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Promoting Health and Health Equity Among Latinos

Promoting Health and Health Equity Among Latinos. The Governor ’ s Latino Summit 2008. Karen Remley, MD, MBA, FAAP State Commissioner of Health Michael O. Royster, MD, MPH Office of Minority Health and Public Health Policy Virginia Department of Health. 1. Objectives.

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Promoting Health and Health Equity Among Latinos

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  1. Promoting Health and Health Equity Among Latinos The Governor’s Latino Summit 2008 Karen Remley, MD, MBA, FAAP State Commissioner of Health Michael O. Royster, MD, MPH Office of Minority Health and Public Health Policy Virginia Department of Health 1

  2. Objectives • Review health statistics among Latinos in Virginia • Identify factors contributing to Latino health • Discuss the Health Commissioner’s priority focus on reducing infant mortality

  3. Virginia Department of Health • Mission- To achieve and maintain optimum personal and community health by emphasizing health promotion, disease prevention, emergency preparedness, and environmental protection.

  4. Vision: Advancing health equity for all Virginians Mission: To identify health inequities, assess their root causes and address them by promoting social justice, influencing policy, establishing partnerships, providing resources and educating the public. Office of Minority Health and Public Health Policy 4

  5. Those inter-related social and economic factors that influence health Including, but not limited to: Social Determinants of Health 5

  6. SDOH Interact to Influence Health • Determine behavioral choices • Influence exposure to environmental risks • Create toxic stress that affects mental and physical health • Act across the life span and generations

  7. Percentage of Children and Total Population in Poverty, Virginia 2005 * * Small numbers, unreliable rate (3.7%) Source: U.S. Census Bureau

  8. Age-adjusted Death Rates by Race and Ethnicity, Virginia, 2006

  9. Infant Mortality by Race/Ethnicity Virginia 2006

  10. Traditional cultural norms Social support Social capital Strong ethnic identity Optimism Healthy immigrants Traditional diets and behaviors Possible Health Protective Factors for (Latino) Immigrants Franzini L, Ribble J, Keddie A. Understanding the Hispanic Paradox. In Race, Ethnicity, and Health, 2002. pp. 280-310. edited by Thomas LaVeist. Jossey-Bass Publishing.

  11. Source: 2004 Virginia Health Care Insurance and Access Survey

  12. Virginians Living with HIV, 2003 Source: VDH Division of Disease Prevention

  13. Teen Pregnancy Rate by Race and Ethnicity, Virginia, 2006

  14. Acculturation Dissolving family and social bonds American behaviors Loss of optimism Racism Poverty (individual and neighborhood) Low quality schools Unhealthy physical environments Factors that May Hurt the Health of (Latino) Immigrants Franzini L, Ribble J, Keddie A. Understanding the Hispanic Paradox. In Race, Ethnicity, and Health, 2002. pp. 280-310. edited by Thomas LaVeist. Jossey-Bass Publishing.

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