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Race and place can contribute to shorter lives, research suggests • Alabama Reflector

Published

5 months ago

January 30, 2025

Staff Editor

alabamareflector.com – Tim Henderson – 2025-01-30 18:01:00

Race and place can contribute to shorter lives, research suggests

by Tim Henderson, Alabama Reflector
January 30, 2025

This story originally appeared on Stateline.

There’s growing evidence that some American demographic groups need more help than others to live longer, healthier lives.

American Indians in Western and Midwestern states have the shortest life expectancy as of 2021, 63.6 years. That’s more than 20 years shorter than Asian Americans nationwide, who can expect to live to 84, according to a recent study by the Institute for Health Metrics and Evaluation at the University of Washington.

White residents live shorter lives in Appalachia and some Southern states, as do Black residents in highly segregated cities and in the rural South, the study found.

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The data illustrates how Americans’ life expectancy differs based not only on race, but also on geography.

“Not everybody in this country is doing exactly the same even within a racial group, because it also depends on where they live,” said Dr. Ali Mokdad, an author of the study and the chief strategy officer for population health at the University of Washington.

“Eliminating these disparities will require investing in equitable health care, education, and employment, and confronting factors that fuel inequalities, such as systemic racism,” the report, which was published in November, concluded.

Yet the United States is seeing a surge of action this month to pull back on public awareness and stem investments in those areas.

In President Donald Trump’s first two weeks, he has stripped race and ethnicity health information from public websites, blocked public communication by federal health agencies, paused federal research and grant expenditures, and ordered a ban on diversity, equity and inclusion programs across the board, all of which can draw attention — and funding — to the needs of specific demographic groups.

The administration has removed information about clinical trial diversity from a U.S. Food and Drug Administration website, and has paused health agencies’ communications with the public and with medical providers, including advisories on communicable diseases, such as the flu, that disproportionately affect underserved communities.

The new administration’s policies are headed the wrong way, said Dr. Donald Warne, a physician and co-director of the Johns Hopkins Center for Indigenous Health. “With the stroke of a pen, they’re gonna make it worse.”

One of Trump’s actions on his first day in office was to dismantle equity programs, including reversing a 2021 Biden executive order promoting more federal support for Indigenous education, including tribal colleges and universities.

The problems Indigenous people face are inextricably linked to “toxic stress” and “just pure racism,” Warne said. “Less access to healthy foods, just chronic stress from racism and marginalization, historical trauma — all of these things lead to poor health outcomes.”

The South Dakota county where Warne grew up as a member of the Oglala Lakota tribe (the county is named after the tribe) has one of the lowest life expectancies in the country, 60.1 years as of 2024, according to localized estimates from County Health Rankings & Roadmaps, an initiative of the University of Wisconsin’s Population Health Institute.

’10 Americas’

The Institute for Health Metrics and Evaluation study parceled the country into what it called “10 Americas,” each with different 2021 life expectancies.

Black Americans were represented by three groups; those in the rural and low-income South had the worst life expectancies (68 years) compared with those living in highly segregated cities (71.5) and other areas (72.3).

Racism is still a major contributor to inequitable health outcomes, and without naming it and addressing it, it will make it more difficult to uproot it.

– Dr. Mary Fleming, director of Harvard T.H. Chan School of Public Health’s Leadership Development to Advance Equity in Health Care

Asian Americans nationwide have the longest life expectancy at 84, yet can also suffer from stereotypes and locality based problems that prevent them from getting the best care, said Lan Ðoàn, an assistant professor in the Department of Public Health Section for Health Equity at New York University’s Grossman School of Medicine.

Considering Asian Americans as a single entity masks health differences, such as the high incidence of heart disease among South Asians and Filipino Americans, she said, and discourages the necessary study of individual groups.

“It perpetuates the ‘model minority’ myth where Asian people are healthier, wealthier and more successful than other racial groups,” Ðoàn said.

That’s another reason for alarm over the new administration’s attitude about health equity, said Dr. Mary Fleming, an OB-GYN and director of Harvard T.H. Chan School of Public Health’s Leadership Development to Advance Equity in Health Care program.

“With DEI (diversity, equity and inclusion programs) under attack, it hinders our ability to name a thing, a thing,” Fleming said. “Racism is still a major contributor to inequitable health outcomes, and without naming it and addressing it, it will make it more difficult to uproot it.”

Among white people and Hispanics, lifespans differ by region, according to the “10 Americas” in the Institute for Health Metrics and Evaluation study. Latinos live shorter lives in the Southwest (76) than elsewhere (79.4), and white people live longer (77.2) if they’re not in Appalachia or the lower Mississippi Valley (71.1), or in rural areas and low-income Northern states (76.7).

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An earlier Stateline story reported that policy, poverty, rural isolation and bad habits are shortening lives in West Virginia compared with New York. Even though the states had very similar life expectancies in 1990, West Virginia is projected to be at the bottom of the rankings by 2050, while New York is projected to be at the top.

Hyperlocal health problems

More research at a very local level is needed to find the policies and practices needed to start bridging longevity gaps, said Mokdad, the study author.

