Apr 3, 2018, 4:00 PM, Posted by
Donald F. Schwarz
Residential segregation is a fundamental cause of health disparities. We need to take steps that will reduce health risks caused by segregation and lead to more equitable, healthier communities.
Editor’s Note: To commemorate the 50thAnniversary of the Fair Housing Act this month, we are republishing a post that originally appeared in 2016. Be sure to also check out the 2018 County Health Rankings which provide updated information on the impact of segregation as a fundamental cause of health disparities.
For some, perhaps the mere mention of segregation suggests the past, a shameful historic moment we have moved beyond. But the truth is, residential segregation, especially the separation of whites and blacks or Hispanics in the same community, continues to have lasting implications for the well-being of people of color and the health of a community.
In many U.S. counties and cities, neighborhoods with little diversity are the daily reality. When neighborhoods are segregated, so too are schools, public services, jobs and other kinds of opportunities that affect health. We know that in communities where there are more opportunities for everyone, there is better health.
The 2016 County Health Rankings released today provide a chance for every community to take a hard look at whether everyone living there has opportunity for health and well-being. The Rankings look at many interconnected factors that influence community health including education, jobs, smoking, physical inactivity and access to health care. This year, we added a new measure on residential segregation to help communities see where disparities may cluster because some neighborhoods or areas have been cut off from opportunities and investments that fuel good health.
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Mar 7, 2018, 11:00 AM, Posted by
A $1.4 million funding opportunity is available for community leaders, organizations, and researchers to help us understand the combination of factors that lead to resilient communities.
Nearly six months ago three catastrophic hurricanes devastated parts of the United States and her territories, and the lives of millions of people in America. Although they were all Category 4+ storms, the impact and aftermath have been markedly different. While the recovery is ongoing, many communities in Texas and Florida are finally returning to normal life: schools are open, transportation systems are running, and homes are being rebuilt. By stark contrast, in parts of Puerto Rico, people are still struggling to survive without clean water and electricity.
What accounts for these differences in recovery? There is plenty of conjecture: people point to the level of damage inflicted, soundness of infrastructure, the condition of the local economy, as well as institutionalized discrimination.
Disasters also come in many forms—natural disasters, to be sure, but also chronic poverty, broad lack of access to health care, and other hardships a community faces. When these adverse factors co-exist, recovery is exponentially harder.
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Feb 22, 2018, 1:00 PM, Posted by
More than 50 years after the civil rights movement, an RWJF-funded survey shows we still have a lot to do to reduce discrimination and increase health equity. Dwayne Proctor reflects on these findings and the role of stories in the search for solutions.
One of my earliest and most vivid childhood memories is watching from my bedroom window as my city burned in the riots that erupted after Dr. Martin Luther King Jr.’s assassination 50 years ago.
The next afternoon, my mother brought me to the playground at my school in Southeast Washington, D.C., which somehow was untouched. As she pushed me in a swing, she asked if I understood what had happened the day before and who Dr. King was.
“Yes,” I said. “He was working to make things better for Negroes like you.”
My mother, whose skin is several tones darker than mine, stared at me in surprise. Somehow, even at 4 years old, I had learned to observe differences in complexion.
That is particularly interesting to me now, as I eventually came to believe that “race” is a social construct.
Of course racism and discrimination exist. They are deeply embedded in America’s history and culture—but so too is the struggle against them.
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Feb 8, 2018, 2:00 PM, Posted by
Tracy Costigan, Tracy Orleans
Research suggests more sleep for teens could yield significant health and academic benefits. To achieve these benefits, schools across the nation are experimenting with later start times for middle and high schools.
“I fell asleep on the bus and usually wasn’t really awake until after first period ended,” says Andrew Schatzman, whose school day in Northern Virginia’s Fairfax County ("Fairfax") used to begin with a 6:30 a.m. pickup time. When district leaders moved the high school start time to 8:10 a.m., it made a big difference in his life. “He’s still a teenager, so nothing is easy, but now he’s ready to go,” says Andrew’s mom, Liz. “I’m awake enough to do what I have to do in first period,” adds Andrew.
Thanks to this change Andrew starts the school day rested and ready to learn, but millions of U.S. students do not share that experience.
Nearly half (46%) of the U.S. high schools that begin classes before 8 a.m. are filled with teenagers who have not received the 8+ hours of sleep that young people need. As adolescent brains develop, sleep patterns change. It’s a normal, natural occurring physiological milestone. Sleep researchers call it the development of an evening-type circadian phase preference. The rest of us call it becoming a night owl.
Regardless of the terminology, the result is the same: teenagers stay up late. They do not fall asleep sooner if school starts earlier. Instead, they get sleep-deprived.
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Feb 1, 2018, 12:38 PM, Posted by
David Adler, Ginger Zielinskie
New research shows that seniors who participate in the SNAP program are much less likely to be admitted to nursing homes and hospitals, demonstrating the power of investing in social services to reduce health care costs and improve health outcomes.
The fresh fruit, frozen vegetables and salad Karen Seabolt eats help her “do more of what I need to do to live a better life,” she says. The 66-year-old from Tulsa, Oklahoma, has diabetes and is paralyzed on her right side from a stroke.
As a diabetic, Karen needs to eat the fresh fruits and vegetables her doctors recommend, and the $15 dollars per month she gets from SNAP—the Supplemental Nutrition Assistance Program—help her do that.
“It really comes in handy towards the end of the month. You may run out of money, but you always have your SNAP benefits. They’re for food only, so you’re not tempted to do without medicine to get food,” she told us.
SNAP benefits go far beyond a healthy meal. We now know that they can be a critical link to lower health care costs and better health for millions of seniors like Karen. A new study suggests—for the first time—that accessing SNAP benefits helps keep low-income seniors out of nursing homes and reduces hospital admissions.
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Jan 12, 2018, 9:00 AM, Posted by
We’re seeking new change leaders that embody these important qualities to help us build a healthier nation. If you share these values, consider applying for one of our leadership programs.
My change leadership journey was ignited by a spark of dissatisfaction when I was about 7 or 8 years old, growing up on the small island of Dominica. I walked into a doctor’s office with my mother, brother, and younger sister. My mother called the doctor from the phone in the lobby, and in minutes, we were whisked right into the consulting room, bypassing about two dozen other patients who looked tired and sick.
I imagined that these other families had driven for hours in a truck on dusty, potholed roads to get to this office in Roseau. They waited hours for medical care, only to be forced to wait longer to accommodate the needs of my family. That moment, jumping that line, felt awful. Right then, I decided to become a doctor so that I could make things better for people living in poverty.
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Nov 30, 2017, 12:00 PM, Posted by
From the time of Florence Nightingale, nurses have applied a holistic approach toward treating patients within the context of their communities. Today, this approach entails promoting and practicing population health. To do so effectively, nurses need supportive educational, policy, research, and workplace environments.
My passion for public health was ignited early on in my career in nursing, serving children and families in St. Louis’ Head Start program. I quickly realized that the health of the individuals for whom I cared depended on a complex mix of factors—including personal choices, the opportunities they had available to them (or not), and the resources within their communities. And my time in St. Louis set me on a career path in nursing that has shown me just how integral a role nurses can play in the health of not just their individual patients, but the broader population.
Nurses have always played a key role in improving our nation’s health and well-being. We see people—not just at different stages of their lives, but also in all of the different places our patients live—using nursing skills and expertise to care for them in many different ways.
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