U.S. Life Expectancy Rises, Health Disparities Increase

Last week, the U.S. Department of Health and Human Services (HHS) shared its review of Healthy People 2010. The report shared that as a Nation, we had met or were moving toward meeting, 71% of the disease prevention and health promotion objectives we set in 2000.

Despite this, the data also underscored the need for improvement in a number of critical areas, including health disparities and obesity rates. These two issues, as well as other key indicators of health, are top priorities of Healthy People 2020 (disclaimer: client).

“…Addressing health disparities continues to be our greatest challenge,” said Dr. Edward Sondik, Ph.D., director of the National Center for Health Statistics (NCHS). “…All Americans should be concerned that disparities among people from socially, economically or environmentally disadvantaged backgrounds have generally remained unchanged.”

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Examining a 40-Year Spread in Life Expectancy Abroad

The October issue of the World Health Organization’s (WHO) Bulletin is packed full of information on social determinants of health–including examples of work in progress and insights gained from around the world.

“Yes, there is a greater than 40-year spread in life expectancy among countries and dramatic social gradients in health within countries,” said Michael Marmot of University College London in his editorial. “But the evidence suggests that we can make great progress towards closing the health gap by improving, as the [World Health Organization’s Commission on Social Determinants of Health] put it, the conditions in which people are born, grow, live, work and age.”

The bulletin includes another editorial that highlights potential solutions to improving the social determinants of health, as well as a number of research articles and relevant news.

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An Agenda for Fighting Disparities

What are the Occupy Wall Street protests all about? Author Geoff Livingston describes its as a “groundswell of economic injustice.” Playing a role behind the scenes in economic and social injustice are social determinants of health and health disparities. Perhaps it’s time to bring them to the forefront.

The October issue of Health Affairs presents an agenda on fighting disparities. In it, Dr. Howard Koh, Assistant Secretary for HHS, discusses a key part of this agenda, HHS’ National Action Plan to Reduce Racial and Ethnic Health Disparities. Analysis and commentary on how health reform may impact health disparities is also provided. What might be most surprising is that one research study included in the issue, shares that only 59% of Americans are even aware that health disparities exist!

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No Black-White Health Gap in Canada Says Study

Meanwhile, our friends in Canada may be one step ahead. According to a recent study and as reported in BET, “blacks are equally healthy as their white counterparts.” BET went on to say:

“Thomas A. LaVeist, a co-author of the study and director of the Hopkins Center for Health Disparities Solutions in Baltimore says that he believes America’s history of treating Blacks as second-class citizens plays a large role in the Black-white health disparity that exists in the U.S.”

As a heads up, LaVeist also cautions taking the results at their surface as the the results could have significant limitations because the survey included just 729 Blacks, compared with more than 280,000 whites reported BET.

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Health is About More Than Healthcare

LaVeist also published another study about how place–and not necessarily race–contributes to  health disparities. The study, based on a neighborhood in Baltimore composed equally of whites and blacks, found that within the integrated community, health disparities all but disappear. This suggests that as a Nation, we’ve been looking for answers on how to improve health the wrong way. Instead, we should be looking at what’s going on in certain communities that what’s going on within certain populations. As quoted in the Atlantic:

“Solutions to health disparities are likely to be found in broader societal policy and policy that is not necessarily what we would think of as health policy,” LaVeist says. “It’s housing policy, zoning policy, it’s policy that shapes the characteristics of communities.”

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flickr credit: woodleywonderworks

Image: PSI

Is foreign aid important to Americans? According to a recent poll, most Americans believe U.S. investment in foreign aid is 25% of the Federal budget, when the accurate figure is less than one percent. When asked what would be an appropriate percentage, the median amount shared was 10%. Yet–even that less than 1% is in jeopardy.

Earlier this week, ONE, USAID, FHI 360, PATH, Population Services International (PSI) and World Vision launched “The Power of 1%” campaign to highlight the economics of global health and the benefits U.S. investments overseas have for Americans at home. Having attended, I was reminded of the global health trifecta: what can happen when the power of 1%, the power of the media and the power of youth combine to influence and inspire good.

The Power of 1%

When it comes to emphasizing the true power of 1%, it’s important to not only look at the positive impact it has on the individuals and communities it supports. It also serves to improve the economy here at home and help increase national security. In August 2010, Sec. of State Hillary Clinton announced the State Department’s Global Health Initiative, working to improve global health as a way to achieve diplomacy.

“We know that the health of people in any nation is inextricably linked to the growth of its economy and security,” said Donald Steinberg, Deputy Administrator for USAID, “We invest in the health of developing nations because it is the right thing to do, and because our economy and security is dependent upon it as well.”

Addressing global health is now a  part of the U.S.’ international diplomacy efforts as well as on our health agenda. The U.S. Department of Health and Human Services added global health as a new area of focus for its Healthy People 2020 initiative (disclaimer: client) which was released in December 2010. The Healthy People 2020 global health topic area looks to address five specific objectives to “improve public health and strengthen U.S. national security through global disease detection, response, prevention, and control strategies.”

