Health Equity References & Resources
Resources and References Organized by Objective
Objective 1.1: Increase public and professional awareness about cancer-related health inequities experienced by Colorado populations.
Resources
Colorado Health Disparities Profiles
http://www.cdphe.state.co.us/hs/regionaldata/healthDisparitiesdata.html
The Colorado Health Disparities Regional Profiles site is an initiative of the Health Statistics Section at the Colorado Department of Public Health and Environment (CDPHE) and Project TEACH (Teaching Equity to Advance Community Health) in response to the health data needs of our communities. Users can look for key health indicators by ethnic/racial groups by geographical areas of the state.
C-Change: Collaborating to Conquer Cancer
Formerly Known as the National Dialogue on Cancer
http://c-changetogether.org
The mission of C-Change is to eliminate cancer as a public health problem, at the earliest possible time by leveraging the expertise and resources of our members.
C-Change Cancer Core Competency Initiative
Strengthening Cancer Competencies in the Non-Oncology Health Workforce
http://www.cancercorecompetency.org/
This website provides insight into the work force crisis and presents a web-based toolkit outlining a step-by-step approach to a competency-based approach to program development.
Cancer and Poverty in Colorado, 1995-2006. Denver, Colorado: Colorado Department of Public Health and Environment, 2008. http://www.cdphe.state.co.us/pp/ccpc/cancerpoverty08.pdf
This report provides updated information on the relationship between poverty and cancer by adding data from the years 2001-2006 to the analysis from a previous report on this topic and may be useful to policy makers, healthcare professionals and community groups to assist in developing and evaluating prevention and intervention strategies, identifying high risk populations and prioritizing resource allocations for cancer-related services.
Colorado Clinical and Translational Sciences Institute (CCTSI) (includes Project Teach) http://ctsa1.uchsc.edu/Pages/index.aspx
The Colorado Clinical and Translational Sciences Institute (CCTSI) is the academic home of biomedical research that reaches from labs into lives. Biomedical research reaches its potential when lab results generate improved health care without disparity. In the same way, health care practice reaches its full potential when real-life biomedical outcomes inform lab investigations.
Colorado Department of Public Health and Environment, Colorado Health Data, http://www.cdphe.state.co.us/hs/datahome.html
You can access up-to-date data from many programs within the state health department through this page.
Colorado Department of Public Health and Environment, Office of Health Disparities. Racial and Ethnic Health Disparities in Colorado 2009 http://www.cdphe.state.co.us/ohd/
This 2009 report updates and expands on the findings of the 2005 report while retaining a focus on Colorado’s four major communities of color: Hispanics/Latinos, African-Americans/Blacks, American Indians and Asians/Pacific Islanders. Several new features have been added.
Intercultural Cancer Council (ICC) http://iccnetwork.org/cancerfacts/
The ICC Cancer Fact Sheets were created because medically underserved populations, such as racial and ethnic minorities, experience disproportionately greater suffering and compromised health from cancer compared to the U.S. population as a whole.
Intercultural Cancer Council (ICC) , Cultural Competence in Cancer Care: A Health Care Professional's Passport pocket guide http://iccnetwork.org/pocketguide/index.html
This pocket guide takes the health care professional on a cross-cultural journey to increase awareness, knowledge, attitude and skills while working with disadvantaged and racial/ethnic patients and families. These families are encountered in a variety of primary care settings, including community health centers, outpatient clinics, private medical offices and hospitals.
Promoting Health Equity—A Resource to Help Communities Address Social Determinants of Health , US DHHS, Centers for Disease Control and Prevention, 2008, http://www.cdc.gov/nccdphp/dach/chaps/pdf/SDOHworkbook.pdf
This workbook is for community-based organizations seeking to affect the social determinants of health through community-based participatory approaches and nontraditional partnerships.
US DHHS, National Cancer Institute, Center to Reduce Cancer Health Disparities, http://crchd.cancer.gov/
The Center to Reduce Cancer Health Disparities (CRCHD) is central to the NCI's efforts to reduce the unequal burden of cancer in our society and train the next generation of competitive researchers in cancer and cancer health disparities research. One in four deaths in the United States is attributable to cancer, and one in three Americans will eventually develop some form of cancer. The burden of cancer is too often greater for the poor, ethnic minorities and the uninsured than for the general population.
Quick Health Data Online, Health Disparities Report, http://www.healthstatus2010.com/owh/disparities/ChartBookData_list.asp
The 2009 Health Disparities Profiles examines key health indicators at the state level for different racial and ethnic populations in each of the 50 states, the District of Columbia, Guam, Puerto Rico and the US Virgin Islands. Twenty-one health indicators are presented that highlight some of the key areas related to health disparities among different populations. It can be used as a reference for policymakers and program managers to identify areas where major health disparities exist in each state.
