Addressing Diabetes Prevention among Hmong adults

Size: px
Start display at page:

Download "Addressing Diabetes Prevention among Hmong adults"

Transcription

1 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, Pacific Islander Diabetes Coalition Meeting May 2, 2014

2 Meeting Objectives: Further the knowledge of diabetes type 2 in Asian Americans, Native Hawaiian and Pacific Islander Populations Translate this knowledge and existing data into policies for effective treatment and management Presentation Objectives: Who are the Hmong? What do we know about diabetes types 2 among Hmong Adults? What can we do to use what we know to address diabetes prevention among Hmong adults?

3 WHO ARE THE HMONG?

4 Hmong Women s Heritage Association Greater Sacramento Area

5 Who are the Hmong? Background: American ally from the Vietnam War Population Fastest growing population in Sacramento County from ; 195.3% Census 2010: 260,073 identified as Hmong origins -26,996 in Sacramento Metro

6 Who are the Hmong? (cont.) Income: High rate of low-income and poverty in Hmong community Low income: 59% Meet federal poverty guidelines: 31% Language: 46% of Hmong community in Sacramento Metro Area are limited English proficiency Education: 14% of Hmong Americans have at least a bachelor s degree Per capita income for Hmong Americans in CA is $9,800

7 Diabetes Management and the Hmong Community Community Health Navigators (CHNs) Program -Pilot program launched in 2010 with support from The California Endowment - Initial Objective: Assist Hmong community members diagnosed with diabetes, hypertension, and cancer to navigate healthcare systems and access resources. - CHNs initial roles 1. Service coordinators 2. Assist clients with accessing resources within community

8 Diabetes Management 1. ABC Plan - A1C, Blood Pressure, Cholesterol 2. Whole health assessment (strength based approach) - Let s start with what you have 3. Increase client self-advocacy skill(s) - Medication pocket card - Educate clients about their rights as patients - Develop peer leaders among clients

9 What did we learn? 1. Many factors impact client s ability to manage their diabetes Language Culture Medical adherence Socioeconomic status access to resources Systemic barriers (Ex. Mental health provider vs. primary care provider) 2. Whole health approach Social services + primary care services + behavioral health Social services + primary care + behavioral health + spiritual/soul Social Services Primary Care HWHA (client) Behavioral Health Pharmacy

10

11 What do we know about Type 2 diabetes among Hmong Adults

12 Rates of diabetes, Hmong versus National Average 40% 40% 30% 20% Estimated to be between 16%-40% 10% 8% 0% National Hmong Her and Mundt, 2005

13 Endocrine, Nutritional, Metabolic, and Immunity (ENMID) mortality rates in California ( ): Hmong vs. Non-Hispanic Whites (NHW) Yang et al., 2010

14 Approach Utilize list of Hmong households Determine eligibility In person interview to: 1. Collect baseline data Random Assignment Intervention: Hepatitis B With CBO #1 LHW Control: Diet & Exercise With CBO #2 LHW Follow- up interview: self- reported testing Verification of testing by checking medical records

15 Socio-demographics of Hmong P01 Participants Socio-Demographics Characteristics Total % (n=260) Education No Formal Education/DK 63.85% BMI (Asian Cut Point) % > % Overweight and Obese 80.77% Country of Birth Laos 73.08% Thailand 21.54% Language of Survey Hmong 91.02% English Fluency So-So/Poorly/Not at all/dk 84.23% Health Insurance Yes 90.77%

16 Asian American Health Disparities Studies Thousand Asian American Study (TAAS)

17 Comparison of Diabetes Risk of Asian Americans Populations from Thousand Asian American Study Sacramento County, CA Hmong Chinese Korean Vietnamese Sample Size Mean Age Percent Lifetime in the U.S. % Diabetes (A1C) 44.1% 76.2% 60.8% 69.9% Increased Risk 33.5% 44.6% 38.2% 41.7% Yes 14.5% 11.3% 12.5% 6.6% Mean Weight Mean Waist Cicumference Mean Height Mean BMI

18 What can we do to use what we know to address diabetes prevention among Hmong adults?

19 Better characterize the Hmong diabetes burden Lay Health Worker Home Visits Group Sessions Diagnostic Testing

20 Partner with Hmong Women s Heritage Association in CBPR approach

21 Examples of nutrition flip chart and the HBV flip chart

22 Educate health professionals

23 Lifestyle Approach

24 Longest journey begins with a single step. Slides created by Julie by: HT Julie Dang, MPH, CHES

Moon S. Chen, Jr., Tung Nguyen, Susan Stewart, Edward Chow, Reginald Ho, May Ying Ly, Marjorie Kagawa-Singer, Vicky Taylor

