Minority Health Summit Focus Groups Results March 20, 2004 Minority Health Task Force

Minority HealthMinority HealthSummitSummit

Focus Groups ResultsFocus Groups Results

March 20, 2004March 20, 2004

Minority Health Task ForceMinority Health Task Force


OverviewOverview

HistoryHistoryGoalsGoalsEvidenceEvidenceDiscussionDiscussionInteractive SessionInteractive SessionNext StepsNext Steps


HistoryHistory

Healthy People 2000 and 2010Healthy People 2000 and 2010February 2002--University of Pittsburgh’s February 2002--University of Pittsburgh’s

Center for Minority Health response to PA Center for Minority Health response to PA DOH planning grant DOH planning grant

October 2002--Health Disparity Leadership October 2002--Health Disparity Leadership Institute Institute

January 2003--Task Force meets monthlyJanuary 2003--Task Force meets monthly


GoalsGoals

Assess what are priority health issuesAssess what are priority health issuesEngage and support community to address Engage and support community to address

health issueshealth issues


EvidenceEvidence

NationalNationalStateStateCountyCounty


State EvidenceState Evidence

421.4

490.6

473.9

646.9

376.9

372.3

389.1

321.1

185.3

137.4

140.9

169.3

211.2

203.9

0 200 400 600 800

All

All Males

White Males

Black Males

All Females

White Females

Black Females

Ra

ce

/Se

x

Age-Adjusted Rate

MortalityIncidence

Figure 1. Average Annual Age-Adjusted Incidence and Mortality Rates,* All Cancer Sites, by Sex and Race, Pennsylvania Residents, 1994-1998.

*per 100,000 1970 US standard million population.

Source: PA Department of Health, Online, Number of Cases by Stage, Sex and Race, by County, 23 Selected Sites, 1990-1998


County EvidenceCounty Evidence

StatisticsStatisticsFocus GroupsFocus Groups


StatisticsStatistics

CancerCancer– ProstateProstate– Female BreastFemale Breast– CervicalCervical– ColonColon

"These data were provided by the Bureau of Health Statistics and Research, Pennsylvania Department of Health. The Department specifically disclaims responsibility for any analyses, interpretations or conclusions."


Prostate CancerProstate Cancer

Figure 1. Comparison Between Races on Percentage of Early-Stage (in situ or local) and Late-Stage (regional or distant) Diagnosis for Men with Prostate Cancer in Washington County, from 1990 to 1998.

28.3%

71.7%82.1%

17.9%

0.0%

25.0%

50.0%

75.0%

100.0%

in situ or local regional or distant

Stage of Diagnosis

Pe

rce

nta

ge

AfricanAmericanCaucasian



Female Breast CancerFemale Breast Cancer

Figure 2. Comparison Between Races on Percentage of Early-Stage (in situ or local) and Late-Stage (regional or distant) Diagnosis for Women with Breast Cancer in Washington County from 1990 to 1998.

44.9%55.1%

67.6%

32.4%

0.0%

25.0%

50.0%

75.0%

100.0%


Stage of Diagnosis

Pe

rce

nta

ge




Cervical CancerCervical Cancer

Figure 3. Comparison Between Races on Percentage of Early-Stage (in situ or local) and Late-Stage (regional or distant) Diagnosis for Women with Cervical Cancer in Washington County, from 1990 to 1998.

83.4%

16.7%

52.9% 47.2%

0.0%

25.0%

50.0%

75.0%

100.0%

local regional or distant

Stage of Diagnosis

Pe

rce

nta

ge




Colon CancerColon Cancer

Figure 4. Comparison Between Races on Percentage of Early-Stage (in situ or local) and Late-Stage (regional or distant) Diagnosis for Men with Colon Cancer in Washington County, from 1990 to 1998.

44.4%55.5%

48.8%51.2%

0.0%

25.0%

50.0%

75.0%

100.0%


Stage of Diagnosis

Pe

rce

nta

ge




Colon CancerColon Cancer

Figure 5. Comparison Between Races on Percentage of Early-Stage (in situ or local) and Late-Stage (regional or distant) Diagnosis for Women with Colon Cancer in Washington County, from 1990 to 1998.


