Social risk contributes significantly to poor health. These social risks—also known as social determinants of health—include food insecurity, housing instability, transportation insecurity, financial strain, and more. But without the right terminology about social risk, doctors and other healthcare workers may struggle to identify, support, and report patient’s social needs, which can harm health and hinder research. This is particularly problematic for Latinos and others who are overburdened by social risks. This why the Gravity Project, a coalition of experts on social risk, is recommending code changes and updates to CDC National Center for Health Statistics’ International Classification of Diseases-Clinical Modification, Tenth Revision (ICD-10-CM), which provides a ...
Since the turn of the century, research has highlighted the importance of early life experiences on long-term health and social outcomes. While childhood exposure to severe or prolonged toxic stress can negatively impact the brain, body, and behavior, early interventions can increase the odds of positive health and social outcomes. That’s why, in December 2020, Dr. Nadine Burke Harris released her Roadmap for Resilience: The California Surgeon General’s Report on Adverse Childhood Experiences, Toxic Stress, and Health. Salud America! is exploring the report as part of its 11-part series on toxic stress. “The pervasive, high prevalence of [adverse childhood experiences (ACEs)] and the enormous costs of health, economic, criminal justice, and other downstream effects ...
Do you notice how much some of your neighbors are suffering? A widening socioeconomic gap, racism, and discrimination contribute to inequitable distribution of healthcare and mental and physical health disparities among Latinos and other people of color and those in poverty, especially amid COVID-19. But it doesn’t have to be this way. A cohesive culture for health equity is one where everyone works individually and as a group to ensure that each person has a fair, just opportunity for health and wealth, as well as equitable access to basic resources required for these goals. To achieve a more cohesive culture, we must help people understand and overcome the mechanisms─implicit bias, system justification, moral disengagement─they use to discriminate against people of ...
This is part of the Salud America! Achieving a Cohesive Culture for Health Equity in Latino and All Communities: A Research Review»
Research Review: Conclusions Inequality, including but not limited to income and healthcare inequality, is perpetuated by implicit racial or ethnic bias. Implicit bias influences behavior regardless of intentions and can result in unintentional bolstering of inequity.
System justification is a way in which advantaged individuals justify the status quo to help buffer stress from negative events and cope with guilt and distress associated with the existing socioeconomic order. The disadvantaged also engage in system justification, though this may be detrimental to their psychological well-being.
People living in rural areas have less access to ...
The United States is one of the world’s financial powerhouses, but COVID-19 is causing economic unrest and uncovering a growing wealth divide. In fact, half of households are experiencing monetary problems amid the COVID-19 outbreak in the nation’s four largest cities, all of which have large Latino populations—New York City (29.1% Latino), Los Angeles (48.6%), Chicago (29%), and Houston (44.8%)—according to a recent study from the Robert Wood Johnson Foundation (RWJF). These new data reveal the problem is mainly impacting Latinos and other individuals facing disadvantage, according to Dr. Robert Blendon, professor of Public Health and Political Analysis at the Harvard T.H. Chan School of Public Health. “These communities remain so vulnerable and in some serious ...
New York City is combating more than just the immediate impacts of the COVID-19's pandemic. Last week, numerous city officials—including Mayor Bill de Blasio—announced new government programs to assist residents with food insecurity. With the help of his Taskforce on Racial Inclusion & Equity, the program will be aimed at those who are suffering some of the worst impacts: People of color. "Every New Yorker should have equitable access to healthy food," said Mayor Bill de Blasio to press release. "These programs will help families get nutritious foods without having to sacrifice spending on other critical needs." Previously the New York City agencies surveyed with community members, and this feedback helped to inform the issue areas of the Taskforce's work. During the ...
As of June 2020, 14 U.S. states continued to reject Medicaid expansion, leaving many without an affordable healthcare coverage option. Then COVID-19 hit—hardest among low-income, uninsured families, particularly Latinos. In response to surging coronavirus cases, Oklahoma (11.1% Latino), the state with the second-highest uninsured rates, voted to expand Medicaid on July 1, 2020. A month later on Aug. 4, Missouri (4.4% Latino) also voted to expand Medicaid. In these two states alone, roughly 430,000 low-income adults will be eligible for Medicaid. “The American Heart Association supports expanding Medicaid because people living with low incomes are disproportionately affected by heart disease, hypertension, and stroke. Medicaid serves as the coverage backbone for the ...
Where you live matters for your health. The health of any population is determined by several factors including the physical, emotional, socioeconomic, and environmental circumstances in which they live. For U.S. Latinos, these factors can be daily challenges and cause poor health outcomes, especially for their children. As a result, Latino children have higher rates of obesity and diabetes and lower levels of physical activity than their non-Latino peers. These inequities are worsening amid the COVID-19 pandemic. These children also are at least twice as likely to be uninsured. "To help reverse these outcomes, it is important for Latino children and youth to enroll in health coverage and have access to preventive care. Children who have health coverage are shown to have ...
Eric Cooper knows what it's like to depend on public assistance programs. He grew up in a low-income family, relying on free school meals and food assistance to get enough food to eat. Today, as CEO of the San Antonio Food Bank, Cooper helps families like his. And with rising amounts of food insecurity amid the coronavirus COVID-19 pandemic, he led the Food Bank to orchestrate a whole new way of operating. An army of volunteers has stepped up to meet the needs of so many, by working in back-to-back shifts and implementing new strategies, such as drive-through pickup lines or COVID-19 preparation kits. Their efforts have garnered national acclaim and have turned a crisis into a rallying point for those who need it most. "I think all of us, as human beings find ourselves in ...
