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Health Inequities in Spokane County Board of Health April 26, 2012

Health Inequities in Spokane County Board of Health April 26, 2012. Why Race/Ethnicity?. What We Heard

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Health Inequities in Spokane County Board of Health April 26, 2012

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  1. Health Inequities in Spokane County Board of HealthApril 26, 2012

  2. Why Race/Ethnicity? • What We Heard • Though race and ethnicity wasn’t specifically discussed, several focus group participants reflected on the impact of their race on their quality of life. One participant describes his socioeconomic status as follows: • “I’m always the first to say that I was born a white, American male. I am at the top of the food chain as far as economic opportunities. I don’t think it gets any easier.” • Focus Group Participant (income >75k)

  3. The Gardner Family

  4. Population by Race/Ethnicity in Spokane County - 2009 Data Source: CHAT Population Estimates for Public Health Assessment, Washington State Department of Health and Krupski Consulting

  5. Population ofEthnic Minoritiesin Spokane County - 2009 Data Source: CHAT Population Estimates for Public Health Assessment, Washington State Department of Health and Krupski Consulting

  6. Percent Growth of Racial/Ethnic Groups in Spokane County 2000 to 2008 Data Source: CHAT Population Estimates for Public Health Assessment, Washington State Department of Health and Krupski Consulting

  7. Overall Percent Growth of Racial/Ethnic Groups in Spokane County 2000 to 2008 Data Source: CHAT Population Estimates for Public Health Assessment, Washington State Department of Health and Krupski Consulting

  8. Unemploymentby Race/EthnicityWashington State Unemployment by Race among Adults 18 to 65 Years of Age, Washington State, 2000 to 2008 Data Source: Washington State Population Survey NH=Non-Hispanic, AIAN=American Indian/Alaska Native, API=Asian Pacific Islander

  9. Poverty by Race/Ethnicity Racial/Ethnic Differences in Overall Poverty, 2000 to 2008 Data Source: Washington State Population Survey NH=Non-Hispanic, AIAN=American Indian/Alaska Native, API=Asian Pacific Islander

  10. Children Living in Poverty by Race/Ethnicity • Racial/Ethnic Differences in Poverty among Children Less Than 18 Years of Age, 2000 to 2008 Data Source: Washington State Population Survey • NH=Non-Hispanic, AIAN=American Indian/Alaska Native, API=Asian Pacific Islander

  11. General Health Statusby Race/Ethnicity General Health Status by Race/Ethnicity among Adults 25 Years of Age or Older, 2000 to 2008 • Data Source: Behavioral Risk Factor Surveillance System (BRFSS) • NH=Non-Hispanic, AIAN=American Indian/Alaska Native, API=Asian Pacific Islander

  12. Incidence of HIV by Race/Ethnicity New HIV Diagnosis Rates (Incidence) by Race/Ethnicity, 2002 to 2008 Data Source: Washington State HIV Surveillance Report NH=Non-Hispanic, AIAN=American Indian/Alaska Native, API=Asian Pacific Islander

  13. Leading Causes of Mortality per 100,000 (Age Adjusted) by Race/Ethnicity Spokane County ^Significantly higher than Spokane County * Includes bronchitis , emphysema, asthma Data Source: Death Certificates, Washington State Department of Health, Center for Health Statistics

  14. Mean age of Death by Race/Ethnicity Mean Age of Death by Race/Ethnicity Adults 25 Years of Age or Older, 2008 to 2009 Data Source: Death Certificates, Washington State Department of Health, Center for Health Statistics

  15. A Framework for Health Inequity Socio-Ecological Medical Model Individual Health Knowledge Genetics UpstreamDownstream • Race • Class • Gender • Immigration status • National Origin • Sexual orientation • Disability • Corporations & other businesses • Government agencies • Schools • Neighborhood conditions • Social • Physical • Residential segregation • Workplace conditions Social Inequities • Smoking • Nutrition • Physical activity • Violence • Chronic Stress • Infectious disease • Chronic disease • Injury (intentional / unintentional) • Infant mortality • Life expectancy Institutional Power Discriminatory Beliefs (ISMS) Risk Factors & Behaviors Disease & Injury Mortality Health Status Healthcare Access Social Factors

  16. “In order to get beyond racism, we must first take account of race. There is no other way. And in order to treat people equally, we must treat them differently.” Harry A. Blackmun American Supreme Court justice

  17. Adrian E. Dominguez, M.S.EpidemiologistSpokane Regional Health DistrictDisease Prevention and ResponseCommunity Health Assessment, Planning , and Evaluationadominguez@spokanecounty.org509.324.1670

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