Women's Health At Risk Executive Summary

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florida women s health at risk executive summary

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florida women s health at risk executive summary today 45.7 million americans have no health insurance and an additional 25 million are underinsured meaning they have insurance but it does not adequately cover their medical expenses.1/2 one in five non-elderly women is uninsured and more than 17 million women need publicly supported reproductive health care.3/4 barriers to accessing needed health care are many and varied while lack of insurance coverage is often a huge barrier to getting care even for those with insurance a host of other obstacles may exist furthermore the united states ranks only 37th in the world on overall health care system performance.5 high quality health care is essential to improving health outcomes for individuals in fact 1 in 5 women had concerns about the quality of care they received during the past year.6 the us census bureau estimates that there are approximately 9.6 million women in florida and more than a third of those women are between the ages of 15 and 44.7 almost 2 million women in the state are uninsured and 1.9 million are in need of contraceptive services and supplies.8/9 this report provides an overview of the health status of florida s women it is clear that the demand for health care in florida is urgent the value of prevention a cornerstone of planned parenthood services is self-evident planned parenthood has a critical interest in not only maintaining access to quality health care services for our patients but also in expanding access to all women men and teens in need of comprehensive health care including reproductive health care 2

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women s healthcare in florida by the numbers women in need of contraceptive services and supplies 10 unintended pregnancies 11 publicly funded births resulting from unintended pregnancies12 public cost for births resulting from unintended pregnancies13 females in florida without health insurance 14 1,972,250 223,000 69,000 $641.5 million 1,853,867 spotlight on hiv/aids 31 of people living with hiv/aids in florida are women 15 florida has the 2nd highest number of women/girls living with aids in the country 16 bacterial std females living cases in women with hiv 17 ages 15-34 aids18 repeat births to mothers ages 15-1920 cervical cancer incidence21 breast cancer incidence22 births to mothers ages 10-1919 60,480 28,766 22,038 4,012 898 13,284 spotlight on teen pregnancy23 florida has the 12th highest teen pregnancy rate in the country 19 of births to teen mothers in florida are repeat teen births 3 chancroid chlamydia gonorrhea granuloma inguinale lgv syphilis

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women s health in florida racial/ethnic disparities the us census bureau estimates that in florida 22 of women are hispanic/latino and 16 of women are black.24 however these racial and ethnic groups often make up a disproportionate number of the women suffering from lack of quality health care the kaiser family foundation reports that in florida 31 of black women and 38 of hispanic women have no health insurance coverage while only 18 of white women are uninsured.25 ensuring high-quality health care means recognizing unfair health care access and treatment and proactively seeking to ensure that everyone has access to the medical care and information they need spotlight on hiv/aids in 2010 hiv was the 2nd leading cause of death among black females and the 5th leading cause of death among hispanic females in florida 26 70 of women with hiv/aids in florida are black.27 health status by race/ethnicity percent of women in florida28 white non-hispanic black non-hispanic hispanic 58 16 22 percent of reported std cases in women29 percent of births to mothers under 20 30 percent of repeat births to mothers under 20 31 percent of women without health insurance32 24 50 11 37 34 29 16 22 20 18 31 38 females living with hiv/aids33 4,514 4 19,927 3,835 chlamydia gonorrhea primary and secondary syphilis

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women s health across the state miami-dade county34 bacterial std cases in women ages 15-34 females living with hiv/aids births to mothers ages 10-19 repeat births to mothers ages 15-19 cervical cancer incidence breast cancer incidence 6,426 7,264 2,616 452 136.3 1487.7 hillsborough county35 bacterial std cases in women ages 15-34 females living with hiv/aids births to mothers ages 10-19 repeat births to mothers ages 15-19 cervical cancer incidence breast cancer incidence 5,403 1,683 1,841 374 54 751 orange county36 bacterial std cases in women ages 15-34 females living with hiv/aids births to mothers ages 10-19 repeat births to mothers ages 15-19 cervical cancer incidence breast cancer incidence 4,944 1,737 1,463 262 52.7 612.3 broward county37 bacterial std cases in women ages 15-34 females living with hiv/aids births to mothers ages 10-19 repeat births to mothers ages 15-19 cervical cancer incidence breast cancer incidence 5,785 4,761 1,507 259 101 1,213 pinellas county38 bacterial std cases in women ages 15-34 females living with hiv/aids births to mothers ages 10-19 repeat births to mothers ages 15-19 cervical cancer incidence breast cancer incidence 416 800 3,359 914 171 40.3 to see full reports by county visit www.floridaplannedparenthood.com 5

