Populations: Phillips & Flatheads: Can a toolbox be far behind? J Taylor Harden, Ph.D., R.N. F.A.A.N., F.G.S.A.
More informationMATERNAL AND CHILD HEALTH AND DISPARITIES FOR ASIAN AMERICANS, NATIVE HAWAIIANS, AND PACIFIC ISLANDERS
MATERNAL AND CHILD HEALTH AND DISPARITIES FOR ASIAN AMERICANS, NATIVE HAWAIIANS, AND PACIFIC ISLANDERS Why does maternal and child health matter for realizing health justice in AA and NHPI communities?
More informationJayson K. Jones, LMSW Women as the Face of Aids Summit 2016
Jayson K. Jones, LMSW Women as the Face of Aids Summit 2016 People of color are disproportionality impacted by poverty Poverty Rates by Race in 2014 30 25 20 15 10 5 0 Black Latino Asian White (DeNavas-Walt
More informationCancer Health Disparities in Tarrant County
Cancer Health Disparities in Tarrant County A presentation to the Tarrant County Cancer Disparities Coalition May 3, 07 Marcela Gutierrez, LMSW Assistant Professor in Practice UTA School of Social Work
More informationTB EPIDEMIOLOGY. Outline. Estimated Global TB Burden, TB epidemiology
TB EPIDEMIOLOGY TB Clinical Intensive Course Curry International Tuberculosis Center September 30, 2015 Varsha Nimbal, MPH Tuberculosis Control Branch California Department of Public Health 1 Outline TB
More informationBreast Cancer in Women from Different Racial/Ethnic Groups
Cornell University Program on Breast Cancer and Environmental Risk Factors in New York State (BCERF) April 2003 Breast Cancer in Women from Different Racial/Ethnic Groups Women of different racial/ethnic
More informationDemographics and Health Data
Demographics and Health Data Information for Local Planners City of Lakewood, WA Demographic Characteristics Environmental Health Division 3629 South D Street, Tacoma, WA 98418 (253) 798-6470 Table 1 presents
More informationHEALTH DISPARITIES By Hana Koniuta November 19, 2010
HEALTH DISPARITIES By Hana Koniuta November 19, 2010 "We need to focus on the uninsured and those who suffer from health care disparities that we so inadequately addressed in the past." Sen. Bill Frist
More informationDisparity Data Fact Sheet General Information
Disparity Data Fact Sheet General Information Tobacco use is a well-recognized risk factor for many cancers, respiratory illnesses and cardiovascular diseases within Michigan. rates have continued to decline
More informationTen Years Later: How Far Have We Come In Reducing Health Disparities?
Ten Years Later: How Far Have We Come In Reducing Health Disparities? Howard K. Koh MD, MPH Assistant Secretary for Health Department of Health and Human Services WHO Definition of Health: A state of complete
More informationOrange County MHSA Program Analysis. Needs and Gaps Analysis
Orange County MHSA Program Analysis Needs and Gaps Analysis May 21, 2018 Contents Executive Summary... 3 1. Introduction... 6 2. Mental Health Symptoms among Adults, Transitional-Aged Youth and Veterans
More informationCommunity Youth Meetings 2007
Community Youth Meetings 2007 Health Status of Youth: Fenway November 8, 2007 Presented by the Boston Public Health Commission Fenway Charlestown Allston Brighton Back Bay Fenway Roxbury South End East
More informationWorking Towards Addressing Women s Health Disparities in Arizona
Working Towards Addressing Women s Health Disparities in Arizona Suncerria Tillis, MBA Arizona Health Disparities Center December 6, 2006 National Conference of State Legislatures Women s Health Pre-Conference
More informationCommunity Youth Meetings 2007
Community Youth Meetings 2007 Health Status of Youth: Roxbury November 7, 2007 Presented by the Boston Public Health Commission Roxbury Charlestown Allston- Brighton Back Bay Fenway Roxbury South End East
More informationMark B Horton, MD, MSPH 22 March 2011
Mark B Horton, MD, MSPH 22 March 2011 Major Points Need for better data Focus on disparities Focus on social determinants Focus on healthy communities Focus on health care quality Public Health Data Sources
