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Using data to close the racial health equity gap. Community Health Councils Los Angeles, CA. Knowledge for Equity Conference (K4E) November 13, 2012 Breanna Morrison, MPL CHC Policy Analyst. Community Health Councils.
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Using data to close the racial health equity gap Community Health Councils Los Angeles, CA Knowledge for Equity Conference (K4E) November 13, 2012 Breanna Morrison, MPL CHC Policy Analyst
Community Health Councils A non-profit, community based health policy and advocacy organization dedicated to improving the health of underserved communities.
Quantifying health inequity The Reality of Racial Ethnic Health Disparities
Source: Los Angeles County Department of Public Health, Office of Health Assessment and Epidemiology. Key Indicators of Health by Service Planning Area; June 2009.
What are the Drivers • Housing segregation • Lack of regulatory oversight and planning • Discriminatory corporate and financial practices • Public and private divestment • Public policy • Tax and fiscal policy
The role of data in changing the environment MOVING TOWARDS EQUITY
Food Retail resources South LA West LA
Connecting the Built Environment to Health Poor Access to Physical Activity Obesity Diabetes High Cholesterol Heart Disease Cancer Built Environment Low Access to Healthy Food Exposure to Hazardous Substance
REGULATION OF FAST FOOD RESTUARANTS IN SOUTH LA • 2010 General Plan Amendment prohibits a new fast food restaurant within a 1/2 mile radius, or 2, 640 linear feet, from any existing Fast Food Restaurant. • Ordinances Proposed in 2012 Community Plan Update • No more than one (1) establishment permitted within a ¼ mile radius of another free standing establishment” (CPIO sub-districts) • “Prohibits…all new free standing fast food establishments seeking to locate directly adjacent, across a street, alley or intersection from a public elementary, middle or high school, including charter and magnet schools” (CPIO sub-districts) • Drive through fast food establishments shall be limited to a maximum of 1 within a 750 foot radius of an existing free standing fast food use” (Crenshaw Specific Plan Amendment)
The role of data in changing healthcare resources Moving Towards Equity
Inequity in public policy • 1995 LA County closes 33 county primary care clinics • Establishes contracts with Community Clinics to provide care for uninsured • Allocation of Contracts: • $27.12 per uninsured patient in South Los Angeles • $34.05 per uninsured patient in West Los Angeles
MODEL IN Action: Community Assessments Disparities in Infant Mortality Figure 1:Infant Mortality Rates over time in SPA 6 vs All SPAs Except 6 and SPA 5 Figure 2: Rate of Low Birth Weight (>2500) Neonates Over Time in SPA 6 vs. All SPAs Except 6 and SPA 5 Data Source: Los Angeles County Department of Public Health: Title V Perinatal Indicators (2009); Modified to emphasize South Los Angeles The Problem
Community Health Councils Lark Galloway-Gilliam, Executive Director Breanna Morrison, Policy Analyst 3731 Stocker Street, Suite 201 Los Angeles, CA 90008 323.295.9372 www.chc-inc.org THANK YOU