Moon S. Chen, Jr., Tung Nguyen, Susan Stewart, Edward Chow, Reginald Ho, May Ying Ly, Marjorie Kagawa-Singer, Vicky Taylor How the Asian American Network for Cancer Awareness Research and Training (AANCART) evaluates the reduction of cancer health disparities among Asian Americans Moon S. Chen, Jr., Tung Nguyen, Susan Stewart,

More information

Asian Americans: 2010

Asian Americans: 2010 August 21 st, 2014 Tung Nguyen, MD Professor of Medicine, UCSF Cancer Control Program Co-Leader, UCSF Helen Diller Family Comprehensive Cancer Center Director, Asian American Research Center on Health

More information

THE HEALTH OF CHINESE AMERICANS: 1970 TO TODAY PRESENTED BY KATHY KO CHIN, PRESIDENT AND CEO ASIAN & PACIFIC ISLANDER AMERICAN HEALTH FORUM

THE HEALTH OF CHINESE AMERICANS: 1970 TO TODAY PRESENTED BY KATHY KO CHIN, PRESIDENT AND CEO ASIAN & PACIFIC ISLANDER AMERICAN HEALTH FORUM THE HEALTH OF CHINESE AMERICANS: 1970 TO TODAY PRESENTED BY KATHY KO CHIN, PRESIDENT AND CEO ASIAN & PACIFIC ISLANDER AMERICAN HEALTH FORUM OUR MISSION The Asian & Pacific Islander American Health Forum

More information

Beth Glenn, PhD & Roshan Bastani, PhD. Studies funded by the National Cancer Institute (1P01 CA A1, 5R01CA )

Beth Glenn, PhD & Roshan Bastani, PhD. Studies funded by the National Cancer Institute (1P01 CA A1, 5R01CA ) Beth Glenn, PhD & Roshan Bastani, PhD Studies funded by the National Cancer Institute (1P01 CA109091-01A1, 5R01CA097199-04) Collaboration is a result of AANCART WA Seattle OR Sacramento San Francisco CA

More information

Increasing Hepatitis B Testing and Linkage to Care of Foreign-Born Asians, Sacramento, California,

Increasing Hepatitis B Testing and Linkage to Care of Foreign-Born Asians, Sacramento, California, Research Increasing Hepatitis B Testing and Linkage to Care of Foreign-Born Asians, Sacramento, California, 2012 2013 Julie H.T. Dang, MPH a Moon S. Chen, Jr., PhD, MPH a ABSTRACT Objective. Without medical

More information

Analyzing National, Institutional, Provider, & Patient Perspectives for Enhancing Minority Participation in Clinical Trials

Analyzing National, Institutional, Provider, & Patient Perspectives for Enhancing Minority Participation in Clinical Trials Analyzing National, Institutional, Provider, & Patient Perspectives for Enhancing Minority Participation in Clinical Trials Roundtable on Promotion of Health Equity & the Elimination of Health Disparities

More information

Sacramento Collaborative to Advance Testing and Care of Hepatitis B (SCrATCH B)

Sacramento Collaborative to Advance Testing and Care of Hepatitis B (SCrATCH B) Sacramento Collaborative to Advance Testing and Care of Hepatitis B (SCrATCH B) Duke LeTran COE Coordinator Office of Community Outreach and Engagement UC Davis Comprehensive Cancer Center Agenda Scope

More information

Hepatitis B Foundation Annual Progress Report: 2010 Formula Grant

Hepatitis B Foundation Annual Progress Report: 2010 Formula Grant Hepatitis B Foundation Annual Progress Report: 2010 Formula Grant Reporting Period July 1, 2011 December 31, 2011 Formula Grant Overview The Hepatitis B Foundation received $ 895 in formula funds for the

More information

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 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 information

Overview of Health Disparities in Arkansas

Overview 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 information

Developing Health Equity Indicators from a Place based Perspective Corina Chung, MS Epidemiologist Heather Arata, PhD Health Equity Consultant

Developing Health Equity Indicators from a Place based Perspective Corina Chung, MS Epidemiologist Heather Arata, PhD Health Equity Consultant Developing Health Equity Indicators from a Place based Perspective Corina Chung, MS Epidemiologist Heather Arata, PhD Health Equity Consultant Deborah van Olst, MPH Epidemiologist What is Health Equity?

