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State of the Black Family
2006
Health and the Black Family
Part 4 of a 4 Part Series
Read Part 1| Part 2| Part 3 | Part 4
An interview with Larry C. Harris, MD.
Dr. Larry Harris runs a private pediatric practice in North Carolina and is the author of the book, It All Starts at Home, 15 ways to Put Family First. A true believer and practitioner in "Keeping Family First," Dr. Harris shares with us the unique challenges facing Black families in the area of our health and what steps
we can take
to improve our health.
by Anita S. Lane
Dr. Harris, according to the National Center for Health Statistics, 62% of our men and 77% of our women over age 20 are overweight. The percentage of all Americans who are overweight is 65%. How serious is this problem and how concerned should we in the black community be?
Being overweight and/or obese affects our lives in many ways. Medically, overweight and obese individuals are at increased risk for many diseases and health conditions, such as hypertension (high blood pressure) type II diabetes, heart disease, stroke and sleep apnea. Economically, obesity alone accounts for 117 billion dollars annually in health costs and is responsible for many missed days from work or school.
Psychologically, overweight people, especially teenagers, are more likely to have a negative self-image and low self-esteem. Physically, activity is decreased and the person may become socially withdrawn. Yes! The world epidemic of increasing weight is a huge problem and the United States is leading the way with more overweight children than most other countries. Sheer numbers reveal that this enemy has an even greater impact on us as African Americans and should be a wake-up call for action.
Obesity is a national epidemic across all races. 65% of all Americans over age 20 are overweight and 30% of those are obese. (Meaning an Individual has a body mass index of greater than or equal to 30.0). However, in the African American community 28.8% of men and 50.8% of women are obese. Wake up my brothers and sisters and remember, an “ounce” of prevention will lead to a “pound” of loss/“cure.”
We often say color is just skin deep. If so, why are there some health conditions that are more prevalent in some races than in others? Is it purely genetic, a product of the habits we pass down from generation to generation, or a combination of both?
Health measures vary significantly along racial and ethnic groups. No one has a complete understanding of why race is associated with health problems, but it has been shown that low socioeconomic status, stress and racism are among the underlying causes of the poorer health status of minorities (on average) compared to whites. (Racial and Ethic Differences in Health in NC. 2004)
African Americans suffer higher death rates from most major causes such as strokes, asthma, diabetes, HIV aids, and some forms of cancer. Fortunately however, changing lifestyle and behaviors can reduce the severity of, and even prevent some of these conditions. Make changes today in your diet, exercise pattern, sexual behavior and alcohol and drug use.
There are some genetic disorders such as sickle cell disease and cystic fibrosis that are nearly exclusively in blacks and whites respectively. Obesity tends to “run in families” which suggests a genetic link. Children of obese parents have a 25-30 percent chance of becoming obese. Whether or not this is due to an “obesity gene” as opposed to poor family eating habits and nutrition is not settled. Current research has linked more than three hundred genes with obesity. Hopefully, in the not so distant future, scientist will figure it out.
Now let’s get real. Let's say you’re a single mom. You wake up, get dressed, get your kids dressed, grab a quick bite (or maybe you don’t) and you get your kids off to latch key so that you can get to work on time. You work all day, grab a high fat, high calorie lunch; you pick up your kids, you make a quick dinner (or order from a drive-thru on the way home), help with homework, do some housekeeping, put the kids to bed and prepare for the next day.
How does one make time for a better diet and regular exercise in a schedule like this?
We are all very busy in this fast moving world. Fast cars, fast foods, fast information and fast pace of life is norm for many Americans. But "speed kills" and “haste makes waste.”
Planning is the speed governor/controller. Establish a routine and follow it. Go to bed on time. Wake up the same time every morning. Prepare meals in advance or at least have a set menu for each day of the week. Spend quality time with your family—sit down together to eat, go for walks and turn off the television.
