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Reach him at jraff@kqed.org","avatar":"https://secure.gravatar.com/avatar/1444299e18b67b815fbbdc87a85e7dff?s=600&d=blank&r=g","twitter":null,"facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["subscriber"]},{"site":"stateofhealth","roles":["subscriber"]}],"headData":{"title":"Jeremy Raff | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/1444299e18b67b815fbbdc87a85e7dff?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/1444299e18b67b815fbbdc87a85e7dff?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/jeremyraff"},"lisaaliferis":{"type":"authors","id":"240","meta":{"index":"authors_1591205172","id":"240","found":true},"name":"Lisa Aliferis","firstName":"Lisa","lastName":"Aliferis","slug":"lisaaliferis","email":"laliferis@kqed.org","display_author_email":false,"staff_mastheads":[],"title":null,"bio":"Lisa Aliferis is the founding editor of KQED's \u003cem>State of Health\u003c/em> blog. Since 2011, she's been writing and editing stories for the site. Before taking up blogging, she toiled for many years (more than we can count) producing health stories for television, including\u003cem> Dateline NBC\u003c/em> and San Francisco's CBS affiliate, KPIX-TV. She also wrote up a \u003ca title=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\">handy guide to the Affordable Care Act\u003c/a>, especially for Californians. Her work has been honored for many awards. Most recently she was a finalist for \"Best Topical Reporting\" from the Online News Association. You can follow her on Twitter: \u003ca title=\"https://twitter.com/laliferis\" href=\"https://twitter.com/laliferis\">@laliferis\u003c/a>","avatar":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g","twitter":"laliferis","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["subscriber"]},{"site":"futureofyou","roles":["subscriber"]},{"site":"stateofhealth","roles":["subscriber"]},{"site":"science","roles":["subscriber"]},{"site":"food","roles":["contributor"]}],"headData":{"title":"Lisa Aliferis | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lisaaliferis"},"state-of-health":{"type":"authors","id":"8344","meta":{"index":"authors_1591205172","id":"8344","found":true},"name":"State of Health","firstName":"State of Health","lastName":null,"slug":"state-of-health","email":"stateofhealth@kqed.org","display_author_email":false,"staff_mastheads":[],"title":null,"bio":null,"avatar":"https://secure.gravatar.com/avatar/66de4bf6d331fa7402bba1ffe8135e17?s=600&d=blank&r=g","twitter":null,"facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"stateofhealth","roles":["editor"]}],"headData":{"title":"State of Health | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/66de4bf6d331fa7402bba1ffe8135e17?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/66de4bf6d331fa7402bba1ffe8135e17?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/state-of-health"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"home","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"stateofhealth_48740":{"type":"posts","id":"stateofhealth_48740","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"48740","score":null,"sort":[1437161212000]},"guestAuthors":[],"slug":"that-34-million-gift-to-oakland-includes-millions-for-school-health-centers-early-ed","title":"That $34 Million Gift to Oakland Includes Millions for School Health Centers, Early Ed","publishDate":1437161212,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>An anonymous donor seeking to improve Oakland is investing in education. Nearly a quarter of the donor’s \u003ca class=\"external\" href=\"http://sff.org/the-san-francisco-foundation-makes-34-million-investment-in-oakland/\" target=\"_blank\">$34 million gift\u003c/a> made this week to city organizations is targeted to school health centers, discipline reform in schools, and early education teacher training and materials.\u003c/p>\n\u003cp>The donor reportedly cold-called the San Francisco Foundation earlier this year to float the idea of the gift and to ask Fred Blackwell, chief executive of the philanthropic foundation, to help disperse the funds. The focus of the grants is on “scaling proven solutions” to academic and economic obstacles faced by Oakland residents, according to a \u003ca class=\"external\" href=\"http://sff.org/the-san-francisco-foundation-makes-34-million-investment-in-oakland/\" target=\"_blank\">news release\u003c/a> from the foundation, which donates grant money to nonprofits throughout the Bay Area.\u003c/p>\n\u003cp>The upshot is an $8 million gift to Oakland schools for what the foundation described as “a preK-12 system of support.” The donor requested that the money be put to work this summer.\u003c/p>\n\u003cp>“We have a chance to have a very direct, immediate and positive impact on Oakland schools and families starting this school year and continuing for quite some time,” said Troy Flint, spokesman for the Oakland Unified School District.\u003c/p>\n\u003cp>The California School-Based Health Alliance, a statewide organization, received \u003ca class=\"external\" href=\"https://www.schoolhealthcenters.org/news/oakland-trauma-project/\" target=\"_blank\">$2 million\u003c/a> to support trauma-informed care in \u003ca class=\"external\" href=\"https://www.schoolhealthcenters.org/news/oakland-trauma-project/\" target=\"_blank\">15 school-based health centers\u003c/a> in Oakland, including centers at Oakland Technical High School, Elmhurst/Alliance Middle School and Castlemont High School.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The work will include schoolwide screenings, support groups and support for teachers to help students cope with the effects of severe trauma, according to the Alliance.\u003c/p>\n\u003cp>The Oakland Public Education Fund, the district’s fundraising and grant management arm, received $6 million to fund early childhood education teacher training, \u003ca class=\"external\" href=\"http://www.ousd.org/restorativejustice\" target=\"_blank\">restorative justice\u003c/a> programs, the expansion of the African American Student Achievement program, and community school coordinators.\u003c/p>\n\u003cp>According to the San Francisco Foundation and Oakland Unified, the funding means that:\u003c/p>\n\u003cul>\n\u003cli>15 middle and high schools will gain new clinic staff and programs dedicated to addressing the impact of trauma;\u003c/li>\n\u003cli>Eight schools will launch restorative justice programs to reduce suspensions and expulsions;\u003c/li>\n\u003cli>14 schools will have a full-service \u003ca class=\"external\" href=\"http://www.communityschools.org/aboutschools/what_is_a_community_school.aspx\" target=\"_blank\">community schools\u003c/a> coordinator;\u003c/li>\n\u003cli>An African American Female Achievement program will be created to complement the existing \u003ca class=\"external\" href=\"http://www.ousd.org/domain/78\" target=\"_blank\">African American Male Achievement\u003c/a> program, which works to improve academic performance and graduation rates of African American boys, and\u003c/li>\n\u003cli>All early childhood classrooms will receive teacher training, new curriculum and literacy materials\u003c/li>\n\u003c/ul>\n\u003cp>Oakland schools also will benefit indirectly from the donor’s new grants to nonprofit organizations that serve youth, Flint said. Those grants include $1.3 million to the \u003ca class=\"external\" href=\"http://www.destinyarts.org/\" target=\"_blank\">Destiny Arts Center\u003c/a>, $1 million to the \u003ca class=\"external\" href=\"http://eoydc.org/\" target=\"_blank\">East Oakland Youth Development Center\u003c/a> and $2.5 million to \u003ca class=\"external\" href=\"http://www.youthuprising.org/home/\" target=\"_blank\">Youth Uprising\u003c/a>, a community center for health services, arts programs and education support.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca class=\"author\" href=\"http://edsource.org/author/jadams\">Jane Meredith Adams\u003c/a> covers student health and well-being for \u003ca href=\"http://edsource.org\" target=\"_blank\">EdSource\u003c/a>. \u003ca class=\"author\" href=\"mailto:jadams@edsource.org\">Email\u003c/a> her or \u003ca class=\"author external\" href=\"https://twitter.com/janeadams\" target=\"_blank\">Follow\u003c/a> her on Twitter.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"15 school-based health centers in Oakland will be hiring additional staff, as part of the grant. ","status":"publish","parent":0,"modified":1437161761,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":12,"wordCount":507},"headData":{"title":"That $34 Million Gift to Oakland Includes Millions for School Health Centers, Early Ed | KQED","description":"15 school-based health centers in Oakland will be hiring additional staff, as part of the grant. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"48740 http://ww2.kqed.org/stateofhealth/?p=48740","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/07/17/that-34-million-gift-to-oakland-includes-millions-for-school-health-centers-early-ed/","disqusTitle":"That $34 Million Gift to Oakland Includes Millions for School Health Centers, Early Ed","nprByline":"Jane Meredith Adams, EdSource Today","path":"/stateofhealth/48740/that-34-million-gift-to-oakland-includes-millions-for-school-health-centers-early-ed","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>An anonymous donor seeking to improve Oakland is investing in education. Nearly a quarter of the donor’s \u003ca class=\"external\" href=\"http://sff.org/the-san-francisco-foundation-makes-34-million-investment-in-oakland/\" target=\"_blank\">$34 million gift\u003c/a> made this week to city organizations is targeted to school health centers, discipline reform in schools, and early education teacher training and materials.\u003c/p>\n\u003cp>The donor reportedly cold-called the San Francisco Foundation earlier this year to float the idea of the gift and to ask Fred Blackwell, chief executive of the philanthropic foundation, to help disperse the funds. The focus of the grants is on “scaling proven solutions” to academic and economic obstacles faced by Oakland residents, according to a \u003ca class=\"external\" href=\"http://sff.org/the-san-francisco-foundation-makes-34-million-investment-in-oakland/\" target=\"_blank\">news release\u003c/a> from the foundation, which donates grant money to nonprofits throughout the Bay Area.\u003c/p>\n\u003cp>The upshot is an $8 million gift to Oakland schools for what the foundation described as “a preK-12 system of support.” The donor requested that the money be put to work this summer.\u003c/p>\n\u003cp>“We have a chance to have a very direct, immediate and positive impact on Oakland schools and families starting this school year and continuing for quite some time,” said Troy Flint, spokesman for the Oakland Unified School District.\u003c/p>\n\u003cp>The California School-Based Health Alliance, a statewide organization, received \u003ca class=\"external\" href=\"https://www.schoolhealthcenters.org/news/oakland-trauma-project/\" target=\"_blank\">$2 million\u003c/a> to support trauma-informed care in \u003ca class=\"external\" href=\"https://www.schoolhealthcenters.org/news/oakland-trauma-project/\" target=\"_blank\">15 school-based health centers\u003c/a> in Oakland, including centers at Oakland Technical High School, Elmhurst/Alliance Middle School and Castlemont High School.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The work will include schoolwide screenings, support groups and support for teachers to help students cope with the effects of severe trauma, according to the Alliance.\u003c/p>\n\u003cp>The Oakland Public Education Fund, the district’s fundraising and grant management arm, received $6 million to fund early childhood education teacher training, \u003ca class=\"external\" href=\"http://www.ousd.org/restorativejustice\" target=\"_blank\">restorative justice\u003c/a> programs, the expansion of the African American Student Achievement program, and community school coordinators.\u003c/p>\n\u003cp>According to the San Francisco Foundation and Oakland Unified, the funding means that:\u003c/p>\n\u003cul>\n\u003cli>15 middle and high schools will gain new clinic staff and programs dedicated to addressing the impact of trauma;\u003c/li>\n\u003cli>Eight schools will launch restorative justice programs to reduce suspensions and expulsions;\u003c/li>\n\u003cli>14 schools will have a full-service \u003ca class=\"external\" href=\"http://www.communityschools.org/aboutschools/what_is_a_community_school.aspx\" target=\"_blank\">community schools\u003c/a> coordinator;\u003c/li>\n\u003cli>An African American Female Achievement program will be created to complement the existing \u003ca class=\"external\" href=\"http://www.ousd.org/domain/78\" target=\"_blank\">African American Male Achievement\u003c/a> program, which works to improve academic performance and graduation rates of African American boys, and\u003c/li>\n\u003cli>All early childhood classrooms will receive teacher training, new curriculum and literacy materials\u003c/li>\n\u003c/ul>\n\u003cp>Oakland schools also will benefit indirectly from the donor’s new grants to nonprofit organizations that serve youth, Flint said. Those grants include $1.3 million to the \u003ca class=\"external\" href=\"http://www.destinyarts.org/\" target=\"_blank\">Destiny Arts Center\u003c/a>, $1 million to the \u003ca class=\"external\" href=\"http://eoydc.org/\" target=\"_blank\">East Oakland Youth Development Center\u003c/a> and $2.5 million to \u003ca class=\"external\" href=\"http://www.youthuprising.org/home/\" target=\"_blank\">Youth Uprising\u003c/a>, a community center for health services, arts programs and education support.