Post on 31-Mar-2015
transcript
Office of Minority Health and Office of Minority Health and Health Disparities (OMHD)Health Disparities (OMHD)
An OverviewAn Overview
Centers for Disease Control & Prevention (CDC)
What is a “Health Disparity”?What is a “Health Disparity”?Conceptual IssuesConceptual Issues
InequalityInequality
Difference in condition, rankDifference in condition, rank
Lack of equality as of opportunity, Lack of equality as of opportunity, treatment, or statustreatment, or status
Inequity Inequity – Unfair and unjustUnfair and unjust– Unnecessary and avoidableUnnecessary and avoidable
““Health Disparity” in Public Health Disparity” in Public Health – Operational DefinitionHealth – Operational Definition
Quantitative measures: rates, percents, Quantitative measures: rates, percents, means…means…The Quantity that separates a group from The Quantity that separates a group from a reference point on a particular measure a reference point on a particular measure of healthof healthCalls attention to differences in health Calls attention to differences in health between groups between groups regardless of causeregardless of causeCan be measured in absolute or relative Can be measured in absolute or relative termsterms
Health DisparitiesHealth DisparitiesCommunities of ColorCommunities of Color
are Disproportionately Affectedare Disproportionately Affected
Racial and Ethnic Minority Racial and Ethnic Minority PopulationsPopulations
American Indian/Alaska Native (AI/AN)American Indian/Alaska Native (AI/AN)
Asian AmericanAsian American
Black or African AmericanBlack or African American
Hispanic or LatinoHispanic or Latino
Native Hawaiian or Other Pacific Islander Native Hawaiian or Other Pacific Islander (NHOPI)(NHOPI)
Other Populations By . . .Other Populations By . . .
Socio-economic status Socio-economic status
Geography (urban or rural)Geography (urban or rural)
GenderGender
AgeAge
Disability statusDisability status
Risk status related to sex and genderRisk status related to sex and gender
CDC VisionCDC Vision
CDC’s Vision for the 21CDC’s Vision for the 21stst Century is Century is “Health Protection…Health Equity”“Health Protection…Health Equity”
CDC MissionCDC MissionCollaborating to create the expertise, information, and toolsCollaborating to create the expertise, information, and tools
that people and communities need to protect their health that people and communities need to protect their health
– – through health promotion,through health promotion,
prevention of disease, injury and disability,prevention of disease, injury and disability,
and preparedness for new health threatsand preparedness for new health threats
OMHD MissionOMHD MissionThe Office of Minority Health and Health The Office of Minority Health and Health
Disparities (OMHD) aims to accelerate CDC’s Disparities (OMHD) aims to accelerate CDC’s health impact in the U.S population and to health impact in the U.S population and to eliminate health disparities for vulnerable eliminate health disparities for vulnerable
populations as defined by race/ethnicity, socio-populations as defined by race/ethnicity, socio-economic status, geography, gender, age, economic status, geography, gender, age,
disability status, and risk status related to sex disability status, and risk status related to sex and gender, among other populations identified and gender, among other populations identified
to be at-risk for health disparities.to be at-risk for health disparities.
OMHD Guiding PrincipleOMHD Guiding Principle
The future health of the nation will be The future health of the nation will be determined to a large extent by how determined to a large extent by how
effectively we work with communities to effectively we work with communities to eliminate health disparities among those eliminate health disparities among those
populations experiencing gaps in disease, populations experiencing gaps in disease, disability, and death.disability, and death.
What are OMHD Critical Goals?What are OMHD Critical Goals?
(1)(1) Equity in health impactEquity in health impact
(2)(2) Diversity in customer focusDiversity in customer focus
(3)(3) Access to and participation in public health systemsAccess to and participation in public health systems
(4)(4) Participation in the conduct and use of public health Participation in the conduct and use of public health research to solve community wide health problemsresearch to solve community wide health problems
(5)(5) The benefits of global health protection, especially The benefits of global health protection, especially among immigrants and border populationsamong immigrants and border populations
(6)(6) A verifiable commitment to operational efficiency, A verifiable commitment to operational efficiency, program effectiveness, and accountability for public program effectiveness, and accountability for public resources.resources.
