Moving Forward on Healthcare Equity in Utah

Moving Forward
in 2010
Progress Toward Health Equity by Race and Ethnicity in Utah

UTAH DEPARTMENT OF

HEALTH
Center for
Multicultural Health

Moving Forward in 2010

Contents
Health Status by Race and Ethnicity: 2005 Vs. 2010 ....................................................... 3
Background ................................................................................................................................................. 3
Factors Influencing Change ............................................................................................................ 3
Methods .............................................................................................................................................................. 4
Changes in Utah Minority Health since 2005 ........................................................................ 5
Positive Progress .................................................................................................................................... 5
Setbacks ......................................................................................................................................................... 5
Utah Minority Health Summary ......................................................................................................... 6
Access to Health Care ....................................................................................................................... 6
Life Expectancy ........................................................................................................................................ 6
Risk Factors for Illness ................................................................................................................... 6
Mother and Infant Health .................................................................................................................7
Infectious Diseases ................................................................................................................................. 8
Heart Disease ............................................................................................................................................ 8
Cancer ............................................................................................................................................................ 8
Utah American Indians ............................................................................................................................. 9
Utah Asians .................................................................................................................................................... 10
Utah Blacks/African Americans ...................................................................................................... 11
Utah Pacific Islanders .............................................................................................................................12
Utah Hispanics/Latinos ............................................................................................................................13
Utah Whites ....................................................................................................................................................14
Acknowledgments ......................................................................................................................................15

2

Health Status by Race and Ethnicity: 2005 Vs. 2010
Background At the same time, the racial and ethnic
In 2005 and 2010, the Utah Department minority populations of Utah have grown at
of Health (UDOH) published editions of rates exceeding the growth of the statewide
Health Status by Race and Ethnicity, population, largely through migration. A high
comprehensive reports of public health proportion of newcomers from other states
data available about Utah racial and and countries are of racial or ethnic minority
ethnic groups at each time period. status. Therefore, the state racial and ethnic
Moving Forward in 2010 highlights minority populations measured in 2005 and
some of the most pressing minority 2010 may be substantially different from
health issues described in more detail each other.
and compares the health status of
A smaller proportion of Utahns had health
Utah minorities reported in 2010 to the
insurance coverage at the time period of the
baselines established in the 2005 report.
2010 report compared with the 2005 report.
Factors Influencing Change Health care costs have risen steadily during
Since 2005, many changes have taken this time period and an economic downturn
place in Utah that may have influenced began in 2008.
health status of racial and ethnic groups.
In 2004, the Center for Multicultural
Health (CMH) was established to
facilitate health programs for Utah
racial and ethnic minorities. CMH was
funded by the U.S. Office of Minority
Health to serve as the state office of
minority health in 2005. CMH, other
UDOH programs, local, federal and tribal
governments, and private and non-profit
organizations have conducted health
promotion campaigns to encourage
healthy lifestyles and environments.
Frequently, these efforts have been
specifically designed to address
disparities highlighted by the 2005
report.

3

Methods
The baselines for determining health Indicators that were not included in both
status change were the point estimates reports and data that were collected or
for indicator rates reported in the 2005 analyzed differently in the two reports could
edition of Health Status by Race and not be analyzed for change over time. The
Ethnicity. 2010 rates were originally Asian and Pacific Islander racial groups were
reported in Health Status by Race and combined in some of the data sets for one
Ethnicity: 2010. but not both reports. These indicators could
The rates reported in the 2005 edition not be analyzed for change over time for
of Health Status by Race and Ethnicity these two racial categories only.
are referred to as “2005” rates and Data were compiled using data from birth
rates reported in the 2010 edition are and death certificates, statewide surveys, and
referred to as “2010” rates. However, mandated reporting of certain diseases and
the actual years of data analysis varied, conditions by health organizations.
depending on data availability. The For more information about the health
exact years of data analysis are listed in indicators, data collection and analysis
the original reports. methodologies, data collection years, and
Change was defined as follows: The age-adjusted rates, see the original reports:
estimated rate for 2005 Status does not Office of Public Health Assessment (2005).
fall within the 95% confidence intervals Health Status by Race and Ethnicity. Salt
for 2010 Status. Lake City, UT: Utah Department of Health.
When appropriate, age-adjusted rates http://health.utah.gov/opha/publications/
were used to determine if there was raceeth05/Race-Eth_Report.pdf
a change over time or a difference Center for Multicultural Health (2010). Health
from the statewide rate, but only the Status by Race and Ethnicity: 2010. Salt Lake
crude rates are listed in this report for City, UT: Utah Department of Health.
purposes of brevity and simplicity. The http://health.utah.gov/cmh/
age-adjusted rates are listed in the data/healthstatus.pdf
original reports.

