Latinos in the U.S. and Northeast Florida: A Health Overview Dr. Judith C. Rodriguez, RD, University of North Florida Mr. ...
National, state, and local health data Action Models and Initiatives Discussion
National Health Data <ul><li>Why?  </li></ul><ul><li>Health status affects quality of life </li></ul><ul><li>Poor health i...
Hispanics/Latinos…and Health <ul><li>Many disease risk factors can be decreased </li></ul><ul><li>Need culturally appropri...
Leading Causes of Death –  Overall, U.S., 2002 <ul><li>heart disease: 696,947 </li></ul><ul><li>cancer: 557,271 </li></ul>...
Hispanic Health Issues <ul><li>Heart disease </li></ul><ul><li>Diabetes </li></ul><ul><li>Overweight and obesity </li></ul...
Leading Causes of Death for Hispanics, Duval County 2001-03 <ul><li>Heart Disease (n= 71) </li></ul><ul><li>Cancer (n=57) ...
Selected Death Rates by Race/Ethnicity, Duval County Source: FDOH, Office of Vital Statistics, 2001-2003 Source Hispanic P...
Health Issues - Cardiovascular Disease <ul><li>For Hispanics, too, heart disease the primary cause of  mortality/death </l...
Health Issues - Cardiovascular Disease <ul><li>Percent of total deaths </li></ul><ul><ul><li>28% of male deaths </li></ul>...
Health Issues - Cardiovascular Disease <ul><li>Death Rates for CVD </li></ul><ul><li>1980 1990 1995-97 </li></ul><ul><li>A...
Health Issues - Cardiovascular Disease <ul><li>Serum Cholesterol </li></ul><ul><li>1988-94 1988-94 </li></ul><ul><li>Both ...
 
Health Issues - Hypertension <ul><li>  1976-80   1988-94 </li></ul><ul><li>Both sexes, age adj 39.0 23.1 </li></ul><ul><li...
Healthy People 2010 Goals <ul><li>12-Heart Disease and Stroke </li></ul><ul><ul><li>12-1  Reduce coronary heart disease de...
Discussion <ul><li>What are your experiences related to Hispanics and CVD in the NE Florida area? </li></ul>
Health Issues - Diabetes <ul><li>About one third of total diabetes among Hispanic Americans is undiagnosed (NHANES III; ww...
Health Issues - Diabetes
Health Issues - Diabetes Based on 1997 American Diabetes Association criteria % of population 20% 12% 10% 12%
Healthy People 2010 Goals <ul><li>5-2  Prevent Diabetes </li></ul><ul><ul><li>Baseline- 3.5 new cases of diabetes per 1,00...
Discussion <ul><li>What are your experiences related to Hispanics and diabetes in the NE Florida area? </li></ul>
Health Issues - Overweight and Obesity <ul><li>  Healthy wt  Overwt  Obesity  Overwt* </li></ul><ul><li>Both sexes 41.7 54...
Health Issues - Overweight and Obesity <ul><li>  Healthy wt  Overwt  Obesity  Overwt* </li></ul><ul><li>Both sexes 41.7 54...
Health Issues - Overweight and Obesity <ul><li>Latinos:  higher prevalence than the general population </li></ul><ul><li>O...
Health Issues - Overweight and Obesity <ul><li>Among U.S. Groups: Hispanics had the most growth in prevalence of obesity  ...
Health Issues - Overweight and Obesity <ul><li>Mexican-American children ages 6-11 were more likely to be overweight (22 p...
 
Health Issues - Overweight and Obesity <ul><li>Overweight Children* </li></ul><ul><li>1988-1994 1999-2002 </li></ul><ul><l...
Discussion <ul><li>What are your experiences related to Hispanics and overweight or obesity in the NE Florida area? </li><...
Health Issues - Physical Activity 50% 57% 65% 58% 25% 36% (Mex. American) % of Population
Health Issues - Cancer <ul><li>Cancer incidence rates, age adjusted, per 100,000, all sites </li></ul><ul><li>All persons ...
Health Issues -  Environmental health http://www.cdc.gov/nchs/products/pubs/pubd/hestats/asthma/asthma.htm
Discussion <ul><li>The Hispanic population is scattered throughout the area with little or no data collected beyond some b...
Other health issues <ul><li>Mental Health </li></ul><ul><li>HIV/AIDS </li></ul><ul><li>Osteoporosis </li></ul><ul><li>Lact...
Mental Health <ul><li>Substance abuse </li></ul><ul><li>Acculturation and self identity </li></ul><ul><li>Coping strategie...
