HEALTHPhysical, mental, spiritual and social wellness.

PUBLIC HEALTHWhat we as a society do collectively to assure the conditions in which people can be healthy.Institute of Medicine 1998

3

Social Determinants of

Health

4

Lit

era

cy R

ate

s

Life Expectancy

Source: World Bank data

Literacy Rates and Life

Expectancy

State median income versus state

Infant Mortality Rates, 2007-9

*Mobilizing for Action through Planning and Partnerships

STRATEGICPLANNING MODEL

MAPP*

VISIONBuilding a diverse, vibrant community that nurtures good health and quality of life.

MISSIONA community approach to better health.

How can we position health as a consideration in community policy and planning decisions?

How can we create a sustainablenetwork of partnerships thateffectively contribute to improved community health?

Libraries

Home

Health

Parks

Economic

Development

KAT

Employers

Nursing Homes

Mental HealthDrug

Treatment

Civic Groups

Laboratory

Facilities

Hospitals

EMS

Community

Centers

Doctors

KCHD

Faith

Philanthropy

Local Govt.

Schools

Police

Fire

Corrections

Environmntal

Health MPC

How can we achieve equitable

health outcomes for all

community members?

The price of a standard bag of groceries was $20 higher in the lowest income sector in the county than in the highest income sector.

What is health inequity?

Language of the day…

• Health Disparities: differences in health status among distinct segments of the population.

• Health Inequity: disparities in health [or health care] that are systemic and avoidable and, therefore, considered unfair or unjust.

• Health Equity: achieving the highest level of health for all people.

What is health equity?

In April 2012 the Health Equity Action Team held a workshop to pool their ideas of what health equity would look like in Knox County.

We determined that “health equity in Knox County means that the opportunity to be healthy is not limited by who you are or where you live and there is awareness at all levels of the community of how equity impacts health.”

Geographical Dimension

Geographical Dimension

Geographical Dimension

Income in Knox County, TN by Census Tract, 2009

Legend

Geographical Dimension

Gradient Effect

Behavioral Risk Factor Surveillance System (2011)

Diabetes Prevalence by Income Level, 2011

24.4

14.412.4

9.5

5.3

0

5

10

15

20

25

30

<$15K $15K-$24,999 $25K-$34,999 $35K-$49,999 >=$50K

Diabetes

Gradient Effect

Behavioral Risk Factor Surveillance System (2011)

Diabetes Prevalence by Education Level, 2011

17.8

11.810

6.5

0

5

10

15

20

Less than High

School

High School Some College College Grad

Diabetes

Gradient EffectEducation and Health, Knox County,

Tennessee, USA

From the Knox County Health Department Behavioral Risk Factor Survey, 2013

Gradient EffectIncome and Health, Knox County,

Tennessee, USA

From the Knox County Health Department Behavioral Risk Factor Survey, 2013

0

10

20

30

40

50

60

Fair or poor health

Poor mental health

Needed to see MD butcould not afford

Stressed about buyingnutritious foods

Gradient Effect

AFRICAN-AMERICAN - Mortality rate per 1,000

WHITE - Mortality rate per 1,000

Community Health Status Assessment (2010), Full Report, pg. 101

Infant Mortality by Race in Knox County, 2006.

How can we achieve equitable health outcomes for all community members?

STRATEGICISSUE

Equity Action Team Goals

1. Use existing health indicator data to identify neighborhoods with the greatest challenges to health.

2. Engage the identified neighborhoods to assess root causes and improve health outcomes.

3. Increase awareness at all levels of the community of how inequity impacts health outcomes.

Equity Action Team Goals

1. Use existing health indicator data to identify neighborhoods with the greatest challenges to health.

2. Engage the identified neighborhoods to assess root causes and improve health outcomes.

3. Increase awareness at all levels of the community of how inequity impacts health outcomes.

+“Equity in East

Tennessee: Why

Health Equity

Matters”Featuring Keynote Speaker:

Dr. Adewale Troutman

NOVEMBER 8,

2013

8:30 am- 3:00 pm

BECK

CULTURAL

EXCHANGE

CENTER

1927 Dandridge Avenue

Knoxville, TN

For Health and

Healthcare

policymakers,

planners,

advocates, and

providers.

The first-ever

summit on Health

Equity in East

Tennessee