Equity / Social Justice in Health+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Health Disparities and Inequities Framework for Health Equity -- "The Framework for Health Equity developed by the Bay Area Regional Health Inequities Initiative (BARHII), helps explain how health happens and what we need to do to ensure health happens for everyone." (scroll down on pages for explanatory diagram/graphic) CDC Health Inequities Report 2013 CDC and its partners work to identify and address the factors that lead to health disparities among racial, ethnic, geographic, socioeconomic, and other groups so that barriers to health equity can be removed. Data Widget for Disparities in Leading Indicators of Health, as per Healthy People 2020 Smoking, infant mortality, obesity, suicide, etc. Action Plan to Reduce Racial and Ethnic Health Disparities: Implementation Progress Report 2011-2014 US Dept. of Health and Human Services. "This report outlines the HHS Disparities Action Plan’s goals and strategies, describes a sample of the specific actions being taken across HHS agencies to reduce these disparities, and highlights major accomplishments to date." World Health Organization Report on Social Determinants of Health Social justice is a matter of life and death. It affects the way people live, their consequent chance of illness, and their risk of premature death. Report Card on Racial and Ethnic Disparities, 2014, Multnomah County (OR). Meeting basic needs, such as having adequate food, clothing, and shelter, is essential to maintaining health. What Healthcare Consumers Need to Know about Racial and Ethnic Disparities in Healthcare. 2002, National Academy of Sciences. "Wide-ranging strategies need to be aimed at state and federal health policy, policies and practices of health systems, and training of health care providers." Racism Harms Health, Harvard study, 1996. "[S]elf-reported racial discrimination is just as harmful as any of the commonly named “lifestyle” culprits: lack of exercise, smoking, a high-fat or high-salt diet." TRAINING: Roots of Health Inequity This course provides an online learning environment from which to explore root causes of inequity in the distribution of disease, illness, and death.... It seeks to ground participants in the concepts and strategies that could lead to effective action. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Disease Unnatural Causes - PBS documentary on health disparities, related to race, income and geographic area Minority Populations Profiles - US Dept. of Health and Human Services, Office of Minority Health. These profiles provide detailed demographic, language fluency (where relevant), education, economic, insurance coverage and health status information, as well as full census reports. Native Hawaiian & Pacific Islanders /// American Indian & Alaska Native /// Asian American /// Hispanic/Latino /// Black/African American Health Care Fact Sheet - Health Disparities - NAACP, 2016 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Healthy Sexuality Advancing Social Justice in the Sex Ed Classroom -- understand the necessity of working from an anti-oppressive lens to address the historical context of the RJ movement Native Wellness Institute - Healthy Sexuality Curriculum Native STAND Curriculum: Native STAND is a peer education curriculum for healthy decision making for Native youth. It is based on STAND (Students Together Against Negative Decisions) a curriculum that was developed for rural youth in the southern U.S. Native STAND was developed by a workgroup of leaders in the areas of reproductive health, sexually transmitted disease (STD), HIV/AIDS, youth development, curriculum development, evaluation, and Native American health issues. HEART Let's Talk about Sex (education) - A Guide to Effective Programming for Muslim Youth How can we convey information about sexual and reproductive health to American Muslim women and girls in a manner that is mindful of religious and cultural values and attitudes and also advocates the medical and scientific understandings established and widely accepted today? Medical Schools Neglect Gay and Gender Issues, NY Times, 2011. "While nearly all the students were learning to ask patients about the gender of their sexual partners, a majority of medical schools devoted only five hours to teaching anything more than that simple question." Liberating Black Lives through Reproductive Justice, Renee Bracey Shermann, HuffPost, 2016. "We are forced to make decisions about our families, often not always based on our hopes and visions for the future, but on the money in our pocket and whether we have access to competent healthcare." We Are BRAVE Toolkit -- A manual for organizations of color to champion abortion coverage and reproductive justice. This Book Gives Native Girls Tools to Seek Help after Being Raped -- In response to this crisis, the Native American Women’s Health Education Resource Center created a handbook for Native girls to support them in cases of sexual assault. Indigenous Languages Recognize Gender States Not Even Named in English -- "...in many indigenous cultures, gender neutrality was commonplace and only interrupted at contact with Europeans." STD Health Equity - Fact sheets, data and explanation by CDC. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Nutrition & Healthy Eating Nourishing Native Foods and Health -- To increase access to healthy food, we support tribes and Native communities as they build sustainable food systems that improve health, strengthen food security and increase the control over Native agriculture and food systems. African Heritage and Health -- Resources include information on African Diasporan Cultures, Setting Up Your Kitchen, African Heritage foods, shopping list, and food glossary, and the Advisory Committee made up of experts on African descendent health and history. Dietary Quality among Latinos: Is Acculturation Making Us Sick? NIH, 2010. "...it was suggested that dietary quality among Latino children may be compromised as they assimilate more into the USA ‘mainstream’ culture." Food Justice: A Vision Deeper than the Problem - 2015. Anim Steel is the Executive Director and co-founder of the Real Food Challenge, a campaign to re-direct $1 billion of college food purchases towards local, fair, and sustainable sources within 10 years. