Get Gettin ting g to o Or Oral al He Heal alth h Eq Equit - - PowerPoint PPT Presentation

Get Gettin ting g to

• Or

Oral al He Heal alth h Eq Equit ity y in in the e Lat atin ino

• Co

Commun munit ity A Mat atter ter of

• f Hea

ealt lth Ju Justic ice

La Latin ino Coal alit itio ion n fo for a He a Heal althy hy Cal alif iforni nia

○ Established in 1992 by advocates, consumers, educators, & health professionals ○ The only statewide organization with a specific emphasis on Latino health ○ LCHC’s primary mission is to develop & support policies, direct services & socio economic conditions to improve the health of Latinos ○ For more information on the Latino Coalition for a Healthy California, please visit us at: www.lchc.org

Oral Disease is considered a silent epidemic, disproportionately affecting children, elderly adults, and communities

• f color.

Why is Or Oral Health h a M Matter r of Health h Justi tice? ce?

Source: Oral Health: The Silent Epidemic. Public Health Reports. [Photograph]. Retrieved from https://member.carefirst.com/carefirst-resources/broker-pdf/dental-oral-health-in-numbers-sum2737.pdf

Califo fornia ia Children ren ○ Over 50% 50% of children in California experience dental decay by kindergarten and 28% 28%

• f children have untreated

decay ○ ~60% of 2 and 3 year olds in California have never been to the dentist

Oral al He Heal alth h in in C CA: A: Chi hild ldren en

22.1%

Source: Dental Health Foundation, The California Smile Survey, 2006

Califo fornia ia Adults s ○ 33% 33% of adults aged 18 and older have not visited a dentist or dental clinic in the past year ○ 32% 32% of adults aged 65 and older have lost six or more teeth due to tooth decay or gum disease

Oral al He Heal alth h in in C CA: A: Ad Adul ults

Source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System (BRFSS)

67.9%

A disproportionate burden or risk of death, disease, disability, and illness on a particular population or group

He Heal alth h Di Dispar arit itie ies

Source: CDC/NCHS, National Health and Nutrition Examination Survey, 2011-2012 [Photograph]. Retrieved from http://familiesusa.org/product/latino-health-disparities-compared-non-hispanic-whites

Cavitie ies in Baby Teeth th by Age and Race ce

○ Adults and children of color have higher risk of dental health issues. ○ Latino’s have the highest rate of untreated tooth decay and the lowest level of dental visits of all racial and ethnic groups in the United States

Di Dispropor

• rti

tiona

• nate Or

te Oral al He Heal alth h Out utco comes mes

Source: CDC/NCHS, National Health and Nutrition Examination Survey, 2009–2010.

Us Use of e of De Dent ntal al Ser Servic ices es

Source: Medical Expenditure Panel Survey (MEPS), AHRQ.

Rea easons ns fo for No Not Vis Visit itin ing g the he De Dent ntis ist in in CA CA

Source: The Oral health Care System: A State-Level Analysis by the ADA Health Policy Institute [Photograph]. Retrieved from : file:///C:/Users/Rebecca/Documents/California-Oral-Health-Care-System.pdf

○ 2015: LCHC joined the Oral Health 2020 Network ○ Partners from CA joined the network to conduct community landscape assessments on

• ral health to identify barriers and increase oral health in dialogue and public policy

○ Partner Organizations:

○ California Pan Ethnic Health Network ○ Strategic Concepts in Organizing and Policy Education (SCOPE) ○ Vision y Compromiso ○ Central Valley Health Policy Institute ○ Asian Americans Advancing Justice -LA

LC LCHC HC & O & Oral al Hea ealt lth 2 h 2020

○ Goal 1 Eradicate dental disease in children. ○ With the closing of disparity gaps, 85% of children reach age 5 without a cavity ○ Goal 2 Incorporate oral health into the primary education system. ○ The 10 largest school districts have incorporated oral health into their systems ○ Goal 3 Include an adult dental benefit in publicly funded health coverage. ○ At least 30 states have an extensive Medicaid adult dental benefit. ○ Medicare includes an extensive dental benefit.

