Achieving Health Equity in San Diego

 

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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.

 

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

 

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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?

 

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Identifying Health Disparities to Achieve Health Equity in San Diego County Series: Age, Gender, Geography, Race/Ethnicity, and Socioeconomic Status.

Overview of Health Equity in San Diego

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Health Equity Framework: Racial Equity

 

Racial Equity Framework and Outcomes Brief (January 2022)

 

Health Equity Dashboard Series: Racial Equity Dashboards, San Diego County

These interactive Tableau dashboards help to visualize the demographic data, social determinants of health, and health outcomes disaggregated by race/ethnicity or race and ethnicity. Individual dashboards can be downloaded as images, PDFs or PowerPoint slides.

See the below images to learn how to use the Racial Equity Dashboards:

Health Equity Reports

Age

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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.

 
 

Geography

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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. 

Identifying Health Disparities to Achieve Health Equity in San Diego County: Geography Report 

 

Socioeconomic Status (Income)

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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.

Identifying Health Disparities to Achieve Health Equity in San Diego County: Socioeconomic Status Report 

Gender

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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. 

 

 

Identifying Health Disparities to Achieve Health Equity in San Diego County: Gender Report 

 

Race/Ethnicity

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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. 

 

Identifying Health Disparities to Achieve Health Equity in San Diego County: Race/Ethnicity Report 

 

 

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).

 

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Socioeconomic Status and Poverty

San Diego County Self-Sufficiency Standard Brief: Single-Adult Household, 2021 (coming soon) 

San Diego County Self-Sufficiency Standard Brief: Household with Two Adults and Two Children, 2021 (coming soon) 

Socioeconomic Status Dashboard Series: San Diego County Self-Sufficiency Standard Dashboard

The self-sufficiency standard measures how much income is needed for a household of a certain composition to adequately meet their basic needs without public or private assistance. This interactive tool helps to visualize the minimum wage required for self-sufficiency based on the average amount spent on basic necessities in each Health and Human Services Agency (HHSA) region, subregional area (SRA), and San Diego County overall.

See the below images to learn how to use the San Diego County Self-Sufficiency Standard Dashboard:

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American Rescue Plan Act (ARPA) Dashboards

Demographics by Census Tract

The dashboard below examines demographic, housing, employment, and income/benefit data from 2019 for all census tracts in San Diego County, highlighting those that are considered Qualified Census Tracts.

The American Rescue Plan Act of 2021 (ARPA) defined select census tracts as Qualified Census Tracts based on income and poverty measures. Specifically, a Qualified Census Tract is defined as any census tract in which at least 50 percent of households have an income less than 60 percent of the Area Median Income, or which has a poverty rate of at least 25 percent. 

Hospital and Emergency Department Discharge Data for Persons Experiencing Homelessness

 

Hospitals in San Diego County are beginning to adopt the practice of indicating select social determinants of health in patients’ medical records through defined codes (ICD-10 Z codes). This information was utilized to examine hospital and emergency department (ED) discharge data for persons experiencing homelessness in 2019.

Each of the below dashboards examines aggregated demographic data, hospital and facility data, and data on top diagnosis groups for individuals in San Diego County whose records indicated they were experiencing homelessness. This data is specific to individuals who were homeless who sought emergency or hospital care in 2019, and this is not comprehensive of all hospitals or all patients but will continue to increase as the use of ICD-10 Z codes increases.

Hospital Discharge

Emergency Department (ED) Discharge