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Fitness & Physical Activity Addressing Nutrition, Overweight and Obesity Among Latino Youth Salud, 2011. "Intensive, multi-component, culturally relevant, school-based interventions that integrate nutrition, physical activity, behavior change and social marketing can improve healthy eating and promote weight loss in Latino youth." BlackDoctor.org Fitness - BlackDoctor.org is the world’s largest and most comprehensive online health resource specifically targeted to African Americans. Guided by the leading physicians, BlackDoctor.org provides essential, but difficult to find, health resources for you and your family, including free referrals to the top Black physicians and health articles that focus on both culturally accurate content and general health topics. Native American Fitness Council - NAFC empowers Native Americans — youth, adults, and elders — to improve their fitness through a variety of cutting-edge programs. Circle of Wellness, Bringing Health and Hope to Native Communities - Divided into quadrants, the wheel symbolizes many things: the four directions, the four seasons, the four stages of life (infancy, childhood, adulthood and old age) and the four aspects of wellness (physical, emotional, mental and spiritual). The wheel reflects a way of life that in past times epitomized what the Western world now refers to as “mind-body-spirit wellness.” N7 Fund, by Nike -- The N7 Fund is committed to inspiring and enabling participation in sport for Native American and Aboriginal populations in North America. ...Involvement in sports and physical activity leads to greater self-confidence, enabling youth to be a force for positive change in their communities. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Mental Health PTSD Raises Risk of Heart Attack and Stroke in Women 2015. Ex. "60% higher rates of having a heart attack or stroke compared with women who never experienced trauma." Transgender Youth at Risk for Depression, Suicide 2015. Ex. "transgender youth were found to have an elevated risk of being diagnosed with depression (50.6% vs. 20.6%)" Behavioral Health and Tribal Communities -- SAMHSA, 2011. Mission: To reduce the impact of substance abuse and mental illness on America’s communities. Racism Shapes African-American Women's Views on Depression Care -- Study of African-American women living in Portland, Ore., reveals racism, expectation to be a 'strong black woman' are significant obstacles to depression care CDC "Culture Insights: Communicating with ________" Latinos / Hispanics /// + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Environmental & Community Health 1st National People of Color Leadership on Environmental Leadership Summit - 1991. "For people of color, the environment is woven into an overall framework and understanding of social, racial, and economic justice." Greenness and Mortality -- Ex. "Women living in areas with the most vegetation had a 34% lower rate of respiratory disease-related mortality and a 13% lower rate of cancer mortality compared with those with the least vegetation around their homes." Environmental Justice -- EPA "Environmental Justice is the fair treatment and meaningful involvement of all people regardless of race, color, national origin, or income, with respect to the development, implementation, and enforcement of environmental laws, regulations, and policies." Community Voices -- Videos from the EPA. These videos feature federal and local government officials, non-profit leaders, and students who tell stories about the lessons that they have learned over their time working on environmental justice. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Preventing Violence Asian Pacific Institute on Gender Based Violence - The problem of domestic violence manifests differently across communities: prevalence and incidence rates, attitudes to domestic violence and help-seeking, culturally rooted types of abuses, and traditional norms for women and men, vary. Action Partnership on Interventions for Black Children Exposed to Violence and Victimization - Children and youth in the United States experience an alarming rate of exposure to violence and victimization from all the crimes that affect adults—from property crimes to homicide—plus child abuse and neglect. Compared with other segments of the population, victimization rates for African American children and youth are even higher. Intimate Partner Violence CDC - Tribal Resource Mapping Project - American Indians and Alaska Natives (AI/AN) have the highest crime victimization rates in the nation but often have difficulty connecting with the services that exist to help them recover from crime and abuse. The Office for Victims of Crime of the U.S. Department of Justice has funded the National Center for Victims of Crime, National Congress of American Indians, and Tribal Law and Policy Institute to create a web-based resource mapping tool. Violence and Latino Youth: Prevention and Methodological Issues -- This paper presents an overview of the scope of homicide and intentional injuries in Latino communities, reviews risk factors for intentional injuries, and discusses the implications of ethnic-specific factors for violence prevention and research efforts. + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Traditional Cultural Practices / Non-Western Practices / beliefs Hispanic Latino Insights, CDC, 2010. "The meaning of health varies among Hispanics. Some maintain that health results from good luck or is a reward for good behavior (Spector, 1996). Illnesses are thought to have either natural or supernatural causes. Some common folk illnesses, causes, and remedies include:..." Asian American Pacific Islander Medical Traditions - Asian medical tradition centers on a belief in the interconnectedness of the mind, body, and spirit and the need for balance and a holistic approach to the treatment of illness.
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