What are the OMHD Core What are the OMHD Core Functions?Functions?
1. Maintaining core functions of the 1. Maintaining core functions of the Office Office of Minority Health (OMH)of Minority Health (OMH) without loss without loss of priority, resources, or visibilityof priority, resources, or visibility
2. Developing CDC-wide 2. Developing CDC-wide healthhealth disparities disparities eliminationelimination strategiesstrategies, policies, goals, , policies, goals, and programsand programs
What are the OMHD Core What are the OMHD Core Functions?Functions?
3. Managing 3. Managing health disparities eliminationhealth disparities elimination goalsgoals through scanning, analysis, through scanning, analysis, knowledge management, decision-knowledge management, decision-support systems, and reporting Key support systems, and reporting Key Performance Indicators *, Government Performance Indicators *, Government Performance and Results Act**, Performance and Results Act**, Program Assessment Rating Tool***Program Assessment Rating Tool***
*(GPRA) **(*(GPRA) **( PART) ***(KPI)PART) ***(KPI)
What are the OMHD Core What are the OMHD Core Functions?Functions?
4. Supporting internal and external 4. Supporting internal and external partnershipspartnerships to advance the science, to advance the science, practice, and workforce for eliminating practice, and workforce for eliminating health disparities inside and outside CDChealth disparities inside and outside CDC
5. Synthesizing, disseminating, and 5. Synthesizing, disseminating, and encouraging use of encouraging use of scientific evidencescientific evidence about effective interventions to achieve about effective interventions to achieve health disparities elimination outcomeshealth disparities elimination outcomes
CDC’s Office of Minority CDC’s Office of Minority Health (OMH), 1988Health (OMH), 1988
Established by CDC Director-- 1988Established by CDC Director-- 1988A response to Secretary Heckler’s report A response to Secretary Heckler’s report on excess deaths in certain groups and on excess deaths in certain groups and internal advocacyinternal advocacyCoordination vs. program management Coordination vs. program management Small staff, small budget, no large Small staff, small budget, no large programsprograms
CDC’s OMH, 1988-1998 Major CDC’s OMH, 1988-1998 Major GoalsGoals
Assuring that policies direct activities Assuring that policies direct activities toward minority healthtoward minority healthEnhancing research to reduce the Enhancing research to reduce the disproportionate disease burden in disproportionate disease burden in minority groupsminority groupsDeveloping effective internal and external Developing effective internal and external communication networkscommunication networks
Strategic Redirection of OMH, Strategic Redirection of OMH, 19981998
Executive retreat, agency-wide Executive retreat, agency-wide deliberations on draft paper on new deliberations on draft paper on new vision/policy/strategy/action (1998) vision/policy/strategy/action (1998) Senior Staff reviews, briefings & Senior Staff reviews, briefings & deliberations (1999-2001)deliberations (1999-2001)Policy/Action items approved (Oct 2001)Policy/Action items approved (Oct 2001)
Action Items for Improving Action Items for Improving Minority Health: 2000 - 2005Minority Health: 2000 - 2005
Cross- Cutting ActionsCross- Cutting Actions: Activities each : Activities each CIO should undertakeCIO should undertake
InfrastructureInfrastructure: Mobilizing people, : Mobilizing people, information systems, and resourcesinformation systems, and resources
Program Development and Program Development and Implementation: Implementation: Improving programsImproving programs
Monitoring and AccountabilityMonitoring and Accountability: Tracking : Tracking and assuring qualityand assuring quality
OMH Functions/Priorities OMH Functions/Priorities 2001-20042001-2004
