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The Environment That Racism Built
The Impact of Place on Maternal and Infant Health
By Rejane Frederick May 10, 2018, 12:01 pm
Demolition Continues On New Orleans Housing Projects
Getty/Mario Tama
A mother holds her daughter in housing projects in New Orleans, May 2008.
The conventional and individualistic recipe for good health has long been to eat right, avoid bad habits, exercise regularly, sleep enough, and have regular doctor check-ups. Yet, despite this straightforward prescription, many people in the United States struggle to achieve and maintain good health. While personal behavior and choice are certainly core components of one’s health, they cannot fully explain or account for all that it takes to become and remain healthy.
The reality in this nation is that while people can self-regulate some aspects of their health–such as by following the practices listed above—many other factors that determine health are beyond individual control. These factors include the environments in which people are born, live, learn, work, and play—known as the social determinants of health. These determinants substantially affect and shape health and quality of life—for better or for worse.
Health inequities—defined as disparities that are modifiable, associated with social disadvantage, and considered ethically unfair—are preventable health problems that research has shown result from a toxic relationship between how people live their lives and the socioeconomic and physical environments that surround them. An inequity that has long held the attention of public health researchers, and that was recently catapulted into the national spotlight, are the longstanding, severe, and preventable race-based differences in the survival rates of black mothers and their infants
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