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A Health Equity Focused Model For Building Healthy Communities

A Health Equity Focused Model For Building Healthy Communities. Neighborworks Conference March 2, 2011 Tony Iton , M.D., J.D., MPH Senior Vice President The California Endowment. Health ≠ Health care. Where You Live Matters. It Matters A LOT!. Lyndhurst 88.5. Hough 64.0.

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A Health Equity Focused Model For Building Healthy Communities

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  1. A Health Equity Focused Model For Building Healthy Communities Neighborworks Conference March 2, 2011 Tony Iton, M.D., J.D., MPH Senior Vice President The California Endowment

  2. Health ≠ Health care Where You Live Matters It Matters A LOT!

  3. Lyndhurst 88.5 Hough 64.0

  4. Life Expectancy by Poverty Group 2000-2003

  5. Tract Poverty vs. Life Expectancy

  6. Bay Area Poverty vs. Life Expectancy

  7. California Poverty vs. Life Expectancy

  8. Cost of Poverty in San Francisco Bay Area • Every additional $12,500 in household income buys one year of life expectancy • (Benefit appears to plateau at household incomes above $150,000) • Similar gradients in Baltimore, NYC, Philadelphia, Hennepin County (Minneapolis-St. Paul), Colorado, California, AND Cuyahoga County ($6304/year of life)

  9. Philadelphia Cuyahoga County Hennepin County Bay Area Colorado Alameda County California Los Angeles County Social Gradients Various Jurisdictions 1,400 1,300 1,200 1,100 1,000 Age-Adjusted Mortality Rate 900 800 700 600 500 <10% 10%-19.9% 20%-29.9% 30+% Neighborhood Poverty Group

  10. A 30 year longitudinal study of nearly 7000 Alameda County residents from 1965 forward. Those residents with household income 1 SD above mean were 25% less likely to die prematurely, 1 SD below mean were 35% more likely to die early.

  11. Health Inequities Health Disparities Family & Culture

  12. Family & Culture Values Policy Place

  13. Building Healthy Communities

  14. Contact Information Tony Iton, MD, JD, MPH Senior Vice President The California Endowment aiton@calendow.org 510 271-4310

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