Strategic planning (minority health priorities)Strategic planning (minority health priorities)Policy initiatives (analysis, development)Policy initiatives (analysis, development)Leadership/coordination of minority health initiatives Leadership/coordination of minority health initiatives and Executive Branch activitiesand Executive Branch activitiesSupport for minority-serving institutions of higher Support for minority-serving institutions of higher learninglearningCooperative agreements to conduct research, Cooperative agreements to conduct research, prevention activities, student/faculty developmentprevention activities, student/faculty developmentStudent traineeshipsStudent traineeshipsEpidemiologic studiesEpidemiologic studiesExternal partnerships (technical External partnerships (technical assistance/symposia)assistance/symposia)Direct support to CDC/ATSDR programs (SME)Direct support to CDC/ATSDR programs (SME)
The Futures InitiativeTransforming CDC for a Transforming World
•• InputInput
•• IdeasIdeas
•• ImplementationImplementation
•• ImpactImpact• Outside-in • Interactive• Driven by data • Focused on customers • Strategic direction first,
then structure & processes
•• OutsideOutside--in in •• InteractiveInteractive•• Driven by data Driven by data •• Focused on customers Focused on customers •• Strategic direction first, Strategic direction first,
then structure & processesthen structure & processes
Enhancing Impact on Health Enhancing Impact on Health Disparities: New ProposalsDisparities: New Proposals
Office of Minority Office of Minority Health & Health Health & Health Disparities Disparities
Goal management & Goal management & resource allocation to resource allocation to address disparities address disparities
Accountability Accountability – performance performance
measurementmeasurement– external inputexternal input
OMH Stakeholders Meeting
Office of Minority Health and Health Disparities (OMHD)Office of Minority Health and Health Disparities (OMHD)Organizational UnitsOrganizational Units
Director/ADMHCAPT Walter W. Williams, MD, MPH
Science & Goals Management Karen Bouye, MPH, MS, PhD, Senior Advisor for Research CAPT Ralph T. Bryan, MD, Senior Tribal Liaison Ramal Moonesinghe, PhD, Senior Mathematical Statistician Sarah Berry, Web Developer / Manager Vacant, Epidemiologist Vacant, Communications Specialist
Partnerships & Preparedness
CAPT Pelagie “Mike” Snesrud, Senior Tribal Liaison, AI/AN Vacant, Public Health Analyst AAPI Vacant, Public Health Analyst AA Vacant, Public Health Analyst, HISPPublic Health Preparedness
CAPT Sonja Hutchins, MD, MPH, DrPH, Team Leader Benita Harris, MPH, Senior Public Health Advisor Vacant, Health Communications Specialist Vacant, Health Communications Specialist
Resources & OMHD Operations Theresa Potts, Assistant to the Director Carol Irvin Grant, Secretary Vacant, Lead Management & Program Analyst (FTE) Vacant, Administrative Support Specialist Vacant, Program Specialist Vacant, Administrative Assistant Vacant, Computer Clerk
Strategic Management Team
CAPT Walter W. Williams, MD, MPHTamara J. Kicera, Deputy Director
Benedict I. Truman, MD, MPH, Associate Director for Science Vacant, Assoc. Director Minority Health & Health Disparities Policy
NCIPC
NCZSVBD
Coordinating Office for GLOBAL HEALTH
Coordinating Office for
TERRORISM PREPAREDNESS & EMERGENCY
RESPONSE
Coordinating Center for
ENVIRONMENTALHEALTH &
INJURY PREVENTION
Coordinating Center for
INFECTIOUS DISEASES
Coordinating Center for HEALTH
PROMOTION
Coordinating Center for HEALTH
INFORMATION & SERVICES
CDC Washington Office
Office of the Chief of Public Health
Practice
Office of the Chief Operating Officer
Office of Chief of Staff
Office of Enterprise Communication
Office of Strategy & Innovation
Office of Workforce & Career Development
Office of the Chief Science Officer
Office of the Director
NCPHI
NCHM
NCHS
NCHHSTP
NCIPRD
NCEIC NIOSH
OPHG
NCEHNCBDDD
NCHPDP
CDC Organizational StructureCDC Organizational Structure
Office of Minority Health & Health
Disparities (ADMH)
Population Data and Population Data and Representative MortalityRepresentative Mortality
and Case Ratesand Case Rates
Leading Causes of DeathLeading Causes of DeathAfrican Americans, U.S., 2006African Americans, U.S., 2006
Heart DiseaseHeart Disease
Cancer Cancer
StrokeStroke
Unintentional Unintentional InjuriesInjuries
DiabetesDiabetes
HomicideHomicide
Nephritis, Nephrotic Nephritis, Nephrotic Syndrome, & NephrosisSyndrome, & Nephrosis
Chronic Lower Chronic Lower Respiratory DiseasesRespiratory Diseases
HIV DiseaseHIV Disease
Septicemia Septicemia
Source: CDC, NCHS, Health, United States, 2008, Table 30.
