The Health Hazard Posed by Racism

RACISM

Over the last few years–but certainly more intensely since the killing of George Floyd–our nation has begun to recognize the serious damage that has been caused by racism. The brunt of that damage, of course, has been felt by minority groups, but many recognize that racism harms all of us.

Although I consider myself an open-minded and empathetic person (who happens to belong to a minority group too), I do not fully understand the challenges faced by others who do not look like me. I have been shielded from much of the hatred, violence, and injustice. The last couple of years have made me more aware of the insidious ways in which racism has infected every corner of society; it has impacted jobs, public safety, self-esteem, the arts, and politics to name just some areas. I have become more attuned to how widespread the problem is.

As someone who is in an allied health profession, I know that the health challenges faced by minorities are different than those faced by the rest of society. Yes, there are certain diseases that are endemic in various communities (Sickle-Cell Anemia among African-Americans and Tay-Sachs among Jews), but socioeconomic conditions almost always contribute to worse health outcomes as well. For instance, lack of access to fresh fruits and vegetables in some neighborhoods while fast-food is readily available affects poorer Americans more than others. Scarcity of affordable housing and healthcare as well as substandard education can also contribute to the problem.

An article published last week on http://www.nbcnews.com highlights a recent statement by the Centers for Disease Control and Prevention (the CDC) that calls racism a “serious threat” to public health. In particular, the CDC claims that racism has “profound and negative impact on communities of color” and is contributing to disproportionate mortality rates among people of color. The article is worth a read for its explanation of why exactly this is an issue. Racism in our society has contributed to the very challenges listed above. One cannot help but pause to consider why minority groups suffer worse health outcomes across a variety diseases (when comparing apples to apples).

I have not read the report from the CDC yet, but from my experience as a personal trainer I know that people from lower socio-economic status are less likely to be able to afford a gym membership, fitness equipment, or access to a trainer. Many minority groups find themselves in that lower socio-economic segment; racism since the birth of this nation has certainly contributed to that overlap.

As a country, we must continue to confront our sad and on-going legacy of racism. As we do, we will more fully understand the myriad ways in which it affects its victims. Ultimately, it affects all of us; as we have seen with COVID-19, viruses do not understand skin color, national origin, sexual orientation, or political affiliation. How is it then that minority communities were so disproportionately affected by the pandemic? Let us be aware of the role that racism plays in all of this; until we recognize it, we cannot hope to find solutions.

Is “Eating Clean” a Dirty Word(s)?

sshhh. dont say it! the x-word is the un-word of the day. and tomorrow!

As some of you may recall from my June 17 post “What I Hadn’t Counted on After Surgery,” I am working on taking off the weight that I put on after my foot surgery. I had even turned to a subscription weight-loss app to help me; the jury is still out on that.

I have been counting calories using the app and generally feel like I am depriving myself of a lot of stuff I really like…(mmmm, pastry). Not seeing the results I would like yet, but I am being patient. I am also trying to follow the advice that I give to others about what they eat: a lot less processed foods, more fruits and vegetables, whole grains, etc.

In my mind, I am trying to remind myself to “eat clean.” I first heard this term from a personal trainer and wasn’t sure exactly what it meant. Turns out, there is no one definition of what eating clean means. To me, it means trying to eat the right stuff–cutting out junk foods, fatty foods and overly-processed foods.

Turns out that the term “eat clean” has some pretty serious connotations for a lot of people. There are those who argue that this kind of terminology makes moral judgments. I think this is a bit far-fetched. A donut is a donut; it does not have moral implications. It has no moral force for me, but for others it does. Can eating a brownie make a person feel somehow “less than?” I guess so.

A recent article by Samantha Cassety (who else?) was published on http://www.nbcnews.com today, exploring this issue: https://www.nbcnews.com/better/lifestyle/better-way-think-about-clean-eating-ncna1020996 . She gives what I consider to be sane advice about approaching “clean eating.” Cassety recognizes the complexity of the concept for many, but says it need not lead to negative results. Each of us can create our own definition of what eating clean means–one that is helpful to us rather than intimidating or shaming.

Beyond the journey that I am on now to lose the weight that accumulated after my surgery, I know that I want to continue to eat in healthy ways after I hit my goal. It is not about being “clean” as a opposed to being “dirty,” but rather about remembering that I am what I eat. While I may not see this directly as a moral issue, I do see it as a way to help me live a longer and healthier life.