Chronic Disease Hospitalizations, Boston, 2005-2010 Average Annual Rates

2

3

4

5

Birth Outcomes, Boston, 2005-2010 Average Annual Rates

6

Racial & Ethnic DisparitiesLow Birth Weight & Racism

0

2

4

6

8

10

12

14

16

18

20

Per

cent

Wom

en R

epor

ting

D

iscr

imin

atio

n

<1,500 g > 2,500 g

Birthweight

Collins 2000

12%

20%

P < 0.01

Does Giving People Health Care Coverage Solve the Problem?

Racism

Education

Job Opportunity

SocioeconomicStatus

Environmental Exposure

Health Behaviors

Access to Health Services

Safe and Affordable Housing

Reducing Violence

Health Outcomes

Social Determinants of Health Inequities

What is racism?

A system of advantage based on race.

David Wellman, Portraits of White Racism

Levels of Racism

MICRO LEVEL

MACRO LEVEL

Adopted from the Applied Research Center

INTERNALIZED

INSTITUTIONAL

INTERPERSONAL

STRUCTURAL

• Questions?• Fiery Statements?• Pushback?• Something you are chewing on?

Group Conversation

Our tasks and Next Steps

Put racial justice/racial equity on the agenda in Jamaica Plain and Boston Name racism as a force determining the

distribution of other social determinants of health and as a root cause for the health inequity we see in our community

Routinely monitor for differential exposures, opportunities, and outcomes by “race” in Jamaica Plain and commit to “leading with race”

Ask our elected officials to adopt a Racial and Social Justice framework similar to that used in Seattle, WA.