UK HealthCare hosts 'Women, It's About You' conference June 1

On June 1 UK HealthCare will present its fifth annual "Women, It’s About You" conference, which is designed to educate women with the most up-to-date information about health topics ranging from mammograms to nutrition to financial abuse.

This year's conference will feature 15 presentations on the following women's health topics:

Menopause, presented by Dr. Kathy Dillon 

Memory and aging, presented by Dr. Gregory Jicha 

Women's heart health, presented by Dr. Susan Smyth 

Eye health, presented by Dr. Eric Higgins 

Physical fitness, presented by Richard Watson 

Gynecologic cancer, presented by Dr. Lauren Baldwin 

Financial abuse of women, presented by Susan Lawrence 

Weight loss, presented by Dr. Stephanie Rose 

Skin care and cosmetic procedures, presented by Dr. Amit Patel 

Stroke, presented by Lisa Bellamy 

Diabetes, presented by Sheri Legg and Beth Holden 

Nutrition, presented by Rachel Miller 

Mammography, presented by Dr. Margaret Szabunio

Pelvic Prolapse, presented by Drs. Rudy Tovar and Mark Hoffman.

Participants will have the opportunity to participate in a variety of health screenings, including blood pressure and stroke-risk assessment, says a UK HealthCare press release. The event, which will take place at the Embassy Suites hotel on Newtown Pike in north Lexington, costs $10 and also includes a continental breakfast, a luncheon with entertainment, giveaways and an exhibitor fair. Click here for more information or to register by the Friday, May 17 deadline.

On June 1 UK HealthCare will present its fifth annual "Women, It’s About You" conference, which is designed to educate women with the most up-to-date information about health topics ranging from mammograms to nutrition to financial abuse.

This year's conference will feature 15 presentations on the following women's health topics:

Menopause, presented by Dr. Kathy Dillon 

Memory and aging, presented by Dr. Gregory Jicha 

Women's heart health, presented by Dr. Susan Smyth 

Eye health, presented by Dr. Eric Higgins 

Physical fitness, presented by Richard Watson 

Gynecologic cancer, presented by Dr. Lauren Baldwin 

Financial abuse of women, presented by Susan Lawrence 

Weight loss, presented by Dr. Stephanie Rose 

Skin care and cosmetic procedures, presented by Dr. Amit Patel 

Stroke, presented by Lisa Bellamy 

Diabetes, presented by Sheri Legg and Beth Holden 

Nutrition, presented by Rachel Miller 

Mammography, presented by Dr. Margaret Szabunio

Pelvic Prolapse, presented by Drs. Rudy Tovar and Mark Hoffman.

Participants will have the opportunity to participate in a variety of health screenings, including blood pressure and stroke-risk assessment, says a UK HealthCare press release. The event, which will take place at the Embassy Suites hotel on Newtown Pike in north Lexington, costs $10 and also includes a continental breakfast, a luncheon with entertainment, giveaways and an exhibitor fair. Click here for more information or to register by the Friday, May 17 deadline.

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Louisville dental school to mark Women's History Month with women's art and oral-health fair and reception

The University of Louisville School of Dentistry will kick off its Women's History Month celebration March 18 with "Chew Art," an all-women's art and oral-health fair and reception.

In an effort to better engage with the community on issues related to oral health, increase oral health literacy and celebrate Women's History Month, the fair will focus on specific oral health care needs of women. The school will provide oral health information, and in some cases, limited screenings for women who live with diabetes, hypertension, who are pregnant or undergoing various treatments for cancer.

But the school says this event will not be like an ordinary trip to the dentist or health fair; it will be much more exciting! It is teaming up with Kristen Hughes, Arts in Healing manager at the Kentucky Center for the Performing Arts, to employ an innovative Arts in Health Care approach. Unlike the normal clinical environment, original works of art, created by a group of local female artists, will be on display at the fair.

The "Chew Art" event will take place Monday, March 18, from 5 to 7 p.m. on the second floor of the newly renovated dental building at 501 S. Preston St. and will feature tapas, wine, sangria and live music in addition to the art displays.  To RSVP, email Deborah Wade at D0wade01@louisville.edu.

The University of Louisville School of Dentistry will kick off its Women's History Month celebration March 18 with "Chew Art," an all-women's art and oral-health fair and reception.

In an effort to better engage with the community on issues related to oral health, increase oral health literacy and celebrate Women's History Month, the fair will focus on specific oral health care needs of women. The school will provide oral health information, and in some cases, limited screenings for women who live with diabetes, hypertension, who are pregnant or undergoing various treatments for cancer.

