Key Disparities Identified
Across the health need areas examined in this report, data consistently revealed disparate health burdens for specific population groups:
Mental Health
Access to Care
Economic Stability
American Indian / Alaska Native high school students were more likely than their peers to report self-injury or a suicide plan. AIAN adults were nearly twice as likely as the general population to report 14 or more days of poor mental health.
Black / African American adults were about twice as likely as the overall county population to report that they could not afford to see a doctor( 29.8 % vs. 14.6 %). Hispanic / Latino adults were also disproportionately affected( 25.9 % unable to afford care) and had lower insurance rates( 77.6 % insured vs. 88.6 % overall).
Black / African American households experience a poverty rate three times higher than the county-wide rate. Hispanic / Latino and AIAN populations also experience significantly elevated poverty rates. Mammography Screening: Among American Indian / Alaska Native female Medicare enrollees, only 13 % received a mammogram in the past year, compared to 46 % of the overall Medicare population.
Vaccination
Geographic Disparities
Black / African American infants and children were about onethird less likely than the overall county population to receive the CDC-recommended seven-vaccine series before age three( 53.2 % vs. 73.2 %).
Rural and peri-urban ZIP codes including 89424( Nixon), 89442( Wadsworth), 89501( downtown Reno), and 89433( Sun Valley / Sparks) consistently rank among the highest-need areas across multiple health indices.
Addressing these disparities requires targeted, culturally responsive strategies that go beyond general population approaches to meet the specific needs of communities that have been historically underserved and underinvested.
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