More information

Promoting Hepatitis B Vaccination for Vietnamese Youth

Promoting Hepatitis B Vaccination for Vietnamese Youth Promoting Hepatitis B Screening for Vietnamese American Adults Tung T. Nguyen, M.D. Stephen J. McPhee, M.D. Susan Stewart, Ph.D. Ching Wong, B.S. Hy Lam Ginny Gildengorin, Ph.D. Project Leader Co-Investigator

More information

Indian CHRNA (Community Health Resources and Needs Assessment)

Indian CHRNA (Community Health Resources and Needs Assessment) (Community Health Resources and Needs Assessment) Between 2014 and 2015, the Center for the Study of Asian American Health collected 113 surveys in the Indian community in NYC in partnership with community

More information

REPORT MAKING CANCER SURVIVORSHIP CARE PLANS MORE INCLUSIVE OF ASIAN AMERICAN, NATIVE HAWAIIAN, AND PACIFIC ISLANDER COMMUNITIES

REPORT MAKING CANCER SURVIVORSHIP CARE PLANS MORE INCLUSIVE OF ASIAN AMERICAN, NATIVE HAWAIIAN, AND PACIFIC ISLANDER COMMUNITIES MAKING CANCER SURVIVORSHIP CARE PLANS MORE INCLUSIVE OF ASIAN AMERICAN, NATIVE HAWAIIAN, AND PACIFIC ISLANDER COMMUNITIES March 2017 TABLE OF CONTENTS ABOUT APIAHF & APINCSN...3 INTRODUCTION...4 METHODOLOGY...5

More information

Measuring Equitable Care to Support Quality Improvement

Measuring 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 information

Changing Patient Base. A Knowledge to Practice Program

Changing 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 information

Mai-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 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 information

Vietnamese CHRNA (Community Health Resources and Needs Assessment)

Vietnamese CHRNA (Community Health Resources and Needs Assessment) Vietnamese CHRNA (Community Health Resources and Needs Assessment) Between 2013 and 2015, the Center for the Study of Asian American Health (CSAAH) and Mekong NYC collected 103 surveys in the Vietnamese

More information

Status of Vietnamese Health

Status of Vietnamese Health Status of Vietnamese Health Santa Clara County, CALIFORNIA 2011 December 12, 2011 December 12, 2011 To Whom It May Concern: To the Residents of Santa Clara County: As part of my State of the County Address

More information

Quantitative Data: Measuring Breast Cancer Impact in Local Communities

Quantitative Data: Measuring Breast Cancer Impact in Local Communities Quantitative Data: Measuring Breast Cancer Impact in Local Communities Quantitative Data Report Introduction The purpose of the quantitative data report for the Southwest Florida Affiliate of Susan G.

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

Profile of DeKalb County

Profile of DeKalb County Profile of DeKalb County Figure 1: Population by Race, DeK alb County, 2012 Estimate Table 1: DeK alb County Population Profile Profile of DeKalb County POPULATION ESTIMATES According to the 2008 and 2012

More information

Language Access Services Policy and Health Care Interpreters. David Cardona, MD, MPH Language Access Services Coordinator

Language Access Services Policy and Health Care Interpreters. David Cardona, MD, MPH Language Access Services Coordinator Language Access Services Policy and Health Care Interpreters David Cardona, MD, MPH Language Access Services Coordinator Equity and Inclusion Presentation Overview Language Access Services Policy Definition

More information

City of Encinitas Housing Division Limited English Proficiency (LEP) Plan

City of Encinitas Housing Division Limited English Proficiency (LEP) Plan I. General Plan Statement City of Encinitas Limited English Proficiency (LEP) Plan The City of Encinitas created and adopted this plan to provide meaningful access to its programs and activities to individuals

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

2016 COUNTY HEALTH RANKINGS TWIGGS COUNTY

2016 COUNTY HEALTH RANKINGS TWIGGS COUNTY DATA REQUEST This data was requested by Dr. David Harvey, North Central Health District Health Director 2016 COUNTY HEALTH RANKINGS TWIGGS COUNTY Amber Erickson, MPH District Epidemiologist Table of Contents

More information

PHACS 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 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 information

Accelerating Uptake of the Human Papillomavirus (HPV) Vaccine in Inland Northern California

Accelerating Uptake of the Human Papillomavirus (HPV) Vaccine in Inland Northern California Accelerating Uptake of the Human Papillomavirus (HPV) Vaccine in Inland Northern California Julie Dang, PhD, MPH Administrative Director, Community Engagement and Outreach Duke LeTran, BS, Catrina Franco,

