The document summarizes preliminary data from a community health needs assessment of Latino/Hispanic populations in Mississippi, Louisiana, and Alabama. Key findings include:
1) Obesity is the most commonly diagnosed chronic condition, followed by hypertension and diabetes.
2) Major barriers to healthcare access are lack of health insurance, cost of services, extended time between appointments, and lack of interpreter services.
3) Improved cultural competency training for healthcare providers and more effective outreach programs that address these barriers are needed to improve health outcomes in this population.
A large, national survey conducted by the CDC in 44 states, D.C., and Puerto Rico finds that more than 20% of Americans are unpaid caregivers. Here's more:
•Overall trends: Between 2015-2017, nearly 21% of people who responded to a phone survey on health risks were classified as unpaid caregivers. An additional 17% said they expected to become caregivers in the two years following the survey.
•Demographics: Nearly 60% of caregivers were women, and nearly 45% of caregivers were aged 45 and younger.
•Regional trends: 14% of those in Puerto Rico reported being caregivers, compared to more than 28% of those in Tennessee. Unpaid caregivers were most common in Tennessee, Alabama, Arkansas, and Louisiana, all with a 25% or higher prevalence.
A large, national survey conducted by the CDC in 44 states, D.C., and Puerto Rico finds that more than 20% of Americans are unpaid caregivers. Here's more:
•Overall trends: Between 2015-2017, nearly 21% of people who responded to a phone survey on health risks were classified as unpaid caregivers. An additional 17% said they expected to become caregivers in the two years following the survey.
•Demographics: Nearly 60% of caregivers were women, and nearly 45% of caregivers were aged 45 and younger.
•Regional trends: 14% of those in Puerto Rico reported being caregivers, compared to more than 28% of those in Tennessee. Unpaid caregivers were most common in Tennessee, Alabama, Arkansas, and Louisiana, all with a 25% or higher prevalence.
Understand why hospitals must take the lead in eliminating disparities in care
Learn about the various dimensions of health care disparities. This presentation provides a background on the factors contributing to health care disparities, the ways in which race, ethnicity and language (REaL) data may be applied to improve health equity, as well as strategies through which to enhance the collection of REaL data.
Authors: Bohr D, Bostick N
On August 10, I had the wonderful opportunity to work with a group of amazing individuals to assess the biases present in our current healthcare system. This project was a part of a summer intensive program through MedSTEMPowered.
Darcy Freedman, MPH, PhD, Associate Professor of Epidemiology, Biostatistics, and Social Work at Case Western Reserve University in Cleveland, Ohio, will present “Developing, Implementing & Sustaining Healthy Food Incentive Programs at Farmers' Markets.” Dr. Freedman will provide examples where Extension has connected with public health and community health initiatives through healthy food incentive programs. Her presentation will also offer guidance for engaging key stakeholders in healthy food incentive program development as well as challenges and opportunities for this type of intervention.
Dr. Brenda Fitzgerald, Commissioner and State Health Officer, Georgia Department of Public Health
Presentation to the Senate Women's Adequate Healthcare Study Committee
www.gacommissiononwomen.org
Over the past decade, Kenya has made tremendous efforts to enhance maternal and child health. Secure maternity policies such as free maternity care are one of the initiatives that have enhanced maternal and child health in all public health facilities. Despite these attempts, public health facilities for maternal and child health are still underused. This study employed a cross-sectional descriptive study design to identify determinants of free maternal health services by evaluating factors determining perceptions and health-seeking behavior of 384 pregnant mothers in Malava Sub-County, Kakamega County. The study used a mixed-method (quantitative and qualitative approaches). Questionnaires were administered to pregnant mothers selected for the study. The study employed a purposive sampling of research participants. Quantitative data were collected using the questionnaire administered by the research assistants whereas qualitative data were collected by the researcher through interview schedules. Quantitative data analysis was carried out using SPSS 23. However, qualitative data were analyzed through content analysis. Quantitative data representation was done in terms of frequency and percentages. Analysis of chi-square testing was used to assess the association between the variables of socio-economic and health facilities and the provision of free maternity facilities (p<0.05). The study established that the uptake of free maternal service by pregnant mothers was influenced by their level of primitivism and religious beliefs. In addition, this study found out that 53.8% and 77.7% of the pregnant mothers could not attend antenatal and post-natal care because government facilities were located far away from their residences and they also had less access to some information about free maternal health care. The results of this research would be disseminated to the hospital management team, Sub-Country health management team, County health management team, and other stakeholders, thereby demonstrating reasons for low uptake of free maternity services and helping to strategize for better service delivery. Based on the finding, the study recommends that to improve access to free maternal health care, the county government ought to place health services as close as possible to the community where people live. Secondly, there is a need to embrace the usage of the existing media network to sensitize pregnant mothers to the danger signs and the need to have decision-making powers over their safety. Lastly, hospital management ought to increase the awareness of free maternal health care and to include it among the community priorities during dialog days, action days, and other group discussions.
