carnaval de salud - tarrant county - home · prepared by kayla d. garcia health equity intern texas...

Carnaval de Salud 2015 Survey Results

TARRANT COUNTY

PUBLIC HEALTH

Safeguarding our

community’s health

Prepared By

Kayla D. Garcia

Health Equity Intern

Texas Woman’s University

Yvette M. Wingate, MPA

Carnaval de Salud Committee Chair

Health Equity Coordinator

Tarrant County Public Health

Jamie L. Schield, MPHA

Planning Coordinator

North Central Texas Planning Council

Michelle S. Markham, MS

GIS Analyst


Front Cover Photographs: Courtesy of Al Roy, Public Information Officer, Tarrant County Public Health

Top Row (left to right): Steppin’ Grannies, North Side High School Mariachi Band, and Ballet de Folklorico

de Fort Worth

Bottom Row (left to right): Green B. Trimble Technical High School Drumline, ZZ Skippers, and Zumba by

Ruth

Acknowledgements

Special thanks to:

Carnaval de Salud Steering Committee

Yvette M. Wingate, MPA Carnaval de Salud Committee Chair; Health

Equity Coordinator, Tarrant County Public

Health

Veerinder (Vinny) Taneja, MBBS, MPH Director, Tarrant County Public Health

Amanda Applon

Assistant Precinct Administrator;

Community Outreach Coordinator, Office of

Tarrant County Commissioner Roy Charles

Brooks, Precinct 1

Anelia Banda Netplay Promotions

Edgar Carmona

Associate Executive Director, Manos

Unidas/AIDS Interfaith Network, Inc.;

Coordinator, Binational Health Week;

Director, Ventanilla de Salud at Consulate

of México

Evalis Chapa Hispanic Woman’s Network of Texas

Eric Childress, BS Chronic Disease Prevention Health

Educator, Tarrant County Public Health

Anita A. Colbert Immunization Outreach Supervisor,


Nancy Coon Barksdale, RN, BSN Travel Health Services, Vaccine Distribution

Center, Tarrant County Public Health

Maria (Arantxa) De Kernion, BA, MAS HIV Program Monitor, Tarrant County

Public Health

Juan Daniel Garcia, CHW

Parents as Teachers Supervisor, Fort

Worth Independent School District

Francisco Gomez Coordinator, Ventanilla de Salud at

Consulate of México

Kelly Hart Sr. Director of Public Affairs, Planned

Parenthood of Greater Texas

Gloria V. Martinez Executive Director, Hispanic Wellness

Coalition

Hilda Mendoza, BS, MPH Chronic Disease Prevention Bilingual

Health Educator, Tarrant County Public

Health

Carol Lindie Payne, RN, BSN Public Health Preparedness Manager,


Judy L. Perez, MBA

Director of Programs, Fort Worth SPARC

Cynthia Rodriguez Women, Infants, Children Program

Community Health Worker, Tarrant County

Public Health

Jamie L. Schield, MPHA Planning Coordinator, North Central Texas

Planning Council

Monica Tipton, M.Ed Medical Reserve Corps Coordinator,


Nancy Turnage

Laboratory Operations and Quality

Coordinator, Tarrant County Public Health

North Texas Regional Laboratory

Media Sponsors

Liberman Broadcasting, Inc. La Bonita 106.7FM, La Raza 93.7FM,

The New La 98.3FM, La Estrella TV-

Channel 29

Erika Daniel Account Executive, LBI, Inc.

Alma Lopez Promotions Director, LBI, Inc.