More information

Tuscarawas County Health Department

Tuscarawas County Health Department Tuscarawas County Health Department Community Health Needs Assessment 214 TUSCARAWAS COUNTY HEALTH DEPARTMENT Community Health Needs Assessment 214 Assessment Commissioned by: Dr. James Hubert D.O Health

More information

Wellness Coaching for People with Prediabetes

Wellness Coaching for People with Prediabetes Wellness Coaching for People with Prediabetes PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY Volume 12, E207 NOVEMBER 2015 ORIGINAL RESEARCH Wellness Coaching for People With Prediabetes: A Randomized Encouragement

More information

Chronic Disease Self-Management Program for AAPI Elders

Chronic Disease Self-Management Program for AAPI Elders Chronic Disease Self-Management Program for AAPI Elders The National Asian Pacific Center on Aging (NAPCA) is the nation s leading direct service and advocacy organization serving Asian Americans and Pacific

More information

Are You Ready to Sail. February 11, 2016

Are You Ready to Sail. February 11, 2016 Are You Ready to Sail your SHIP?! February 11, 2016 Acknowledgement and Disclaimer This webinar was supported by funds made available from the Centers for Disease Control and Prevention, Office for State,

More information

Ten Years Later: How Far Have We Come In Reducing Health Disparities?

Ten 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 information

FACILITATORS AND BARRIERS TO DIABETES EDUCATION IN HMONG IMMIGRANTS LIVING IN THE UNITED STATES

FACILITATORS AND BARRIERS TO DIABETES EDUCATION IN HMONG IMMIGRANTS LIVING IN THE UNITED STATES FACILITATORS AND BARRIERS TO DIABETES EDUCATION IN HMONG IMMIGRANTS LIVING IN THE UNITED STATES Investigator: Fay Mitchell-Brown, PhD, RN, CCRN Coinvestigator: Lynne Nemeth, PhD, RN, FAAN July 25, 2016

More information

Cambodian CHRNA (Community Health Resources and Needs Assessment)

Cambodian CHRNA (Community Health Resources and Needs Assessment) Cambodian CHRNA (Community Health Resources and Needs Assessment) Between 2013 and 2015, the Center for the Study of Asian American Health (CSAAH) and Mekong NYC collected 100 surveys in the Cambodian

More information

Engaging community leaders & youth in promoting smoke free policies for parks

Engaging community leaders & youth in promoting smoke free policies for parks Engaging community leaders & youth in promoting smoke free policies for parks October 31, 2012 APHA 140 th Annual Meeting & Expo Nicole Coxe, MPH(c), Janie Burkhart, MPH, Whitney Webber, MS, Tonya Veitch,

More information

HEALTH DISPARITIES IN KOREAN AMERICANS

HEALTH 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 information

Get Hip to Hep: Partnerships for Prevention

Get Hip to Hep: Partnerships for Prevention Get Hip to Hep: Partnerships for Prevention California Immunization Coalition Summit, Sacramento, May 3, 2010 Overview 1. Introduce the California Adult Viral Hepatitis Prevention Strategic Plan 2. Highlight

More information

Korean CHRNA (Community Health Resources and Needs Assessment)

Korean CHRNA (Community Health Resources and Needs Assessment) Korean CHRNA (Community Health Resources and Needs Assessment) Between November 2013 and August 2014, the Center for the Study of Asian American Health (CSAAH) collected 161 surveys in the Korean community

More information

California Colon Cancer Control Program (CCCCP)

California Colon Cancer Control Program (CCCCP) California Colon Cancer Control Program (CCCCP) Diane Keys, CCCCP Program Director Chronic Disease Control Branch MISSION OF THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH Dedicated to optimizing the health

More information

AFFORDABLE CARE ACT IMPLICATIONS AND OPPORTUNITIES FOR IMPROVING ENROLLMENT FOR HOMELESS POPULATIONS

AFFORDABLE CARE ACT IMPLICATIONS AND OPPORTUNITIES FOR IMPROVING ENROLLMENT FOR HOMELESS POPULATIONS AFFORDABLE CARE ACT IMPLICATIONS AND OPPORTUNITIES FOR IMPROVING ENROLLMENT FOR HOMELESS POPULATIONS Kevin Malone Substance Abuse and Mental Health Services Administration National Alliance to End Homelessness

More information

2014 Edition RHODE ISLAND

2014 Edition RHODE ISLAND 214 RHODE ISLAND America's Health Rankings is the longest running comparative health index of states. It uses measures of behavior, community and environment, policy, clinical care, and health outcomes

