Maryland Chartbook Of Minority Health And Minority Health .
Maryland Department of Health and Mental HygieneMaryland Chartbook of Minority HealthAnd Minority Health Disparities DataWith Sections on Gender-specific HealthAnd Jurisdiction-specific HealthSecond Edition: December 2009Martin O’Malley, GovernorAnthony G. Brown, Lt. GovernorJohn M. Colmers, Secretary
Maryland Department of Health and Mental HygieneMaryland Chartbook of Minority Healthand Minority Health Disparities DataWith Sections on Gender-Specific Health andJurisdiction-Specific HealthSecond EditionMinority Health and Health DisparitiesPrepared by:David A. Mann, MD, Ph.DEpidemiologistMinority Health and Health DisparitiesToyin Fatogun, MPHResearch AnalystMinority Health and Health DisparitiesCarlessia A. Hussein, RN, Dr. PHDirectorMinority Health and Health DisparitiesDecember 2009
Minority Population in Maryland Maryland is a state where the size of the combined racial and ethnic minoritypopulation is beginning to approach the Non-Hispanic White population. The2008 estimated Maryland population was 41.6% racial or ethnic minority [1], upby 0.3 percentage points from 2007 (41.3%) [2]. Eight of Maryland’s 24 jurisdictions have minority populations over 30%. Morethan 20% of the population in the Eastern Shore is minority [1] .
Table of ContentsPurpose, Methods, and Data Sources. 1Summaries of Maryland Disparities Data by Racial and Ethnic Group . 4American Indian or Alaskan Native Data. 4Asian or Pacific Islander Data . 5Hispanic or Latino Data . 6Black or African American Data . 7Statewide Disparities Data. 9Minority Population in Maryland . 9Disparities in Mortality . 11Geographic Distribution of Mortality Disparities. 11Mortality Disparities for Leading Causes of Death . 13Infant Mortality Disparities. 14Disparities in Reported Frequency (Incidence or Prevalence) of Selected Conditions and RiskFactors. 15Diagnosed Diabetes . 15Diagnosed Hypertension (High Blood Pressure). 17Diagnosed High Cholesterol . 19Current Cigarette Smoking . 22Obesity . 24Disparities in the Burden of End-Stage Renal Disease (ESRD). 26Disparity in HIV and AIDS New Case (Incidence) Rates. 28Asthma Disparities. 29Disparities in Health Care Access and Utilization. 30Lack of Health Insurance . 30Inability to Afford Care . 31Utilization of Pre-Natal Care . 32Utilization of Mental Health Services. 33Cost of Disparities: . 34Cost of Excess Black or African American Hospital Admissions. 34Cost of Excess Black or African American Hospital Admissions for Ambulatory CareSensitive Conditions (ACSCs). 35Mortality Disparity Trends for Major Chronic Conditions. 36Heart disease . 36Cancer . 37Stroke: . 38Diabetes: . 39HIV/AIDS:. 40All-causes of Death:. 41
Table of Contents (continued)Gender-Specific Health. 42Women’s Health . 42Leading Causes of Death for Women. 42Women’s Cancer. 44Men’s Health. 45Leading Causes of Death for Men . 45Men’s Cancer . 47Jurisdiction-Specific Data. 48Detailed Maryland Population Distribution by Jurisdiction for Each Racial and EthnicMinority Group . 48Asian or Pacific Islander. 50Hispanic or Latino. 51Black or African American. 52Mortality Data by Jurisdiction . 53Allegany County . 53Anne Arundel County . 54Baltimore City. 55Baltimore County. 56Caroline County . 58Carroll County . 59Cecil County . 60Charles County. 61Dorchester County . 62Frederick County . 63Harford County . 64Howard County. 65Kent County . 66Montgomery County. 67Prince George’s County. 68Queen Anne’s County. 69St. Mary’s County. 70Somerset County. 71Talbot County . 72Washington County . 73Wicomico County . 74Worcester County . 75Cancer Data by Site and Jurisdiction . 76References. 81
List of Tables and FiguresTable 1. Maryland Population, July 1 2008 by Race and Ethnicity. 9Table 2. Minority Population by Jurisdiction, Maryland 2008. 10Table 3. Black or African American vs. White Mortality Disparity, 14 Leading Causes of Death, Maryland2008 . 13Table 4. Percent of Maryland Adults Reporting Seeing a Provider for Mental Health Problem, by Raceand Ethnicity, 2001-2002 . 33Table 5. Percent of Maryland Adults Reporting 30 days of Poor Mental Health in the Previous Month, byRace and Ethnicity, 2003-2007. 33Table 6. Hospital Cost of Excess Black or African American Hospital Admissions, Maryland 2004. 34Table 7. Hospital Cost of Excess Black or African American Medicare Hospital Admissions, Maryland2006 (Source: Maryland Heath Care Commission) . 35Table 8. Change in Age-adjusted Heart Disease Mortality Disparity for Blacks or African Americans,Maryland 2000-2008 . 36Table 9. Change in Age-adjusted Cancer Mortality Disparity for Blacks or African Americans, Maryland,2000-2008 . 37Table 10. Change in Age-adjusted Stroke Mortality Disparity for Blacks or African Americans, Maryland2000-2008 . 