health inequities in spokane county community health association of spokane may 14 2012 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Health Inequities in Spokane County Community Health Association of Spokane May 14, 2012 PowerPoint Presentation
Download Presentation
Health Inequities in Spokane County Community Health Association of Spokane May 14, 2012

Loading in 2 Seconds...

play fullscreen
1 / 14

Health Inequities in Spokane County Community Health Association of Spokane May 14, 2012 - PowerPoint PPT Presentation


  • 118 Views
  • Uploaded on

Health Inequities in Spokane County Community Health Association of Spokane May 14, 2012. Why Neighborhoods/Place?. What We Heard

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Health Inequities in Spokane County Community Health Association of Spokane May 14, 2012' - toviel


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
health inequities in spokane county community health association of spokane may 14 2012

Health Inequities in Spokane County Community Health Association of SpokaneMay 14, 2012

why neighborhoods place
Why Neighborhoods/Place?

What We Heard

“My neighborhood is better than it was when I was a kid. It’s been about six months since we’ve had a shooting within 5 blocks of my house. That’s a good distance between shootings. I remember being 2-3 years old watching out my window, watching people shoot at each other.”

Focus Group Participant (income <35k)

teenage pregnancy 15 to 19 years of age spokane county neighborhoods 2005 2009
Teenage Pregnancy (15 to 19 Years of Age), Spokane County Neighborhoods, 2005-2009
  • Data Source: Community Health Assessment Tool (CHAT), Office of Financial Management, Washington State Department of Health, Birth Certificates

^Significantly higher than Spokane County

*Significantly higher than Washington State

+Significantly lower than Spokane County

>Significantly lower than Washington State

maternal smoking spokane county neighborhoods 2005 2009
Maternal Smoking, Spokane County Neighborhoods, 2005-2009

Data Source: Community Health Assessment Tool (CHAT), Office of Financial Management, Washington State Department of Health, Birth Certificates

  • ^Significantly higher than Spokane County
  • *Significantly higher than Washington State
  • +Significantly lower than Spokane County
  • >Significantly lower than Washington State
causes of mortality age adjusted rate per 100 000 in spokane county with top five neighborhoods
Causes of Mortality (Age Adjusted Rate per 100,000) in Spokane County with Top Five Neighborhoods,

^Significantly higher than Spokane County

overall age adjusted mortality rate per 100 000 spokane county neighborhoods 2005 2009
Overall Age-Adjusted Mortality Rate (per 100,000), Spokane County Neighborhoods, 2005-2009

Data Source: Washington State Department of Health, Death Certificates

^Significantly higher than Spokane County

*Significantly higher than Washington State

+Significantly lower than Spokane County

>Significantly lower than Washington State

life expectancy spokane county neighborhood comparison 1990 to 1999 vs 2000 to 2009
Life Expectancy, Spokane County Neighborhood Comparison, 1990 to 1999 vs. 2000 to 2009

Data Source: Community Health Assessment Tool (CHAT), Office of Financial Management, Washington State Department of Health

a framework for health inequity
A Framework for Health Inequity

Socio-Ecological

Medical Model

Individual Health Knowledge

Genetics

UpstreamDownstream

  • Race
  • Class
  • Gender
  • Immigration status
  • National Origin
  • Sexual orientation
  • Disability
  • Corporations & other businesses
  • Government agencies
  • Schools
  • Neighborhood conditions
    • Social
    • Physical
  • Residential segregation
  • Workplace conditions

Social Inequities

  • Smoking
  • Nutrition
  • Physical activity
  • Violence
  • Chronic Stress
  • Infectious disease
  • Chronic disease
  • Injury (intentional / unintentional)
  • Infant mortality
  • Life expectancy

Institutional

Power

Discriminatory Beliefs (ISMS)

Risk Factors & Behaviors

Disease & Injury

Mortality

Health Status

Healthcare Access

Social Factors

slide13

Health is more than absence of disease; it is about economics, education, environment, empowerment, and community. The health and well being of the people is critically dependent upon the system that serves them. It must provide the best possible health with the least disparities and respond equally well to everyone."

Joycelyn Elders

U.S. Surgeon General 1993-1994

slide14

Adrian E. Dominguez, M.S.EpidemiologistSpokane Regional Health DistrictDisease Prevention and ResponseCommunity Health Assessment, Planning , and Evaluationadominguez@spokanecounty.org509.324.1670