More informationHIV/AIDS AND CULTURAL COMPETENCY
HIV/AIDS AND CULTURAL COMPETENCY Learning Objectives Gain a Basic Understanding of Cultural Competency Discuss the Importance of Cultural Competency in Addressing Health Disparities Review the Relationship
More informationAgenda CIAHD Monthly Research Meeting SPH Tower 1, Room 4645 February 3, :30 3:00pm. I. Meeting Overview 5 minutes
Agenda CIAHD Monthly Research Meeting SPH Tower 1, Room 4645 February 3, 2010 1:30 3:00pm I. Meeting Overview 5 minutes II. Project Presentations 2008/2009 Funded Pilot Project: PI Marc Turenne Disparities
More informationLocation of RSR Client-level Data Elements in CAREWare Updated Sept 2017
Location of RSR Client-level Data Elements in CAREWare Updated Sept 2017 Demographics Required of all clients that received any core medical or support service if they are ELIGIBLE for RWHAP services.
More informationResearch Needs in Support of Effective Tobacco Interventions with Priority Populations
Research Needs in Support of Effective Tobacco Interventions with Priority Populations American Psychological Association Strengthening Psychology s Role in Reducing Tobacco Health Disparities December
More informationPopulation-specific Challenges Contributing to Disparities in Delivery of Care
Population-specific Challenges Contributing to Disparities in Delivery of Care Deborah A Mulligan MD Institute for Child Health Policy, Director Nova Southeastern University Iris Marroquin AIDS Service
More informationShaping our future: a call to action to tackle the diabetes epidemic and reduce its economic impact
Shaping our future: a call to action to tackle the diabetes epidemic and reduce its economic impact Task Force for the National Conference on Diabetes: The Task Force is comprised of Taking Control of
More informationTOBACCO USE AND ETHNICITY
TOBACCO USE AND ETHNICITY Adult and youth tobacco use rates and related smoking-caused death rates vary considerably among different ethnic groups in the United States. Adult Prevalence 15.5 percent of
More informationBehavioral Health Disparities in Indiana
February 2016 Improving Community Health Through Policy Research 16-H72 Behavioral Health Disparities in Indiana INTRODUCTION The burden of illness, premature death, and disability is distributed unequally
More informationREPRODUCTIVE HEALTH DISPARITIES FOR WOMEN OF COLOR
DECEMBER 2004 Health Disparities REPRODUCTIVE HEALTH DISPARITIES FOR WOMEN OF COLOR Office of Human Rights and International Affairs Rita Webb, ACSW, DCSW rwebb@naswdc.org INTRODUCTION The United States
More informationHealthy People 2020: Building a Solid Data Foundation
Healthy People 2020: Building a Solid Data Foundation Richard J. Klein, MPH National Center for Health Statistics Centers for Disease Control and Prevention NCHS Role in Healthy People Statistical advisor
More informationHEALTH DISPARITIES IN KOREAN AMERICANS
HEALTH DISPARITIES IN KOREAN AMERICANS David Seil Kim, MD, PhD, MBA Department of OBGYN, Cedars-Sinai Medical Center Assistant Clinical Professor, David Geffen School of Medicine, UCLA KAGMA Korean American
More informationDeaths in Hawaii Due to Major Cardiovascular Disease
in Hawaii Due to Major Cardiovascular Disease Death Counts, Age-Adjusted Mortality Rates, and Years of Potential Life Lost for Coronary Heart Disease for the State of Hawaii (Residents Only), by State,
More informationMai-Nhung Le, Dr.PH, MPH; Giang Nguyen, MD, MPH; Fidelia Butt, MD; Roxanna Bautista, MPH, CHES; and Mavis Nitta, MPH, CHES
Mai-Nhung Le, Dr.PH, MPH; Giang Nguyen, MD, MPH; Fidelia Butt, MD; Roxanna Bautista, MPH, CHES; and Mavis Nitta, MPH, CHES Asian American Studies Department San Francisco State University, San Francisco
More informationHealth Professions Data Series: Dental Hygienist 2017
Health Professions Data Series: Dental Hygienist 2017 1. Zip Code of Primary Residence Section 1: Demographics 2. Sex Male Female Decline to Answer 3. Year of Birth 4. Are you Hispanic/Latino/Spanish?