Other health issues -  HIV/AIDS <ul><li>HIV/AIDS per 100,000 pop.  </li></ul><ul><li>Group, all ages/ adjusted  Death rate...
Where? There are 9 characters in this picture
Health Issues - Osteoporosis <ul><li>Minority women are at a higher risk of developing osteoporosis than previously believ...
Health Issues - Osteoporosis <ul><li>55.5% of Hispanic, postmenopausal, women have low bone mineral densities and in 4.3% ...
Health Issues - Lactose Intolerance <ul><li>Lactose maldigestion occurs in about 53% Mexican Americans (Dairy Council Dige...
Health Issues - Food Safety <ul><li>Listeriosis occurs at higher prevalence rate among Latinos  than in overall population...
Health Issues - Maternal and Child Care <ul><li>6-Maternal, Infant, and Child Health </li></ul><ul><li>16-6  Increase the ...
Health Issues - Maternal and Child Care <ul><li>6-Maternal, Infant, and Child Health </li></ul><ul><li>16-10  Reduce low b...
Health Issues - Maternal and Child Care <ul><li>Prenatal care for live births </li></ul><ul><li>Group % of live births </l...
Health Issues - Maternal and Child Care <ul><li>Infant, neonatal, and postneonatal mortality rates </li></ul><ul><li>Group...
Other health issues -  Infant Mortality, Florida: 1997-2001 Note: Five year average number of deaths and death rates per 1...
Other health issues -  Infant Mortality Region IV, 1997-2001 Note: Five year average number of deaths and death rates per ...
Discussion <ul><li>What do you think contributes to the differences in infant mortality among the different Hispanic group...
Other health issues -  Health care access <ul><li>44.3 million persons lacked health insurance in 1998 (CDC) </li></ul><ul...
 
Other health issues -  Duval County (Mr. Radley Remo, DCHD)
Leading Causes of Hospitalization for Hispanics, Duval County 2003 <ul><li>Single, live born, w/o cesarean  (n=274) </li><...
Leading Causes of Ambulatory Care for Hispanics, Duval County 2003 <ul><li>Benign neoplasm of the colon (n=71) </li></ul><...
2002 Florida Behavioral Risk Factor Surveillance System <ul><li>Statewide Self-Reporting Survey </li></ul><ul><li>Used to ...
Behavioral Risk Factors for Hispanics <ul><li>Risk Factors </li></ul><ul><ul><li>Overweight & Obese </li></ul></ul><ul><ul...
Risk Factors by Race/Ethnicity, Florida 2002 Red indicates statistically significant 13.6 40.1 (-) No Health Care Coverage...
Behavioral Risk Factor for Hispanics <ul><li>Disease Prevention </li></ul><ul><ul><li>Annual Flu Shot </li></ul></ul><ul><...
Disease Prevention by Race/Ethnicity, Florida 2002 Red indicates statistically significant  (R.Remo DCHD) 44.2 53.0 (+) Ev...
Behavioral Risk Factors for Hispanics <ul><li>Chronic Conditions </li></ul><ul><ul><li>High Blood Pressure </li></ul></ul>...
Chronic Conditions by Race/Ethnicity, Florida 2002 Red indicates statistically significant  (R.Remo DCHD) 8.0 8.2 Have Dia...
Discussion <ul><li>With the lack of sufficient specific ethnic data available at the regional and local level, what change...
Examples of Action Models and Initiatives - Research <ul><li>Hispanic/Latino Genetics Community Consultation Network HLGCC...
Examples of Action Models and Initiatives - Health Orgs <ul><li>American Diabetes Association </li></ul><ul><li>Programa d...
Examples of Action Models and Initiatives - Cultural Orgs <ul><li>National Council of La Raza </li></ul><ul><li>Latino Can...
National Council of La Raza <ul><li>Latino Cancer Education Pilot Project (LCEPP) </li></ul><ul><li>Who?  NCLR Institute f...
National Council of La Raza <ul><li>Salud para su Corazón   </li></ul><ul><li>Who?  NCLR Institute for Hispanic Health Nat...
National Council of La Raza <ul><li>Comunidad a Comunidad </li></ul><ul><li>Who?  NCLR Institute for Hispanic Health and C...
Examples of Action Models and Initiatives - Industry <ul><li>AARP En Español </li></ul><ul><li>http://www.aarp.org/espanol...
Examples of Action Models and Initiatives - Government <ul><li>Healthfinder </li></ul><ul><li>http://www.healthfinder.gov/...
Discussion <ul><li>Do you know of any special programs, projects, or resources in NE Florida?  </li></ul><ul><li>What are ...