More information

2014 Edition TENNESSEE

2014 Edition TENNESSEE 214 TENNESSEE America's Health Rankings is the longest running comparative health index of states. It uses measures of behavior, community and environment, policy, clinical care, and health outcomes to

More information

Health System Members of the Milwaukee Health Care Partnership

Health System Members of the Milwaukee Health Care Partnership Health System Members of the Milwaukee Health Care Partnership Aurora Health Care Children s Hospital of Wisconsin Columbia St. Mary s Health System Froedtert Health Wheaton Franciscan Healthcare In Collaboration

More information

Feasibility and Acceptability of an English-as-a- Second Language Curriculum on Hepatitis B for Older Chinese American Immigrants

Feasibility and Acceptability of an English-as-a- Second Language Curriculum on Hepatitis B for Older Chinese American Immigrants JOURNAL OF HD RP Journal of Health Disparities Research and Practice Volume 2, Number 3, Fall 2008, pp. 121-133 2008 Center for Health Disparities Research School of Public Health University of Nevada,

More information

Demographics and Health Data

Demographics 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 information

Community Health Advisors- Utilizing Lay Navigators. Michael Bertram, PhD, MBA Associate Director for Administration

Community Health Advisors- Utilizing Lay Navigators. Michael Bertram, PhD, MBA Associate Director for Administration Community Health Advisors- Utilizing Lay Navigators Michael Bertram, PhD, MBA Associate Director for Administration Background & History Catchment Area Alabama 90% cancer patients Population 26.2% AA;

More information

Demographics and Health Data

Demographics 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 information

M.A.P. II. Monitoring and Assessment Project Executive Summary. Infectious Diseases. Chronic Diseases. Tarrant County Public Health

M.A.P. II. Monitoring and Assessment Project Executive Summary. Infectious Diseases. Chronic Diseases. Tarrant County Public Health M.A.P. II Monitoring and Assessment Project 2002-2004 Environmental Health Social & Mental Health Injuries Chronic Diseases County Maternal & Child Health Infectious Diseases County Public Health Safeguarding

More information

Communities and Universities Working Together to Reduce Cancer Disparities Symposium 2005 UCLA

Communities 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 information

Obesity and Breast Cancer Risk in Hispanics: Findings from the Breast Cancer Health Disparities Study

Obesity and Breast Cancer Risk in Hispanics: Findings from the Breast Cancer Health Disparities Study Obesity and Breast Cancer Risk in Hispanics: Findings from the Breast Cancer Health Disparities Study Esther M. John, PhD, MSPH Senior Research Scientist Cancer Prevention Institute of California AICR

More information

Health Profile Chartbook 2016 Kalkaska County

Health Profile Chartbook 2016 Kalkaska County Health Profile Chartbook 2016 Kalkaska County 2016 Chartbooks The 2016 Chartbooks provide a snapshot of the health status of the District Health Department #10 jurisdiction. Information is presented by

More information

Health Profile Chartbook 2016 Mecosta County

Health Profile Chartbook 2016 Mecosta County Health Profile Chartbook 2016 Mecosta County 2016 Chartbooks The 2016 Chartbooks provide a snapshot of the health status of the District Health Department #10 jurisdiction. Information is presented by

More information

PROPOSED MEASURABLE OBJECTIVES. STRATEGIC PRIORITY AREA 1: Educating Providers and Communities to Reduce Health Disparities

PROPOSED MEASURABLE OBJECTIVES. STRATEGIC PRIORITY AREA 1: Educating Providers and Communities to Reduce Health Disparities Hep B United Draft Strategic Plan (v2.4) Strategic Priority Areas: Educating Providers and Communities to Reduce Health Disparities Improving Testing and Linkage to Care to Prevent Hepatitis B- related

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

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

Reporting 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 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 information

Integrating Each Mind Matters in Your County

Integrating Each Mind Matters in Your County Integrating Each Mind Matters in Your County October 16, 2014 Compassion. Action. Change. Webinar Objectives Introduction: Technical Assistance Teams Programs and Campaign Overview Each Mind Matters TA

More information

Oklahoma City-County WELLNESS SCORE: occhd.org

Oklahoma City-County WELLNESS SCORE: occhd.org Oklahoma City-County WELLNESS SCORE: 2014 OKLAHOMA COUNTY HEALTH INDICATORS Indicators of Health Crime Built Environment Socioeconomic Accessibility Disease Burden Chronic Disease Infectious Disease Maternal