4

Changes in Utah Minority Health since 2005
Positive Progress Setbacks
Many Utah racial and ethnic minority In spite of the progress, Utah racial and
groups saw improvement in health status ethnic minority groups also saw health
since 2005: status decline in other ways since 2005:
• Hispanics saw declines in several • The lung cancer rate rose among
diseases, including gonorrhea, Blacks/African Americans.
tuberculosis, arthritis, and cancer. • The breast cancer rate rose among
This ethnic group also had lower American Indians and Blacks/African
rates of death from diabetes, Americans.
coronary heart disease, and stroke.
• As with all Utahns, all minority groups
• The Black/African American prostate for whom data were available saw a
cancer rate dropped. rise in chlamydia rates.
• Blacks/African Americans reported • The proportion of Blacks/African
improvements in overall physical and Americans with recommended
mental health. physical activity dropped.
• A lower percentage of American • As with Utahns statewide, American
Indian and Black/African American Indians had a higher overweight/
babies had low birth weights. obesity rate.
• The Hispanic and Black/African • More Pacific Islanders and Hispanics
American infant mortality rates lacked health insurance.
dropped.
• The proportion of Asians with no
• The American Indian motor vehicle usual place of medical care more than
traffic crash death rate improved. doubled.
• More Asians were physically active.
• Hispanics reported higher rates
of prenatal care and colon cancer
screening. Pacific Islanders reported
higher rates of colon cancer
screening and blood cholesterol
screening.

5

Utah Minority Health Summary
Access to Health Care • The proportion of Asians with no usual • For American Indians, the
• All racial and ethnic minority place of medical care more than doubled overweight/obesity rate rose from
groups had higher poverty rates from 2005 to 2010, increasing from 63.4% in 2005 to 72.5% in 2010.
than the statewide population. 6.6% to 14.1%. • Large proportions of the American
• Hispanics had the lowest rate of Life Expectancy Indian (26.5%), Black/African
health insurance coverage in the • Asians had the highest life expectancy American (28.6%) and Hispanic/
state, with 35.7% uninsured. at birth of all Utah racial/ethnic groups. Latino (31.1%) populations were
Statewide, 11.1% of Utahns were Asians had the lowest obesity rate of all physically inactive. Statewide,
uninsured. Utah racial/ethnic groups, as well as low 18.6% were inactive.
• Only 8.8% of Pacific Islanders rates of chronic disease indicators such • The proportion of Blacks/African
lacked health insurance in 2005, as heart disease death, cancer incidence Americans with recommended
but 23.0% were uninsured in and arthritis. physical activity dropped from
2010. The Hispanic uninsured rate • American Indians had the lowest life 58.0% in 2005 to 45.5% in 2010.
also rose from 25.8% in 2005 to expectancy at birth of all Utah racial/
35.7% in 2010. ethnic groups. They had the highest
• In spite of the decline in health rates of unintentional injury death and
insurance coverage, Hispanics violent death in the state. However, the
and Pacific Islanders reported American Indian motor vehicle traffic
improvements in certain kinds of crash death rate improved greatly, with
preventive care. Hispanics had 20.5 deaths/100,000 people in 2010
higher rates of early prenatal care compared to 38.5/100,000 in 2005.
(from 60.4% to 63.4%) and colon
cancer screening (from 27.4% to Risk Factors for Illness
38.0%). Pacific Islanders reported • Smoking rates for American Indians
higher rates of colon cancer (19.8%) and Blacks/African Americans
screening (from 19.9% to 55.7%) (20.0%) were nearly double the smoking
and blood cholesterol screening rate of the statewide
(from 44.7% to 54.2%). population (10.8%).

• American Indians were least likely • The majority of Utah adults were
to have access to needed medical overweight (56.4%), but American
care, with 38.2% of American Indian (72.5%), Black/African American
Indians reporting that they could (66.3%), Pacific Islander (75.1%) and
not obtain such care, compared to Hispanic (62.2%) Utahns had even
15.9% of all Utahns. higher rates of overweight. Only
32.4% of Asians were overweight.

