Objectives. Health Disparities: Objectives. Health Disparities. Health Disparities. Health Disparities 10/13/2014

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Objectives. Health Disparities: Objectives. Health Disparities. Health Disparities. Health Disparities 10/13/2014"

Transcription

1 : Why Zip Code Matters Christy Eskes, DHSc, MPA, PA-C October 12, 2014 Differences in health outcomes across segments of the population Substantial disparities in health, life expectancy, and quality of life Majority due to the social determinants of health The conditions in which a person is born, grows, lives, works, and ages Health system factors Complexity of the healthcare system Unfamiliarity with the Western model Referrals Instructions for procedures Medication instructions Quality of hospitals/clinics located in areas with high percentages of minority groups Initial study in 1985: 60,000 excess deaths occur each year in minority populations Six causes = >80% of these deaths: Cancer Cardiovascular disease and stroke Cirrhosis Diabetes Homicide and accidents Infant mortality 1

2 How far have we come since 1985? In 2004, the CDC identified significant racial/ethnic disparities among the 10 leading health indicators Socioeconomic factors (education, employment, poverty) Lifestyle behaviors (physical activity, alcohol intake, tobacco use) Social environment (educational and economic opportunities, neighborhood and work conditions) Access to clinical preventive services (cancer screening, vaccination rates) National goals have evolved over time Healthy People 2000 Reduce health disparities Healthy People 2010 Eliminate health disparities Healthy people 2020 Achieve health equity, eliminate disparities, and improve the health of all groups In 2010, President Obama created the Institute on Minority Health and Goal to define the agenda and provide better funding for reducing disparities Disparities defined as differences in the incidence, prevalence, mortality, and burden of disease and other adverse health conditions that exist among specific population groups CDC and Inequalities Report 2013 Some improvement in diabetes prevalence for some groups but worsening in others Highest in males, blacks, Hispanics, undereducated, low income, and those with a disability HIV infection rates higher in all non- Asian racial/ethnic minorities Lower percentage of blacks given antiretroviral therapy Lower percentage of blacks and Hispanics with suppressed viral loads CDC and Inequalities Report 2013 Infant mortality rates more than double in black populations Premature death rates from CVA and CHD higher in blacks than whites Asthma attacks more frequent in low income populations Uncontrolled HTN more prevalent among Mexican-Americans and the uninsured 2

3 Human The first HDI presented in 1990 and has been provided in an annual Human Development Report on a global level An official government statistic in many countries MeasureofAmerica created a modified version with more specific indicators to reflect U.S. context and maximize use of available data Founded in 2006, became an initiative of the Social Science Research Council in 2008 Goal to provide data to support people-centered policies to improve well-being American Human Developed as an alternative measure of wellbeing across the U.S. versus using GDP All 50 states, broken down by congressional districts, counties, gender, and racial/ethnic groups 2014MeasureofAmerica,AProjectoftheSocialScienceResearchCouncil American Human 2014MeasureofAmerica,AProjectoftheSocialScienceResearchCouncil Views capabilitiesas the tools a person has to be able to pursue a life of value what people cando, and what they can becom e. Defined by both individual effort and societal conditions. Breaking Down the AHDI Breaking Down the AHDI A Long and Healthy Life Life expectancy at birth Access to Knowledge School enrollment for population age 3 and older (1/3 weight) Educational degree attainment for age 25 and older (2/3 weight) A Decent Standard of Living Median earnings of all full- and part-time workers age 16 and older (personal, not household) Each indicator ranges from 0-10, with 10 being the highest Further evaluated by geography, race and ethnicity, gender, and nativity 3

4 AHDI Historical Trends AHDI by Race and Ethnicity 2014MeasureofAmerica,AProjectoftheSocialScienceResearchCouncil 2014MeasureofAmerica,AProjectoftheSocialScienceResearchCouncil California Human Development Project 2011 Highlighted because of the vast differences across the state in American HDI scores Five of the country s top 10 congressional districts Lowest ranked congressional district So goes California, so goes the nation The Five Californias Represent disparities among various populations Silicon Valley Shangri-La Metro-Coastal Enclave California Main Street California Struggling California The Forsaken Five Percent 2011MeasureofAmerica,AProjectoftheSocialScienceResearchCouncil 4

5 Why does zip code matter? 2011MeasureofAmerica,AProjectoftheSocialScienceResearchCouncil Example: two men one born and raised in Palo Alto, one in Watts 14 years difference in life expectancy 3-fold difference in earnings 19-times more likely to have completed college The Watts score is similar to that of the nation in the mid-1960s 5

6 Must be a focused, deliberate effort by multiple stakeholders Healthcare system Federal State Local Healthcare system interventions Collect and report health care access and utilization data by race/ethnicity Encourage use of evidence-based guidelines and quality improvement Support the use of language interpretation services in the clinical setting Increase the proportion of underrepresented minorities in the healthcare workforce Federal Multiple stakeholder groups actively working to bring awareness to disparities Department of Health & Human Services Centers for Disease Control Commission to End Health Care Disparities (CEHCD) Etc Federal Enhance access to high-quality education, jobs, opportunities for healthy living Identify high-need areas that experience health disparities to align existing resources to meet these needs Support for placement of primary care providers in medically underserved communities Support and expand training programs to increase diversity in the healthcare workforce State Use data to identify populations at greatest risk, and work with these communities to implement programs to address the highest priority needs Create and support local libraries and literacy programs to increase the abilities of patients to find and use reliable health information Offer and expand preventive services for children and adults, particularly those at risk 6

