Medical Health

Our medical health programs help everyone in the community gain access  to health care related services and education. Through our MNsure Navigators who are trained and trusted members of the community you can receive help completing an application to enroll in a health care coverage plan based on your income and your medical health care needs.

CPC 2.0’s navigators specialize in Medical Assistance and MinnesotaCare enrollment. They can help you enroll in a private insurance plan and provide basic insurance education, but they cannot give you advice about picking an insurance plan. 

CPC 2.0 offers CDCS services (Consumer Directed Community Support). CDCS is a service option available to people on the home and community-based services (HCBS) waivers and Alternative Care (AC) program. CDCS gives a person flexibility in service planning and responsibility for self-directing his or her services, including hiring and managing support workers. 

CPC 2.0 case management and care coordination services for people living with physical disabilities or cognitive impairments or dealing with a plethora of health care concerns such as obesity, hypertension (high blood pressure), cardiovascular disease ( heart disease), diabetes, infant mortality, reproductive health, sexual health and any other medical health related issue that disproportionately impacts black communities and other communities of color.

Because our professionals understand the impacts race and poverty have on a community CPC 2.0 is diligent in ensuring our community receives health equality/health equity and culturally specific training, education and advocacy to support the overall health and wellness of the entire community.

Black communities and other communities of color have the highest rates of infection when it comes to HIV, STD’s and other diseases which disproportionately infect communities of color.

Diabetes:

Here are some of the facts about African Americans and diabetes:

  • Over 2.2 million African Americans have diabetes; 1.5 million have been diagnosed and 730,000 have not yet been diagnosed.
  • There are 4 times as many African Americans diagnosed with diabetes today as there were in 1968.
  • For every 6 white Americans who have diabetes, 10 African Americans have the disease.
  • Among African Americans 20 years and older, the prevalence of diabetes is 8.2 percent compared with 4.8 percent among non-Latino whites.

Type 1 diabetes accounts for 5 to 10 percent of all cases among African Americans, while type 2 diabetes accounts for 90 to 95 percent of all cases. In every age group the prevalence of diabetes is higher among African-American women than among African-American men. Among African Americans 20 years or older, 11.8 percent of women and 8.5 percent of men have diabetes. Nearly one out of three African-American women ages 65 to 74 years has diabetes.

Diabetes is particularly common among middle-aged and older African-American adults. The proportion of the African-American population that has diabetes rises from less than 1 percent for those younger than 20 years old to as high as 32 percent for women ages 65 to 74 years old. 28 percent of women and 19 percent of men ages 50 and older have diabetes. In just 12 years, national health surveys show that diabetes’ prevalence for African Americans ages 40 to 74 has doubled from 8.9 percent in 1976-1980 to 18.2 percent in 1988-1994. In the 1988-1994 National Health and Nutrition Survey (NHANES III), 11.2 percent of whites ages 40 to 74 years had diabetes compared with 18.2 percent of blacks.

Death rates for people with diabetes are 27 percent higher for blacks compared with whites. Diabetes is the fifth leading cause of death for those ages 45 years or older.

One of the problems for African Americans and diabetes is that they are more likely to develop diabetes complications and experience greater disability from the complications than whites. The frequency of diabetic retinopathy is 40 to 50 percent higher in African Americans than in white Americans. African Americans with diabetes experience kidney failure (also called end-stage renal disease) about four times more often than diabetic white Americans. In 1995, there were 27,258 new cases of kidney failure attributed to diabetes in black Americans. African Americans are much more likely to undergo a lower-extremity amputation than white or Latinos with diabetes. In 1994, there were 13,000 amputations among black people with diabetes, involving 155,000 days in the hospital.

Heart Disease:

The prevalence of high blood pressure in African-Americans is the highest in the world. Also known as hypertension, high blood pressure increases your risk of heart disease and stroke, and it can cause permanent damage to the heart before you even notice any symptoms, that’s why it is often referred to as the “silent killer.” Not only is HBP more severe in blacks than whites, but it also develops earlier in life.

Research suggests African-Americans may carry a gene that makes them more salt sensitive, increasing the risk of high blood pressure. Your healthcare provider can help you find the right medication, and lifestyle changes can also have a big impact.

  • Black Americans are at greater risk for cardiovascular disease and stroke than White Americans.
  • Black women (49%) and Black men (44%) have higher rates of heart disease than White men (37%) and White women (32%).
  • Between the ages of 45 and 64, Black men have a 70% higher risk and Black women have a 50% greater risk of developing heart failure than White men and women.
  • The earlier onset of heart failure means higher rates of hospitalization, earlier disability, and higher rates of premature death (death before the age of 65) for Black Americans.2
  • The annual rate of first heart attacks and first strokes is higher for Black Americans than White Americans.

