Women s Health at Risk. A report on the status of women s health in New Jersey

Transcription

1 Women s Health at Risk A report on the status of women s health in New Jersey May 2015

2 New Jersey Women s Reproductive Health Overview As more New Jersey residents gained access to insurance through the Affordable Care Act (ACA), 2014 marked the beginning of many great strides for women s health care. Within the first year of open enrollment, 161,775 New Jersey residents were able to select health insurance plans through the Marketplace, and 53% of those residents were women. 1 Over 29 million women in the US, and 869,000 women in NJ are now able to receive expanded preventive services with no co-pay, including birth control, cancer screenings, and annual well-woman exams. 2 Although the Affordable Care Act has created additional coverage opportunities for women, it is estimated that 693,000 New Jersey residents will remain uninsured, and 1.1 million women are in need of contraceptive services and supplies. 3,4 While the Affordable Care Act has proven beneficial for NJ women, the need for reproductive and other preventive health care is still a concern for many NJ residents. This report provides an overview of the status of women s health in NJ, which demonstrates that there is still a demand for basic, preventive health care in the state. Planned Parenthood is working not only to protect access to quality, affordable health care for our patients, but also to expand access to comprehensive health care, including reproductive care, to all NJ residents. 1

3 Status of Women s Health in New Jersey Total cases of females living with HIV/AIDS through Bacterial STD cases among females, ,7,8 * 12,460 24,269 Breast and cervical cancer cases, ** Unintended pregnancies, ,470 97,000 Births to mothers age 10-19, Number of women (18-54) without health insurance, , ,767 (18%) Spotlight: Contraception Women in New Jersey need access to contraception now more than ever. It is estimated that 1,103,770 women in Women (age 13-44) New Jersey are in need of contraceptive in need of contraceptive services services and supplies. 13 In 2010, Governor and supplies 13 Chris Christie cut $7.4 million in funding for family planning services in New Jersey. Four years later that is over $30 million 1,103,770 critically needed to keep New Jersey families healthy. This investment not only helps women access contraceptive services, but also helps them avoid sexually transmitted infections, cervical cancer, and unintended pregnancies. *Chlamydia, gonorrhea, syphilis **Breast and cervical cancer cases combined from New Jersey Cancer Registry 2

4 Spotlight: Health Disparities The U.S. Census Bureau estimates that in New Jersey, 18% of women are Hispanic/Latina and 13% of women are Black. 14 However, women of color represent a disproportionate number of New Jersey residents suffering from lack of access to health care. In New Jersey, it is estimated that 167,490 Black women, and 232,400 Hispanic/Latino women are in need of contraceptive services and supplies, and minority women suffer disproportionately from HIV/AIDS. 15 Ensuring high-quality health care means eliminating obstacles blocking health care access and treatment, and proactively seeking to ensure that all women have access to medical care and the information they need. Spotlight: HIV/AIDS 64% of women with HIV/AIDS in New Jersey are Black 16 4 out of 5 women with HIV/AIDS in New Jersey are minorities 17 18% of New Jersey residents with HIV/AIDS are Hispanic/Latina women 18 Health status by race/ethnicity White, non-hispanic Black, non-hispanic Hispanic Asian Percent of women in NJ % 13.36% 18.32% 9.04% Reported STD cases in women 20,21,22 * 2,127 6,440 3, Births to teen mothers ,730 2, Female cases HIV/AIDS as of 1,814 7,522 2, ,25,26,27 Breast cancer incidence rate 28 7,288 1, Women needing contraceptive 567, , ,400 n/a services 29 *Breast cancer incidence rate includes numbers for White and Black rather than White, non-hispanic and Black, non-hispanic 3

5 Women s Health Across New Jersey County Number of uninsured females (18-54) 30 Percent of uninsured females (18-54) 30 Total cases of females living with HIV/AIDS 31 Bacterial STD cases 32,33,34 * Births to teen mothers 35 Breast & cervical cancer cases 36 ** Women age in need of contraceptive services and supplies 37 Atlantic 14,419 21% 420 1, ,920 Bergen 37,277 16% 482 1, , ,320 Burlington 10,184 9% 227 1, ,950 Camden 21,615 17% 571 2, ,580 Cape May 2,493 13% ,390 Cumberland 7,804 21% ,900 Essex 47,329 23% 3,872 4, ,640 Gloucester 8,355 11% ,460 Hudson 51,715 27% 1,402 1, ,880 Hunterdon 2,324 8% ,840 Mercer 15,163 16% 512 1, ,170 Middlesex 34,134 16% 770 1, ,950 Monmouth 23,540 15% 630 1, ,690 Morris 12,815 10% ,530 Ocean 18,442 15% ,450 Passaic 32,942 25% 1,008 2, ,240 Salem 2,671 17% ,620 Somerset 9,593 12% ,460 Sussex 4,770 13% ,360 Union 35,467 25% 1,001 1, ,340 Warren 3,715 14% ,450 State Total 396,767 N/A 12,176 24,270 5,342 9,404 1,112,140 *Chlamydia, gonorrhea, syphilis **Breast and cervical cancer cases combined from New Jersey Cancer Registry 4

