Webb County


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Presented at the University of Texas Health Science Center at San Antonio on April 22, 2008.

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Webb County

  1. 1. Webb County Libraries Health Information Resources Jennifer Kuca, MLS
  2. 2. Presentation Overview <ul><li>Federal Health Disparity Initiatives </li></ul><ul><li>Webb County Profile </li></ul><ul><li>Health Information Resources for the Laredo Population </li></ul><ul><li>Additional Issues for Librarians Providing Health Information </li></ul>
  3. 3. Racial and Ethnic Health Disparities <ul><li>A report from the Institutes of Medicine, entitled Unequal Treatment—Confronting Racial and Ethnic Disparities in Health Care (released March 20, 2002) , points out that minorities often experience a lower quality of health services and, as a result, have higher mortality rates. </li></ul><ul><li>Source: http://healthlit.org/pdfs/Brochure.pdf </li></ul>
  4. 4. Federal Health Disparity Initiatives <ul><li>U.S. Department of Health and Human Services’ Office of Minority Health Resource Center http://www.omhrc.gov/ </li></ul><ul><li>Established in 1986, the Office of Minority Health aims to improve and protect the health of racial and ethnic minority populations through the development of health policies and programs that will eliminate health disparities. </li></ul><ul><li>Source: http://www.omhrc.gov/templates/browse.aspx?lvl=1&lvlID=7 </li></ul>
  5. 5. Federal Health Disparity Initiatives <ul><li>Center for Disease Control’s Office of Minority Health and Health Disparities (OMHD) http://www.cdc.gov/omhd/ </li></ul><ul><li>The OMHD aims to accelerate CDC’s health impact in the U.S population and to eliminate health disparities for vulnerable populations as defined by race/ethnicity, socio-economic status, geography, gender, age, disability status, risk status related to sex and gender, and among other populations identified to be at-risk for health disparities. </li></ul><ul><li>Source: http://www.cdc.gov/omhd/About/about.htm </li></ul>
  6. 6. Federal Health Disparity Initiatives <ul><li>National Center on Minority Health and Health Disparities (NCMHD) http://ncmhd.nih.gov </li></ul><ul><li>The NCMHD aims to promote minority health and to lead, coordinate, support, and assess the NIH effort to reduce and ultimately eliminate health disparities. They conduct and support basic, clinical, social, and behavioral research, promote research infrastructure and training, foster emerging programs, disseminate information, and reach out to health disparity communities. </li></ul><ul><li>Source: http://ncmhd.nih.gov/about_ncmhd/mission.asp </li></ul>
  7. 7. The Role of Public Libraries <ul><li>Public librarians can encourage minority populations to use their health information resources and increase the awareness that materials are available in multiple languages free of charge. </li></ul>
  8. 8. Goals <ul><li>Health Promotion </li></ul><ul><li>Disease Management </li></ul><ul><li>Patient Safety </li></ul><ul><li>Health Literacy </li></ul>
  9. 9. Health Information Needs <ul><li>Health information is important in every community. The public should have access to accurate, reliable health information. </li></ul><ul><li>Focus on improving Health Literacy by providing medical information for users of all ages, literacy, and language skills. </li></ul><ul><li>To meet the needs of the community it is important to have basic health information, such as that found in general medical reference works. It is also necessary to have materials that cover specific health topics. </li></ul>
  10. 10. Webb County Profile Learn what your community needs and supply that information
  11. 11. Webb County Demographics <ul><li>Census Population: 221,694 </li></ul><ul><li>Population Rank Among Texas’ 254 Counties: 20 </li></ul><ul><li>Population Per Square Mile: 66.0 </li></ul><ul><li>Area in Square Miles: 3,356.8 </li></ul><ul><li>Source: http://www.dshs.state.texas.us/chs </li></ul>
  12. 12. Population Statistics
  13. 13. Ethnic Distribution
  14. 14. Webb County Demographics <ul><li>94.7% of Webb county is Hispanic. This illustrates the need for bilingual health information resources. </li></ul><ul><li>Percentage of county living below poverty (26.8%) exceeds state rate (16.2%). </li></ul><ul><li>Source: http://www.dshs.state.texas.us/chs </li></ul>
