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Health Disparities. Vickie Ybarra, RN, MPH vickie@ybarra.com. Health Disparities Nationally. www.kff.org Health Status Coverage Preventive and Primary Care Diabetes HIV/AIDS Asthma. Health Disparities in Arkansas. Immigrants and Health Disparities in Arkansas. April 2007 - PowerPoint PPT Presentation

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  • Health DisparitiesVickie Ybarra, RN, MPHvickie@ybarra.com

  • Health Disparities Nationally

  • www.kff.org

    Health StatusCoveragePreventive and Primary CareDiabetesHIV/AIDSAsthma

  • Health Disparities in Arkansas

  • Chart17

    0.1070.06

    0.1330.078

    0.1850.11

    Black

    White

    Low Birthweight in Arkansas (03)

    Charts

    2002 Cardiovascular & Diabetes Risk Factor Survey/04 Pulaski County Adult Health Survey/05BRFSS

    Diabetes

    Phillips CountyPulaski CountyDeltaState

    Black12%10%11%9.70%

    White8%7%9%7.90%

    Hispanic7.40%

    High Blood Pressure

    Phillips CountyPulaski CountyDeltaState

    Black36%34%33%39.40%

    White31%28%28%28.20%

    Hispanic19.90%

    Health Care Coverage

    Phillips CountyPulaski CountyDeltaState

    Black70%76%69%72.30%

    White74%89%77%83.80%

    Hispanic51.60%

    Tobacco Use

    Phillips CountyPulaski CountyDeltaState

    Black28%23%21%16.50%

    White35%22%34%23.80%

    Hispanic23.90%

    Overweight

    Phillips CountyPulaski CountyDelta

    Black67%72%70%

    White62%57%66%

    Low Birthweight

    Phillips CountyPulaski CountyState

    Black10.7%13.3%18.50%

    White6%7.8%11%

    Hispanic

    Premature Births (2003)

    Phillips CountyPulaski CountyState

    Black5.7%7.5%12.40%

    White

  • Chart9

    3.3Phillips County

    12.74.5

    12.35.8

    Black

    White

    Infant Mortality in Arkansas (03)

    Charts

    2002 Cardiovascular & Diabetes Risk Factor Survey/04 Pulaski County Adult Health Survey/05BRFSS

    Diabetes

    Phillips CountyPulaski CountyDeltaState

    Black12%10%11%9.70%

    White8%7%9%7.90%

    Hispanic7.40%

    High Blood Pressure

    Phillips CountyPulaski CountyDeltaState

    Black36%34%33%39.40%

    White31%28%28%28.20%

    Hispanic19.90%

    Health Care Coverage

    Phillips CountyPulaski CountyDeltaState

    Black70%76%69%72.30%

    White74%89%77%83.80%

    Hispanic51.60%

    Tobacco Use

    Phillips CountyPulaski CountyDeltaState

    Black28%23%21%16.50%

    White35%22%34%23.80%

    Hispanic23.90%

    Overweight

    Phillips CountyPulaski CountyDelta

    Black67%72%70%

    White62%57%66%

    Low Birthweight

    Phillips CountyPulaski CountyState

    Black10.7%7.8%18.50%

    White6%13.3%11%

    Hispanic

    Premature Births (2003)

    Phillips CountyPulaski CountyState

    Black5.7%7.5%12.40%

    White

  • Chart10

    0.0750.05

    0.1240.075

    Black 5.7%

    White

  • Chart12

    0.120.08Phillips County

    0.10.07Pulaski County

    0.110.09Delta

    0.0970.0790.074

    Black

    White

    Hispanic

    Diabetes in Arkansas

    Charts

    2002 Cardiovascular & Diabetes Risk Factor Survey/04 Pulaski County Adult Health Survey/05BRFSS

    Diabetes

    Phillips CountyPulaski CountyDeltaState

    Black12%10%11%9.70%

    White8%7%9%7.90%

    Hispanic7.40%

    High Blood Pressure

    Phillips CountyPulaski CountyDeltaState

    Black36%34%33%39.40%

    White31%28%28%28.20%

    Hispanic19.90%

    Health Care Coverage

    Phillips CountyPulaski CountyDeltaState

    Black70%76%69%72.30%

    White74%89%77%83.80%

    Hispanic51.60%

    Tobacco Use

    Phillips CountyPulaski CountyDeltaState

    Black28%23%21%16.50%

    White35%22%34%23.80%

    Hispanic23.90%

    Overweight

    Phillips CountyPulaski CountyDelta

    Black67%72%70%

    White62%57%66%

    Low Birthweight

    Phillips CountyPulaski CountyState

    Black10.7%7.8%18.50%

    White6%13.3%11%

    Hispanic

    Premature Births (2003)

    Phillips CountyPulaski CountyState

    Black5.7%7.5%12.40%

    White

  • Chart13

    0.360.31Phillips County

    0.340.28Pulaski County

    0.330.28Delta

    0.3940.2820.199

    Black

    White

    Hispanic

    Hypertension in Arkansas

    Charts

    2002 Cardiovascular & Diabetes Risk Factor Survey/04 Pulaski County Adult Health Survey/05BRFSS

    Diabetes

    Phillips CountyPulaski CountyDeltaState

    Black12%10%11%9.70%

    White8%7%9%7.90%

    Hispanic7.40%

    High Blood Pressure

    Phillips CountyPulaski CountyDeltaState

    Black36%34%33%39.40%

    White31%28%28%28.20%

    Hispanic19.90%

    Health Care Coverage

    Phillips CountyPulaski CountyDeltaState

    Black70%76%69%72.30%

    White74%89%77%83.80%

    Hispanic51.60%

    Tobacco Use

    Phillips CountyPulaski CountyDeltaState

    Black28%23%21%16.50%

    White35%22%34%23.80%

    Hispanic23.90%

    Overweight

    Phillips CountyPulaski CountyDelta

    Black67%72%70%

    White62%57%66%

    Low Birthweight

    Phillips CountyPulaski CountyState

    Black10.7%7.8%18.50%

    White6%13.3%11%

    Hispanic

    Premature Births (2003)