6


• A higher percentage of Asians • Although birth outcomes were still poor Overall Health
reported getting the recommended for Blacks/African Americans, these rates
improved since 2005, when the Black/ • Blacks/African Americans reported
amount of physical activity in 2010
African American infant mortality rate improvements in overall health. In
(51.6%) than in 2005 (45.8%).
was 13.8/1,000 births and 14.7% of 2010, only 8.7% of Black/African
• Higher percentages of Asians American adults reported seven
reported eating the recommended Black/African American infants had low
birth weights. or more days per month of poor
daily servings of fruits (43.9%) and physical health, compared to 15.0%
vegetables (29.0%) than statewide • The Hispanic infant death rate also in 2005 and just 16.5% of Black/
(30.5% and 22.7%). dropped (from 6.4/1,000 births to African American adults reported
5.1/1,000). seven or more days per month of
Mother and Infant Health
• Pacific Islander infants under one • Fewer American Indian babies had low poor mental health, compared to
year had nearly twice the death birth weights in 2010 (7.8%) compared 28.0% in 2005.
rate (8.8 deaths/1,000 births) of to 2005 (9.2%).
infants statewide (4.5 deaths/1,000 • All racial and ethnic minority groups had
births). Pacific Islander women lower rates of receiving early prenatal
had the lowest rate of folic acid care than the statewide rate of 79.1%.
consumption (31.8% compared Rates for the groups were as follows:
to 46.2% statewide) and early American Indians 56.2%; Asians 75.2%;
prenatal care (48.1% compared to Blacks/African Americans 61.2%; Pacific
79.1% statewide) and the highest Islanders 48.1%; and Hispanics/Latinas
rate of obesity during pregnancy 63.4%.
(39.5% compared to 15.9% • Pacific Islanders had the highest rate
statewide). of postpartum depression (27.0%
• Black/African American infants had compared to 13.0% statewide).
the highest rate of low birth weight • Only 70.3% of American Indians
(11.4%) and preterm birth (13.0%) initiated breastfeeding, and only 43.9%
of all Utah infants. (Statewide low of those who initiated
birth weight rate was 6.8% and breastfeeding were
preterm birth rate was 9.7%). The still doing so 2-6 months postpartum.
Black/African American infant death Statewide, 91.1% of mothers initiated
rate was 8.4 deaths/1,000 births. breastfeeding and 67.5% of those
continued 2-6 months postpartum.
• Black/African American, Pacific Islander,
and Hispanic mothers were
also less likely to continue
breastfeeding 2-6 months
postpartum than all Utahns.
7

Depression • When adjusting for age, the Hispanic
• Hispanics had a higher rate of coronary heart disease and stroke death
major depression (8.2%) than all rates both declined.
Utahns (4.2%).
Cancer
Infectious Diseases • The Black/African American prostate
• As with all Utahns, all of the cancer rate dropped from 72.5 new
minority groups for whom data cases/100,000 males to 53.4/100,000.
were available have seen a rise in
chlamydia rates since 2005. • Lung cancer is on the rise among Utah
Blacks/African Americans: in 2005, the
• Hispanics have seen fewer rate was 6.1/100,000, while in 2010 it
new cases of gonorrhea was 14.1/100,000. This rate was higher
(from 34.6/100,000 people to than the statewide rate when controlling
26.4/100,000) and tuberculosis for age.
(from 5.9/100,000 to 4.2/100,000).
• The breast cancer rate rose among
Diabetes American Indians (from 8.3/100,000
• American Indians had the highest females in 2005 to 19.9/100,000)
diabetes rate (9.2%) of all Utahns and Blacks/African Americans (from
(statewide rate was 5.6%). 17.8/100,000 females in 2005 to
• Pacific Islanders had the 32.6/100,000).
highest rate of diabetes death • Hispanics saw improvement in the
(52.9/100,000 vs. 43.5/100,000 incidence rates of all cancers measured:
statewide). colorectal (13.6 new cases/100,000
• The Hispanic diabetes death rate people vs. 14.7/100,000), lung
dropped from 24.3/100,000 people (8.8/100,000 vs. 10.5/100,000), breast
in 2005 to 20.8/100,000 in 2010. (41.8/100,000 women vs. 46.6/100,000)
and prostate (33.9/100,000 men vs.
Heart Disease 36.7/100,000).
• No minority groups had higher
heart disease death rates than the
statewide population. American
Indians (43.8 deaths/100,000
people), Asians (41.9/100,000) and
Hispanics (27.6/100,000) had lower
rates of heart disease death than
Utahns statewide (110.1/100,000).