Understand why hospitals must take the lead in eliminating disparities in care
Learn about the various dimensions of health care disparities. This presentation provides a background on the factors contributing to health care disparities, the ways in which race, ethnicity and language (REaL) data may be applied to improve health equity, as well as strategies through which to enhance the collection of REaL data.
Authors: Bohr D, Bostick N
On August 10, I had the wonderful opportunity to work with a group of amazing individuals to assess the biases present in our current healthcare system. This project was a part of a summer intensive program through MedSTEMPowered.
Darcy Freedman, MPH, PhD, Associate Professor of Epidemiology, Biostatistics, and Social Work at Case Western Reserve University in Cleveland, Ohio, will present “Developing, Implementing & Sustaining Healthy Food Incentive Programs at Farmers' Markets.” Dr. Freedman will provide examples where Extension has connected with public health and community health initiatives through healthy food incentive programs. Her presentation will also offer guidance for engaging key stakeholders in healthy food incentive program development as well as challenges and opportunities for this type of intervention.
Dr. Brenda Fitzgerald, Commissioner and State Health Officer, Georgia Department of Public Health
Presentation to the Senate Women's Adequate Healthcare Study Committee
www.gacommissiononwomen.org
Over the past decade, Kenya has made tremendous efforts to enhance maternal and child health. Secure maternity policies such as free maternity care are one of the initiatives that have enhanced maternal and child health in all public health facilities. Despite these attempts, public health facilities for maternal and child health are still underused. This study employed a cross-sectional descriptive study design to identify determinants of free maternal health services by evaluating factors determining perceptions and health-seeking behavior of 384 pregnant mothers in Malava Sub-County, Kakamega County. The study used a mixed-method (quantitative and qualitative approaches). Questionnaires were administered to pregnant mothers selected for the study. The study employed a purposive sampling of research participants. Quantitative data were collected using the questionnaire administered by the research assistants whereas qualitative data were collected by the researcher through interview schedules. Quantitative data analysis was carried out using SPSS 23. However, qualitative data were analyzed through content analysis. Quantitative data representation was done in terms of frequency and percentages. Analysis of chi-square testing was used to assess the association between the variables of socio-economic and health facilities and the provision of free maternity facilities (p<0.05). The study established that the uptake of free maternal service by pregnant mothers was influenced by their level of primitivism and religious beliefs. In addition, this study found out that 53.8% and 77.7% of the pregnant mothers could not attend antenatal and post-natal care because government facilities were located far away from their residences and they also had less access to some information about free maternal health care. The results of this research would be disseminated to the hospital management team, Sub-Country health management team, County health management team, and other stakeholders, thereby demonstrating reasons for low uptake of free maternity services and helping to strategize for better service delivery. Based on the finding, the study recommends that to improve access to free maternal health care, the county government ought to place health services as close as possible to the community where people live. Secondly, there is a need to embrace the usage of the existing media network to sensitize pregnant mothers to the danger signs and the need to have decision-making powers over their safety. Lastly, hospital management ought to increase the awareness of free maternal health care and to include it among the community priorities during dialog days, action days, and other group discussions.
