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HEALTH EQUITY 101:ADDRESSING ROOT CAUSES OF HEALTH DISPARITIES
J. Nelson-Weaver, DrPH, MAHealth Partners – Buncombe County’s Healthy Carolinians coalition
HEALTH - not just medical care
HousingEductionAccess to careLabor or employmentTransportationHope, happiness, quality of life
Why does it matter?
More impact on health status than seeing a doctor MATCH rankings list Social and Economic
factors as highest contributor to death and disease.
www.countyhealthrankings.org The power of community context
What choices are AVAILABLE? Cost effectiveness = prevention
versus treatment Income inequality = Higher income
inequality often correlated with worse health overall.
Talking about health equity
Engaging messages All Americans should have the opportunity
to make the choices that allow them to live a long, healthy life.
Offer everyone a good chance for a healthy life.
Public Health code messages (not great to use with community members)
Eliminating health disparities Focusing in the Social Determinants of Health
Be strategic in how you talk about it! Crafting engaging messages is
critical. Be aware of “frames.” Equity ≠ Equality Remember personal
responsibility / behavior Resource: Robert Wood Johnson
Foundation http://www.rwjf.org/pr/product.jsp?id=66428
Health Equity Strategiesfrom the NC Prevention Plan * Promote economic security
Increase use of the Earned Income Tax Credit Increase awareness of eligibility for federal services
Increase availability of affordable housing and utilities
Expand opportunities for high quality early childhood education and health programs
* Increase high school graduation rate Example =Wake County school assignment
economic integration – be aware of the messaging!http://www.nciom.org/projects/prevention/
finalreport/Prevention-Chpt11.pdf
Sample Health Equity Measures to drive Strategies See handout Income Inequality – Gini Index
Table B19083 of ACS % of population using more
than 30% of their income for rent Possible Strategy –
VITA sites to expand use of the earned income tax credit.
http://www.cbpp.org/eic2009/calculator/
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