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca class=\"author\" href=\"http://edsource.org/author/jadams\">Jane Meredith Adams\u003c/a> covers student health and well-being for \u003ca href=\"http://edsource.org\" target=\"_blank\">EdSource\u003c/a>. \u003ca class=\"author\" href=\"mailto:jadams@edsource.org\">Email\u003c/a> her or \u003ca class=\"author external\" href=\"https://twitter.com/janeadams\" target=\"_blank\">Follow\u003c/a> her on Twitter.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/48740/that-34-million-gift-to-oakland-includes-millions-for-school-health-centers-early-ed","authors":["byline_stateofhealth_48740"],"categories":["stateofhealth_11"],"tags":["stateofhealth_396","stateofhealth_248"],"featImg":"stateofhealth_48777","label":"stateofhealth"},"stateofhealth_24794":{"type":"posts","id":"stateofhealth_24794","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"24794","score":null,"sort":[1428076498000]},"guestAuthors":[],"slug":"treating-type-2-diabetes-with-a-dose-of-history","title":"Treating Type 2 Diabetes With A Dose Of History","publishDate":1428076498,"format":"aside","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_24795\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Erica-McMath-Photo.jpg\">\u003cimg class=\"size-large wp-image-24795\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Erica-McMath-Photo-640x427.jpg\" alt=\"San Francisco poet Erica McMath has seen the devastating effects of type-2 diabetes first hand (Jeremy Raff/KQED)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Erica Sheppard McMath has seen the devastating effects of Type 2 diabetes first hand (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>The diabetes epidemic is not abstract to Erica Sheppard McMath. As a girl, she watched her uncle deteriorate each time she saw him at family events. His eyes yellowed before he went blind. Then, his foot was amputated. Finally, he died from diabetes-related complications.\u003c/p>\n\u003cp>“It’s like seeing someone literally fall apart limb by limb because of what they’re putting in their mouth,” said McMath.\u003c/p>\n\u003cp>Growing up, diabetes was everywhere. In just a few years, one aunt was blind at 32, another was on dialysis, and a 9-year-old cousin started insulin treatment.\u003cbr>\n\u003c!--more-->\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/198906613\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Her own health suffered as her home life descended into chaos. A fight with her mother’s boyfriend, who was an alcoholic, landed her in foster care at age 15.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I was dealing with the pain of living in a group home, with the pain of sexual abuse,” she says. “I dealt with my pain through food because that was the only thing that could calm me down.”\u003c/p>\n\u003cp>She gained a lot of weight, increasing her risk for developing diabetes. She knew that her source of comfort was the same thing that was killing her family members.\u003c/p>\n\u003cp>That tension became the subject of her slam poem \"Death Recipe,\" which she performed on \u003ca href=\"http://www.hbo.com/russell-simmons-presents-brave-new-voices/cast-and-crew/team-bay-area/article/untitled-by-erica-mcmath-sheppard.html#/\" target=\"_blank\">HBO's Brave New Voices in 2010.\u003c/a>\u003c/p>\n\u003cp>In it, she criticizes herself, her community, and above all, the unequal society McMath says contributed to her family's health crises. The poem begins, “We eat like we still slaves/ cause back in the days we got what whites didn’t want.”\u003c/p>\n\u003cp>She says that \"things like chitlins or pig's feet -- in slavery times you ate whatever was available to you.\"\u003c/p>\n\u003cp>McMath sees a connection to today. \"If you don’t have enough money to consider other options, your focus is just staying alive. It is a poor man’s appetite, and it’s absolutely killing us.”\u003c/p>\n\u003cp>\u003cstrong>Prescription for Diabetes: A History Lesson\u003c/strong>\u003c/p>\n\u003cp>“You cannot find a McDonald's in San Francisco, except for in communities of color,” says Zea Malawa, a pediatrician in San Francisco’s Bayview neighborhood, where \u003ca title=\"http://www.sfhip.org/index.php?module=htmlpages&func=display&pid=57\" href=\"http://www.sfhip.org/index.php?module=htmlpages&func=display&pid=57\" target=\"_blank\">life expectancy is 14 years less\u003c/a> than in a nearby affluent neighborhood.\u003c/p>\n\u003cp>She says fast food and sodas “are like the modern iteration of pig’s feet -- the garbage falling down on disenfranchised communities.”\u003c/p>\n\u003cp>This perspective, says Malawa, is an important part of her medical practice.\u003c/p>\n\u003cp>“One thing I often talk about with families around cooking is (that) this food comes from a time when we spent 10-hour days in the field in the South,\" she says. \"That makes sense when you’re burning incredible calories, but now, we’re sedentary.”\u003c/p>\n\u003cp>Malawa says she re-frames nutrition advice this way because too often in the doctor's office, “people feel patronized, like our culture is negated or wrong -- like you’re saying their grandmother did it all wrong.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"It’s important to ask, how is structural racism playing into this?\"\u003c/aside>\n\u003cp>Grandmothers weren't all wrong for expressing their culture and their love through food, says Malawa, even though an excess of those foods can contribute to obesity and diabetes.\u003c/p>\n\u003cp>Instead, she says, “it’s important to ask, how is structural racism playing into this? How is this is an all-of-us problem?”\u003c/p>\n\u003cp>Malawa says this conversation helps parents feel empowered instead of marginalized, which opens the door to healthier eating for both parents and kids.\u003c/p>\n\u003cp>\u003cstrong>Food Industry To Blame\u003c/strong>\u003c/p>\n\u003cp>McMath says that her uncle who ultimately died of diabetes complications did drink soda, but adds that, \"a factory made that soda and sold it at a very affordable price.\"\u003c/p>\n\u003cp>UCSF endocrinologist Robert Lustig puts it in more stark terms. He compares the added sugar in processed foods to alcohol and tobacco -- an addictive, disease-causing substance that needs to be regulated. \"The food industry cannot be given carte blanche. They're allowed to make money, but they're not allowed to make money by making people sick,\" \u003ca href=\"http://www.theguardian.com/lifeandstyle/2014/aug/24/robert-lustig-sugar-poison\" target=\"_blank\">Lustig told The Guardian.\u003c/a>\u003c/p>\n\u003cp>Advocates say food and soda companies aggressively market sugary drinks and unhealthy food to children of color. For example, black children and teens saw more than twice as many ads for sugary drinks and energy drinks on TV compared with white children and teens in 2013, \u003ca href=\"http://www.sugarydrinkfacts.org/resources/SugaryDrinkFACTS_Report.pdf\" target=\"_blank\">according to Yale’s Rudd Center for Food Policy and Obesity.\u003c/a>\u003c/p>\n\u003cp>\"I call it food addiction,\" said McMath, \"it's an everyday struggle.\"\u003c/p>\n\u003cp>\u003cstrong>Obligated to Do Something\u003c/strong>\u003c/p>\n\u003cp>McMath handles stress differently now and eats more fresh food. She's lost 85 pounds. She's a sociology major, and will graduate from San Francisco State University in a few months.\u003c/p>\n\u003cp>Her life is a lot better than when she wrote the poem, but she’s dismayed to see her family’s health problems reflected in the elementary school students she works with.\u003c/p>\n\u003cp>“I was eating a regular salad with tomatoes and onions, and a 7-year-old boy asked me, ‘What’s that?’ Students who have never seen an eggplant or fresh tomato turn into adults who barely know what those vegetables look like,” she says.\u003c/p>\n\u003cp>She wants to turn that frustration into action now that she’s graduating. She says that her \"goal is to focus on food and justice, to bridge this gap between the wealthy and the unwealthy.\"\u003c/p>\n\u003cp>“We’re living in this epidemic of death,\" she says. \"Death from food, homicide, mental death, incarceration. My people are passing away at numbers that are crazy, and I feel obligated to do something about it.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Watch McMath perform her poem \"Death Recipe\" in this video:\u003cbr>\n[youtube http://www.youtube.com/watch?v=Xe69WNbNS0g&w=560&h=315]\u003c/p>\n\n","blocks":[],"excerpt":"In poetry and at the doctor's office, linking diabetes to racial oppression to improve health.","status":"publish","parent":0,"modified":1430780123,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1037},"headData":{"title":"Treating Type 2 Diabetes With A Dose Of History | KQED","description":"In poetry and at the doctor's office, linking diabetes to racial oppression to improve health.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"24794 http://blogs.kqed.org/stateofhealth/?p=24794","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/04/03/treating-type-2-diabetes-with-a-dose-of-history/","disqusTitle":"Treating Type 2 Diabetes With A Dose Of History","path":"/stateofhealth/24794/treating-type-2-diabetes-with-a-dose-of-history","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_24795\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Erica-McMath-Photo.jpg\">\u003cimg class=\"size-large wp-image-24795\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Erica-McMath-Photo-640x427.jpg\" alt=\"San Francisco poet Erica McMath has seen the devastating effects of type-2 diabetes first hand (Jeremy Raff/KQED)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Erica Sheppard McMath has seen the devastating effects of Type 2 diabetes first hand (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>The diabetes epidemic is not abstract to Erica Sheppard McMath. As a girl, she watched her uncle deteriorate each time she saw him at family events. His eyes yellowed before he went blind. Then, his foot was amputated. Finally, he died from diabetes-related complications.\u003c/p>\n\u003cp>“It’s like seeing someone literally fall apart limb by limb because of what they’re putting in their mouth,” said McMath.\u003c/p>\n\u003cp>Growing up, diabetes was everywhere. In just a few years, one aunt was blind at 32, another was on dialysis, and a 9-year-old cousin started insulin treatment.\u003cbr>\n\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/198906613&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/198906613'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Her own health suffered as her home life descended into chaos. A fight with her mother’s boyfriend, who was an alcoholic, landed her in foster care at age 15.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I was dealing with the pain of living in a group home, with the pain of sexual abuse,” she says. “I dealt with my pain through food because that was the only thing that could calm me down.”\u003c/p>\n\u003cp>She gained a lot of weight, increasing her risk for developing diabetes. She knew that her source of comfort was the same thing that was killing her family members.\u003c/p>\n\u003cp>That tension became the subject of her slam poem \"Death Recipe,\" which she performed on \u003ca href=\"http://www.hbo.com/russell-simmons-presents-brave-new-voices/cast-and-crew/team-bay-area/article/untitled-by-erica-mcmath-sheppard.html#/\" target=\"_blank\">HBO's Brave New Voices in 2010.\u003c/a>\u003c/p>\n\u003cp>In it, she criticizes herself, her community, and above all, the unequal society McMath says contributed to her family's health crises. The poem begins, “We eat like we still slaves/ cause back in the days we got what whites didn’t want.”\u003c/p>\n\u003cp>She says that \"things like chitlins or pig's feet -- in slavery times you ate whatever was available to you.\"\u003c/p>\n\u003cp>McMath sees a connection to today. \"If you don’t have enough money to consider other options, your focus is just staying alive. It is a poor man’s appetite, and it’s absolutely killing us.”\u003c/p>\n\u003cp>\u003cstrong>Prescription for Diabetes: A History Lesson\u003c/strong>\u003c/p>\n\u003cp>“You cannot find a McDonald's in San Francisco, except for in communities of color,” says Zea Malawa, a pediatrician in San Francisco’s Bayview neighborhood, where \u003ca title=\"http://www.sfhip.org/index.php?module=htmlpages&func=display&pid=57\" href=\"http://www.sfhip.org/index.php?module=htmlpages&func=display&pid=57\" target=\"_blank\">life expectancy is 14 years less\u003c/a> than in a nearby affluent neighborhood.