Tag Archives: disparities

Could the other SCOTUS ruling improve health for the LGBT community?

Susan Heavey

About Susan Heavey

Susan Heavey, (@susanheavey) a Washington, D.C.-based journalist, is AHCJ’s topic leader on social determinants of health and curates related material at healthjournalism.org. She welcomes questions and suggestions on resources and tip sheets at susan@healthjournalism.org.

Photo: Matt Popovich via Flickr

Photo: Matt Popovich via Flickr

All eyes were on the U.S. Supreme Court last week as it handed down its highly anticipated decision in King v. Burwell, affirming subsidies in the Affordable Care Act. The justices upheld the financial assistance, saying Congress saw it as critical to a functioning health insurance market. But could the court’s other big ruling have an equally profound impact on another group?

On Friday, the court ruled 5-4 in support of same-sex marriage, saying the Fourteenth Amendment gave such couples the right to marry and legalizing marriage in all 50 U.S. states. While an affirmation of LGBT rights, the decision could also be the first step in improving the health of same-sex couples, according to several health provider organizations that released statements soon after the landmark ruling. Continue reading

Reaching rural populations and providers: more from #ruralhealth15

Susan Heavey

About Susan Heavey

Susan Heavey, (@susanheavey) a Washington, D.C.-based journalist, is AHCJ’s topic leader on social determinants of health and curates related material at healthjournalism.org. She welcomes questions and suggestions on resources and tip sheets at susan@healthjournalism.org.

Medical student Russell Stanley (left) and Dr. Kevin Blanton (right) share the stresses and triumphs of providing care in rural settings at AHCJ’s June 19 Rural Health Workshop.

Photo: Pia Christensen/AHCJMedical student Russell Stanley (left) and Dr. Kevin Blanton (right) share the stresses and triumphs of providing care in rural settings at AHCJ’s June 19 Rural Health Journalism Workshop.

Distance dominated much of the conversation at AHCJ’s recent Rural Health Journalism Workshop in Fort Worth, Texas, a vast state with wide open spaces and far-flung cities.

While such expanses can offer a quiet alternative to urban areas, panelists at #ruralhealth15 also noted that such isolation can impact not only health, but education and other community resources. And that can present another challenge: attracting health professions to rural pockets to provide needed care for residents. Continue reading

Percentage of adult Americans with cavities remains high, study notes

Mary Otto

About Mary Otto

Mary Otto, a Washington, D.C.-based freelancer, is AHCJ's topic leader on oral health, curating related material at healthjournalism.org. She welcomes questions and suggestions on oral health resources at mary@healthjournalism.org.

Photo by ktpupp via Flickr.

Although tooth decay and tooth loss have been declining in recent decades, more than nine of 10 working-age Americans have cavities in permanent teeth, a new federal report shows.

“Among adults aged 20-64, 91 percent had caries and 27 percent had untreated tooth decay,” conclude the authors of a data brief from the National Center for Health Statistics.

The data were drawn from the 2011-2012 National Health and Nutrition Examination Survey (NHANES).

The survey, really an ongoing series of surveys, serves as a major tool for assessing the status of the nation’s oral health. NHANES’ size and depth make it unique. The study combines face-to-face interviews and physical examinations of a nationally representative sample of about 5,000 people each year. The work is overseen by the National Center for Health Statistics, which is part of the Centers for Disease Control and Prevention. Continue reading

The reality of rural care: Covering the divide and distance

Susan Heavey

About Susan Heavey

Susan Heavey, (@susanheavey) a Washington, D.C.-based journalist, is AHCJ’s topic leader on social determinants of health and curates related material at healthjournalism.org. She welcomes questions and suggestions on resources and tip sheets at susan@healthjournalism.org.

Photo: Len Bruzzese/AHCJMore than 60 people attended AHCJ's Rural Health Journalism Workshop on June 19 in Fort Worth, Texas.

Photo: Len Bruzzese/AHCJMore than 70 people attended AHCJ’s Rural Health Journalism Workshop on June 19 in Fort Worth, Texas.

At a glance, the Dallas-Fort Worth area doesn’t seem so remote. Touching down in northern Texas, there’s a glut of restaurants, a Starbucks (there’s always a Starbucks) and, soon, a maze of highways.

But head from the airport to AHCJ’s Rural Health Journalism Workshop (#ruralhealth15) in downtown Fort Worth, and one of the major health care challenges facing non-urban areas quickly becomes clear: distance. On the road from Dallas to Fort Worth stretch miles of pavement. One Texas injury clinic along the way doesn’t look much different than the auto shops and loan stores it is sandwiched between along the busy route.

In fact, this metropolitan region was the model setting for the more than 70 people who attended the daylong program – a vast state with many isolated pockets close to Oklahoma and other states with similar challenges that can put rural residents at the bottom rung of the U.S. health care system. Continue reading

Covering infant mortality’s grip in South Carolina

Susan Heavey

About Susan Heavey

Susan Heavey, (@susanheavey) a Washington, D.C.-based journalist, is AHCJ’s topic leader on social determinants of health and curates related material at healthjournalism.org. She welcomes questions and suggestions on resources and tip sheets at susan@healthjournalism.org.

Photo: sean dreilinger via Flickr

Photo: sean dreilinger via Flickr

Journalists Doug Pardue and Lauren Sausser of The Post and Courier in South Carolina almost saw their story, about tackling the perpetually high infant deaths in their southern state, slip away when officials released updated statistics that appeared to show the problem ebbing.

But a closer look at the data — and its geographical divide — showed that the overall numbers weren’t really what they seemed. What resulted when Pardue, part of the paper’s Pulitzer Prize-winning team this year, and Sausser, also an award-winning reporter, teamed up was a powerful investigative series on the tight hold of South Carolina’s infant mortality rate and a deeper look at where the state was getting it right, and where it wasn’t.