Fast Facts: Black Americans & Risk Factors

  • The prevalence of high blood pressure (hypertension)in Black Americans is among the highest in the world, and it is increasing. Rates are particularly high for Black women.
  • In addition, Blacks develop high blood pressure earlier in life and their average blood pressure numbers are much higher than Whites. As a result, Blacks have a 1.3-times greater rate of nonfatal stroke, a 1.8-times greater rate of fatal stroke, a 1.5-times greater rate of death attributable to heart disease than Whites.
  • Black Americans are 77% more likely than White Americans to be diagnosed with diabetes.
  • Black and Hispanic adults are more likely to be inactive 4% and 39.8%, respectively) than White adults (26.2%).
  • Black (80%) and Mexican-American (78%) women are more likely to be overweight or obese than White women (60%).

Cancer

About 189,910 new cancer cases were expected to be diagnosed among blacks in 2016. The most commonly diagnosed cancers among black men are prostate (31% of all cancers), lung (15%), and colon and rectum (9%). Among black women, the most common cancers are breast (32% of all cancers), lung (11%), and colon and rectum (9%).
African Americans have the highest death rate and shortest survival of any racial and ethnic group in the US for most cancers. A continuous reduction in cancer death rates in blacks since the early 1990’s has resulted in more than 300,000 cancer deaths averted over the past two decades. Death rates have dropped faster during the most recent time period in blacks than in whites for all cancers combined and for lung, prostate, and colorectal cancer (in women only). As a result, racial disparities for these cancers have narrowed. In contrast, the racial disparity has widened for breast cancer in women and remained constant for colorectal cancer in men, likely due to inequalities in access to care, including screening and treatment.

Breast cancer is the most common cancer among African American women. It is also the second leading cause of cancer death among African American women, exceeded only by lung cancer In 2011, an estimated 26,840 new cases of breast cancer and 6,040 deaths were expected to occur among African American women.

Breast cancer incidence in African American women is lower than in white women overall. However, for women younger than 40, incidence is higher among African American women than white women.

Breast cancer mortality (death) is 41 percent higher in African American women than in white women. Although breast cancer survival in African American women has increased in recent decades, survival rates remain lower than among white women. For those diagnosed from 2002 to 2008, the five-year relative survival rate for breast cancer among African American women was 78 percent compared to 92 percent among white women.

HIV/AIDS:

  • HIV.GOV Reports: 
  • By race/ethnicity, between 2010-2016, the annual number of HIV infections decreased among blacks/African Americans, whites, and persons of multiple races and remained stable for Asians and Hispanics/Latinos.
  • By HIV transmission group, between 2010-2016, the annual number of HIV infections decreased among people who use injection drugs and among heterosexuals. New HIV infections remained stable at about 26,000 per year among gay and bisexual men, who account for most (about 70 percent) of new infections each year. However, there were differences by race/ethnicity and age.
  • HIV Incidence: Estimated Annual Infections in the U.S., 2010-2016
  • Source: CDC, HIV Incidence: Estimated Annual Infections in the U.S., 2010-2016, Feb. 2019.
  • In 2018, 37,832 people received an HIV diagnosis in the United States and 6 dependent areas.a The annual number of new diagnoses decreased 11% from 2010 to 2017 among adults and adolescents in the 50 states and the District of Columbia. However, trends varied for different groups of people.
  • Among all gay and bisexual men, HIV diagnoses remained stable from 2010 to 2017, but trends varied by race/ethnicity:

    • HIV diagnoses among Black/African American gay and bisexual men remained stable.
    • HIV diagnoses among white gay and bisexual men decreased 19%.
    • HIV diagnoses among Hispanics/Latino gay and bisexual men increased 17%.
    • By race/ethnicity, Blacks/African Americans and Hispanics/Latinos are disproportionately affected by HIV. In 2018:

      • Blacks/African Americans accounted for 42% (16,067) of HIV diagnoses and 13% of the population.
      • Hispanics/Latinos accounted for 27% (9,673) of HIV diagnoses and 18% of the population

The Minnesota Department of Health Reports: HIV cases remained stable with 286 cases reported in 2018, compared to 280 cases in 2017. This is below the 5-year average of 296 cases per year from 2014-2018.

    • Males account for 76% of all new HIV cases during 2018.
      • Male-to-male sex remains the main risk factor for males of all ages.
      • Over half (59%) of new HIV cases are among communities of color.

Trend data for Chlamydia and Gonorrhea cases Overview

The files below present statistics on the number of cases of Chlamydia and Gonorrhea in Minneapolis from 1998 to 2012. Data elements included are:

Chlamydia and Gonorrhea cases are broken down by race/ethnicity, age, gender and communities within Minneapolis.

Data Source: CDC, The Minnesota Department of Health, HIV.GOV and The City of Minneapolis