\u003c/p>\n\u003cp>She says fast food and sodas “are like the modern iteration of pig’s feet -- the garbage falling down on disenfranchised communities.”\u003c/p>\n\u003cp>This perspective, says Malawa, is an important part of her medical practice.\u003c/p>\n\u003cp>“One thing I often talk about with families around cooking is (that) this food comes from a time when we spent 10-hour days in the field in the South,\" she says. \"That makes sense when you’re burning incredible calories, but now, we’re sedentary.”\u003c/p>\n\u003cp>Malawa says she re-frames nutrition advice this way because too often in the doctor's office, “people feel patronized, like our culture is negated or wrong -- like you’re saying their grandmother did it all wrong.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"It’s important to ask, how is structural racism playing into this?\"\u003c/aside>\n\u003cp>Grandmothers weren't all wrong for expressing their culture and their love through food, says Malawa, even though an excess of those foods can contribute to obesity and diabetes.\u003c/p>\n\u003cp>Instead, she says, “it’s important to ask, how is structural racism playing into this? How is this is an all-of-us problem?”\u003c/p>\n\u003cp>Malawa says this conversation helps parents feel empowered instead of marginalized, which opens the door to healthier eating for both parents and kids.\u003c/p>\n\u003cp>\u003cstrong>Food Industry To Blame\u003c/strong>\u003c/p>\n\u003cp>McMath says that her uncle who ultimately died of diabetes complications did drink soda, but adds that, \"a factory made that soda and sold it at a very affordable price.\"\u003c/p>\n\u003cp>UCSF endocrinologist Robert Lustig puts it in more stark terms. He compares the added sugar in processed foods to alcohol and tobacco -- an addictive, disease-causing substance that needs to be regulated. \"The food industry cannot be given carte blanche. They're allowed to make money, but they're not allowed to make money by making people sick,\" \u003ca href=\"http://www.theguardian.com/lifeandstyle/2014/aug/24/robert-lustig-sugar-poison\" target=\"_blank\">Lustig told The Guardian.\u003c/a>\u003c/p>\n\u003cp>Advocates say food and soda companies aggressively market sugary drinks and unhealthy food to children of color. For example, black children and teens saw more than twice as many ads for sugary drinks and energy drinks on TV compared with white children and teens in 2013, \u003ca href=\"http://www.sugarydrinkfacts.org/resources/SugaryDrinkFACTS_Report.pdf\" target=\"_blank\">according to Yale’s Rudd Center for Food Policy and Obesity.\u003c/a>\u003c/p>\n\u003cp>\"I call it food addiction,\" said McMath, \"it's an everyday struggle.\"\u003c/p>\n\u003cp>\u003cstrong>Obligated to Do Something\u003c/strong>\u003c/p>\n\u003cp>McMath handles stress differently now and eats more fresh food. She's lost 85 pounds. She's a sociology major, and will graduate from San Francisco State University in a few months.\u003c/p>\n\u003cp>Her life is a lot better than when she wrote the poem, but she’s dismayed to see her family’s health problems reflected in the elementary school students she works with.\u003c/p>\n\u003cp>“I was eating a regular salad with tomatoes and onions, and a 7-year-old boy asked me, ‘What’s that?’ Students who have never seen an eggplant or fresh tomato turn into adults who barely know what those vegetables look like,” she says.\u003c/p>\n\u003cp>She wants to turn that frustration into action now that she’s graduating. She says that her \"goal is to focus on food and justice, to bridge this gap between the wealthy and the unwealthy.\"\u003c/p>\n\u003cp>“We’re living in this epidemic of death,\" she says. \"Death from food, homicide, mental death, incarceration. My people are passing away at numbers that are crazy, and I feel obligated to do something about it.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Watch McMath perform her poem \"Death Recipe\" in this video:\u003cbr>\n\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/Xe69WNbNS0g'\n title='//www.youtube.com/embed/Xe69WNbNS0g'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/24794/treating-type-2-diabetes-with-a-dose-of-history","authors":["230"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_248","stateofhealth_2373"],"featImg":"stateofhealth_24795","label":"stateofhealth_2363"},"stateofhealth_24111":{"type":"posts","id":"stateofhealth_24111","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"24111","score":null,"sort":[1425324174000]},"guestAuthors":[],"slug":"people-with-low-incomes-say-they-suffer-poorer-health","title":"People with Low Incomes Say They Suffer Poorer Health","publishDate":1425324174,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_24117\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Screen-Shot-2015-03-02-at-11.16.25-AM.png\">\u003cimg class=\"size-large wp-image-24117\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Screen-Shot-2015-03-02-at-11.16.25-AM-640x423.png\" alt=\"Uzuri Pease-Greene talks with two police officers in the public housing complex in San Francisco where she lives. (Talia Herman/NPR)\" width=\"640\" height=\"423\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Uzuri Pease-Greene talks with two police officers in the public housing complex in San Francisco where she lives. (Talia Herman/NPR)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Patti Neighmond,\u003c/strong> \u003ca title=\"http://www.npr.org/blogs/health/2015/03/02/389347123/people-with-low-incomes-say-they-pay-a-price-in-poor-health\" href=\"http://www.npr.org/blogs/health/2015/03/02/389347123/people-with-low-incomes-say-they-pay-a-price-in-poor-health\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>When you ask people what impacts health you'll get a lot of different answers: Access to good health care and preventative services, personal behavior, exposure to germs or pollution and stress.\u003c/p>\n\u003cp>But if you dig a little deeper you'll find a clear dividing line, and it boils down to one word: money.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"My health is deteriorating, and I know what the cause of it is, but I can't fix it.\" \u003c/aside>\n\u003cp>People whose household income is more than $75,000 a year have very different perceptions of what affects health than those whose household income is less than $25,000. This is one key finding in\u003ca href=\"http://media.npr.org/documents/2015/feb/What_Shapes_Health_Report.pdf\" target=\"_blank\"> a poll\u003c/a> conducted by NPR, the Robert Wood Johnson Foundation and the Harvard School of Public Health. \u003ca href=\"http://www.npr.org/blogs/health/2015/03/02/388994897/poll-finds-factors-large-and-small-shape-peoples-health\" target=\"_blank\">One third of respondents\u003c/a> who are low income say lack of money has a harmful effect on health.\u003c/p>\n\u003cp>This is the case for 29-year-old Anna Beer of Spokane, Wash. She lives with her husband in the basement of her father's house. Beer got laid off from her job as a nanny last summer. Now she is attending college in the hope that she will get a better than minimum-wage job when she graduates. Beer's husband earns $10 an hour working at a retail store. \"This is probably the most poor we've been,\" Beer says.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>When she was working, Beer could afford to buy fresh fruits and vegetables and chicken from the local farmer's markets. She can't afford that any more.\u003c/p>\n\u003cp>Her migraines are worse, and her health has deteriorated. It's frustrating, she says. \"I know what the cause of it is, but I can't fix it. It's hard.\"\u003c/p>\n\u003cp>One in five people in our poll say they are in a similar position — low paying jobs or unemployment harms their health. And there's research to back this up. \u003ca href=\"http://www.albany.edu/sph/24581.php\" target=\"_blank\">Kate Strully\u003c/a>, a sociologist at the University at Albany, State University of New York,\u003ca href=\"http://link.springer.com/article/10.1353/dem.0.0050\" target=\"_blank\"> studied \u003c/a>what happened when healthy people were laid off following a plant closing. She found that losing a job increased the odds of developing stress-related health conditions by 83 percent — conditions like stroke, heart disease, diabetes and emotional or psychiatric conditions.\u003c/p>\n\u003cp>Another social fact that affects health is housing. Forty percent of the low-income people in our poll say bad housing causes bad health. Uzuri Pease-Greene says this is true for her family. She rents a small two-bedroom apartment with her husband, two daughters and a grandchild in a public housing complex in San Francisco. When something breaks, she says it takes years to get it fixed. Ovens don't work, there are holes in the walls, the water doesn't work or there's a sewage backup.\u003c/p>\n\u003cp>Then there is the constant stress of the neighborhood. \"You have shootings, stabbings and break-ins,\" Pease-Greene, 49, says. \"People with their music up at all times of the night, people arguing, fighting, fussing, people using dope, being drunk.\" She worries about her 4-year-old granddaughter growing up in this environment.\u003c/p>\n\u003cp>The impact of childhood experiences on adult health is another surprising finding in our poll. More than any other factor in childhood, people say abuse and neglect contribute to poor health in adults. This is what happened to Daniel, who is 65 years old and lives in San Diego. We agreed not to use his full name because he worries about losing his job.\u003c/p>\n\u003cp>When he was about 8 years old and his sister was 4, \"I walked in to the dining room and my mother was beating my sister with a big old wooden spoon,\" he says. \"My mother's just wailing on her, telling her she's a dirty little girl and a pig.\"\u003c/p>\n\u003cp>It turned out Daniel's sister had gone across the street to the grocery store. A man touched her inappropriately and she told her mother. When he saw his sister being beaten, Daniel started crying. His stepfather said, \"I'll give you something to cry about.\" And he started \"beating the hell out of me too, so there we were — that's our Sunday — not untypical at all.\"\u003c/p>\n\u003cp>By the time he was 12 years old, Daniel says, he was smoking cigarettes and drinking alcohol. He started doing drugs after getting out of the military, all to nearly unbelievable extremes. On any given day, seven days a week, Daniel says he drank 12 to 18 beers, a half bottle of whiskey and smoked two to four packs of cigarettes a day.\u003c/p>\n\u003cp>Daniel traces his addictions to the abuse he suffered as a child. And by the time he reached his 50s, Daniel's health problems were severe. He was 60 pounds overweight; he had high blood pressure, high cholesterol, liver damage, lung damage and diabetes. But nothing was as overwhelming as the emotional burden. \"Have you ever seen a dog that's been beaten and abused?\" he says. \"You raise your hand and the dog will cower.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Daniel was finally diagnosed with \u003ca href=\"http://www.ptsd.va.gov/public/types/violence/index.asp\">PTSD\u003c/a> when he was in his mid-50s. It was a relief, he says. With the help of talk therapy he learned to manage his symptoms. He quit smoking, rarely drinks and has lost weight, exercising four times a week. And life is finally tolerable.\u003c/p>\n\n","blocks":[],"excerpt":"In NPR poll, people with household incomes below $25,000 a year say lack of cash harms their health.","status":"publish","parent":0,"modified":1429556226,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":930},"headData":{"title":"People with Low Incomes Say They Suffer Poorer Health | KQED","description":"In NPR poll, people with household incomes below $25,000 a year say lack of cash harms their health.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"24111 http://blogs.kqed.org/stateofhealth/?p=24111","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/03/02/people-with-low-incomes-say-they-suffer-poorer-health/","disqusTitle":"People with Low Incomes Say They Suffer Poorer Health","path":"/stateofhealth/24111/people-with-low-incomes-say-they-suffer-poorer-health","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_24117\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Screen-Shot-2015-03-02-at-11.16.25-AM.png\">\u003cimg class=\"size-large wp-image-24117\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/03/Screen-Shot-2015-03-02-at-11.16.25-AM-640x423.png\" alt=\"Uzuri Pease-Greene talks with two police officers in the public housing complex in San Francisco where she lives. (Talia Herman/NPR)\" width=\"640\" height=\"423\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Uzuri Pease-Greene talks with two police officers in the public housing complex in San Francisco where she lives. (Talia Herman/NPR)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Patti Neighmond,\u003c/strong> \u003ca title=\"http://www.npr.org/blogs/health/2015/03/02/389347123/people-with-low-incomes-say-they-pay-a-price-in-poor-health\" href=\"http://www.npr.org/blogs/health/2015/03/02/389347123/people-with-low-incomes-say-they-pay-a-price-in-poor-health\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>When you ask people what impacts health you'll get a lot of different answers: Access to good health care and preventative services, personal behavior, exposure to germs or pollution and stress.