Available Data on African American Health Disparities

1. Available Data on African American Health Disparities • In this section we will: • Define what is a health disparity, a health inequality and health equity • Briefly explore San Francisco Data with respect to population and mortality • Look at what are some of the causes of disparities • Examples of health disparities in San Francisco • The Case for the African American Health Disparity Project

2. San Francisco & California Ethnic populations, Jan 1, 2006 Source: California Department of Finance Demographic Research Unit

3. Where You Live Can Impact Your Life • As important as it is, most experts agree that health care contributes only about 10-15% to health outcomes and life span. Where you live is probably a bigger determinant of your health than whether you have health insurance. • People who live in Bayview/Hunters Point can expect to live on average 14 years less than their counterparts on Russian Hill Source: http://www.barhii.org/press/download/barhii_report08.pdf

4. SF Leading causes of premature death among men, 2003-2004 • Violence/assault, all mechanisms • Drug overdose, unintentional • Human immunodeficiency virus (HIV/AIDS) • Self-inflicted injuries, all mechanisms • Alcohol use disorders Among the top ten leading causes of death by expected years of life lost (YLLs), which deaths were the most premature? (i.e., had the highest average years of life lost) http://www.sfdph.org/dph/files/reports/StudiesData/CHE_Rpt07242007C.pdf

5. Burden of premature death, San Francisco, 2003-2004 http://www.sfdph.org/dph/files/reports/StudiesData/CHE_Rpt07242007C.pdf

6. Leading Causes of Death Among Men Using Age-adjusted YLLs, San Francisco, 2003-2004 Afr. Amer. = O Latino = ∆ Asian/PI = X White = + http://www.sfdph.org/dph/files/reports/StudiesData/CHE_Rpt07242007C.pdf

7. Leading Causes of Death Among Women Using Age-adjusted YLLs, San Francisco, 2003-2004 Afr. Amer. = O Latino = ∆ Asian/PI = X White = + http://www.sfdph.org/dph/files/reports/StudiesData/CHE_Rpt07242007C.pdf

11. Former Surgeon General David Satcher and his colleagues calculated that during 1991-2000, nearly 177,000 deaths were averted because of advances in medical technology, but if we were to eliminate the disparity between African Americans and whites, we would have avoided over 886,000 deaths. Source: http://www.barhii.org/press/download/barhii_report08.pdf

12. African American Health Disparity Project : Past Programs What Have We Done for you Lately: • Prostate Health Initiative •   Project has provided Education and information to 4408menabout the benefits of early detection and available treatment for prostate cancer by our member hospitals for African American men in San Francisco. • Project has provided 423 PSA /DRE screening tests to African American men.

13. African American Health Disparity Project : Past Programs What Have We Done for you Lately: • Prostate Health Initiative • “The San Francisco hospitals have committed 1 million dollars to provide prostate cancer treatment to ensure that no African American man is denied medical care based on his ability to pay”

14. African American Health Disparity Project : Past Programs What Have We Done for you Lately: • Advertorials • The Program has produced 79 targeted informational articles for, by, and about African Americans educating the community about their health and the resources provided by our member hospitals in San Francisco.

15. African American Health Disparity Project : Past Programs What Have We Done for you Lately: • Ambassador / Navigator Program • The Program has helped African Americans address issues and concerns that arise from their negative experiences at our member hospitals

16. African American Health Disparity Project So now what? A Look at the Strategic Plan for January 2009 to December 31st 2009

17. African American Health Disparity Project : Objectives 2009 • The Project will align its efforts with the community health efforts put forward by the San Francisco Department of Public Health. • The Project will focus its programs and outreach efforts in the areas of: • Access • Communicable Disease • Chronic Disease • Violence

18. African American Health Disparity Project : Objectives 2009 • The Project will focus and align its objectives to support existing community projects. • The Project will increase the visibility of the Hospital Council serving as the coordinating body for all community outreach and health education efforts for the African American communities of San Francisco.

19. African American Health Disparity Project : Objectives 2009 • The Project will focus and align its objectives to support existing community projects. • The Project will increase the visibility of the Hospital Council serving as the coordinating body for all community outreach and health education efforts for the African American communities of San Francisco.

20. African American Health Disparity Project : Programs 2009 • The Project will seek to partner with SFDPH and our member hospitals to provide education and outreach to the African American communities with respect to the Healthy San Francisco Initiative • Currently 9% of eligible enrollees are African American • In 2009, the Project will seek to increase this number by 10% or up to 500 new enrollees.

21. African American Health Disparity Project : Programs 2009 • The Project will use social marketing strategies to increase awareness and leverage community based resources to address Diabetes as a chronic disease in the African American communities in San Francisco. • The Project will leverage existing hospital resources with respect to diabetes education and treatment to address issues in the African American Communities with respect to diabetes.