More information

An Opportunity for Community Health Workers April, 2018

An Opportunity for Community Health Workers April, 2018 An Opportunity for Community Health Workers April, 2018 Prevalence of diabetes and prediabetes CDC-recognized Diabetes Prevention Programs in Missouri Take It Back campaign YMCA s Diabetes Prevention Program

More information

HIV Interventions along the US-Mexico Border: The Southern California Border HIV/AIDS Project

HIV Interventions along the US-Mexico Border: The Southern California Border HIV/AIDS Project HIV Interventions along the US-Mexico Border: The Southern California Border HIV/AIDS Project Institute of Medicine Roundtable on Health Literacy January 26, 2006 Rosana Scolari Director of HIV Services

More information

Culturally Responsive Services for Asian American and Pacific Islander (AAPI) Student Success. By Matthew R. Mock, PhD

Culturally Responsive Services for Asian American and Pacific Islander (AAPI) Student Success. By Matthew R. Mock, PhD Culturally Responsive Services for Asian American and Pacific Islander (AAPI) Student Success Background By Matthew R. Mock, PhD Asian American communities are among the fastest growing in the United States.

More information

From the Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.

From the Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Epidemiologic Reviews Copyright ª 2007 by the Johns Hopkins Bloomberg School of Public Health All rights reserved; printed in U.S.A. Vol. 29, 2007 DOI: 10.1093/epirev/mxm007 Advance Access publication

More information

According to the Encompass Community Services website, the mission of Encompass is

According to the Encompass Community Services website, the mission of Encompass is Kymber Senes CHHS 496A 9/17/14 Organizational Analysis 1. Exercise 3.4 a. Briefly describe the mission or purpose of your agency. According to the Encompass Community Services website, the mission of Encompass

More information

WELCOME! The Science of Community Equity Symposium

WELCOME! The Science of Community Equity Symposium WELCOME! The Science of Community Equity Symposium The State of the Science in Cancer Trends Among the Underserved Beti Thompson, PhD The Science of Community Equity Symposium Fred Hutchinson Cancer Research

More information

Data Issues in Studying Small Populations Challenges, Opportunities, and a Case Study

Data Issues in Studying Small Populations Challenges, Opportunities, and a Case Study Data Issues in Studying Small Populations Challenges, Opportunities, and a Case Study Scarlett Lin Gomez, MPH, PhD Department of Epidemiology & Biostatistics, University of California, San Francisco A

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen RHODE ISLAND Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring

More information

CONTENTS. Preliminary Findings to Improve Colorectal Cancer Screening Practices Among Older Asian Americans. September 2015

CONTENTS. Preliminary Findings to Improve Colorectal Cancer Screening Practices Among Older Asian Americans. September 2015 Preliminary Findings to Improve Colorectal Cancer Screening Practices Among Older Asian Americans September 2015 CONTENTS 2 Who s Involved 3 Overview 4 What We ve Done 5 What We ve Found 6 7 What We re

More information

Knowledge of Colorectal Cancer Screening Guidelines and Intention to Obtain Screening Among Nonadherent Filipino, Hmong, and Korean Americans

Knowledge of Colorectal Cancer Screening Guidelines and Intention to Obtain Screening Among Nonadherent Filipino, Hmong, and Korean Americans Original Article Knowledge of Colorectal Cancer Screening Guidelines and Intention to Obtain Screening Among Nonadherent Filipino, Hmong, and Korean Americans Janice Y. Tsoh, PhD 1,2 ; Elisa K. Tong, MD

More information

DUPLICATION DISTRIBUTION PROHIBBITED AND. Utilizing Economic and Clinical Outcomes to Eliminate Health Disparities and Improve Health Equity

DUPLICATION DISTRIBUTION PROHIBBITED AND. Utilizing Economic and Clinical Outcomes to Eliminate Health Disparities and Improve Health Equity General Session IV Utilizing Economic and Clinical Outcomes to Eliminate Health Disparities and Improve Health Equity Accreditation UAN 0024-0000-12-012-L04-P Participation in this activity earns 2.0 contact

More information

Camden Citywide Diabetes Collaborative

Camden Citywide Diabetes Collaborative Camden Citywide Diabetes Collaborative The Camden Coalition of Healthcare Providers is an organization that seeks to improve the quality, capacity and accessibility of the health care system for vulnerable,