Oral al He Heal alth h 20 2020 20 Ne Netwo work k Goal als

○ Goal 4 Build a comprehensive national oral health measurement system ○ A national and state-based oral health measurement system is in place ○ Goal 5 Integrate oral health into person-centered healthcare. ○ Oral health is integrating into at least 50% of emerging person-centered care models. ○ Goal 6 Improve the public perception of the value of oral health to overall health. ○ Oral health is increasingly included in health dialogue and public policy.

Oral al He Heal alth h 20 2020 20 Goal als

• 1. Increased the public’s awareness of the value of
• ral health
• 2. Collected information about community members’

perception of the opportunities and barriers to good oral health

• 3. Trained a cadre of promotores to deliver

presentations designed to raise consciousness about oral health, disparities in oral health, and also to help identify policy opportunities that can reduce oral health disparities in the Latino community.

In the past year, LCHC has…

○ LCHC touches nine different regions of California. ○ Through trainings, communications via email, social media, and community health fairs and events, LCHC has introduced and kept elevated the importance of oral health and the disparities among the Latino community.

In Incr creas asing ing Awa wareness eness about ut the Im Impo portan tance ce of Or Oral Health th to Well Well-bei being ng in the La Latino

• Co

Community mmunity

○ Goal: to collect information about the community’s perception of the opportunities and barriers to good

• ral health.

○ LCHC lead trainings, activities, and conducted survey questions, to learn:

1. Who do folks turn to for oral health care 2. Who they turn to when dealing with a social justice/civil rights issue 3. To identify the upstream areas where there is most

• pportunity for change

Sur urvey eyin ing g Comm mmun unit ity y Me Memb mber ers

○ 45 promotores were trained from the L.A. ,Inland Empire, and Central Valley. ○ Promotores delivered 160 presentations to at least 2,400 participants. ○ Conducted 2 Northern CA trainings of 20 people and are collecting and analyzing data from these presentations.

Tr Trai aini ning ng the he LCH LCHC Ne Netwo work

○ Statewide surveys & evaluations of 885 individuals (not including northern CA numbers) of Latino origin with ties to various Latin American countries including: Mexico, El Salvador, Nicaragua, and Peru. ○ All respondents resided in the state of CA during the time the survey was conducted. ○ Education and Employment: Landscaper, farmworker, construction, housekeeper, waiter/waitress, unemployed, and student. ○ 26.5% of respondents were students

Sur urvey eys & E & Eval alua uatio ions ns

Key y Findin ings gs

○ In general, community members know where to go to get oral health care but still have access challenges or are not aware that they are eligible for coverage. ○ Having insurance coverage does not guarantee service. ○ It’s hard to find dentists that take patients on public assistance. ○ Transportation and time away from work continue to be a challenge ○ Costs of oral health are outweighed by other more immediate demands like paying rent. ○ Increasing oral health goes beyond individual awareness and knowledge.

Oral al He Heal alth h Kn Knowl wled edge ge & Be & Beha havio ior

There was no stigma attached to visiting clandestine clinics—it seems that these are primarily a source of preventative care such as for cleanings and sealing.

See eeki king ng Ca Care ou e out of S f Sys ystem em

○ Some patients with dental plans in the U.S. choose to go across the border to Mexico as they feel “more comfortable” in that setting. ○ A few patients felt that because many of them rely on public support for dental care that they are treated differently from other patients who may have full insurance. ○ “La clinica” seems to be the most comfortable place to access dental care , the services are good and people are all treated the same, but it is hard to get appointments due to the demand. ○ Immigration status also has an impact in trust and willingness of patients to seek care.

Cul ultur ural al & Li & Ling ngui uistic ic Ba Barrie iers

○ Churches ○ Mexican American Legal Defense and Educational Fund (MALDEF) ○ League of United Latin American Citizens (LULAC) ○ Vision y Compromiso ○ LCHC

Tr Trus usted ed Orga gani nizat ation ions s fo for Ci Civil il Rig ight hts in in th the e La Latin ino Comm mmun unit ity y

Sout uthe hern n CA Tr A Trai aini ning ng

No Northe hern n CA Tr A Trai aini ning ng

Tha hank nk yo you! u!