More than 15 years ago I began educating women about breast cancer mortality and early detection. Most of my outreach centered around African American women who suffer the highest mortality even though the incidence is higher in white women than black women.
As a lay person, I find that what I don’t know allows me to look at issues from a common sense approach and ask those dumb questions. If every woman gets screened early why are their outcomes so bad? Sometimes the reason is the state of their health and when it is poor, they have poorer outcomes.
After educating over 15,000 women and witnessing first-hand how much they suffer through cancer and sometimes die, I learned that many of their outcomes were poor due to their overall general health. African Americans suffer from high rates of diabetes, heart disease, and cancer. Some of these women are battling more than one disease at a time. When a friend, who had her first chemo treatment, died at age 42 from a heart attack, I learned she was also diabetic and her diet lacked fresh fruits and vegetables.
We are surrounded by food deserts, the bodegas where most inner city people without transportation shop, don’t offer many healthy choices. Fresh fish, vegetables, and fruits are not available, cost prohibitive, and in the corner stores, unattractive. Urban communities need more local, affordable, and culturally appropriate foods.
As we look towards producing 50% of our food in the New England states by 2060 we must be mindful that if we are going to be inclusive, we must consider those who suffer the greatest health disparities. It’s not only about the right foods being available, but that we all have access.
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(A re-posting from June 2009)
One of the blessings I’ve experienced in our social change work as process experts and professional facilitators is the exposure we get to have to various fields of social change work. Since last October, my colleague Andrea and I have had the pleasure of consulting with an amazing collaborative of stakeholders, the Springfield Health Equity Initiative, who have determined to build a plan to reduce the incidence of diabetes in the black and brown neighborhoods in the city of Springfield, MA. Even more boldly, these dedicated and thoughtful leaders have also chosen to take up an analysis for their work that incorporates how systemic, government sanctioned, racial discrimination has played a direct role in creating the egregious disparities in health outcomes we see today among black and brown folk in the U.S., and regardless of class. Read MoreLeave a comment
Where does social change begin? I’ve been asking myself this question for a long time but it hit me especially hard this weekend. I was sitting with my father, who is in his early fifties, we were waiting for my uncle and chatting with a friend who is also about their age, all of them have diabetes. At that point I had to wonder why it has almost become a rite of passage for Puerto Rican men of a certain age to sit around and discuss the onset of diabetes.
The Health Care debate has been sad and frustrating. Even with the best president in a generation there seems to be so little we can do. And it feels so far away from the day to day lives of those who are getting sick by virtue of simply living and eating in our society. So where does social change begin? Is it by slowly bringing progressive voices into state power? Is it by organizing people to feed themselves better? Is it all about personal responsibility? Read MoreLeave a comment