1. Cancer Disparities Subcommittee Dr. Claudia Baquet – Chair University of Maryland

2. Committee Membership Claudia Baquet, MD, MPH – University of Maryland, Special Populations Network Claudia Baquet, MD, MPH – University of Maryland, Special Populations Network LaVeda E. DeVone - American Cancer Society LaVeda E. DeVone - American Cancer Society Meseret Bezuneh, MEd - Maryland Statewide Health Network Meseret Bezuneh, MEd - Maryland Statewide Health Network Carlessia Hussein, Dr. PH - Department of Health & Mental Hygiene Carlessia Hussein, Dr. PH - Department of Health & Mental Hygiene Jimmie J. Drummond, Jr., MD, MPH - University of Maryland Medicine Jimmie J. Drummond, Jr., MD, MPH - University of Maryland Medicine Lawrence Carter, MS - Department of Health & Mental Hygiene Lawrence Carter, MS - Department of Health & Mental Hygiene Jeannette Jenkins, MHS - Department of Health & Mental Hygiene, Office of Local Health Jeannette Jenkins, MHS - Department of Health & Mental Hygiene, Office of Local Health Shirley Nathan Pulliam - Maryland General Assembly Shirley Nathan Pulliam - Maryland General Assembly Yvonne Bronner - Morgan State University Yvonne Bronner - Morgan State University

3. Membership cont. Rev. Frank Sartor - Union Bethel AME Church Rev. Frank Sartor - Union Bethel AME Church Rev. Sheryl Menendez - Restoration Community Development Corp. Rev. Sheryl Menendez - Restoration Community Development Corp. Bishop Larry Thomas - St. James Church of the Apostolic Faith Bishop Larry Thomas - St. James Church of the Apostolic Faith Agnes Saenz - Community Ministries of Rockville, Inc. Agnes Saenz - Community Ministries of Rockville, Inc. Josefina Pizarro - Cancer Survivor Josefina Pizarro - Cancer Survivor David M. Wolfe, PhD – Department of Health & Mental Hygiene David M. Wolfe, PhD – Department of Health & Mental Hygiene Nuala O’Leary, MSW - American Cancer Society Nuala O’Leary, MSW - American Cancer Society Grace Zaczek - Director, Office of Primary Care and Rural Health, Department of Health & Mental Hygiene Grace Zaczek - Director, Office of Primary Care and Rural Health, Department of Health & Mental Hygiene Antoinette Coward – Department of Health & Mental Hygiene Antoinette Coward – Department of Health & Mental Hygiene Shanita Williams Brown, PhD – National Cancer Institute Shanita Williams Brown, PhD – National Cancer Institute

4. Why a chapter on disparities? Over the past several years, issues related to cancer disparities have come to the forefront of cancer control planning in the U.S and in Maryland. Over the past several years, issues related to cancer disparities have come to the forefront of cancer control planning in the U.S and in Maryland. Maryland will be a leader by including a section specifically addressing cancer disparities in the 2003 Maryland cancer plan. Maryland will be a leader by including a section specifically addressing cancer disparities in the 2003 Maryland cancer plan. Maryland resources are unlike any other state in the nation: Maryland resources are unlike any other state in the nation: –NCI –University of Maryland Special Populations Cancer Network –Johns Hopkins and University of Maryland Cancer Centers –DHMH –Community participation in cancer control

5. Working Definition of Disparities “Cancer and Health disparities are differences in the incidence, mortality, and burden of diseases mortality, and burden of diseases and other adverse health conditions and other adverse health conditions that exist among specific population that exist among specific population groups in Maryland” groups in Maryland”

6. DRAFT CHAPTER OUTLINE 1. Introduction 2. Definition of Disparities 3. State of Disparities in Maryland a) Data b) Current Programs c) Comparison of Maryland to other states d) Data limitations and needs 4. Discussion of Specific Disparity issues (SEE NEXT SLIDE) 5. Strategies for Maryland a) Government (State, County, Regional) b) Private Sector c) Healthcare system d) Other 6. Bibliography and References

7. Disparity categories that will be examined Racial/ethnic Racial/ethnic Socioeconomic Socioeconomic Elderly Elderly Insured vs uninsured or underinsured Insured vs uninsured or underinsured Geographic Geographic Other Other

8. Other Disparity Issues to be Examined Disparities in: Disparities in: Quality of care Quality of care Access, use and delivery of health care services Access, use and delivery of health care services Cultural competence and sensitivity Cultural competence and sensitivity