7 Local Work with communities to implement policies and programs to address highest priority needs Improve collaboration with community leaders to ensure community health needs are identified Identify and address barriers to local care Health literacy, skill-building courses Ensure prevention strategies are culturally, linguistically, and age appropriate Self-awareness and cultural competency Knowledge of the local minority population Continual community needs assessment Supporting community through legislation Self-assessment Taking responsibility to understand and eliminate biased, disrespectful, and prejudiced attitudes, beliefs, behaviors, policies, and practices Cultural competence assessment Patient assessment Cultural assessment forms Communication is key Conclusion Zip code matters! Health disparities are prevalent and extend beyond race/ethnicity Recognizing the challenges our patients face is an important aspect of their care Targeting disparities is everyone s responsibility 7

8 References and Resources Betancourt JR, Green AR. Chaptere4. Racial and Ethnic Disparities in Health Care. In: Longo DL, FauciAS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, eds. Harrison'sPrinciplesof InternalMed icine. 18th ed. New York: McGraw-Hill; Kosoko-Laski S, Cook CT, O Brien RL. CulturalProficiencyin Ad d ressing HealthDisparities.Sudbury: Jones and Bartlett Publishers; Betancourt JR, Green AR, Carrillo JE. CulturalCom petence in HealthCare: Em erg ing Fram eworksand PracticalApproaches[Field Report]. The Commonwealth Fund, No. 576; Centers for Disease Control. Healthy People 2010: Disparities. Accessed from Centers for Disease Control. Experienced by Racial/Ethnic Minority Populations. MMW R W eekly. 2004Aug 27;53(33):755. National Instituteon Minority. Accessedfrom References and Resources U.S. Department of Health & Human Services: Surgeon General.gov. National Prevention Strategy: Elimination of. 2014May. Accessed from The Providers Guide to Quality & Culture: Joint project by the Management Sciences for Health (MSH), Department of Health and Human Services (DHHS), Health Resources andservices Administration, andbureau of Primary Carehttp://erc.msh.org/mainpage.cfm?file=1.0.htm&module=provider&lang uage=english The Office of Minority Health Centers for Disease Control National Prevention Information Network Diversity in Medicine Resources for Cross-Cultural Health Care National Center For Cultural Competence (NCCC) Questions? 8

Unequal Treatment: Disparities in Access, Quality, and Care

Unequal 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 information

Health Disparities Matter!

Health Disparities Matter! /KirwanInstitute www.kirwaninstitute.osu.edu Health Disparities Matter! Kierra Barnett, Research Assistant Alex Mainor, Research Assistant Jason Reece, Director of Research Health disparities are defined

More information

Impact of Poor Healthcare Services

Impact 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 information

In 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 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 information

Our Healthy Community Partnership. and the Brown/Black Coalition are. pleased to release the Douglas County Health and

Our Healthy Community Partnership. and the Brown/Black Coalition are. pleased to release the Douglas County Health and Our Healthy Community Partnership and the Brown/Black Coalition are pleased to release the 2007 Douglas County Health and Disparities Report Card. This report provides a snapshot of local disparities in

More information

2014 Butte County BUTTE COUNTY COMMUNITY HEALTH ASSESSMENT

2014 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 information

Centers for Disease Control and Prevention (CDC) Coalition C/o American Public Health Association 800 I Street NW Washington, DC,

Centers for Disease Control and Prevention (CDC) Coalition C/o American Public Health Association 800 I Street NW Washington, DC, Centers for Disease Control and Prevention (CDC) Coalition C/o American Public Health Association 800 I Street NW Washington, DC, 20001 202-777-2514 Donald Hoppert, Director of Government Relations, American

More information

Center for Health Disparities Research

Center 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 information

Health Disparities in Snohomish County

Health Disparities in Snohomish County Health Disparities in Snohomish County Table of Contents BACKGROUND What Are Health Disparities?... 3 How Do We Address Health Disparities?... 3 Why Release a Health Disparities Report?... 3 SOCIODEMOGRAPHICS

More information

Cancer Disparities in Arkansas: An Uneven Distribution. Prepared by: Martha M. Phillips, PhD, MPH, MBA. For the Arkansas Cancer Coalition

Cancer Disparities in Arkansas: An Uneven Distribution. Prepared by: Martha M. Phillips, PhD, MPH, MBA. For the Arkansas Cancer Coalition Cancer Disparities in Arkansas: An Uneven Distribution Prepared by: Martha M. Phillips, PhD, MPH, MBA For the Arkansas Cancer Coalition Table of Contents Page Burden of Cancer 3 Cancer Disparities 3 Cost

