Chicago Social Determinants of Health — Transcript

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1. 0:03- [Doctor] When it comes to heart disease,
2. 0:04where you live dictates when you die.
3. 0:08(soft peaceful music)
4. 0:17- As healthcare institutions,
5. 0:19we need to pay as much attention to factors
6. 0:23like living conditions, poverty, education,
7. 0:26as we do to treatment of disease.
8. 0:29- The analogy is use is an iceberg.
9. 0:32At the top of that iceberg are things like mortality rates,
10. 0:36diabetes, cancer rates.
11. 0:37But there are all of these things underneath the surface,
12. 0:40underneath the water that are leading
13. 0:42to what you see at the top.
14. 0:44- Things like access to healthy food, access to clean water,
15. 0:47access to a good job, safety, housing.
16. 0:52Students show up at school hungry.
17. 0:55They can't learn.
18. 0:57A lack of transportation to a grocery store
19. 1:01means you don't get the food you need.
20. 1:03All these external social determinants in fact,
21. 1:08determine many of the health outcomes that we see.
22. 1:10- It's looking at all of those different puzzle pieces
23. 1:13together and then figuring out how are those things
24. 1:16in totality affecting your health.
25. 1:19- Life expectancy in the Loop is 85 years.
26. 1:23And if that were a country,
27. 1:25it'd be ranked in the first in the world.
28. 1:27Think Japan.
29. 1:31But you go seven stops and life expectancy
30. 1:34in Garfield Park plummets to under 69.
31. 1:39- One of the things that's startling about that
32. 1:41is a life expectancy of 69 is what it is in Iraq and Haiti.
33. 1:45So something else is going on.
34. 1:47Is it violence in these neighborhoods?
35. 1:49And the reality is no, it's heart disease
36. 1:52and it's cancer.
37. 1:53- We've allowed the negative narrative
38. 1:57to drive everything we do.
39. 2:00- We hear so often that these communities are desolate
40. 2:03and there's no hope and nothing going on.
41. 2:06It couldn't be farther from the truth.
42. 2:07There is vibrancy, there is activity.
43. 2:09There are people working everyday
44. 2:11and trying to make lives better.
45. 2:15We need to create a common vision, a common mission
46. 2:19across neighborhoods and across sectors
47. 2:21within a neighborhood.
48. 2:22- There are efforts at the macro level that
49. 2:25The American Heart Association is doing in terms of funding
50. 2:28that's clearly a critical part of improving
51. 2:31quality of life and quality of health.
52. 2:33The opportunity to also work at the local level
53. 2:35community by community.
54. 2:37Those things are very synergistic in terms
55. 2:39of how they have to come together.
56. 2:41- We want to reduce the life expectancy gap
57. 2:44between the Loop and the west side of Chicago
58. 2:46by 50% by 2030.
59. 2:49- It's not something that one institution
60. 2:51can do by themselves.
61. 2:53It's multi neighborhood and it's multi partner.
62. 2:56- If we can change living conditions,
63. 2:58we can change life itself.
64. 3:01It's really up to us.
65. 3:03(inspirational music)