SDOH

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Alameda County Details How Transit Cuts Harm Health

By Rachel Dornhelm

(Getty Images)

(Getty Images)

At first glance, you might not think that cuts to public transportation might affect someone’s health. But Devilla Ervin understands the impact firsthand. The 23-year-old lives in West Oakland and a few years ago worked the graveyard shift at McDonald’s.

“I got off work at 4 a.m. and there was no bus service,” he describes. “And so I was walking in my community of West Oakland, with shootings and violence, 45 minutes to an hour to get home.”

Yet, in addition to the threat of violence, Ervin also described a sense of social isolation that he’s felt as a result of recent cuts to bus service in his area.

“It’s not good for physical and mental health,” he says. “It wasn’t good for my spiritual health too, because I couldn’t get to church. A lot of the bus cuts were around International Boulevard where my church is.”

Access to public transportation is what policy types call a “social determinant of health” or SDOH. Health is about much more than health care, than simply seeing a doctor.

Now, in a new study, the Alameda County Public Health Department documents the link Ervin has experienced between health and access to reliable public transportation. Continue reading

Best Health System in the World?

American children are less likely to live to age 5 than children in other high-income countries. (Photo: Comstock)

American children are less likely to live to age 5 than children in other high-income countries. (Photo: Comstock)

If one big thing you want out of life is to live a long time in good health, the U.S. is not doing a good job, says a major report from the National Research Council and the Institute of Medicine, entitled “Shorter Lives, Poorer Health.”

There’s no explaining it away. A panel of physicians and researchers from around the country found a health disadvantage at all ages — from birth to 75 — when compared against people in 16 other “high income” countries.

The breadth and scale of this report is something: 405 pages of analysis across diseases, ages and incomes groups.

“The rule is we’re worse on everything.”

Even well-off Americans, “those who have health insurance, college educations, higher incomes and healthy behaviors,” according to the press release, seem to be in worse health than their counterparts in the other well-off countries.

Dr. Steven Woolf, chair of the panel that wrote the report, said they were “struck by the gravity” of what they learned. “Americans are dying and suffering at rates that we know are unnecessary because people in other high-income countries are living longer lives and enjoying better health. What concerns our panel is why, for decades, we have been slipping behind.”

Pretty sobering. Continue reading