1. Race for Health, Race for Equity! Can you make it to good health?

2. The Profiles  At your table  Read your profile – really get to know your person!  Choose your “runner”

3. The Race  Runners:  Step up to the front of the room  Line up on the starting line  Follow the directions as I read them. You will be moving forward or backwards.  You may have to use your intuition or logic to figure out what to do, based on what you know from your profile. Add to your back story – no wrong answers!  Rule: do not use this race to hurt yourself or others!  Table team members:  Cheer your team member on!  Be ready to discuss at the end.

4. Ready, Set, Go!

5. Take two steps back if you were born into intergenerational poverty

6. Take two steps back if you were born prematurely

7. FACT  Through the study of Epigenetics we know that, even before you are born, you may already be starting well behind the starting line to good health.  Things that happened before you were born can impact your health.  Current social factors can add even more risk.

8. Take one step forward if there are more than two generations of your family in your house.

9. FACT  Reliance on family across generations can be “protective” to your health.  Certain cultures have stronger ties to family across generations.

10. Take one step forward if your parents own their home.

11. FACT  Home ownership creates intergenerational wealth, which can support good health.  Predatory lending, red-lining and other discriminatory housing policies continue to disproportionately impact communities of color.

12. Take one step back if you are a migrant farmworker.

13. FACT  Migrant and seasonal farmworkers pay taxes and contribute $3 billion to Oregon’s gross domestic product.  The average life expectancy for migrant farmworkers is 49 years, compared to 73 for the general U.S. population (CDC)

14. Take one step back if you do not have health insurance.

15. FACT  People of color have higher rates of being uninsured than their White counterparts. OHA Office of Health Analytics, 2013

16. Take one step back if your health care provider doesn’t speak in your preferred language.

17. FACT  87% of all providers speak only English  However, 68% of primary care providers speak only English The Diversity of Oregon’s Healthcare Workforce 2012 – 2013, OHA Office of Health Policy and Research.

18. Take one step forward if your health care provider does speak in your preferred language.

19. FACT  There are an estimated 37% of people enrolled in OHP speak a language other than English. (CCO enrollment data, April 2015)  Title VI of the Civil Rights Act of 1964 requires that programs that receive public funding provide language access services free of charge to recipients of services.

20. Take one step forward if your health care provider includes health care interpreters or community health workers on their team.

21. FACT  Language and culture are integrally tied together.  Culturally and linguistically appropriate care can contribute to health literacy.  Health care interpreters, community health workers and peer service providers support linguistically and culturally appropriate care

22. Take two steps forward if you get paid vacation or sick time benefits from your employer.

23. Take two steps back if you are lesbian, gay, bisexual or transgender.

24. FACT  LGBT youth may have an elevated risk for attempted suicide and depression, and sexual minority youth may have higher rates of substance use than heterosexual youth.  One barrier to LGBT health is a lack of providers who are knowledgeable about LGBT health needs as well as a fear of discrimination in health care settings. The Health of Lesbian, Gay, Bisexual and Transgender People: Building a Foundation for Better Understanding, Institutes of Medicine, 2011.

25. Take one step back if you live in an area that neighborhood that has more fast food restaurants, convenience stores than full service grocery stores.

26. FACT  On average, there are four (4) times as many supermarkets in predominantly white neighborhoods compared to predominantly Black and Latino neighborhoods. (Unnatural Causes, Is Inequality Making Us Sick? California Newsreel, 2008)

27. Take two steps back if the last time you went to the doctor, you couldn’t read a form they asked you to sign because it was at a 12 th grade level.

28. FACT  It is estimated that 35% of people in the U.S. would have difficulty with common health tasks, such as following directions on a prescription drug label or adhering to a childhood immunization schedule using a standard chart.  Although half of adults without a high school education had below basic health literacy skills, even high school and college graduates can have limited health literacy. (2003 National Assessment of Adult Literacy)

29. Take one step back if you moved out of a neighborhood where your grandparents and parents lived because you can’t afford to buy or rent a house there.

30. FACT  Studies indicate that populations vulnerable to gentrification policies that cause forced displacement and appropriate assets and neighborhoods typically have shorter life expectancy; higher cancer rates; more birth defects; greater infant mortality; and higher incidence of asthma, diabetes, and cardiovascular disease. Development without Displacement, Association of Bay Area Governments (ABAG) and PolicyLink, 2009

31. Take one step back if distance and/or transportation are significant barriers for you getting to your medical appointments.

32. Did you make it to the finish line?

33. Runners: Share  Who is out in front? Tell us about your profile?  Who came in last? Tell us about your profile?  What about those of you in the middle? When did you move forward or backwards?

34. Discuss With Your Team  How did this activity make you (runners/teammates) feel?  Did anything surprise you?  Has this activity changed your perspective on other people’s experiences? How?

35. Share With Everyone  Thoughts from the teams  How will this activity inform your experience of this conference?