|
Presenting the Health Disparities Planning Process
(continued...)
Health Disparities Framework
A framework was created to organize our work related to
health disparities that was adopted by the Expert Panel.
The framework incorporates a concentration on prevention,
disease management and policy/advocacy. The Expert Panel
felt that it was important for the Network's Framework
to move forward both HEALTH FOR ALL: California's Strategic
Approach to Eliminating Racial and Ethnic Health Disparities,
developed by The California Campaign to Eliminate Racial
and Ethnic Disparities in Health. The proposed framework
examines the role of environment and individual behavior
change play in addressing health disparities.
| Type
2 Diabetes |
Prevention |
Disease
Mgmt. |
Policy/Advocacy |
| Predisposing
Factors |
Focus
Areas |
Focus
Areas |
Focus
Areas |
- Environment
- Genetica
- Health/Medical Services
- Individual Behaviors
|
- Health Eating
- Physical Activity
- Access to Preventive Care
- Increased Screening of High- Risk Individuals
- Culturally Linguistically Appropriate
Education Resources and Care
|
- Early Diagnosis
- Prescription Drug Coverage
- Consistent use of Treatment Guidelines
- Track Effectiveness of Disease Mgmt Efforts
- Access to Care, including Specialty Care
- Culturally Appropriate Car
|
- Government
- Local, State, Federal
- Other Relevant Stakeholders - Business
Groups, Health Plans, NCQA, Others
|
|
Summary of Health Disparities
Findings
Communities of color suffer the highest rates of type
2 diabetes in California, as well as the highest rates
of disease complications. According to the 2001 California
Health Interview Survey [CHIS], African Americans 18 years
and older have the highest prevalence of type 2 diabetes
at 10.3%, followed by American Indian and Alaskan Natives
at 9.3% compared to the state population at 5.9%. Filipinos
18 and older mirror the state diabetes prevalence rate
at 5.9%. However, 17.1% of Filipinos 50 years of age and
older have been diagnosed with diabetes, along with 16.3%
of Vietnamese 50 years and older.
| Race
Ethnicity |
Percent
(%) |
| White
|
5.6 |
| Latino |
6.0 |
| Asian
& Pacific Islanders |
4.7 |
| African
American |
10.3 |
| American
Indian & Alaskan Native |
9.3 |
|
In 2001, there were 16.7 hospital admissions per 100,000
population for Uncontrolled Diabetes. The highest number
of admissions was for African Americans, at 46.9. Three
ethnic groups have the highest diabetes-related death
rates in California - African Americans at 155.8 per 100,000,
AI/AN at 108.7 per 100,000 and Latinos at 73.9 per 100,000.
When we look at predisposing factors such as nutrition
and physical activity, communities of color also have
the highest rates of disparities. According to CHIS results,
African Americans and Latinos report much higher rates
of physical inactivity and reduced intake of fruits and
vegetables.
|
