Priority Counties: Wyandotte County, KS
The purpose of the 2015 Susan G. Komen Community Profile Report (CP) is to conduct an updated needs assessment of Komen Kansas City’s 17-county, bi-state service area. This comprehensive study utilizes quantitative (statistical) and qualitative (focus group and provider interview) data collection and analysis. The assessment is used to establish priorities for the Affiliate’s decisions regarding grant funding, education, marketing and outreach and public policy activities. It is our road map for future funding and will guide the Affiliate’s Strategic Plan for the next several years.
WYANDOTTE COUNTY, KANSAS:
Wyandotte County, Kansas represents the most diverse population in the service area. 27.8 percent of women are Black/African-American, a rate higher than the national average and double that of the service area average. This is significant due to the high death rates Black/African-American women experience from breast cancer when compared to other races. Additionally, 24.9 percent of the county is Hispanic/Latina, 7.2 percent are linguistically isolated, and 14.2 percent are foreign born. All of these percentages are substantially higher than the service area’s averages. Wyandotte has been identified as a high priority county due to the amount of intervention time needed to achieve the federal government’s healthy people 2020 goals .. For instance, the county’s death rate of breast cancer was 28.5 per 100,000 women. This is higher than the United States rate (22.6), as well as the service area’s rate (24.9). The death rate is expected to decrease over the next few years. But currently, the county continues to have one of the highest rates of breast cancer death in the service area. Data showing late-stage diagnosis rates and trends were not available for this county. Screening rates in Wyandotte County are lower than the United States; and service area averages and socioeconomic data for the county show several concerning areas. Wyandotte residents are substantially more likely to have less than a high school education, an income below 250 percent poverty, and be unemployed than others in the United States and the service area. Wyandotte County residents are also the least likely in the service area to have health insurance.
Analysis by Target Community
As seen through mapping of services, Wyandotte County has breast health resources all along the Continuum of Care. Despite the resources available, breast health screening rates and late-stage diagnosis in Wyandotte County remain a concern. Low income, racial and ethnic disparities, and lack of insurance continue to create barriers in this area. Komen Kansas City’s target communities each face different but equally challenging barriers to breast health. While Clay, Jackson, and Wyandotte counties have various services available in all areas of the Continuum of Care (CoC), women are not accessing these services fully. Neither Johnson County, Missouri, nor the Eastern Kansas region has readily available services in all areas of the CoC. Residents of these counties face the barrier of traveling to other counties for many of their necessary screening, diagnostic, treatment, and survivorship services.
Public Policy Implications
Because Missouri and Kansas chose not to expand Medicaid, a coverage gap is left of people making too little to qualify for federal help. The authors of ACA intended these individuals to be covered by Medicaid expansion, but both states in our service area opted to not expand. Therefore, most of Kansas and Missouri’s poorest, working-age residents — those under age 65 and below the poverty line of $11,490 for an individual and $15,510 for a couple — aren’t eligible for government help. In Kansas there are currently 369,000 uninsured individuals – 78,000 in Kansas (21% of uninsured) who would have been eligible for Medicaid if the state expanded will fall into the coverage gap. In Missouri, 93,000 of the 834,000 uninsured adults (23% of the uninsured) will fall into this gap.
Through advocacy efforts and partnerships, Komen Kansas City continues to be a voice for breast health in both Missouri and Kansas. Komen Kansas City advocates for funding of breast health screening, research, and treatment programs.
Our Mission Action Plan
Women in Wyandotte County have a higher death rate than the US and service area averages. Women are receiving mammography screenings at a rate that is lower than the comparable averages. The socioeconomic data of the county is concerning with residents being less likely to have a high school education, income below 250.0 percent of the poverty level, and the least likely to have health insurance in the area. Residents also are more likely to be unemployed.
In Wyandotte County, the Affiliate will implement strategies to increase the number of women obtaining a preventative breast health screening. The Affiliate will also enhance the work to provided education to women residing in the county. Lastly, the Affiliate will meet with key players in the health system to discuss the needs of the county and potential ways to address those needs.
- In FY16, hold at least two collaborative meetings with health care providers in Wyandotte to develop a plan on how to improve breast health needs
- By the end of FY19, a minimum of 15 outings will be conducted in Wyandotte using the Affiliate’s Connecting for a Cure curriculum
- By the end of FY18 partner with at least two non-health organizations to coordinate comprehensive education and screening events
- By the end of FY17, develop and implement a campaign to educate the population and those who work directly with them on Early Detection Works as well as the breast health provisions outlined with the Affordable Care Act
We look forward to providing you reports on our efforts over the next few years.