<ul><li>CDC Interactive Heart Disease Mortality Maps   </li></ul><ul><ul><li>http://www.cdc.gov/cvh/maps/statemaps.htm </l...
<ul><li>Extension - Spanish language materials  http://www.extensionenespanol.net/contact.cfm </li></ul><ul><li>National A...
<ul><li>For Health Professionals </li></ul><ul><li>Health Issues in the Latino Community . By M. Aguirre-Molina, C. Molina...
Thank you! Any questions? This seminar is part 1 of an 8 part series of seminars on Hispanic Health Issues brought to you ...
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Aetna Presentation Latino Health Overview

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Latinos in the U.S. and Northeast Florida: A Health Overview

Feb. 25, 2005

This is part 1 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of Duval County Health Department.

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  • Aetna Presentation Latino Health Overview

    1. 1. Latinos in the U.S. and Northeast Florida: A Health Overview Dr. Judith C. Rodriguez, RD, University of North Florida Mr. Daniel Santibanez, MPH Candidate, University of North Florida Mr. Radley Remo, (Duval County Health Department) - Health Data Feb. 25, 2005 This is part 1 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of Duval County Health Department. For more information or register for the seminars, please call 620-1289.
    2. 2. National, state, and local health data Action Models and Initiatives Discussion
    3. 3. National Health Data <ul><li>Why? </li></ul><ul><li>Health status affects quality of life </li></ul><ul><li>Poor health is costly for the individual </li></ul><ul><li>Poor health status is costly for the nation </li></ul>
    4. 4. Hispanics/Latinos…and Health <ul><li>Many disease risk factors can be decreased </li></ul><ul><li>Need culturally appropriate information and approaches </li></ul>
    5. 5. Leading Causes of Death – Overall, U.S., 2002 <ul><li>heart disease: 696,947 </li></ul><ul><li>cancer: 557,271 </li></ul><ul><li>stroke: 162,672 </li></ul><ul><li>chronic lower respiratory disease: 124,816 </li></ul><ul><li>accidents: 106,742 </li></ul><ul><li>diabetes: 73,249 </li></ul><ul><li>pneumonia/flu: 65,681 </li></ul><ul><li>Alzheimer’s disease: 58,866 </li></ul><ul><li>kidney disease: 40,974 </li></ul><ul><li>suicide: 33,865 </li></ul>
    6. 6. Hispanic Health Issues <ul><li>Heart disease </li></ul><ul><li>Diabetes </li></ul><ul><li>Overweight and obesity </li></ul><ul><li>Cancer </li></ul><ul><li>Environmental health </li></ul><ul><li>Other health issues </li></ul>
    7. 7. Leading Causes of Death for Hispanics, Duval County 2001-03 <ul><li>Heart Disease (n= 71) </li></ul><ul><li>Cancer (n=57) </li></ul><ul><li>Injuries (Accidents) (n=27) </li></ul>Source: FDOH, Office of Vital Statistics, 2001-2003 (R.Remo DCHD)
    8. 8. Selected Death Rates by Race/Ethnicity, Duval County Source: FDOH, Office of Vital Statistics, 2001-2003 Source Hispanic Population Estimates: Claritas 2003 Source Duval County Population Estimates: Demographic Estimating Conference Database, 4/2004 (R.Remo DCHD)
    9. 9. Health Issues - Cardiovascular Disease <ul><li>For Hispanics, too, heart disease the primary cause of mortality/death </li></ul><ul><li>Heart disease and stroke mortality average about 30% or more each year </li></ul>
    10. 10. Health Issues - Cardiovascular Disease <ul><li>Percent of total deaths </li></ul><ul><ul><li>28% of male deaths </li></ul></ul><ul><ul><li>34% of female deaths </li></ul></ul><ul><li>For MA: </li></ul><ul><li>about 29% for men </li></ul><ul><li>about 27% of women </li></ul><ul><li>American Heart Association (2004) Heart Facts 2004: Latino/ Hispanic Americans & AHA 2001 Heart & Stroke Statistics; AHA Hispanics and CVD </li></ul>