Leading Causes of DeathLeading Causes of DeathHispanic/Latinos, U.S., 2006Hispanic/Latinos, U.S., 2006
Heart DiseaseHeart DiseaseCancer Cancer Unintentional Unintentional Injuries Injuries StrokeStrokeDiabetesDiabetes
Chronic Liver Disease & Chronic Liver Disease & CirrhosisCirrhosisHomicideHomicideChronic Lower Chronic Lower Respiratory DiseaseRespiratory DiseaseInfluenza & PneumoniaInfluenza & PneumoniaCertain Conditions Certain Conditions Originating in the Perinatal Originating in the Perinatal Period Period
Source: CDC, NCHS, Health, United States, 2008, Table 30.
Leading Causes of DeathLeading Causes of DeathAmerican Indian/Alaska Natives, U.S., 2006American Indian/Alaska Natives, U.S., 2006
Heart DiseaseHeart Disease
Cancer Cancer
Unintentional Unintentional Injuries Injuries
Diabetes Diabetes
Chronic Liver Chronic Liver Disease & CirrhosisDisease & Cirrhosis
StrokeStroke
Chronic Lower Chronic Lower Respiratory DiseasesRespiratory Diseases
SuicideSuicide
Nephritis, Nephrotic Nephritis, Nephrotic Syndrome, & NephrosisSyndrome, & Nephrosis
Influenza & Pneumonia Influenza & Pneumonia
Source: CDC, NCHS, Health, United States, 2008, Table 30.
Leading Causes of DeathLeading Causes of DeathAsian or Pacific Islanders, U.S., 2006Asian or Pacific Islanders, U.S., 2006
Cancer Cancer
Heart Disease Heart Disease
StrokeStroke
Unintentional Unintentional InjuriesInjuries
DiabetesDiabetes
Chronic Lower Chronic Lower Respiratory DiseasesRespiratory Diseases
Influenza & PneumoniaInfluenza & Pneumonia
Nephritis, Nephrotic Nephritis, Nephrotic Syndrome, & NephrosisSyndrome, & Nephrosis
SuicideSuicide
Alzheimer’s DiseaseAlzheimer’s Disease
Source: CDC, NCHS, Health, United States, 2008, Table 30.
Populationof the United States by Race & Hispanic Origin:
2008 & Projected 2050
46
15
1.6 25.1
9.215
30
66
14
0
10
20
30
40
50
60
70
80
90
100
2008 2050
% P
erce
nt o
f Tot
al U
.S. P
opul
atio
n Non-Hispanic White
African American
American Indian / Alaska Native
Asian
Hispanic/Latino
Source: U.S. Census Bureau, 2008 National Population Projections, August 14, 2008http://www.census.gov/Press-Release/www/releases/archives/population/012496.html
Source: Health, United States, 2006. http://www.cdc.gov/nchs/data/hus/hus06.pdf#summary Table 19.