6 Sources 1. Department of Health and Human Services USA Addendum to the Health Insurance Marketplace Summary Enrollment Report for the Initial Annual Open Enrollment Period Department of Health and Human Services USA Increased Coverage of Preventive Services with Zero Cost Sharing Under the Affordable Care Act Health Affairs Blog The Uninsured After Implementation of the Affordable Care Act: A Demographic and Geographic Analysis. healthaffairs.org/blog/2013/06/06/the-uninsured-after-implementation-of-the-affordable-care-act-a-demographic-and-geographic-analysis/ 4. Guttmacher Institute Contraceptive Needs and Services, 2012 Update Female NJ Residents at Diagnosis: HIV/AIDS Cases Reported as of December 31, Sexually Transmitted Disease Program Reported Chlamydia Cases in New Jersey for 2013 Broken Down By County, Gender, and Age. state.nj.us/health/std/stdstats/stdstats2013/chlamydia_county_gender_agegroup.pdf 7. Sexually Transmitted Disease Program Reported Gonorrhea Cases in New Jersey for 2013 Broken Down By County, Gender, and Age Group Sexually Transmitted Disease Program Reported Syphilis Cases in New Jersey for 2013 Broken Down By County, Gender, and Age Group New Jersey Cancer Registry Guttmacher Institute. State Facts about Unintended Pregnancy New Jersey State Department of Health. Query Results for New Jersey Birth Data. BirthCnty/Count.html 12. PPAFNJ analysis of 2013 Census data Guttmacher Institute Contraceptive Needs and Services, 2012 Update County Characteristics Datasets: Annual County Resident Population Estimates by Age, Sex, Race, and Hispanic Origin: April 1, 2010 to July 1, Estimate, Guttmacher Institute Contraceptive Needs and Services, Detailed County Tables WIN-2010-NewJersey.pdf 16. HIV/AIDS Among African Americans in New Jersey HIV/AIDS Among Women in New Jersey, Latinos in New Jersey, an HIV/ AIDS Snapshot United States Census Bureau. New Jersey State and County Quick Facts Sexually Transmitted Disease Program Reported Chlamydia Cases in New Jersey for 2013 Broken Down By County, Gender, and Race/Ethnicity Sexually Transmitted Disease Program Reported Gonorrhea Cases in New Jersey for 2013 Broken Down By County, Gender, and Race/Ethnicity Sexually Transmitted Disease Program Reported Syphilis Cases in New Jersey for 2013 Broken Down By County, Gender, and Race/Ethnicity New Jersey State Department of Health. Query Results for New Jersey Birth Data. BirthCnty/Count.html 24. White Not Hispanic NJ Residents at Diagnosis: HIV/AIDS Cases Reported as of 12/31/ documents/whitenothispanic.pdf 25. Black Not Hispanic NJ Residents at Diagnosis: HIV/AIDS Cases Reported as of 12/31/ documents/blacknothispanic.pdf 26. Hispanic NJ Residents at Diagnosis: HIV/AIDS Cases Reported as of December 31, documents/hispanic.pdf 27. Asian/Pacific Islander NJ Residents at Diagnosis: HIV/AIDS Cases Reported as of 12/31/ popgroups/documents/asianpacificislander.pdf 28. New Jersey Cancer Registry, Guttmacher Institute Contraceptive Needs and Services, PPAFNJ analysis of 2013 Census data State of New Jersey Department of Health HIV, STD, and TB Services, County and Municipal Statistics. repa/aidsdata.shtml 32. Sexually Transmitted Disease Program Reported Chlamydia Cases in New Jersey for 2013 Broken Down By County, Gender, and Age Group Sexually Transmitted Disease Program Reported Gonorrhea Cases in New Jersey for 2013 Broken Down By County, Gender, and Age Sexually Transmitted Disease Program Reported Syphilis Cases in New Jersey for 2013 Broken Down By County, Gender, and Age. state.nj.us/health/std/stdstats/stdstats2013/primary_and_2nd_syph_cases.pdf 35. New Jersey State Department of Health. Query Results for New Jersey Birth Data. BirthCnty/Count.html 36. New Jersey Cancer Registry Guttmacher Institute Contraceptive Needs and Services, 2010 County-level Table Maker. Report researched and written by Valisha Andrus, Rebecca Barson, Jessica O Hanlon and Casey Olesko. 5

7 For more information on Planned Parenthood Action Fund of New Jersey, please visit