Asthma and COPD Health Disparities
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1 Asthma and COPD Health Disparities 13 th Annual ACCP Community Asthma and COPD Coalitions Symposium October 25, 2011 Honolulu, HI
2 Presenter Disclosures Winston Liao (1) The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: No relationships to disclose
3 Overview Health disparities: HP2020 perspective Asthma Health Disparities in North Carolina COPD Health Disparities in North Carolina Uses of CLRD surveillance data Health disparities: National Prevention Strategy perspective
4 Health Disparities A view from Healthy People 2020 Race and ethnicity Gender Sexual identity and orientation Disability status or special health care needs Geographic location (rural and urban)
5 Health Disparities: Asthma A view from North Carolina Women Children under the age of 5 Persons aged 65 and older African Americans Native Americans Adults living in households with income <$15,000
6 Women & Asthma in NC Source: Centers for Disease Control and Prevention. Behavioral Risk Factor Survey System, 2009
7 Children & Asthma in NC Source: NC State Center for Health Statistics. Hospital Discharge Data (provisional), 2009
8 Older Adults & Asthma in NC Source: NC State Center for Health Statistics. Hospital Discharge Data (provisional), 2009
9 African Americans & Asthma in NC Source: NC State Center for Health Statistics. NC Behavioral Risk Factor Surveillance System, 2010
10 Native Americans & Asthma in NC Source: NC State Center for Health Statistics. NC Behavioral Risk Factor Surveillance System, 2010
11 Low Income Households & Asthma in NC Source: NC State Center for Health Statistics. NC Behavioral Risk Factor Surveillance System, 2009
12 Health Disparities: COPD A view from North Carolina Prevalence: gender, age, race, income, disability Co-morbidities: asthma, other chronic diseases Mortality: gender, age
13 COPD in North Carolina: Prevalence Gender Age Source: NC State Center for Health Statistics. NC Behavioral Risk Factor Surveillance System, 2007 & 2009
14 COPD in North Carolina: Prevalence Race Income Source: NC State Center for Health Statistics. NC Behavioral Risk Factor Surveillance System, 2007 & 2009
15 Disability Status & Asthma & COPD in NC Source: NC State Center for Health Statistics. NC Behavioral Risk Factor Surveillance System, 2009
16 COPD Co-morbidities in NC Prevalence Relative risk Chronic diseases COPD No COPD arr 95% C.I. % % Arthritis * Diabetes * History of heart attack * History of coronary heart disease * History of stroke * Kidney disease * Current asthma * Index of chronic diseases: 3+ chronic diseases * Abbreviations: COPD chronic obstructive pulmonary disease; arr ageadjusted relative risk. *Statistically significant p < 0.05
17 Mortality in NC Leading Causes of Death: Number & Rate per 100,000 Pop Diseases of the Heart 86, Cancer 17, Cancer 86, Diseases of the Heart 17, Cerebrovascular Disease 22, Cerebrovascular Disease 4, Chronic Lower Respiratory Diseases 21, Chronic Lower Respiratory Diseases 4, Source: NC State Center for Health Statistics. Vital Statistics, 2009 Vol.2, November 2010
18 COPD Mortality in NC Source: NC State Center for Health Statistics. NC Behavioral Risk Factor Surveillance System, 2009
19 Uses of Health Disparities Surveillance Data Understand and monitor health disparities Promote awareness and education Develop & implement evidence-based, community interventions & programs Conduct planning activities Support and drive policy
20 Health Disparities A view from National Prevention Strategy
21 Thanks to Harry Herrick, MSPH NC State Center for Health Statistics Caroline Chappell, MPA Racial and Ethnic Approaches to Community Health for Communities Organized to Respond and Evaluate (REACH CORE) Cindy Haynes-Morgan, MSA-PA North Carolina Asthma Program Winston Liao Asthma Program N.C. Division of Public Health 1915 Mail Service Center Raleigh, NC Tel:
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