\u003c/p>\n\u003cp>But if you dig a little deeper you'll find a clear dividing line, and it boils down to one word: money.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"My health is deteriorating, and I know what the cause of it is, but I can't fix it.\" \u003c/aside>\n\u003cp>People whose household income is more than $75,000 a year have very different perceptions of what affects health than those whose household income is less than $25,000. This is one key finding in\u003ca href=\"http://media.npr.org/documents/2015/feb/What_Shapes_Health_Report.pdf\" target=\"_blank\"> a poll\u003c/a> conducted by NPR, the Robert Wood Johnson Foundation and the Harvard School of Public Health. \u003ca href=\"http://www.npr.org/blogs/health/2015/03/02/388994897/poll-finds-factors-large-and-small-shape-peoples-health\" target=\"_blank\">One third of respondents\u003c/a> who are low income say lack of money has a harmful effect on health.\u003c/p>\n\u003cp>This is the case for 29-year-old Anna Beer of Spokane, Wash. She lives with her husband in the basement of her father's house. Beer got laid off from her job as a nanny last summer. Now she is attending college in the hope that she will get a better than minimum-wage job when she graduates. Beer's husband earns $10 an hour working at a retail store. \"This is probably the most poor we've been,\" Beer says.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When she was working, Beer could afford to buy fresh fruits and vegetables and chicken from the local farmer's markets. She can't afford that any more.\u003c/p>\n\u003cp>Her migraines are worse, and her health has deteriorated. It's frustrating, she says. \"I know what the cause of it is, but I can't fix it. It's hard.\"\u003c/p>\n\u003cp>One in five people in our poll say they are in a similar position — low paying jobs or unemployment harms their health. And there's research to back this up. \u003ca href=\"http://www.albany.edu/sph/24581.php\" target=\"_blank\">Kate Strully\u003c/a>, a sociologist at the University at Albany, State University of New York,\u003ca href=\"http://link.springer.com/article/10.1353/dem.0.0050\" target=\"_blank\"> studied \u003c/a>what happened when healthy people were laid off following a plant closing. She found that losing a job increased the odds of developing stress-related health conditions by 83 percent — conditions like stroke, heart disease, diabetes and emotional or psychiatric conditions.\u003c/p>\n\u003cp>Another social fact that affects health is housing. Forty percent of the low-income people in our poll say bad housing causes bad health. Uzuri Pease-Greene says this is true for her family. She rents a small two-bedroom apartment with her husband, two daughters and a grandchild in a public housing complex in San Francisco. When something breaks, she says it takes years to get it fixed. Ovens don't work, there are holes in the walls, the water doesn't work or there's a sewage backup.\u003c/p>\n\u003cp>Then there is the constant stress of the neighborhood. \"You have shootings, stabbings and break-ins,\" Pease-Greene, 49, says. \"People with their music up at all times of the night, people arguing, fighting, fussing, people using dope, being drunk.\" She worries about her 4-year-old granddaughter growing up in this environment.\u003c/p>\n\u003cp>The impact of childhood experiences on adult health is another surprising finding in our poll. More than any other factor in childhood, people say abuse and neglect contribute to poor health in adults. This is what happened to Daniel, who is 65 years old and lives in San Diego. We agreed not to use his full name because he worries about losing his job.\u003c/p>\n\u003cp>When he was about 8 years old and his sister was 4, \"I walked in to the dining room and my mother was beating my sister with a big old wooden spoon,\" he says. \"My mother's just wailing on her, telling her she's a dirty little girl and a pig.\"\u003c/p>\n\u003cp>It turned out Daniel's sister had gone across the street to the grocery store. A man touched her inappropriately and she told her mother. When he saw his sister being beaten, Daniel started crying. His stepfather said, \"I'll give you something to cry about.\" And he started \"beating the hell out of me too, so there we were — that's our Sunday — not untypical at all.\"\u003c/p>\n\u003cp>By the time he was 12 years old, Daniel says, he was smoking cigarettes and drinking alcohol. He started doing drugs after getting out of the military, all to nearly unbelievable extremes. On any given day, seven days a week, Daniel says he drank 12 to 18 beers, a half bottle of whiskey and smoked two to four packs of cigarettes a day.\u003c/p>\n\u003cp>Daniel traces his addictions to the abuse he suffered as a child. And by the time he reached his 50s, Daniel's health problems were severe. He was 60 pounds overweight; he had high blood pressure, high cholesterol, liver damage, lung damage and diabetes. But nothing was as overwhelming as the emotional burden. \"Have you ever seen a dog that's been beaten and abused?\" he says. \"You raise your hand and the dog will cower.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Daniel was finally diagnosed with \u003ca href=\"http://www.ptsd.va.gov/public/types/violence/index.asp\">PTSD\u003c/a> when he was in his mid-50s. It was a relief, he says. With the help of talk therapy he learned to manage his symptoms. He quit smoking, rarely drinks and has lost weight, exercising four times a week. And life is finally tolerable.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/24111/people-with-low-incomes-say-they-suffer-poorer-health","authors":["8344"],"categories":["stateofhealth_11"],"tags":["stateofhealth_68","stateofhealth_248"],"featImg":"stateofhealth_25002","label":"stateofhealth"},"stateofhealth_13182":{"type":"posts","id":"stateofhealth_13182","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"13182","score":null,"sort":[1371066877000]},"guestAuthors":[],"slug":"in-impoverished-eastern-coachella-valley-data-brings-change","title":"In Impoverished Eastern Coachella Valley, Data Brings Change","publishDate":1371066877,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>\u003cstrong>By Lisa Morehouse\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_13183\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003cimg class=\"size-large wp-image-13183 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/06/P1030403-620x465.jpg\" alt=\"Known locally as Duroville, Desert Mobile Home Park, near Thermal, CA, is in the heart of Eastern Coachella Valley. (Lisa Morehouse/KQED)\" width=\"620\" height=\"465\">\u003cfigcaption class=\"wp-caption-text\">Desert Mobile Home Park, near Thermal, CA, in the heart of eastern Coachella Valley. (Lisa Morehouse/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>About 40 miles from the Southern California resort town of Palm Springs is an abundant agricultural region, the Eastern Coachella Valley. It’s in the middle of a desert, but because of irrigation, the land there is rich.\u003c/p>\n\u003cp>Most of the people who live there are not.\u003c/p>\n\u003cp>The economy depends on the labor of the region’s farmworkers, many of whom struggle financially. For years, this desert valley has also been known as another kind of desert: a data desert. Though many here know the area is rife with environmental hazards and social vulnerabilities like poverty and limited English-proficiency, there hasn’t been plentiful information about environmental risks, air quality, or residents’ social capital and resources. Without data identifying problems, it’s difficult to make a case for improvements.\u003c/p>\n\u003cp>But a new report released Wednesday documents the overlap of environmental and social access problems in the Eastern Coachella Valley. \u003ca href=\"http://regionalchange.ucdavis.edu/ourwork/publications/ceva-ecv/revealing-the-invisible-coachella-valley-putting-cumulative-environmental-vulnerabilities-on-the-map\" target=\"_blank\">Revealing the Invisible Coachella Valley\u003c/a> analyzes public data tracking environmental issues (including pollution, air quality, and water quality) and overlays that information with data on residents’ social and economic resources (such as poverty rates, education levels, unemployment, and health).\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The California Endowment tapped a team from U.C. Davis to collaborate with Eastern Coachella Valley community advocates to develop this report. Jonathan London, directs the U.C. Davis Center for Regional Change and led this study. He says his team met with community members who were struggling to find the best ways to gather data and to collaborate to drive change in the region. “We had the methods we’d developed doing a similar project in the \u003ca href=\"http://regionalchange.ucdavis.edu/ourwork/projects/ceva-sjv\" target=\"_blank\">San Joaquin Valley\u003c/a>,\" London said, \"so it was natural extension for us,” The study provides these community leaders with a shared playbook, “a common analysis of what the key issues are that would benefit from collective action,” which they can use in their advocacy with public agencies.\u003c/p>\n\u003cp>In rural, poor and marginalized areas, collecting data is challenging, London asserts. “Some of the publicly available data, like U.S. Census, is notoriously bad in rural communities,” often under-counting undocumented immigrants and migrant workers. “There’s also a lack of good air quality data because there aren’t enough air quality monitors in the region,” he adds.\u003c/p>\n\u003cp>Even when accurate data is collected by a public agency, London says, it’s not always analyzed, or broken down in a way the public can understand and use. This study includes \u003ca href=\"http://regionalchange.ucdavis.edu/ourwork/projects/other-files/ceva-eastern-coachella-valley-close-up\" target=\"_blank\">maps\u003c/a> which clearly delineate environmental and social problems across the valley. “We really try to show where environmental hazards are concentrated ... and where those clusters are affecting the populations with the fewest economic, political and social resources,” says London. His goal is that the information can be used to change policy. “We were able to put them in a form that community advocates can use. They can point out, ‘Here are areas of greatest concern.’”\u003c/p>\n\u003cp>It’s already happening, says community organizer Karen Borja with Inland Congregations United for Change. She says residents in the historically isolated community of North Shore suspected that lack of public transportation was a major barrier to health, income and education. They asked researchers to collect information. The numbers told a compelling story about the need for public transportation and the ability of the community to pay for it.\u003c/p>\n\u003cp>“Data showed people traveled 20 miles each way to work every day, and were paying neighbors or family members up to $285 a week to get to work, the grocer, the doctor,” Borja says. “Some college students said they couldn’t get to their institutions of higher learning because they didn’t have reliable transportation.”\u003c/p>\n\u003cp>Borja says Inland Congregations United for Change was able to leverage this information in meetings with the Riverside County Transportation Department, which secured a grant for bus service to and from the North Shore community. The service will start in September. “We weren’t just putting a face on the issue,\" Borja says. \"We were also providing numbers, and we know numbers talk. Now there will be a health benefit, a recreational benefit, an educational benefit, an economic benefit for a community that’s largely been ignored.”\u003c/p>\n\u003cp>Bringing together research science with community-based knowledge “is really powerful,” London says, adding that the under-served often feel fundamentally outside the democratic process. “That calls into question the basic legitimacy of democracy. We have to get them involved in an integral way.”\u003c/p>\n\u003cp>These are complex issues, he says, and the best available science can’t really articulate that complexity unless it’s able to make use of the local knowledge. He draws the example of a mother living in a mobile home park. “She can tell you about the education system because she’s getting her kids through it. She can tell you about the water system because she has to drive 30 miles to buy expensive water. She knows she’s living in a food desert. She sees water contamination from sewage in her driveway. She knows the labor market, the transportation network.” A researcher could try to capture that complexity using a variety of different methods, he says, “but that woman’s knowledge is so deep. There’s no alternative to getting in there and listening to people talk about their lives and struggles.”