More information

Behavioral Health Disparities in Indiana

Behavioral 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 information

IN LOS ANGELES COUNTY

IN LOS ANGELES COUNTY IN LOS ANGELES COUNTY June 2002 During the past decade, important gains were made in the health of the county population based on mortality indices. Between 1991 and 2000, average life expectancy increased

More information

PEDS 21 Child Health Disparities: Data and Trends. Tina L. Cheng, MD, MPH, FAAP October 2012

PEDS 21 Child Health Disparities: Data and Trends. Tina L. Cheng, MD, MPH, FAAP October 2012 PEDS 21 Child Health Disparities: Data and Trends Tina L. Cheng, MD, MPH, FAAP October 2012 Faculty Disclosure Information In the past 12 months, I have no relevant financial relationships with the manufacturer(s)

More information

Clark County Community Health Status Assessment

Clark County Community Health Status Assessment 2012 Clark County Community Health Status Assessment Southern Nevada Health District Office of Epidemiology 5/29/2012 Authors Nancy Williams, MD, MPH Patricia Rowley, BS Contributors Brian Labus, MPH Zuwen

More information

Nutrition and Physical Activity

Nutrition and Physical Activity Nutrition and Physical Activity Lifestyle choices made early in life have a significant impact on the patterns of chronic disease developed in adulthood. In the U.S., poor diet and physical inactivity

More information

WOMEN S HEALTH INEQUALITIES IN NEW MEXICO: CHALLENGES & POLICY OPTIONS

WOMEN 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 information

Health Status Disparities in New Mexico Identifying and Prioritizing Disparities

Health Status Disparities in New Mexico Identifying and Prioritizing Disparities Health Status Disparities in New Mexico Identifying and Prioritizing Disparities Public Health Division March 23 Health Status Disparities in New Mexico Identifying and Prioritizing Disparities New Mexico

More information

Virginia s Health 2017

Virginia s Health 2017 Virginia s Health 2017 Marissa J. Levine, MD, MPH, FAAFP Virginia State Health Commissioner The Virginia Department of Health HAC Health & Human Resources Subcommittee Overview Virginian s Health Status

More information

Redington-Fairview General Hospital Community Health Needs Assessment Annual Report

Redington-Fairview General Hospital Community Health Needs Assessment Annual Report Redington-Fairview General Hospital 2017 Community Health Needs Assessment Annual Report Original Community Needs Assessment: November 2007 Updated: January 2010; April 2012, September ; August 2015; July

More information

MATERNAL 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 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 information

The Children s Partnership

The Children s Partnership The Children s Partnership The State Oral Health Plan Development Process CPEHN Spring Convening Series on Oral Health Equity Riverside, CA May 4, 2016 Jenny Kattlove Senior Director, Programs Our Mission

More information

Chapter 1 Overview of Tuberculosis Epidemiology in the United States

Chapter 1 Overview of Tuberculosis Epidemiology in the United States Chapter 1 Overview of Tuberculosis Epidemiology in the United States Table of Contents Chapter Objectives.... 1 Progress Toward TB Elimination in the United States... 3 TB Disease Trends in the United

More information

HIV/AIDS Bureau Update

HIV/AIDS Bureau Update HIV/AIDS Bureau Update Ryan White HIV/AIDS Program Clinical Conference New Orleans, LA December 15, 2015 Laura Cheever, MD, ScM Associate Administrator Department of Health and Human Services Health Resources

More information

2013 Arizona State Health Assessment Summary and Findings. Health and Wellness for all Arizonans

2013 Arizona State Health Assessment Summary and Findings. Health and Wellness for all Arizonans 2013 Arizona State Health Assessment Summary and Findings Health and Wellness for all Arizonans Presentation Overview The State Health Assessment Process Health Indicators 15 Leading Health Issues: o County

More information

CHRONIC DISEASE PREVALENCE AMONG ADULTS IN OHIO

CHRONIC DISEASE PREVALENCE AMONG ADULTS IN OHIO OHIO MEDICAID ASSESSMENT SURVEY 2012 Taking the pulse of health in Ohio CHRONIC DISEASE PREVALENCE AMONG ADULTS IN OHIO Amy Ferketich, PhD Ling Wang, MPH The Ohio State University College of Public Health

More information

Estimates of New HIV Infections in the United States

Estimates of New HIV Infections in the United States Estimates of New HIV Infections in the United States CDC HIV/AIDS FactS A u g u s t 28 Accurately tracking the HIV epidemic is essential to the nation s HIV prevention efforts. Yet monitoring trends in

More information

HEALTH OF WISCONSIN. Children and young adults (ages 1-24) B D REPORT CARD 2016

HEALTH OF WISCONSIN. Children and young adults (ages 1-24) B D REPORT CARD 2016 HEALTH OF WISCONSIN Summary Grades Life stage Health grade Health disparity grade Infants (less than 1 year of age) C D Children and young adults (ages 1-24) B D Working-age adults (ages 25-64) B C Older