8

Utah American Indians
Access to Health Care Obesity Progress Since 2005
Diabetes
American Indians were the The majority of Utah adults were Moving in the Right Direction
American Indians had the
least likely of all Utah racial/ overweight (56.4%), but American Chronic Drinking
highest diabetes rate (9.2%) of Motor Vehicle Traffic Crash
ethnic groups to have access to Indians had an even higher rate at
all Utahns. (Statewide rate was Deaths
needed medical care, with 38.2% 72.5%, up from 63.4% in 2005. Low Birth Weight
5.6%.)
reporting that they could not Breastfeeding
obtain such care, compared to Infectious Disease Moving Backward
Only 70.3% of American Indians Breast Cancer Incidence
15.9% of all Utahns. They also Like all Utahns, American Indians
initiated breastfeeding, and only Overweight or Obese
had a high poverty rate (22.1% have seen a rise in chlamydia Chlamydia
43.9% of those who initiated
compared to 10.0% statewide) rates since 2005.
breastfeeding continued 2-6
and uninsured rate (17.7% Breast Cancer months postpartum. Therefore,
compared to 11.1% statewide). The Utah American Indian only 30.9% of Utah American
Early Death breast cancer rate rose from Indian infants benefited from
American Indians had the lowest 8.3/100,000 females in 2005 to breastfeeding 2-6 months
life expectancy at birth of all Utah 19.9/100,000 in 2010. Screening postpartum. Statewide, 91.1% of
racial/ethnic groups. They had for breast cancer did not increase mothers initiated breastfeeding
the highest rates of poor physical during this time period. At and 67.5% of those continued 2-6
health, poor mental health, 51.6%, the proportion of Utah months postpartum.
unintentional injury death, American Indian women over
Alcohol Use
and violent death in the state. 40 receiving a mammogram to
Chronic drinking declined among
However, the Utah American detect breast cancer early and
Utah American Indians. Only
Indian motor vehicle traffic crash improve survival is lower than
6.5% of Utah American Indians
death rate improved greatly, with the state rate (67.6%). The
reported this behavior in 2010
20.5 deaths/100,000 people in exact causes of breast cancer are
compared to 9.7% in 2005. Binge
2010 compared to 38.5/100,000 unknown, but lifestyle choices
drinking remained a problem, with
in 2005. that may protect against breast
17.6% reporting it (statistically
cancer include maintaining a
Smoking unchanged from the 2005 rate).
healthy weight, being physically
American Indians had nearly active, and breastfeeding. Birth Weight
double the smoking rate (19.8%) Fewer Utah American Indian
of all Utahns (10.8%). babies had low birth weights in
2010 (7.8%) than in 2005 (9.2%).

Better Than
Statewide in 2010 Greater Needs Than Statewide in 2010
Heart Disease Deaths No Health Insurance Coverage Binge Drinking Homicide
Colorectal Cancer Incidence Unable to Access Health Care Chlamydia Violent Deaths
Colorectal Cancer Deaths Early Prenatal Care Obesity in Pregnancy Fair or Poor Health
Breast Cancer Incidence Mammogram Gestational Diabetes Physical Health Status
Prostate Cancer Incidence Blood Cholesterol Screening Births to Adolescents Mental Health Status
Note: Fewer American Indians Overweight or Obese Unintended Pregnancy Arthritis Prevalence
reported high cholesterol than all No Physical Activity Ever Breastfeeding Diabetes Prevalence
Utahns, but this is likely due to the
low rate of cholesterol screening. Cigarette Smoking Breastfeeding 2-6 Months Postpartum
Exposure to Secondhand Smoke Orofacial Clefts 9

Utah Asians
Access to Health Care Tuberculosis Obesity Progress Since 2005
Asians had a high poverty rate Asians had a higher rate Asians had the lowest obesity rate Moving in the Right Direction
(14.3% compared to 10.0% of tuberculosis (14.1 new of any Utah racial or ethnic group. Recommended Physical Activity
statewide). cases/100,000 people) than The majority of Utah adults– Moving Backward
Primary Care Provider all Utahns (1.4/100,000). 56.4%–were overweight, but only No Primary Care Provider
Most people diagnosed with 32.4% of Asian Utah adults were Pap Test
The proportion of Asians with
no usual place of medical care tuberculosis in Utah were born overweight. The better nutrition Note: A higher proportion of Asians
reported chronic drinking in 2010 than
approximately doubled between outside of the United States. practices of Asians contribute 2005, but both rates were very low.