    Phillips CountyPulaski CountyState

    Black5.7%7.5%12.40%

    White

  • Chart14

    0.70.74Phillips County

    0.760.89Pulaski County

    0.690.77Delta

    0.7230.8380.516

    Black

    White

    Hispanic

    Health Care Coverage in Arkansas

    Charts

    2002 Cardiovascular & Diabetes Risk Factor Survey/04 Pulaski County Adult Health Survey/05BRFSS

    Diabetes

    Phillips CountyPulaski CountyDeltaState

    Black12%10%11%9.70%

    White8%7%9%7.90%

    Hispanic7.40%

    High Blood Pressure

    Phillips CountyPulaski CountyDeltaState

    Black36%34%33%39.40%

    White31%28%28%28.20%

    Hispanic19.90%

    Health Care Coverage

    Phillips CountyPulaski CountyDeltaState

    Black70%76%69%72.30%

    White74%89%77%83.80%

    Hispanic51.60%

    Tobacco Use

    Phillips CountyPulaski CountyDeltaState

    Black28%23%21%16.50%

    White35%22%34%23.80%

    Hispanic23.90%

    Overweight

    Phillips CountyPulaski CountyDelta

    Black67%72%70%

    White62%57%66%

    Low Birthweight

    Phillips CountyPulaski CountyState

    Black10.7%7.8%18.50%

    White6%13.3%11%

    Hispanic

    Premature Births (2003)

    Phillips CountyPulaski CountyState

    Black5.7%7.5%12.40%

    White

  • Chart15

    0.280.35Phillips County

    0.230.22Pulaski County

    0.210.34Delta

    0.1650.2380.239

    Black

    White

    Hispanic

    Tobacco Use in Arkansas

    Charts

    2002 Cardiovascular & Diabetes Risk Factor Survey/04 Pulaski County Adult Health Survey/05BRFSS

    Diabetes

    Phillips CountyPulaski CountyDeltaState

    Black12%10%11%9.70%

    White8%7%9%7.90%

    Hispanic7.40%

    High Blood Pressure

    Phillips CountyPulaski CountyDeltaState

    Black36%34%33%39.40%

    White31%28%28%28.20%

    Hispanic19.90%

    Health Care Coverage

    Phillips CountyPulaski CountyDeltaState

    Black70%76%69%72.30%

    White74%89%77%83.80%

    Hispanic51.60%

    Tobacco Use

    Phillips CountyPulaski CountyDeltaState

    Black28%23%21%16.50%

    White35%22%34%23.80%

    Hispanic23.90%

    Overweight

    Phillips CountyPulaski CountyDelta

    Black67%72%70%

    White62%57%66%

    Low Birthweight

    Phillips CountyPulaski CountyState

    Black10.7%7.8%18.50%

    White6%13.3%11%

    Hispanic

    Premature Births (2003)

    Phillips CountyPulaski CountyState

    Black5.7%7.5%12.40%

    White

  • Chart16

    0.670.62

    0.720.57

    0.70.66

    Black

    White

    Overweight in Arkansas

    Charts

    2002 Cardiovascular & Diabetes Risk Factor Survey/04 Pulaski County Adult Health Survey/05BRFSS

    Diabetes

    Phillips CountyPulaski CountyDeltaState

    Black12%10%11%9.70%

    White8%7%9%7.90%

    Hispanic7.40%

    High Blood Pressure

    Phillips CountyPulaski CountyDeltaState

    Black36%34%33%39.40%

    White31%28%28%28.20%

    Hispanic19.90%

    Health Care Coverage

    Phillips CountyPulaski CountyDeltaState

    Black70%76%69%72.30%

    White74%89%77%83.80%

    Hispanic51.60%

    Tobacco Use

    Phillips CountyPulaski CountyDeltaState

    Black28%23%21%16.50%

    White35%22%34%23.80%

    Hispanic23.90%

    Overweight

    Phillips CountyPulaski CountyDelta

    Black67%72%70%

    White62%57%66%

    Low Birthweight

    Phillips CountyPulaski CountyState

    Black10.7%7.8%18.50%

    White6%13.3%11%

    Hispanic

    Premature Births (2003)

    Phillips CountyPulaski CountyState

    Black5.7%7.5%12.40%

    White

  • Immigrants and Health Disparities in ArkansasApril 2007Urban Institute www.urban.orgDemographicsLabor ForceChildren and FamiliesEconomic Impact

  • Arkansas Foreign-Born Population

    Largest communities in Springdale, Rogers, Fayetteville, and Fort SmithAbout half of Arkansas immigrants are undocumented, most coming to the state for workManufacturing Industry employs the most immigrantsFastest growing Hispanic population nationwide between 2000 and 2005

  • Healthy Immigrant EffectImmigrant adults tend to be healthier than US-born adults of similar socio-economic statusLower infant mortality, lower rates of mental health problemsEffect fades with time in the US

  • Health Risks and Needs for Immigrants Chronic illness Workplace hazards Racial/ethnic disparities Lack of adequate access to preventive care and healthcare coverage Language often a barrier to adequate healthcare Health risks of poverty

  • Health of Children of ImmigrantsMost children of immigrants are US citizensBegin to take on health risks of US-born population of similar socioeconomic statusAdditional risks from poor adjustment that are common to immigrants born to non-English speaking parents with low educational levelsSecond generation risks:increased mental health issueslack of success in schoo

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