Office of Health Disparities & Health Equity

Division of Public Health Nebraska Department of Health & Human Services

Improving Health Outcomes and Achieving Health Equity for all

Nebraskans 

Mission

Health equity for all Nebraskans.

Improve health outcomes for culturally diverse populations

of Nebraska.

Vision

Core Functions

Promote and provide training on cultural competency to improve access to health services for racial ethnic minorities.

Provide relevant statistical data to assess and identify health status of racial ethnic minorities.

Increase awareness of major health problems of racial ethnic minorities and factors that influence health.

Core Functions

Identify needs and expand community-based health promotion and disease prevention outreach efforts.

Establish and strengthen, networks, coalitions, and partnerships to identify and address health problems.

Collaborate with public health partners to develop and promote programs and practices to achieve health equity.

Nebraska Population • Mid 1990s: US Census bureau projected

that Nebraska’s minority populations would reach a high of 15% of the total population by 2025.

• 2005: 20 years ahead of the projection, the racial ethnic minority population of Nebraska was estimated to be 14.6%.

• 2000-2010: Nebraska’s racial ethnic minority population grew 50% from 214,152 to 517,110.

• 2010: Nebraska’s racial ethnic minority population accounted for 17.9% of the total population.

Distribution of Nebraska Population by Race/Ethnicity, 2010

White, Non-Hispanic 82.1%

Asian, Non-Hispanic 1.7%

American Indian, Non-Hispanic 0.8%

Black, Non-Hispanic 4.4%

NHPI, Non-Hispanic 0.1%

Some other race 0.1%

Hispanic9.2%

Total = 1,826,341

Two or more races, Non-Hispanic 1.6%

* NHPI = Native Hawaiian/Pacific IslanderSource: US Census Bureau, 2010 Census

County Minority Population: Nebraska 2010

County Minority Population: 2007

Nebraska Minority Population Change by Race/Ethnicity, 2000-

2010

White(NH)

Black American Indian

Asian NHPI* Hispanic Minority Popula-

tion

NE Total 0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

0.4

20.9 23.7

47.253.0

77.3

50.7

6.7

% o

f pop

ulat

ion

chan

ges

Source: US Census Bureau, 2010 Census and 2000 Census* Native Hawaiian or Other Pacific Islander

Projected US Population by Race and Ethnicity, 2000-2050

White, Non-Hispanic

Hispanic

Total Minority

Black

AsianOther race*

2000 2010 2020 2030 2040 2050

80

70

60

50

40

30

20

10

0

Perc

ent o

f Tot

al P

opul

atio

n

Disparities in Nebraska

  Rank

Cause of Death

African American

Native American

Asian American

Hispanic

All Nebraska

nsHeart disease 2 2 2 2 1

Cancer 1 1 1 1 2Stroke 3   4 5 3Chronic lung disease

  5 5   4

Unintentional injury 5 4 3 3 5

Diabetes 4 3   4  

Examples of FundingFunding: Minority Health Initiative Funding

($1.58 million annually)- Priority Issues…. Cardiovascular disease Obesity Diabetes Infant mortality Asthma

Every Woman MattersNative American Public Health ActMaternal Child Health State Partnership Grant

◦ Distributed on per-capita basis to counties with minority populations of ≥ 5%

◦ 44 counties qualified for funding for 2011-2013 cycle

Examples of Priority Activities

Data Collection, Analysis, & Reporting

Cultural Competency Curricula (SPG)Work with Racial/Ethnic Populations

including New Immigrant and Refugee Populations (Lay Health Ambassador Program)

Collaborative Efforts

Data Reports Racial/Ethnic Minority Population Growth State of

Nebraska Health Fact Book Health Status of  Hispanic in Nebraska, Fall 2012 The Socioeconomic Status of Minorities in

Nebraska CD Three, Fall 2012 The Socioeconomic Status of Minorities in

Nebraska CD Two , Fall 2012 The Socioeconomic Status of Minorities in

Nebraska CD One, Fall 2012 Heath Status of American Indians in Nebraska,

2012 The State of Language Access Services in

Nebraska Health Care Organizations, 2011 The Socioeconomic Status of Nebraska

Minorities, 2011 The Behavioral Risk Factors for Nebraska

immigrant, 2010 Key Disparities in Nebraska, 2010

Data Reports (cont.) Racial/Ethnic Minority Population Growth: State of

Nebraska Fact Book,  2009 Cultural Competency Assessment of Health Care

Providers across Nebraska: A Survey of Limited English Proficient (LEP) Individuals,  2009

American Indian/Alaska Native Socioeconomic Status Report,

2009 Interpreters Speak Out: Nebraska Language Access Survey,  2008

The Socioeconomic Status of Nebraska Asians, 2008 The Socioeconomic Status of Nebraska Black or

African Americans,  2008 The Socioeconomic Status of Nebraska Hispanics or

Latinos,  2008 Minority Behavioral Risk Factor Survey (individual

counties): Box Butte Buffalo, Dawson, Knox ,  Lincoln, Platte, Scotts Bluff, Sheridan,  2006

Minority Behavior Risk Factor Survey (individual counties): Sarpy, Douglas,  2005 

State Partnership Grant Program to Improve Minority Health

Increase the cultural competency of the public health workforce in Nebraska (P3 Training)

Build and/or strengthen relationships with key public health and other stakeholders

Improve Nebraska’s capabilities and methods of collecting, analyzing, and reporting minority health data

People are People are People: Increasing Your CQ

(aka “P3 Training”)

7 modules = 2 full days◦Opportunity & Overalls; Again, & Again,

& Again; A Picture = 1,000 Numbers; Thin Slicing; Blind Men & Elephants; Loose Labels; Bows and Ribbons

Modules can be done in any order or configuration

Expanded training on individual topics

Tailored to needs of the organization

Collaborative Efforts

Internal DHHS partnerships and projects DHHS Chronic Disease Programs Other DHHS Programs

External partnerships and projects Federal Office of Minority Health Regional Health Equity Council Minority Health Council UNMC – Center for Reducing Health

Disparities Nebraska Public Health Departments Community Based Organizations

More information

Nebraska Office of Health Disparities

& Health Equityminority.health@nebraska.gov

402-471-0152www.dhhs.ne.gov/healthdisparities