More informationThe Elimination of Racial and Ethnic Disparities A Public Health Priority
Massachusetts Department of Public Health The Elimination of Racial and Ethnic Disparities A Public Health Priority September, 2009 The Elimination of Racial and Ethnic Disparities is a Core Public Health
More informationHealth Disparities and Community Colleges:
Health Disparities and Community Colleges: Being Part of the Solution Elmer R. Freeman, MSW Annual Convention of the American Association of Community Colleges Monday, April 11, 2005 Mission The mission
More informationDemographics and Health Data
Demographics and Health Data Information for Local Planners City of Puyallup, WA Demographic Characteristics Environmental Health Division 3629 South D Street, Tacoma, WA 98418 (253) 798-6470 Table 1 presents
More informationSlide 1. Slide 2. Slide 3. Reducing Tobacco Use and Nicotine Dependence in Clinical Settings. Goals for Today
Slide 1 UNIVERSITY OF HAWAI I CANCER CENTER Reducing Tobacco Use and Nicotine Dependence in Clinical Settings Pebbles Fagan, Ph.D., M.P.H. Associate Professor and Program Director Cancer Prevention and
More informationDiscrimination, Psycho-Social Stress and the Relationship to Non-Atopic Neutrophilic Asthma and Other Asthma Phenotypes
Discrimination, Psycho-Social Stress and the Relationship to Non-Atopic Neutrophilic Asthma and Other Asthma Phenotypes November 3, 2017 Neeta Thakur, MD MPH Neeta.Thakur@ucsf.edu OVERVIEW Asthma as a
More informationAlcohol use and binge drinking among Hispanic/Latino subculture youth, and the differences in the affect of acculturation
Alcohol use and binge drinking among Hispanic/Latino subculture youth, and the differences in the affect of acculturation Hal Johnson, MPH Florida Substance Abuse Program Office and the FSU Florida Center
More informationAcknowledgements. Ethnic Disparities in Asthma. Health Disparities in Asthma
CAM Use in Childhood : The Role of Culture & LCAP Research Team Kimberly Arcoleo, PhD, MPH Associate Professor Director, Center for Promoting Health in Infants, Children, Adolescents & Women Acknowledgements
More information2014 Butte County BUTTE COUNTY COMMUNITY HEALTH ASSESSMENT
2014 Butte County BUTTE COUNTY COMMUNITY HEALTH ASSESSMENT EXECUTIVE SUMMARY 2015 2017 EXECUTIVE SUMMARY TOGETHER WE CAN! HEALTHY LIVING IN BUTTE COUNTY Hundreds of local agencies and community members
More informationWalworth County Health Data Report. A summary of secondary data sources
Walworth County Health Data Report A summary of secondary data sources 2016 This report was prepared by the Design, Analysis, and Evaluation team at the Center for Urban Population Health. Carrie Stehman,
More informationTOBACCO-RELATED DISPARITIES IN WASHINGTON STATE
TOBACCO-RELATED DISPARITIES IN WASHINGTON STATE Tobacco is a Health Equity Problem Tobacco use remains a leading cause of preventable death and disease in Washington State. It is associated with more than
More informationDiabetes Disparities in the African- American Community
Diabetes Disparities in the African- American Community Sherita Hill Golden, MD, MHS Hugh P. McCormick Family Professor of Endocrinology and Metabolism Executive Vice-Chair, Department of Medicine Division
More informationOverview of Health Disparities in Arkansas
Overview of Health Disparities in Arkansas Annual Critical Access Hospital Conference August 9, 2018 Joyce Biddle, MPH, MPA Chronic Disease Epidemiologist Office of Minority Health and Health Disparities
More informationAppendix D: Statistical Modeling
Appendix D: Statistical Modeling Cluster analysis Cluster analysis is a method of grouping people based on specific sets of characteristics. Often used in marketing and communication, its goal is to identify
More informationPHACS County Profile Report for Searcy County. Presented by: Arkansas Center for Health Disparities and Arkansas Prevention Research Center
PHACS County Profile Report for Searcy County Presented by: Arkansas Center for Health Disparities and Arkansas Prevention Research Center Contents Introduction... Page 2 Demographics...Page 3 Social Environment
More informationLane County Health Equity Report
2017 Health Equity Report Table of Contents Executive Summary.................................................................... 1 Introduction...........................................................................