More information

Data Disaggregation to Inform Health Policy

Data Disaggregation to Inform Health Policy Data Disaggregation to Inform Health Policy Minh Wendt Data Policy Lead Division of Policy & Data Office of Minority Health Department of Health and Human Services The Report of the Secretary s Task Force

More information

Community Engagement to Improve Health Outcomes Adventist HealthCare Center for Health Equity & Wellness

Community Engagement to Improve Health Outcomes Adventist HealthCare Center for Health Equity & Wellness Community Engagement to Improve Health Outcomes 2017 Adventist HealthCare Center for Health Equity & Wellness Adventist HealthCare: 2017 Mission We extend God s care through the ministry of physical, mental

More information

Introduction Female Breast Cancer, U.S. 9/23/2015. Female Breast Cancer Survival, U.S. Female Breast Cancer Incidence, New Jersey

Introduction Female Breast Cancer, U.S. 9/23/2015. Female Breast Cancer Survival, U.S. Female Breast Cancer Incidence, New Jersey Disparities in Female Breast Cancer Stage at Diagnosis in New Jersey a Spatial Temporal Analysis Lisa M. Roche, MPH, PhD 1, Xiaoling Niu, MS 1, Antoinette M. Stroup, PhD, 2 Kevin A. Henry, PhD 3 1 Cancer

More information

517 Individuals 23 Families

517 Individuals 23 Families LATINO COMMUNITY CONNECTION Program Overview is a multi-layered program to provide behavioral health outreach, engagement, and prevention services in the Latino community. Canal Alliance, a trusted multi-service

More information

Physical Fitness Test (PFT) Student Data File Layout Tab- Delimited Text

Physical Fitness Test (PFT) Student Data File Layout Tab- Delimited Text Physical Fitness Test (PFT) Student Data File Layout Tab- Delimited Text New or Changed for 2017 18 All fields, types, lengths, or acceptable values remain unchanged for 2017 18. New or Changed for 2016

More information

Using Community-Based Participatory Methods to Address Problem Gambling with Asian Pacific Islanders

Using Community-Based Participatory Methods to Address Problem Gambling with Asian Pacific Islanders Using Community-Based Participatory Methods to Address Problem Gambling with Asian Pacific Islanders Jorge Wong, Ph.D. Tim Fong, M.D. Patricia Ramos, MFTI Kelly Chau, M.S. Historical Perspective July 2,

More information

Donna Tomky, MSN, C-ANP, CDE, FAADE Albuquerque, New Mexico

Donna Tomky, MSN, C-ANP, CDE, FAADE Albuquerque, New Mexico Donna Tomky, MSN, C-ANP, CDE, FAADE Albuquerque, New Mexico Presented in Collaboration with New Mexico Health Care Takes On Diabetes Discuss the burden and challenges prediabetes presents in New Mexico.

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

Population Percent C.I * 6.3% ± * 20.7% ± % ± * 54.2% ± and older * 59.3% ± 2.9.

Population Percent C.I * 6.3% ± * 20.7% ± % ± * 54.2% ± and older * 59.3% ± 2.9. Overview Why Is This Indicator Important? High cholesterol is one of the leading risk factor for heart disease and stroke, the1st and 3 rd leading causes of death in US. How Are We Doing? In 1, 32% Hennepin

More information

Table of Contents. 2 P a g e. Susan G. Komen

Table of Contents. 2 P a g e. Susan G. Komen NEW HAMPSHIRE Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring

More information

Arthritis. Prevalence and Impact of. Among Utah s Hispanic/Latinos and Non-Hispanic/Latino Whites

Arthritis. Prevalence and Impact of. Among Utah s Hispanic/Latinos and Non-Hispanic/Latino Whites Prevalence and Impact of Arthritis Among Utah s s and Non- Whites Utah Department of Health Bureau of Health Promotion Arthritis Program Acknowledgements This project was funded by the Centers for Disease

More information

Kate Moraras Director Hep B United

Kate Moraras Director Hep B United Kate Moraras Director Hep B United HEP B UNITED A National Coalition to Address and Eliminate Hepatitis B Kate Moraras, MPH Hepatitis B Foundation AAPCHO Summit May24, 2016 The Growing Momentum to Address

More information

To reduce the risk of cardiovascular disease and diabetes among Oklahoma state employees.