Sponsors & Exhibitors

Compadres de Salud (Godparents of Health) - $1,000

Gorrondona & Associates

Cigna HealthSpring

Amigos de Salud (Friends of Health) - $500

Cook Children’s Health Plan

Cornerstone Pediatric Therapy

Planned Parenthood of Greater Texas Renaissance Dental

University of North Texas Health Science Center

Volunteers

Health Occupation Students of America (HOSA)

Tarrant County Medical Reserve Corps


Texas Christian University – United Latino Association

The College of Health Care Professionals

University of Texas in Arlington – College of Nursing and Health Innovation

Extra thanks for the following contributions:

Roy Charles Brooks

Commissioner, Tarrant County

Commissioners Court, Precinct 1

Texas Health Resources

EduTainment Sponsorship

100 flu vaccinations

Tarrant County Facilities Management

Dannon Company, Inc. 3,000 units of yogurt

Galligaskin’s Submarines and

Catering

Sandwich platters

Planned Parenthood of Greater Texas Gift cards and water

Sam’s Club #4742 Gift card and snacks

Subway Sandwich platter

2 Tarrant County Carnaval de Salud, 2015

Table of Content

I. Introduction ............................................................................................................... 4

II. Methodology ............................................................................................................. 4

III. Demographic Characteristics of Respondents ........................................................ 5

IV. Promotion of Carnaval ............................................................................................ 8

V. Health Care and Insurance Coverage ...................................................................... 10

VI. Health Screenings ................................................................................................... 12

VII. Recommendations for Next Year’s Services .......................................................... 14

VIII. Conclusion ............................................................................................................ 15

Figures & Appendices

Figure 1: Language, Tarrant County Carnaval de Salud, 2015 .................................... 5

Figure 2: Gender, Tarrant County Carnaval de Salud, 2015 ........................................ 5

Figure 3: Age Group (in years), Tarrant County Carnaval de Salud, 2015 ................... 5

Figure 4: Origin of Respondents, Tarrant County Carnaval de Salud, 2015 ................ 6

Figure 5: Mexican State of Origin, Tarrant County Carnaval de Salud, 2015 ............... 7

Figure 6: Source which Respondents Heard about Event, Tarrant County Carnaval de

Salud, 2015 .................................................................................................................. 8

Figure 7: Event Attendance, Tarrant County Carnaval de Salud, 2015 ........................ 9

Figure 8: Reasons for Attending Event, Tarrant County Carnaval de Salud, 2015 ...... 9

Figure 9: Insurance, Tarrant County Carnaval de Salud, 2015 .................................... 10

Figure 10: Parents with Children under 17, Tarrant County Carnaval de Salud, 2015 . 10

Figure 11: Children Covered by Insurance, Tarrant County Carnaval de Salud, 2015 . 11

Figure 12: Insurance Payment, Tarrant County Carnaval de Salud, 2015 ................... 12

Figure 13: Health Description, Tarrant County Carnaval de Salud, 2015 ..................... 12

Figure 14: Last Healthcare Visit, Tarrant County Carnaval de Salud, 2015 ................. 13


Figure 15: Screenings Received, Tarrant County Carnaval de Salud, 2015 ................ 14

Figure 16: Service Suggestions, Tarrant County Carnaval de Salud, 2015 ................. 14

Photographs ................................................................................................................. 15

Appendix A: Carnaval de Salud Survey (English) ........................................................ 16

Appendix B: Carnaval de Salud Survey (Spanish) ....................................................... 17


I. Introduction

Binational Health Week (BHW) is one of the largest efforts in the Americas to bring awareness and improve the well-being of Mexican and Latin American immigrants and migrants living in the United States of America, Canada and Mexico.1 In 2014, over 300,000 Latinos and Hispanics were reached during BHW events 2.In April 2006, Tarrant County Public Health (TCPH) received a request from the Mexican Consulate in Dallas to participate in BHW by partnering in the creation of health screenings and activities for the community. Carnaval de Salud began in October 2006 and has been going strong with the completion of the 10th Annual Carnaval de Salud on October 3, 2015. Numerous organizations have collaborated with TCPH in order to make the event possible. Health services provided during the event include, but are not limited to: 500 flu vaccinations, 61 vision screenings, 196 glucose/cholesterol screenings, 51 prostate screenings, 55 HIV/Syphilis screenings, 57 Chlamydia/Gonorrhea screenings, 400 blood pressure checks without Body Mass Index (BMI), 325 blood pressure checks with BMI, 40 mammogram vouchers and 210 Children Identification Fingerprint Kits.

During the 10th Annual Carnaval de Salud, a survey was administered to participants to identify health information regarding Mexican-origin and other Latino migrant and immigrant populations in Tarrant County.

