Category Archives: Social determinants of health
In February, the Robert Wood Johnson Foundation honored six communities with the inaugural RWJF Roadmaps to Health Prize, which recognizes outstanding community partnerships that are helping people live healthier lives.
Recently, NewPublicHealth spoke with Claude-Alix Jacob, chief public health officer at the Cambridge, Mass., department of health, one of the six prize-winning communities to be recognized by the Foundation. Mr. Jacob spoke to NPH about how collaborating around and winning the Prize has impacted the community, including resilience in the face of tragedy.
>>Apply to become a winner of the 2013-2014 RWJF Roadmaps to Health Prize. This year's application deadline is May 23, 2013.
NewPublicHealth: What did winning the RWJF Roadmaps to Health Prize mean to your community?
Claude Jacob: It has been great and exiting news for our community. Over the course of the last few months and through National Public Health Week last month we’ve had a chance to celebrate. We’ve been able to share our public health plans and community partnerships, but also under the aegis of the Robert Wood Johnson Foundation, we now have more credibility for all of our efforts. The Foundation is associated with promoting important health improvement efforts nationwide and just to be linked to the Foundation will open doors, especially now that we’re one of the six inaugural prize winning communities.
During National Public Health Week we invited our community stakeholders to celebrate to thank them for their hard work in helping us to prepare for the site visit that was required of prize finalists. So it’s been a phenomenal few weeks.
NPH: How has winning the prize impacted the health improvements of your community?
Howard County has been the healthiest in Maryland since the Country Health Rankings launched in 2010. NewPublicHealth recently spoke with the county’s executive, Ken Ulman, about how the Rankings have helped drive further progress in improving the health of Howard County. Health initiatives introduced by Howard County have included a program that certifies schools as “Healthy Schools,” if they meet criteria in several areas including nutrition and physical activity, and a smoking ban in all county parks.
NewPublicHealth: Howard County has been consistently been ranked the healthiest county in Maryland. What key factors do you credit for that?
Ken Ulman: We start with some advantages. We have the blessings of a highly educated population that cares deeply about their community and have good jobs, and many, though not all, have [adequate financial] resources and access to care. We also have the advantage of having a nonprofit, the Horizon Foundation, based in Howard County that is dedicated to improving the health and wellbeing of people living and working in our county.
So it’s a combination of policy initiatives coupled with a public that really wants to make progress in these areas.
NPH: Have the County Health Rankings helped drive any of your public health and prevention initiatives?
Recently, The Atlantic and GlaxoSmithKline hosted “A Conversation on Community Health”—a series of events in three U.S. cities to explore what it takes to create a healthy community. The series brought together leaders from across different sectors to forge a dialogue across different perspectives.
NewPublicHealth recently spoke with Robert Simmons, DrPH, MPH, head of the Master’s Program in Public Health at Thomas Jefferson University who was part of a recent panel. Other speakers on that panel included entertainer and activist Dr. Bill Cosby; Dr. Alvin Poussaint, professor of psychiatry at Harvard Medical School; Dr. Irwin Redlener, Clinical Professor of Population and Family Health at the Columbia University School of Public Health; Diane Cornman-Levy, executive director of the Federation of Neighborhood Centers and Sarah Martinez-Helfman, executive director of the Eagles Youth Partnership.
NewPublicHealth: Tell us a bit about your background.
Dr. Simmons: I’ve worked in public health for 40 years including at the County Health Department in San Diego, the State Health Department in California, and the American Lung Association, where I was program director on issues of asthma and tobacco and cardiopulmonary disease. In the last five and a half years, I’ve been directing the public health program at Thomas Jefferson University in Philadelphia.
NPH: What do you think have been key improvements in addressing population health?
As research builds showing that where you live has a big impact on how healthy you are, organizations and businesses across the country are joining the dialogue on how to create healthier communities. Recently, The Atlantic and GlaxoSmithKline hosted “A Conversation on Community Health”—a series of events in U.S. cities across the country to explore what it takes, to create a healthy community. The series brought together leaders from across different sectors to forge a dialogue across different perspectives.
