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Dipti Venkatesh

Dipti Venkatesh

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Housing Practices in California are Widening Health Inequities

by Dipti Venkatesh December 22, 2021
3 mins read

The CDC states that “health equity is achieved when every person has the opportunity to ‘attain his or her full health potential’ and no one is ‘disadvantaged from achieving this potential because of social position or other socially determined circumstances.’” The reality is that we are far away from achieving this goal due to a multitude of reasons, one of the major ones being housing especially in California. Housing is more than just a place to live, the environment you are in directly impacts your health and access to hygienic and safe living space makes a world of difference in mitigating risk of illness and danger. 

 

The average price of a house in California was $698,587 as of August 2021, 22% greater than the average US home price. The average annual income of a Californian household was $77,358. Households which shell out much of their income towards buying houses do not have leeway to resist the burdens of job loss and economic recession. They are also limited in their capacity to contribute to positive factors such as regular check-ups and healthy food. California’s exorbitant prices mean that many families, mostly ethnic and racial minorities such as African Americans and the Latinx community, cannot find housing in quality neighborhoods. Low-income neighborhoods offer restricted job opportunities, low-funded school systems, and a general lack of hygiene and safety. Asthma is more prevalent in Black and Hispanic communities because of the poor condition of their housing. Housing instability can lead to homelessness which drastically reduces families quality of life and chance of health equity.  

 

California is mostly made up of single-family housing units. Single-family zoning refers to a residential area where only one housing unit can be built on a given parcel of land. In the past few years, California has maintained their stance in building single-family housing as opposed to high-density housing such as apartments. The construction of housing could not keep up with the growing population and new job opportunities. Recently, Governor Gavin Newsom passed Senate Bill 9 and Senate Bill 10, in an attempt to bridge the inequities created by California’s old housing laws. Senate Bill 9 “eases the process for a property owner to create a duplex on a single-family lot, or subdivide the lot to construct either a single-family or duplex home on each subdivision.” Senate Bill 10 enables cities to “upzone areas close to job centers, transit, and existing urbanized areas to allow up to 10 units on a property – subject to setbacks, easements, and other development standards as permitted by the new law – without having to go through the California Environmental Quality Act review process.” While these laws will increase the density of housing, it won’t halt problems such as redlining –  a discriminatory practice in which services were withheld from potential customers who resided in neighborhoods classified as ‘hazardous’ to investment – and gentrification – the process in which a poor urban area is changed by wealthier people moving in, improving housing, and attracting new businesses, usually displacing low-income inhabitants. 

 

Good housing is the basis for health equity and many inhabitants of California are denied that based on their income, race, ethnicity, etc. The benefits of quality dwellings pervade into the future of many families as their chances of illnesses such as lead poisoning decrease and their overall mental health improves. California has taken a few steps in the right direction, but we must go deeper if we want to uproot this problem and bridge the disparities in health equity once and for all.  

References:

https://www.sanjoseca.gov/your-government/departments-offices/planning-building-code-enforcement/planning-division/citywide-planning/opportunity-housing/about-senate-bills-9-10

https://www.apha.org/-/media/files/pdf/topics/equity/health_and_housing_equity.ashx

https://www.fool.com/the-ascent/research/average-house-price-state/

December 22, 2021 0 comment
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Health

Impact of COVID-19 on the health of ethnic minorities

by Dipti Venkatesh July 21, 2021

COVID-19, the pandemic that has devastated the world and taken more that 618,000 lives in the USA alone, is a mirror of our healthcare system. A disproportionate amount of racial and ethnic minorities have died due to COVID-19. A statistic by the CDC states that the death toll of Black or African American, Non-Hispanic persons is 2.0 times more than White, Non-Hispanic persons; 2.4 times more for American Indian or Alaska Native, Non-Hispanic persons; and 2.3 times more for Hispanic or Latino persons. This disparity directly translates to the lack of health equity. 

There are many reasons why racial and ethnic minorities are more susceptible to COVID-19, three being occupation, environment, and education. People from racial and ethnic minorities make up a large proportion of essential workers such as retail, public transportation, and factory personnel. These jobs increase the chance of exposure to COVID-19 because of close contact with other people and in-person work. Crowded living spaces and unstable housing thwart COVID prevention efforts like quarantining and self-isolation. The close proximity to other family members/housemates mitigates the use of social distancing and proper hygiene. Unstable housing situations can lead to homelessness or inadequate living situations which contributes to a COVID positive environment. Many racial and ethnic minorities simply just have not gotten educated on COVID prevention measures. Because they do not know what symptoms to look out for and what to do when they might have the virus, they are unable to catch the illness in its early stages and receive proper treatment.

Racial and ethnic minorities do not have the same chances for equitable health, so what is it being done to bridge the gap during this pandemic? The CDC is taking steps in the right direction which they outlined in their “COVID-19 Response Health Equity Strategy”.  There are four parts: “expanding the evidence base”, increasing the number of programs for “testing, contact tracing, isolation, healthcare, and recovery from the impact of unintended negative consequences of mitigation strategies”, “expanding program and practice activities to support essential and frontline workers to prevent transmission of COVID-19.”, and “expanding an inclusive workforce equipped to assess and address the needs of an increasingly diverse U.S. population”. 

As the CDC does their part to increase the probability of equitable health for racial and ethnic minorities, we should also do our part to ensure that these policies reach all vulnerable groups in our communities. 

Resources:

https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/cdc-strategy.html

https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/racial-ethnic-disparities/increased-risk-exposure.html

https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-race-ethnicity.html

July 21, 2021 0 comment
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Health

What is Health Equity?

by Dipti Venkatesh May 11, 2021

Health equity is commonly defined as every person having a fair chance to achieve their best health. There are many factors that impact health equity: race, poverty, education, etc, but it is hard for regular people to influence these problem factors. For example, many people are aware of facts such as 96% of subjects in genome wide association studies, which research the connection between certain genes and particular diseases, are of European descent which leads to non-specialized care for underrepresented populations, but what can they do about that? Problems such as economic disparity and racial discrimination would take years to overcome, but peoples’ health cannot wait.

Leading into a simple question, what can we do in our day to day lives to increase our chances of equitable health? As stated above, education is one reason behind the disparity in healthcare. Solely educating people on what meals they should eat everyday to have a more balanced diet would increase their chances of health equity. Take the COVID-19 situation we are in. Many vulnerable communities, such as ones that cannot speak English, are not getting vaccinated because they are not able to understand how and why to get it. Just expanding our ways and range of informing people would allow them to increase the feasibility of good health. Little changes such as convincing people to quit smoking and implementing good hygiene policies for families that live together are also important.

Although these solutions seem trivial, if they are continuously implemented, the effects will snowball into a substantial increase in the plausibility of equitable health. Obviously while we attempt to incorporate these small changes into people’s everyday lives, we cannot give up on the umbrella problems of race, economic disparity, etc; but we are heading in the right direction.

May 11, 2021 0 comment
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