II. Methodology

A 15-question survey was created and distributed to participants, age 18 and over, for the 2015 Carnaval de Salud event. The survey was provided in English and Spanish. The option to complete the survey was voluntary and participants selected the survey in their preferred language. Questions from the survey included demographic information (age group, gender, and Mexican state of origin, if applicable), insurance coverage, promotion of event, and overall health. A total of seventy-eight surveys were completed and collected for data.

1 http://www.binationalhealthweek.org/

2 http://www.binationalhealthweek.org/uploads/General%20Report.pdf


18-24 8%

25-34 23%

35-44 28%

45-54 23%

55-64 14%

65-74 3%

Unanswered 1%

III. Demographic Characteristics of Respondents

Out of the seventy-eight respondents, fifty-five percent chose the survey in Spanish and forty-five percent chose the survey in English (Figure 1). Forty-two (54%) out of seventy-eight respondents were female, leaving twenty-five (32%) male and eleven (14%) unanswered (Figure 2)

FIGURE 1: Language, Tarrant County Carnaval de Salud, 2015

FIGURE 2: Gender, Tarrant County Carnaval de Salud, 2015

Data Source: Tarrant County Public Health


The highest percentage of respondents were in the 35-44 age group at twenty-one surveys (28%) with the 25-34 and 45-54 age groups closely behind each at seventeen surveys (23%) (Figure 3). The remaining surveys were in the 55-64 age group (14%), 18-24 age group (8%), 65-74 age group (3%) and one percent of the respondents did not answer this question.

FIGURE 3: Age Group (in years), Tarrant County Carnaval de Salud, 2015


English 45%

Spanish

55%

Males 32%

Unanswered 14%

Females 54%


United States 23%

Mexico 67%

Other 10%

When asked country of origin, respondents indicted Mexican origin (67%), American origin (23%) and other origins (10%) (Figure 4). Of the other origins listed, countries included Brazil, Iraq and El Salvador. Of the reporting Mexican state of origin, Guanajuato (17%) was most frequent, followed by Zacatecas, Chihuahua and Durango (10%) (Figure 5). These states were followed by Veracruz, District Federal and Coahuila de Zaragoza (8%); Michoacán de Ocampo and San Luis Potosí (4%); Guerrero, Puebla, Querétaro, Hidalgo, México, Tamaulipas and Jalisco (2%). The remaining six percent of respondents left the question unanswered.

FIGURE 4: Origin of Respondents, Tarrant County Carnaval de Salud, 2015



FIGURE 5:


Radio/TV 17%

Social Media 2%

Public Health

15%

Newspaper 3%

Other 9%

2 or More 3%

Unanswered 4%

Family/Friends 47%

IV. Promotion of Carnaval

According to our surveys, forty-seven percent heard about Carnaval de Salud through their family and friends (Figure 6). Radio/TV (17%) and Tarrant County Public Health (15%) were the second and third highest percentages, respectively. Newspaper and social media were at three percent and two percent, respectively.

FIGURE 6: Source which Respondents Heard about Event,

Tarrant County Carnaval de Salud, 2015


Almost half of respondents (42%) noted it was their first time to attend Carnaval de Salud (Figure 7). Second year of attendance (10%) was the next highest percentage, followed by fourth (7%) and third year (5%); however, seventeen respondents (22%) did not answer the question.


0%

5%

10%

15%

20%

25%

30%

35%

40%

45%1

2

3

4

5

6

0%

5%

10%

15%

20%

25%

30%

35%HealthInformation

Learn aboutHealthInsurance

ReceiveHealthServices

Other

FIGURE 7: Event Attendance, Tarrant County Carnaval de Salud, 2015


As shown in Figure 8, thirty-three percent of respondents noted the reason for attending Carnaval de Salud was to receive health care services. Health information was the second highest percentage for event attendance at twenty-two percent. Other selected reasoning options included two or more options (15%), other (9%), and learning about health insurance (3%). Eighteen percent of respondents did not answer the question.