More information

2012 Assessment of St. Lucie County s Social, Health, and Public Safety Services

2012 Assessment of St. Lucie County s Social, Health, and Public Safety Services 2012 Assessment of St. Lucie County s Social, Health, and Public Safety Services April 5, 2013 140 Intracoastal Pointe Drive, Suite 212 Jupiter, FL 33477-5064 561.744.5662 Fax: 561.575.7396 www.sra-researchgroup.com

More information

Society for Public Health Education Promoting Healthy Aging Resolution

Society for Public Health Education Promoting Healthy Aging Resolution 0 0 0 Society for Public Health Education Promoting Healthy Aging Resolution Adopted SOPHE Board of Trustees //0 Whereas since the year 00 the number of people in America aged or older has increased -fold,

More information

Definition of Health/Healthcare disparities. Health/Healthcare. Healthcare Disparities

Definition of Health/Healthcare disparities. Health/Healthcare. Healthcare Disparities Healthcare Disparities Darrell M. Gray, II, MD, MPH Assistant Professor Deputy Director, Center for Cancer Health Equity OSU Comprehensive Cancer Center The James Cancer Hospital and Solove Research Institute

More information

Draft resolution submitted by the President of the General Assembly

Draft resolution submitted by the President of the General Assembly United Nations A/68/L.53 General Assembly Distr.: Limited 7 July 2014 Original: English Sixty-eighth session Agenda item 118 Follow-up to the outcome of the Millennium Summit Draft resolution submitted

More information

Health Policy Research Brief

Health Policy Research Brief July 2010 Health Policy Research Brief Mental Health Status and Use of Mental Health Services by California Adults David Grant, Nicole Kravitz-Wirtz, Sergio Aguilar-Gaxiola, William M. Sribney, May Aydin

More information

Research Overview: Employment as a Social Determinant of HIV Health and Prevention

Research Overview: Employment as a Social Determinant of HIV Health and Prevention Research Overview: Employment as a Social Determinant of HIV Health and Prevention Liza Conyers, Ph.D. CRC Penn State University Chair National Working Positive Coalition Research Working Group Ken Hergenrather,

More information

TOBACCO USE AMONG AFRICAN AMERICANS

TOBACCO USE AMONG AFRICAN AMERICANS TOBACCO USE AMONG AFRICAN AMERICANS Each year, approximately 45,000 African Americans die from smoking-related disease. 1 Smoking-related illnesses are the number one cause of death in the African-American

More information

Community Health Needs Assessment Kalamazoo County. Bronson Methodist Hospital Published: December 2016

Community Health Needs Assessment Kalamazoo County. Bronson Methodist Hospital Published: December 2016 Community Health Needs Assessment Kalamazoo County Bronson Methodist Hospital Published: December 2016 Community Health Needs Assessment Table of Contents Summary... 3 1. Service Area Definition.. 5 2.

More information

Ryan White HIV/AIDS Program Part B Proposal Q & A

Ryan White HIV/AIDS Program Part B Proposal Q & A Ryan White HIV/AIDS Program Part B Proposal Q & A Why is this being considered? In response to requests by community members and legislators and in accordance with the new National HIV/AIDS Strategy, two

More information

Myths, 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! 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 information

COMMISSION OF THE EUROPEAN COMMUNITIES

COMMISSION OF THE EUROPEAN COMMUNITIES COMMISSION OF THE EUROPEAN COMMUNITIES Brussels, 20.10.2009 COM(2009) 567 final COMMUNICATION FROM THE COMMISSION TO THE EUROPEAN PARLIAMENT, THE COUNCIL, THE EUROPEAN ECONOMIC AND SOCIAL COMMITTEE AND

More information

Preview: Community Health Assessment Findings for the Community Transformation Grant

Preview: Community Health Assessment Findings for the Community Transformation Grant Preview: Community Health Assessment Findings for the Community Transformation Grant Sharon Hutchins, Ph.D., MPH Health Services Agency November 26, 2012 Made possible with funding from the Centers for

More information

California 2,287, % Greater Bay Area 393, % Greater Bay Area adults 18 years and older, 2007

California 2,287, % Greater Bay Area 393, % Greater Bay Area adults 18 years and older, 2007 Mental Health Whites were more likely to report taking prescription medicines for emotional/mental health issues than the county as a whole. There are many possible indicators for mental health and mental

More information

HIV Initiative HIV Initiative Companion

HIV Initiative HIV Initiative Companion HIV Initiative 2017-18 HIV Initiative Companion 1 Contents OVERVIEW...3 GOAL 3 DATES 3 SLOGAN 3 DISCLOSURES 3 OUTREACH BUDGET 3 TIPS FOR PERFORMING OUTREACH...4 KNOW THE BASICS OF HIV 4 REVIEW THE OLDER

More information

LEGACY MOUNT HOOD MEDICAL CENTER COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGIES PLAN

LEGACY MOUNT HOOD MEDICAL CENTER COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGIES PLAN LEGACY MOUNT HOOD MEDICAL CENTER COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGIES PLAN 2011/2012 CONTENTS Page I. Introduction 1 II. Community Profile 1 A. Service Area B. Population C. Racial