\u003c/p>\n\u003cp>This new report is an element of what London calls the “data democracy movement, making information available to people who really need it -- when government agencies can’t or won’t make the data available. “By controlling the data,” he says, “you control the story.”\u003c/p>\n\u003cp>\u003cstrong>Learn More:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.californiareport.org/archive/R201305031630/d\" target=\"_blank\">Coachelle Farmworkers Struggle for Quality Housing\u003c/a>\u003c/p>\n\n","blocks":[],"excerpt":"About 40 miles from the Southern California resort town of Palm Springs is an abundant agricultural region, the Eastern Coachella Valley. It’s in the middle of a desert, but because of irrigation, the land there is rich.\r\n\r\nMost of the people who live here are not.\r\n\r\nThe economy depends on the labor of the region’s farmworkers, many of whom struggle financially. For years, this desert valley has also been known as another kind of desert: a data desert. Though many here know the area is rife with environmental hazards and social vulnerabilities like poverty and limited English-proficiency, there hasn’t been plentiful information about environmental risks, air quality, or residents’ social capital and resources. Without data identifying problems, it’s difficult to advocate for improvements.","status":"publish","parent":0,"modified":1371102156,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":1015},"headData":{"title":"In Impoverished Eastern Coachella Valley, Data Brings Change | KQED","description":"About 40 miles from the Southern California resort town of Palm Springs is an abundant agricultural region, the Eastern Coachella Valley. It’s in the middle of a desert, but because of irrigation, the land there is rich.\r\n\r\nMost of the people who live here are not.\r\n\r\nThe economy depends on the labor of the region’s farmworkers, many of whom struggle financially. For years, this desert valley has also been known as another kind of desert: a data desert. Though many here know the area is rife with environmental hazards and social vulnerabilities like poverty and limited English-proficiency, there hasn’t been plentiful information about environmental risks, air quality, or residents’ social capital and resources. Without data identifying problems, it’s difficult to advocate for improvements.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"13182 http://blogs.kqed.org/stateofhealth/?p=13182","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/06/12/in-impoverished-eastern-coachella-valley-data-brings-change/","disqusTitle":"In Impoverished Eastern Coachella Valley, Data Brings Change","path":"/stateofhealth/13182/in-impoverished-eastern-coachella-valley-data-brings-change","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Lisa Morehouse\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_13183\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003cimg class=\"size-large wp-image-13183 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/06/P1030403-620x465.jpg\" alt=\"Known locally as Duroville, Desert Mobile Home Park, near Thermal, CA, is in the heart of Eastern Coachella Valley. (Lisa Morehouse/KQED)\" width=\"620\" height=\"465\">\u003cfigcaption class=\"wp-caption-text\">Desert Mobile Home Park, near Thermal, CA, in the heart of eastern Coachella Valley. (Lisa Morehouse/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>About 40 miles from the Southern California resort town of Palm Springs is an abundant agricultural region, the Eastern Coachella Valley. It’s in the middle of a desert, but because of irrigation, the land there is rich.\u003c/p>\n\u003cp>Most of the people who live there are not.\u003c/p>\n\u003cp>The economy depends on the labor of the region’s farmworkers, many of whom struggle financially. For years, this desert valley has also been known as another kind of desert: a data desert. Though many here know the area is rife with environmental hazards and social vulnerabilities like poverty and limited English-proficiency, there hasn’t been plentiful information about environmental risks, air quality, or residents’ social capital and resources. Without data identifying problems, it’s difficult to make a case for improvements.\u003c/p>\n\u003cp>But a new report released Wednesday documents the overlap of environmental and social access problems in the Eastern Coachella Valley. \u003ca href=\"http://regionalchange.ucdavis.edu/ourwork/publications/ceva-ecv/revealing-the-invisible-coachella-valley-putting-cumulative-environmental-vulnerabilities-on-the-map\" target=\"_blank\">Revealing the Invisible Coachella Valley\u003c/a> analyzes public data tracking environmental issues (including pollution, air quality, and water quality) and overlays that information with data on residents’ social and economic resources (such as poverty rates, education levels, unemployment, and health).\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The California Endowment tapped a team from U.C. Davis to collaborate with Eastern Coachella Valley community advocates to develop this report. Jonathan London, directs the U.C. Davis Center for Regional Change and led this study. He says his team met with community members who were struggling to find the best ways to gather data and to collaborate to drive change in the region. “We had the methods we’d developed doing a similar project in the \u003ca href=\"http://regionalchange.ucdavis.edu/ourwork/projects/ceva-sjv\" target=\"_blank\">San Joaquin Valley\u003c/a>,\" London said, \"so it was natural extension for us,” The study provides these community leaders with a shared playbook, “a common analysis of what the key issues are that would benefit from collective action,” which they can use in their advocacy with public agencies.\u003c/p>\n\u003cp>In rural, poor and marginalized areas, collecting data is challenging, London asserts. “Some of the publicly available data, like U.S. Census, is notoriously bad in rural communities,” often under-counting undocumented immigrants and migrant workers. “There’s also a lack of good air quality data because there aren’t enough air quality monitors in the region,” he adds.\u003c/p>\n\u003cp>Even when accurate data is collected by a public agency, London says, it’s not always analyzed, or broken down in a way the public can understand and use. This study includes \u003ca href=\"http://regionalchange.ucdavis.edu/ourwork/projects/other-files/ceva-eastern-coachella-valley-close-up\" target=\"_blank\">maps\u003c/a> which clearly delineate environmental and social problems across the valley. “We really try to show where environmental hazards are concentrated ... and where those clusters are affecting the populations with the fewest economic, political and social resources,” says London. His goal is that the information can be used to change policy. “We were able to put them in a form that community advocates can use. They can point out, ‘Here are areas of greatest concern.’”\u003c/p>\n\u003cp>It’s already happening, says community organizer Karen Borja with Inland Congregations United for Change. She says residents in the historically isolated community of North Shore suspected that lack of public transportation was a major barrier to health, income and education. They asked researchers to collect information. The numbers told a compelling story about the need for public transportation and the ability of the community to pay for it.\u003c/p>\n\u003cp>“Data showed people traveled 20 miles each way to work every day, and were paying neighbors or family members up to $285 a week to get to work, the grocer, the doctor,” Borja says. “Some college students said they couldn’t get to their institutions of higher learning because they didn’t have reliable transportation.”\u003c/p>\n\u003cp>Borja says Inland Congregations United for Change was able to leverage this information in meetings with the Riverside County Transportation Department, which secured a grant for bus service to and from the North Shore community. The service will start in September. “We weren’t just putting a face on the issue,\" Borja says. \"We were also providing numbers, and we know numbers talk. Now there will be a health benefit, a recreational benefit, an educational benefit, an economic benefit for a community that’s largely been ignored.”\u003c/p>\n\u003cp>Bringing together research science with community-based knowledge “is really powerful,” London says, adding that the under-served often feel fundamentally outside the democratic process. “That calls into question the basic legitimacy of democracy. We have to get them involved in an integral way.”\u003c/p>\n\u003cp>These are complex issues, he says, and the best available science can’t really articulate that complexity unless it’s able to make use of the local knowledge. He draws the example of a mother living in a mobile home park. “She can tell you about the education system because she’s getting her kids through it. She can tell you about the water system because she has to drive 30 miles to buy expensive water. She knows she’s living in a food desert. She sees water contamination from sewage in her driveway. She knows the labor market, the transportation network.” A researcher could try to capture that complexity using a variety of different methods, he says, “but that woman’s knowledge is so deep. There’s no alternative to getting in there and listening to people talk about their lives and struggles.”\u003c/p>\n\u003cp>This new report is an element of what London calls the “data democracy movement, making information available to people who really need it -- when government agencies can’t or won’t make the data available. “By controlling the data,” he says, “you control the story.”\u003c/p>\n\u003cp>\u003cstrong>Learn More:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.californiareport.org/archive/R201305031630/d\" target=\"_blank\">Coachelle Farmworkers Struggle for Quality Housing\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/13182/in-impoverished-eastern-coachella-valley-data-brings-change","authors":["240"],"categories":["stateofhealth_11"],"tags":["stateofhealth_248"],"featImg":"stateofhealth_13183","label":"stateofhealth"},"stateofhealth_12798":{"type":"posts","id":"stateofhealth_12798","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"12798","score":null,"sort":[1368729529000]},"guestAuthors":[],"slug":"alameda-county-details-how-transit-cuts-harm-health","title":"Alameda County Details How Transit Cuts Harm Health","publishDate":1368729529,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>\u003cstrong>By Rachel Dornhelm\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_12805\" class=\"wp-caption aligncenter\" style=\"max-width: 477px\">\u003cimg class=\"size-full wp-image-12805\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/91942032.jpg\" alt=\"(Getty Images)\" width=\"477\" height=\"358\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/05/91942032.jpg 477w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/91942032-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/91942032-320x240.jpg 320w\" sizes=\"(max-width: 477px) 100vw, 477px\">\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>At first glance, you might not think that cuts to public transportation might affect someone's health. But Devilla Ervin understands the impact firsthand. The 23-year-old lives in West Oakland and a few years ago worked the graveyard shift at McDonald’s.\u003c/p>\n\u003cp>“I got off work at 4 a.m. and there was no bus service,\" he describes. \"And so I was walking in my community of West Oakland, with shootings and violence, 45 minutes to an hour to get home.\"\u003c/p>\n\u003cp>Yet, in addition to the threat of violence, Ervin also described a sense of social isolation that he’s felt as a result of recent cuts to bus service in his area.\u003c/p>\n\u003cp>“It’s not good for physical and mental health,” he says. “It wasn’t good for my spiritual health too, because I couldn’t get to church. A lot of the bus cuts were around International Boulevard where my church is.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Access to public transportation is what policy types call a \"\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/04/17/smoking-or-schools-which-is-more-important-to-your-health/\" target=\"_blank\">social determinant of health\u003c/a>\" or SDOH. Health is about much more than health care, than simply seeing a doctor.\u003c/p>\n\u003cp>Now, \u003ca href=\"http://www.acphd.org/media/308930/transithia_es.pdf\" target=\"_blank\">in a new study\u003c/a>, the Alameda County Public Health Department documents the link Ervin has experienced between health and access to reliable public transportation.\u003c!--more-->\u003c/p>\n\u003cp>In the report, Getting on Board for Health, health department representatives surveyed transit-dependent riders in Alameda County. The Bay Area as a whole has experienced an 8 percent cut to bus service between 2006 and 2011.\u003c/p>\n\u003cp>“We found among the transit dependent riders we surveyed, more than 8 in 10 say they have more difficulty getting to their jobs, social activities, school or doctors office,” says study co-author Rebecca Flournoy. “And we know this is problem from public health\" studies (for example, \u003ca href=\"http://www.apha.org/NR/rdonlyres/43F10382-FB68-4112-8C75-49DCB10F8ECF/0/TransportationBrief.pdf\" target=\"_blank\">this one\u003c/a>).