More informationState of Iowa Outcomes Monitoring System
State of Iowa Outcomes Monitoring System THE IOWA CONSORTIUM FOR SUBSTANCE ABUSE RESEARCH AND EVALUATION Year 17 Annual Outcome Evaluation Trend Report November 2015 With Funds Provided By: Iowa Department
More informationMission Statement. Video 9/11/2013. and Diverse Populations. Tobacco Education and Materials Lab. Discussion: What is HEALTH?
Tobacco Health Equity and Diverse Populations Yaneth L. Rodriguez, MPH Lourdes Baezconde Garbanati, PhD Institute for Health Promotion and Disease Prevention Research, Department of Preventive Medicine,
More informationFederation of State Boards of Physical Therapy Minimum Data Set Questionnaire
Federation of State Boards of Physical Therapy Minimum Data Set Questionnaire Purpose: Understanding the current United States Health Workforce enables Federal and State Governments and Health Professional
More informationCommunities and Universities Working Together to Reduce Cancer Disparities Symposium 2005 UCLA
Communities and Universities Working Together to Reduce Cancer Disparities Symposium 2005 UCLA Marjorie Kagawa Singer, Ph.D., M.N., M.A., R.N. UCLA School of Public Health and Asian American Studies Center
More informationState of Iowa Outcomes Monitoring System
State of Iowa Outcomes Monitoring System THE IOWA CONSORTIUM FOR SUBSTANCE ABUSE RESEARCH AND EVALUATION Year 16 Annual Outcome Evaluation Trend Report November 2014 With Funds Provided By: Iowa Department
More informationOverview of Health Care Disparities in Maryland
Maryland Health Benefit Exchange Plan Management Advisory Committee Overview of Health Care Disparities in Maryland June 18, 2012 Carlessia A. Hussein, RN, DrPH David A. Mann, MD, PhD Office of Minority
More informationThe ACA: can mandates to improve health improve SUD management?
The ACA: can mandates to improve health improve SUD management? Integrating Research, Education and Services to Reduce Behavioral Health Disparities in Hispanic and Latino Populations National Conference,
More informationMISSING IN ACTION : Ethnic Groups in Cancer Screening
MISSING IN ACTION : Ethnic Groups in Cancer Screening Annette E. Maxwell, Dr.P.H. Division of Cancer Prevention and Control Research Jonsson Comprehensive Cancer Center University of California, Los Angeles
More informationRegional and Hispanic Subgroup Disparities in the Prevalence of Diabetes & Hypertension Among Older Adults
Regional and Hispanic Subgroup Disparities in the Prevalence of Diabetes & Hypertension Among Older Adults Catherine Pérez Jennifer A. Ailshire Conference Series on Aging in the Americas September 21,
More informationWOMEN S HEALTH INEQUALITIES IN NEW MEXICO: CHALLENGES & POLICY OPTIONS
WOMEN S HEALTH INEQUALITIES IN NEW MEXICO: CHALLENGES & POLICY OPTIONS Lisa Cacari Stone, Ph.D., WK Kellogg Health Disparities Scholar, Harvard School of Public Health & Vicky Howell, Ph.D., New Mexico
More informationResearching Genetic Influences in Different Racial/Ethnic Populations and Cancer
Researching Genetic Influences in Different Racial/Ethnic Populations and Cancer Lenora WM Loo, PhD Assistant Professor (Specialist) University of Hawaii Cancer Center Off-Label Use Disclosure I do not
More informationDisclosures. How to Become Even Better Allies 10/18/2016 LANGUAGE AND LITERACY THE PAS DE DEUX
Disclosures LANGUAGE AND LITERACY THE PAS DE DEUX Alicia Fernandez, MD Professor of Medicine University of California, San Francisco Zuckerberg San Francisco General NIH-NIDDK; NIMHD; NHLBI; Arnold P.