  15. 15. Health Statistics Greater than State Rate Lower than State Rate Medicaid covered births Gonorrhea and Chlamydia Births to adolescent mothers AIDS Late or no prenatal care Death from heart disease Tuberculosis Death from stroke Hepatitis A Death from lung cancer Varicella (chickenpox) Motor vehicle injury Death from diabetes Infant deaths Fetal deaths
  16. 16. Health Information Needs Continued <ul><li>Health materials need to be in Spanish and English for the members of the community. </li></ul><ul><li>There should be materials on pregnancy, both for women and girls (18 or younger). </li></ul><ul><li>Materials specific to children, teenagers, adults, men, and women, should be included. </li></ul><ul><li>Materials should also be found on tuberculosis and hepatitis A for all age ranges. </li></ul><ul><li>Varicella (chickenpox) and diabetes materials for both types will be needed. </li></ul><ul><li>Materials on death should also be available, including materials on fetal deaths for parents and their children. </li></ul>
  17. 17. Health Information Resources For the Laredo Population
  18. 18. Healthy People 2010 Library Project <ul><li>Designed by the American Association for the Advancement of Science (AAAS) to provide minorities and other consumers seeking health information at their public libraries with the latest medical information in accessible and easily understandable formats. ( http://www.healthlit.org ) </li></ul><ul><li>Source: http://ehrweb.aaas.org/PDF/ChallengePubLibraries.pdf </li></ul>
  19. 19. Healthy People 2010 Library Project <ul><li>The Web site ( http://www.healthlit.org ) provides </li></ul><ul><li>Current research results from the Project </li></ul><ul><li>Links to evidence-based medical information Web sites </li></ul><ul><li>A place to share ideas and solutions among librarians </li></ul><ul><li>Electronic versions of all Project materials (“toolkit” with outreach materials and ideas) </li></ul>
  20. 20. MedlinePlus.gov <ul><li>Offered by the National Library of Medicine </li></ul><ul><li>MedlinePlus in Español: http://medlineplus.gov/spanish/ </li></ul><ul><li>MedlinePlus Go Local: South Texas </li></ul><ul><li>http://apps.nlm.nih.gov/medlineplus/local/southtexas/homepage.cfm?areaid=43 </li></ul><ul><li>Resources for Hispanic-American Health </li></ul><ul><li>http://www.nlm.nih.gov/medlineplus/hispanicamericanhealth.html </li></ul>
  21. 21. CDC.gov <ul><li>Offered by the Centers for Disease Control and Prevention </li></ul><ul><li>National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention </li></ul><ul><li>http://www.cdc.gov/nchhstp/ </li></ul><ul><li>Centers for Disease Control en Español http://www.cdc.gov/spanish </li></ul>
  22. 22. Additional Issues <ul><li>Public librarians face additional issues when providing patrons with information to make health care decisions. </li></ul>
  23. 23. The Joint Commission <ul><li>Far too often, ordinary citizens are placed at risk for unsafe care because important health care information is communicated using medical jargon and unclear language that exceeds their literacy skills. This is according to a call to action released by the Joint Commission in its recent public policy white paper, “’What Did the Doctor Say?’: Improving Health Literacy to Protect Patient Safety.&quot;   </li></ul><ul><li>Source: http://www.jointcommission.org/NewsRoom/NewsReleases/hl_020607.htm </li></ul>
  24. 24. Evaluating Online Resources <ul><li>The quality of health information on the Internet varies, and must be evaluated to confirm that it is current, reliable, and unbiased. Internet usage among consumers is growing. Librarians can help them evaluate the information they find, and guide users to easy-to-read information. </li></ul>
  25. 25. Evaluation of Information <ul><li>Scope </li></ul><ul><li>Accuracy </li></ul><ul><li>Authority </li></ul><ul><li>Currency </li></ul><ul><li>Purpose </li></ul><ul><li>Organization, Structure, and Design </li></ul>
  26. 26. Evaluating Health Information <ul><li>MedlinePlus: Evaluating Health Information (Available in English and Spanish) </li></ul><ul><li>http://www.nlm.nih.gov/medlineplus/evaluatinghealthinformation.html </li></ul>
  27. 27. Evaluating Health Information <ul><li>MedlinePlus: Guide to Healthy Web Surfing </li></ul><ul><li>http://www.nlm.nih.gov/medlineplus/healthywebsurfing.html </li></ul><ul><li>NLM Tutorial: Evaluating Internet Health Information </li></ul><ul><li>http://www.nlm.nih.gov/medlineplus/webeval/webeval.html </li></ul><ul><li>NN/LM: Is This Health Information Good for Me? </li></ul><ul><li>http://nnlm.gov/pnr/hip/criteria.html </li></ul>
  28. 28. Questions or Comments? Jennifer Kuca, MLS [email_address]