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Affirmatively Furthering Fair Housing: A platform for health equity advocates
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Transcript of Affirmatively Furthering Fair Housing: A platform for health equity advocates
Affirma&velyFurtheringFairHousing:Apla8ormforhealthequityadvocates
JimBloyd,MPHRegionalHealthOfficer,CookCountyDepartmentofPublicHealth
ChicagoMetropolitanFairHousingConveningMay12,2017
FederalReserveBankofChicagoChicago,Illinois
WePLAN2020• HealthEquity• ChronicDisease• BehavioralHealth
www.cookcountypublichealth.org@CookCoHealth
• TheCollabora&veforHealthEquityCook
County(CHE)isasourceofleadershipandstrategicguidanceinimplemen&ngstrategiesdescribedinthisplan.www.checookcounty.org@CHECookCounty
Residential segregation by race/ethnicity and socioeconomic position
Inequalities in Resource distribution
Neighborhood physical environments Environmental exposures Food and recreational resources Built environment Aesthetic quality/natural spaces Services Quality of housing
Neighborhood social environments Safety/violence Social connections/ cohesion Local institutions Norms
Behavioral mediators
Stress
Health
Personal characteristics Material resources Psychosocial resources Biological attributes
Source: Diez Roux, A. V., & Mair, C. (2010). Neighborhoods and health. Annals of the New York Academy of Sciences, 1186(1), 125-145.
Segrega&onisassociatedwithinequi&esin…
• Prematuredeath/lifeexpectancy• Sexualhealthstatus• Violence• Asthma• Poorself-reportedhealth• Infantmortality• Diabetes• Obesity,….
AverageLifeExpectancy(2003-2007)byMedianIncomeofCensusTract/Municipality(2009),
CookCounty
73.2
78.8 79.9 79.9
87.0
65
70
75
80
85
90
Less than 25k 25k - 35k 35k - 44k 44k - 53k Greater than 53k
Life
exp
ecta
ncy
at b
irth
in y
ears
MedianIncome Source: Life expectancy calculated by the VCU Center on Human Needs from 2003-2007 data provided by Cook County Health Department: Median Income from 2009 Geolytics Premium Estimates.
13.8Years
8.2 7.17.1
5
ReducingtheBlack-WhiteInfantmortalitygap(BrownSpeights2017)
• 4,080BlackinfantlivessavedifBlackIMR=WhiteIMR
• IL17thof35statesinreducingBlackIMR1999-2013
• IL34thof35statesinequitableimprovementofIMratedispari&es1999-2013
• YearILwouldachieveIMrateequalityoncurrenttrend:2030
Racialsegrega&onexposespoorBlackchildrentohighpovertyneighborhoodsbutnotpoorwhitechildrenDivesitydata.org“ChildrenLeeBehind:HowMetropolitanAreasAreFailingAmerica’sChildrenChartbook”
Racialsegrega&onexposesmorepoorLa&nochildrentohighpovertyneighborhoodsbutnotpoorwhitechildrenDivesitydata.org“ChildrenLeeBehind:HowMetropolitanAreasAreFailingAmerica’sChildrenChartbook”
MostBlackchildreninCookCountyliveinneighborhoodsofVeryLowChildOpportunity
54%
28%
10%5% 4%2%
10%
22%26%
39%
-10%
0%
10%
20%
30%
40%
50%
60%
VeryLow Low Moderate High Veryhigh
Black White Linear(Black) Linear(White)
MostLa&nochildreninCookCountyliveinneighborhoodsofLow/VeryLowChildOpportunity
32%36%
19%
8%5%
2%
10%
22%26%
39%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
VeryLow Low Moderate High Veryhigh
Hipanic/La&no White Linear(Hipanic/La&no) Linear(White)
“InmetropolitanChicago,BlacksandLa&nospayrela&velymore,intermsofhousingandtransporta&oncosts,toliveinneighborhoodswithopportuni&esforchildren.”Source:Diversitydatakids.orghjp://www.arcgis.com/apps/MapSeries/index.html?appid=13492fdd497c47a4bd14883ee78151e5
Neighborhoodopportunitylevels&costlevelsbyrace
Source:Diversitydatakids.orghjp://www.arcgis.com/apps/MapSeries/index.html?appid=13492fdd497c47a4bd14883ee78151e5
“Byfailingtocurbdiscrimina&onthatitsowndatadisclosed,theFederalReserveviolatedAfricanAmericans’legalandcons&tu&onalrights.”