2005 and 2010, increasing from Gestational Diabetes to this difference. Higher
6.6% to 14.1%. This change A higher percentage of Asian percentages of Asians reported
may be related to the steady rise infants were born to mothers who eating the recommended daily
in health care costs during the had gestational diabetes (6.8% in servings of fruits (43.9%) and
same time period. 2010) than statewide (3.1%). vegetables (29.0%) than statewide
(30.5% and 22.7%).
Pap Test Physical Activity
The percentage of Asian women More Asians were physically Life Expectancy
receiving a Pap test to screen active than in the past; a higher Asians had the highest life
for cervical cancer dropped from percentage of Asians reported the expectancy at birth of all Utah
87.4% in 2005 to 69.1% in 2010. recommended amount of physical racial/ethnic groups. Asians had
Cervical cancer is one of the activity in 2010 (51.6%) than in low rates of chronic disease
most curable cancers if detected 2005 (45.8%). indicators such as heart disease
early through routine screening. deaths, cancer incidence and
Persons without a usual place arthritis. A low obesity rate
of medical care are less likely to reduces risk for chronic disease.
receive health screenings than
those who have a primary care
provider to manage their care.

Better Than Statewide in 2010 Greater Needs Than Statewide in 2010
Overweight or Obese Activity Limitation Early Prenatal Care
Daily Fruit Consumption Arthritis Prevalence Knowledge of Stroke Symptoms
Daily Vegetable Consumption Asthma Prevalence Low Birth Weight
Obesity in Pregnancy Heart Disease Deaths Gestational Diabetes
Births to Adolescents Coronary Heart Disease Deaths Tuberculosis
Major Structural Birth Defects* Colorectal Cancer Incidence* Homicide
Poisoning Deaths Breast Cancer Incidence*
Violent Deaths Prostate Cancer Incidence*
Mental Health Status
* This indicator combined the Utah Asian and Pacific Islander populations.
10

Utah Blacks/African Americans
Access to Health Care Lung Cancer Prostate Cancer Progress Since 2005
Blacks/African Americans had In 2005, the Black/African The Black/African American Moving in the Right Direction
a high poverty rate (19.6% American lung cancer rate was prostate cancer rate dropped from Infant Mortality
compared to 10.0% statewide) 6.1/100,000 but in 2010, it rose 72.5 new cases/100,000 males to Low Birth Weight
Physical Health Status
and poor access to health to 14.1/100,000 and was higher 53.4/100,000. Mental Health Status
care (21.9% lacked access to than the statewide rate when Obesity Prostate Cancer Incidence
needed care compared to 15.9% controlling for age. (The age- The majority of Utah adults were Moving Backward
statewide). adjusted Black/African American overweight (56.4%), but Blacks/ Physical Activity
Births lung cancer rate was 46.3 vs. African Americans had an even Chlamydia
29.7 statewide.) Black/African Gonorrhea
Black/African American infants higher rate at 66.3%. Meanwhile, Lung Cancer Incidence
had the highest rates of low birth Americans had nearly double the proportion of Blacks/African Breast Cancer Incidence
weight (11.4%) and preterm the adult smoking rate of the Americans who were physically
birth (13.0%) of all Utah infants. statewide population (20.0% active dropped from 58.0% in
Statewide, the low birth weight compared to 10.8%). 2005 to 45.5% in 2010.
rate was 6.8% and the preterm Breast Cancer Infectious Diseases
birth rate was 9.7%. The Black/ The Black/African American As with all Utahns, Blacks/African
African American infant death breast cancer rate rose from Americans have seen a rise in
rate was 8.4 deaths/1,000 births. 17.8/100,000 females in 2005 to chlamydia rates since 2005. The
Although birth outcomes are still 32.6/100,000 in 2010. Screening gonorrhea rate for Blacks/African
poor, these rates have improved for breast cancer did not increase Americans has also risen.
since 2005, when the Black/ during this time period. Lifestyle
Mental Health
African American infant mortality choices that may protect against
Blacks/African Americans had
rate was 13.8/1,000 births and breast cancer include maintaining
lower rates of major depression
14.7% of Black/African American a healthy weight, being physically
(2.6% of adults) and suicide
infants had low birth weights. active and breastfeeding. Blacks/
(6.6/100,000 people) than all
Physical Health African Americans were less
Utahns (4.2% and 13.6/100,000).
Only 8.7% of Black/African likely to continue breastfeeding
In 2010, only 16.5% of Black/
American adults reported seven 2-6 months postpartum than all
African American adults reported
or more days per month of Utahns.
seven or more days per month of
poor physical health in 2010, poor mental health, compared to
compared to 15.0% in 2005. 28.0% in 2005.