38Table 11. Change in Age-adjusted Diabetes Mortality Disparity for Blacks or African Americans, Maryland2000-2008 . 39Table 12. Change in Age-adjusted HIV / AIDS Mortality Disparity for Blacks or African Americans,Maryland 2000-2008 . 40Table 13. Change in Age-adjusted All-cause Mortality Disparity for Blacks or African Americans, Maryland2000-2008 . 41Table 14. Black vs. White Women's Mortality Disparity for the Top 14 Causes of Death, Maryland 2008 43Table 15. African American vs. White Men's Mortality Disparity for the Top 14 Causes of Death, Maryland2008 . 46Table 16. American Indian or Alaska Native population of Maryland by Jurisdiction, 2008 . 48Table 17. Asian or Pacific Islander population of Maryland by Jurisdiction, 2008. 50Table 18. Hispanic or Latino population of Maryland by Jurisdiction, 2008. 51Table 19. Black or African American population of Maryland by Jurisdiction, 2008 . 52
Figure 1. Age-Adjusted All-Cause Mortality (rate per 100,000) by Black or White Race and byJurisdiction, Maryland 2004- 2006 Pooled. 11Figure 2. Black vs. White Death Rate Differences, by Jurisdiction, 2004-2006 . 12Figure 3. Average Annual Infant Mortality Rate, by Race and Ethnicity, . 14Figure 4. % of Adults Age 18-44 Reporting Diagnosed Diabetes, Maryland 2004-2008 . 15Figure 5. % of Adults Age 45-64 Reporting Diagnosed Diabetes, Maryland 2004-2008 . 16Figure 6. % of Adults Age 65 or Older Reporting Diagnosed Diabetes, Maryland 2004-08. 16Figure 7. % of Adults Age 18-44 Reporting Diagnosed Hypertension, Maryland 2004-2008 . 17Figure 8. % of Adults Age 45-64 Reporting Diagnosed Hypertension, Maryland 2004-2008 . 18Figure 9. % of Adults Age 65 or Older Reporting DiagnosedHypertension, Maryland 2004-08. 18Figure 10. % of Adults Age 18-44 Reporting Diagnosed High Cholesterol, Maryland 2004-2008 . 19Figure 11. % of Adults Age 45-64 Reporting Diagnosed High Cholesterol, Maryland 2004-2008 . 20Figure 12. % of Adults Age 65 or Older Reporting Diagnosed High Cholesterol, Maryland 2004-2008 . 20Figure 13. % of Adults Age18-44 Who Report Current Cigarette Smoking, Maryland 2004-2008. 22Figure 14. % of Adults Age 45-64 Who Report Current Cigarette Smoking, Maryland 2004-2008. 23Figure 15. % of Adults Age 65 or Older Who Report Current Cigarette Smoking, Maryland 2004-2008. 23Figure 16. Percent of Adults Age 18 to 44 Classified as Obese, Maryland 2004-2008 . 24Figure 17. Percent of Adults Age 45-64 Classified as Obese, Maryland 2004-2008 . 25Figure 18. Percent of Adults Age 65 or Older Classified as Obese, Maryland 2004-08 . 25Figure 19. Incidence of All-cause ESRD by Age and Race, Maryland 1991-2001. 26Figure 20. Incidence of All-cause ESRD by Age and Ethnicity, Maryland 1991-2001 . 27Figure 21. HIV Incidence Rate by Race and Ethnicity, Maryland 2007. 28Figure 22. AIDS Incidence Rate by Race and Ethnicity, Maryland 2007 . 28Figure 23. Black vs. White Disparity Ratios for Adults with Asthma, Maryland 2006 . 29Figure 24. Proportion of Adults without Health Insurance, by Race and Ethnicity, Maryland 2004-2008 . 30Figure 25. Proportion of Adults Unable to Afford to See a Doctor, by Race and Ethnicity, Maryland 20042008 . 31
Figure 26. Average Annual Rate of Late or No Prenatal Care, by Race and Ethnicity, Maryland 20042008 . 32Figure 27. Age-adjusted Heart Disease Mortality Rate by Black or White Race, Maryland 2000-2008. 36Figure 28. Age-adjusted Cancer Mortality Rate by Black or White Race, Maryland 2000-2008. 37Figure 29. Age-adjusted Stroke Mortality Rate by Black or White Race, Maryland 2000-2008 . 38Figure 30. Age-adjusted Diabetes Mortality Rate by Black or White Race, Maryland 2000-2008 . 39Figure 31. Age-adjusted HIV / AIDS Mortality Rate by Black or White Race, Maryland 2000-2008 . 40Figure 32. Age-adjusted All-cause Mortality Rate by Black or White Race, Maryland 2000-2008. 41Figure 33. Age-adjusted Incidence and Mortality Rates for Breast and Cervical Cancer, by White or BlackRace, Maryland 2003. . 44Figure 34. Age-adjusted Incidence and Mortality Rates for Prostate Cancer, by Black or White Race,Maryland 2003. . 47Figure 35. Age-Adjusted Mortality Rates (per 100,000), Selected Causes of Death for Blacks or AfricanAmericans and Whites, Allegany County, Maryland 2002-2006. 53Figure 36. Age-Adjusted Mortality Rates (per 100,000), Selected Causes of Death for Blacks or AfricanAmericans and Whites, Anne Arundel County, Maryland 2002-2006 . 54Figure 37. Age-Adjusted Mortality Rates (per 100,000), Selected Causes of Death for Blacks or AfricanAmericans and Whites, Baltimore City, Maryland 2002-2006 .
Maryland is a state where the size of the combined racial and ethnic minority population is
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