    11. 11. Health Issues - Cardiovascular Disease <ul><li>Death Rates for CVD </li></ul><ul><li>1980 1990 1995-97 </li></ul><ul><li>All ages, age adjusted 40.8 27.7 26.3 </li></ul><ul><li>Males, age adj 44.9 30.2 28.4 </li></ul><ul><li>White males, age adj 41.9 27.7 26.1 </li></ul><ul><li>Black males, age adj 77.5 56.1 50.5 </li></ul><ul><li>Hispanic males, age adj ---- 22.7 22.4 </li></ul>
    12. 12. Health Issues - Cardiovascular Disease <ul><li>Serum Cholesterol </li></ul><ul><li>1988-94 1988-94 </li></ul><ul><li>Both sexes 203 203 </li></ul><ul><li>Males 202 Females 204 </li></ul><ul><li>White male 202 White f 205 </li></ul><ul><li>Black male 199 Black f 203 </li></ul><ul><li>Mexican male 204 Mex f 203 </li></ul>
    13. 14. Health Issues - Hypertension <ul><li> 1976-80 1988-94 </li></ul><ul><li>Both sexes, age adj 39.0 23.1 </li></ul><ul><li>Males, age adj 44.0 25.3 </li></ul><ul><li>White male, age adj 43.5 24.3 </li></ul><ul><li>Black male, age adj 48.7 34.9 </li></ul><ul><li>Mexican male, age adj 25.0 25.2 </li></ul>
    14. 15. Healthy People 2010 Goals <ul><li>12-Heart Disease and Stroke </li></ul><ul><ul><li>12-1 Reduce coronary heart disease deaths </li></ul></ul><ul><ul><li>Baseline- 208 deaths per 100,000 </li></ul></ul><ul><ul><li>Hispanics-145 deaths per 100,000 </li></ul></ul><ul><li>12-11 Increase the proportion of adults with high blood pressure who are taking action to help control their blood pressure </li></ul><ul><ul><li>Baseline- 82% of adults aged 18+ </li></ul></ul><ul><ul><li>Hispanics- 74% of adults aged 18+ </li></ul></ul><ul><li>12-15 Increase the proportion of adults who have had their blood cholesterol checked within the preceding 5 years </li></ul><ul><ul><li>Baseline- 67% of adults aged 18+ </li></ul></ul><ul><ul><li>Hispanics- 59% of adults aged 18+ </li></ul></ul><ul><ul><li>Healthy People 2010; www.health.gov/healthlypeople/ </li></ul></ul>
    15. 16. Discussion <ul><li>What are your experiences related to Hispanics and CVD in the NE Florida area? </li></ul>
    16. 17. Health Issues - Diabetes <ul><li>About one third of total diabetes among Hispanic Americans is undiagnosed (NHANES III; www.niddk.nih.gov) </li></ul>
    17. 18. Health Issues - Diabetes
    18. 19. Health Issues - Diabetes Based on 1997 American Diabetes Association criteria % of population 20% 12% 10% 12%
    19. 20. Healthy People 2010 Goals <ul><li>5-2 Prevent Diabetes </li></ul><ul><ul><li>Baseline- 3.5 new cases of diabetes per 1,000 </li></ul></ul><ul><ul><li>Hispanics- 5.7 new cases of diabetes per 1,000 </li></ul></ul><ul><li>5-5 Reduce the diabetes death rate </li></ul><ul><ul><li>Baseline- 75 deaths per 100,000 </li></ul></ul><ul><ul><li>Hispanics-86 deaths per 100,000 </li></ul></ul><ul><ul><li>Healthy People 2010; www.health.gov/healthlypeople/ </li></ul></ul>
    20. 21. Discussion <ul><li>What are your experiences related to Hispanics and diabetes in the NE Florida area? </li></ul>
    21. 22. Health Issues - Overweight and Obesity <ul><li> Healthy wt Overwt Obesity Overwt* </li></ul><ul><li>Both sexes 41.7 54.6 22.6 65.2 </li></ul><ul><li>Males 39.1 59.4 19.9 68.8 </li></ul><ul><li>White Male 38.0 60.5 20.3 69.5 </li></ul><ul><li>Black Male 40.2 57.0 20.9 62.0 </li></ul><ul><li>Mexican Male 31.6 67.0 23.1 74.1 </li></ul>
    22. 23. Health Issues - Overweight and Obesity <ul><li> Healthy wt Overwt Obesity Overwt* </li></ul><ul><li>Both sexes 41.7 54.6 22.6 65.2 </li></ul><ul><li>Females 39.1 59.4 19.9 68.8 </li></ul><ul><li>White Female 38.0 60.5 20.3 57.0 </li></ul><ul><li>Black Female 40.2 57.0 20.9 77.5 </li></ul><ul><li>Mex. Female 31.6 67.0 23.1 71.4 </li></ul>
    23. 24. Health Issues - Overweight and Obesity <ul><li>Latinos: higher prevalence than the general population </li></ul><ul><li>Obesity is prevalent among Hispanics, especially women (Dairy Council Digest, Jan/Feb 2001; www.nationaldairycouncil.org ) </li></ul>
    24. 25. Health Issues - Overweight and Obesity <ul><li>Among U.S. Groups: Hispanics had the most growth in prevalence of obesity </li></ul><ul><li>Hispanic ethnicity </li></ul><ul><li>11.6% to 20.8% 1991-1999 </li></ul>
