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Healthy Equity for All Missourians:African-American and Hispanic Health Disparities in Missouri
Ryan Barker, MSW, MPPAVice President of Health PolicyMissouri Foundation for Health
12/4/13
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Health Equity Series• Third set of Data Books issued by MFH on
African American and Hispanic Health Disparities in Missouri• 2006 and 2009
• LGBT Health Disparities
Available at: www.mffh.org/content/9/publications-and-
reports.aspx
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Before the Data…
Some Thoughts:
• The Joy of Data
• The Pitfalls of Data
• Data as a Beginning…
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African Americans in Missouri
• 735,000 African Americans in MO (12.3% of population)
• 78% live in 3 counties• St. Louis City, St.
Louis & Jackson County
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Hispanics in Missouri• 212,470 Hispanics
(3.5% of population)
• Largest concentrations are in Jackson & St. Louis County
• 19.5% of Hispanics live in rural areas
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Age-Gender Distributions
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Income Comparisons
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Health Insurance
• Higher proportions of Hispanics and African Americans are uninsured
• Of the 800,000 uninsured Missourians:
• 70.8% are White
• 15.9% are African American
• 8.0% are Hispanic
• 5.2% are other race/ethnicity
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Education & Employment
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Unhealthy Behaviors• Smoking and physical
inactivity are major risk factors for chronic diseases.
• Smoking rates are similar, but significantly higher than US rate of 19%.
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Maternal & Child Health
There are significant differences between African Americans and Whites on these indicators
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Rates for African Americans are more than double those for Whites.
• Overall rate of Infant Death held steady in Whites, but increased in African Americans since 2006
Infant Death Rates
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Communicable Diseases
• Communicable Diseases is the health issue with some of the greatest disparities between African Americans and Whites
• Rates of TB have decreased for both African Americans (20%) and Whites (50%)
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Chlamydia Case RatesMissouri, 2007-2011
• Chlamydia rates have increased for both groups and are particularly high in Kansas City & St. Louis
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Gonorrhea RatesSignificant drop, but major disparity still exists
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Emergency Room Visits
Hispanics had lower rates of ER visits compared to Whites for all indicators
However, significant disparities exist for African Americans
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Emergency Room Visits
Mental health related ER visits increased for both African Americans (27%) and Whites (55%) from 2001 to 2010.
African American males have 50% more mental health related ER visits than females
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Emergency Room Visits
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Leading Causes of Death
African Americans• Heart Disease
• Cancer
• Stroke
• Unintentional Injury
• Homicide
Hispanics• Heart Disease
• Cancer
• Unintentional Injury
• Stroke
• Diabetes
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