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in her own words a planned parenthood patient i have always been among the working poor most jobs i have worked have either not offered insurance at all or offered very poor insurance at rates i could not afford even with employer assistance without planned parenthood i would never have been able to get yearly check ups birth control prescriptions or any of the testing that is vital to my health kimberley coral springs at planned parenthood we treat health care as a basic human right ­ one that s dispensed freely and without judgment to every person ­ regardless of race gender class sexual orientation or age we re here no matter their health status or whether they re insured or uninsured we re here for anyone who wants to stay healthy and for anyone who has to make a decision about his or her physical or reproductive health for 95 years planned parenthood has provided health care to women and promoted a commonsense approach to women s health based on respect for each individual s right to make informed independent decisions about health sex and family planning planned parenthood delivers vital sexually transmitted reproductive health care including diseases/infections std/sti preventive care and screenings at testing and treatment 39 24 health centers across the state of florida for many of the women men and teens we serve planned parenthood is their only source of cancer screening health care services and prevention 19 contraception 29 other women s health services 10 abortion services 3 6

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contact fappa judith selzer vice president of public policy and communication 561 472-9940 info@fappa.org www.floridaplannedparenthood.com sources 1 denavas-walt c et al income poverty and health insurance coverage in the united states 2007 u.s census bureau august 2008 2 schoen k et al in the literature how many are underinsured trends among u.s adults 2003 and 2007 commonwealth fund june 2008 3 kaiser family foundation women s health insurance coverage december 2007 4 guttmacher institute in brief facts on publicly funded contraceptive services in the united states august 2008 5 world health organization world health organization assesses the world s health systems 6 kaiser family foundation women and health care a national profile july 2005 7 us census bureau 2010 american community survey 8 us census bureau 2010 american community survey 9 guttmacher institute 2009 contraceptive needs and services 2006 10 guttmacher institute 2009 contraceptive needs and services 2006 11 finer l.b kost k 2011 unintended pregnancy rates at the state level perspectives on sexual and reproductive health 43 78-87 12 sonfield a kost k benson gold r finer l.b 2011 the public costs of births resulting from unintended pregnancies national and state-level estimates perspectives on sexual and reproductive health 43 94-102 13 sonfield a kost k benson gold r finer l.b 2011 the public costs of births resulting from unintended pregnancies national and state-level estimates perspectives on sexual and reproductive health 43 94-102 14 us census bureau 2010 american community survey 15 florida department of health bureau of hiv/aids 2008 organizing to survive the hiv/aids crisis among florida s women 16 the henry j kaiser family foundation 2011 hiv/aids policy fact sheet women and hiv aids in the united states 17 florida department of health office of health statistics and assessment floridacharts.com 18 florida department of health office of health statistics and assessment floridacharts.com 19 florida department of health office of health statistics and assessment floridacharts.com 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 florida department of health office of health statistics and assessment floridacharts.com florida department of health office of health statistics and assessment floridacharts.com florida department of health office of health statistics and assessment floridacharts.com us department of health and human services office of adolescent health 2011 florida adolescent reproductive health facts us census bureau 2010 american community survey the henry j kaiser family foundation 2009 putting women s health care disparities on the map examining racial and ethnic disparities at the state level florida department of health bureau of hiv/aids 2010 hiv among women florida department of health bureau of hiv/aids 2008 organizing to survive the hiv/aids crisis among florida s women us census bureau 2010 american community survey us department of health and human services centers for disease control and prevention national center for hiv std and tb prevention nchstp division of std/hiv prevention sexually transmitted disease morbidity for selected stds by age race/ethnicity and gender 1996-2009 cdc wonder on-line database june 2011 us department of health and human services office of adolescent health 2011 florida adolescent reproductive health facts us department of health and human services office of adolescent health 2011 florida adolescent reproductive health facts the henry j kaiser family foundation 2009 putting women s health care disparities on the map examining racial and ethnic disparities at the state level florida department of health office of health statistics and assessment floridacharts.com florida department of health office of health statistics and assessment floridacharts.com florida department of health office of health statistics and assessment floridacharts.com florida department of health office of health statistics and assessment floridacharts.com florida department of health office of health statistics and assessment floridacharts.com florida department of health office of health statistics and assessment floridacharts.com 7

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