Infant MortalityRates per 1,000 Live Births by Detailed Race & Hispanic
Origin of Mother: U.S.,2002
7.05.8 5.8
13.9 13.8
8.6
4.8
3.0
4.95.7
9.6
4.75.6 5.4
8.2
3.7
5.1
7.1
0
5
10
15
All Rac
es
Whi
te N
on-H
ispan
icW
hite
Africa
n Am
erica
n Non
-Hisp
anic
Africa
n Am
erica
n
Amer
ican
India
n/Ala
ska
Native
Asian/
Pacific
Isla
nder
Chines
e
Japa
nese
Filip
ino
Hawaii
an
Other
Asia
n or
Pac
ific Is
lande
r
Hispan
ic
Mex
ican
Puerto
Rica
n
Cuban
Centra
l & S
outh
Am
erica
n
Other
& U
nkno
wn Hisp
anic/
Latin
o
Infa
nt
Mo
rta
lity
Ra
te p
er
1,0
00
Liv
e B
irth
s
Infant MortalityRates per 1,000 Live Births by Detailed Race & Hispanic
Origin of Mother: U.S.,2005
6.95.8 5.7
13.6 13.3
8.1
4.95.6 5.5
8.3
4.4 4.7
6.4
0
5
10
15
All Rac
es
Whit
e Non
-Hisp
anic
Whit
e
Africa
n Am
erica
n Non
-Hisp
anic
Africa
n Am
erica
n
Amer
ican
India
n/Alas
ka N
ative
Asian/
Pacific
Islan
der
Hispan
ic
Mex
ican
Puerto
Rica
n
Cuban
Centra
l & S
outh
Am
erica
n
Other
& U
nkno
wn Hisp
anic/
Latin
o
Infa
nt
Mo
rta
lity
Ra
te p
er
1,0
00
Liv
e B
irth
s
Source: CDC, NCHS, Health, United States, 2008, Table 18 http://www.cdc.gov/nchs/data/hus/hus08.pdf
Infant Death Under 1 Year Rates per 1,000 Live Births by Race & Hispanic
Origin: U.S.,2005
6.95.7 5.7
13.7
5.8
0
5
10
15
All Races Non-HispanicWhite
White AfricanAmerican
Hispanic
Ag
e-A
dju
sted
Dea
th R
ate
per
1,0
00 I
nfa
nts
Source: National Vital Statistics Report, 56(16), 6/11/08: Deaths: Preliminary Data for 2006, Table 4, p22 http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_16.pdf
Sudden Infant Death Syndrome (SIDS)Rates per 100,000 Live Births by Race & Hispanic
Origin: U.S.,2006
50.3 50.742.4
99.1
23.5
0
20
40
60
80
100
All Races Non-HispanicWhite
White AfricanAmerican
Hispanic
Ag
e-A
dju
sted
Dea
th R
ate
per
100
,000
Liv
e B
irth
s
Source: National Vital Statistics Report, 56(16), 6/11/08: Deaths: Preliminary Data for 2006, Table 8, p32 http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_16.pdf
Maternal Mortalityfor Complications of Pregnancy, Childbirth, & the Puerperium
Age-Adjusted Death Rates per 100,000 Persons by Race & Hispanic Origin: U.S.,
2005
12.49.6 9.1
31.7
8.2
0
5
10
15
20
25
30
35
All Races Non-HispanicWhite
White AfricanAmerican
Hispanic
Ag
e-A
dju
ste
d M
ate
rna
l M
ort
ali
ty R
ate
pe
r 1
00
,00
0 P
ers
on
s
Source: CDC, NCHS, Health, United States, 2008, Table 42.http://www.cdc.gov/nchs/data/hus/hus08.pdf
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
All CausesAge-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S.,2005
798.8 785.3
1016.5
663.4
440.2
590.7
0
200
400
600
800
1000
1200
All Races White AfricanAmerican
AmericanIndian/Alaska
Native
Asian/PacificIslander
Hispanic
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0 P
ers
on
s
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
Heart Disease, Cancer, & StrokeAge-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S.,2005
211.1 207.8
271.3
141.8
113.3
157.3
183.8 182.6
222.7
123.2110.5
122.8
46.6 44.7
65.2
34.8 38.6 35.7
0
50
100
150
200
250
300
All Races White AfricanAmerican
AmericanIndian/ Alaska
Native
Asian/ PacificIslander
Hispanic
Age
-Adj
uste
d D
eath
Rat
e pe
r 10
0,00
0 Per
sons
Heart DiseaseCancerStroke
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
DiabetesAge-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S.,2005
24.622.5
46.9
41.5
16.6
33.6
0
5
10
15
20
25
30
35
40
45
50
All Races White AfricanAmerican
AmericanIndian/Alaska
Native
Asian/PacificIslander
Hispanic
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0 P
ers
on
s
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
Motor Vehicle-Related InjuriesAge-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S.,2005
15.2 15.614.5
24.8
7.6
14.7
0
5
10
15
20
25