US DHHS, Centers for Disease Control and Prevention, Office of Minority Health and Health Disparities, http://www.cdc.gov/omhd/Populations/populations.htm
Though health indicators such as life expectancy and infant mortality have improved for most Americans, minorities experience a disproportionate burden of preventable disease, death and disability compared with non-minorities. These trends compel the public health community to examine issues of health disparity among the various racial and ethnic groups that comprise the country's population. This site has detailed data about each of these groups.
US DHHS, Office of Minority Health, National Partnership for Action to End Health Disparities, http://minorityhealth.hhs.gov/npa/
The mission of the National Partnership for Action is to mobilize and connect individuals and organizations across the country to create a nation free of health disparities, with quality health outcomes for all people. This will be a roadmap for the elimination of the health disparities that burden our nation.
*******************************
Objective 1.2: Expand culturally-relevant and patient-centered cancer health education, outreach programs, and cancer-related interventions.
Resources
National Standards on Culturally and Linguistically Appropriate Services (CLAS):
http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlID=15
The CLAS standards are primarily directed at health care organizations; however, individual providers are also encouraged to use the standards to make their practices more culturally and linguistically accessible. The principles and activities of culturally and linguistically appropriate services should be integrated throughout an organization and undertaken in partnership with the communities being served.
American Cancer Society – cancer information services
http://www.cancer.org/docroot/AA/content/AA_2_2_Cancer_Information_Services.asp?sitearea=AA
Through culturally competent outreach, education, research and patient care, nurses can make a dramatic difference in reducing minority cancer disparities. http://www.minoritynurse.com/cancer/nurses-culture-and-cancer
Cancer Prevention & Control – culturally competent effective interventions
http://www.thecommunityguide.org/cancer/index.html
CancerCare is a national nonprofit organization that provides free, professional support services for anyone affected by cancer. http://www.cancercare.org
Susan G. Komen for the Cure – Breast Cancer Resources
Developing Effective Cancer Education Print Materials for Hispanics/Latinas
http://ww5.komen.org/uploadedFiles/Content_Binaries/Hispanic.pdf
Promotoras for cancer prevention
http://www.fhcrc.org/about/pubs/center_news/2005/jun2/sart3.html
Native American Cancer Research
http://natamcancer.org/index.html
Quality Health Services for Hispanics: The Cultural Competency Component
http://www.hrsa.gov/culturalcompetence/qualityhealthservices/implementation.htm
LARASA
http://www.larasa.org/Default.aspx?pageId=303594
LARASA has education and health initiatives that deliver direct services to and act as a resource for students and families. They work to increase access to adequate healthcare and health insurance for Latino children and families, both native-born and immigrant.
Gay, Lesbian, Bisexual and Transgender and Cancer Organizations
Cancer and the GLBT Community
http://www.jri.org/glbtnew/AmericanCancerSocietyMaterials.htm
LGBTIQQA Cancer survivorship
http://www.coloradoglbt.org/CancerCare_Survivorship.aspx
Connecting you with LGBT-friendly health-care professionals
http://www.coloradoglbt.org/Health.aspx
Survivorship:
Cancer Rehabilitation for Low Income and Hispanic Breast Cancer Patients (Project REGAIN)
Community Based and Not-for-profit Organizations, Foundations & Public Health Associations
CO Foundation for Public Health & Environment http://www.cfphe.org/
Colorado Environmental Coalition http://www.ourcolorado.org/
Alliance for Sustainable Colorado
http://www.sustainablecolorado.org/aboutus/
CO Environmental Health Association
http://www.cehaweb.com/about.html
CO Public Health Association
http://www.coloradopublichealth.org/documents/CPHAStrategicPlan2008.pdf
Piton Foundation
