Finger Lakes Health Systems Agency What’s Goin ’ On with Nuestra Salud African American and Latino Health Status in the Rochester Candice A. Lucas, Director, Community Health Services, Center for Community Health and African American Health Coalition Chair Gladys Pedraza-Burgos, COO, Ibero-American Action League and Latino Health Coalition Chair Wade Norwood, FLHSA Chief Program Officer March 5, 2015
Presentation Goals • Years of Potential Life Lost • The Social Determinants of Health • Local Health and Health Disparities Data • Community Action to Eliminate Disparities May 7, 2015 www.flhsa.org 2
Finger Lakes Health Systems Agency 3
May 7, 2015 4
County Health Rankings and Road Map A collaboration of Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute May 7, 2015 5
FLHSA’s African American and Latino Health Coalitions • The 2014 editions of "What's Goin' On" and "Nuestra Salud" provide a clear view of the health of the region's African American and Latino communities and of the nature of health disparities. • These reports demonstrate that "place matters" in health outcomes and that those who residing in Rochester's poorest neighborhoods experience higher rates of premature death. January 23, 2015 www.flhsa.org 6
Leading Causes of YPLL by Race/Ethnicity AAHC Focus Area 5-Year Average (2006-2010) 2,500 Years of Potential Life Lost per 100,000 Population Cancer Homicide Heart 2,000 Cancer 1,500 Accident Heart Accident 1,000 Cancer Homicide HIV 500 Heart Accident HIV COPD Suicide 0 0 1 2 3 4 5 Cause Rank White African American Latino Data are age-sex adjusted to the US 2000 population. Years of Potential Life Lost (YPLL) based on deaths before age 75. Bubble Size represents proportion of total YPLL due to a particular cause. Rankings exclude perinatal death Whites and African Americans are non-Latino Focus Area = ZIP codes 14605, 14606, 14608, 14609, 14611, 14613, 14619, 14621 Finger Lakes Health Systems Agency Data Source: NYS Vital Statistics Finger Lakes Health Systems Agency 7
Percent of Residents Living in Poverty by Race/Ethnicity and Geography Monroe County 5-Year Estimate (2007-2011) 50% 44.2% Percent of Residents Lvining in Poverty 45% 40% 37.6% 35% 30% 25% 21.4% 18.8% 20% 17.5% 15% 10% 7.3% 5% 0% AAHC Focus Area Balance of Monroe County White African American Alone Latino Whites are non-Latino Focus Area = ZIP codes 14605, 14606, 14608, 14609, 14611, 14613, 14619, 14621 Data Source: American Community Survey, 5-yr average, 2011 Finger Lakes Health Systems Agency Finger Lakes Health Systems Agency 8
Finger Lakes Health Systems Agency 9
Finger Lakes Health Systems Agency 10
Percent of Respondents Reporting Select Dietary Habits By Geography, Monroe County, 2012 35% Percent of Respondents with Select Dietary Habits 31% 30% 25% 20% 20% 15% 10% 5% 5% 1% 0% Soda or Sugary Drinks 1+/Day Fast Food 5+/Week AAHC Focus Area Balance of Monroe County Differences are statistically significant (per MCDOH) Focus Area = ZIP codes 14605, 14606, 14608, 14609, 14611, 14613, 14619, 14621 Finger Lakes Heath Systems Agency Data Source: MCDOH AHS, 2012 Finger Lakes Health Systems Agency 11
Percent of Respondents Who are Current Smokers By Race/Ethnicity and Geography Monroe County, 2012 25% Percent of Respondents who are Current Smokers 23% 23% 20% 15% 15% 13% 10% 5% 0% White African American AAHC Focus Area Balance of Monroe County Differences (White vs. African American and Focus Area vs. Balance of County) are statistically significant (per MCDOH) Whites and African Americans are non-Latino Focus Area = ZIP codes 14605, 14606, 14608, 14609, 14611, 14613, 14619, 14621 Finger Lakes Heath Systems Agency Data Source: MCDOH AHS, 2012 Finger Lakes Health Systems Agency 12
Percent of Respondents With Select Physical Activity Habits by Geography, Monroe County, 2012 50% Percent of Respondents with Select Physical Activity Habits 44% 45% 40% 35% 31% 30% 25% 25% 20% 15% 12% Recommended aerobic activity - 150 10% minutes per week 5% 0% Not meet recommendations for aerobic activity No leisure-time physical activities in past month AAHC Focus Area Balance of Monroe County Differences are statistically significant (per MCDOH) Focus Area = ZIP codes 14605, 14606, 14608, 14609, 14611, 14613, 14619, 14621 Finger Lakes Health Systems Agency Data Source: MCDOH AHS, 2012 Finger Lakes Health Systems Agency 13
Coalition Members in Action • Community Engagement – Churches – Barber shops/beauty salons – Health screenings at community events • Consumer Education – Worksites – Health Ambassadors • Policy Advocacy – City “Corner Store” Policy – Transit Center Bus Stop Placement January 23, 2015 www.flhsa.org 14
Healthy People 2020 SDOH Framework “The social determinants of health are the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels .” - World Health Organization January 23, 2015 www.flhsa.org 15
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