Current and Future Challenges in Diabetes Prevention, Diagnosis

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Ventanilla de Salud Denver, Colorado April
30, 2008 Julissa Molina Soto Program Director
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Ventanilla de Salud

• A partnership between the American Diabetes
  Association-Colorado Area and the Mexican
  Consulate-Denver, Colorado.

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• Facts about Immigrants

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• General Facts About Immigrants
• Foreign- born population
• US 37.5 million or 12.5 population (2006)
• CO 489, 496 or 10.3 of Colorados
  population (2006)
• 58.4 reported Hispanic/Latino origins
• Undocumented immigrant population
• US estimates of 11-12 million adults and
  children
• 5 US Workforce (2005)
• CO estimated undocumented 225,000-275,000
  (2005)
• Source Migration Policy Institute Data Hub Pew
  Hispanic Center

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The uninsured in Colorado

• 758,200 average uninsured in any given month
• 1.1 million uninsured at some point in 2005
• 69.5 have at least one worker in the family
• 21.3 are non-citizens
• Courtesy of Colorado Center on Law and Policy
  Source Lewin Group for the 208 Commission

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Uninsured Rates Among Racial/Ethnic and Income
Groups, 2004
Poverty Level
White, Non-Hispanic
Hispanic
lt 200 FPL
Black, Non-Hispanic
Asian1
American Indian2
200 FPL
Black, Non-Hispanic
1Asian group includes Pacific Islanders.
2American Indian group includes Aleutian Eskimos.
200 of the poverty level was 38,614 for a
family of four in 2004.
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Uninsured non-citizens in Colorado

• 167,000 of Colorados uninsured are non citizens
• 8.2 have been in the US less than 5 years
• 13.1 have been in the US more than 5 years

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Access to Health Care for Immigrants
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Government safety-net programs available
regardless of immigration status

• Examples of community level programs that are
  necessary to protect life or safety
• Child protection Adult services
• Violence and abuse prevention, including domestic
  violence
• Mental illness or substance abuse treatment
• Short term shelter or housing assistance
• Programs during adverse weather conditions
• Soup kitchens, food banks, senior nutrition
  programs
• Medical publich health services

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• Barriers

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Barriers to health care

• Lack of access to public and private insurance
• Language and cultural barrier
• Lack of employer sponsored coverage
• Low Income
• Federal Law 5 year bar
• Documentation requirements

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• Using Health Services as a Window to Other
  Services and Information

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Education, Referrals, and Case Management

• Conduct health needs assessments
• Conduct follow-up on health need assessments
  completed
• Provide health insurance information
• Provide referrals to an appropriate clinic and
  follow up services
• Provide health education sessions

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• Educational Workshops

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Culturally Competent, Linguistically Appropriate
Workshops

• Todos a Moverse para su Salud!
• (Everybody Move For Your Health!)
• Todos a Bailar para su Salud!
• (Everybody Dance For Your Health!)
• Salud y Sabor en la Cocina
• (Health Flavor in the Kitchen)
• De Todo Corazón, (With All My Heart)

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Todos a Moverse Para Su Salud! Everybody Move
for Your Health!Workshop Goals

• Create awareness that regular physical activity
  is important for losing and maintaining a healthy
  weight, especially for people with diabetes.
• Introduce the American Diabetes Association as a
  valuable resource for diabetes information.

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Todos a Bailar Para Su Salud!Everybody Dance
for Your Health!Activity Goals

• Learn About CVD and Diabetes
• Get People Moving!
• Learn Benefits of Exercise

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Salud y Sabor en la Cocina, Health and Flavor
in the Kitchen

• A nutrition-based, culturally specific community
  session
• A highly interactive session to inform
  participants healthier foods preparation,
  correct portion sizes and healthier choices when
  eating outside the home.

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De Todo Corazón, With All My Heart

• A culturally specific workshop created for people
  in the Latino community for those at risk of
  diabetes and CVD.
• Participants will understand the need for
  healthier lifestyles
• Participants are encouraged to make a commitment
  to incorporate healthier habits into their daily
  routines.

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Evaluation of Results
Evaluation Results
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Evaluation of Results
Evaluation Results
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Evaluation of Results
Evaluation Results
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Evaluation of Results
Evaluation Results
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Evaluation of Results
Evaluation Results
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Evaluation of Results
Evaluation Results
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Evaluation of Results
Evaluation Results
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Wrap Up

• Colorado Ventanilla de Salud is unique
• Having distinct components (workshops
  promotoras Screeners) provides an efficient and
  effective approach for addressing access to care
  among underserved and uninsured new immigrants.

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2008 Funding

• Consulate of Mexico
• 15,000
• Kaiser Permanente
• 35,000
• Denver Foundation
• 20,000

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GRACIAS!
1-800-DIABETES