Health promotion guide created for the TxState Service Learning Initiative and Long-Term Care graduate site. Created for elderly and disabled audiences.
1Health Care DisparityBlack AmericansHispanicsLatinos.docxfelicidaddinwoodie
1
Health Care Disparity
Black Americans
Hispanics/Latinos
Demographics
45.7 million, which is 14.3% of USA population.
15% of the USA population
Cultural Norms
Strong kinship bonds, strong work orientation, strong religious orientation, take care of their own, seniors are highly respected, don’t like to admit they need help, poverty impacts education, self-esteem, quality of life and life style across.
Strong family ties, strong church and community orientation, male dominance, age dominance, negative view on asking for help, take care of their own majority are roman catholic, distrust of government, modesty is important and very proud of heritage
Religious and Spiritual Beliefs
Have strong religious affiliation with Christian denominations and also Islam.
Have strong belief in the spirit world. Majority are roman CatholicsS
Primary Insurance Coverage
Most of them are not insured, but the affordable care act provision target at improving provisions that will highly improve their lives.
Six in ten Hispanic adults in USA lack health insurance.
Education
17% have attained bachelor’s degree
11% have attained bachelor’s degree
Medical Conditions
They reside at disadvantaged neighborhoods with increased risks for health disparities. Obesity in children is enormous
More than a quarter of its population lack usual health care provider. Hispanic adults have a low prevalence for many chronic diseases and a high prevalence for diabetes.
Outreach
Foundation of African American outreach program to provide assistance to Africa-Americans
Action plan to reduce racial and ethnic health disparities
Introduction
The health of a population is influenced by both its social and its economic circumstances and health care services it receives. The health care services provided to Hispanics and black in United States of America is low. Throughout the years we have seen advancements in the health care quality received by ethnic minorities groups. But there is still a large gap when comparing minorities with their white counterparts (Vicini, 2015). This has affected the two groups which have low income families and experience poor quality care. Hispanic and blacks are less likely to have a high school education. Disparities in quality of care are common among the blacks and Hispanics in USA. For instance adults of 65 years and above receive worse care than adults with 18-44 years. Poor people have worse access to care than the high income people (Lee et al., 2003).
Healthcare Disparities between the Blacks and the Latinos in USA
The healthcare insurance status for the blacks and Latinos is low and as a result it forms barriers to access to quality health care utilization. Language barriers in health care are associated with decrease in quality of care, safety, patient and clinical satisfaction and contribute to health disparities even among people with insurance. Statistics have shown when comparing blacks and Latinos to their whi ...
Aetna Presentation Social Determinants of Latino HealthDanny Santibanez
Social Determinants of Hispanic/Latino Health
Daniel Santibanez, MPH, RD, University of North Florida
September 23, 2005 - UNF Hispanic Health Issues Seminars
This is part 8 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 the Duval County Health Department.
Equity and Engagement: An Approach to Improving Staff Vaccination RatesValue Capture
Webinar presented by a team from Legacy Health.
Dominic (Dom) Chan; director of pharmacy
Lisa Goren; vice president, Organizational Effectiveness & Talent
Dr. Nick Kashey; vice president, Population Health
Dr. Jennifer LeTourneau; clinical vice president, medical education
After this session, you will be able to:
Describe the need for justice and equity in COVID-19 vaccination campaigns within healthcare
Review tactics for educating and engaging racially diverse healthcare employees about vaccination
Identify key characteristics of stakeholders and content experts that help build vaccine confidence
Register now to learn a powerful approach to increasing hospital workforce COVID vaccinations rates, ahead of the CMS January 4 deadline.
Equity and Engagement: An Approach to Improving Staff Vaccination Rates
BEHEP Health Disparity Conference
1. Azad R. Bhuyian, MD, MPH, PhD; Sophia S. Leggett, PhD, MPH; M. Georgina Barvié, BA; Pamela D. McCoy, MS, MPH; Sonya Gray, MPH Student; Ashley White, MPH student; Gerri
A. Cannon-Smith MD, MPH;
Jackson State University ■ College of Public Service ■ School of Health Sciences ■ Department of Behavioral and Environmental Health
Figure 6. Barriers to Healthcare
Conclusions
Preliminary data collected from Latino/Hispanic community members in
Mississippi, Louisiana and Alabama reveal that of chronic conditions, obesity is the
most commonly diagnosed. Hypertension and diabetes are the next highest rank.
