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National Academy for State Health Policy’s 23 rd   Annual State Health Policy Conference   Session: Closing the Gap: Reducing Disparities & Achieving Health Equity October 4-6, 2010  Barbara Pullen-Smith, MPH, Director Office of Minority Health and Health Disparities Division of Public Health NC Department of Health and Human Services  Healthy Communities. Every One Matters.
Scotland Guilford Rockingham Moore Anson Union Richmond Mecklenburg Cabarrus Stanly Surry Ashe Wilkes Yadkin Forsyth Stokes Davidson Randolph Rowan Lincoln Cleveland Gaston Iredell Caldwell Alexander Catawba Burke McDowell Buncombe Rutherford Polk Madison Yancey Watauga Cherokee Graham Clay Macon Jackson Swain Avery Davie Montgomery Mitchell Henderson Transylvania Haywood Wake Granville Person Orange Lee Hoke Robeson Columbus Brunswick Pender Bladen Sampson Duplin Onslow Jones Lenoir Wayne Johnston Harnett Carteret Craven Pamlico Beaufort Hyde Tyrrell Dare Gates Hertford Bertie Martin Pitt Greene Wilson Nash Franklin Warren Halifax Northampton Edgecombe Vance Durham Alamance Cumberland Washington Currituck Camden Pasquotank Perquimans Chowan New Hanover Chatham Caswell Alleghany North Carolina  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
North Carolina Population  Estimates 2008 Data Source: National Center for Health Statistics &  US Census Bureau 2008 Bridged Population Estimates
NC Office of Minority Health and Health   Disparities- Research and Data Tools- Population Specific  Fact Sheets www.schs.state.nc.us/SCHS   or  www.ncminorityhealth.org
Racial and Ethnic Health  Disparities in North Carolina REPORT CARD 2010 Office of Minority Health and Health Disparities And State Center for Health Statistics North Carolina Department of Health and Human Services
Health Disparities Report Card  2010 Update ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Data Collection Sources Include:
Health Disparities Report Card  2010 Update   Focus Areas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Disparities Report Card Disparity Ratio and Grades ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Guidelines Used to Assign Grades : Guidelines Used to Assign Grades
2004-2008 Grade  D Grade D Grade A Grade B Any Rate Ratios that are >1.0 indicate a Disparity Gap.   Here, African American and American Indian babies are more likely to die at a higher rate than Whites. Data Source: State Center for Health Statistics
AA Grade  F AI Grade  D Asian Grade  C H/L Grade  F AA Grade  F AI Grade  F Asian Grade  C H/L Grade  F % Children < 18yrs Living Below Poverty % of Families Living Below Poverty 3 out of 4 racial/ethnic groups have children that live in poverty at least 2.5 times more often than the majority white population.
 
Grade D Grade C Grade D Grade   F Grade D Grade F Ove Any Rate Ratios that are >1.0 indicate that African Americans are more likely to die at a higher rate than Whites. Data Source: State Center for Health Statistics Grade D
 
Grade C Grade C Grade C Grade C Grade C Grade F Grade D Any Rate Ratios that are >1.0 indicate that American Indians are more likely to die at a higher rate than Whites. Data Source: State Center for Health Statistics
Grade B Grade C Grade D Grade D Any Rate Ratios that are >1.0 indicate that Hispanic/Latinos  are more likely to die at a higher rate than Whites. Data Source: State Center for Health Statistics
Grade A Grade C Grade  A Grade  A Grade A Grade A Any Rate Ratios that are >1.0 indicate that Asians are more likely to die at a higher rate than Whites. Ratios of  <= 1 indicate that Asian death rates are equal to, or below those of Whites. Data Source: State Center for Health Statistics
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],North Carolina’s Response
North Carolina’s Response  continued  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Eliminating Health Disparities Performance Measures  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Systems Change = Key ,[object Object],[object Object],[object Object],[object Object]
On Behalf of the NC OMHHD  Thank You for Being a Partner in the Fight to  Eliminate Health Disparities! Office of Minority Health and Health Disparities Division of Public Health NC Department of Health and Human Services 1906 Mail Service Center Raleigh, NC 27699-1906 (919)707-5040 www.ncminorityhealth.org Healthy Communities. Every One Matters.

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Closing the Gap: Reducing Disparities & Achieving Health Equity

  • 1. National Academy for State Health Policy’s 23 rd Annual State Health Policy Conference Session: Closing the Gap: Reducing Disparities & Achieving Health Equity October 4-6, 2010 Barbara Pullen-Smith, MPH, Director Office of Minority Health and Health Disparities Division of Public Health NC Department of Health and Human Services Healthy Communities. Every One Matters.
  • 2.
  • 3. North Carolina Population Estimates 2008 Data Source: National Center for Health Statistics & US Census Bureau 2008 Bridged Population Estimates
  • 4. NC Office of Minority Health and Health Disparities- Research and Data Tools- Population Specific Fact Sheets www.schs.state.nc.us/SCHS or www.ncminorityhealth.org
  • 5. Racial and Ethnic Health Disparities in North Carolina REPORT CARD 2010 Office of Minority Health and Health Disparities And State Center for Health Statistics North Carolina Department of Health and Human Services
  • 6.
  • 7.
  • 8.
  • 9. 2004-2008 Grade D Grade D Grade A Grade B Any Rate Ratios that are >1.0 indicate a Disparity Gap. Here, African American and American Indian babies are more likely to die at a higher rate than Whites. Data Source: State Center for Health Statistics
  • 10. AA Grade F AI Grade D Asian Grade C H/L Grade F AA Grade F AI Grade F Asian Grade C H/L Grade F % Children < 18yrs Living Below Poverty % of Families Living Below Poverty 3 out of 4 racial/ethnic groups have children that live in poverty at least 2.5 times more often than the majority white population.
  • 11.  
  • 12. Grade D Grade C Grade D Grade F Grade D Grade F Ove Any Rate Ratios that are >1.0 indicate that African Americans are more likely to die at a higher rate than Whites. Data Source: State Center for Health Statistics Grade D
  • 13.  
  • 14. Grade C Grade C Grade C Grade C Grade C Grade F Grade D Any Rate Ratios that are >1.0 indicate that American Indians are more likely to die at a higher rate than Whites. Data Source: State Center for Health Statistics
  • 15. Grade B Grade C Grade D Grade D Any Rate Ratios that are >1.0 indicate that Hispanic/Latinos are more likely to die at a higher rate than Whites. Data Source: State Center for Health Statistics
  • 16. Grade A Grade C Grade A Grade A Grade A Grade A Any Rate Ratios that are >1.0 indicate that Asians are more likely to die at a higher rate than Whites. Ratios of <= 1 indicate that Asian death rates are equal to, or below those of Whites. Data Source: State Center for Health Statistics
  • 17.
  • 18.
  • 19.
  • 20.
  • 21. On Behalf of the NC OMHHD Thank You for Being a Partner in the Fight to Eliminate Health Disparities! Office of Minority Health and Health Disparities Division of Public Health NC Department of Health and Human Services 1906 Mail Service Center Raleigh, NC 27699-1906 (919)707-5040 www.ncminorityhealth.org Healthy Communities. Every One Matters.

Hinweis der Redaktion

  1. State &amp; federal sources
  2. AA/H/L children =3x AI children =2x AA/AI/ H/L families 3x more likely to live in poverty Fed poverty guidelines= family of 4 &lt;$22K/yr