More informationMyths, Heart Disease and the Latino Population. Maria T. Vivaldi MD MGH Women s Heart Health Program. Hispanics constitute 16.3 % of US population!
Myths, Heart Disease and the Latino Population Maria T. Vivaldi MD MGH Women s Heart Health Program Hispanics constitute 16.3 % of US population! 1 LEADING CAUSES OF DEATH IN LATINOS Heart disease is the
More informationAsian and Pacific Islander Health Assessment
Asian and Pacific Islander Health Assessment Santa Clara County 2017 S. JOSEPH SIMITIAN SANTA CLARA COUNTY SUPERVISOR, DISTRICT FIVE COUNTY GOVERNMENT CENTER, EAST WING 70 WEST HEDDING STREET, 10 TH FLOOR
More informationOffice of Health Equity Advisory Committee Meeting
Office of Health Equity Advisory Committee Meeting Disparities in Mental Health Status and Care Sergio Aguilar-Gaxiola, MD, PhD Professor of Clinical Internal Medicine Director, Center for Reducing Health
More informationA L L F L O R I D A P O D I A T R Y, P. A. M A R C G. C O L A L U C E, D. P. M.
Chart No: A L L F L O R I D A P O D I A T R Y, P. A. M A R C G. C O L A L U C E, D. P. M. Please PRINT Clearly; No Cursive. PATIENT MEDICAL HISTORY FORM Name: Date: Date of Birth: / / Age: Sex: M F 1.)
More informationTHE AP-GfK POLL. Conducted by GfK Roper Public Affairs & Media
GfK Custom Research North America THE AP-GfK POLL Conducted by GfK Roper Public Affairs & Media Interview dates: July 16-July 20, 2009 Interviews: 1,006 adults Margin of error: +/- 3.1 percentage points
More informationHealth Disparities, Social Determinants of Health, and Health Equity
Centers for Disease Control and Prevention Health Disparities, Social Determinants of Health, and Health Equity Leandris Liburd, PhD, MPH Associate Director for Minority Health and Health Equity SOPHE
More informationCenter for Health Disparities Research
Center for Health Disparities Research EXHIBIT I Legislative Committee on Health Care Document consists of 23 pages. Entire document provided. Due to size limitations, pages provided. A copy of the complete
More informationImpact of Poor Healthcare Services
Competency 3 Impact of Poor Healthcare Services Updated June 2014 Presented by: Lewis Foxhall, MD VP for Health Policy Professor, Clinical Cancer Prevention UT MD Anderson Cancer Center Competency 3 Objectives
More informationMilk Taste Test. Prepared by Shelley Kuklish Epidemiologist. September 2008
Milk Taste Test 2008 Prepared by Shelley Kuklish Epidemiologist September 2008 Table of Contents Executive Summary..3 Introduction...6 Methods.. 6 Results. 7 Conclusions.. 12 2 Executive Summary The purpose
More informationConsumer Perception Survey (Formerly Known as POQI)
Department of Behavioral Health Consumer Perception Survey (Formerly Known as POQI) CPS Comparison May 2017 On a semi-annual basis the County of Fresno, Department of Behavioral Health (DBH) conducts its
More informationSHORE MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSMENT: 2016
SHORE MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSMENT: 2016 1 TABLE OF CONTENTS Purpose of the Assessment Page 6 Process for Completing the Assessment Guides and Expert Advice for Conducting the Assessment
More informationSurvey of U.S. Adult Cigarette Smokers
Survey of U.S. Adult Cigarette Smokers Topline Report 13 October 2016 ADULT CIGARETTE SMOKERS (U.S. NATIONWIDE): n=1,000 online surveys S1. First, which of the following ranges includes your age? 0% Under
More informationPersonal Information. Full Name: Address: Primary Phone: Yes No Provider Yes No. Alternate Phone: Yes No Provider Yes No
OFFICE USE ONLY: Date of Intake: ID#: Staff mbr: Personal Information Full Name: Address: _ Last First M.I. Street Address Apartment/Unit # City State Zip Code County Date of Birth: Age: Mobile phone?
