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Clinical and Translational Science Center

Clinical and Translational Science Center

Center for Reducing Health Disparities

Resource List - California Data

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California Health Interview Survey. 
CHIS is the nation’s largest state health survey.  A random-dial telephone survey conducted every two years on a wide range of health topics, CHIS data gives a detailed picture of the health and health care needs of California's large and diverse population.  CHIS is especially known for its data on ethnic subgroups.  CHIS telephone surveys are conducted in all 58 counties of California.  From asthma, diabetes and obesity to immigrant health and the number of Californians with health insurance, CHIS covers dozens of health topics.

California Department of Public Health/Health Information/Diseases and Conditions.
The CDPH website contains information on over 100 diseases and/or conditions.  Depending on the disease, extensive information can be found (e.g., HIV/AIDS), such as incidence rates by gender, race/ethnicity, and by county.

California Speaks: Language Diversity and English Proficiency by Legislative District. Asian Pacific American Legal Center of Southern California.Report talks about language barriers which can impact people’s ability to access fundamental necessities such as employment, healthcare, and police protection.  Language barriers have emerged as a major social and economic justice issue facing immigrant and refugee populations in the State.  The document contains data sheets for each legislative district.

Racial & Ethnic Disparities in Healthcare in California – California Fact Book. 
Office of Statewide Health Planning and Development.  November 2003.
This report features three sections presenting common and well-accepted measurements for assessing racial and ethnic healthcare disparities using data collected by OSHPD.  The first section describes Preventable Hospital Admission rates for conditions ranging from bacterial pneumonia to hypertension.  Rates are also adjusted for their estimated prevalence within different population groups.  The second section presents Mortality Following Hospitalization for three conditions: acute myocardial infarction, community-acquired pneumonia, and coronary artery bypass graft surgery.  The third section portrays data on the Use of Invasive Cardiovascular Procedures among patients admitted with a diagnosis of either acute myocardial infarction or unstable angina.

Health for All: California’s Strategic Approach to Eliminating Racial and Ethnic Health Disparities.
The California Campaign to Eliminate Racial and Ethnic Disparities in Health. November 2003.
This report is a result of collaboration between the American Public Health Association and the California Health and Human Services Agency.  It’s two primary goals are to: (1) prevent the development of illness and injury by fostering healthy behaviors, healthy community environments, and institutional support of good health outcomes, and (2) to reduce the severity of illness and injury by providing high-quality medical care to all.  The report identifies 9 Priority Medical Issues that result in poor health outcomes.  The report also identifies 20 Community Factors that contribute to health disparities in CA.  The report delineates how government and private institutions can work with communities to eliminate health disparities in CA.

Restructuring Government to Address Social Determinants of Health.
Report from the Healthier America California Convening in Sacramento, CA. Prepared by Prevention Institute on behalf of Trust America’s Health. May 2008.
Focusing on the untapped potential to prevent illness and injury is essential for improvements in health care and the government has a significant role to play. Ensuring good health for all Americans requires addressing the underlying community factors that influence health—from the built environment to jobs to protection from environmental hazards.  The document calls for the establishment of a health system that addresses underlying determinants of health.  There are 8 summary recommendations in the document aimed at federal and state government agencies.

Racial, Cultural, and Ethnic Factors Affecting the Quality of End-of-Life Care in California: Findings and Recommendations.
Crawley L, Singer M. Prepared for the California HealthCare Foundation. March 2007.
This report focuses examining end-of-life (EOL) care delivery for all Californians.  Racial, ethnic, and cultural factors have an affect on the delivery of EOL care.  Most of the report is important for immigrant patients, families, and communities as it relates to culturally mediated EOL issues for persons whose beliefs, values, preferences, behaviors, and language needs differ from Euro-Americans (non-Latino Whites).  A population approach to exploring EOL care gives a clear picture of the state’s ethnic populations of who died and how.  Differential death rates exist among populations residing in California. For example, African and Native Americans have the highest death rates, while Asian Americans have the lowest rate of all population groups.  Provision of hospice and palliative care is being questioned because they create barriers for some racial/ethnic groups.  Improving EOL care in emergency settings; adopting approaches for advance care planning that are culturally appropriate for those who may consider the discussion of death to be taboo; training the health care community in ethno-cultural aspects of pain management; developing communication and trust; using a health care workforce training model; and recognizing the individual are the major recommendations of this report.

Cancer in California 2008.
California Cancer Registry. April 2008.
This document presents information on cancer incidence and mortality across California.  It monitors specific cancer over time and analyzes differential risks of cancer by geographic region, age, race/ethnicity, sex, and other social characteristics of the population.  Some findings in the report:
• The rate of new cancer cases in California declined by 11 percent among men* and seven percent among women from 1988 to 2005.
• From 1988 to 2005, cancer death rates in California declined by 23 percent among men and 17 percent among women. A decrease was experienced by all four major racial/ethnic groups – Asian/Pacific Islanders, Hispanics, non-Hispanic blacks, and non-Hispanic whites.
• Approximately 1.15 million Californians alive today have been diagnosed with cancer at some point in their lives.
• The rates of new breast and colorectal cancer cases are declining. Breast cancer rates declined sharply in 2003 by nearly eight percent and have stayed stable since, a change some scientists attribute to a decline in hormone replacement therapy use among postmenopausal women.
• The rate of new lung cancer cases in California continues to decline and is lower than the rate of new lung cancer cases for the rest of the United States. This is largely due to the success of California’s tobacco control efforts.