Keila E. Pena-Hernandez NAACCR 2010 Annual Conference Quebec, Canada 06/24/ 2010
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Transcript of Keila E. Pena-Hernandez NAACCR 2010 Annual Conference Quebec, Canada 06/24/ 2010
Keila E. Pena-HernandezNAACCR 2010 Annual Conference
Quebec, Canada06/24/ 2010
A collaborative partnership between the Missouri Department of Health & Senior Services (DHSS) and the University of Missouri - Columbia (MU)
Supported by a Cooperative Agreement between DHSS and the Centers for Disease Control and Prevention (CDC) and a Surveillance Contract between DHSS and MU (#U58/DP00820-03)
For their assistance: Director of Missouri Cancer Registry:
Jeannette Jackson-Thompson, PhD, MPH Research mentor: Mary Jane King, BS Statistics specialist: Chester Schmaltz Instant Atlas support staff: Dorothy Graves
For their hard work and support of MCR: Cancer registrars and other reporting facility
staff
To understand factors that contribute towards cancer health disparities in Missouri
According to the National Cancer Institute, cancer health disparities are defined as differences in the incidence, prevalence, mortality, and burden of cancer and related adverse health conditions that exist among specific population groups in the United States.
“a population where there is a significant disparity [difference] in the overall rate of disease incidence, prevalence, morbidity, mortality, or survival rates in the population as compared to the health status of the general population”-Minority Health and Health Disparities Research and Education Act, 2000
Income and social status
Social support networks
Education and literacy, i.e. health literacy
Employment/Working conditions
Social environments Physical environments Life Skills
Personal health practices and coping skills
Healthy child development
Biology and genetic endowment
Health services Gender Culture
defined service areas that demonstrate a critical shortage of primary care physicians, dentists, or mental health providers
can be a distinct geographic area, a specific population group within a defined geographic area, or a specific public or non-profit facility
http://www.dsf.health.state.pa.us/health/lib/health/primarycare/HPSADesBook.pdf
Previous research has revealed that medically underserved populations are at higher risk of being diagnosed with late-stage cancer.
Rural populations also face financial, physical and cultural barriers that prevent them from obtaining effective health care.
We examined contributing factors: Health profession shortage areas (HPSAs): Low Income▪ Low income individuals with incomes at
or below 200% of the federal poverty level. A minimum of 30% of the population within the rational service area must be low income in order to pursue this type of designation.
Medically Underserved Areas/Populations (MUAs/MUPs) areas or populations designated by
HRSA as having: too few primary care providers, high infant mortality, high poverty and/or high elderly population.
Poverty Rate percentage of people (or families) who
are below poverty
Missouri Cancer Registry (MCR) Cancer incidence data, 1996-2007
Community Information Management (CIM) Poverty, MUA, HPSA, State, County
Boundaries
Preliminary analysis
Madison
Ripley
Significantly high cancer rates
Significantly low cancer rates
Madison
Ripley
Benton
Saline
St. Louis City & St. Louis County
Significantly high cancer rates
Significantly low cancer rates
Medically Underserved Area
RipleyButler
Significantly high cancer rates
Significantly low cancer rates
GIS Approach
Geographic Data Visualization Software improves the visual communication
of location-based statistical data.
The ability of InstantAtlas to allow for quick and easy data reports while displaying statistical information on highly interactive maps allows the end-user to discover patterns, trends, relationships and anomalies.
Using GIS tools is a good starting point for investigating health disparities
Allows for the assessment of future needs in GIS studies relating to inequalities of HPSA groups
Provides evidence of the pivotal role of small area analysis for GIS and policy makers
Any Questions?
Contact Information:E-mail: [email protected]