    25. 26. Health Issues - Overweight and Obesity <ul><li>Mexican-American children ages 6-11 were more likely to be overweight (22 percent) than non-Hispanic black children (20 percent) and non-Hispanic white children (14 percent). </li></ul><ul><li>http://www.cdc.gov/nchs/pressroom/04facts/obesity.htm </li></ul>
    26. 28. Health Issues - Overweight and Obesity <ul><li>Overweight Children* </li></ul><ul><li>1988-1994 1999-2002 </li></ul><ul><li>Both sexes 11.3 15.8 </li></ul><ul><li>Males 11.6 16.9 </li></ul><ul><li>Mex. Males 17.5 26.5 </li></ul><ul><li>Female 11.0 14.7 </li></ul><ul><li>Mex. Females 15.3 17.1 </li></ul>
    27. 29. Discussion <ul><li>What are your experiences related to Hispanics and overweight or obesity in the NE Florida area? </li></ul>
    28. 30. Health Issues - Physical Activity 50% 57% 65% 58% 25% 36% (Mex. American) % of Population
    29. 31. Health Issues - Cancer <ul><li>Cancer incidence rates, age adjusted, per 100,000, all sites </li></ul><ul><li>All persons 457.1 </li></ul><ul><li>White male 542.2 </li></ul><ul><li>Black male 642.9 </li></ul><ul><li>Hispanic male 399.5 </li></ul><ul><li>White female 418.2 </li></ul><ul><li>Black female 378.4 </li></ul><ul><li>Hispanic female 294.3 </li></ul>
    30. 32. Health Issues - Environmental health http://www.cdc.gov/nchs/products/pubs/pubd/hestats/asthma/asthma.htm
    31. 33. Discussion <ul><li>The Hispanic population is scattered throughout the area with little or no data collected beyond some basis census and health information, and even those figures are incomplete, controversial, or questionable. </li></ul><ul><li>What measures should be taken to better assess the situation? Whose responsibility should it become (i.e., Health Dept. or City)? </li></ul><ul><li>What can your agency or program do? </li></ul>
    32. 34. Other health issues <ul><li>Mental Health </li></ul><ul><li>HIV/AIDS </li></ul><ul><li>Osteoporosis </li></ul><ul><li>Lactose intolerance </li></ul><ul><li>Food safety </li></ul><ul><li>Health care access </li></ul>
    33. 35. Mental Health <ul><li>Substance abuse </li></ul><ul><li>Acculturation and self identity </li></ul><ul><li>Coping strategies </li></ul>
    34. 36. Other health issues - HIV/AIDS <ul><li>HIV/AIDS per 100,000 pop. </li></ul><ul><li>Group, all ages/ adjusted Death rates Cases </li></ul><ul><li>White male 4.3 13.6 </li></ul><ul><li>Black male 33.3 109.2 </li></ul><ul><li>Hispanic male 9.1 37.2 </li></ul><ul><li>White female 0.9 2.2 </li></ul><ul><li>Black female 13.4 49.0 </li></ul><ul><li>Hispanic female 2.6 11.3 </li></ul>
    35. 37. Where? There are 9 characters in this picture
    36. 38. Health Issues - Osteoporosis <ul><li>Minority women are at a higher risk of developing osteoporosis than previously believed </li></ul>
    37. 39. Health Issues - Osteoporosis <ul><li>55.5% of Hispanic, postmenopausal, women have low bone mineral densities and in 4.3% of these women, osteoporosis was identified (Diary council Digest, Jan/Feb 2001; www.nationaldiarycouncil.org ) </li></ul>
    38. 40. Health Issues - Lactose Intolerance <ul><li>Lactose maldigestion occurs in about 53% Mexican Americans (Dairy Council Digest, Jan/Feb 2001; www.nationaldairycouncil.org ) </li></ul><ul><li>Prevalence among minority groups is not clear </li></ul>
    39. 41. Health Issues - Food Safety <ul><li>Listeriosis occurs at higher prevalence rate among Latinos than in overall population </li></ul><ul><li>Hispanic infants had a 12 times greater incidence </li></ul><ul><li>Hispanic women age 30 to 34 had a 13 times greater incidence </li></ul><ul><li>http://www.fsis.usda.gov/OA/educator/educator7-2.pdf </li></ul>