Activity Limitation Unable to Access Health Care Unintended Pregnancy
Major Depression Early Prenatal Care Breastfeeding 2-6 Months
Suicide Overweight or Obese Postpartum
No Physical Activity Tuberculosis
Cigarette Smoking Chlamydia
Knowledge of Stroke Symptoms Gonorrhea
Low Birth Weight Homicide
Preterm Birth Lung Cancer Incidence
Note: Fewer Blacks/African Americans reported high cholesterol than all Utahns, but
this is likely due to the low rate of cholesterol screening.
11

Utah Pacific Islanders
Progress Since 2005
Poverty Pregnancy Diabetes
Pacific Islanders had a high Pacific Islander women had Pacific Islanders had the highest Moving in the Right Direction
Colon Cancer Screening
poverty rate (14.4% compared to the lowest rate of folic acid rate of diabetes death at Blood Cholesterol Screening
10.0% statewide). This problem consumption (31.8% compared to 52.9/100,000. The statewide rate
is likely to affect health status. 46.2% statewide) and the lowest was 43.5/100,000. Maintaining a Moving Backward
No Health Insurance Coverage
Health Insurance Coverage rate of early prenatal care (48.1% healthy weight can help prevent Prostate Cancer Screening
Only 8.8% of Pacific Islanders compared to 79.1% statewide). type 2 diabetes and complications
Note: A higher proportion of Pacific
lacked health insurance in 2005, Women who were obese during from diabetes, including death. Islanders reported chronic drinking in
2010 than 2005, but both rates were
but 23.0% were uninsured in pregnancy gave birth to 39.5% of Obesity very low.

2010. This change may be related Pacific Islander infants, compared The majority of Utah adults were
to the steady rise of health care to 15.9% statewide. Pacific overweight (56.4%), but Pacific
costs during the same time Islanders had the highest rate of Islanders had an even higher rate
period. obesity during pregnancy of all at 75.1%.
Utah races/ethnicities.
Preventive Screening Overall Health
Pacific Islander adults had the Infant Deaths The majority of 4.7% of Pacific
highest percentage of receiving Pacific Islander infants under Islander Utahns reported that
routine medical check-ups one year had nearly twice the overall, their health was not good,
of all racial groups (79.5% death rate (8.8 deaths/1,000 compared to 11.8% of all Utahns.
compared to 71.3% statewide). births) of infants statewide (4.5
Screenings for blood cholesterol deaths/1,000 births). While only
levels (54.2% of Pacific Islander 1.3% of all Utah infants were
adults) and colon cancer (55.7% born to Pacific Islander mothers,
of Pacific Islander adults age their babies made up 2.5% of all
50+) have increased since infants who died.
2005 (44.7% for cholesterol Postpartum Depression
and 19.9% for colon cancer). Pacific Islanders had the highest
However, a smaller proportion of rate of postpartum depression
men age 40+ received prostate (27.0% compared to 13.0%
cancer screenings (35.5% in statewide).
2010 vs. 46.5% in 2005).

