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Blog, Health disparities

Type in a ZIP code in this new atlas, and see how place shapes health

For years, Dr. Amy Kind has been keenly aware that the neighborhoods in which her patients live often hinder their recovery. She described, for example, how worries over neighborhood safety deter home health care staff from visiting some of her low-income patients to check on their recovery. In one case, that lack of follow-up care meant a 78-year-old patient with mild dementia forgot to take his antibiotics to treat his pneumonia, and was readmitted three days after leaving the hospital.

Kind, an associate professor at the University of Wisconsin School of Medicine and Public Health, also described the futility of, say, diabetes education for patients who live in substandard housing that lacks adequate refrigeration in which to store insulin. Or how some people are too embarrassed to tell their doctors that they often can’t afford to heat their homes….

To read the rest of the column, visit its original posting site at the Center for Health Journalism.

Blog, Health disparities, Health equity

Access to credit and savings plays a key role in promoting health

When Jennifer Bui, a resident of the low-income San Diego neighborhood of City Heights, turned 18, she started concentrating on her financial future.

“I was really interested in building my credit and building my financial power, in a way,” said Bui, now 19 and studying engineering and physics at Brown University in Rhode Island.

After watching her mother struggle with debt, she was determined take control of her finances. “It’s so heartbreaking to see my mom paying all of this interest,” Bui said. Her mother opened department store credit cards, but didn’t understand that the high interest rate accrues on the entire amount, if not paid in full. Occasionally she also forgot the due date, and got hit with late fees.

“It definitely stresses her out. She worries about it all the time, like how to pay them off,” Bui said.

Bui was leery of opening a credit card account, in part because of her mother’s experience. Then she learned of a new credit union in City Heights — a rare offering in an area with far more payday lenders, pawn shops and check-cashing outlets than bank branches.

It’s called Self-Help Federal Credit Union, and it opened in April 2017, largely through a $3 million loan and with $400,000 in grants from the California Endowment, the state’s largest health foundation…

To read the rest of the column, visit its original posting site at the Center for Health Journalism.

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Childhood hunger linked to violent behavior later in life

New research from the University of Texas shows that children who often go hungry have a greater risk of developing impulse control problems and engaging in violence.

Dr. Alex Piquero with University of Texas.

Dr. Alex Piquero with University of Texas.

Those who experienced frequent hunger as kids were more than twice as likely to exhibit impulsivity and injure others intentionally as adolescents and adults, according to the study, published in the International Journal of Environmental Research and Public Health. The findings were strongest among whites, Hispanics and males.

Many other studies link food insecurity to other adverse outcomes, like poor academic performance and of course health issues. But this is the first to connect it to violent behavior. It simply makes ending the reality of poor access to healthy foods – and enough of it – to all kids an imperative.

“Good nutrition is not only critical for academic success, but now we’re showing that it links to behavioral patterns. When kids start to fail in school, they start to fail in other domains of life,” said Dr. Alex Piquero, a professor of criminology at the University of Texas.

Read the full article at: http://www.eurekalert.org/pub_releases/2016-06/uota-rlc062016.php

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Study finds health drawbacks in blatantly biased communities

A new UC Berkeley study reports this about the health consequences of explicit racism:

Living in unabashedly racist communities can shorten the lives of both blacks and whites, according to new research from the University of California, Berkeley.

Researchers compared the racial biases of nearly 1.4 million people nationwide to death rates in more than 1,700 U.S. counties. Their findings suggest that blacks and, to a lesser degree, whites who reside in overtly racist communities are more prone to dying from heart disease and other circulatory diseases.

“This suggests that living in a racially hostile environment might be detrimental to both the group targeted by this bias, in this case blacks, as well as the group that harbors the bias, in this case whites,” said study lead author Jordan Leitner, a postdoctoral fellow in psychology at UC Berkeley. The findings were just published in the online edition of the journal Psychological Science.

What’s interesting is the study’s look at the toll on both races. While they’re still exploring the reasons, one idea is that whites holding more explicit racial biases bond less with others in their community, reducing the social supports that are known to lengthen lives. For blacks, the researchers are assessing whether those in communities with higher levels of racial bias experience less access to health care or may even avoid seeking it out of fear of unfair treatment. I’ll also propose one idea: Blacks too in these communities experience lower levels of social supports.

To view the study, visit:

www.eurekalert.org/pub_releases/2016-09/uoc–wrt090616.php

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ACA in Kentucky and Arkansas expands preventive and medical services

Two years after Medicaid coverage was expanded under the Affordable Care Act (ACA) in their states, the uninsured rate among low-income residents in Arkansas dropped from 42% in 2013 to 14% in 2015, and in Kentucky it dropped from 40% to 9% during the same time frame. (In comparison, in Texas, which didn’t opt to expand Medicaid coverage under ACA, the uninsured rate went from 39% to 32% during those years.) As a result, “low-income adults in Kentucky and Arkansas received more primary and preventive care, made fewer emergency department visits, and reported higher quality care and improved health compared with low-income adults in Texas,” the study stated.

