The document discusses Latino health equity and innovative approaches. It notes that social and economic factors account for 40% of health determinants. Statistics are provided showing Latinos in Washington state have lower life expectancy, higher child poverty rates, and less home ownership compared to other groups. The document defines health equity as conditions that give everyone the opportunity to reach their best health by addressing inequities. It discusses how inequities differ from health disparities and provides data showing quality of care and insurance coverage disparities exist along racial/ethnic lines. The need for multilevel action at the individual, community, and system levels is discussed to promote equity and social justice.

1. Striving for La Vida Buena y
Sana | Innovative
Approaches for Latino
Health Equity
Opening Remarks: Latino Health Forum
David Reyes, DNP, MPH, RN, APHN-BC
October 20, 2016

2. 2
LaVida Buena y Sana
Reyes_Opening Remarks_102016

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4. Determinants of Health
Health
Behaviors
30%
Access to
Care 10%
Quality of Care
10%
Physical
Environment
10%
Social &
Economic
Factors
40%
http://www.countyhealthrankings.org/
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5. Source: http://www.pewhispanic.org/states/state/wa/;
http://www.cdc.gov/nchs/data/hus/hus15.pdf
Hispanics/Latinos 12% ofWA State Population
Life-expectancy for men= 79.2 yrs.
Child Poverty Rate: 29%
Avg. Personal Earnings: $22K
Home Ownership: 42%
20% of all K-12 Students
21% w/out Health Insurance
Life-expectancy for women= 84 yrs.
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7. What is Health Equity?
“…Conditions that give everyone the opportunity to
reach their best health. This requires valuing all
individuals and populations equally. It means addressing
inequities in the places where people are born, grow, live,
work, learn and age.” (American Public Health Association)
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“The attainment of the highest level of health for all
people.” (US DHHS)
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8. https://healthequity.sfsu.edu/
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9. Inequity & Disparity
Inequities are created when barriers prevent
individuals and communities from accessing these
conditions and reaching their full potential.
Inequities differ from health disparities, which are
differences in health status between people
related to social or demographic factors such as
race, gender, income or geographic region. Health
disparities are one way we can measure our
progress toward achieving health equity.
(American Public Health Association)
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Avoidable
Unfair
Unjust

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11. 6%
14%
22%
10%
24%
44%
47%
45%
39% 61%
54% 18%
47%
41% 39%
29%
26%
39%
Poor vs.
High Income
Black vs.
White
Hispanic vs.
White
AI/AN vs.
White
Asian vs.
White
65+ vs.
18-44
Better Quality of Care
Same Quality of Care
Worse Quality of Care
AI/AN = American Indian or Alaska Native.
SOURCE: AHRQ, “National Healthcare Disparities Report, 2011, http://www.ahrq.gov/qual/qrdr11.htm
Disparities in Quality of Care
Percent of quality measures for which groups experienced worse, same, or better quality of care:
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12. 14%
23%
36%
29%
19%
9%
21%
18%
22%
10%
77%
56%
46% 49%
71%
WHITE AFRICAN-AMERICAN HISPANIC AM. INDIAN/ ALASKA
NATIVE
ASIAN/ PACIFIC
ISLANDER
Uninsured Medicaid Private/Other
NOTE: Includes women ages 18 to 64. Other includes Medicare, TRICARE, and other coverage.
SOURCE: Kaiser Family Foundation and Urban Institute analysis of March 2013 Current Population Survey, U.S. Bureau of the Census.
Women of Color More Likely to be Uninsured or Covered by Medicaid, 2012
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13. Children who needed care right away for an illness, injury, or condition in the last 12 months who
sometimes or never got care as soon as wanted, by preferred language and ethnicity, 2002-2013
0
5
10
15
20
25
Percent
Hispanic Non-Hispanic White
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2013.
Note: For this measure, lower rates are better. For 2010 and 2013, data for children who spoke a language other than English did not meet the criteria for
statistical reliability, data quality, or confidentiality.
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6King County, 2015. 16Reyes_Opening Remarks_102016

17. A Model for Population Health
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19. Action for Equity & Social Justice
1
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RaiseVoices,
JoinTogether,
Unexpected
Collaborations
INDIVIDUAL
SYSTEMCOMMUNITY

20. Determinants of Equity & Social Justice
2
0King County Equity & Social Justice Annual Report, 2014.Reyes_Opening Remarks_102016 20

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“To my inexperience it seemed
certain that conditions such as
these were allowed because people
did not know.”
~ LillianWald

22. Gracias!
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