    40. 42. Health Issues - Maternal and Child Care <ul><li>6-Maternal, Infant, and Child Health </li></ul><ul><li>16-6 Increase the proportion of pregnant women who receive early and adequate prenatal care </li></ul><ul><li>Baseline- </li></ul><ul><ul><li>a. Care beginning in the first trimester; 83% of live birth </li></ul></ul><ul><ul><li>b. Early and adequate prenatal care; 74% of live births </li></ul></ul><ul><li>Hispanics- </li></ul><ul><ul><li>a. 74% of live births </li></ul></ul><ul><ul><li>b. 66% of live births </li></ul></ul><ul><li>Healthy People 2010; www.health.gov/healthlypeople/ </li></ul>
    41. 43. Health Issues - Maternal and Child Care <ul><li>6-Maternal, Infant, and Child Health </li></ul><ul><li>16-10 Reduce low birth weight and very low birth weight </li></ul><ul><li>Baseline- </li></ul><ul><ul><li>a. Low birth weight; 7.6% </li></ul></ul><ul><ul><li>b. Very low birth weight; 1.4% </li></ul></ul><ul><li>Hispanics- </li></ul><ul><ul><li>a. Low birth weight; 6.4% </li></ul></ul><ul><ul><li>b. Very low birth weight; 1.1% </li></ul></ul>
    42. 44. Health Issues - Maternal and Child Care <ul><li>Prenatal care for live births </li></ul><ul><li>Group % of live births </li></ul><ul><li>All 83.7 </li></ul><ul><li>Hispanic/Latino 76.7 </li></ul><ul><li>Mexican 75.7 </li></ul><ul><li>Puerto Rican 79.9 </li></ul><ul><li>Cuban 92.0 </li></ul><ul><li>Central and South American 78.7 </li></ul><ul><li>Other/Unknown 76.7 </li></ul>
    43. 45. Health Issues - Maternal and Child Care <ul><li>Infant, neonatal, and postneonatal mortality rates </li></ul><ul><li>Group % of live births </li></ul><ul><li>All 7.0 </li></ul><ul><li>Hispanic/Latino 5.6 </li></ul><ul><li>Mexican 5.4 </li></ul><ul><li>Puerto Rican 8.2 </li></ul><ul><li>Cuban 3.7 </li></ul><ul><li>Central and South American 5.1 </li></ul><ul><li>Other/Unknown 7.1 </li></ul>
    44. 46. Other health issues - Infant Mortality, Florida: 1997-2001 Note: Five year average number of deaths and death rates per 1,000 live births. Infant deaths by Hispanic mother of origin, rate per 1,000 live births. Source: Florida Department of Health, Office of Vital Statistics, 1997-2001 and Florida Department of Health, Office of Planning, Evaluation and Data Analysis and Health Planning Council of N.E. Fla., Health Plan 2003-2006 12.8 2,916 5.6 4,119 4.7 1,033 7.2 7,133 Rate Num. Rate Num. Rate Num. Rate Num. Black White Hispanic All Races
    45. 47. Other health issues - Infant Mortality Region IV, 1997-2001 Note: Five year average number of deaths and death rates per 1,000 live births. Source: Florida Department of Health, Office of Vital Statistics, 1997-2001 and Florida Department of Health, Office of Planning, Evaluation and Data Analysis and Health Planning Council of N.E. Fla., Health Plan 2003-2006 12.4 42 5.6 106 5.8 14 Volusia 17.5 11 6.1 33 0.0 0 St.John’s 13.2 4 5.4 18 0.0 0 Nassau 7.4 2 6.4 10 0.0 0 Flagler 16.4 339 7.1 266 6.2 16 Duval 14.0 11 7.5 60 7.2 3 Clay 8.7 2 6.1 9 0.0 0 Baker Rate Num. Rate Num. Rate Num. Black White Hispanic Area
    46. 48. Discussion <ul><li>What do you think contributes to the differences in infant mortality among the different Hispanic groups? </li></ul>
    47. 49. Other health issues - Health care access <ul><li>44.3 million persons lacked health insurance in 1998 (CDC) </li></ul><ul><li>This represents a continuing increase in the number of uninsured persons (CDC) </li></ul><ul><li>Latinos (35%) are more likely to report being without health insurance </li></ul><ul><li>Hispanic vs. Latino Survey by comScore Dec 2002 </li></ul><ul><li>http://www.ahorre.com/archives/2004/09/hispanic_vs_lat_1.html </li></ul>
    48. 51. Other health issues - Duval County (Mr. Radley Remo, DCHD)
    49. 52. Leading Causes of Hospitalization for Hispanics, Duval County 2003 <ul><li>Single, live born, w/o cesarean (n=274) </li></ul><ul><li>Single, live born cesarean (n=107) </li></ul><ul><li>Pneumonia (n=48) </li></ul>
    50. 53. Leading Causes of Ambulatory Care for Hispanics, Duval County 2003 <ul><li>Benign neoplasm of the colon (n=71) </li></ul><ul><li>Colon screening (n=41) </li></ul><ul><li>Unspecified cataract (n=40) </li></ul>
