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Available Data on African American Health Disparities

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Title: Available Data on African American Health Disparities


1
Available Data on African American Health
Disparities
  • In this section we will
  • Define what is a health disparity, a health
    inequality and health equity
  • Briefly explore San Francisco Data with respect
    to population and mortality
  • Look at what are some of the causes of
    disparities
  • Examples of health disparities in San Francisco
  • The Case for the African American Health
    Disparity Project

2
San Francisco California Ethnic populations,
Jan 1, 2006
Source California Department of Finance
Demographic Research Unit
3
Where You Live Can Impact Your Life
  • As important as it is, most experts agree that
    health care contributes only about 10-15 to
    health outcomes and life span. Where you live is
    probably a bigger determinant of your health than
    whether you have health insurance.
  • People who live in Bayview/Hunters Point can
    expect to live on average 14 years less than
    their counterparts on Russian Hill

Source http//www.barhii.org/press/download/barhi
i_report08.pdf
4
SF Leading causes of premature death among men,
2003-2004
  • Violence/assault, all mechanisms
  • Drug overdose, unintentional
  • Human immunodeficiency virus (HIV/AIDS)
  • Self-inflicted injuries, all mechanisms
  • Alcohol use disorders

Among the top ten leading causes of death by
expected years of life lost (YLLs), which deaths
were the most premature? (i.e., had the highest
average years of life lost)
http//www.sfdph.org/dph/files/reports/StudiesData
/CHE_Rpt07242007C.pdf
5
Burden of premature death, San Francisco,
2003-2004
http//www.sfdph.org/dph/files/reports/StudiesData
/CHE_Rpt07242007C.pdf
6
Leading Causes of Death Among Men Using
Age-adjusted YLLs, San Francisco, 2003-2004
Afr. Amer. O Latino ? Asian/PI
X White
http//www.sfdph.org/dph/files/reports/StudiesData
/CHE_Rpt07242007C.pdf
7
Leading Causes of Death Among Women Using
Age-adjusted YLLs, San Francisco, 2003-2004
Afr. Amer. O Latino ? Asian/PI
X White
http//www.sfdph.org/dph/files/reports/StudiesData
/CHE_Rpt07242007C.pdf
8
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11
  • Former Surgeon General David Satcher and his
    colleagues calculated that during 1991-2000,
    nearly 177,000 deaths were averted because of
    advances in medical technology, but if we were to
    eliminate the disparity between African Americans
    and whites, we would have avoided over 886,000
    deaths.

Source http//www.barhii.org/press/download/barhi
i_report08.pdf
12
African American Health Disparity Project Past
Programs
  • What Have We Done for you Lately
  • Prostate Health Initiative
  •   Project has provided Education and information
    to 4408 men about the benefits of early detection
    and available treatment for prostate cancer by
    our member hospitals for African American men in
    San Francisco.
  • Project has provided 423 PSA /DRE screening
    tests
  • to African American men.

13
African American Health Disparity Project Past
Programs
  • What Have We Done for you Lately
  • Prostate Health Initiative
  •  The San Francisco hospitals have committed 1
    million dollars to provide prostate cancer
    treatment to ensure that no African American man
    is denied medical care based on his ability to
    pay

14
African American Health Disparity Project Past
Programs
  • What Have We Done for you Lately
  • Advertorials
  • The Program has produced 79 targeted
    informational articles for, by, and about African
    Americans educating the community about their
    health and the resources provided by our member
    hospitals in San Francisco.

15
African American Health Disparity Project Past
Programs
  • What Have We Done for you Lately
  • Ambassador / Navigator Program
  • The Program has helped African Americans address
    issues and concerns that arise from their
    negative experiences at our member hospitals

16
African American Health Disparity Project
  • So now what?
  • A Look at the Strategic Plan for January 2009 to
    December 31st 2009

17
African American Health Disparity Project
Objectives 2009
  • The Project will align its efforts with the
    community health efforts put forward by the San
    Francisco Department of Public Health.
  • The Project will focus its programs and outreach
    efforts in the areas of
  • Access
  • Communicable Disease
  • Chronic Disease
  • Violence

18
African American Health Disparity Project
Objectives 2009
  • The Project will focus and align its objectives
    to support existing community projects.
  • The Project will increase the visibility of the
    Hospital Council serving as the coordinating body
    for all community outreach and health education
    efforts for the African American communities of
    San Francisco.

19
African American Health Disparity Project
Objectives 2009
  • The Project will focus and align its objectives
    to support existing community projects.
  • The Project will increase the visibility of the
    Hospital Council serving as the coordinating body
    for all community outreach and health education
    efforts for the African American communities of
    San Francisco.

20
African American Health Disparity Project
Programs 2009
  • The Project will seek to partner with SFDPH and
    our member hospitals to provide education and
    outreach to the African American communities with
    respect to the Healthy San Francisco Initiative
  • Currently 9 of eligible enrollees are African
    American
  • In 2009, the Project will seek to increase this
    number by 10 or up to 500 new enrollees.

21
African American Health Disparity Project
Programs 2009
  • The Project will use social marketing strategies
    to increase awareness and leverage community
    based resources to address Diabetes as a chronic
    disease in the African American communities in
    San Francisco.
  • The Project will leverage existing hospital
    resources with respect to diabetes education and
    treatment to address issues in the African
    American Communities with respect to diabetes.

22
African American Health Disparity Project African American Health Disparity Project African American Health Disparity Project
August 1, 2008 to December 31, 2009 - 17 month budget August 1, 2008 to December 31, 2009 - 17 month budget August 1, 2008 to December 31, 2009 - 17 month budget
Expenses   Remarks
Expenses Budget Remarks
Personnel    
Project Director 125,000 88,235 annual
     
Benefits (Standard Hospital Council Policy) 42,500  
Total Personnel 167,500  
Administrative / Overhead    
Rent In-Kind 1209/month (14,508/year), CPMC provided In-Kind Service
Utilities In Kind In-Kind Service Included in the rent
Office Supplies (printing, copying, etc.) 7,500  
Communications (Telephone, internet, etc.) 9,000  
Travel ( Mileage, etc.) 5,000  
Conference/Meetings (Room rentals, food, etc.) 6,000  
Training (Conference registration, etc.) 2,000  
Insurance (Property, vehicle, etc.) 1,500  
Capital (Furniture) 2,000  
Equipment Maintenance, Software Update 3,000  
Administrative / Overhead Total 36,000  
Program Costs    
Cultural Sensitivity Project 5,000  
Chronic Disease Project 29,500  
Community Based Events 13,000  
Program Costs Total 47,500  
     
Total Costs    
Total budget 2008 - 2009 251,000  
Previously funded 35,000 35K Paid by Hospital Council for period 8/08 to 12/08
Remaining total 2008 - 2009 cost of program 216,000  
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