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Cook County Place Matters: Working
    Together for Health Equity
            February 19, 2012 New Covenant Baptist Church,
                Phoenix, IL Rev. Dr. Richard McCreary

      1. Education & Awareness
      2. Advocating for Policy Change
      3. Building Alliances with Cook County
         Residents

What you can do:
•Sign up so you can become involved
•Like us on Facebook www.facebook.com/ccplacematters
•Attend our meetings—next is Wednesday, March 21st
•Support our upcoming health equity report—Coming May 2012
Cook County Place Matters
             Mission
Cook County Place Matters will work to raise awareness that
   inequitable social conditions are the root causes of unfair
 health inequities. Place Matters will focus on enacting policies
 that lead to neighborhoods that support and produce health;
  will work to develop community-based solutions by working
    together in solidarity and partnership with residents and
  community organization; and will work to build the power of
     residents and leaders from affected communities who
    support a fair distribution of society’s resources. We are
    committed to a racially just and inclusive society, and to
           ending health inequities by race and class.
Evidence of health inequity

• The death rate from diabetes in southern
  suburban Cook County is about 70% higher
  than in northern Cook.
Source: CCDPH, 2011
Food Insecurity in Cook County
         Source: Greater Chicago Food Depository 2011
Does place matter? Yes.
“The opportunity to move from a neighborhood
  with a high level of poverty to one with a low
  level of poverty was associated…with
  reductions in …extreme obesity and diabetes.”

New England Journal of Medicine, 2011
Opportunity and Health


• The distribution of opportunity across
  neighborhoods can have a profound effect on
  socio-economic advancement and health
  outcomes.
National Academy of Sciences, 2008
Race and
  segregation in
  Metro Chicago:
   94% of Black
    residents
      live in
        ‘low
   opportunity
   communities
     Source: Leadership Council for
 Metropolitan Open Communities (2005)
by Tom Luce, John Lukehart , Jason Reece
Racial Equity for African Americans:
     100 US Metro Areas   Source: Urban Institute, 2011


Metro Area                             Overall Grade

Chicago (2nd Worst)                    F
Milwaukee (Worst)                      F
St. Louis                              D
Little Rock                            C
Baton Rouge
Chattanooga,                           B
Richmond (VA)
Atlanta
Albuquerque (best)                     A
Greenville (SC)
Evidence of Health Inequity

• Health inequities in Chicago between non-
  Hispanic Black and non-Hispanic White
  populations widened from 1990-2005 for 11
  health status indicators including mortality
  from heart disease, stroke, and breast cancer.
Source: Orsi, Margellos, Whitman (2010) “Black-White Health Disparities in the United States and
    Chicago: A 15-Year Progress Analysis” American Journal of Public Health
What you can do?
• Sign up so you can become involved
• Like us on Facebook
  www.facebook.com/ccplacematters
• Attend our meetings—next is Wednesday,
  March 21st (1640 W. Roosevelt, Chicago)
• Support our upcoming health equity report—
  Coming May 2012
• Host an event – contact jimbloyd@gmail.com or
  708-633-8314
• Thank You! -- Natalie Chadwell and Jim Bloyd

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Cook County Place Matters: Working Together for Health Equity