\u003c/p>\n\u003cp>Flournoy, the deputy director for planning policy and health equity at the Alameda County Public Health Department says the health impacts include cumulative effects of stress and social isolation, as well as missed doctors care.\u003c/p>\n\u003cp>And Devilla Ervin is not alone. There are about 2 million Bay Area residents who do not have a car and are transit dependent.\u003c/p>\n\u003cp>The survey included 477 transit-dependent riders in Alameda County. Nearly two-thirds reported longer wait times as a result of service cuts, one-third said they had longer commutes, and about one in ten said they didn’t see friends or family as frequently. About 6 percent -- mostly seniors and people with disabilities -- reported less access to health care appointments.\u003c/p>\n\u003cp>Sheela Gunn-Cushman, a member of the Disability Action Network of Hayward, is blind and relies on buses to get around. She says there’s a clear link for her between health and transit.\u003c/p>\n\u003cp>“When the buses don’t run, neither do we. That means we can’t work, play, socialize things like that. And we can’t get jobs and keep jobs and and go to doctors appointments and be human,” says Gunn-Cushman.\u003c/p>\n\u003cp>“A lot of these residents really build their daily lives around where, when and if public transportation is available,” says study co-author Flournoy.\u003c/p>\n\u003cp>While other transportation studies have explored public transit health impacts in terms of physical activity, traffic safety, and air quality this is one of the first of its kind to focus on health benefits from improving transportation access.\u003c/p>\n\u003cp>The county health agency released the report now in hopes of influencing the draft \u003ca href=\"http://www.mtc.ca.gov/planning/plan_bay_area/\" target=\"_blank\">Plan Bay Area\u003c/a> which will go before the Metropolitan Transportation Commission (MTC) for a vote in July. The long-term plan helps determine the allocation of $289 billion in regional transportation spending over the next 27 years.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>One option for the MTC's plan includes maintaining public transportation funding at current levels. The Alameda report advocates for a different option called the “Equity, Environment and Jobs” alternative. This approach would invest more funding into services, including bus transit around the region.\u003c/p>\n\n","blocks":[],"excerpt":"At first glance, you might not think that cuts to public transportation might affect someone's health. But Devilla Ervin understands the impact firsthand. The 23-year-old lives in West Oakland and a few years ago worked the graveyard shift at McDonald’s.\r\n\r\n“I got off work at 4 a.m. and there was no bus service,\" he describes. \"And so I was walking in my community of West Oakland, with shootings and violence, 45 minutes to an hour to get home.\"\r\n\r\nYet, in addition to the threat of violence, Ervin also described a sense of social isolation that he’s felt as a result of recent cuts to bus service in his area.","status":"publish","parent":0,"modified":1369081313,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":683},"headData":{"title":"Alameda County Details How Transit Cuts Harm Health | KQED","description":"At first glance, you might not think that cuts to public transportation might affect someone's health. But Devilla Ervin understands the impact firsthand. The 23-year-old lives in West Oakland and a few years ago worked the graveyard shift at McDonald’s.\r\n\r\n“I got off work at 4 a.m. and there was no bus service," he describes. "And so I was walking in my community of West Oakland, with shootings and violence, 45 minutes to an hour to get home."\r\n\r\nYet, in addition to the threat of violence, Ervin also described a sense of social isolation that he’s felt as a result of recent cuts to bus service in his area.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"12798 http://blogs.kqed.org/stateofhealth/?p=12798","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/05/16/alameda-county-details-how-transit-cuts-harm-health/","disqusTitle":"Alameda County Details How Transit Cuts Harm Health","path":"/stateofhealth/12798/alameda-county-details-how-transit-cuts-harm-health","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Rachel Dornhelm\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_12805\" class=\"wp-caption aligncenter\" style=\"max-width: 477px\">\u003cimg class=\"size-full wp-image-12805\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/91942032.jpg\" alt=\"(Getty Images)\" width=\"477\" height=\"358\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/05/91942032.jpg 477w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/91942032-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/91942032-320x240.jpg 320w\" sizes=\"(max-width: 477px) 100vw, 477px\">\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>At first glance, you might not think that cuts to public transportation might affect someone's health. But Devilla Ervin understands the impact firsthand. The 23-year-old lives in West Oakland and a few years ago worked the graveyard shift at McDonald’s.\u003c/p>\n\u003cp>“I got off work at 4 a.m. and there was no bus service,\" he describes. \"And so I was walking in my community of West Oakland, with shootings and violence, 45 minutes to an hour to get home.\"\u003c/p>\n\u003cp>Yet, in addition to the threat of violence, Ervin also described a sense of social isolation that he’s felt as a result of recent cuts to bus service in his area.\u003c/p>\n\u003cp>“It’s not good for physical and mental health,” he says. “It wasn’t good for my spiritual health too, because I couldn’t get to church. A lot of the bus cuts were around International Boulevard where my church is.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Access to public transportation is what policy types call a \"\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/04/17/smoking-or-schools-which-is-more-important-to-your-health/\" target=\"_blank\">social determinant of health\u003c/a>\" or SDOH. Health is about much more than health care, than simply seeing a doctor.\u003c/p>\n\u003cp>Now, \u003ca href=\"http://www.acphd.org/media/308930/transithia_es.pdf\" target=\"_blank\">in a new study\u003c/a>, the Alameda County Public Health Department documents the link Ervin has experienced between health and access to reliable public transportation.\u003c!--more-->\u003c/p>\n\u003cp>In the report, Getting on Board for Health, health department representatives surveyed transit-dependent riders in Alameda County. The Bay Area as a whole has experienced an 8 percent cut to bus service between 2006 and 2011.\u003c/p>\n\u003cp>“We found among the transit dependent riders we surveyed, more than 8 in 10 say they have more difficulty getting to their jobs, social activities, school or doctors office,” says study co-author Rebecca Flournoy. “And we know this is problem from public health\" studies (for example, \u003ca href=\"http://www.apha.org/NR/rdonlyres/43F10382-FB68-4112-8C75-49DCB10F8ECF/0/TransportationBrief.pdf\" target=\"_blank\">this one\u003c/a>).\u003c/p>\n\u003cp>Flournoy, the deputy director for planning policy and health equity at the Alameda County Public Health Department says the health impacts include cumulative effects of stress and social isolation, as well as missed doctors care.\u003c/p>\n\u003cp>And Devilla Ervin is not alone. There are about 2 million Bay Area residents who do not have a car and are transit dependent.\u003c/p>\n\u003cp>The survey included 477 transit-dependent riders in Alameda County. Nearly two-thirds reported longer wait times as a result of service cuts, one-third said they had longer commutes, and about one in ten said they didn’t see friends or family as frequently. About 6 percent -- mostly seniors and people with disabilities -- reported less access to health care appointments.\u003c/p>\n\u003cp>Sheela Gunn-Cushman, a member of the Disability Action Network of Hayward, is blind and relies on buses to get around. She says there’s a clear link for her between health and transit.\u003c/p>\n\u003cp>“When the buses don’t run, neither do we. That means we can’t work, play, socialize things like that. And we can’t get jobs and keep jobs and and go to doctors appointments and be human,” says Gunn-Cushman.\u003c/p>\n\u003cp>“A lot of these residents really build their daily lives around where, when and if public transportation is available,” says study co-author Flournoy.\u003c/p>\n\u003cp>While other transportation studies have explored public transit health impacts in terms of physical activity, traffic safety, and air quality this is one of the first of its kind to focus on health benefits from improving transportation access.\u003c/p>\n\u003cp>The county health agency released the report now in hopes of influencing the draft \u003ca href=\"http://www.mtc.ca.gov/planning/plan_bay_area/\" target=\"_blank\">Plan Bay Area\u003c/a> which will go before the Metropolitan Transportation Commission (MTC) for a vote in July. The long-term plan helps determine the allocation of $289 billion in regional transportation spending over the next 27 years.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>One option for the MTC's plan includes maintaining public transportation funding at current levels. The Alameda report advocates for a different option called the “Equity, Environment and Jobs” alternative. This approach would invest more funding into services, including bus transit around the region.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/12798/alameda-county-details-how-transit-cuts-harm-health","authors":["8344"],"categories":["stateofhealth_11","stateofhealth_14"],"tags":["stateofhealth_248"],"featImg":"stateofhealth_12805","label":"stateofhealth"},"stateofhealth_9850":{"type":"posts","id":"stateofhealth_9850","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"9850","score":null,"sort":[1357777508000]},"guestAuthors":[],"slug":"best-health-system-in-the-world","title":"Best Health System in the World? ","publishDate":1357777508,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_9865\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PregnantExamGenericGetty.jpg\">\u003cimg class=\"size-medium wp-image-9865\" title=\"American children are less likely to live to age 5 than children in other high-income countries. (Photo: Comstock)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PregnantExamGenericGetty-300x200.jpg\" alt=\"American children are less likely to live to age 5 than children in other high-income countries. (Photo: Comstock)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">American children are less likely to live to age 5 than children in other high-income countries. (Photo: Comstock)\u003c/figcaption>\u003c/figure>\n\u003cp>If one big thing you want out of life is to live a long time in good health, the U.S. is not doing a good job, says a major report from the National Research Council and the Institute of Medicine, entitled \"\u003ca href=\"http://www.nap.edu/openbook.php?record_id=13497&page=1\" target=\"_blank\">Shorter Lives, Poorer Health\u003c/a>.\"\u003c/p>\n\u003cp>There's no explaining it away. A panel of physicians and researchers from around the country found a health disadvantage at all ages -- from birth to 75 -- when compared against people in 16 other \"high income\" countries.\u003c/p>\n\u003cp>The breadth and scale of this report is something: 405 pages of analysis across diseases, ages and incomes groups.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"The rule is we're worse on everything.\"\u003c/aside>\n\u003cp>Even well-off Americans, \"those who have health insurance, college educations, higher incomes and healthy behaviors,\" according to the press release, seem to be in worse health than their counterparts in the other well-off countries.\u003c/p>\n\u003cp>Dr. Steven Woolf, chair of the panel that wrote the report, said they were \"struck by the gravity\" of what they learned. \"Americans are dying and suffering at rates that we know are unnecessary because people in other high-income countries are living longer lives and enjoying better health. What concerns our panel is why, for decades, we have been slipping behind.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Pretty sobering.\u003c!--more-->\u003c/p>\n\u003cp>This study builds on a \u003ca href=\"http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=13089\" target=\"_blank\">2011 report\u003c/a> that looked at people over 50, but that report largely blamed past smoking history and obesity for the shorter longevity of older Americans. Today's news broadens to include younger Americans, news which is a \"tragedy\" according to Woolf. \"I don't think most parents know that, on average, infants, children, and adolescents in the U.S. die younger and have greater rates of illness and injury than youth in other countries.