More information

FY2018 Labor, Health and Human Services, Education Appropriations Summary

FY2018 Labor, Health and Human Services, Education Appropriations Summary Labor, Health and Human Services, Education Appropriations Summary NACCHO Priority Public Health Program Funding The Senate Appropriations Committee marked-up a bill funding the Departments of Labor, Health

More information

Pre-Conception & Pregnancy in Ohio

Pre-Conception & Pregnancy in Ohio Pre-Conception & Pregnancy in Ohio Elizabeth Conrey, PhD 1 January 217 1 State Maternal and Child Health Epidemiologist, Ohio Department of Health EXECUTIVE SUMMARY The primary objective of the analyses

More information

Greater Atlanta Affiliate of Susan G. Komen Quantitative Data Report

Greater Atlanta Affiliate of Susan G. Komen Quantitative Data Report Greater Atlanta Affiliate of Susan G. Komen Quantitative Data Report 2015-2019 Contents 1. Purpose, Intended Use, and Summary of Findings... 4 2. Quantitative Data... 6 2.1 Data Types... 6 2.2 Breast Cancer

More information

Dental Therapists: Increasing Access to Dental Care. Kristen R. Boilini Pivotal Policy Consulting. Dental Care for AZ. Dental Care for AZ

Dental Therapists: Increasing Access to Dental Care. Kristen R. Boilini Pivotal Policy Consulting. Dental Care for AZ. Dental Care for AZ Dental Therapists: Increasing Access to Dental Care Kristen R. Boilini Pivotal Policy Consulting July 14, 2017 Why Dental Therapy? Vast rural areas and Tribal reservations 2.3 million Arizonans lack access

More information

HealthVoices. Health and Healthcare in Rural Georgia. The perspective of rural Georgians

HealthVoices. Health and Healthcare in Rural Georgia. The perspective of rural Georgians HealthVoices Health and Healthcare in Rural Georgia Issue 3, Publication #100, February 2017 Samantha Bourque Tucker, MPH; Hilton Mozee, BA; Gary Nelson, PhD The perspective of rural Georgians Rural Georgia

More information

Mental Health Care For Foreign Born Latinos: A Grant Proposal. Samuel Munoz California State University, Long Beach May 2017

Mental Health Care For Foreign Born Latinos: A Grant Proposal. Samuel Munoz California State University, Long Beach May 2017 Mental Health Care For Foreign Born Latinos: A Grant Proposal Samuel Munoz California State University, Long Beach May 2017 Introduction One of the areas that has impacted Latino immigrants, particularly

More information

Successful Engagement of Minorities in Research: A Building Trust Between Minorities and Researchers To Achieve Health Equity

Successful Engagement of Minorities in Research: A Building Trust Between Minorities and Researchers To Achieve Health Equity Successful Engagement of Minorities in Research: A Building Trust Between Minorities and Researchers To Achieve Health Equity Stephen B. Thomas, Ph.D. Professor Health Services Administration School of

More information

Westside Health Collaborative Initiative

Westside Health Collaborative Initiative Westside Health Collaborative Initiative OVERVIEW, KEY FINDINGS, IMPROVEMENT PLAN www.westsideontherise.org Westside on the Rise: Positive Transformation of People and Place Neighborhood Transformation

More information

Trends in Pneumonia and Influenza Morbidity and Mortality

Trends in Pneumonia and Influenza Morbidity and Mortality Trends in Pneumonia and Influenza Morbidity and Mortality American Lung Association Epidemiology and Statistics Unit Research and Health Education Division November 2015 Page intentionally left blank Introduction

More information

Follow-up to the Second World Assembly on Ageing Inputs to the Secretary-General s report, pursuant to GA resolution 65/182

Follow-up to the Second World Assembly on Ageing Inputs to the Secretary-General s report, pursuant to GA resolution 65/182 Follow-up to the Second World Assembly on Ageing Inputs to the Secretary-General s report, pursuant to GA resolution 65/182 The resolution clearly draws attention to the need to address the gender dimensions

More information

Healthy Montgomery Obesity Work Group Montgomery County Obesity Profile July 19, 2012

Healthy Montgomery Obesity Work Group Montgomery County Obesity Profile July 19, 2012 Healthy Montgomery Obesity Work Group Montgomery County Obesity Profile July 19, 2012 Prepared by: Rachel Simpson, BS Colleen Ryan Smith, MPH Ruth Martin, MPH, MBA Hawa Barry, BS Executive Summary Over

More information

Addressing Diabetes Prevention among Hmong adults

Addressing Diabetes Prevention among Hmong adults Addressing Diabetes Prevention among Hmong adults Moon S. Chen, Jr., Ph.D., M.P.H. Susan L. Stewart, Ph.D. Edward A. Chow, M.D. Julie H.T. Dang, M.P.H Kendra Thao, B.S. Asian American, Native Hawaiian,

More information

Epilepsy Across the Spectrum Promoting Health and Understanding

Epilepsy Across the Spectrum Promoting Health and Understanding RECOMMENDATIONS MARCH 2012 For more information visit www.iom.edu/epilepsy Epilepsy Across the Spectrum Promoting Health and Understanding Much can be done to improve the lives of people with epilepsy.