Rothstein,R.(2017)p.111
References• Bassej,M.(2016).Publichealthmeetsthe"problemofthecolorline"speechbydr.Marybassej.Retrievedfromhjp://www.huffingtonpost.com/
entry/racism-as-cause-of-poor-health_us_581a1376e4b01a82df6406d6• BrownSpeights,J.S.(2017).State-levelprogressinreducingtheblack-whiteinfantmortalitygap.AmericanJournalofPublicHealth,107(5),775-782.• Buffardi,A.L.,Thomas,K.K.,Holmes,K.K.,&Manhart,L.E.(2008).Movingupstream:Ecosocialandpsychosocialcorrelatesofsexuallytransmijed
infec&onsamongyoungadultsintheunitedstates.AmericanJournalofPublicHealth,98(6),1128-36.doi:10.2105/AJPH.2007.120451• CookCountyDepartmentofPublicHealth.(2016a).WePLAN2020forcesofchangeassessment.CookCountyDepartmentofPublicHealth.(2016b).
WePLAN2020improvingcommunityhealthandhealthequityforsuburbancookcounty.OakForest,Illinois.• DiezRoux,A.V.,&Mair,C.(2010).Neighborhoodsandhealth.AnnalsoftheNewYorkAcademyofSciences,(1186),125-145.doi:10.1111/j.
1749-6632.2009.05333.x• diversitydata.org.(2007).ChildrenleJbehind:Howmetropolitanareasarefailingamerica'schildrenchartbook.Diversitydata.org.Retrievedfrom
hjp://diversitydata.sph.harvard.edu/Publica&ons/children_lee_behind_chartbook.pdf• Diversitydatakids.org.(2017).Thehowaffordableisopportunity?Tool.[Pamphlet]Retrievedfrom
hjp://www.diversitydatakids.org/files/Images/StoryMaps/How%20Afford%20is%20Opp%20Learn%20More_Final.pdf• Diversitydatakids.org,&KirwanIns&tute.(2014).Howtouseandinterpretthechildopporunityindexmaps.Retrievedfrom
hjp://www.diversitydatakids.org/files/CHILDOI/DOCS/DDK_KIRWAN_HOW_TO_USE_CHILDOI.pdf• Freudenberg,N.,Franzosa,E.,Chisholm,J.,&Libman,K.(2015).Newapproachesformovingupstream:Howstateandlocalhealthdepartmentscan
transformprac&cetoreducehealthinequi&es.HealthEducaQon&Behavior,42(1S),46S-56S.doi:10.1177/1090198114568304Himmelman,A.T.,• Berkowitz,B.,Christens,B.D.,Bujerfoss,F.D.,Lee,K.S.,Bowen,L.,...Francisco,V.T.(2017).Collabora&ngforequityandjus&ce:Movingbeyond
collec&veimpact.NonProfitQuarterly.Retrievedfromhjps://nonprofitquarterly.org/2017/01/09/collabora&ng-equity-jus&ce-moving-beyond-collec&ve-impact/?utm_source=Daily+Newswire&utm_campaign=bd6ae96ea8-EMAIL_CAMPAIGN_2017_01_09&utm_medium=email&utm_term=0_94063a1d17-bd6ae96ea8-12567505
References• Jones,K.(2016).Asthmaandinjus&ceonchicago'ssoutheastside.HealthAffairs,35(5),928-931.doi:10.1377/hlthaff.
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ofconsequence.AmericanJournalofPublicHealth,106(5),832-3.doi:10.2105/AJPH.2016.303100• McElwee,S.(2016).Howchicago'swhitedonorclassdistortscitypolicy.Retrievedfromhjp://www.demos.org/
publica&on/how-chicagos-white-donor-class-distorts-city-policy• NACCHO.(2016).Healthinequity:Achargeforpublichealth.Washington,DC:Na&onalAssocia&onofCountyandCity
HealthOfficials.• Na&onalResearchCouncilandIns&tuteofMedicine,Woolf,S.,&Aron,L.(2013).U.S.HealthininternaQonalperspecQve:
Shorterlives,poorerhealth.Washington,DC:TheNa&onalAcademiesPress.Retrievedfromhjp://www.nap.edu/openbook.php?record_id=13497
• Rothstein,R.(2017).Thecoloroflaw:Aforgo\enhistoryofhowourgovernmentsegregatedamerica.NewYork:LiverightPublishingCorp
• Rothstein,R.(2012).ACOMMENTONBANKOFAMERICA/COUNTRYWIDE’SDISCRIMINATORYMORTGAGELENDINGANDITSIMPLICATIONSFORRACIALSEGREGATION.EPIBriefingPaper.
• Sampson,R.J.,Morenoff,J.D.,&Raudenbush,S.(2005).Socialanatomyofracialandethnicdispari&esinviolence.AmericanJournalofPublicHealth,95(2),224-32
• Smedley,B.(2012).Thelivedexperienceofraceanditshealthconsequences.AmericanJournalofPublicHealth,102(5),933-935.doi:10.2105/AJPH.2011.300643
• Smedley,B.,&Tegeler,P.(2016)."Affirma&velyfurtheringfairhousing":Apla8ormforpublichealthadvocates.AmericanJournalofPublicHealth,106(6),1013-1014.doi:10.2105/AJPH.2016.303175
ThankyouJimBloyd,MPHRegionalHealthOfficerCookCountyDepartmentofPublicHealth15900S.CiceroAvenueOakForest,[email protected]