Since poverty seems to dictate so much of life expectancy, it’s fruitful to look at places where lifespans have grown in recent decades despite high poverty, Mokdad said. For example, lifespans have increased in the Bronx, New York, and Monongalia County, West Virginia, despite high poverty. By contrast, they have dipped in relatively high-income areas such as Clark County, Indiana, and Henry County, Georgia.

Clark County, on the Kentucky border, has a mix of urban and rural health issues that belie the relatively high income of some residents near Louisville, said Dr. Eric Yazel, health officer for the county and an emergency care physician.

Part of the county is also very rural, in a part of Indiana where there was an HIV outbreak among intravenous drug users in 2014.

“In a single county we see public health issues that are both rural and urban,” Yazel said. “As with a lot of areas along the Ohio River Valley, we were hit hard by the opioid epidemic and now have seen a resurgence of methamphetamine, which likely contributed to the [life expectancy] decreases.”

Nationally, a spike in overdoses has begun to ease in recent years, but only among white people. Overdose death rates among Black and Native people have grown.

Indigenous people also were the hardest hit during the COVID-19 pandemic, with expected lifespans dropping almost seven years between 2019 and 2021.

Calvin Gorman, 50, said several friends his age in Arizona’s Navajo Nation died needlessly in the pandemic. He blames it on alcohol and pandemic isolation.

“They said to just stay inside. Just stay inside. Some of them took some bottles into the house and they never came out again. I heard they died in there,” said Gorman, who commutes on foot and by hitchhiking from his home in Fort Defiance, Arizona, to a job at a gas station in Gallup, New Mexico.

Warne, the Oglala Lakota physician from South Dakota, said alcohol and substance use may have been one factor in Native deaths during the pandemic, as people “self-medicated” to deal with stress. But overall, he said, the main drivers of early deaths in Native communities are high rates of infant mortality, road accidents and suicides.

Warne now lives and practices medicine in North Dakota.

“There’s a huge challenge for people who grow up in these settings, but many of us do move forward,” Warne said. “A lot of us wind up working in other places instead of in our home, because there just aren’t the opportunities. We should be looking at economic development as a public health intervention.”

Stateline is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Stateline maintains editorial independence. Contact Editor Scott S. Greenberger for questions: info@stateline.org.

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Alabama Reflector is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Alabama Reflector maintains editorial independence. Contact Editor Brian Lyman for questions: info@alabamareflector.com.

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News from the South - Alabama News Feed

In polluted Birmingham community, Trump terminates funding for air monitoring

Published

1 day ago

June 15, 2025

Staff Editor

alabamareflector.com – Lee Hedgepeth, Inside Climate News – 2025-06-15 07:01:00

by Lee Hedgepeth, Inside Climate News, Alabama Reflector
June 15, 2025

This article originally appeared on Inside Climate News, a nonprofit, non-partisan news organization that covers climate, energy and the environment. Sign up for their newsletter here.

BIRMINGHAM — When Jilisa Milton received the grant termination letter, she wasn’t surprised. She suspected this day would come.

The language the Greater Birmingham Alliance to Stop Pollution (GASP) had used in its application to the Environmental Protection Agency had been clear. “We’re talking about helping a community,” Milton, GASP’s executive director, said last week, “where Black people have been disproportionately impacted.”

Black residents had breathed heavily polluted air from a nearby coke plant for decades, and their neighborhoods had been declared a federal hazardous waste Superfund site after it was determined that waste soil laced with arsenic, lead and benzo(a)pyrene, a human carcinogen, from several nearby coke plants had been spread around their homes as yard fill.

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In light of this history and continued industrial pollution, GASP had obtained a $75,000 air monitoring grant from the Biden EPA in 2023.

Milton received the letter earlier this month from officials in President Donald Trump’s EPA terminating the grant because it no longer aligned with the agency’s priorities.

“I knew at some point they would notice the language of our grant,” Milton said, in that it made reference to services intended to help Black people.

Still, she said she doesn’t regret the way GASP characterized the situation on the ground in north Birmingham—that the need for air monitoring stemmed from the city’s history of corporate exploitation of majority-Black workers and residents.

Growing up in Birmingham, Milton said her grandparents often discussed the legacy of workers in the Magic City—so-nicknamed because of the seemingly supernatural economic boom spurred by steel production following the end of the Civil War.

“The majority of these workers were Black, and we can see the disparate impact that still has today,” Milton said. “And it’s really important for Birmingham to talk about our legacy and our history.”

Sanitizing that history, then, to comply with the Trump administration’s stated opposition to all things DEI and environmental justice—as if they were the same thing, just because they both often involve Black people—doesn’t sit well with her.

“I think the narrative work is gone then,” Milton said. “And we have to think about history so we don’t live it again.”

The grant, awarded through EPA’s small grants program, was set to fund GASP’s efforts to train residents in using air monitoring equipment to help establish a community air monitoring program, allowing those in north Birmingham access to critical information about the pollutants filling their lungs every day.

In addition to what is now the 35th Avenue Superfund site, encompassing the neighborhoods of Collegeville, Harriman Park and Fairmont, north Birmingham remains home to several polluters, leaving its residents in the 90th percentile for particulate matter, according to EJ Screen, a government tool also recently shuttered by the Trump administration.