More information

Responding to HIV/AIDS in Illinois Remarks to the Adequate Health Care Task Force

Responding to HIV/AIDS in Illinois Remarks to the Adequate Health Care Task Force Responding to HIV/AIDS in Illinois Remarks to the Adequate Health Care Task Force AIDS Foundation of Chicago June 27, 2006 AIDS-Related Deaths Since 1981 United States: 530,000 Illinois: 18,000 Chicago:

More information

SUSAN G. KOMEN LOUISVILLE

SUSAN G. KOMEN LOUISVILLE SUSAN G. KOMEN LOUISVILLE Table of Contents Table of Contents... 2 Acknowledgments... 3 Introduction... 4 Affiliate History... 4 Affiliate Organizational Structure... 4 Affiliate Service Area... 4 Purpose

More information

The Kirwan Institute is entering its second decade of working to create a just and inclusive

The Kirwan Institute is entering its second decade of working to create a just and inclusive /KirwanInstitute www.kirwaninstitute.osu.edu Health Equity Program 2014 Development of the Kirwan Institute s Health Equity Program The Kirwan Institute is entering its second decade of working to create

More information

Fort Ha milton Hospital. Community Benefit Plan & Implementation Strategy

Fort Ha milton Hospital. Community Benefit Plan & Implementation Strategy 201 4 Fort Ha milton Hospital Community Benefit Plan & Implementation Strategy TABLE OF CONTENTS INTRODUCTION... 2 Fort Hamilton Hospital Service Area... 2 Community Health Needs Assessment... 2 Data Collection...

More information

WOMEN S ECONOMIC EMPOWERMENT: A CALL TO ACTION FOR ONTARIO. Ontario.ca/EmpowerWomen

WOMEN S ECONOMIC EMPOWERMENT: A CALL TO ACTION FOR ONTARIO. Ontario.ca/EmpowerWomen WOMEN S ECONOMIC A CALL TO ACTION Ontario.ca/EmpowerWomen Discussion paper: Women s Economic Empowerment A Call to Action for Ontario Women and girls are disproportionately affected by poverty, discrimination,

More information

GENDER ANALYSIS (SUMMARY) 1

GENDER ANALYSIS (SUMMARY) 1 Country Partnership Strategy: Papua New Guinea, 2016 2020 A. Gender Situation and Key Challenges GENDER ANALYSIS (SUMMARY) 1 1. Papua New Guinea (PNG) has made limited progress towards achieving the gender

More information

Community-level Data on Social Determinants and Health Outcomes

Community-level Data on Social Determinants and Health Outcomes Community-level Data on Social Determinants and Health Outcomes The material that accompanies this working document was produced through a data inventory undertaken by Community Science, Inc., for the

More information

Population Percent C.I. All Hennepin County adults aged 18 and older 12.1% ± 1.2

Population Percent C.I. All Hennepin County adults aged 18 and older 12.1% ± 1.2 Overview ` Why Is This Indicator Important? Tobacco use remains the single most preventable cause of disease, disability and death in the United States. How Are We Doing? In the past decade, smoking rate

More information

Evaluations. Dementia Update: A New National Plan for Alzheimer s Disease Research, Care and Services. Disclosure Statements.

Evaluations. Dementia Update: A New National Plan for Alzheimer s Disease Research, Care and Services. Disclosure Statements. Dementia Update: A New National Plan for Alzheimer s Disease Research, Care and Services June 21, 2012 Featured Speaker David Hoffman M.Ed. C.C.E, NYS DOH Office of Health Insurance Programs Clinical Associate

More information

Mark Misrok National Working Positive Coalition

Mark Misrok National Working Positive Coalition Employment, Unemployment, and HIV/AIDS: Considering the Role of Workforce System Professionals in Expanding Employment Opportunities for Persons Living with HIV/AIDS Mark Misrok National Working Positive

More information

The Genetic Literacy Project: Genetics Education Interventions for Asian American Prenatal Patients

The Genetic Literacy Project: Genetics Education Interventions for Asian American Prenatal Patients The Genetic Literacy Project: Genetics Education Interventions for Asian American Prenatal Patients Presenters: Rebecca Sze, FNP, MSN, MPA, Director of Women s Health Christine Chan, Women s Health Program

More information

Diabetes Hospitalization in Minnesota

Diabetes Hospitalization in Minnesota Diabetes Hospitalization in Minnesota 2006-2014 Diabetes Hospitalization in Minnesota, 2006-2014 Minnesota Department of Health Diabetes Unit PO Box 64882, St. Paul, MN 55164-0882 651-201-4634 Renee.Kidney@state.mn.us

More information

Community Health Implementation Strategy Dane County, WI UW Hospitals and Clinics Authority Board Approved: September 28, 2017

Community Health Implementation Strategy Dane County, WI UW Hospitals and Clinics Authority Board Approved: September 28, 2017 Community Health Implementation Strategy Dane County, WI 2017-2019 UW Hospitals and Clinics Authority Board Approved: September 28, 2017 Introduction UW Health completed its 2016-2018 Community Health

