"WHY" Place?

Where we live, our race, and our income each play a big part in how well and how long we live. For instance, in Alameda County, an African American child from East Oakland can expect to live 15 fewer years than a White child from the Oakland Hills, only several miles away.  We know that this difference can’t be explained by access to healthcare or genetics, which are important, but a small part of the story.  What really matters are the “social determinants of heath” or the neighborhood, economic, and political conditions in which people are born and grow-up.  

Parents want to raise their children in neighborhoods with safe parks, affordable housing, quality schools, but for many low income people and people of color, neighborhoods where the healthy choice is the easy choice are out of reach.  The current day differences in neighborhoods, and the differences in health outcomes among the people living in them, did not evolve by chance or the choice of the residents.  Rather, the differences can be traced to intentional processes and policies, such as redlining, designed to exclude some people based on race, sexual orientation, immigration status, age, disability status, religion, and so on from the benefits of full membership in our society.  And while discrimination based on race is now illegal, we know that the practice persists. This is why race and income come together in place, and this is why TCE’s Building Healthy Communities strategy includes a deep investment in place.  

What is a health equity framework?

What is redlining and why does it continue to matter for health?

What is the impact on California’s changing demographics on BHC sites and beyond?

BHC in the News

View all

Your zip code shouldn't determine how long you live, but it does. Health Happens Here challenges us to think about health beyond doctor visits and diets. We have the power to make health happen where we live, learn and play.