Unintended Pregnancy Early Prenatal Care Breastfeeding 2-6 Months
Routine Medical Check-Up Overweight or Obese Postpartum
Major Structural Birth Defects* Infant Mortality Postpartum Depression
Fair or Poor Health Obesity in Pregnancy Tuberculosis
Activity Limitation Gestational Diabetes Chlamydia
Major Depression Folic Acid Consumption Homicide
Colorectal Cancer Incidence* Births to Adolescents Diabetes Deaths
Breast Cancer Incidence*
* This indicator combined the Utah Asian and Pacific Islander populations.
12

Utah Hispanics/Latinos
Access to Health Care Cancer Diabetes Progress Since 2005
Hispanics had a high poverty The rates of all cancers measured The Hispanic diabetes death rate Moving in the Right Direction
rate (19.5% compared to 10.0% have declined among Utah dropped from 24.3/100,000 people Colon Cancer Screening
Early Prenatal Care
statewide) and poor access to Hispanics, including lung (8.8 in 2005 to 20.8/100,000 in 2010. Chronic Drinking
health care (21.3% lacked access new cases/100,000 people However, diabetes continued to be Infant Mortality
to needed care compared to vs. 10.5/100,000), breast more prevalent among Hispanics Gonorrhea
Tuberculosis
15.9% statewide). (41.8/100,000 vs. 46.6/100,000) than all Utahns when adjusting for Arthritis Prevalence
Health Insurance Coverage and prostate (33.9/100,000 vs. age. Diabetes Deaths
36.7/100,000). Coronary Heart Disease Deaths
Hispanics were the least likely of Heart Disease Stroke Deaths
all Utah racial/ethnic groups to Births Hispanics had a lower rate of heart Colorectal Cancer Incidence
Lung Cancer Incidence
have health insurance coverage. More Hispanic infants were born disease death (27.6/100,000) than Breast Cancer Incidence
35.7% reported being uninsured, to mothers with early prenatal Utahns statewide (110.1/100,000). Prostate Cancer Incidence
compared to 11.1% of all Utahns. care (63.4% vs. 60.4% in 2005), When adjusting for age, the
Moving Backward
This rate has risen since 2005, but still fewer than statewide Hispanic coronary heart disease and No Health Insurance Coverage
when it was 25.8%. (79.1%). Hispanic infant deaths stroke death rates both declined. Routine Medical Check-up
Depression dropped from 6.4/1,000 births Arthritis
Low Birth Weight
Chlamydia
Hispanics had a higher rate of to 5.1/1,000. However, 7.4% of Fewer Hispanic adults (11.0%)
major depression (8.2%) than all Hispanic babies had low birth suffered from arthritis in 2010 than
Utahns (4.2%). weights, compared to 6.6% in in 2005 (14.4%). Hispanics had a
2005. lower prevalence of arthritis than all
Colon Cancer Screening
More Hispanic adults age 50+ Obesity Utahns (22.3%).
obtained screenings to detect or The majority of Utah adults Infectious Diseases
prevent colon cancer than in the were overweight (56.4%), but Like all Utahns, Hispanics have
past (38.0% compared to 27.4% Hispanics had an even higher seen a rise in chlamydia rates since
in 2005), but not as many as rate at 62.2%. Many Hispanics 2005. However, this group has
statewide (50.8%). The Hispanic were physically inactive (31.1% seen fewer new cases of gonorrhea
colorectal cancer rate dropped vs. 18.6% statewide) and (from 34.6/100,000 people to
from 14.7 new cases/100,000 few Hispanics consumed the 26.4/100,000) and tuberculosis
people to 13.6/100,000. recommended daily servings of (from 5.9/100,000 to 4.2/100,000).
vegetables (14.2% vs. 22.7%
statewide).
Smoking During Arthritis Prevalence No Health Insurance Coverage Binge Drinking Gestational Diabetes
Pregnancy Asthma Prevalence Unable to Access Health Care Physical Activity Folic Acid Consumption
Major Structural Birth Heart Disease Deaths No Primary Care Provider Daily Vegetable Consumption Births to Adolescents
Defects Coronary Heart Disease Early Prenatal Care Knowledge of Stroke Symptoms Unintended Pregnancy
Poisoning Deaths Deaths Colon Cancer Screening Knowledge of Heart Attack Breastfeeding 2-6 Months Postpartum
Suicide Breast Cancer Incidence Prostate Cancer Screening Symptoms Postpartum Depression
Violent Deaths Breast Cancer Deaths Blood Cholesterol Screening Tuberculosis Homicide
Activity Limitation Prostate Cancer Incidence Influenza Immunization Chlamydia Fair or Poor Health
Pneumonia Immunization Gonorrhea Poor Physical Health Status
Note: Fewer Hispanics/Latinos reported high cholesterol than
all Utahns, but this is likely due to the low rate of cholesterol Overweight or Obese Low Birth Weight Major Depression
screening. Cigarette Smoking Obesity in Pregnancy Diabetes Prevalence 13