http://www.piton.org/CommunityFacts
Colorado Progressive Coalition
http://progressivecoalition.org/
Cross-Community Coalition
http://www.cccfrc.org/about_us
National Environmental Health Association - located in Denver
http://www.neha.org/index.shtml
State Government Agencies
University of Colorado at Denver Division of Health Care Policy and
Research
http://www.uchsc.edu/hcpr/disparity.php
Colorado School of Public Health
http://www.cudenver.edu/Academics/Colleges/PublicHealth/research/centers/Pages/index.aspx
AMC Cancer Prevention & Control Program at the University of Colorado
Cancer Center
http://www.uccc.info/for-healthcare-professional/cancer-center/prevention/index.aspx
Colorado State University Extension Offices
http://www.ext.colostate.edu/cis/0909.html and Environmental Health
Services http://www.ehs.colostate.edu/
National & World Organizations
Academy of Health Equity http://www.academyforhealthequity.org/
Robert Wood Johnson Foundation - Commission to Build a Healthier
America: http://www.commissiononhealth.org/
Unnatural Causes documentary website: http://www.unnaturalcauses.org/
World Health Organization: http://www.who.int/social_determinants/en/
Prevention Institute - Health Equity and Community Health Publications:
http://www.preventioninstitute.org/hdpubs.html
Centers for Disease Control and Prevention; Healthy Communities Program
http://www.cdc.gov/healthycommunitiesprogram/overview/healthequity.htm
National Center on Minority health and Health Disparities
http://ncmhd.nih.gov/
Blue Cross and Blue Shield of Minnesota Foundation:
http://www.bcbsmnfoundation.org/pages-exploretheissues-tier4-Social_Determinants_of_Health_General_?oid=7784
******************************
Objective 1.3: Develop specific strategies to address patient access barriers across the cancer continuum for underserved communities
Resources
United States Military Cancer Institute http://www.gyndiseasecenter.org/
The United States Military Cancer Institute (USMCI) is a tri-service program whose goal is to initiate, develop, coordinate and enhance multi-institutional cancer research, care and education within the military system. The Institute is a component of Uniformed Services University (USU) and is headquartered at Walter Reed Army Medical Center (WRAMC).
http://www.cpdr.org/ [center for prostate disease research]
Reports from the Robert Wood Johnson Foundation
“Barriers of and Facilitators to Physician Recommendation of Colorectal Cancer Screening” By: Guerra CE, Schwartz JS, Armstrong K, Brown JS, Halbert CH and Shea JA In: Journal of General Internal Medicine, 22(12), pp.1681-1688 Publisher: Springer Published: December 2007 http://www.rwjf.org/humancapital/product.jsp?id=26354
Patient Navigation
C-Change Resources http://www.cancerpatientnavigation.org/index.html
Colorado Patient Navigator Training Program www.patientnavigatortraining.org
Harold P. Freeman Patient Navigation Institute http://www.hpfreemanpni.org/
Pfizer’s Patient Navigation in Cancer Care http://www.patientnavigation.com/
National Cancer Institute’s Center to Reduce Cancer Health Disparities
http://crchd.cancer.gov/ Patient Navigator Research Program
Health Literacy Barriers to Health Care http://www.nlm.nih.gov/pubs/cbm/healthliteracybarriers.html
Susan G. Komen Foundation Affiliates
Komen Denver; Southeastern Komen; Aspen Affiliate
P.O. Box 4810 Aspen, CO 81612
Phone: (970) 920-0250 Fax: (970) 920-3571 Email Address: info@komenaspen.org
Denver, CO Denver Metropolitan Affiliate
1835 Franklin St. Denver, CO 80218
Phone: (303) 744-2088 Fax: (303) 744-8724 Email Address: info@susangkomen.org
Colorado Springs, CO Southeastern Colorado Affiliate
625 N. Cascade Ave, Suite 110 Colorado Springs, CO 80903
Phone: (719) 632-8887 Fax: Email Address: info@komencs.org
Reports
Burhansstipanov L, Christopher S, Schumacher A. Lessons Learned from Community-Based Participatory Research in Indian Country. Cancer Control: Journal of the Moffitt Cancer Center. November 2005. 70-76.
Burhansstipanov L, Krebs LU, Grass R, Wanlis E., Saslow D. “A Review of Findings and Recommendations related to American Indian Breast Cancer and Screening.” Journal of Cancer Education:2005: 20: (Suppl.): 71-79.