  • 1. Cook County Place Matters: Working Together for Health Equity February 19, 2012 New Covenant Baptist Church, Phoenix, IL Rev. Dr. Richard McCreary 1. Education & Awareness 2. Advocating for Policy Change 3. Building Alliances with Cook County Residents What you can do: •Sign up so you can become involved •Like us on Facebook www.facebook.com/ccplacematters •Attend our meetings—next is Wednesday, March 21st •Support our upcoming health equity report—Coming May 2012
  • 2. Cook County Place Matters Mission Cook County Place Matters will work to raise awareness that inequitable social conditions are the root causes of unfair health inequities. Place Matters will focus on enacting policies that lead to neighborhoods that support and produce health; will work to develop community-based solutions by working together in solidarity and partnership with residents and community organization; and will work to build the power of residents and leaders from affected communities who support a fair distribution of society’s resources. We are committed to a racially just and inclusive society, and to ending health inequities by race and class.
  • 3. Evidence of health inequity • The death rate from diabetes in southern suburban Cook County is about 70% higher than in northern Cook. Source: CCDPH, 2011
  • 4. Food Insecurity in Cook County Source: Greater Chicago Food Depository 2011
  • 5. Does place matter? Yes. “The opportunity to move from a neighborhood with a high level of poverty to one with a low level of poverty was associated…with reductions in …extreme obesity and diabetes.” New England Journal of Medicine, 2011
  • 6. Opportunity and Health • The distribution of opportunity across neighborhoods can have a profound effect on socio-economic advancement and health outcomes. National Academy of Sciences, 2008
  • 7. Race and segregation in Metro Chicago: 94% of Black residents live in ‘low opportunity communities Source: Leadership Council for Metropolitan Open Communities (2005) by Tom Luce, John Lukehart , Jason Reece
  • 8. Racial Equity for African Americans: 100 US Metro Areas Source: Urban Institute, 2011 Metro Area Overall Grade Chicago (2nd Worst) F Milwaukee (Worst) F St. Louis D Little Rock C Baton Rouge Chattanooga, B Richmond (VA) Atlanta Albuquerque (best) A Greenville (SC)
  • 9. Evidence of Health Inequity • Health inequities in Chicago between non- Hispanic Black and non-Hispanic White populations widened from 1990-2005 for 11 health status indicators including mortality from heart disease, stroke, and breast cancer. Source: Orsi, Margellos, Whitman (2010) “Black-White Health Disparities in the United States and Chicago: A 15-Year Progress Analysis” American Journal of Public Health
  • 10. What you can do? • Sign up so you can become involved • Like us on Facebook www.facebook.com/ccplacematters • Attend our meetings—next is Wednesday, March 21st (1640 W. Roosevelt, Chicago) • Support our upcoming health equity report— Coming May 2012 • Host an event – contact jimbloyd@gmail.com or 708-633-8314 • Thank You! -- Natalie Chadwell and Jim Bloyd

Editor's Notes

  1. Food insecurity is defined as follows: Low food security – Reports of reduced quality, variety, or desirability of diet. Very low food security – Reports of multiple indications of disrupted eating patterns and reduced food intake. Researchers estimate community-level food insecurity by examining the relationship between food insecurity and variables closely related to food insecurity at the state level. These include unemployment, median income, poverty, and specific demographic measures. Source: http://www.chicagosfoodbank.org/site/DocServer/GCFD_community_hunger_data_releases_9-21-11.pdf?docID=7321 accessed Among the key findings in the study, released at the Third Annual Lillian and Larry Goodman Hunger Forum: • In the City of Chicago, the rate of food insecurity is 20.6%; in suburban Cook County, 15.4%; 845,910 individuals in Cook County are food insecure, uncertain where they will find their next meal; • Riverdale (40.8%), Washington Park (34.0%), Englewood and North Lawndale (both at 31.2%) had the highest rates of food insecurity in the City of Chicago, while Ford Heights (55.5%), Robbins (45.0%) and Dixmoor (38.7%) had the highest rate in the suburbs; • In Cook County, 36% of those who are food insecure – 304,528 individuals – earn more than 185% of the poverty level ($20,146 for a household of one) and are thus not eligible for most federal nutrition programs.
  2. Overall Grade for Metro Chicago: F | 99th Residential Segregation: F | 75.2 Neigh. Income Gap: F | 38.0% School Test Score Gap: F | 68.6% Employment Gap: F | 25.0% Homeownership Gap: C | 47.1% Accessed at http://datatools.metrotrends.org/charts/metrodata/rankMap_files/EquityMap_files/RankMapBlack.cfm Data Definitions Residential Segregation: Dissimilarity index, reported by Brown University’s US2010 project , using 2010 Census data. The dissimilarity index ranges from 0 to 100, where 100 reflects complete separation between two groups. Neighborhood Income Gap: Percent difference between the median income of the average non-Hispanic white’s neighborhood and that of the average black or Latino. Reported by Brown University’s US2010 project, using 2009 ACS data. School Test Score Gap: Percent difference between the state test score ranking of the school attended by the average non-Hispanic white student and that of the school attended by the average black or Latino student. Reported by Brown University’s US2010 project, using 2004 data from SchoolMatters . Employment Gap: Percent difference between the share of working-age non-Hispanic whites who are employed and the corresponding share of blacks or Latinos, based on 2010 Census data . Homeownership Gap: Percent difference between the share of non-Hispanic white households that are homeowners and the corresponding share of black or Latino households, based on 2010 Census data. Grading Scale: Each statistic is scaled by its average and given an equal weight, and then all statistics are summed into a final measure. Each metro is assigned a rank based on this measure and then fit into the following grading scale: A=Best 20, B=21-40, C=41-60, D=61-80, F=Worst 20. Scope: The top 100 metropolitan statistical areas, by population. Codes and names use the U.S. Office of Management and Budget’s 2008 Core Based Statistical Area definitions. Click here for additional information and data sources.