    51. 54. 2002 Florida Behavioral Risk Factor Surveillance System <ul><li>Statewide Self-Reporting Survey </li></ul><ul><li>Used to monitor health behavior & health status </li></ul><ul><li>18 years & older </li></ul>
    52. 55. Behavioral Risk Factors for Hispanics <ul><li>Risk Factors </li></ul><ul><ul><li>Overweight & Obese </li></ul></ul><ul><ul><li>Physical Activity </li></ul></ul><ul><ul><li>Smoking </li></ul></ul><ul><ul><li>Health Care Coverage & Access </li></ul></ul>
    53. 56. Risk Factors by Race/Ethnicity, Florida 2002 Red indicates statistically significant 13.6 40.1 (-) No Health Care Coverage 23.9 21.1 Smoking (current) 22.5 39.2 (-) No Physical Activity 21.4 20.8 Obese % White, Non-Hispanic % Hispanic Risk Factor
    54. 57. Behavioral Risk Factor for Hispanics <ul><li>Disease Prevention </li></ul><ul><ul><li>Annual Flu Shot </li></ul></ul><ul><ul><li>Mammograms & Pap Tests </li></ul></ul><ul><ul><li>Colorectal Cancer Screenings </li></ul></ul><ul><ul><ul><li>Blood Stool Test </li></ul></ul></ul><ul><ul><li>HIV/AIDS Tests </li></ul></ul>
    55. 58. Disease Prevention by Race/Ethnicity, Florida 2002 Red indicates statistically significant (R.Remo DCHD) 44.2 53.0 (+) Ever been tested for HIV 48.8 31.4 (-) Ever had Blood Stool Test 93.5 88.8 Ever had Pap Smear Test 29.9 14.2 (-) Received Flu Shot w/I 12mo. % White, Non-Hispanic % Hispanic Disease Prevention
    56. 59. Behavioral Risk Factors for Hispanics <ul><li>Chronic Conditions </li></ul><ul><ul><li>High Blood Pressure </li></ul></ul><ul><ul><li>Cholesterol </li></ul></ul><ul><ul><li>Asthma </li></ul></ul><ul><ul><li>Diabetes </li></ul></ul>
    57. 60. Chronic Conditions by Race/Ethnicity, Florida 2002 Red indicates statistically significant (R.Remo DCHD) 8.0 8.2 Have Diabetes 11.1 11.4 Ever Had Asthma 37.7 30.5 Had High Cholesterol 28.7 20.2 (+) Had High Blood Pressure % White, Non-Hispanic % Hispanic Chronic Condition
    58. 61. Discussion <ul><li>With the lack of sufficient specific ethnic data available at the regional and local level, what changes seem appropriate? </li></ul><ul><li>Knowing the wide range of intragroup diversity, is it appropriate to consider and document acculturation and SES among Hispanics? </li></ul>
    59. 62. Examples of Action Models and Initiatives - Research <ul><li>Hispanic/Latino Genetics Community Consultation Network HLGCCN project is a combined effort of Redes En Acción (Networks in Action), which is a major Special Populations Network effort of the NCI, Baylor College of Medicine, the National Institute of General Medical Sciences (NIGMS), and the National Human Genome Research Institute (NHGRI). </li></ul><ul><li>http://newscenter.cancer.gov/newscenter/pressreleases/HLGCCN </li></ul>
    60. 63. Examples of Action Models and Initiatives - Health Orgs <ul><li>American Diabetes Association </li></ul><ul><li>Programa de Asistencia y Recursos para la Diabetes </li></ul><ul><li>Diabetes Forecast en Español </li></ul><ul><li>http://www.diabetes.org/espanol/iniciativas-latinas-dar.jsp </li></ul>
    61. 64. Examples of Action Models and Initiatives - Cultural Orgs <ul><li>National Council of La Raza </li></ul><ul><li>Latino Cancer Education Pilot Project (LCEPP) </li></ul><ul><li>Salud para su Corazón </li></ul><ul><li>Comunidad a Comunidad </li></ul><ul><li>De Casa a Casa: A Diabetes Educational Tool Kit Project </li></ul><ul><li>http://www.nclr.org/content/programs/detail/27610/ </li></ul>
    62. 65. National Council of La Raza <ul><li>Latino Cancer Education Pilot Project (LCEPP) </li></ul><ul><li>Who? NCLR Institute for Hispanic Health National Cancer Institute (NCI), Office of Minority Health and NIH </li></ul><ul><li>Focus? Identify knowledge, attitudes, and beliefs and barriers to cervical screening, make recommendations for refinement of materials </li></ul><ul><li>http://www.nclr.org/content/programs/detail/27610/ </li></ul>