Jason Q. Purnell, PhD, MPH, Assistant Professor at the Brown School of Social Work and Public Health at Washington University in St. Louis, was a panelist at the St. Louis Conversation on Community Health, along with Jackie Joyner-Kersee and others. Recently, Dr. Purnell shared his vision for community health, and the critical role of broad collaboration across sectors, with NewPublicHealth.
NewPublicHealth: What's your vision of a healthy community?
Jason Purnell: My vision for a healthy community includes the elimination of health disparities by race and ethnicity and socioeconomic status. It involves everyone, regardless of zip code or net worth, having the resources to lead full, productive lives. I follow the World Health Organization in its holistic focus on social, emotional, and physical well-being rather than a more narrow focus on disease prevention. A healthy community allows everyone in its boundaries to express their full potential; it allows them to participate in the life of the community, in life itself, to the fullest extent possible.
NPH: Your efforts have included collaboration across psychology, public health, oncology, and primary care. Similarly, the Conversation on Community Health series includes participants from across sectors. Why does public health require such broad collaboration?
Organization and business leaders across the country are realizing that every sector needs to join the fight—or at least the conversation—to create healthier places to live. While altruistic motivations play an important role in this movement, a growing body of research also points to the idea that better health is a major driver for a healthier economy.
Recently, GlaxoSmithKline (GSK) partnered with The Atlantic to host “A Conversation on Community Health”—a series of events in U.S. cities across the country to explore what it means, and what it takes, to create a healthy community. NewPublicHealth checked in with GSK’s Senior Vice President and Corporate Medical Director, Robert Carr, MD, MPH, FACPM, to get his take on why businesses should care about community health, and why a broad, cross-sector dialogue is a critical next step.
>>Read more on communities that were recognized for innovations that are improving the health and lives of their residents, with the 2013 RWJF Roadmaps to Health Prize.
NewPublicHealth: What prompted you and GSK to start thinking about community health?
Dr. Carr: As an HR executive and medical director of a global business, I’m acutely aware that employees are—first and foremost—members of families and communities. The places where they live and the choices made by the people around them profoundly influence the health of our employees. We regularly hear that our employees want to know not only what they can do to lead healthier lives but also what we can do as a company to improve the health of their own community. They want us to dig in and find out what’s needed. Similarly, we recently conducted some research about what Americans are looking for more broadly, and we learned that they want the same thing from GSK. They want us to do more in their communities.
We heard them loud and clear, and we are digging in, starting with understanding what it means and what it takes to be a healthy community. Last year we kicked off a program we call “Healthy Communities.” As part of this attempt to learn more, directly from those on the ground in different American cities, we partnered with The Atlantic for “A Conversation on Community Health.”
NPH: What’s the focus of the “Conversation on Community Health” series?
How healthy is your county? Answers are out today in the 2013 County Health Rankings, which examine the health and well-being of people living in nearly every county in the United States and show that how long and well people live depends on multiple factors beyond just their access to medical care. The Rankings allow counties to see what’s making residents sick or healthy and how they compare to other counties in the same state. The County Health Rankings, now in its fourth year, is a joint project of the Robert Wood Johnson Foundation (RWJF) and the University of Wisconsin Population Health Institute.
“The County Health Rankings can be put to use right away by leaders in government, business, health care, and every citizen motivated to work together to create a culture of health in their community,” said Dr. Risa Lavizzo-Mourey, RWJF president and CEO. “The Rankings are driving innovation, unleashing creativity, and inspiring big changes to improve health in communities large and small throughout the country.”
The Rankings examine 25 factors that influence health, including rates of childhood poverty and smoking, obesity levels, teen birth rates, access to physicians and dentists, rates of high school graduation and college attendance, access to healthy foods, levels of physical inactivity, and percentages of children living in single parent households.
