Achieving Health Equity in San Diego
Health equity is a key component of the Live Well San Diego vision in San Diego County. Addressing health disparities is essential in increasing and ultimately achieving health equity. The health of most Americans has improved in the past century, however some groups continue to experience a disproportionately higher burden of morbidity and mortality. Nationally, there are significant differences in rates of disease, death, and lifestyle behaviors. These differences, or health disparities, exist between genders, among racial/ethnic and age groups, geographic location, socioeconomic status, disability, and sexual orientation.1
In the United States:
· The rate of death due to coronary heart disease was 41.6% higher among males compared to females in 2006.1
· The rate of suicide was significantly higher for persons living in the western United States in 2007.1
· The prevalence of diabetes among adults was significantly higher among blacks and Hispanics in 2008.1
· The prevalence of asthma was higher among children compared to adults in 2008.1
Overview of Health Equity in San Diego County Slide Set: This slide set gives a high level overview of health disparities in San Diego County.
- What are Health Disparities?
- Where are there disparities in health outcomes in San Diego County?
- What are a few of our opportunities for prevention for certain key diseases?
Overview of Health Equity in San Diego County
In 2011, age disparities in San Diego County varied greatly. Compared to the county, residents 45 years and older had higher rates of non-communicable (chronic) diseases while those under the age of 24 had higher rates of poor maternal and child health related outcomes. Residents 15 -24 years of age and over 65 years old had higher rates of communicable diseases.
In 2011, residents living in very urban environments had higher rates of all health outcomes compared to the county. Additionally, those who lived in rural environments had higher rates of poor maternal and child health outcomes, injuries, and non-communicable (chronic) diseases.
Socioeconomic Status (Income)
In 2011, residents with the lowest and low incomes had the highest rates of all health outcomes compared to the rest of the county, while residents with higher incomes had lower rates of all health outcomes.
In 2011, females had higher rates of non-communicable (chronic) diseases and reported communicable diseases compared to the county, where men had higher rates of injuries and poor behavioral health outcomes.
In 2011, black residents had higher rates of all health outcomes compared to the rest of the county, while Asian/ Pacific Islander residents had lower rates of all health outcomes.
1. Centers for Disease Control and Prevention. CDC Health Disparities and Inequalities Report—United States, 2011. MMWR 2011;60(Suppl), http://www.cdc.gov/mmwr/pdf/other/su6001.pdf (Accessed September 30, 2013).