But the school says this event will not be like an ordinary trip to the dentist or health fair; it will be much more exciting! It is teaming up with Kristen Hughes, Arts in Healing manager at the Kentucky Center for the Performing Arts, to employ an innovative Arts in Health Care approach. Unlike the normal clinical environment, original works of art, created by a group of local female artists, will be on display at the fair.

The "Chew Art" event will take place Monday, March 18, from 5 to 7 p.m. on the second floor of the newly renovated dental building at 501 S. Preston St. and will feature tapas, wine, sangria and live music in addition to the art displays.  To RSVP, email Deborah Wade at D0wade01@louisville.edu.

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Study finds only counties in Appalachia, mostly in Kentucky, had increasing rates of death among both sexes as century turned

By Molly Burchett
Kentucky Health News

More than 40 percent of counties saw increases in female death rates as the 21st Century began, while the death rate for men rose in just 3 percent of counties, a study shows. Only Appalachian counties, mostly in Kentucky, had worsening rates for both sexes. (Click on a map for a larger version.)

Change In Male Mortality Rates From 1992–96 To 2002–06

Change In Female Mortality Rates From 1992–96 To 2002–06

On the Health Affairs maps above, blue counties showed substantial improvement, while those in aqua showed minimal improvement and worsening counties are in red.

The study identifies some shared characteristics among the 1,334 counties where more women are dying prematurely, but the main factors weren't medical or behavioral, according to David Kindig and Erika Cheng, authors of the study report.

Although counties with high rates of smoking and obesity had increased mortality rates, the report found socioeconomic factors in the Appalachian states of Kentucky and West Virginia, such as the percentage of a county’s population with a college education and the rate of children living in poverty, had more to do with increased mortality rates.

In Kentucky, Owsley County has been ranked last on health-related measures by the Population Health Institute. Areas like this in Appalachia suffered rising death rates in both sexes because college education is a rarity, child poverty is normal, recreational facilities are scarce, restaurants are mostly fast-food outlets, and adults lack social support, reports Geoffrey Cowley of msnbc.

The chart below shows how Kentucky compares to the national average in premature death and that Owsley County suffers from tremendously high rates.

County Health Rankings by University of Wisconsin's Population Health
Institute and the Robert Wood Johnson Foundation (countyhealthrankings.org)

These findings provide supporting evidence for the ever-increasing need for significant health improvement efforts in Appalachia. According to the report, efforts must extend beyond a focus on health care delivery and include stronger policies affecting health behaviors and the social and environmental determinants of health,with corresponding investments in those areas. (Read more)

Kentucky Health News is an independent news service of the Institute for Rural Journalism and Community Issues at the University of Kentucky, with support from the Foundation for a Healthy Kentucky.

By Molly Burchett
Kentucky Health News

More than 40 percent of counties saw increases in female death rates as the 21st Century began, while the death rate for men rose in just 3 percent of counties, a study shows. Only Appalachian counties, mostly in Kentucky, had worsening rates for both sexes. (Click on a map for a larger version.)

Change In Male Mortality Rates From 1992–96 To 2002–06

Change In Female Mortality Rates From 1992–96 To 2002–06

On the Health Affairs maps above, blue counties showed substantial improvement, while those in aqua showed minimal improvement and worsening counties are in red.

The study identifies some shared characteristics among the 1,334 counties where more women are dying prematurely, but the main factors weren't medical or behavioral, according to David Kindig and Erika Cheng, authors of the study report.

Although counties with high rates of smoking and obesity had increased mortality rates, the report found socioeconomic factors in the Appalachian states of Kentucky and West Virginia, such as the percentage of a county’s population with a college education and the rate of children living in poverty, had more to do with increased mortality rates.

In Kentucky, Owsley County has been ranked last on health-related measures by the Population Health Institute. Areas like this in Appalachia suffered rising death rates in both sexes because college education is a rarity, child poverty is normal, recreational facilities are scarce, restaurants are mostly fast-food outlets, and adults lack social support, reports Geoffrey Cowley of msnbc.

The chart below shows how Kentucky compares to the national average in premature death and that Owsley County suffers from tremendously high rates.

County Health Rankings by University of Wisconsin's Population Health
Institute and the Robert Wood Johnson Foundation (countyhealthrankings.org)

These findings provide supporting evidence for the ever-increasing need for significant health improvement efforts in Appalachia. According to the report, efforts must extend beyond a focus on health care delivery and include stronger policies affecting health behaviors and the social and environmental determinants of health,with corresponding investments in those areas. (Read more)

Kentucky Health News is an independent news service of the Institute for Rural Journalism and Community Issues at the University of Kentucky, with support from the Foundation for a Healthy Kentucky.

