Observations from the CDC: using health communications research to reduce birth defects.
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PURPOSE: During the 1990s, a 58% increase in the Hispanic/Latino population, fueled by the century's largest immigration wave and the highest fertility of any group, resulted in Hispanics becoming the largest U. S. minority group. To assess use of preventive services by Hispanics in Atlanta, Georgia, the largest Hispanic new destination, and Miami, Florida, the largest established Hispanic community in the Southeast, survey data were analyzed. METHODS: Miami-Ft. Lauderdale and Atlanta metropolitan area data from the 2000 National Health Interview Survey (NHIS) and from anonymous surveys conducted at health festivals in Miami and Atlanta in 2001 were analyzed. RESULTS: Female non-Hispanic white and black NHIS respondents were more likely than Hispanic counterparts to report annual household income >$20,000 (77.3%, 70.8% vs. 67.7%), usual source of healthcare (61.5%, 56.4% vs. 50.2%), or ever having had Pap screening (88.8%, 86.7% vs. 80.7%) or oral contraceptive use (55.7%, 59.7% vs. 33.7%). Miami-Ft. Lauderdale Hispanics were less likely than Atlanta respondents to be monolingual Spanish speakers, to lack usual source of healthcare, or to have less than 12 years of education. Of 295 female health festival respondents, the 160 Miami participants were more likely than Atlanta participants to have health insurance, monthly income >$1000, and prior Pap screening (p < 0.01) but less likely to have used contraception (p = 0.07). Most Hispanics felt they had inadequate healthcare; 15.0% reported being denied healthcare because of inability to pay. CONCLUSIONS: Low income, uninsured status, and language barriers were associated with lower use of preventive services among Hispanics in these Southeastern communities, particularly Atlanta, a new destination.
Diabetes is a serious public health problem in the United States. The burden of the disease has had a significant impact on individuals, communities, and society at large, and the number of people with diabetes is expected to double by the year 2025. In response to the growing burden of the disease and the profound health consequences for women and their offspring, the National Public Health Initiative on Diabetes and Women's Health convened a call-to-action conference to form a collective effort to address diabetes and women's health issues. This paper documents the process of developing a call-to-action conference and identifying potential stakeholders and presents results from the conference and the accomplishments of the National Public Health Initiative on Diabetes and Women's Health.
We examined changes in the prevalence of selected chronic disease-related indicators among women aged 18-44 years using the Behavioral Risk Factor Surveillance System (BRFSS) data for two time periods, 1991-1992 and 2000-2001. We examined alcohol use, cigarette smoking, leisure time physical activity, body mass index (BMI), having had Pap smear screening, and having been diagnosed with hypertension, diabetes, high cholesterol, and asthma. We created a multicondition index by combining multiple chronic disease-related conditions. Younger women, <25 years of age, reported a higher prevalence of cigarette smoking and binge drinking. Black women and women with lower educational levels had a higher prevalence of obesity, and higher proportions were diagnosed with hypertension and diabetes. About 35% of the women had been diagnosed with at least one chronic disease-related condition. More than 10% of black women reported being diagnosed with two chronic disease-related conditions, compared with 7% in white women and 8% in Hispanic women. The BRFSS data can be used for monitoring the prevalence of multiple chronic disease-related behaviors and conditions.
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