Not only is funding critical to achieve these goals, but an important step will be enabling and empowering the global citizen to play an active role. Our world is growing (estimated to reach 7 billion by October 31) but it’s also shrinking. We are becoming more connected and more aware of the problems we face and the commonalities we share–mainly due to the next component in the trifect, the power of media.

The Power of Media

9 in 10 adults agree that digital technology can turn interest in a cause into a movement. Facebook has over 800 million active users and is translated in 70 languages. Six in ten Americans go online wirelessly using a laptop or cell phone. 86% of adults ages 18-29 use social networking.

We’ve already seen the power of media at work. Online fundraising raised over $20 billion dollars in 2010. Technology is saving lives and enabling communication. Community-funded journalism and citizen journalists are changing how the news is reported. Add to this innovations such as Random Hacks of Kindness, Code for America, Crisis Camps, Ushahidi, accessible health data and a slew of additional examples. And it’s not just digital technology and the mobile Web at work.

ABCNews was awarded for its global health coverage. In December 2010, ABC News launched a year-long effort to provide coverage on global health in the developing world with the help of a grant from the Bill & Melinda Gates Foundation. Today, ABCNews continues its commitment to global health through it’s One Million Moms Challenge, which focuses on improving maternal health globally.

Media–no matter the form it takes–can help not only increase awareness but also inspire action.

The Power of Youth

“More than 60 percent of the world’s population is under the age of 30,” said Ronan Farrow, Special Advisor to the Secretary of State for Global Youth Issues,  at a High Level Meeting on Youth, in the U.N. General Assembly this past July. “And that demographic, increasingly empowered by the new technologies that we’ve discussed…is increasingly a potential driver of great economic and social reform.”

Farrow, a dynamic speaker with genuine assertiveness in his belief in youth, also acknowledges that the “[youth] demographic can be one of the great threats to national, international, stability and security.” Data shows that 86% of all nations with new outbreaks of civil conflict have significant majorities under the age of 30. This is one reason why the U.S. State Department has created  its new Office of Global Youth Issues which Farrow leads.

“The United States is focusing on economic empowerment, through programs around the world that educate, create employment opportunities, and foster entrepreneurship for young people,” continued Farrow in his remarks. “We are launching initiatives that encourage civic participation, create local leadership opportunities, and develop linkages between young people and their governments.”

This is a call to action not only in our work abroad, but also here at home. How are you empowering youth in your community and in your work?

Start Today

At the event, organizers took video testimonies of what the power of 1% meant to attendees. To me, the power of 1% reminds me of how the heart of a person can inspire the power of a community for good. Funding and politics aside, one person can make a difference–and that’s what the campaign inspires. Somedays–it’s easy to forget the power you hold. Don’t doubt your purpose or question your mission. You were called for a reason.

httpv://www.youtube.com/watch?v=hRhXKTAG0kc

If you feel the awareness building fever catching in your organization or team, have no fear. Review these questions to get back on the right track. The TurningPoint Collaborative also has the following resources (for free!) available:

• The Basics of Social Marketing
• The Manager’s Guide to Social Marketing
• Social Marketing and Public Health:  Lessons from the Field
• Social Marketing Resources Guide

Last but not least, you can always ask questions here at SocialButterfly. Take a step today towards effectiveness–know that the social marketing approach works. Why else would it now be an official part of how our nation plans on improving our country’s health (see objective 13)?

• If you care about your community’s health, our waters and our forests, then you can submit public comments to the current draft objectives on the Healthy People Public Comment Page.
• If you care about nutrition, obesity and physical activity, then you can submit public comments to the current draft objectives on the Healthy People Public Comment Page.
• If you care about chronic diseases, including prevention, treatment and cures, submit public comments to the current draft objectives on the Healthy People Public Comment Page.
• If you care about these and many other issues, then you can make a difference by submitting a comment to the Healthy People 2020 objectives.

Submit a Public Comment

Your participation will shape Healthy People 2020 and the nation’s health agenda. Since public comments go on the record, you will have contributed to setting our nation’s health objectives.

• Submit a public comment to the current draft objectives on the Healthy People Public Comment Page.
• Grab a Web badge to show you care about the Healthy People 2020 process.

Stay Involved and Informed

For more information and to stay updated:

• Subscribe to the Healthy People listserv for the latest information on Healthy People 2020 and to receive e-mail notices of related news, events, publications, and more!
• Join the Healthy People Consortium to become an active supporter of Healthy People.

More About Healthy People

Since 1979, Healthy People has set and monitored national health objectives to meet a broad range of health needs, encourage collaborations across sectors, guide individuals toward making informed health decisions, and measure the impact of our prevention activity. The Healthy People process aims to be inclusive and its strength is directly tied to collaboration.

Since its inception, Healthy People has become a broad-based, public engagement initiative with thousands of citizens helping to shape it at every step along the way. Drawing on the expertise of the Secretary’s Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020, public input and a Federal Interagency Workgroup, Healthy People 2020 will provide a framework to address risk factors and determinants of health and the diseases and conditions that affect our communities–and in effect move us toward a healthier nation.

Disclosure: ODPHP is a client that I work with at IQ Solutions. However, I genuinely feel that Healthy People 2020 plays an important role in setting our Nation’s health agenda and even contributed comments myself, especially when it comes to chronic diseases and health communications.