To read the study, called, “Changes in Utilization and Health Among Low-Income Adults After Medicaid Expansion or Expanded Private Insurance,” Benjamin D. Sommers, Robert J. Blendon, E. John Orav, Arnold M. Epstein, JAMA Internal Medicine, online August 8, 2016, visit:

doi: 10.1001/jamainternmed.2016:4419

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Housing Demand Threatens Local Food Supply in Hudson Valley

This New York Times article describes a familiar dilemma for farming regions near booming urban areas. Marin County – immediately north of San Francisco – dealt with this threat in part by forming the Marin Agricultural Land Trust. The Trust helped keep two-thirds of the county open space and in agriculture such as ranching, dairy, wine and some crop production. (It was so successful that it recently disbanded, as its mission was accomplished.) Activists are gearing up to do the same in the Hudson River area. I’m betting they’ll have success, as people treasure that beautiful region. I visited it two years ago, and loved the local farmers markets.

Here is the first graph of the article – click the link above to read it in full:

Elizabeth Ryan, the owner of Stone Ridge Orchard. Preston Schlebusch for The New York Times

Elizabeth Ryan, the owner of Stone Ridge Orchard.
Preston Schlebusch for The New York Times

STONE RIDGE, N.Y. — Apple trees have blossomed, and soon fruit will begin emerging at Elizabeth Ryan’s orchard in the Hudson Valley. Before long, her harvest will head south to Manhattan, where Miro Uskokovic, the pastry chef at Gramercy Tavern, will use it to create an apple and carob cake, while Michael Anthony, the executive chef at the Studio Cafe inside the Whitney Museum of American Art, will turn it into an apple compote spread over pie dough and covered with a streusel.

Blog, Health, Sugar consumption

Mexico tax drives down soda purchases, as hoped

Courtesy of University of North Carolina

Courtesy of University of North Carolina

So far, only Mexico, France, the City of Berkeley and the Navajo Nation have succeeded in passing a “sin tax” on soda or junk food, despite many attempts among various governments over the years. So there has been virtually no way to know if these taxes would actually to cut soda consumption – which nutritionists say is a critical factor behind high obesity rates and all its attendant ills.

In January 2014 in Mexico, the price of sodas and other sugary drinks went up by about 10 percent due to the new tax. (It’s generated $1.3 billion in revenue since then, which the Mexican government is using for health promotion campaigns such as adding more fresh water stations in schools.)

Now a new study, from the Mexican National Institute of Public Health and the Carolina Population Center at the University of North Carolina, suggests that the tax is dampening enthusiasm for sugary drinks.

According to the study, during the first year of the tax, sugary beverage purchases dropped nearly 12 percent, compared with previous years. And, in news that uplifted health advocates, people drank more water as well. The drop was even steeper among poorer Mexicans, who bought 17 percent fewer sugary beverages in 2014.

To read the full story on NPR’s food blog, “The Salt”, visit www.npr.org/sections/thesalt/2015/06/19/415741354/mexicos-sugary-drink-tax-makes-a-dent-in-consumption-study-claims

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Study finds access to green space brings major health benefits to poor

If you’re dealing with the stress of a low-income lifestyle – not able pay all the bills, worried about job security, etc. – having access to green spaces will significantly boost your sense of well being, compared to low-income people without this access, a new study found.

The researchers compared reports of well-being among wealthy people and poorer ones in 34 countries, and found overall wide gaps in the sense of well being between rich and poor – not surprisingly. But among the poor with good access to green or recreational areas, the gap in reported satisfaction between wealthier residents shrank by 40%.

The researchers said that green space could play an important role in reducing socioeconomic health inequalities. Many advocates understand this, and are working to open more parks and recreational options in low-income areas. (One study, several decades back, found even planting more trees improves health and reports of well being.)

An article on the study, published in the American Journal of Preventive Medicine, is found here:

http://optimistworld.com/benefits-green-space-reducing-gap-rich-poor/

Blog, Health disparities

Life Expectancy in Las Vegas

Here’s the full article, by Steven Moore, which came out on March 5, 2015:

www.reviewjournal.com/trending/silver-state/here-s-how-long-you-ll-live-based-your-vegas-zip-code

Blog, Health, Health disparities

Low-crime neighborhoods promote mental health in older Latinos

This is from a new study out of the University of Illinois. It’s long known that bad neighborhoods raise stress, but this one quantifies the effect, and in terms of depression. It’s not hard to understand that staying cooped up inside, and feeling fearful leaving your house, would bring on depression. Next step, as the researcher says, is investing in neighborhoods to promote residents’ health (and for residents to start organizing to bring in these improvements):

Street

Older Latinos living in the U.S. who perceive their neighborhoods as safer and more walkable are less likely to develop severe depressive symptoms, and the effect may be long term, a new study suggests.

Researchers examined links between the onset of depressive symptoms in 570 older Latino adults and various characteristics of the Greater Los Angeles neighborhoods they lived in, including crime, the availability and quality of sidewalks, traffic safety and aesthetics.

Participants ranged in age from 60 to 90, and 351 of them screened positive for low levels of depression at the outset of the study. When participants were rescreened 12 and 24 months later, a total of 19 (5.4 percent) of those with depression showed elevated symptoms.

However, people who perceived their neighborhoods as low in criminal activity and more walkable were less likely to develop severe depression, according to lead author Rosalba Hernandez, a professor of social work at the University of Illinois.

“Many times we look at individual-level factors or things within the individual’s family that contribute to mental health, but here we’re seeing it’s beyond that – it’s the neighborhood and other macro-systems that can impact psychological well-being,” Hernandez said.

“If there are neighborhood factors that decrease depressive symptoms, how do we figure out what those factors are and make appropriate investments, so we can have individuals who are psychologically well and environments that are flourishing?”

For the full story see: http://news.illinois.edu/news/14/1208walkability_RosalbaHernandez.html

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