\" (The report includes a depressing \u003ca href=\"http://sites.nationalacademies.org/DBASSE/CPOP/DBASSE_080393#deaths-from-communicable-maternal-perinatal-nutritional-conditions\" target=\"_blank\">interactive chart\u003c/a> that compares the U.S. to other countries by disease.)\u003c/p>\n\u003cp>UCSF's Dr. Paula Braveman was on the panel and repeatedly used the word \"shocked\" in an interview today to discuss the findings. Still, she said there were a couple bright spots. The U.S. does better on cancer and stroke mortality, but \"the rule is we're worse on everything,\" she told me.\u003c/p>\n\u003cp>The U.S. is famous for spending significantly more per capita on health care than any other country, \"about 90% higher than in many other countries that we would consider global competitors,\" according to the \u003ca href=\"http://www.kff.org/insurance/upload/7670-03.pdf\" target=\"_blank\">Kaiser Family Foundation\u003c/a> (see pg. 7). But the panel was unanimous, Braveman said, in its agreement that these health disparities go beyond the health care system itself.\u003c/p>\n\u003cp>Yes, the panel acknowledges obesity and other unhealthy behaviors as drivers of poor health. But they also point to a multitude of other factors, including the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/04/17/smoking-or-schools-which-is-more-important-to-your-health/\" target=\"_blank\">social determinants of health\u003c/a> -- things like high rates of poverty, income inequality and the (poor) quality of schools -- as well as social policy that can contribute dramatically to poor health outcomes.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I'm hoping this will shake people up enough that they will finally be willing to consider what we have to learn from other countries,\" Braveman says. \"I think coming to grips with the fact that we're the bottom of the heap on health, I'm hoping that that will make people willing to take a look at what's being done in other countries and what we can learn from that.\"\u003c/p>\n\n","blocks":[],"excerpt":"If one big thing you want out of life is to live a long time in good health, the U.S. is not doing such a great job, says a major report from the National Research Council and the Institute of Medicine, entitled \"Shorter Lives, Poorer Health.\"\r\n\r\nThere's no explaining it away. A panel of physicians and researchers from around the country found a health disadvantage at all ages -- from birth to 75 -- when compared against people in 16 other \"high income\" countries.","status":"publish","parent":0,"modified":1365108921,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":580},"headData":{"title":"Best Health System in the World? | KQED","description":"If one big thing you want out of life is to live a long time in good health, the U.S. is not doing such a great job, says a major report from the National Research Council and the Institute of Medicine, entitled "Shorter Lives, Poorer Health."\r\n\r\nThere's no explaining it away. A panel of physicians and researchers from around the country found a health disadvantage at all ages -- from birth to 75 -- when compared against people in 16 other "high income" countries.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"9850 http://blogs.kqed.org/stateofhealth/?p=9850","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/01/09/best-health-system-in-the-world/","disqusTitle":"Best Health System in the World? ","path":"/stateofhealth/9850/best-health-system-in-the-world","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_9865\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PregnantExamGenericGetty.jpg\">\u003cimg class=\"size-medium wp-image-9865\" title=\"American children are less likely to live to age 5 than children in other high-income countries. (Photo: Comstock)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PregnantExamGenericGetty-300x200.jpg\" alt=\"American children are less likely to live to age 5 than children in other high-income countries. (Photo: Comstock)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">American children are less likely to live to age 5 than children in other high-income countries. (Photo: Comstock)\u003c/figcaption>\u003c/figure>\n\u003cp>If one big thing you want out of life is to live a long time in good health, the U.S. is not doing a good job, says a major report from the National Research Council and the Institute of Medicine, entitled \"\u003ca href=\"http://www.nap.edu/openbook.php?record_id=13497&page=1\" target=\"_blank\">Shorter Lives, Poorer Health\u003c/a>.\"\u003c/p>\n\u003cp>There's no explaining it away. A panel of physicians and researchers from around the country found a health disadvantage at all ages -- from birth to 75 -- when compared against people in 16 other \"high income\" countries.\u003c/p>\n\u003cp>The breadth and scale of this report is something: 405 pages of analysis across diseases, ages and incomes groups.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"The rule is we're worse on everything.\"\u003c/aside>\n\u003cp>Even well-off Americans, \"those who have health insurance, college educations, higher incomes and healthy behaviors,\" according to the press release, seem to be in worse health than their counterparts in the other well-off countries.\u003c/p>\n\u003cp>Dr. Steven Woolf, chair of the panel that wrote the report, said they were \"struck by the gravity\" of what they learned. \"Americans are dying and suffering at rates that we know are unnecessary because people in other high-income countries are living longer lives and enjoying better health. What concerns our panel is why, for decades, we have been slipping behind.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Pretty sobering.\u003c!--more-->\u003c/p>\n\u003cp>This study builds on a \u003ca href=\"http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=13089\" target=\"_blank\">2011 report\u003c/a> that looked at people over 50, but that report largely blamed past smoking history and obesity for the shorter longevity of older Americans. Today's news broadens to include younger Americans, news which is a \"tragedy\" according to Woolf. \"I don't think most parents know that, on average, infants, children, and adolescents in the U.S. die younger and have greater rates of illness and injury than youth in other countries.\" (The report includes a depressing \u003ca href=\"http://sites.nationalacademies.org/DBASSE/CPOP/DBASSE_080393#deaths-from-communicable-maternal-perinatal-nutritional-conditions\" target=\"_blank\">interactive chart\u003c/a> that compares the U.S. to other countries by disease.)\u003c/p>\n\u003cp>UCSF's Dr. Paula Braveman was on the panel and repeatedly used the word \"shocked\" in an interview today to discuss the findings. Still, she said there were a couple bright spots. The U.S. does better on cancer and stroke mortality, but \"the rule is we're worse on everything,\" she told me.\u003c/p>\n\u003cp>The U.S. is famous for spending significantly more per capita on health care than any other country, \"about 90% higher than in many other countries that we would consider global competitors,\" according to the \u003ca href=\"http://www.kff.org/insurance/upload/7670-03.pdf\" target=\"_blank\">Kaiser Family Foundation\u003c/a> (see pg. 7). But the panel was unanimous, Braveman said, in its agreement that these health disparities go beyond the health care system itself.\u003c/p>\n\u003cp>Yes, the panel acknowledges obesity and other unhealthy behaviors as drivers of poor health. But they also point to a multitude of other factors, including the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/04/17/smoking-or-schools-which-is-more-important-to-your-health/\" target=\"_blank\">social determinants of health\u003c/a> -- things like high rates of poverty, income inequality and the (poor) quality of schools -- as well as social policy that can contribute dramatically to poor health outcomes.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I'm hoping this will shake people up enough that they will finally be willing to consider what we have to learn from other countries,\" Braveman says. \"I think coming to grips with the fact that we're the bottom of the heap on health, I'm hoping that that will make people willing to take a look at what's being done in other countries and what we can learn from that.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/9850/best-health-system-in-the-world","authors":["240"],"categories":["stateofhealth_14"],"tags":["stateofhealth_248"],"featImg":"stateofhealth_9865","label":"stateofhealth"},"stateofhealth_5137":{"type":"posts","id":"stateofhealth_5137","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"5137","score":null,"sort":[1334699968000]},"guestAuthors":[],"slug":"smoking-or-schools-which-is-more-important-to-your-health","title":"Smoking or Schools: Which is More Important to Your Health?","publishDate":1334699968,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_5157\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Cigarette_RaulLieberwirth_Flickr_04172012.jpg\">\u003cimg class=\"size-medium wp-image-5157 \" title=\"(Raul Lieberwirth: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Cigarette_RaulLieberwirth_Flickr_04172012-300x237.jpg\" alt=\"(Raul Lieberwirth: Flickr)\" width=\"300\" height=\"237\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sorry, cigarettes are still terrible for you, but can a good school system lead to better health? (Raul Lieberwirth: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Too often, we confuse health with health care. Health care comes from a doctor or hospital. But \u003cem>health\u003c/em> comes from many places we don't normally think of as health at all -- things like good schools, safe neighborhoods and access to a variety of jobs. In other words, if you live in places without those things, you have a lower likelihood of enjoying good health.\u003c/p>\n\u003cp>Today, a new study from researchers at Stanford's School of Medicine confirms that health disparities across the country have more to do with social factors than the color of your skin or where you live. In fact, the researchers say that some of these social factors even outweigh -- gasp -- the effect of cigarette smoking. (More on that later).\u003c/p>\n\u003cp>The study, \u003cem>\u003ca title=\"http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0032930\" href=\"http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0032930\" target=\"_blank\">Geographic and Racial Variation in Premature Mortality in the US\u003c/a>\u003c/em>, looked at counties across the United States and the likelihood of people living to age 70. Lead author \u003ca title=\"http://med.stanford.edu/profiles/Mark_Cullen\" href=\"http://med.stanford.edu/profiles/Mark_Cullen\" target=\"_blank\">Dr. Mark Cullen\u003c/a> says this measure is a good alternative to looking at life expectancy, because it shifts attention to events that occur earlier in life. In particular, researchers found that educational opportunities, distribution of income and a mix of jobs accounted for better health outcomes across the population of a county. These \"social determinants of health\" as public health professionals call them, also explain health disparities between African-Americans and caucasians. \"In most parts of the country,\" Cullen says, \"if African-Americans had the same advantages that their white counterparts had, almost ALL of the racial disparity would go away.\"\u003c!--more-->\u003c/p>\n\u003cp>The study is national in scope. Here in California, Cullen says that people who live along the coast up to about Mendocino enjoy the best health statistics. But head east to the Central Valley and the health outcomes are much worse.\u003c/p>\n\u003cp>\"It's not surprising,\" Cullen says, \"the dominant theme there is these are regions of relatively lower socioeconomic status, relatively lower levels of educational attainment. We're not talking about individuals here, we're talking about populations at the county level.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Cullen stresses that all policy avenues lead back to health. \"ALL policy is health policy,\" he says, \"which is to say that every time at the state level or the county level or the federal level, there's a debate about expenditures on housing or job training or education, those frankly are health debates. One of the biggest consequences of either cutting out programs or strengthening programs are the health consequences to the population. You don't see them in a day or a week, you see them over decades.\"\u003c/p>\n\u003cp>One person who sees policy outcomes up close is KQED's Community Correspondent \u003ca title=\"http://blogs.kqed.org/ourxperience/author/xwest/\" href=\"http://blogs.kqed.org/ourxperience/author/xwest/\" target=\"_blank\">Xan West\u003c/a>. She writes for KQED's blog \u003ca title=\"http://blogs.kqed.org/ourxperience/\" href=\"http://blogs.kqed.org/ourxperience/\" target=\"_blank\">ouRXperience\u003c/a> from her neighborhood of West Oakland, which is primarily African-American, low income and high crime. Responding to questions about today's study, she described not only West Oakland's lack of jobs and school closures, but also its run down playgrounds.