To reduce the risk of cardiovascular disease and diabetes among Oklahoma state employees. E Nancy A. Haller, MPH, CHES, Manager, State Wellness Program M PLOYEES To reduce the risk of cardiovascular disease and diabetes among Oklahoma state employees. To suspend or decrease the rising costs

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

My Journey. Taking It to the Streets: Breast Cancer Advocacy in Your Community and Beyond. Community Health Activist

My Journey. Taking It to the Streets: Breast Cancer Advocacy in Your Community and Beyond. Community Health Activist Taking It to the Streets: Breast Cancer Advocacy in Your Community and Beyond Susan Matsuko Shinagawa Cancer Thriver & Community Health Activist Co-Founder & Past Chair, Asian & Pacific Islander National

More information

know how often they should get checked for breast cancer?

know how often they should get checked for breast cancer? Section 1 Breast Health Perspectives: These questions ask about general points of view on common breast health practices. 1.1. What do you think is the right age for people to start getting clinical breast

More information

Community Health Needs Assessment (CHNA)

Community 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 information

STEPPING UP YOUR EFFORTS TO REDUCE MENTAL ILLNESS IN JAILS. February 2019

STEPPING UP YOUR EFFORTS TO REDUCE MENTAL ILLNESS IN JAILS. February 2019 STEPPING UP YOUR EFFORTS TO REDUCE MENTAL ILLNESS IN JAILS February 2019 Speaker: Nastassia Walsh Nastassia Walsh Program Manager, County Solutions and Innovation National Association of Counties #StepUp4MentalHealth

More information

Perceptions of Obesity Risk & Prevention in Chinese Americans

Perceptions of Obesity Risk & Prevention in Chinese Americans Perceptions of Obesity Risk & Prevention in Chinese Americans Dr. Doreen Liou Dr. Kathleen Bauer Montclair State University Department of Health & Nutrition Sciences Montclair, New Jersey Obesity is a

More information

CMS 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 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 information

It Takes a Community to Eliminate Obesity and Diabetes Disparities: The PILI Ohana Project

It Takes a Community to Eliminate Obesity and Diabetes Disparities: The PILI Ohana Project It Takes a Community to Eliminate Obesity and Diabetes Disparities: The PILI Ohana Project J. Keawe aimoku Kaholokula, PhD Department of Native Hawaiian Health John A. Burns School of Medicine University

More information

Straub Clinic and Hospital Implementation Strategy Plan. May 2013

Straub Clinic and Hospital Implementation Strategy Plan. May 2013 Straub Clinic and Hospital Implementation Strategy Plan May 2013 Table of Contents 1 Introduction... 1 2 Community Served by Straub Clinic and Hospital... 2 3 Community Benefit Planning Process... 3 3.1

More information

The Global Agenda for the Prevention of Diabetes: Research Opportunities

The Global Agenda for the Prevention of Diabetes: Research Opportunities The Global Agenda for the Prevention of Diabetes: Research Opportunities William H. Herman, MD, MPH Stefan S. Fajans/GlaxoSmithKline Professor of Diabetes Professor of Internal Medicine and Epidemiology

More information

Hmong American Elders

Hmong American Elders Mental Health Aspects of Diabetes in Elders from Diverse Ethnic Backgrounds Hmong American Elders Prepared by: Sharon Waller, PhD, MDiv Based on work by: Sharon Waller, PhD, MDiv; Caroline Fee, MA Background

More information

birthplace and length of time in the US:

birthplace and length of time in the US: Cervical cancer screening among foreign-born versus US-born women by birthplace and length of time in the US: 2005-2015 Meheret Endeshaw, MPH CDC/ASPPH Fellow Division Cancer Prevention and Control Office

More information

Himalayan CHRNA (Community Health Resources and Needs Assessment)

Himalayan CHRNA (Community Health Resources and Needs Assessment) Himalayan CHRNA (Community Health Resources and Needs Assessment) Between November 2013 and August 2014, the Center for the Study of Asian American Health (CSAAH) collected 156 surveys in the Himalayan

More information

Addressing barriers and facilitators accessing treatment and retention in care among HIV-positive Mexican MSM

Addressing barriers and facilitators accessing treatment and retention in care among HIV-positive Mexican MSM Addressing barriers and facilitators accessing treatment and retention in care among HIV-positive Mexican MSM Robyn Schweizer MSW, Bienestar Human Services, rschweizer@bienestar.org Jeff Bailey MPH, APLA

More information

Peer Partner Program Steering Committee Presentation

Peer Partner Program Steering Committee Presentation Peer Partner Program Steering Committee Presentation February 16, 2012 Sacramento County Division of Behavioral Health Services Hmong Women s Heritage Association Mental Health America of Northern CA 1

More information

Diabetes Disparities in the African- American Community

Diabetes 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 information