1. Health Disparities Affecting Minority Populations
Sanford Jeames, DHA
Patient Advocate Committee

2. What are Health Disparities?
Health Disparities are differences in health outcomes and their determinants between segments of the population, as defined by social, demographics, environment and geographic attributes.

3. Racial Disparities in health care
Racial Disparities in health are well documented
Racial and ethnic minorities receive a lower quality of health care even when income and access are accounted for
Disparities exist throughout all sectors of the health care system.
Unequal treatment Institute of Medicine 2002 3

4. What is the genetic architecture of disease across populations?
Do risk variants discovered in one population:
. confer risk in other populations?
. confer the same magnitude of risk?

5. Why should I care?
Era of personalized medicine - takes an active role in clinical decision making
Genetic tests are currently available - how do I make informed decisions?
Genetic Medicine may actually increase Health Disparities.
Most information currently based on populations of European ancestry.

6. Addressing Erectile Dysfunction in African American Men
Sanford E. Jeames, DHA & Shelley Imholte, LCSW, M.Ed, PhD-c
Austin, TX
HISTORY of RACE
Black men face historical barriers to obtain access to healthcare system
What will I do about this ED?
System barriers led to mistrust of healthcare system by Black Men
Incompatibility of healthcare professionals strongly contributes to mis-diagnosis of ED in Black Men

7. Racism, Poverty & The Man Box
Men are born naturally loving and sensitive
RACISM
THE MAN BOX
POVERTY
Violence and Trauma
Limited access to health resources
Emotional and mental STRESS & risk-taking behavior
LONG-TERM HEALTH DISPARITIES

8. Cycle of Male Socialization
NEED FOR CONNECTION
Violation
Feelings of Powerlessness
Masculinity
Domination
Isolation

9. Stages of Healthy Manhood
Social Change Advocate
Community Spokesperson
Role Model for Family and Friends
Personal Change

11. Community-Based Participatory Research
Principles:
Sees the community as having its own identity
Builds on strengths and resources
Allows for cooperation
Gains partners from the project
Encourages helpers to educate and empower others
Sees health from positive and holistic viewpoint
Long-term dedication by all partners

13. THANK YOU!!