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Session: Gender, Ethnic and Income Disparities in Access to Care
3088.0: Monday, November 8, 2004: 8:30 AM-10:00 AM
Gender, Ethnic and Income Disparities in Access to Care
Health disparities are pervasive in the United States with respect to gender, ethnicity, and income level. The presentations in this session will provide a snapshot of current research and programmatic efforts to assess and address such disparities on multiple levels. The topics presented will include information on C-sections, breast and cervical cancer screening, substance abuse services, and cardiovascular care. Risks associated with C-sections are much greater than vaginal delivery and V-bac for "low-risk" women. However, rates of C-sections among women have dramatically increased over the past 20 years. The influence of health care providers, the media, and other external agents have not been well studied to determine their effect on women's child delivery choices. Disparities in breast and cervical cancer early detection efforts are profound, especially among African American women and low-income women. The lack of gender-specific services for women who have substance abuse problems is evident. Further, retention in any substance abuse program is associated with improved outcomes. Women and heart disease is not a new problem, but finally, research efforts in this important area are a priority. Women are much less likely than male counterparts to have heart disease detected at early stages, are less likely to receive aggressive intervention, and are more likely to die as a result.
Learning Objectives: At the conclusion of the session, the participant will be able to: (1) Discuss the influence of gender, ethnic, and income disparities on access to care; (2) Describe current formative and intervention research efforts to better understand such disparities and invoke change; and (3) Explore opportunities for future research and intervention addressing the effects of disparities on women's access to health care services.
Organizer(s):Stacey B. Plichta, ScD
Moderator(s):Heather M. Brandt, PhD, CHES
8:30 AMDisparities in breast and cervical cancer screening practices among women living in areas with high proportions of African Americans in Missouri and the change from 1996 to 2001  [ Recorded presentation ]
Jeannette Jackson-Thompson, MSPH, PhD, Shumei Yun, MD, MPH, PhD, Bao Ping Zhu, MD, MPH
8:45 AMBreast cancer in East Baltimore: An innovative intervention to promote breast cancer screening among low-income women
Mary A. Garza, PhD, MPH, Marcela Blinka, MSW, LCSWC, Charlotte E Neuhaus, MHS, Iris Farabee-Lewis, MDiv, DD, James R Zabora, ScD, Jean Ford, MD
9:00 AMGender differences in retention in treatment for substance use disorders
Thomas M. Brady, PhD, Olivia Silber Ashley, DrPH, Lev S. Sverdlov, MD, PhD
9:15 AMAn aberration of choice: Choosing a caesarean section delivery
Carol R. Shelton, RN, PhD
9:30 AMGender disparities in the use of percutaneous coronary interventions in patients with acute myocardial infarction in Pennsylvania  [ Recorded presentation ]
Christopher S. Hollenbeak, PhD, Carol S. Weisman, PhD, Michael A. Rossi, MD, Steven M. Ettinger, MD
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:Women's Caucus
Endorsed by:APHA-Committee on Women's Rights; Alternative and Complementary Health Practices; Health Administration; Labor Caucus; Maternal and Child Health; Public Health Education and Health Promotion; Socialist Caucus
CE Credits:CME, Health Education (CHES), Nursing

The 132nd Annual Meeting (November 6-10, 2004) of APHA