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Healthy Equity for All Missourians:African-American and Hispanic Health Disparities in Missouri
Ryan Barker, MSW, MPPAVice President of Health PolicyMissouri Foundation for Health
12/4/13
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
Before the Data…
Some Thoughts:
• The Joy of Data
• The Pitfalls of Data
• Data as a Beginning…
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
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
Age-Gender Distributions
Income Comparisons
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
Education & Employment
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%.
Maternal & Child Health
There are significant differences between African Americans and Whites on these indicators
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
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%)
Chlamydia Case RatesMissouri, 2007-2011
• Chlamydia rates have increased for both groups and are particularly high in Kansas City & St. Louis
Gonorrhea RatesSignificant drop, but major disparity still exists
Emergency Room Visits
Hispanics had lower rates of ER visits compared to Whites for all indicators
However, significant disparities exist for African Americans
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
Emergency Room Visits
Leading Causes of Death
African Americans• Heart Disease
• Cancer
• Stroke
• Unintentional Injury
• Homicide
Hispanics• Heart Disease
• Cancer
• Unintentional Injury
• Stroke
• Diabetes