\u003c/p>\n\u003cp>\"You see a lot of decrepit and broken down play structures, that kids would hurt themselves on,\" she told me. \"Neighborhoods are not safe for kids to be outside in West Oakland. It effects how much being outside, being a kid, being able to play is important to childhood, as well as .. important to obesity, important to hypertension. You see heightened rates of obesity in West Oakland and other inner city places and part of that is the inability of people to go outside and play.\"\u003c/p>\n\u003cp>\u003ca title=\"http://tcenews.calendow.org/pr/tce/tony-iton-bio.aspx\" href=\"http://tcenews.calendow.org/pr/tce/tony-iton-bio.aspx\" target=\"_blank\">Dr. Anthony Iton\u003c/a>, now at The California Endowment, served for six years as Health Officer of Alameda County. While there, he \u003ca title=\"http://www.jointcenter.org/hpi/sites/all/files/Toni%20Iton-Public%20Health%20Practice%20to%20Health%20Equity%20DL8.pdf\" href=\"http://www.jointcenter.org/hpi/sites/all/files/Toni%20Iton-Public%20Health%20Practice%20to%20Health%20Equity%20DL8.pdf\" target=\"_blank\">published research\u003c/a> about Alameda County's social determinants of health. He called today's report a \"great study.\" Like Cullen, he countered the idea that simply being African-American doomed someone to poorer health. \"That is one of the great misperceptions,\" he told me. People need to understand \"the difference between race and racism. \u003cem>Race\u003c/em> doesn't matter, rac\u003cem>ism \u003c/em>does matter because it constrains people's access to ... high educational attainment, high income, high employment.\"\u003c/p>\n\u003cp>And finally, what of cigarettes? By no means is anyone suggesting smoking is good for you, but Cullen's research showed the power of these social determinants of health. \"Some counties have higher rates of smoking,\" he explained. \"Some counties have higher rates of obesity. But it was dwarfed by the social environment that was already measured. In fact, when you added it into the equation, it added very little. Now that's not to say that being obese or smoking is individually a good thing. But it turns out when you look at large swaths of the population, that the underlying factor of education and wealth and occupation and so forth dominate.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor's Note: The California Endowment is a funder of KQED.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Too often, we confuse health with health care. But health comes from many places we don't normally think of as health at all -- things like good schools, safe neighborhoods and access to a variety of jobs. In other words, if you live in places without those things, you have a lower likelihood of enjoying good health. Today, a new study from researchers at Stanford's School of Medicine confirms that health disparities across the country have more to do with a group of socioeconomic and environmental conditions than the color of your skin or where you live. In fact, the researchers say that some of these living conditions even outweigh -- gasp -- the effect of cigarette smoking. (More on that later).\r\n\r\nThe study, Geographic and Racial Variation in Premature Mortality in the US, looked at counties across the United States and the likelihood of people living to age 70. Lead author Dr. Mark Cullen says this measure is a good alternative to looking at life expectancy, because it shifts attention to events that occur earlier in life. In particular, researchers found that educational opportunities, distribution of income and a mix of jobs accounted for better health outcomes across the population of a county. These \"social determinants of health\" as public health professionals call them, also explain health disparities between African-Americans and caucasians. \"In most parts of the country,\" Cullen says, \"if African-Americans had the same advantages that their white counterparts had, almost ALL of the racial disparity would go away.\"","status":"publish","parent":0,"modified":1334950490,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":823},"headData":{"title":"Smoking or Schools: Which is More Important to Your Health? | KQED","description":"Too often, we confuse health with health care. But health comes from many places we don't normally think of as health at all -- things like good schools, safe neighborhoods and access to a variety of jobs. In other words, if you live in places without those things, you have a lower likelihood of enjoying good health. Today, a new study from researchers at Stanford's School of Medicine confirms that health disparities across the country have more to do with a group of socioeconomic and environmental conditions than the color of your skin or where you live. In fact, the researchers say that some of these living conditions even outweigh -- gasp -- the effect of cigarette smoking. (More on that later).\r\n\r\nThe study, Geographic and Racial Variation in Premature Mortality in the US, looked at counties across the United States and the likelihood of people living to age 70. Lead author Dr. Mark Cullen says this measure is a good alternative to looking at life expectancy, because it shifts attention to events that occur earlier in life. In particular, researchers found that educational opportunities, distribution of income and a mix of jobs accounted for better health outcomes across the population of a county. These "social determinants of health" as public health professionals call them, also explain health disparities between African-Americans and caucasians. "In most parts of the country," Cullen says, "if African-Americans had the same advantages that their white counterparts had, almost ALL of the racial disparity would go away."","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"5137 http://blogs.kqed.org/stateofhealth/?p=5137","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/04/17/smoking-or-schools-which-is-more-important-to-your-health/","disqusTitle":"Smoking or Schools: Which is More Important to Your Health?","path":"/stateofhealth/5137/smoking-or-schools-which-is-more-important-to-your-health","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5157\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Cigarette_RaulLieberwirth_Flickr_04172012.jpg\">\u003cimg class=\"size-medium wp-image-5157 \" title=\"(Raul Lieberwirth: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/Cigarette_RaulLieberwirth_Flickr_04172012-300x237.jpg\" alt=\"(Raul Lieberwirth: Flickr)\" width=\"300\" height=\"237\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sorry, cigarettes are still terrible for you, but can a good school system lead to better health? (Raul Lieberwirth: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Too often, we confuse health with health care. Health care comes from a doctor or hospital. But \u003cem>health\u003c/em> comes from many places we don't normally think of as health at all -- things like good schools, safe neighborhoods and access to a variety of jobs. In other words, if you live in places without those things, you have a lower likelihood of enjoying good health.\u003c/p>\n\u003cp>Today, a new study from researchers at Stanford's School of Medicine confirms that health disparities across the country have more to do with social factors than the color of your skin or where you live. In fact, the researchers say that some of these social factors even outweigh -- gasp -- the effect of cigarette smoking. (More on that later).\u003c/p>\n\u003cp>The study, \u003cem>\u003ca title=\"http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0032930\" href=\"http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0032930\" target=\"_blank\">Geographic and Racial Variation in Premature Mortality in the US\u003c/a>\u003c/em>, looked at counties across the United States and the likelihood of people living to age 70. Lead author \u003ca title=\"http://med.stanford.edu/profiles/Mark_Cullen\" href=\"http://med.stanford.edu/profiles/Mark_Cullen\" target=\"_blank\">Dr. Mark Cullen\u003c/a> says this measure is a good alternative to looking at life expectancy, because it shifts attention to events that occur earlier in life. In particular, researchers found that educational opportunities, distribution of income and a mix of jobs accounted for better health outcomes across the population of a county. These \"social determinants of health\" as public health professionals call them, also explain health disparities between African-Americans and caucasians. \"In most parts of the country,\" Cullen says, \"if African-Americans had the same advantages that their white counterparts had, almost ALL of the racial disparity would go away.\"\u003c!--more-->\u003c/p>\n\u003cp>The study is national in scope. Here in California, Cullen says that people who live along the coast up to about Mendocino enjoy the best health statistics. But head east to the Central Valley and the health outcomes are much worse.\u003c/p>\n\u003cp>\"It's not surprising,\" Cullen says, \"the dominant theme there is these are regions of relatively lower socioeconomic status, relatively lower levels of educational attainment. We're not talking about individuals here, we're talking about populations at the county level.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Cullen stresses that all policy avenues lead back to health. \"ALL policy is health policy,\" he says, \"which is to say that every time at the state level or the county level or the federal level, there's a debate about expenditures on housing or job training or education, those frankly are health debates. One of the biggest consequences of either cutting out programs or strengthening programs are the health consequences to the population. You don't see them in a day or a week, you see them over decades.\"\u003c/p>\n\u003cp>One person who sees policy outcomes up close is KQED's Community Correspondent \u003ca title=\"http://blogs.kqed.org/ourxperience/author/xwest/\" href=\"http://blogs.kqed.org/ourxperience/author/xwest/\" target=\"_blank\">Xan West\u003c/a>. She writes for KQED's blog \u003ca title=\"http://blogs.kqed.org/ourxperience/\" href=\"http://blogs.kqed.org/ourxperience/\" target=\"_blank\">ouRXperience\u003c/a> from her neighborhood of West Oakland, which is primarily African-American, low income and high crime. Responding to questions about today's study, she described not only West Oakland's lack of jobs and school closures, but also its run down playgrounds.\u003c/p>\n\u003cp>\"You see a lot of decrepit and broken down play structures, that kids would hurt themselves on,\" she told me. \"Neighborhoods are not safe for kids to be outside in West Oakland. It effects how much being outside, being a kid, being able to play is important to childhood, as well as .. important to obesity, important to hypertension. You see heightened rates of obesity in West Oakland and other inner city places and part of that is the inability of people to go outside and play.\"\u003c/p>\n\u003cp>\u003ca title=\"http://tcenews.calendow.org/pr/tce/tony-iton-bio.aspx\" href=\"http://tcenews.calendow.org/pr/tce/tony-iton-bio.aspx\" target=\"_blank\">Dr. Anthony Iton\u003c/a>, now at The California Endowment, served for six years as Health Officer of Alameda County. While there, he \u003ca title=\"http://www.jointcenter.org/hpi/sites/all/files/Toni%20Iton-Public%20Health%20Practice%20to%20Health%20Equity%20DL8.pdf\" href=\"http://www.jointcenter.org/hpi/sites/all/files/Toni%20Iton-Public%20Health%20Practice%20to%20Health%20Equity%20DL8.pdf\" target=\"_blank\">published research\u003c/a> about Alameda County's social determinants of health. He called today's report a \"great study.\" Like Cullen, he countered the idea that simply being African-American doomed someone to poorer health. \"That is one of the great misperceptions,\" he told me. People need to understand \"the difference between race and racism. \u003cem>Race\u003c/em> doesn't matter, rac\u003cem>ism \u003c/em>does matter because it constrains people's access to ... high educational attainment, high income, high employment.\"\u003c/p>\n\u003cp>And finally, what of cigarettes? By no means is anyone suggesting smoking is good for you, but Cullen's research showed the power of these social determinants of health. \"Some counties have higher rates of smoking,\" he explained. \"Some counties have higher rates of obesity. But it was dwarfed by the social environment that was already measured. In fact, when you added it into the equation, it added very little. Now that's not to say that being obese or smoking is individually a good thing. But it turns out when you look at large swaths of the population, that the underlying factor of education and wealth and occupation and so forth dominate.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor's Note: The California Endowment is a funder of KQED.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/5137/smoking-or-schools-which-is-more-important-to-your-health","authors":["240"],"categories":["stateofhealth_11","stateofhealth_14"],"tags":["stateofhealth_249","stateofhealth_248"],"featImg":"stateofhealth_5157","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. 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