More information

Mainstreaming Gender into Extractive Industries Projects

Mainstreaming Gender into Extractive Industries Projects Mainstreaming Gender into Extractive Industries Projects PROPOSED GUIDELINES Introduction The benefits and risks of extractive industries (EI) are often measured broadly at the community level, but fail

More information

Platte Valley Medical Center Page 0

Platte Valley Medical Center Page 0 Platte Valley Medical Center Page 0 Table of Contents Introduction 4 Background and Purpose... 4 Service Area... 4 Map of the Service Area...5 Project Oversight...5 Consultants... 6 Identification of Community

More information

Asthma Disease Management Demonstration Project:

Asthma Disease Management Demonstration Project: Asthma Disease Management Demonstration Project: Using EMS Health Coaches May Decrease Emergency Department Revisits, Length of Hospital Admissions and Costs Michael T. Hilton, MD Jan 13, 2012 NAEMSP Annual

More information

Walworth County Health Data Report. A summary of secondary data sources

Walworth 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 information

Minnesota HIV Strategy: A Comprehensive Plan to End HIV/AIDS

Minnesota HIV Strategy: A Comprehensive Plan to End HIV/AIDS Minnesota HIV Strategy: A Comprehensive Plan to End HIV/AIDS 02/09/2018 Minnesota HIV Strategy: A Comprehensive Plan to End HIV/AIDS Minnesota Department of Health Infectious Disease Epidemiology, Prevention

More information

Diabetes Education and Diabetes Prevention Education Needs Assessment, Las Vegas, Nevada

Diabetes Education and Diabetes Prevention Education Needs Assessment, Las Vegas, Nevada Diabetes Education and Diabetes Prevention Education Needs Assessment, Las Vegas, Nevada Julie Plasencia, MS, RD University of Nevada Cooperative Extension 2009 1 Table of Contents Introduction... 3 Objective...

More information

Cultural Competency: Serving American Indian Patients

Cultural Competency: Serving American Indian Patients Cultural Competency: Serving American Indian Patients First Time Motherhood/New Parent Initiative EDGECOMBE HALIFAX HERTFORD GATES NASH NORTHAMPTON Goal To increase the effectiveness of health care with

More information

Achieving Health Equity to eliminate Tuberculosis (TB): the true pathway for ending TB in Colorado

Achieving Health Equity to eliminate Tuberculosis (TB): the true pathway for ending TB in Colorado Achieving Health Equity to eliminate Tuberculosis (TB): the true pathway for ending TB in Colorado Michelle Haas, M.D. Denver Metro Tuberculosis Program Denver Public Health Goals Discuss the definition

More information

HIV/AIDS: Mother to Child Transmission

HIV/AIDS: Mother to Child Transmission HIV/AIDS: Mother to Child Transmission MPH 500: Fundamentals of Public Health Maria Jorgensen 4/22/2014 While the estimated number of new HIV infections among women and girls has been decreasing in recent

More information

Massachusetts Healthy Aging Initiative

Massachusetts Healthy Aging Initiative Massachusetts Healthy Aging Initiative Joining Forces to Build Healthier Communities Anita Albright, Director Office of Healthy Aging Massachusetts Department of Public Health Chronic Disease in MA While

More information

DISPARITIES IN PEDIATRIC CANCER CARE

DISPARITIES IN PEDIATRIC CANCER CARE Disclosure DISPARITIES IN PEDIATRIC CANCER CARE Anne Marie Langevin MD has no relationships with commercial companies to disclose. Anne-Marie Langevin, MD Hematologist/Oncologist Professor of Pediatrics

More information

Onondaga County Community Health Assessment and Improvement Plan

Onondaga County Community Health Assessment and Improvement Plan Onondaga County Community Health Assessment and Improvement Plan 2016-2018 Revised September 1, 2017 ongovhealth Onondaga County Health Department ongov.net/health facebook.com/ongovhealth This page intentionally

More information

Health Disparities in WV and the WVU Health Disparities Program. Stephenie K. Kennedy, EdD 12/1/2016

Health Disparities in WV and the WVU Health Disparities Program. Stephenie K. Kennedy, EdD 12/1/2016 Health Disparities in WV and the WVU Health Disparities Program Stephenie K. Kennedy, EdD 12/1/2016 Health Disparities Inequalities in the prevalence, morbidity, mortality, or survival rates in a given

More information

STUDENT VERSION. Community Health Assessment: Pitt County, North Carolina. Cases in Population-Oriented Prevention (C-POP)-based teaching

STUDENT VERSION. Community Health Assessment: Pitt County, North Carolina. Cases in Population-Oriented Prevention (C-POP)-based teaching STUDENT VERSION This project has the objective to develop preventive medicine teaching cases that will motivate medical students, residents and faculty to improve clinical preventive competencies complemented

More information

Health Reform: An Opportunity to Address Health Disparities among Women

Health Reform: An Opportunity to Address Health Disparities among Women Health Reform: An Opportunity to Address Health Disparities among Women A woman s access to quality health care in the U.S. is a function of where she lives, her race and ethnicity, her family income,

More information

Update on Kidney Allocation

Update on Kidney Allocation Update on Kidney Allocation 23rd Annual Conference Association for Multicultural Affairs in Transplantation Silas P. Norman, M.D., M.P.H. Associate Professor Division of Nephrology September 23, 2015 Disclosures

More information

Asian and Pacific Islander Health Assessment

Asian 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 information

medicaid and the The Role of Medicaid for People with Diabetes

medicaid and the The Role of Medicaid for People with Diabetes on medicaid and the uninsured The Role of for People with Diabetes November 2012 Introduction Diabetes is one of the most prevalent chronic conditions and a leading cause of death in the United States.