More informationLung Cancer. Causes. Symptoms. Types
Lung cancer is the uncontrolled growth of abnormal cells in one or both of the lungs. While normal cells reproduce and develop into healthy lung tissue, these abnormal cells reproduce faster and never
More informationIn Health Matters, Place Matters - The Health Opportunity Index (HOI) Virginia Department of Health Office of Health Equity
In Health Matters, Place Matters - The Health Opportunity Index (HOI) Virginia Department of Health Office of Health Equity 1 Identifying the Problem America s Health Rankings United Health Foundation
More informationLeveraging Technology to Deliver Culturally & Linguistically Appropriate DM Services
Disease Management Colloquium Philadelphia, PA June 30, 2004 Leveraging Technology to Deliver Culturally & Linguistically Appropriate DM Services Dr. Dirk G. Schroeder EVP, HispaniCare Prof. Intl Health,
More informationAmericans for Nonsmokers Rights
Americans for Nonsmokers Rights Helping you breathe a little easier Engaging the Latino/Hispanic Community in Clean Indoor Air Campaigns June 3 Secondhand smoke in the workplace is a health justice issue;
More informationAccess to Mental Health Treatment by English Language Proficiency and Race/Ethnicity
Access to Mental Health Treatment by English Language Proficiency and Race/Ethnicity Tetine Sentell, PhD 1, Martha Shumway, PhD 1, and Lonnie Snowden, PhD 2 1 Department of Psychiatry, University of California,
More informationCommunity Health Needs Assessment (CHNA)
Community Health Needs Assessment (CHNA) Pierce ; St. Croix Contents Demographics... 3 Total Population... 4 Median Age... 6 Population Under Age 18... 8 Population Age 65+... 9 Population with Any Disability...
More informationHealth Inequalities and Inequities in the United States
Health Inequalities and Inequities in the United States Michal Engelman Teaching Poverty 101 Institute for Research on Poverty June 13, 2018 Teaching Poverty (IRP) Health Disparities June 13, 2018 1 /
More informationDisparities in Cardiovascular Disease
Disparities in Cardiovascular Disease April 27,2009 Keith C. Ferdinand, MD, FACC,FAHA Clinical Professor, Cardiology Division Emory University Chief Science Officer Association of Black Cardiologists,
More informationLANGUAGE BARRIERS IN MEDICINE. Alicia Fernandez, MD Professor of Medicine 12 December 2017
LANGUAGE BARRIERS IN MEDICINE Alicia Fernandez, MD Professor of Medicine 12 December 2017 Why Study Language Barriers? How do they impact the care of our patients? How should we overcome them? What does
More informationAugust 10, School Name Reason(s) for not making AYP Key actions underway to address the issues McKinley Adult and Alternative Education Center
McKinley Adult and Center August 10, 2012 Derrick Richards, Director 726 Elm Street Adrian, MI 49221 Dear Parents and Community Members: We are pleased to present you with the Annual Education Report (AER)
More information