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U of L and KentuckyOne Health announce partnership that keeps women's health services intact at University Hospital

The University of Louisville and KentuckyOne Health have reached a partnership agreement that will leave the resolution of any "moral roadblocks" up to a higher authority. U of L President James Ramsey said the partnership will allow the hospital board to continue its control over the public entity, a principle that scuttled an earlier deal with Catholic Health Initiatives, which then formed KentuckyOne with Jewish Hospital. Gov. Steve Beshear signed on to the agreement, after killing the first one.

The goals of a public institution that provides all women's health services -- including reproductive and end-of-life care -- were not the same goals of those espoused by the Roman Catholic Church. The new agreement seems to have solved that issue by continuing to allow the hospital's pharmacy and Center for Women and Infants and to provide the same services as they did before, reports Laura Ungar of The Courier-Journal. The services will be provided by the same people as currently, the partners said. This includes all reproductive services.

The Archdiocese of Louisville said in a statement that it was not part of the negotiations but that there were no more “moral roadblocks” to its continued official recognition of KentuckyOne as a Catholic entity. The archdiocese said the partners involved “have committed to respecting one another’s traditions, missions, and values, including our own Ethical and Religious Directives for Catholic Health Care Services.” (Read more)

The University of Louisville and KentuckyOne Health have reached a partnership agreement that will leave the resolution of any "moral roadblocks" up to a higher authority. U of L President James Ramsey said the partnership will allow the hospital board to continue its control over the public entity, a principle that scuttled an earlier deal with Catholic Health Initiatives, which then formed KentuckyOne with Jewish Hospital. Gov. Steve Beshear signed on to the agreement, after killing the first one.

The goals of a public institution that provides all women's health services -- including reproductive and end-of-life care -- were not the same goals of those espoused by the Roman Catholic Church. The new agreement seems to have solved that issue by continuing to allow the hospital's pharmacy and Center for Women and Infants and to provide the same services as they did before, reports Laura Ungar of The Courier-Journal. The services will be provided by the same people as currently, the partners said. This includes all reproductive services.

The Archdiocese of Louisville said in a statement that it was not part of the negotiations but that there were no more “moral roadblocks” to its continued official recognition of KentuckyOne as a Catholic entity. The archdiocese said the partners involved “have committed to respecting one another’s traditions, missions, and values, including our own Ethical and Religious Directives for Catholic Health Care Services.” (Read more)

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Eastern Kentucky native wants to alert Appalachian women about their high rate of cervical cancer and how to prevent it

University of Kentucky physician and Pike County native Baretta Casey, right, has spent most of her career providing health care and education throughout the state, with a focus on Appalachian Kentucky. The health disparities between Eastern Kentucky and the rest of the state, especially high rates of cancer, are of "special concern" to Casey, reports Ann Blackford of UKNow.

Cancer is prevalent in her Casey's own family, and this is why she "has taken on the challenge of helping reduce cancer rates in Kentucky, especially cervical cancer and other Human papillomavirus cancers," Blackford reports. Cervical cancer rates are highest in rural and Appalachian Kentucky. According to the Kentucky Cancer Registry from 2005 to 2009, the cervical cancer rate in the region was 9.85 per 100,000 people. The state rate was 8.6. The average of deaths per year in the region from cervical cancer was 258.

"We have the tools to change these high rates and make a real difference in people's lives," Casey said. "I feel the best thing I can do for the people of Eastern Kentucky is to educate about prevention and screening of cervical cancer." Casey became the director of the Cervical Cancer-free Kentucky Initiative at UK's College of Public Health's Rural Cancer Prevention Center in 2010. Through this position, she makes connections with county health departments, community organizations and health advocacy groups that provide education and funding for cervical cancer prevention projects.

"Casey is passionate about educating people on the importance of vaccinating their children against HPV," Blackford writes. She said she wants people to look past the controversy of vaccinating their children and realize the importance of the vaccine. "The vaccine given for the appropriate reason can save a life," Casey said. (Read more)

University of Kentucky physician and Pike County native Baretta Casey, right, has spent most of her career providing health care and education throughout the state, with a focus on Appalachian Kentucky. The health disparities between Eastern Kentucky and the rest of the state, especially high rates of cancer, are of "special concern" to Casey, reports Ann Blackford of UKNow.

