1. About Health Disparities Health disparities are not simply differences in health. The term “disparity” may connote a difference that is inequitable, unjust or unacceptable. Examining Health Disparities. Research Plan of the National Institute of Health. Unfinished Business. Institute of Medicine. 2006

2. Health Disparities The discussion about health disparities The root causes The pathway

3. Determinants of Health Biological Factors Health Care Access and Quality Physical Environment Social Environment Behavioral Factors Stress Discrimination

4. 61% (9,444,077) of Latino children live in low-income families. National Center for Children in Poverty. National Demographic Profile. 2007

5. Tuesday, January 1, 2008 Poorest ZIPs in O.C. and California Comments 1 Comments 1 | Recommend 0 Orange County's 10 poorest Central Orange County is home to the ZIP codes with the lowest-income households, according to Internal Revenue Service data for 2005. They’re also some of the largest households, based on the number of dependents per filing. The average Orange County household income was $73,985, up 6.65 percent since 2004. The average number of people per filing was 2.1. RankCityZipIncome 1Santa Ana92703$27,683 2Santa Ana92701$29,515 3Garden Grove92843$31,615 4Midway City92655$31,950 5Santa Ana92704$33,186 6Santa Ana92707$34,469 7Stanton90680$34,537 8Garden Grove92844$34,798 9Anaheim92801$35,182 10Anaheim92805$35,483 5

6. Gangs The number of Gang member increased by 25% in the last year. Hispanic membership in gangs increased from 70% in 1997 to 91% in 2006. Asian/Pacific Islander, Non Hispanic White and African American membership has decreased since 1997. The 13th Annual Report on the Conditions of Children in O.C. 2007

7. Teen pregnancy Hispanic females under 19 years of age accounted for 84.6% of the total births to teens The 13th Annual Report on the Conditons of Children in O.C. 2007

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12. Adolescent Boys Prevalence of Obesity by Race/Ethnicity (Aged 12-19 years) NHANES III 1988-1994 NHANES 2003-2006 Non-Hispanic White11.6%17.3% Non-Hispanic Black10.7%18.5% Mexican-American14.1%22.1% Overweight and Obesity. Center of Disease Control and Prevention http://www.cdc.gov/nccdphp/dnpa/obesity/childhood/prevalence.htm

13. OUR CURRENT SITUATION  Santa Ana is a park-poor city.  Santa Ana: 17,408 acres.  373 acres of park space.  ~0.9 acres/ 1,000 persons, California cities average 5 acres/ 1,000 persons.  34.8% of Santa Ana children are obese.  Santa Ana has the second-highest child obesity rate in California among cities its size. Source: California Center for Public Health Advocacy. Source: TPL Greenprinting Analysis Unit

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20. Children learn not only from what we TELL them, but also from what we SELL them