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Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine Vital Directions For Healthcare: The NC Experience Thursday, November 21, 2019

Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions

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Page 1: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions

Place MattersFrom Health and Healthcare Disparities to Equity

Sharrelle Barber, ScD, MPHNational Academy of Medicine

Vital Directions For Healthcare: The NC ExperienceThursday, November 21, 2019

Page 2: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions

“Tell me what is ailing you and I will tell you where you are

from…”~Hippocrates, Father of Modern Medicine

Page 3: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions

At the Intersection of Place, Race(ism), and Health

PLACE

HEALTH

RACE

Page 4: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions
Page 5: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions
Page 6: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions
Page 7: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions

Medicaid Expansion in the U.S. as of May 2019

Page 8: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions

RWJF County Health Rankings and RoadmapsHealth Outcomes

Page 9: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions

RWJF County Health Rankings and RoadmapsHealth Factors

Page 10: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions
Page 11: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions
Page 12: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions

Residential SegregationA Fundamental Cause of Health Inequalities

Page 13: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions

Residential SegregationA Fundamental Cause of Health Inequalities

Page 14: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions

Residential SegregationA Fundamental Cause of Health Inequalities

Page 15: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions

Residential SegregationA Fundamental Cause of Health Inequalities

Page 16: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions
Page 17: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions
Page 18: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions

Residential SegregationA Fundamental Cause of Health Inequalities

Page 19: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions

Adjusted CVD Incidence Rates by Racial Residential Segregation in Jackson, MS

The Jackson Heart Study 2000-115.7

4

2.8

0

1

2

3

4

5

6

High Medium Low

Inci

denc

e pe

r 100

0 PY

Racial Residential Segregation

Barber Revised

Page 20: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions
Page 21: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions
Page 22: Place Matters - National Academy of Medicine · Place Matters From Health and Healthcare Disparities to Equity Sharrelle Barber, ScD, MPH National Academy of Medicine . Vital Directions

Thank You

[email protected]@HealthEquityDoc