Cancer is prevalent in her Casey's own family, and this is why she "has taken on the challenge of helping reduce cancer rates in Kentucky, especially cervical cancer and other Human papillomavirus cancers," Blackford reports. Cervical cancer rates are highest in rural and Appalachian Kentucky. According to the Kentucky Cancer Registry from 2005 to 2009, the cervical cancer rate in the region was 9.85 per 100,000 people. The state rate was 8.6. The average of deaths per year in the region from cervical cancer was 258.

"We have the tools to change these high rates and make a real difference in people's lives," Casey said. "I feel the best thing I can do for the people of Eastern Kentucky is to educate about prevention and screening of cervical cancer." Casey became the director of the Cervical Cancer-free Kentucky Initiative at UK's College of Public Health's Rural Cancer Prevention Center in 2010. Through this position, she makes connections with county health departments, community organizations and health advocacy groups that provide education and funding for cervical cancer prevention projects.

"Casey is passionate about educating people on the importance of vaccinating their children against HPV," Blackford writes. She said she wants people to look past the controversy of vaccinating their children and realize the importance of the vaccine. "The vaccine given for the appropriate reason can save a life," Casey said. (Read more)

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Female life expectancy in several Eastern Ky. counties declined

The life expectancy of the average U.S. female increased 1.7 years from 1999 to 2009 -- 79.6 to 81.3 years. Good news on the whole, but Daily Yonder reporters Bill Bishop and Robert Gallardo went a little farther in their analysis of the data from the Institute for Health Metrics and Evaluation at the University of Washington. They found that rural women hardly kept up, and some even lost ground in the decade while their urban sisters obviously gained from widespread health advances.

Bishop and Gallardo report, "The solid gain in longevity was matched in only 168 rural or exurban counties, or 6.5 percent of all the counties outside the cities." That is, while women in most of the nation were living longer lives, in many rural counties -- some 622 of them, in fact -- their longevity shortened in the same decade. Several of those counties were in Eastern Kentucky. The 622 counties represent some 24 percent of rural counties and exurban counties (or counties in a metro area where more than half live in rural census tracts), women lived shorter lives in 2009 than in 1999. You can see a similar map and charts for rural men here. (Click on the above map for a larger image)

As the Yonder writers point out, "The map shows that rural and exurban women are not keeping up with the health advances enjoyed in the rest of the country. In more than 95 percent of rural and exurban counties, changes in female longevity in the last 10 years failed to match the gains experienced in the rest of the country." The largest decreases in female life expectancy between 1999 and 2009 were clustered in Oklahoma, Eastern Kentucky, West Virginia, Alabama and Georgia. (Read more)

The life expectancy of the average U.S. female increased 1.7 years from 1999 to 2009 -- 79.6 to 81.3 years. Good news on the whole, but Daily Yonder reporters Bill Bishop and Robert Gallardo went a little farther in their analysis of the data from the Institute for Health Metrics and Evaluation at the University of Washington. They found that rural women hardly kept up, and some even lost ground in the decade while their urban sisters obviously gained from widespread health advances.

Bishop and Gallardo report, "The solid gain in longevity was matched in only 168 rural or exurban counties, or 6.5 percent of all the counties outside the cities." That is, while women in most of the nation were living longer lives, in many rural counties -- some 622 of them, in fact -- their longevity shortened in the same decade. Several of those counties were in Eastern Kentucky. The 622 counties represent some 24 percent of rural counties and exurban counties (or counties in a metro area where more than half live in rural census tracts), women lived shorter lives in 2009 than in 1999. You can see a similar map and charts for rural men here. (Click on the above map for a larger image)

As the Yonder writers point out, "The map shows that rural and exurban women are not keeping up with the health advances enjoyed in the rest of the country. In more than 95 percent of rural and exurban counties, changes in female longevity in the last 10 years failed to match the gains experienced in the rest of the country." The largest decreases in female life expectancy between 1999 and 2009 were clustered in Oklahoma, Eastern Kentucky, West Virginia, Alabama and Georgia. (Read more)

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Next phase of health reform: New and renewed insurance policies will have to cover birth control, other preventive care for women

Even though the decision was widely expected, as part of health care reform, the news is still what Julie Rovner of National Public Radio termed "a pretty big deal." Earlier this week, she reports, the Department of Health and Human Services adopted in full the women's health recommendations issued two weeks ago by the independent Institute of Medicine. "Since birth control is the most common drug prescribed to women ages 18-44, insurance plans should cover it," said HHS Secretary Kathleen Sebelius in a press briefing. "Not doing it would be like not covering flu shots, or any of the other basic preventive services that millions of other Americans count on every day."

