firehand

Prometheus 6   

Do not make the mistake of thinking that because my conclusion is the same as another person's that my reasoning is the same

October 13, 2003

 

A long but worthwhile read

This weekend the NY Times Magazine published Enough to Make You Sick? By Helen Epstein, ten web pages on how the urban poor are dying so young…not of violence, but of diseases and accidents that are more typical of the elderly in the mainstream.

You should read it. If you don't have time to read all of it before it gets archived behind in pay-to-enter section, go there today and email it to yourself.



Something is killing America's urban poor, but this is no ordinary epidemic. When diseases like AIDS, measles and polio strike, everyone's symptoms look more or less the same, but not in this case. It is as if the aging process in people like Beverly and Monica were accelerated. Even teenagers are afflicted with numerous health problems, including asthma, diabetes and high blood pressure. Poor urban blacks have the worst health of any ethnic group in America, with the possible exception of Native Americans. Some poor urban Hispanics suffer disproportionately from many health problems, too, although the groups that arrived most recently, like Dominicans, seem to be healthier, on average, than Puerto Ricans who have lived in the United States for many years. It makes you wonder whether there is something deadly in the American experience of urban poverty itself.

You have no excuse not to read this.

Posted by P6 at October 13, 2003 05:53 PM | Trackback URL: http://www.prometheus6.org/mt/mt-tb.cgi/1965
Comments

Congratulations, Prometheus! Not only did you bring us fire, but you're on Digby's blogroll!


Posted by at October 13, 2003 08:36 PM 

He's on mine too, so we're even. In fact, he's been on my blogroll damn near from the beginning, so he's still go a bit of an edge on me.

But who's counting, right? :-)


Posted by at October 13, 2003 08:38 PM 

I'm almost finished with the article. I thought this passage was especially revealing:

It is well known that junk food can make anxious people feel better. Researchers from the University of California recently discovered one possible reason. In response to constant stress, the brain makes a hormone called corticotropin-releasing factor, which instructs the adrenal glands to manufacture stress hormones, including adrenaline and cortisol. These hormones cause a range of physiological changes that over long periods can be harmful. When people with high levels of cortisol eat sugary, fatty foods, fat is deposited in the abdomen. The researchers theorize that these abdominal fat cells can temporarily inhibit the brain from making corticotropin-releasing factor, reducing feelings of stress and anxiety. If this theory is correct, it could explain how the stress of poverty creates a biological urge to overeat, thus putting poor people at greater risk of obesity and its consequences -- diabetes, heart disease, stroke and certain types of cancer. Perhaps this explained why Juanita found it easier to change her diet once she moved out of the stressful atmosphere of Nepperhan Avenue. She admitted that doctors had been telling her over the years that she should consume less fattening food. ''But they can tell you, and you don't do it,'' Juanita said.
Junk food and eating disorders are definitely a mysterious, intractible health problem in the US--and it's spreading fast.


Posted by at October 13, 2003 08:50 PM 

Ahah! While we're on the subject, you are also on my list of "Weblogs of distinction."


Posted by at October 13, 2003 08:54 PM 

Another quote (page 8):

After meeting Noemi, Raimunda and Juanita, I began to see more clearly what Arline Geronimus, the University of Michigan researcher, was talking about. Perhaps the miasma that is killing the poor really is stress after all. Then I spoke to the mothers of six children who had severe asthma. Every one of them had significantly fewer and less severe attacks after the families moved out of southwest Yonkers. Reduced stress could be partly responsible -- stress can worsen asthma -- but it seemed clear to me a cleaner environment was also responsible. The children ranged in age from 3 to 16; they all moved out of southwest Yonkers and settled in different parts of Westchester. The mothers, who asked that their last names not be used, saw astonishing changes, and hearing their stories convinced me that the only way to deal with the staggering epidemic of asthma that afflicts 30 percent of children in some New York City neighborhoods is to clean up the rundown, roach-infested buildings where so many of these children live.
That'll be a tough sell.



Posted by at October 13, 2003 08:56 PM 

That's why the whole article should be read. It's poverty, it's stress, it's environment, and people are funneled into those conditions by race and class.

Rich people who smoke X cigarettes get Y cases of lung cancer per 100, poor people who smoke X cigarettes get Y+Z cases of cancer per 100.

It's like when Edward Kennedy said in cCongress all those years ago that Americans use a staggeringly disproportionate fraction of the lanet's resources. We'd known that for years. By the time a Kennedy-like figure says it in public though, it's so obvious its undeniable. That's what's happening here. That's what this article represents.


Posted by at October 13, 2003 09:22 PM 

thanks for this article. i had alawys attributed the poverty-poor health link to substandard medical care, an external social problem. i didn't realize that there might be physiological reasons for the link as well. the implications that this is also an internal problem should have wide ramifications on medical research, or one would hope.


Posted by at October 14, 2003 02:08 PM 
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