56.3%

43.8%

77.4%

22.7%

0.0%

25.0%

50.0%

75.0%

100.0%


Stage of Diagnosis

Pe

rce

nta

ge



Focus GroupsFocus Groups

LocationsLocationsMethodologyMethodologyResultsResults


LocationsLocations

Canonsburg, PACanonsburg, PA– Mt. Olive Baptist Church, 2-8-04Mt. Olive Baptist Church, 2-8-04

Donora, PADonora, PA– First Baptist Church, 4-3-04First Baptist Church, 4-3-04

Washington, PAWashington, PA– Friendship Baptist Church, 2-15-04Friendship Baptist Church, 2-15-04– Nazareth Baptist Church, 2-22-04Nazareth Baptist Church, 2-22-04– St. Paul AME Church, 8-16-03St. Paul AME Church, 8-16-03


MethodologyMethodology

RecruitmentRecruitment– Member of congregation/task force recruited 6-8 people Member of congregation/task force recruited 6-8 people

with a variety of ageswith a variety of ages

GuideGuide– 1. What do you consider to be the major health issues 1. What do you consider to be the major health issues

confronting your community?confronting your community?

– 2. What are the obstacles or barriers that keep people in 2. What are the obstacles or barriers that keep people in your community from getting the help they need? your community from getting the help they need?

– 3. What are some solutions that could help address these 3. What are some solutions that could help address these barriers?barriers?


ResultsResults

Priority ListsPriority ListsBarriersBarriersSolutionsSolutions


Priority ListsPriority Lists

Three of the four groups listed the following issues:Three of the four groups listed the following issues: DiabetesDiabetes HypertensionHypertension

The following issues were listed by two of the four The following issues were listed by two of the four groups:groups:

Cancer Cancer Drug/Alcohol UseDrug/Alcohol Use


Priority ListsPriority Lists

The following issues were listed by one of the four groups:The following issues were listed by one of the four groups: Health Insurance issuesHealth Insurance issues High cholesterolHigh cholesterol Exercise/Nutrition for adults and kidsExercise/Nutrition for adults and kids Accessible, available, and affordable health care, Accessible, available, and affordable health care,

programs, and facilitiesprograms, and facilities STD (AIDS, sexual dysfunction)STD (AIDS, sexual dysfunction) Mental Health (adult and youth, especially depression Mental Health (adult and youth, especially depression

and self-esteem)and self-esteem) Teen PregnancyTeen Pregnancy


BarriersBarriers

Lack of education / knowledge / awareness / Lack of education / knowledge / awareness / mixed messagesmixed messages

Fear / lack of trust due to bad experiencesFear / lack of trust due to bad experiencesApathy / denialApathy / denialCommunity not involvedCommunity not involvedLack of resources (money & health insurance)Lack of resources (money & health insurance)Identifying those at riskIdentifying those at risk


SolutionsSolutions

PrayerPrayer Get involved Get involved More education programs then pass on to / More education programs then pass on to /

encourage othersencourage others Need local role models / advocates / Need local role models / advocates /

spokespeoplespokespeople


DiscussionDiscussion

QuestionsQuestions

What do you think about the results?What do you think about the results?


Interactive SessionInteractive Session

1.1. Break into groups based on priority areas.Break into groups based on priority areas.

2.2. For each priority area, discuss how to For each priority area, discuss how to overcome barriers and use solutions in overcome barriers and use solutions in suggested activities.suggested activities.

3.3. Report out.Report out.


Next StepsNext Steps

Welcome additional members to task forceWelcome additional members to task force– Task force meets second Thursday of every month Task force meets second Thursday of every month

from 5:00 P.M. to 6:30 P.M. at Presbyterian from 5:00 P.M. to 6:30 P.M. at Presbyterian SeniorCareSeniorCare

Develop Minority Health Task Force strategic Develop Minority Health Task Force strategic planplan– List goals and objectivesList goals and objectives– Create action plan to carry outCreate action plan to carry out


Thank you!Thank you!

Washington County Health Partners, Inc.Washington County Health Partners, Inc.190 N Main St, Ste 208190 N Main St, Ste 208Washington, PA 15301Washington, PA 15301

(P) 724-222-6511(P) 724-222-6511(F) 724-222-6685(F) 724-222-6685

(E) [email protected](E) [email protected]

Documents

Minority Health Summit Focus Groups Results March 20, 2004 Minority Health Task Force