All Races White AfricanAmerican
AmericanIndian/Alaska
Native
Asian/PacificIslander
Hispanic
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0 P
ers
on
s
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
Human Immunodeficiency Virus (HIV) Disease Age-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S., 2005
4.2
2.2
19.4
2.7
0.6
4.7
0
5
10
15
20
All Races White AfricanAmerican
AmericanIndian/Alaska
Native
Asian/PacificIslander
Hispanic
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0 P
ers
on
s
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
Chronic Liver Disease & CirrhosisAge-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S.,2005
9.0 9.27.7
22.6
3.6
13.9
0
5
10
15
20
25
All Races White AfricanAmerican
AmericanIndian/Alaska
Native
Asian/PacificIslander
Hispanic
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0 P
ers
on
s
Tuberculosis (TB) Case RatesAge-Adjusted Case Rates Per 100,000 Persons by Race &
Ethnicity: U.S.,2007
0.8 1.1
9.3
6.0
25.8
8.4
23.4
0
5
10
15
20
25
30
Multi Racial non-HispanicWhite
non-HispanicBlack
American Indian/ Alaska Native
(AI/ AN)
Asian American Hispanic/Latino Native Hawaiian& Other Pacific
Islanders(NHOPI)
Age
-Adj
uste
d Cas
es p
er 100
,000
Per
sons
Source: CDC, MMWR, March 21, 2008 / 57(11);281-285, Trends in TB, US, 2007, Table:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5711a2.htm
Acute Hepatitis B (HBV) Incidence Case Rates Age-Adjusted Incidence Case Rates per 100,000 Persons by
Race & Ethnicity: U.S.,2006
1.1
2.3
1.21.1
0
1
2
3
White non-Hispanic Black non-Hispanic Asian/ Pacific Islander Hispanic/ Latino
Age
-Adj
uste
d Cas
es p
er 100
,000
Per
sons
Source: CDC MMWR, V57, SS2, March 21, 2008, p5. http://www.cdc.gov/mmwr/PDF/ss/ss5702.pdf
SourcesSourcesCenters for Disease Control and Prevention (CDC):Centers for Disease Control and Prevention (CDC):
National Center for Health Statistics (NCHS)National Center for Health Statistics (NCHS)
Health U.S., 2008 http://www.cdc.gov/nchs/data/hus/hus08.pdfHealth U.S., 2008 http://www.cdc.gov/nchs/data/hus/hus08.pdf
National Vital Statistics Report National Vital Statistics Report http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_16.pdfhttp://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_16.pdf
National Center for HIV, STD, and TB Prevention (NCHSTP)National Center for HIV, STD, and TB Prevention (NCHSTP)
National Center for Injury Prevention and Control (NCIPC)National Center for Injury Prevention and Control (NCIPC)
MMWR
March 21, 2008 / 57 (SS2): 5. http://www.cdc.gov/mmwr/PDF/ss/ss5702.pdf
March 21, 2008 / 57(11); 281-285. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5711a2.htm
National Institute on Alcohol Abuse and AlcoholismNational Institute on Alcohol Abuse and Alcoholism
National Women’s Health Information Center (NWHIC)National Women’s Health Information Center (NWHIC)
U.S. Census BureauU.S. Census Bureau
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
Heart DiseaseAge-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S.,2005
211.1 207.8
271.3
141.8
113.3
157.3
0
50
100
150
200
250
300
All Races White AfricanAmerican
AmericanIndian/Alaska
Native
Asian/PacificIslander
Hispanic
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0 P
ers
on
s
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
CancerAge-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S.,2005
183.8 182.6
222.7
123.2110.5
122.8
0
50
100
150
200
250
All Races White AfricanAmerican
AmericanIndian/Alaska
Native
Asian/PacificIslander
Hispanic
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0 P
ers
on
s
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
StrokeAge-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S.,2005
46.644.7
65.2
34.838.6
35.7
0
10
20