Barriers to health care access include: 1) lack of health insurance (66.7%), 2) cost
of services (50.8%), 3) extended length of time between health care
appointments/reluctance to see health care provider (21%), and 4) lack of
interpreter services (18.2%).
These findings imply that many barriers exist and could be addressed by
providing health education and information. Opportunities for action are at the
policy, program, individual, community, and health care provider levels. Most
notably, more health care information is obtained from family and church than from
health care providers. Three–fifths of provider-patient encounters are not
conducted in the clients’ primary language and are conducted without the use of
an interpreter in person or by telephone. Internet and media use for health
information are lower than the national average for this group surveyed.
Improved compliance with Culturally and Linguistically Appropriate Services
(CLAS) guidance and more effective use of primary health resources in outreach
programs would address these issues, but would require more comprehensive
environmental changes at the levels previously described. This study provides
additional insight into underutilization of health services and resources used for
health information in this population. Partnering with Hispanic / Latino social
service agencies in the tri-state area increases our scope. This information can be
used to assist in the development of more culturally competent systems of health
care.
Literature cited
Who Will Keep the Public Healthy? Workshop Summary Lyla Hernandez Editor, Committee on Educating Public,Intitute of Medicine, 2003 acquired from
http://www.nap.edu/catalog/10759.html on June 25, 2009
Council on Linkages. Core competencies list. [Web document]. Washington, DC: The Council, 2001. [cited August2005].And updated May 2010
Gebbie KM, Turnock BJ. The public health workforce, 2006: new challenges. Health Aff ( Millwood). 2006. Jul–Aug;25:(4):923–33
Redesigning Continuing Education in the Health Professions, Committee on Planning a Continuing Health
Professional Education Institute, Institute of Medicine, National Academies of Science,2009
Transforming Today's Health Care Workforce to Meet Tomorrow's Demands; The Richard and Linda Rosenthal Lecture 2007, Institute of Medicine, National Academies of Science ,
2008
Livingston, Gretchen, Susan Minushkin and D'Vera Cohn. 2008. "Hispanics and Health Care in the United States: Access, Information and Knowledge". Pew Research Center. It
may be accessed at
http://pewhispanic.org/reports/report.php?ReportID=91
Healthy People 2020 : Improving the Health of American, accessed from www.healthypeople.gov/2020/default.aspx, June 5, 2011
Acknowledgments
This poster was produced in part, by a grant with University of Mississippi
Medical Center's Institute for Improvement of Minority Health and Health
Disparities in the Delta Region (DRI) and was funded by the Department of Health
and Human Services' Office of Minority Health. (Prime Award Number 1
CPIMP091054-01-00). The DRI’s charge is to eliminate health disparities.
For Further Information
Behavioral and Environmental Health Equity Project, Jackson State University
Jackson Medical Mall, 350 W. Woodrow Wilson Avenue, Suite 2200-C
Jackson, MS 39213 Telephone: 601-979-1405 • FAX: 601-979-8818
E-mail: gerri.a.cannon-smith@jsums.edu
Behavioral and Environmental Health Equity Project
Tri-State Latino/Hispanic Community Health Needs Assessment (Preliminary Data)
Health Specialist/Bilingual Liaison Georgina Barvié (right) assists a
participant with answering survey questions for the Behavioral and
Environmental Health Equity Project Latino/Hispanic Community Needs
Assessment during the National Migration Week Festival, hosted by
Catholic Charities Immigration Clinic, Jackson, Mississippi.
