Here is what I am working on right now.
Welcome to Lakeland Health’s Community Grand Rounds, a speaker series that examines how the trauma of racism affects the health of the people we serve, and how to be more aware of and better address those impacts in our professional encounters.
In Southwest Michigan’s Berrien County, poor people, and especially African Americans, experience high rates of the illnesses identified as Priority Health Needs in Lakeland’s Community Health Needs Assessment. Data provided by the Berrien County Health Department finds blacks have higher rates of obesity, diabetes, stroke and psychological distress when compared to whites. While these differences are attributable to poor access to resources required for good health, like healthy food, quality education and safe housing, emerging science is showing there’s something deeper at work.
New knowledge in the field of neuroscience and in the emerging fields of epigenetics and social genomics suggests that the experience of discrimination is strongly associated with health inequities. In particular, we are learning that the social environment we live in impacts our genes, our hormones, inflammation in our bodies, our immune systems and, therefore, our overall health. For health care providers and others, awareness of the health effects of discrimination, such as racism, is critical to optimizing patient and population health.
Community Grand Rounds is Lakeland’s effort to raise awareness and understanding of this new science and its implications for health. In a series of speakers and discussions between 2018 and 2020, Lakeland’s doctors, nurses, other clinical staff, board members as well as government and community leaders will learn from experts about the impact of racism on health. The goal is to inform and to set the stage for further discussions and actions leading to improved health outcomes across the population served by Lakeland.
Community Grand Rounds is a collaborative effort between Lakeland health and The Todman Family Foundation.
For more information, contact Lynn Todman, PhD through the contact form below.
“In the United States, as in other racialized countries in the world, racially stigmatized and disenfranchised populations have worse health than their more advantaged counter evident in higher rates of mortality, earlier onset of disease, greater severity and progression of disease, and higher levels of comorbidity and impairment. In addition, disadvantaged racial populations tend to have both lower levels of access to medical care and to receive care that is poorer in quality.” - David Williams
Everyday Discrimination and Metabolic Syndrome - Racially Diverse Women's Health. Beatty (2018)
For every 1 point increase in discrimination score, 3% increase in incidence of Metabolic Syndrome (hypertension, obesity, lipids).
Discrimination and Cardiovascular Risk in Low-Income African American Youth. Goosby (2015)
Discrimination and Depression among African American Men. Wheaton (2018)
Los Angeles High School Students Concerned About Increasing Societal Discrimination
Of 2572 adolescents in a Los Angeles High School surveyed, concern about increasing societal discrimination was associated with higher rates of substance use, a greater number of different substances used, and 11% higher odds of depression.
Of 2572 adolescents in a Los Angeles High School surveyed, concern about increasing societal discrimination was associated with higher rates of substance use, a greater number of different substances used, and 12% greater odds of attention-deficit/hyperactivity disorder symptoms.
Association of Reported Concern About Increasing Societal Discrimination With Adverse Behavioral Health Outcomes in Late Adolescence. (JAMA Pediatrics, October 2018)
Percent of Uninsured Among Communities of Color in the United States
In 2017, non-Hispanic whites had the lowest uninsured rate among race and Hispanic-origin groups. The uninsured rates for blacks and Asians were 10.6 percent and 7.3 percent, respectively. Hispanics had the highest uninsured rate at 16.1 percent nationally.
Data Source: Income, Poverty and Health Insurance Coverage in the United States: 2017 https://www.census.gov/newsroom/press-releases/2018/income-poverty.html
2016 Infant Mortality Rates in the State of Michigan per 100,000 Infants
2016 Infant Mortality Rates in Berrien County Michigan per 100,000 Infants
The acclaimed author of A Raisin in the Sun and civil rights activist, Lorraine Hansberry, died of pancreatic cancer at age 34 in 1965. At her funeral, author James Baldwin said: “It is not at all farfetched to suspect that what she saw contributed to the strain which killed her, for the effort to which Lorraine was dedicated is more than enough to kill a man.”
What is Community Grand Rounds?
Dr. Lynn Todman shares how “CGR” became a speaker’s series designed to deepen the understanding of how racism impacts the health in communities of color.
What was the source of inspiration for Community Grand Rounds?
Spurred on by the findings of Lakeland Health’s Community Needs Assessment, Todman found significant health disparities in the region that she wanted to delve into further.
What can people expect to take away from Community Grand Rounds?
Todman shares she wants people to walk away with increased awareness around the following:
- There is no biological basis for the concept of race
- Racism is a form of psychological trauma
- Like all forms of trauma the toxic impacts are preventable.
What is the impact of stress on health?
Tasha N. Turner, MA, LLPC, Program Director, Trauma Informed Initiatives discusses our physical response to stress.
What is the body’s response to stress?
Our physical well-being is reliant on our mental and emotional state.
Understanding The Health Consequences Of Racism & What You Can Do About It. July 10, 2018 10:00 am to 11:30 am
Don Campbell / HP staff Trish Adams, left, and Dana Humes, right, join "Tiger Moms" as they serve the Benton Harbor High School varsity football team a pre-game meal of chicken, pasta, garlic bread, fruit, and dessert Friday, October 9, 2015, at Benton Harbor High...read more
Benton Harbor head coach Elliot Uzelac speaks with his team after practice on Tuesday, Sept. 20, 2016 in Benton Harbor, Mich. (Bryan Bennett | MLive.com) Story of Black Team’s Miracle Turnaround Provokes Myriad Feelings During a ‘Courageous Conversation’ ST. JOSEPH,...read more
BENTON HARBOR, Mich. – How do you help move thousands of people toward healthier lives? And how do you encourage people across the black-and-white racial chasm to work together to help reduce health inequities? These are daunting goals, and not for the fainthearted....read more
Health Officer Britten Says Candid Talk about Race Can Spark Empathy and Action to Fix Health Inequities BENTON HARBOR, Mich. – Most adults in the U.S. probably know about “The Talk” black parents have with their teenage sons. This is the protective advice designed to...read more
Dr. David Ansell likes to say he practiced internal medicine for decades along “one street” but in “two worlds.” The street is Ogden Avenue, which links Chicago neighborhoods of great wealth, and correspondingly long lifespans, with poor neighborhoods and far shorter lifespans. One world is predominantly white, the other predominantly black and brown.read more
The slide on the screen in the auditorium shows a young black male. Dr. David Ansell says he is 16, lives on the West Side of Chicago and has only about a 50 percent chance of living to age 65.
Why is that? Ansell asks.
Harvard sociologist David Williams offered many ways people can fight back against institutional racism and implicit bias and make a healthier social environment for all people. His suggestions range from little daily acts to big reforms.read more
Linnea is a psychiatric nurse for Lakeland Health system. What Harvard sociologist David Williams said in his July 10 morning presentation in St. Joseph, Mich., shook her up and opened her eyes to her own racial prejudices.read more
Systemic Racism Adds Another Layer of Trauma for Many People; Therapist Calls it ‘A Public Health Crisis’
As a program director, Turner, a psychotherapist, directs trauma-informed initiatives for Lakeland Health, the health care system that serves Berrien County in southwest Michigan. In that role Turner is looking at the lives of many tens of thousands of people. It is a county polarized by race and economic disparities—and big gaps in health outcomes between blacks and whites. The view from Turner’s Lakeland perch is necessarily disturbing.read more