FIGURE 8: Reasons for Attending Event, Tarrant County Carnaval de Salud, 2015



V. Health Care and Insurance Coverage

The majority of respondents (72%) indicated that they did not have health insurance, whereas eighteen respondents (23%) indicated that they did have health insurance and four respondents (6%) stated they did not know or they did not answer the question (Figure 9).

FIGURE 9: Health Insurance, Tarrant County Carnaval

de Salud, 2015


FIGURE 10: Parents with Children under 17, Tarrant County Carnaval

de Salud, 2015


Yes 23%

No 72%

I don't know

3%

Unanswered 3%

Yes 40%

No 56%

Unanswered 4%


Yes 48%

No 39%

I don't know 17%

Out of the seventy-eight respondents, a majority (56%) stated they had children under the age of 17 (Figure 10). Out of the forty-four respondents with children under the age of 17, twenty-one respondents (48%) stated their children were covered under their insurance plans, while seventeen respondents (39%) stated their children were not covered under their insurance plans (Figure 11). The remaining seventeen percent noted they were unsure whether or not their children were covered by insurance.

FIGURE 11: Children Covered by Insurance, Tarrant County Carnaval de Salud, 2015



Self 39%

Employer 22%

Government 22%

I don't know 11%

Unanswered 6%

0%

5%

10%

15%

20%

25%

30%

35%

40%

Excellent

Good

Fair

Bad

FIGURE 12: Insurance Payment, Tarrant County Carnaval de Salud, 2015


According to Figure 12, thirty-nine percent of respondents noted they paid for their insurance themselves. Employer and government paid plans both came in second with twenty-two percent each. Two respondents (11%) stated they did not know who paid for their health insurance and one respondent (6%) did not answer the question.

VI. Health Screenings

When asked to describe their health, fourteen respondents (18%) noted they were in excellent health and twenty-eight respondents (35%) in good health (Figure 13). Of those remaining, twenty-two (28%) stated they were in fair health, five respondents (8%) stated they were in bad health and nine respondents (11%) left the question unanswered.

FIGURE 13: Health Description, Tarrant County Carnaval de Salud, 2015



0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

>1 year

1-3 years

<3 years

Never

I don’t know

Unanswered

In regards to the last healthcare visit, almost half of respondents (42%) noted they had a visit within the past year (Figure 14). Twenty-eight percent noted it had been between 1 to 3 years since their last visit and ten percent noted it has been over 3 years since their last visit. Only five respondents (7%) noted they had never been to a healthcare visit, while one respondent (1%) was unsure of their last healthcare visit. Twelve percent of respondents did not answer the question.

FIGURE 14: Last Healthcare Visit, Tarrant County Carnaval de Salud, 2015


The most received service from this year’s Carnaval was the flu shot at forty-three percent (Figure 15). Cholesterol screenings came second at seventeen percent and blood pressure came in third at fifteen percent. Vision screenings received eight percent and diabetes screenings received nine percent. Dental screenings received four percent. Prostate screenings and Sexually Transmitted Diseases (STD)/ Human Immunodeficiency Virus (HIV) screenings received 1 respondent each (2%).


Cholesterol 17%

Flu shot 43% Vision

8%

Blood Pressure

15%

Dental 4%

Prostate 2%

Diabetes 9%

STD/HIV 2%

0%

2%

4%

6%

8%

10%

12%

14%Same

Dental

Health Screenings

Vision

Diabetes

Blood Pressure

Flu

Mammogram

Cancer

Pap Smear

FIGURE 15: Screenings Received, Tarrant County Carnaval de Salud, 2015


VII. Recommendations for Next Year’s Services

While fifty-six respondents did not answer the question regarding services for next year, nine out of the seventy-eight respondents (12%) noted they would prefer the same services as this year’s Carnaval be available for next year’s (Figure 16). Three percent stated they were unsure of what services they would want, while three percent stated they wanted general health screenings available next year. Screenings (dental, vision, diabetes, blood pressure and cancer), flu vaccinations, mammograms, pap smears, senior programs and games for children received one respondent (1%) each.

