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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.

Blog, Health disparities, Health equity

Deadly Discrimination

David Williams, a Harvard University professor with an expertise on the health effects of racism.

David Williams, a Harvard University professor with an expertise on the health effects of racism.

Beware of the small slights in life. Over a lifetime they add up to major loss of health, physical and mental, warns David R. Williams, a professor of public health, sociology and African and African-American studies at Harvard University.

For decades Williams has studied the connection between racism and diminished health. Recently his work percolated up in the news as he’s giving a few talks this week, at the invitation of Canadian health experts eager to close the gap between black and white populations there.

Worldwide, life expectancies are all strongly linked to socioeconomic status – job rank, income and education level. Minority populations typically end up on the lower end of the spectrum, and many nations are working to reduce those life span differences, which reach up to 20 years.

Between 1990 and 2008, the United States began making headway in its quest end the difference, with the most educated blacks gaining 6.7 years in life expectancy. But they still lag in lifespan behind their white counterparts, and Williams points to racism, or what he calls “microaggressions,” as the key hidden factor.

To quantify the effects of racism, Williams developed three statistical tools: The Major Experiences of Discrimination, Everyday Discrimination, and Heightened Vigilance scales.

Everyday discrimination, Williams found, extracts the greatest toll. Black Americans often report poor service in retail outlets or being followed as though they’ll shoplift, being passed over for important positions or promotions, and less attentive treatment from health care professionals, among countless slights. (The Tumblr site, http://microaggressions.tumblr.com, has numerous first-hand examples.)

Among the health ramifications: Greater risk of developing heart disease, depression, and premature delivery, as well as the buildup of abdominal fat, itself linked to diabetes, high blood pressure, and stroke.

Awareness starts the cure, Williams asserts. In a recent article in the (Halifax) Chronicle Herald, he advised pausing before subconsciously categorizing somebody based on the most common traits used to discriminate — race, gender and age. Instead, he suggested making a conscious effort to focus on the person as a unique individual.

1)   Harvard prof coming to HRM for talks on racism’s effect on health; The Chronicle Herald, Clare Mellor, staff reporter. February 7, 2014.

Suzanne Bohan

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