Burhansstipanov L & Olsen SJ. Cancer Prevention and early detection in AIAN populations; Clinical Journal in Oncology Nursing: 2004: 8: 2: 182-186
Promotora Programs
Community College of Denver Community Health Worker Certificate Program
http://www.cdphe.state.co.us/ohd/grant/CommunityHealthWorkernewDenverHealth.pdf
Community Health Worker National Education Collaborative www.chw-nec.org
The Promotora/CHW Model. A Strategy to Reduce Health Disparities and Improve Wellness 4.14.08 “Health Equity and Justice Now” [2002; title of presentation.] http://www.nmqf.org/presentations/08J3LemusM.pdf
The Network of Promotoras and Community Health Workers
Contact Information: Maria Lemus, Executive Director Mholl67174@aol.com; 510.303.3444; Melinda Cordero, Director; PromotorasinCA@aol.com; 626.864.6117; www.visionycompromiso.org
The Impact of a Promotora on Increasing Routine Chronic Disease Prevention among Women Aged 40 and Older at the U.S.-Mexico Border. http://heb.sagepub.com/cgi/content/abstract/31/4_suppl/18S
The REACH La Vida Program has been designated a best practice model by the federal Health Resources and Services Administration (HRSA). As part of the fiscal year 2007 REACH cooperative agreement program, Hidalgo Medical Services is one of 18 entities selected to become a Center of Excellence in the Elimination of Disparities (CEED). These CEEDs will serve as a regional and national network of resource centers that will disseminate strategies that work in specific ethnic groups. REACH also funds 22 Action Communities that will implement effective public health interventions in their local communities. http://www.cdc.gov/washington/cdcatWork/pdf/reaching_hispanics.pdf
****************************
Objective 1.4: Develop systems and infrastructure to support the delivery of the latest, most appropriate cancer prevention, early detection, treatment, and quality of life care for underserved communities.
Resources:
National Center for Frontier Communities www.frontierus.org
Office of Management and Budget www.whitehouse.gov/omb/fedreg/directive_15.html
*******************************
Objective 1.5: Expand the Colorado workforce to include equitable representation of individuals from groups impacted by health disparities.
Resources:
Sullivan Commission's Report on Health Professions Diversity 9/20/2004
Sullivan Commission, Washington, D.C.
Missing Persons: Minorities in the Health Professions, provides detailed recommendations on how to increase the representation of minorities in the nation's medical, dental and nursing workforce. http://www.coloradopublichealth.org/documents/CPHAStrategicPlan2008.pdfhttp://www.aacn.nche.edu/media/pdf/sullivanreport.pdf
Health and Human Sservices - Bureau of Health Professions (HRSA) http://bhpr.hrsa.gov/
HRSA Bureau of Health Professions programs help to assure access to quality health care professionals in all geographic areas and to all segments of society. BHPR puts new research findings into practice, encourages health professionals to serve individuals and communities where the need is greatest, and promotes cultural and ethnic diversity within the health professions workforce.
StateHealthFacts.org - Minority Health
This site includes information about minority health professionals and medical school enrollees and graduates, in addition to data by race/ethnicity for population demographics, insurance coverage, health status, and other topics.
National Institutes of Health Research Training and Research Career Opportunities Website http://grants.nih.gov/training/resources.htm
*********************************
Objective 1.6: Develop, implement, and evaluate public education initiatives that focus on how cancer incidence and mortality rates in Colorado directly correlate with a person’s built environment (the places a person lives, works and plays), with socioeconomic status, level of education attainment, and other social determinants of health.
Piton Foundation- The Piton Foundation is a private, operating foundation established in 1976 by Denver oil man Sam Gary. It is funded by the Gary-Williams Energy Corporation to develop and implement programs to improve education, expand economic opportunities for families, and strengthen lower-income communities, http://www.piton.org/CommunityFacts
Colorado Foundation for Public Health and the Environment http://www.cfphe.org/
Colorado Department of Public Health & Environment: Office of Health Disparities http://www.cdphe.state.co.us/ohd/ and Prevention Services Division, Social Determinants of Health Work Group http://www.cdphe.state.co.us/
The Alliance for a Sustainable Colorado- The mission of Alliance for Sustainable Colorado is to catalyze the shift to a truly sustainable world by fostering collaboration among nonprofits, businesses, governments, and academia. We are working to advance economic, environmental, and social sustainability in Colorado by building cross-sector alliances and networks. http://www.sustainablecolorado.org/aboutus/
Colorado Environmental Health Association- CEHA was established in 1947 as the Rocky Mountain Section of the National Association of Sanitarians and enjoys an outstanding reputation statewide as an innovative, progressive organization dedicated to advancing the cause of general, professional or technical environmental health. http://www.cehaweb.com/about.html
Colorado Progressive Coalition- CPC focuses in four program areas statewide: Racial Justice, Health Justice, Economic Justice, and Civic Engagement. With offices in Greeley, Pueblo, and Denver, we help build a stronger progressive movement in Colorado. Our mission is to ensure that our political and economic democracy works for everyone -- not just the wealthy or well-connected. http://progressivecoalition.org/
State Education and Prevention Partnership (STEPP) http://www.cdphe.state.co.us/pp/tobacco/
********************************
Objective 1.7: Expand the development of community-driven and community-based participatory research on Colorado disparities in the cancer care continuum.