FIGURE 16: Service Suggestions, Tarrant County Carnaval de Salud, 2015



VIII. Conclusion

Carnaval de Salud is a collaborative partnership between organizations to improve the well-being and health of Mexican and Latin American immigrants. Through these BHW events, the community becomes more informed of the available resources in the area and raises awareness to immigrant health. The free services offered during this special event are an effort to reduce health inequities and disparities in the Tarrant County community.


Appendix A

10th Annual Carnaval de Salud This questionnaire is for adults (18+), completely voluntary and confidential.

Age: _______

Sex: MALE FEMALE

Where were you born?

_________________________________

If Mexico, what state:

_________________________________

Where do you live?

Country: _________________________

City/State: ________________________

Why did you come to this event?

A. To receive health information and education

B. To learn about health insurance programs

C. To receive health care services (i.e. flu

vaccination)

D. To enroll in health insurance programs

E. Other: __________________________

How did you hear about this event?

A. Radio / TV

B. Family / Friends

C. Social Media (i.e. Twitter, Facebook)

D. Tarrant County Public Health Building

E. Newspaper

F. Other: __________________________

How many times have you been to this

event?

1 2 3 4 5 6 7 8 9 10

How long has it been since your last visit

with a healthcare professional (besides

today)?

A. Less than 1 year

B. 1-3 years

C. More than 3 years

D. Never

E. I don’t know

Do you have health insurance?

YES NO I DON’T KNOW

Who pays for health insurance?

A. Self

B. Employer

C. Government (i.e. CHIP, Medicaid, Medicare)

D. I don’t know

E. I don’t have insurance

Do you have children between 0-17 years

old?

YES NO

If so, are they covered under your

insurance?

YES NO I DON’T KNOW

What services did you receive today?

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

What health service(s) would you like to have

available at next year’s Carnaval?

___________________________________

___________________________________

___________________________________

___________________________________

How would you describe your overall health?

A. Excellent

B. Good

C. Fair

D. Bad

E. Very bad


Appendix B

10th Annual Carnaval de Salud Este cuestionario es para adultos mayors de 18 años y es completamente confidencial y voluntario.

Edad: _______

Sexo: MASCULINO FEMENINO

¿Dónde nació usted?

_________________________________

Si en México, en cual estado:

_________________________________

¿Dónde vive usted?

País: _________________________

Ciudad/Estado: ________________________

¿Por qué vino a este evento?

A. Para recibir información y educación sobre

salud

B. Para aprender sobre planes de seguro

médico

C. Para recibir servicios de salud (i.e. vacuna

contra la gripe)

D. Para inscribirme a programas de seguro

médico

E. Otro: __________________________

¿Cómo se enteró de este event?

A. Radio/TV

B. Familia/Amigos

C. Redes Sociales (i.e. Twitter, Facebook)

D. Departamento de Salud Pública del Condado

Tarrant

E. Periódico

F. Otro: __________________________

¿Cuántas veces ha asistido a este evento?

1 2 3 4 5 6 7 8 9 10

¿Cuándo fue la última vez que visitó a un

profesional de salud?

A. Menos de un año

B. 1 a 3 años

C. Más de 3 años

D. Nunca

E. No sé

¿Tiene seguro médico?

Sí No No sé

¿Quién paga por su seguro médico?

A. Yo mismo

B. Empleador

C. Gobierno (i.e. CHIP, Medicaid, Medicare)

D. No sé

E. No tengo seguro medico

¿Tiene niños entre 0 a 17 años de edad?

Sí No

Si tiene, ¿tienen cobertura de salud médica?

Sí No No sé

¿Qué servicios recibió hoy?

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

¿Qué otros servicios le gustaría que

tuviéramos en el carnaval de salud el

próximo año?

___________________________________

___________________________________

___________________________________

___________________________________

¿Cómo describiría su estado de salud?

A. Excelente

B. Bien

C. Normal

D. Mala

E. Muy mal


1101 S. Main Street

Fort Worth, TX 76104

817-321-4700

http://access.tarrantcounty.com/

carnaval de salud - tarrant county - home · prepared by kayla d. garcia health equity intern texas...

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