More information

Improving Women s Health Through the Prevention and Control of Chronic Disease

Improving Women s Health Through the Prevention and Control of Chronic Disease Improving Women s Health Through the Prevention and Control of Chronic Disease Pamela Protzel Berman, MPH, Doctoral Candidate Deputy Director Division of Cancer Prevention and Control, CDC December 10,

More information

Canarsie / Flatlands

Canarsie / Flatlands Keeping Brooklyn Healthy by Assessing Population Health and Driving Innovation 11234, 11236, 11239 Neighborhood at a glance Population: 195,027 TBHC Service Areas: Outside the Service Area for The Brooklyn

More information

Union County VIOLENCE INTERVENTION PLAN

Union County VIOLENCE INTERVENTION PLAN Union County VIOLENCE INTERVENTION PLAN ENVISION A DAY... when all of Union County children, adults, and families have the resources and community support they need to succeed. ENVISION living in a community

More information

The burden of asthma in the United States varies

The burden of asthma in the United States varies Supplement ELIMINATING ASTHMA DISPARITIES A Review of Potential State and Local Policies To Reduce Asthma Disparities* Sarah K. Lyon-Callo, MA, MS; Leslie P. Boss, MPH, PhD ; and Marielena Lara, MD, MPH

More information

Arizona State Data Report

Arizona State Data Report ASTHO Breast Cancer Learning Community: Using Data to Address Disparities in Breast Cancer Mortality at the State Level Arizona Department of Health Services ADDRESS: 150 North 18 th Ave. Phoenix, AZ 85007

More information

Chronic Disease Challenges and Solutions

Chronic Disease Challenges and Solutions Chronic Disease Challenges and Solutions Janet Collins, PhD Director, Division of Nutrition, Physical Activity and Obesity, CDC Council of State Governments Kansas City, MO September 18, 2013 Centers for

More information

Alabama s Emerging Hepatitis C Epidemic and Vulnerability to an Outbreak of HIV Infection Among Persons Who Inject Drugs

Alabama s Emerging Hepatitis C Epidemic and Vulnerability to an Outbreak of HIV Infection Among Persons Who Inject Drugs Alabama s Emerging Hepatitis C Epidemic and Vulnerability to an Outbreak of HIV Infection Among Persons Who Inject Drugs James W. Galbraith MD Associate Professor Department of Emergency Medicine UAB Medicine

More information

TOBACCO AND SOCIOECONOMIC STATUS

TOBACCO AND SOCIOECONOMIC STATUS TOBACCO AND SOCIOECONOMIC STATUS Tobacco is the leading cause of death in the United States, killing more than 480,000 Americans every year. 1 Another 16 million Americans suffer from a smoking-caused

More information

EHDI National EHDI Meeting

EHDI National EHDI Meeting EHDI 101 2015 National EHDI Meeting Presenters Hallie Morrow, MD, MPH, EHDI Systems Any Hunt, M.S Early Intervention Marcus Gaffney, MA, Centers for Disease Control and Prevention (CDC) National Structure

More information

AN OVERVIEW OF SELECTED HEALTH INDICATORS FOR MECKLENBURG COUNTY RESIDENTS

AN OVERVIEW OF SELECTED HEALTH INDICATORS FOR MECKLENBURG COUNTY RESIDENTS 2011 State of the County Health Report AN OVERVIEW OF SELECTED HEALTH INDICATORS FOR MECKLENBURG COUNTY RESIDENTS MECKLENBURG COUNTY 2011 STATE OF THE COUNTY HEALTH REPORT E. Winters Mabry, MD, Health

More information

Cervical Cancer Screening and Prevention in Latinas. Sandra Torrente, MD, MSc Kenneth Grullon, MD

Cervical Cancer Screening and Prevention in Latinas. Sandra Torrente, MD, MSc Kenneth Grullon, MD ç Cervical Cancer Screening and Prevention in Latinas Sandra Torrente, MD, MSc Kenneth Grullon, MD Objectives Cervical cancer epidemiology Cervical cancer screening rates locally Health Disparities of

More information

Impact of insurance coverage on dental care utilization of Iowa children

Impact of insurance coverage on dental care utilization of Iowa children University of Iowa Iowa Research Online Theses and Dissertations Spring 2015 Impact of insurance coverage on dental care utilization of Iowa children Simi Mani University of Iowa Copyright 2015 Simi Mani

More information