Resources:
Colorado Agencies that conduct Community-Based Participatory Research
Native American Cancer Research http://natamcancer.org/index.html
Latino Research and Policy Center
http://www.ucdenver.edu/academics/colleges/PublicHealth/research/centers/lrpc/Pages/LRPC.aspx
REFERENCES
Colorado Cancer Coalition, Cancer and Poverty in Colorado, 1995-2002. Denver, Colorado: Colorado Department of Public Health and Environment, 2002.
Colorado Department of Health and Environment, State Tobacco Education and Prevention Partnership, Colorado Tobacco Prevention and Control Strategic Plan 2004-2010, 2005 Edition.
Colorado Department of Public Health and Environment, Office of Health Disparities. Racial and Ethnic Health Disparities in Colorado 2005
Colorado Turning Point Initiative. Racial and Ethnic Health Disparities in Colorado 2005. Downloaded 27 June 2005 from URL: http://www.cdphe.state.co.us/tpi/index.htm.
DeNavas-Walt, Carmen, Bernadette D. Proctor, and Robert J. Mills, Income, Poverty, and Health Insurance Coverage in the United States: 2003, U.S. Census Bureau, Current Population Reports, P60-226, U.S. Government Printing Office, Washington, DC, 2004.
Freeman HP. Commentary on the Meaning of Race in Science and Society. Cancer Epidemiology, Biomarkers & Prevention. 2003 (Suppl.):12(232s-236s).
Freeman HP, Reuben SH, Editor. Voices of a Broken System: Real People, Real Problems, President’s Cancer Panel Report of the Chairman 2000-2001, National Institutes of Health, National Cancer Institute, March 2002
Haynes MA and Smedley BD, editors. The unequal burden of cancer: an assessment of NIH research and programs for ethnic minorities and the medically underserved; Committee on Cancer Research among Minorities and the Medically Underserved, Health Sciences Policy Program, Health Sciences Section, Institute of
Medicine. 1999
Kaiser Family Foundation. Colorado: Poverty Rate by Race/Ethnicity, State Data 2002-2003, U.S. 2003. Downloaded 27 June 2005 from URL: http://www.statehealthfacts.kff.org.
Lance Armstrong Foundation. A National Action Plan for Cancer Survivorship: Advancing Public Health Strategies, April 2004
Levinson A. Unequal Tobacco Burdens: A report on Colorado Disparities in use and exposures. Spring 2002
Maryland Department of Health and Mental Hygiene. Maryland Comprehensive Cancer Control Plan, Our call to action: 2004-2008
The Mautner Project. Removing the barriers to accessing care for lesbians. 2002
National Institutes of Health, National Cancer Institute. The Unequal Burden of Cancer: An Assessment of NIH Research and Programs for Ethnic Minorities and the Medically Underserved, NCI’s Response and Actions Related to the Report from the Institute of Medicine, NIH Publication No. 00-4747
Smedley BD, Stith AY, Nelson AR, editors. Unequal treatment: confronting racial and ethnic disparities in healthcare. Washington, D.C.: National Academy Press, 2003.
The Sullivan Commission. Missing persons: minorities in the health professions. A report of the Sullivan Commission on Diversity in the Healthcare Workforce, 2004
U.S. Department of Health and Human Services, National Institutes of Health, Eliminating Tobacco-Related Health Disparities: Summary Report National Conference on Tobacco and Health Disparities 2002, National Cancer Institute. 2005
U.S. Department of Health and Human Services. Making Cancer Health Disparities History. Report of the Trans-HHS Cancer Health Disparities Progress Review Group, Submitted to the Secretary, March 2004
U.S. Department of Health and Human Services. National Standards for Culturally and Linguistically Appropriate Services in Health Care. Office of Minority Health. 2001.
Colorado Department of Public Health & Environment
● Data links: http://www.cdphe.state.co.us/hs/datahome.html
http://www.cdphe.state.co.us/hs/informatics.html
● Office of Health Disparities
http://www.cdphe.state.co.us/ohd/index.html
● Office of Planning and Partnerships
http://www.cdphe.state.co.us/opp/cophip.html
● Consumer Protection Division
http://www.cdphe.state.co.us/cp/index.html
● Air Pollution Control Division
http://www.cdphe.state.co.us/ap/index.html
● Hazardous Materials and Waste Division
http://www.cdphe.state.co.us/hm/index.htm
CO Foundation for Public Health & Environment http://www.cfphe.org/
Academic & Health Institutions