Here’s how they did it.

Amid turmoil in Baltimore, a story of hidden health care gaps

Susan Heavey

About Susan Heavey

Susan Heavey, (@susanheavey) a Washington, D.C.-based journalist, is AHCJ’s topic leader on social determinants of health and curates related material at healthjournalism.org. She welcomes questions and suggestions on resources and tip sheets at susan@healthjournalism.org.

Images streaming from the recent unrest in Baltimore showed parts of a city in flames, buildings in ruins and turmoil in the streets following the death of 25-year-old Freddie Gray April 19 while in police custody.

Park Avenue Pharmacy in Bolton Hill, Baltimore

Image by Taber Andrew Bain via flickr.

Less visible – perhaps with the exception of a burned and looted CVS – are the scars of limited access to health care in a city with deep pockets of poverty.

A city on the brink

First, a look at the big picture in Baltimore, Maryland’s biggest city with roughly 623,000 residents and glaring disparities in crime rates, income, education, housing – and health.

Continue reading

ZIP code vs. genetic code: How to cover health inequality #ahcj15

Kris Hickman

About Kris Hickman

Kris Hickman (@the_index_case) is a graduate research assistant for AHCJ, pursuing a master’s degree in public health. She has a bachelor's degree in anthropology, with a minor in journalism, from the University of Missouri. She spent two years in Zambia as an HIV/AIDS community education volunteer in the Peace Corps. She aspires to be an epidemiologist and science writer.

Poverty is a poignant reality – and an overwhelming one. If you’re a reporter, you might struggle to find the story in health inequality.  But at Health Journalism 2015 in Santa Clara, Calif., panelists shed some light on the health disparity between high and low incomes – and who it hurts.

Nearby Silicon Valley has massive income inequality, and panelists from Northern California gave attendees some local perspective. The panel, moderated by independent journalist Sheree Crute, explored how wealth influences health, as well as how to provide – and cover – health care in an impoverished community.

Luisa Buada, R.N., M.P.H., chief executive officer, Ravenswood Family Health Center, said the top earners in Silicon Valley can make $3,500 a week and the mean cost of a home is $855,000, but 86 percent of patients in her clinic are at or below 100 percent of the federal poverty level (FPL).

“We’re living in a place of extraordinary poverty surrounded by extraordinary wealth,” Buada said at the April 25 panel. She described “another kind of homelessness,” in which low-income families are priced out of the astronomically expensive Silicon Valley. This creates a barrier to health care for those people, she said. Continue reading

In heart of Silicon Valley, a chance to spot health gaps #ahcj15

Susan Heavey

About Susan Heavey

Susan Heavey, (@susanheavey) a Washington, D.C.-based journalist, is AHCJ’s topic leader on social determinants of health and curates related material at healthjournalism.org. She welcomes questions and suggestions on resources and tip sheets at susan@healthjournalism.org.

Silicon Valley is the place of tech dreams and data wonders. But the city – one of the nation’s wealthiest areas – is also home to underlying health gaps. So perhaps it’s a fitting place to also examine the haves-and-have-nots of health care at AHCJ’s annual conference this week.

Sheree Crute

Sheree Crute

On Saturday, presenters will discuss how an area can suffer from health disparities when it comes to what care patients receive and how. In the session, “One Community, Two Worlds: Reporting on Health Inequality,” Luisa Buada, a registered nurse and chief executive of Ravenswood Family Health Center in East Palo Alto, California, and Sarah Reyes, regional program manager for The California Endowment’s Building Healthy Communities initiative, will join San Jose Mercury News reporter Tracy Seipel to guide journalists in understanding such gaps. Continue reading

Native American tribe wields sales tax to promote healthier eating

Mary Otto

About Mary Otto

Mary Otto, a Washington, D.C.-based freelancer, is AHCJ's topic leader on oral health, curating related material at healthjournalism.org. She welcomes questions and suggestions on oral health resources at mary@healthjournalism.org.

Image by  Mike Licht via flickr.

Image by Mike Licht via flickr.

Hoping to encourage healthier eating habits, leaders of the Navajo Nation have imposed a potentially precedent-setting tax on junk food and sodas.

The 27,000-square-mile territory, which extends into Utah, Arizona and New Mexico, as of April 1 added a 2-cent sales tax to an existing 5-cent sales tax on most goods sold there, Eliza Barclay reported for National Public Radio’s food blog, The Salt. Fresh fruits and vegetables sold on the reservation have been tax-free since October as part of the tribe’s healthy eating initiative. Continue reading

NYT maps how high health gaps lower the odds

Susan Heavey

About Susan Heavey

Susan Heavey, (@susanheavey) a Washington, D.C.-based journalist, is AHCJ’s topic leader on social determinants of health and curates related material at healthjournalism.org. She welcomes questions and suggestions on resources and tip sheets at susan@healthjournalism.org.

Institute for Health Metrics and Evaluation (IHME). US Health Map. Seattle, WA: IHME, University of Washington, 2014. Available from http://vizhub.healthdata.org/us-health-map. (Accessed 4/14/2015)

Image: Institute for Health Metrics and Evaluation (IHME). US Health Map. Seattle, WA: IHME, University of Washington, 2014. (Accessed 4/14/2015)

The impact of “income inequality” has been given a closer examination since the recession and is teeing up as a potential catchphrase in the 2016 election.

While poorer pockets of the United States is a well-known factor that can lead to poor health (among other issues), less clear has been the ramifications of living somewhere home to both the wealthy and those the low-income, thus creating a gap. Continue reading