Utah Whites
Access to Health Care Obesity Progress Since 2005
Whites had the lowest poverty rate Overweight and obesity continued Moving in the Right Direction Moving Backward
(9.2%) of all racial groups. A lower Routine Medical Check-up No Primary Care Provider
to rise, with 55.9% of Utah Whites Pap Test
Influenza Immunization
proportion were uninsured (8.0%) overweight in 2010 compared to 53.9% Early Prenatal Care Mammogram
compared to the state rate (11.1%). in 2005. Colon Cancer Screening High Cholesterol
Fewer Whites lacked a primary care Infant Mortality Overweight or Obese
Heart Disease High Blood Pressure Low Birth Weight
provider (9.0%) than statewide Tuberculosis
The White coronary heart disease Cigarette Smoking
(10.9%) and more White infants Driving Under the Influence Gonorrhea
death rate (61.2/100,000 people) Chronic Drinking Chlamydia
were born to mothers who had early
was lower than in 2005, when it was Daily Vegetable Consumption Arthritis Prevalence
prenatal care (80.5%) than statewide Prostate Cancer Incidence
68.9/100,000. Stroke deaths also Motor Vehicle Traffic Crash
(79.1%). Deaths
declined from 38.3/100,000 in 2005 to Diabetes Deaths
Correlation with Statewide Rates 28.8/100,000 in 2010. Coronary Heart Disease Deaths
Because Whites make up 91.8% of the Stroke Deaths
Cancer Colorectal Cancer Incidence
Utah population, changes in statewide
Although prostate cancer incidence Lung Cancer Incidence
rates usually reflected changes in the Breast Cancer Incidence
increased slightly among Utah Whites
White rates.
(from 115.5/100,000 people to
Infant Mortality 124.9/100,000), there were small drops
Among Whites, the infant death rate in colorectal, lung, and breast cancer
dropped to 4.4/1,000 births in 2010 incidence. More Whites aged 50+
from 5.1/1,000 in 2005. This may be obtained screening to prevent or detect
related to health care interventions in colon cancer (51.2% in 2010 vs. 37.2%
early pregnancy as Whites have the in 2005) and fewer Whites smoked
highest rate of early prenatal care (10.3% in 2010 vs. 12.2% in 2005),
(80.5%) of all Utah races. reducing cancer risk.

Health Insurance Knowledge of Stroke Symptoms Major Structural Birth Defects
Coverage Knowledge of Heart Attack Symptoms Violent Deaths
Primary Care Provider Fair or Poor Health Activity Limitation
Early Prenatal Care
Blood Cholesterol
Screening
Physical Activity

14

Acknowledgments
Primary Author
April Young Bennett, MPA, Community Review
Utah Department of Health (UDOH) Masha Boguslavsky, Multicultural Health
Center for Multicultural Health Network, Comunidades Unidas

Data Analysis Terry Haven, Voices for Utah Children
Laurie Baksh, MPH, UDOH Maternal and Kevin McCulley, Association for Utah
Infant Health Program Community Health
Jerry Carlile, MSPH, UDOH Bureau of Fahina Pasi, National Tongan American
Epidemiology Society
Jeffrey Duncan, MS, UDOH Vital Records Jesse M. Soriano, MS, MA,
and Statistics Utah State Office of Ethnic Affairs
Marcia Feldkamp, PhD, PA, MSPH, Ming Wang, Multicultural Health Network
Utah Birth Defect Network Utah Indian Health Advisory Board
Anna Fondario, MPH, UDOH Violence
and Injury Prevention Program
Center for Multicultural Health
Michael Friedrichs, MS, UDOH Bureau of Owen Quiñonez
Health Promotion
Dulce Diez, MPH, CHES
Wendy Langeberg, MPH,
Christine Espinel
Utah Cancer Registry
Joanne McGarry, MSPH, UDOH Maternal
and Infant Health Program
Brian Paoli, UDOH Office of Public Health
Assessment
Kimberly Partain McNamara, MS,
UDOH Office of Public Health
Assessment
Brenda Ralls, PhD, UDOH Diabetes
Prevention and Control Program

Photographer
Sean Carpenter

15

Moving Forward on Healthcare Equity in Utah

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