Although the Rankings only allow for county-to-county comparisons of ranks within a state, this year’s Rankings show significant new national trends:
To mark the launch of the 2013 County Health Rankings, Risa Lavizzo-Mourey, MD, MBA, President and CEO of the Robert Wood Johnson Foundation will be taking questions and leading a group discussion via Twitter on March 20, from 2:00 p.m. to 3:00 p.m.
The Q&A will focusing on what's new in the 2013 County Health Rankings and how individuals and organizations can make use of the Rankings to create change for better health in their communities. Submit your questions to: @RWJF_PubHealth or @CHRankings and make sure to use the hashtag #healthrankings.
You can follow the County Health Rankings & Roadmaps on Facebook and Twitter to learn about the new data, find stories about how the project has improved health in communities like yours and get ideas for taking action where you live. The Facebook page will be posting useful new infographics, videos, quotes and images all week. On Twitter, join the Q&A, share your #healthrankings to fill in the “Race to 50” map, and ask an expert for help by tweeting your county to #myrankings.
Will we ever see the end of poverty in the United States? An “Investing in What Works for America’s Communities” event held December 4 in Washington, D.C., looked at the evidence and leading examples toward doing just that. The event, sponsored by the Low Income Investment Fund, the Federal Reserve Bank of San Francisco, and The Citi Foundation, convened top community and economic development experts, analysts, financiers, researchers, philanthropists, and public policymakers from across the nation to share their findings and efforts for improving communities and discussing the next steps toward reversing record high rates of poverty. Reducing poverty, said participants, also goes hand in hand with making communities more sustainable and healthy places to live, learn, work, play, and grow.
The event was a showcase for the book, Investing in What Works for America’s Communities, in which essays from more than 40 experts in a variety of fields provide innovative ideas and concepts that are transforming community involvement and providing sustainable and healthy neighborhoods across the nation. More than 500 people from all backgrounds of public health to private sectors of the government were in attendance, either in person or through the live webcast.
A new op-ed in the Minneapolis Star Tribune makes clear the connection between improving the economy and improving public health — especially when it comes to children. One can’t be accomplished without the other, according to authors Risa Lavizzo-Mourey, MD, MBA, the president and chief executive officer of the Robert Wood Johnson Foundation, and Arthur Rolnick, PhD, a senior fellow at the University of Minnesota and former senior vice president and director of research at the Federal Reserve Bank of Minneapolis.
By improving early education for kids — and even for parents before birth — we can dramatically improve the chances that kids will grow up to lead longer, healthier and more financially successful lives. This will benefit them individually and all of us collectively. The obstacle standing before public health officials and policymakers is to recognize this connection, the authors write.
“For many years, we have missed this connection because we tend to create policy in silos –with education under one roof, housing and economic development under another, and health under yet another roof. In reality, these policy areas are all interconnected and influence one another.”
>>Recommended reading: Read the full story.
>>Recommended viewing: Life Expectancy Disparities along I-94.
Also watch a video with Arthur Rolnick about the return on investment for investing in early childhood education.
The city of Philadelphia and the Pennsylvania Horticulture Society are seeing positive results as they continue to grow their Philadelphia Green program. The program has taken on the vacant lots in Philadelphia neighborhoods and transformed them from embarrassing eye sores to points of pride – and made the community safer in the process.
“The city owned the problem even if we did not own the land” said Robert Grossmann, Director, Philadelphia Green. “We decided to use horticulture to build community and improve the quality of life in Philadelphia’s neighborhoods and downtown public spaces.”
The goal was to help build equity for the people living in the neighborhoods so they felt a sense of pride – the result was crime prevention through environmental design.
With the help of community activists and landscape contractors the program has “cleaned and greened” more than 7,000 lots. The impact is a reduction in gun crimes, lower rates of vandalism and residents even report experiencing lower stress rates and an increased urge to get out and exercise.