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Disparities, Inequality, and Inequity DISPARITY = INEQUALITY and implies differences between individuals or population groups (UN-equal) INEQUITY refers.

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Presentation on theme: "Disparities, Inequality, and Inequity DISPARITY = INEQUALITY and implies differences between individuals or population groups (UN-equal) INEQUITY refers."— Presentation transcript:

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3 Disparities, Inequality, and Inequity DISPARITY = INEQUALITY and implies differences between individuals or population groups (UN-equal) INEQUITY refers to differences which are unnecessary and avoidable but, in addition, are also considered unfair and unjust

4 Tips for Staying Health: A Lifestyle Approach 1. Don’t smoke. If you do, stop. 2. Eat a balanced diet, include fruits/vegetables. 3. Keep physically active. 4. If you drink, do so in moderation. 5. Cover up in the sun and protect your children. 6. Practice safe sex. 7. Participate in appropriate health screenings. 8. Drive defensively; don’t drink and drive. 9. Manage your stress. 10. Maintain social ties.

5 Health Outcomes by Race 5

6 Boston Neighborhoods 6

7 Asthma Hospitalizations for Children under Age 5, by Neighborhood 2006, 2007, 2008 Combined Place Matters 7

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14 Infant Mortality in Boston by Race

15 Infant Mortality and Cigarette Smoking African American Non- Smokers White American Smokers Per 1,000 Live Births NCHS 2002

16 Infant Mortality and Prenatal Care African Americans 1 st Trimester Prenatal Care White Americans Prenatal Care After 1 st Trimester or None Per 1,000 Live Births NCHS 2002

17 Racial & Ethnic Disparities Infant Mortality & Education NCHS

18 Racial & Ethnic Disparities Infant Mortality & Household Income

19 Tips for Staying Healthy: A Social Determinants Approach 1. Don’t be poor. If you can, stop. If you can’t, try not too be poor for too long. 2. Don’t have poor parents. 3. Don’t live in a poor neighborhood. 4. Own a car – but use only for weekends and walk to work. 5. Practice not losing your job and don’t become unemployed. 6. Don’t be illiterate. 7. Avoid social isolation. 8. Try not to be part of a socially marginalized group.

20 Racism Education Job Opportunity Socioeconomic Status Environmental Exposure Health Behaviors Access to Health Services Safe and Affordable Housing Reducing Violence Health Outcomes Social Determinants of Health Inequities

21 States using the “ Reactions to Race ” module 2002 to 2009 BRFSS Arkansas, California, Colorado, Delaware, District of Columbia, Florida, Indiana, Massachusetts, Michigan, Mississippi, Nebraska, New Hampshire, New Mexico, North Carolina, Ohio, Rhode Island, South Carolina, Tennessee, Vermont, Virginia, Washington, Wisconsin

22 General health status and “race” Being perceived as White is associated with better health Even within non-White self-identified “race”/ethnic groups Even within the same educational level Being perceived as White is associated with higher education

23 Racial & Ethnic Disparities Low Birth Weight & Racism 12% 20% P < 0.01

24 What is racism? A system of advantage based on race. David Wellman, Portraits of White Racism

25 Levels of Racism MICRO LEVEL MACRO LEVEL Adopted from the Applied Research Center INTERNALIZE D INSTITUTIONAL INTERPERSONAL STRUCTURAL

26 Our tasks Put racial justice/racial equity on the agenda Name racism as a force determining the distribution of other social determinants of health Routinely monitor for differential exposures, opportunities, and outcomes by “race”

27 4-year Graduation Rate: Grades 9-12 Boston, 2006 Percentage of High School Students Massachusetts Department of Education

28 “Pilot Program Aims to Reduce Infant Deaths” In an effort to drive down the disproportionately large number of deaths among black and Latino infants in Boston, city leaders yesterday unveiled a campaign to provide housing, counseling, and other critical support for pregnant women who are homeless or living on the edge.

29 Jamaica Plain Equity Collaborative Brookside, Martha Eliot and Southern Jamaica Plain Health Centers Bromley Health TMC JPNDC ESAC Hyde Square Task Force Teen Empowerment Spontaneous Celebrations Tree of Life/Arbol De Vida

30 March and Rally February 2010, 2011

31 Youth Racial Healing & Reconciliation Project

32 Documenting the Work Dfdsfmadf.,mf.,dasmf.sd,amf.,asdmf.sd,mf.sda,mf.asd,fm.sd,fmd.s,fmsd,.fmsd,.fmsd.,fmsd,.fmsd,.afmsd.a,fmds,.f msd.a,fmsda,.fmsd.,fmd.as,fmd.as,mf.asd,mf.ad,smf.,asd mf.asd,mfasd.,mas.,fmasd.,fmas.,mf.asd,mf.,asdmf.asd, mfa.s,.a,smfd.s,afmasd,.fmsd.a,fma.sd,fmasd.,fmas.d,fm

33 Taking it to the JP Community

34 Loretta Ross Educating Us About a Frame…

35 Thank You! Questions/Feedback???

36 Abigail Ortiz, MSW, MPH Southern Jamaica Plain Health Center 640 Centre Street Jamaica Plain, Ma (617) land (857) cell


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