a public health framework for reducing health inequities
Post on 24-Feb-2016
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A Public Health Framework for Reducing Health Inequities
Sandi Gálvez, MSWExecutive Director
To transform public health practice for the purpose of eliminating health inequities using a broad spectrum of approaches that create healthy communities.
MISSION STATEMENT
MORTALITY
Infant MortalityLife Expectancy
DISEASE & INJURY
Communicable DiseaseChronic DiseaseInjury (Intentional & Unintentional)
RISK BEHAVIORS
SmokingPoor NutritionLow Physical ActivitySexual BehaviorViolenceAlcohol & Other Drugs
CURRENT PUBLIC HEALTH PRACTICE
?
All Green AreasHigh school grads: 92%
Unemployment: 6%Poverty: 7%
Home ownership: 65%Non-White: 58%
All Yellow AreasHigh school grads: 87%
Unemployment: 8%Poverty: 10%
Home ownership: 55%Non-White: 63%
All Red AreasHigh school grads: 74%
Unemployment: 12%Poverty: 21%
Home ownership: 35%Non-White: 82%
Health Inequities in the Bay Area
MORTALITY
Infant MortalityLife Expectancy
DISEASE & INJURY
Communicable DiseaseChronic DiseaseInjury (Intentional & Unintentional)
RISK BEHAVIORS
SmokingPoor NutritionLow Physical ActivitySexual BehaviorViolenceAlcohol & Other Drugs
CURRENT PUBLIC HEALTH PRACTICE
?LIVING CONDITIONS
Physical EnvironmentSocial EnvironmentEconomic & Work EnvironmentServices Environment
The Neighborhood Context
MORTALITY
Infant MortalityLife Expectancy
DISEASE & INJURY
Communicable DiseaseChronic DiseaseInjury (Intentional & Unintentional)
RISK BEHAVIORS
SmokingPoor nutrition Low Physical ActivitySexual BehaviorViolenceAlcohol and other drugs
INSTITUTIONAL POWER
Corporations & BusinessesGovernment AgenciesSchoolsLaws & RegulationsNot-for-Profit Organizations
CURRENT PUBLIC HEALTH PRACTICE
LIVING CONDITIONS
Physical EnvironmentSocial EnvironmentEconomic & Work EnvironmentService Environment
“It is necessary that properties shall continue to be occupied by the same
social and racial groups”- Federal Housing Administration Underwriting Manual (1938),
in recommending racially restrictive covenants
MORTALITY
Infant MortalityLife Expectancy
DISEASE & INJURY
Communicable DiseaseChronic DiseaseInjury (Intentional & Unintentional)
RISK BEHAVIORS
SmokingPoor NutritionLow Physical ActivitySexual BehaviorViolenceAlcohol & Other Drugs
INSTITUTIONAL POWER
Corporations & BusinessesGovernment AgenciesSchoolsLaws & RegulationsNot-for-Profit Organizations
CURRENT PUBLIC HEALTH PRACTICE
LIVING CONDITIONS
Physical EnvironmentSocial EnvironmentEconomic & Work EnvironmentService Environment
EMERGING PUBLIC HEALTH PRACTICE
SOCIAL INEQUITIES
ClassRace/EthnicityImmigration StatusGenderSexual Orientation
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