30
40
50
60
70
All Races White AfricanAmerican
AmericanIndian/Alaska
Native
Asian/PacificIslander
Hispanic
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0 P
ers
on
s
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
Prostate CancerAge-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S.,2005
24.522.6
53.3
17.6
10.4
18.5
0
5
10
15
20
25
30
35
40
45
50
55
60
All Races White AfricanAmerican
AmericanIndian/Alaska
Native
Asian/PacificIslander
Hispanic
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0 P
ers
on
s
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
Trachea, Bronchus & Lung CancerAge-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S.,2005
52.6 53.1
58.4
34.1
25.722.4
0
5
10
15
20
25
30
35
40
45
50
55
60
All Races White AfricanAmerican
AmericanIndian/Alaska
Native
Asian/PacificIslander
Hispanic
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0 P
ers
on
s
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
Unintentional InjuriesAge-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S.,2005
39.1 40.1 38.7
54.7
17.9
31.3
0
5
10
15
20
25
30
35
40
45
50
55
60
All Races White AfricanAmerican
AmericanIndian/Alaska
Native
Asian/PacificIslander
Hispanic
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0 P
ers
on
s
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
Chronic Lower Respiratory DiseaseAge-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S.,2005
43.245.4
30.629.1
14.9
19.3
0
5
10
15
20
25
30
35
40
45
50
All Races White AfricanAmerican
AmericanIndian/Alaska
Native
Asian/PacificIslander
Hispanic
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0 P
ers
on
s
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
Breast CancerAge-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S.,2005
24.1 23.4
32.8
15.2
12.2
15.0
0
5
10
15
20
25
30
35
All Races White AfricanAmerican
AmericanIndian/Alaska
Native
Asian/PacificIslander
Hispanic
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0 P
ers
on
s
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
Colon, Rectum & Anus CancerAge-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S.,2005
17.5 16.9
24.8
12.011.2
12.4
0
5
10
15
20
25
All Races White AfricanAmerican
AmericanIndian/Alaska
Native
Asian/PacificIslander
Hispanic
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0 P
ers
on
s
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
Influenza & PneumoniaAge-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S.,2005
20.3 20.221.7
20.4
15.516.8
0
5
10
15
20
25
All Races White AfricanAmerican
AmericanIndian/Alaska
Native
Asian/PacificIslander
Hispanic
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0 P
ers
on
s
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
SuicideAge-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S.,2005
10.9
12.0
5.2
11.7
5.25.6
0
5
10
15
All Races White AfricanAmerican
AmericanIndian/Alaska
Native
Asian/PacificIslander
Hispanic
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0 P
ers
on
s
Source: Health, United States, 2007. http://www.cdc.gov/nchs/data/hus/hus07.pdf#029 Table 29.
HomicideAge-Adjusted Death Rates per 100,000 Persons by Race &
Hispanic Origin: U.S.,2005
6.1
3.7
21.1
7.7
2.9
7.5
0
5
10
15
20
25
All Races White AfricanAmerican
AmericanIndian/Alaska
Native
Asian/PacificIslander
Hispanic
Ag
e-A
dju
ste
d D
ea
th R
ate
pe
r 1
00
,00
0 P
ers
on
s
Review Questions (Developed by the Review Questions (Developed by the Supercourse team)Supercourse team)
• What is the definition of What is the definition of disparities?disparities?
•Why does the American Why does the American Indians/Alaskan natives have a Indians/Alaskan natives have a lower death rate than whites or lower death rate than whites or African Americans?African Americans?