Sick forJustice

1. Sick forJustice Alyson Shupe, Ph.D. Chief, Health Statistics Section Alyson.shupe@state.co.us Mauricio Palacio, M.S. Director, Office of Health Equity Mauricio.palacio@state.co.us Latino Health Disparities Conference w October 2013

2. Health Equity • Health equity is achieving the highest level of health for all people. Health equity entails focused societal efforts to address avoidable inequalities by equalizing the conditions for health for all groups, especially for those who have experienced socioeconomic disadvantage or historical injustices. • Health equity concerns those differences in population health that can be traced to unequal economic and social conditions and are systemic and avoidable – and thus inherently unjust and unfair.

3. Determinants of Health Policies and Interventions PhysicalSocial Environment Individual Environment Behavior Biology Access to Quality Health Care Source: Healthy People 2010

4. Colorado high school graduation rates, 2011 Source: Colorado Department of Education

5. Colorado unemployment rates, 2010

6. Colorado median household income, 2009 Source: U.S. Bureau of the Census, 2009 American Community Survey 1-Year Estimates

7. Source: Small Area Income and Poverty Estimates (SAIPE) , US Census Bureau

9. Fair or poor health by race/ethnicity, Colorado Adults, 2011 Source: Behavioral Risk Factor Surveillance System, Colorado Department of Public Health and Environment

10. Source: Behavioral Risk Factor Surveillance System, Colorado Department of Public Health and Environment

11. Example Study Area for 2013 OHD Report Demographics of those living within a selected high volume transportation corridor. Air quality within a 500’ zone adjacent to roadways is suspected of increasing certain health risks.

12. Obesity prevalence by race and ethnicity 2008-2012, Colorado adults Percent Source: Colorado Behavioral Risk Factor Surveillance System, Colorado Department of Public Health and Environment

13. Diabetes prevalence by race and ethnicity 2008-2012, Colorado adults Percent Source: Colorado Behavioral Risk Factor Surveillance System, Colorado Department of Public Health and Environment

14. Obesity rates of Colorado children ages 2-14 by race and ethnicity, 2005-2012 Percent Source: Colorado Child Health Survey, Colorado Department of Public Health and Environment

15. Smoking prevalence by race and ethnicity 2008-2012, Colorado adults Percent Source: Colorado Behavioral Risk Factor Surveillance System, Colorado Department of Public Health and Environment

16. Insurance coverage by race and ethnicity 2008-2012, Colorado adults Percent Source: Colorado Behavioral Risk Factor Surveillance System, Colorado Department of Public Health and Environment

17. Years of potential life lost Source: Vital Statistics Unit, Colorado Department of Public Heath and Environment

18. Unintended pregnancy rates by race and ethnicity 2007-2011 Percent Source: Colorado Pregnancy Risk Assessment and Monitoring System, Colorado Department of Public Health and Environment

19. Low birth weight births by race and ethnicity 2007-2012 Percent Source: Vital Statistics Unit, Colorado Department of Public Health and Environment

20. Infant mortality rates by race and ethnicity 2007-2012 Percent Source: Vital Statistics Unit, Colorado Department of Public Health and Environment

21. Colorado fertility rates for teens 15-17 years old, 1990–2011 Source: Vital Statistics Unit, Colorado Department of Public Heath and Environment

22. Smoking during the last 3 months of pregnancy by race and ethnicity 2007-2011 Percent Source: Colorado Pregnancy Risk Assessment and Monitoring System, Colorado Department of Public Health and Environment

23. Drinking during the last 3 months of pregnancy by race and ethnicity 2007-2011 Percent Source: Colorado Pregnancy Risk Assessment and Monitoring System, Colorado Department of Public Health and Environment

24. Latino Population Growth • 2000 – 2010: • Latino population in CO increased 41% (735,601 to 1 million) • States’ population increased 17% (4.3 million to 5 million) • Latinos represent 21% of Colorado’s population • Latinos are the second largest population group in Colorado • Nearly 31% of all Coloradans under 18 are Latino • Latino population growth presents many opportunities for increasing Latino representation in business, employment, education and politics (Paul Lopez, Denver City Councilmember). Source: NALEO Educational Fund, News Release, February 24, 2011.

25. Healthy Latino Communities • Healthy communities are critical to our residents’ wellbeing and a thriving Colorado economy. • For years we have mainly attributed our health to the day-to-day choices we make. • While individuals are responsible for making healthy choices, the conditions where we live, learn, work and play limit our choices and opportunities to be healthy. • We now know there are hidden health factors that impact our lives, including our education, socio-economic status and job opportunities.

26. So, what do we do about it? • The first step is promoting awareness and understanding of these hidden health factors. • Next, we must work in partnership with communities to bring everyone up to an optimal level of health. • Finally, we must all take actionto improve health equity and eliminate health disparities.