That context of present and past pollution was what made securing funds for air monitoring so important, Milton said, giving residents an opportunity to learn more about the continued impact of industry on their health.

“For decades, residents of North Birmingham and other historically marginalized communities have been forced to live in the shadow of toxic industries with little support or transparency,” Milton wrote in a statement after receiving the termination letter. “The grant made it possible for us to monitor and document the pollution people live with everyday. Revoking this support sends a message that the health of Black, Brown, and low-income communities in Alabama is disposable.”

In its letter, EPA officials said the agency no longer supported the grant’s objectives.

“The purpose of this communication is to notify you that the U.S. Environmental Protection Agency (EPA) is hereby terminating Assistance Agreement No. EQ-02D22522 awarded to GASP,” the letter said. “This EPA Assistance Agreement is terminated in its entirety effective immediately on the grounds that the award no longer effectuates the program goals or agency priorities. The objectives of the award are no longer consistent with EPA funding priorities.”

Piles of coal and coke waste remain on the ground at the Bluestone Coke in Birmingham nearly three years after the plant closed. (Lee Hedgepeth/Inside Climate News)

GASP’s isn’t the only environmental justice effort in Alabama nixed by federal officials. In April, Trump announced the termination of what the administration termed an “illegal DEI” settlement aimed at addressing sewage issues in the state’s black belt that have left its majority-Black residents sometimes unable to flush their own toilets.

The agreement, reached under the Biden Administration, required the state’s Department of Public Health to improve sanitation efforts in the region. It’s still unclear what that termination will ultimately mean on the ground.

In the end, Milton said the impact of the administration’s decision to terminate the north Birmingham air monitoring grant is racist.

“Look at the way they talk about environmental justice,” she said of administration officials. “They say it’s illegal to address these issues. So you hear the things they say, and it’s reasonable to discern from that that the impact is racist, and that what they’re doing is intentional.”

People of all races are forced to face the consequences of polluted air and water, Milton emphasized, but ignoring the reality that people of color have borne and continue to bear the brunt of industrial exploitation isn’t helpful. In fact, she explained, doing so could undermine the relationship organizations like hers have built with residents of color living through the impacts of pollution every single day.

“I don’t want to sacrifice the trust we have in communities that want to be heard because they notice that we start to change the way we talk about these issues,” she said. “Because they are the most important stakeholders. They’re who we’re here to serve.”

Moving forward, GASP plans to appeal the termination with EPA officials, Milton said, though she suspects the agency is unlikely to change its mind. If that’s the case, the nonprofit will do what they’ve always done—look to individual donors to fill in the gaps. It’s work that can’t be abandoned, Milton said. Not if she can help it.

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The post In polluted Birmingham community, Trump terminates funding for air monitoring appeared first on alabamareflector.com

Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Left-Leaning

This article exhibits a Left-Leaning political bias through its framing, language, and emphasis on environmental justice, racial disparities, and criticism of the Trump administration’s policy decisions. While it is presented under the banner of a nonprofit, non-partisan outlet, the narrative foregrounds the disproportionate impact on Black communities and casts recent Republican-led actions—particularly the termination of air monitoring and civil rights-related initiatives—in a negative light. It frames these decisions as racially motivated and harmful, aligning with progressive values on environmental equity and systemic injustice, without offering counterarguments or perspectives from the opposing side.

News from the South - Alabama News Feed

Faith Time: Challenges to faith Part I

Published

1 day ago

June 15, 2025

Staff Editor

www.youtube.com – WKRG – 2025-06-15 06:40:01

SUMMARY: Rabbi Steven Silberman of Congregation Ahavas Chesed discussed challenges to faith on Faith Time, emphasizing how global instability prompts deep spiritual questioning, such as “Where is God?” He highlighted the importance of community in Judaism, tracing its roots from Abraham to modern Jewish identity as an extended family. In today’s mobile society, he stressed the need for individuals to find belonging in local Jewish communities. Healthy questioning includes seeking purpose, understanding suffering, and connecting with God. Silberman encouraged engagement through prayer, charitable acts, activism, study, Hebrew language, and ties to Israel as essential ways to navigate and strengthen faith.

We talk about facing challenges to fundamental beliefs.

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News from the South - Alabama News Feed

Scattered summer storms in Alabama for Father's Day.

Published

1 day ago

June 15, 2025

Staff Editor

www.youtube.com – WVTM 13 News – 2025-06-15 06:35:38

SUMMARY: Alabama will experience scattered heavy storms on Father’s Day afternoon, following a cloudy and foggy morning with improving visibility. There’s no severe weather threat, but storms may bring frequent lightning, heavy downpours, and localized flooding, especially in areas like Walker and Winston counties affected by previous heavy rain. Temperatures will be in the mid to upper 80s with hot, steamy conditions. Storm coverage is expected to be more widely scattered than yesterday, but outdoor plans should account for possible rain. Summer storms will continue throughout the week, with decreasing storm activity later, leading to higher heat indices and approaching triple-digit feels-like temperatures by week’s end.