The Challenge of Disparate Health Outcomes in New Jersey
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1 The Challenge of Disparate Health Outcomes in New Jersey Denise V. Rodgers, MD, FAAFP RBHS Vice-Chancellor for Interprofessional Programs Professor, RWJMS Department of Family Medicine and Community Health
2 New Jersey Population by Race TOTAL 8,899, % WHITE 5,126, % BLACK 1,308, % ASIAN 818, % HISPANIC 1,681, %
3 Report of the Task Force on Black and Minority Health DHHS
4 Causes of Excess Mortality Cancer Cardiovascular Disease and Stroke Chemical Dependency (cirrhosis) Diabetes Homicide and Accidents Infant Mortality HIV/AIDS
5 LIFE EXPECTANCY AT BIRTH 1983 White Black United States Report of the Secretary s Task Force on Black and Minority Health
6 LIFE EXPECTANCY AT BIRTH 2010 White Black New Jersey United States Kaiser Family Foundation kff.org
7 Leading Causes of Death in NJ, 2010 Heart Disease 26.9% 18,642 Cancer 24.2% 16,758 Stroke 4.9% 3,389 CLRD 4.5% 3,098 Unintentional Injury 3.5% 2,454 Diabetes 3.0% 2,090 Alzheimer's Disease 2.7% 1,871 Septicemia 2.4% 1,657 Kidney Disease 2.3% 1,576 Influenza and 1.6% 1,125 Pneumonia All Other Causes 24.0% 16,591 www4.state.nj.us/dhss-shad
8 Age-Adjusted Death Rates by Race/Ethnicity New Jersey 2010 (Deaths per 100,000) Cause White Black Hispanic Asian ALL HEART DIS STROKE CANCER DIABETES www4.state.nj.us/dhss-shad
9 Age-Adjusted Death Rates by Race/Ethnicity New Jersey 2010 (Deaths per 100,000) Cause White Black Hispanic Asian INFANT MORTALITY 2.6/ / / /1000 HIV/AIDS *** HOMICIDE *** ACCIDENTS www4.state.nj.us/dhss-shad
10 Factors Contributing to Health Disparities Socioeconomic Status/Income Education Insurance Status Individual Behaviors Health Beliefs/Culture
11 Factors Contributing to Health Disparities Socioeconomic Status/Income Education Insurance Status Individual Behaviors Health Beliefs/Culture
12 Median Household Income by Race/Ethnicity in New Jersey Asian $101,057 White $80,402 Hispanic $45,843 Black $45, 239
13 Factors Contributing to Health Disparities Socioeconomic Status/Income Education Insurance Status Individual Behaviors Health Beliefs/Culture
14 High School Graduation Rates in Selected Cities in New Jersey ( ) Camden 55.32% Haddonfield 97.7% New Brunswick 60.26% East Brunswick 96.5% Newark 66.58% Livingston 97.55
15 Life Expectancy at age 25, by sex and education United States 2006 Men Without a High School Diploma 47 years Men With a HS Diploma or GED 51 years Men With Some College 52 years Men With a Bachelor s Degree or higher 56 years
16 Life Expectancy at age 25, by sex and education United States 2006 Women Without a High School Diploma 52 years Women With a HS Diploma or GED 57 years Women With Some College 58 years Women With a Bachelor s Degree or higher 60 years
17 Factors Contributing to Health Disparities Socioeconomic Status/Income Education Insurance Status Individual Behaviors Health Beliefs/Culture
18
19 The foundation report said that in September, about 21 percent of New Jerseyans age were uninsured. It was down to about 13 percent in early March. Susan K. Livio in the Star Ledger 5/23/14 reporting on data from the Rutgers Center for State Health Policy
20 Factors Contributing to Health Disparities Socioeconomic Status/Income Education Insurance Status Individual Behaviors Health Beliefs/Culture
21 Contributors to Mortality in the US in 1990 Tobacco Use Diet and Activity Alcohol Microbial Agents Toxins Firearms Sexual Behavior Motor Vehicle Accidents Illicit Drugs McGinnis JM, Foege WH. JAMA 1993;270(18):
22 HEALTH LITERACY
23 Low health literacy is a stronger predictor of a person s health than age, income, employment status, education level, and race. AMA Health Literacy Education Toolkit, 2nd edition
24 Low health literacy is estimated to cost the US health care system between $50 and $73 billion annually. AMA Health Literacy Education Toolkit, 2nd edition
25 The Effect of Hurricane Sandy on Cardiovascular Events in New Jersey J Am Heart Assoc. 2014;3:e001354
26 In the 2 weeks following Hurricane Sandy, there were increases in the incidence of, and 30-day mortality from, MI and in the incidence of stroke. J Am Heart Assoc. 2014;3:e001354
27 What is the health impact of the stress associated with persistent poverty in the face of a culture of violence?
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