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1、AddressingDisparityin HealthandHealthCarefor RacialandEthnicMinorities:AnInternalAssessment–HealthServiceDeliveryCarlaHayden,R.N.,M.B.A,Director,OfficeOfMinorityHealthMichelleL.Groux,M.P.H,Epidemiologist,OfficeofAssessmentandSurveillanceManishaH.Maskay,Ph.D.,Director,DivisionofPlanning&Prepa
2、rednessTheContextand ...theMandateDisparitiesinhealthstatus,healthcareandhealthoutcomes:existareunacceptable,andmustbeeliminated!Thejourneytoeliminatedisparities…Isanongoingprocess–notadiscreteeventRequirescollaborationfrommanypartnersMustbeevaluatedregularlytoassureprogressassessimpactident
3、ifygaps,strengths&opportunitiescelebratesuccessesHealthCareRacismHousingEmployment/SESEducationRacialandEthnicHealthDisparityCirclesofInfluenceIndividualRacial/EthnicHealthDisparitySadly,healthdisparitieshaveexistedforfartoolong…Racialandethnichealthdisparitieshavebeendocumentedforoveracentu
4、ry.Intheearly1900’s,Dr.BookerT.Washington,alongwithotherAfricanAmericanleaders,notedpoorerhealthstatusforAfricanAmericansaswellasalinkbetweenhealthstatusandsocialandeconomicwell-being.Racial&EthnicHealthDisparities-ColumbusAsinotherU.S.urbanareas-disparitiesinhealthstatusandoutcomesarepersis
5、tent&insomecasesareincreasing:InfantmortalityLowbirthweightDiabetesprevalence&mortalitySexuallytransmitteddiseasesMortality–per100,000AfricanAmericanCaucasianAllCausesofDeath1,212927HeartDisease319261Cancer264218Stroke8966ProstateCancer8526Diabetes7629Hypertension/hypertensiverenaldisease225
6、Homicide194InfantMortality(deathsper1,000livebirths)157HIVdisease103Source:ODH,VitalStatistics’99-’01(DeathsandBirths)2002FranklinCountyHealthAssessment(Behaviordata)HealthDisparitiesColumbusHealthIssuesAfricanAmericanCaucasianNewcasesper100,000Syphilis191Prevalence–%ofpopulationOverweight(a
7、dult)6855HighBloodPressure(adult)3726Foodinsecurity(adult)125Diabetes(adult)96InadequatePrenatalCare(livebirths)2111Birthweightoflessthan5.5lbs(livebirths)127TeenBirths--momlessthan18(livebirths)62Source:ODH,VitalStatistics’99-’01(DeathsandBirths)2