The upshot: Starting a year from now, most new health insurance policies, and eventually almost every policy, will have to offer a comprehensive list of women's preventive health services with no co-pay or deductible, including all forms of prescription contraception approved by the Food and Drug Administration. These services include: Screening for gestational diabetes; counseling about sexually-transmitted infections; support for breast-feeding, including supplies and counseling; and domestic violence screening and counseling.

Rovner reports that "The new rules do take into account the complaints from some conservative and religious groups, by allowing religious organizations that provide health insurance to refrain from offering contraceptive coverage 'if that is inconsistent with their tenets.' HHS says that part of its proposal is modeled on the most common exemption used by the 28 states that already require contraceptive coverage to be offered in health insurance policies. The department, however, is specifically asking the public to comment on that portion of the rules, 'as we work to strike the balance between providing access to proven prevention and respecting religious beliefs.' Already the reactions are pouring in. Some people object to the religious exemption." (Read more)

Even though the decision was widely expected, as part of health care reform, the news is still what Julie Rovner of National Public Radio termed "a pretty big deal." Earlier this week, she reports, the Department of Health and Human Services adopted in full the women's health recommendations issued two weeks ago by the independent Institute of Medicine. "Since birth control is the most common drug prescribed to women ages 18-44, insurance plans should cover it," said HHS Secretary Kathleen Sebelius in a press briefing. "Not doing it would be like not covering flu shots, or any of the other basic preventive services that millions of other Americans count on every day."

The upshot: Starting a year from now, most new health insurance policies, and eventually almost every policy, will have to offer a comprehensive list of women's preventive health services with no co-pay or deductible, including all forms of prescription contraception approved by the Food and Drug Administration. These services include: Screening for gestational diabetes; counseling about sexually-transmitted infections; support for breast-feeding, including supplies and counseling; and domestic violence screening and counseling.

Rovner reports that "The new rules do take into account the complaints from some conservative and religious groups, by allowing religious organizations that provide health insurance to refrain from offering contraceptive coverage 'if that is inconsistent with their tenets.' HHS says that part of its proposal is modeled on the most common exemption used by the 28 states that already require contraceptive coverage to be offered in health insurance policies. The department, however, is specifically asking the public to comment on that portion of the rules, 'as we work to strike the balance between providing access to proven prevention and respecting religious beliefs.' Already the reactions are pouring in. Some people object to the religious exemption." (Read more)

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After several groups say Pap smears aren't needed every year, ob/gyns recommend an annual 'well-woman' visit

Though several groups have said women don't need a Pap smear every year, obstetricians and gynecologists still recommend an annual "well-woman" visit and annual pelvic exams for all females over 21.

These new recommendations by the American College of Obstetricians and Gynecologists were published Monday. They come a few months after the American Cancer Society, the U.S. Preventive Services Task Force and other groups said most women only need a Pap smear every three years starting at age 21. After the age of 30, they can get them less often if they also get tests for the human papillomavirus, known to cause cervical and other cancers.

The visit "can be used to check blood pressure and weight, update immunizations, counsel patients on healthy lifestyles, screen for sexually transmitted infections and other health problems, perform breast exams and build relationships between doctors and patients," reports Kim Painter for USA Today.

But some critics question if these visits are just a way to make money. "We estimate that about $8 billion a year is spent on preventive yearly physicals of all kinds," said Ateev Mehrotra, a professor at the University of Pittsburgh School of Medicine. "The question is whether we could spend those $8 billion more wisely." (Read more)

Though several groups have said women don't need a Pap smear every year, obstetricians and gynecologists still recommend an annual "well-woman" visit and annual pelvic exams for all females over 21.

These new recommendations by the American College of Obstetricians and Gynecologists were published Monday. They come a few months after the American Cancer Society, the U.S. Preventive Services Task Force and other groups said most women only need a Pap smear every three years starting at age 21. After the age of 30, they can get them less often if they also get tests for the human papillomavirus, known to cause cervical and other cancers.

The visit "can be used to check blood pressure and weight, update immunizations, counsel patients on healthy lifestyles, screen for sexually transmitted infections and other health problems, perform breast exams and build relationships between doctors and patients," reports Kim Painter for USA Today.

But some critics question if these visits are just a way to make money. "We estimate that about $8 billion a year is spent on preventive yearly physicals of all kinds," said Ateev Mehrotra, a professor at the University of Pittsburgh School of Medicine. "The question is whether we could spend those $8 billion more wisely." (Read more)

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