2013 Women's Health at Risk Report

 

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someone you know needs essential health care florida women s health at risk executive summary march 2013

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florida women s health at risk executive summary the united states continues to fall short in meeting the health care needs of its citizens including in the state of florida 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 in florida almost 2 million women in the state are uninsured and 1.9 million are in need of contraceptive services and supplies 5/6 last year the u.s supreme court made a historic decision to uphold the affordable care act a major victory for women and families the law will provide access to preventive primary and reproductive health care including cancer screenings pap tests and birth control without co-pays guaranteed direct access to medical providers without referrals and an end to discriminatory practices against women such as charging women higher premiums and denying coverage for pre-existing conditions without a doubt this will have a profound and concrete impact on millions of people especially women this report provides an overview of the health status of women in florida there is an urgent demand for basic preventive health care in the state planned parenthood is working to not only maintain access to quality affordable health care for our patients but also to expand access to comprehensive health care including reproductive health care to all floridians to view full reports by county visit www.floridaplannedparenthood.org 2

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women s health in florida by the numbers women in need of contraceptive services and supplies 7 unintended pregnancies 8 publicly funded births resulting from unintended pregnancies9 public cost for births resulting from unintended pregnancies10 females in florida without health insurance 11 1,972,250 223,000 69,000 $641.5 million 2,026,635 spotlight on hiv/aids 31 of people living with hiv/aids in florida are women 12 florida has the 2nd highest number of women/girls living with aids in the country 13 bacterial std cases in women ages 15-3414 repeat births to mothers ages 15-1917 cervical cancer incidence18 breast cancer incidence19 females living with hiv/aids15 births to mothers ages 10-1916 181,381 28,766 58,990 10,563 2,728 40,855 spotlight on teen pregnancy 20 florida has the 12th highest teen pregnancy rate in the country 18 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 disparities across florida the u.s census bureau estimates that in florida 22 of women are hispanic/latino and 16 of women are black.21 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.22 ensuring high-quality health care means identifying areas where we lack equal access to health care and treatment and proactively seeking to ensure that everyone has access to the medical care and information they need spotlight on hiv/aids for 16 consecutive years hiv/aids has been the leading cause of death for black females between ages 25-44 across florida 23 70 of women with hiv/aids in florida are black.24 at least 1 in 68 black women in florida are living with hiv/aids 25 health status by race/ethnicity percent of women in florida26 percent of reported std cases in women27 percent of births to mothers under 20 28 percent of repeat births to mothers under 20 29 percent of women without health insurance30 females living with hiv/aids31 white non-hispanic black non-hispanic hispanic 58 24 16 50 22 11 37 35 27 14 18 22 31 19 38 4,514 4 19,927 3,835 chlamydia gonorrhea primary and secondary syphilis

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women s health across florida miami-dade county32 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 20,155 7,264 6,890 1,215 414 4,546 hillsborough county33 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 16,770 1,683 4,951 999 174 2,348 orange 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 14,678 1,737 4,389 708 150 1,904 broward 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 16,760 4,761 4,120 700 309 3,797 pinellas county36 bacterial std cases in women ages 15-34 females living with hiv/aids births to mothers ages 10-19 repeat births to mothers cervical cancer incidence breast cancer incidence 9,814 800 2,398 5 406 115 2,569

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women s health insurance across florida miami-dade county36 miami-dade county37 number of women without insurance number of women who will gain insurance under medicaid expansion 426,804 110,634 hillsborough county38 number of women without insurance number of women who will gain insurance under medicaid expansion 108,048 34,649 orange county38 orange county39 number of women without insurance number of women who will gain insurance under medicaid expansion 126,749 42,799 broward county39 broward county40 number of women without insurance number of women who will gain insurance under medicaid expansion 277,740 52,107 pinellas county41 number of women without insurance number of women who will gain insurance under medicaid expansion 77,245 6 22,379

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a planned parenthood patient shares her story for a number of years i couldn t afford to go to a doctor visiting planned parenthood enabled me to receive my yearly exam even after i received insurance i continued to visit planned parenthood because of the comfort level i felt for a while i received birth control through planned parenthood because of my insurance requiring me to buy prescriptions three months at a time which made the one-time payment too expensive if it hadn t been for planned parenthood i wouldn t have had any access to exams or birth control sandra miami 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 nearly 100 years planned parenthood has provided health care to women and promoted a florida planned parenthood services 2012 commonsense approach to women s health education 37 based on respect for each individual s right to cancer screening make informed independent decisions about and prevention 18 health sex and family planning planned parenthood delivers vital reproductive health care including preventive care and screenings at 24 health centers across the state of florida for contraception 18 many of the women men and teens we serve planned parenthood is their only source of health care services abortion 4 sti testing and treatment 23 7

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contact fappa judith selzer vice president of public policy and communication 561 472-9940 info@fappa.org www.floridaplannedparenthood.org 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 us census bureau 2012 american community survey 6 guttmacher institute 2009 contraceptive needs and services 2006 7 guttmacher institute 2009 contraceptive needs and services 2006 8 finer l.b kost k 2011 unintended pregnancy rates at the state level perspectives on sexual and reproductive health 43 78-87 9 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 10 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 11 american community survey 2009 adjusted by the metro chicago information council mcic and health management associates hma 12 florida department of health bureau of hiv/aids 2008 organizing to survive the hiv/aids crisis among florida s women 13 the henry j kaiser family foundation 2011 hiv/aids policy fact sheet women and hiv aids in the united states 14 florida department of health office of health statistics and assessment floridacharts.com 15 florida department of health office of health statistics and assessment floridacharts.com 16 florida department of health office of health statistics and assessment floridacharts.com 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 us department of health and human services office of adolescent health 2011 florida adolescent reproductive health facts 21 us census bureau 2010 american community survey 22 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 25 florida department of health bureau of hiv/aids 2008 organizing to survive the hiv/aids crisis among florida s women 26 us census bureau 2010 american community survey 27 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 28 us department of health and human services office of adolescent health 2011 florida adolescent reproductive health facts 29 us department of health and human services office of adolescent health 2011 florida adolescent reproductive health facts 30 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 31 florida department of health office of health statistics and assessment floridacharts.com 32 florida department of health office of health statistics and assessment floridacharts.com 33 florida department of health office of health statistics and assessment floridacharts.com 34 florida department of health office of health statistics and assessment floridacharts.com 35 florida department of health office of health statistics and assessment floridacharts.com 36 florida department of health office of health statistics and assessment floridacharts.com 37 american community survey 2009 adjusted by the metro chicago information council mcic and health management associates hma 38 american community survey 2009 adjusted by the metro chicago information council mcic and health management associates hma 39 american community survey 2009 adjusted by the metro chicago information council mcic and health management associates hma 40 american community survey 2009 adjusted by the metro chicago information council mcic and health management associates hma 41 american community survey 2009 adjusted by the metro chicago information council mcic and health management associates hma pg 5 the bureau of vital statistics at florida department of health confirm the numbers to be provisional final numbers to be released april or may 2013 23 24 to view full reports by county visit www.floridaplannedparenthood.org 8

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