1. ADDRESSING NUTRITION DISPARITIES: For A Healthier Community
Julie J Ramos, MD, MS
Cardiologist/Nutritionist
Montefiore-Einstein Center for Heart and Vascular Care

2. Copyright © The American College of Cardiology.
Hypertension
J Am Coll Cardiol. 2011;57(3): doi: /j.jacc
Figure Legend:
African Americans have death rates from hypertension 3 times as high as other racial and ethnic groups.
Date of download:
4/10/2013
Copyright © The American College of Cardiology.
All rights reserved.

3. Jordan et al., Prev Chronic Diseases 2012;9

4. Health Disparities vs Health Differences
J Am Coll Cardiol. 2011;57(3): doi: /j.jacc
Figure Legend:
Health differences among diverse populations reflect multiple factors, whereas health care disparities refer to differences that are not due to access-related factors, clinical needs, patient preferences, or the appropriateness of the intervention.
Date of download:
4/10/2013
Copyright © The American College of Cardiology.
All rights reserved.

5. Figure 1. Trends in perceived leading cause of death among women.
Figure 1. Trends in perceived leading cause of death among women. Numbers are percentages. Shown are the 1997 survey (n=1000), 2000 survey (n=1004), 2003 survey (n=1024), and 2005 survey (n=1008).
Mosca L et al. Circulation 2006;113:
Copyright © American Heart Association

8. Healthcare Provider Misconceptions
J Am Coll Cardiol. 2011;57(3): doi: /j.jacc
Figure Legend:
Only one-third and <5% of surveyed cardiologists acknowledged racial and ethnic disparities in health care, generally, and among their own patients, specifically.
Date of download:
4/10/2013
Copyright © The American College of Cardiology.
All rights reserved.

9. NUTRITION and HEALTH DISPARITIES

10. WHAT CAN WE DO?

11. SOCIAL Issues Intersect With The HEALTH and WELL Being of Our Community

12. FOOD DESERTS: Community Issue of Availability
UES
BRONX

13. Healthier Food Choices
Need More of This………….
Higher Fiber – Legumes, Brown Rice
Less simple starches – white rice, processed cereals, sugary drinks
Healthier Proteins – Legumes, Fish
Low Sodium foods – fresh and less processed

14. The Mediterranean Diet

15. National Prevention Strategy Recommendations- June 2012
Ensure a strategic focus on communities at greatest risk.
Reduce disparities in access to quality health care.
Increase the capacity of the prevention workforce to identify and address disparities.
Support research to identify effective strategies to eliminate health disparities.
Standardize and collect data to better identify and address disparities.

16. Interventions Needed in Our Community

17. Education on Healthy Food Choices
– Montefiore School Health Program
Montefiore Bronx Nutrition and Fitness Initiative for Teens (B'N Fit) Program
Pasos Saludables:

18. EDUCATION Reading Nutrition Labels Servings per Container
Total Calories
Fat Calories
Sodium Content

20. Increase accessibility to Healthier Foods
NYC “Healthy Bodegas Initiative”
Local Farmer’s Markets:
Black Urban Growers

23. Increase safe, open spaces for an active lifestyle
Shape Up NYC
Encourage recreation for exercise with family and friends or in groups

24. Active Lifestyle Encourage Physical Education in Schools
Activities after school
Increase availability of open spaces for the community
Encourage activity with friends/family

25. RESOURCES www.HealthCare.gov/prevention/nphpphc/index.html