health disparities vickie ybarra, rn, mph [email protected]

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Health Disparities Vickie Ybarra, RN, MPH [email protected]

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Page 1: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

Health Disparities

Vickie Ybarra, RN, MPH

[email protected]

Page 2: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

Health Disparities Nationally

Page 3: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

www.kff.org

Health Status

Coverage

Preventive and Primary Care

Diabetes

HIV/AIDS

Asthma

Page 4: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com
Page 5: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com
Page 6: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com
Page 7: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com
Page 8: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com
Page 9: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com
Page 10: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

Health Disparities in Arkansas

Page 11: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

Low Birthweight in Arkansas (03)

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

20.0%

Phillips County Pulaski County State

Black

White

Page 12: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

Infant Mortality in Arkansas (03)

0

2

4

6

8

10

12

14

Phillips County Pulaski County State

Black

White

Page 13: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

Premature Births in Arkansas (03)

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

Pulaski County State

Black 5.7%

White <1%

Page 14: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

Diabetes in Arkansas

0%

2%

4%

6%

8%

10%

12%

14%

Phillips County Pulaski County Delta State

Black

White

Hispanic

Page 15: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

Hypertension in Arkansas

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

Phillips County Pulaski County Delta State

Black

White

Hispanic

Page 16: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

Health Care Coverage in Arkansas

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Phillips County Pulaski County Delta State

Black

White

Hispanic

Page 17: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

Tobacco Use in Arkansas

0%

5%

10%

15%

20%

25%

30%

35%

40%

Phillips County Pulaski County Delta State

Black

White

Hispanic

Page 18: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

Overweight in Arkansas

0%

10%

20%

30%

40%

50%

60%

70%

80%

Phillips County Pulaski County Delta

Black

White

Page 19: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

Immigrants and Health Disparities in Arkansas

April 2007

Urban Institute www.urban.org

Demographics

Labor Force

Children and Families

Economic Impact

Page 20: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

Arkansas Foreign-Born Population

•Largest communities in Springdale, Rogers, Fayetteville, and Fort Smith

•About half of Arkansas immigrants are undocumented, most coming to the state for work

•Manufacturing Industry employs the most immigrants

•Fastest growing Hispanic population nationwide between 2000 and 2005

Page 21: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

Healthy Immigrant Effect

• Immigrant adults tend to be healthier than US-born adults of similar socio-economic status

• Lower infant mortality, lower rates of mental health problems

• Effect fades with time in the US

Page 22: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

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

Page 23: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

Health of Children of Immigrants•Most children of immigrants are US citizens

•Begin to take on health risks of US-born population of similar socioeconomic status

•Additional risks from poor adjustment that are common to immigrants born to non-English speaking parents with low educational levels

•Second generation risks:

▪increased mental health issues

▪lack of success in school

▪increased risk for teen pregnancy, juvenile delinquency, drug/alcohol dependency

Page 24: Health Disparities Vickie Ybarra, RN, MPH vickie@ybarra.com

Health Disparities

Vickie Ybarra, RN, MPH

[email protected]