Achieving Behavioral Health Equity for Children, Families, and Communities Proceedings of a Workshop (2019) / Chapter Skim
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2 Introduction to Health Equity and Social Determinants of Health
2 Introduction to Health Equity and Social Determinants of Health
Pages 7-18
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From page 7... ...
Jones then addressed the social determinants of health, the social determinants of health equity, and the interconnection between racial inequities and disparities. SHAPING THE PUBLIC NARRATIVE THROUGH PERSONAL ACCOUNTS Deborah Klein Walker, past-president of the Global Alliance for Social Justice and Behavioral Health, introduced Emily Haozous, the University of New Mexico College of Nursing; Devin Reaves, Brotherly Love House in Philadelphia; and Christine Vining, Center for Develop ent & Dis bility m a at the University of New Mexico, to share personal accounts to frame the day.
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From page 8... ...
Haozous is a member of the Chiricahua Warm Springs Fort Sill Apache Tribe. At the University of New Mexico, 5.6 percent of undergraduate students are American Indians, a relatively high percentage when looking at the overall Native American population in the United States.
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From page 9... ...
estimated that 54,000 residents of Navajo Nation lacked access to public water systems and 24 percent of the homes were uninhabitable. "The freeze and relocation has affected our people physically and mentally," she said.
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From page 10... ...
DEFINING SOCIAL DETERMINANTS OF HEALTH AND SOCIAL DETERMINANTS OF EQUITY Keynote speaker Camara Jones emphasized the seriousness of the morning's conversation, recognizing the commitment of the forum and the Roundtable on the Promotion of Health Equity to addressing health disparities for children, families, and communities. She began by stating that racism is foundational as this country's "original sin." Jones said that when she speaks about racism, parallels should be drawn to other systems of structured inequities, including ableism, heterosexism, and economic systems that perpetuate inequities.
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From page 11... ...
Health is impacted by the conditions of people's lives, and health disparities arise through differences in underlying opportunities, exposures, and stresses that make some individuals and communities healthier or more vulnerable to illness. The Cliff Analogy Jones has developed a theory called the Cliff Analogy to describe different levels of health interventions for populations.
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From page 12... ...
Jones explained that it is these vulnerable areas of the cliff where populations are being pushed closer and closer to the edge. Jones said health disparities arise based on the three-dimensionality of the cliff.
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From page 13... ...
For example, in considering infant mortality, the ambulance is the neonatal intensive care unit; the net and trampoline are prenatal care; the fence is women, infants, and children's programs and excellent maternal nutrition. And moving people away from the cliff's edge represents educational opportunities so that young girls do not have babies and living wages that keep pregnant women from living in poverty.
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From page 14... ...
Hungry people only a few feet away but on the other side of the sign would not be able to enter, sit down, order their food, and eat. Jones explained racism structures in society through a dual reality like the open/ closed signs.
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From page 15... ...
Examples include access to power and material conditions, such as access to quality housing, educational and employment opportunities, income levels, and access to medical facilities and services -- all of which impact health. Specifically, Jones noted the disproportionate placement of toxic dumpsites or bus transfer stations in communities of color.
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From page 16... ...
She noted that this is not happenstance, and that for each marginalized, stigmatized, or oppressed population, there has been some initial historical injustice. For example, American Indians experienced forced removal of their land and a near genocide, and African Americans experienced an initial kidnapping and were subjected to slavery, all of which have had long-lasting impacts on contemporary structures and policies that have hindered opportunities for economic growth and optimal health.
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From page 17... ...
Personally mediated racism, she said, is represented, because when the gardener thinks red is more beautiful and healthy, she leaves the red flowers to grow but plucks the scrawny and scraggly blossoms off the pink flowers before they can go to seed. And when the pink seeds blow into the rich fertile soil, the gardener pulls them out before they are able to sprout, which Jones likened to anti-affirmative action efforts.
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From page 18... ...
Her solutions included the need to rectify historical injustices, provide resources according to need, and bring unrepresented voices to the table. She further emphasized taking a historical lens to provide insights into how to resolve perpetuated injustices.
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