1. Healthy Equity for All Missourians: African-American and Hispanic Health Disparities in Missouri Ryan Barker, MSW, MPPA Vice President of Health Policy Missouri Foundation for Health 12/4/13

2. Health Equity Series Third set of Data Books issued by MFH on African American and Hispanic Health Disparities in Missouri 2006 and 2009 LGBT Health Disparities Available at: www.mffh.org/content/9/publications-and- reports.aspx

3. Before the Data… Some Thoughts: The Joy of Data The Pitfalls of Data Data as a Beginning…

4. African Americans in Missouri 735,000 African Americans in MO (12.3% of population) 78% live in 3 counties St. Louis City, St. Louis & Jackson County

5. Hispanics in Missouri 212,470 Hispanics (3.5% of population) Largest concentrations are in Jackson & St. Louis County 19.5% of Hispanics live in rural areas

6. Age-Gender Distributions

7. Income Comparisons

8. Health Insurance Higher proportions of Hispanics and African Americans are uninsured Of the 800,000 uninsured Missourians: 70.8% are White 15.9% are African American 8.0% are Hispanic 5.2% are other race/ethnicity

9. Education & Employment

10. Unhealthy Behaviors Smoking and physical inactivity are major risk factors for chronic diseases. Smoking rates are similar, but significantly higher than US rate of 19%.

11. Maternal & Child Health There are significant differences between African Americans and Whites on these indicators

12. Rates for African Americans are more than double those for Whites. Overall rate of Infant Death held steady in Whites, but increased in African Americans since 2006 Infant Death Rates

13. Communicable Diseases Communicable Diseases is the health issue with some of the greatest disparities between African Americans and Whites Rates of TB have decreased for both African Americans (20%) and Whites (50%)

14. Chlamydia Case Rates Missouri, 2007-2011 Chlamydia rates have increased for both groups and are particularly high in Kansas City & St. Louis

15. Gonorrhea Rates Significant drop, but major disparity still exists

16. Emergency Room Visits Hispanics had lower rates of ER visits compared to Whites for all indicators However, significant disparities exist for African Americans

17. Emergency Room Visits Mental health related ER visits increased for both African Americans (27%) and Whites (55%) from 2001 to 2010. African American males have 50% more mental health related ER visits than females

18. Emergency Room Visits

19. Leading Causes of Death African Americans Heart Disease Cancer Stroke Unintentional Injury Homicide Hispanics Heart Disease Cancer Unintentional Injury Stroke Diabetes

24. Contact Information: Ryan Barker rbarker@mffh.org 314-345-5510