Table 1. Demographic characteristics of Latino/Hispanic population
in Mississippi, Louisiana and Alabama
Figure 1. Length of time between healthcare visits
Figure 2. Survey respondents indicate that they primarily visit health
center and doctor’s office when they or their family members are sick
Figure 3. 55.6 % of participants do not have health insurance.
Figure 4. Health care appointments were conducted in English in 62.3% of
cases. Even though the health care provider spoke in English, a interpreter
was not provided in person or by telephone in 56.8% cases
Introduction
“Quality health care means doing the right thing, at the right time,
in the right way, for the right person — and having the best possible
results.” This is the challenge for health professionals serving diverse
populations. Racial/ethnic and other minority populations, including
the poor, have disparately poorer health outcomes. The Behavioral
and Environmental Health Equity Project’s tri-state area of
Mississippi Alabama and Louisiana lies in a geographic area that is
likewise known for poorer health outcomes. The quality of health
care influences health outcomes by several measures — usually
relating to the quality of care delivered, access to both acute and
preventive services (medical home), quality of the provider-client
interaction (patient-centeredness), safety, cultural health beliefs, and
experiences with the healthcare system.
This project is designed to collect , analyze, and summarize data
on health outcomes in the tri-state area in addition to collecting data
on barriers to care, health care experience, perceptions of care, and
preferences. Recommendations will be aimed at improving channels
of communication between groups of providers and consumers
which can be translated into geographically appropriate policy that is
consistent with HP 2020 and NPA objectives.
Materials and methods
Using national surveys (National Hispanic Health Alliance survey,
Pew Hispanic Health Survey) as models, a community survey and
focus group questions were piloted in Mississippi. The
questionnaire was revised and used for this tri-state study. One
hundred seventy-Five (175) Latino/Hispanic community members
and leaders in central and south Mississippi, Louisiana and Alabama
were interviewed regarding community health issues, health status,
and quality of health care. The mean age of these participants was
38.7 with range 17 to 80 years old. Data were entered into the
Statistical Package for the Social Sciences (SPSS), Version 17, for
analysis.
Results
Demographic characteristics of the study sample are shown in
Table 1 as follows:
112 Central American and South Americans (66.7%), 43 (25.6%)
Mexican. Of the total study participants, 55.8% were female; 57%
completed up to a high school education; 41% earned an income of
less than $20,000 and a majority of them (73%) had Spanish
language preference.
0
5
10
15
20
25
30
35
40
45
Hypertension
Heart Disease
Lung Disease
Diabetes
Cancer
Depression
Obesity
%
Figure 5. Of the 18.7% survey respondents who reported chronic conditions,
obesity is the most commonly diagnosed. Two thirds (67%) have no chronic
health conditions.
Variables Number Percent
Ethnic origin
Hispanic/Latino
Ethnic group
Mexican, Mexican American, Chicano
Puerto Rican
Cuban
Central and South Americans
Gender
Male
Female
Education completed
No education
Elementary School
High School / GED
Vocational School
2 to 3 year college / university degree
4 year university degree
Other
Household income
Less than 20,000
20,000-39,999
40,000-59,999
60,000-79,999
80,000-99,999
100,000 and above
Language preference
Spanish
English
Both
175
43
7
4
112
----
76
96
----
4
46
48
21
25
20
9
----
66
51
20
14
3
6
----
115
38
4
100
25.6
4.2
2.4
66.7
----
44.2
55.8
----
2.3
26.6
27.7
12.1
14.5
11.6
5.2
----
41.3
31.9
12.5
8.8
1.9
3.8
----
73.2
24.2
2.5
0
10
20
30
40
50
60
Never 3 or more years 1 to 2 years 6 months to 12
months
Less than 6
months
%
0
10
20
30
40
50
60
Health insurance Had a time without
insurance
Never had insurance
%
0
10
20
30
40
50
60
70
English Spanish Both In Person By phone No provider
Appointment Conducted Interpreter Provided
%
0
5
10
15
20
25
30
35
40
45
50
Health center
Doctor's office
Health department
Emergency
Out patient
Free clinic
Other
Don't go to one place
Don't go at all
%
0
10
20
30
40
50
60
70
80
%