    63. 66. National Council of La Raza <ul><li>Salud para su Corazón </li></ul><ul><li>Who? NCLR Institute for Hispanic Health National Heart, Lung and Blood Institute (NHLBI) of the NIH </li></ul><ul><li>Focus? Multilevel strategies outreach model which provides heart health education. Relies on promotores de salud (lay health educators) who disseminate educational and prevention awareness materials. </li></ul><ul><li>http://www.nclr.org/content/programs/detail/27610/ </li></ul>
    64. 67. National Council of La Raza <ul><li>Comunidad a Comunidad </li></ul><ul><li>Who? NCLR Institute for Hispanic Health and Centers for Disease Control and Prevention </li></ul><ul><li>Focus? Sharing lessons learned and building capacities of parents of youth and community-based organizations (CBOs) to develop culturally competent HIV/AIDS prevention programs. </li></ul><ul><li>http://www.nclr.org/content/programs/detail/27610/ </li></ul>
    65. 68. Examples of Action Models and Initiatives - Industry <ul><li>AARP En Español </li></ul><ul><li>http://www.aarp.org/espanol/salud/ </li></ul><ul><li>Spanish language web pages with information </li></ul><ul><li>http://www.elcerdoesbueno.com/ </li></ul>
    66. 69. Examples of Action Models and Initiatives - Government <ul><li>Healthfinder </li></ul><ul><li>http://www.healthfinder.gov/news/esdefault.asp </li></ul><ul><li>Centers for Disease Control </li></ul><ul><li>http://www.cdc.gov/spanish/ </li></ul>
    67. 70. Discussion <ul><li>Do you know of any special programs, projects, or resources in NE Florida? </li></ul><ul><li>What are some specific actions we can take to promote health in the Hispanic community? </li></ul>
    68. 71. <ul><li>CDC Interactive Heart Disease Mortality Maps </li></ul><ul><ul><li>http://www.cdc.gov/cvh/maps/statemaps.htm </li></ul></ul><ul><li>CDC Interactive Cancer Mortality Maps </li></ul><ul><ul><li>http://www3.cancer.gov/atlasplus/charts.html </li></ul></ul><ul><li>Florida Department of Health </li></ul><ul><ul><li>http://www.doh.state.fl.us/ </li></ul></ul><ul><li>Florida Health Charts and Interactive Maps </li></ul><ul><ul><li>http://www.floridacharts.com/charts/chart.aspx </li></ul></ul><ul><li>Duval County Health Department </li></ul><ul><ul><li>http://www.dchd.net/index.htm </li></ul></ul><ul><li>City of Jacksonville Community Maps </li></ul><ul><ul><li>http://www.coj.net/default.htm </li></ul></ul>Resources: Data Web Sites
    69. 72. <ul><li>Extension - Spanish language materials http://www.extensionenespanol.net/contact.cfm </li></ul><ul><li>National Alliance for Hispanic Health www.hispanichealth.org </li></ul><ul><li>National Council of La Raza Institute for Hispanic Health www.nclr.org/policy/health.html </li></ul><ul><li>National Dairy Council </li></ul><ul><li>http://www.nationaldairycouncil.org/ </li></ul><ul><li>Office of Minority Health http://www.omhrc.gov/omhrc </li></ul><ul><li>USDA Food and Nutrition Information Center, Ethnic and Cultural www.nal.usda.gov/fnic/etext/000010.html </li></ul>Resources: Web Sites
    70. 73. <ul><li>For Health Professionals </li></ul><ul><li>Health Issues in the Latino Community . By M. Aguirre-Molina, C. Molina, R. E. Zambrana. 2001. </li></ul><ul><li>Latina Health in the United States . By M. Aguirre-Molina, C. Molina. 2003. </li></ul><ul><li>Hispanic foodways, nutrition, and health . By Diva Sanjur. 1995. </li></ul><ul><li>The Health of Latino Communities in the South: Challenges and Opportunities.  Available at: </li></ul><ul><li>http://www.nclr.org/content/publications/detail/26898/ </li></ul>Resources: Books
    71. 74. Thank you! Any questions? This seminar is part 1 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of Duval County Health Dept. For more information or register for the seminars, please call 620-1289 .

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