Let’s take it one step further. We all want the best for our families; that’s natural. The reality is though, fresh, healthy food 1) Costs more 2) Is not as easily available in some neighborhoods 3) Takes more time to prepare than processed foods, and 4) Spoils faster. Furthermore, we constantly hear that organic is best, but buying all organic can break the bank. How do we fit healthy, nutritious habits into our fast-paced lifestyles and budgets?
Again, planning is the key. Never go grocery shopping without a list. Resist just stopping by to pick-up a few items. Slowing down and smelling the fruit—reading the labels will allow you to make healthy choices. Also, having a shopping list will help save money—allow you to find coupons and look around for the store with the best prices. Slow down and plan ahead. It is less expensive and healthier.
What can we do to renew our thinking in the area of health? In our community it’s okay to have “some meat on your bones” and we love our soul food cooked traditional-style. How do we change the cultural image we have we or should we?
The proof is in the numbers/statistics. In my home state of North Carolina, African Americans suffer higher death rates from heart disease, strokes, diabetes, kidney disease and cancer. Many of these conditions are influenced by what we eat.
Soul food “taste good” but too much of it can be hazardous to your life. Consideration of these grim stats will certainly make you think or should make you think long and healthy before you put down forty pork chops. Educate yourself on how to measure the salt and fat content of what you eat. Eat more fruit and vegetables and your body will thank you
What are some practical first steps families can take to improve their health?
Education! Education! Education! The numbers and statistics are telling about state of our health, but we for most part are not listening. Be informed of your family history. Secure a good physician and follow his/her advice. Read on your own.
My medical school classmate, James R. Gavin III, MD, PHD, has written a wonderful book entitled DR. GAVIN’S HEALTH GUIDE FOR AFRICAN AMERICANS. Get it! Read it! Apply it! Stop making excuses for not taking better care of yourself and families health. This health mission/battle must start now and it must start at home. (Not only in our individual homes but in our community and church homes as well.)
17.9% of our boys and 23.2% of our girls between ages 6-19 are overweight. And this number has grown over the years. The national average for both sexes is 15.9%. What are the signs to look for that tell us our children are headed in this direction and what do we need to do to reverse the childhood obesity epidemic in our community?
Technically, the body mass index chart (BMI) was developed based on research that demonstrated BMI for gender to be an accurate measurement of overweight in children two years and older. For children, normal equals a BMI between 5th and 85th percentile. At risk for overweight equals a BMI of greater than the 85th but less than 95th percentile, and overweight equals a BMI of greater than 95th percentile. Your child’s health care provider should regularly determine a BMI.
Children for most part are a reflection of what we are. If we over eat, snack a lot, and don’t exercise, then are children are likely to do the same. The best classroom is the living classroom.
- Watch how and what you are easting because you children are watching you.
- Don’t use food as a reward.
- Teach/show your children how to eat slowly.
- Eliminate “liquid candy” (kool aid, soft drinks).
- Don’t eat in front of the TV. Limit television/video games.
- Exercise together.
- Get involved in your community—school lunches, school P.E. classes and community recreation services.
What about our black men? Studies show that Black American men suffer far worse health than any other racial group in America. Why is that? How do we begin to turn that around?
There are many factors that contribute the disparity in health of black males. They include access barriers to good health care such as inadequate or no health insurance, poverty, and lack of knowledge or awareness. Additional contributors are lifestyle behaviors such as poor diet, lack of exercise, and alcohol or drug use. The good news is that many of these risk factors are modifiable.
Again, education is the key to opening the door to a better life. Consult and visit you doctor regularly. Listen to your body—don’t ignore symptoms. Read about good nutrition and then make them apart of your life. Remember, the best caretaker of your health is not your doctor but yourself.
In what way can health care reform help improve health outcomes in the black community?
Better access to good health care is best way to improve health outcomes in the black community. We must petition our local, state and national governments to provide good health education, affordable insurance and easy accessibility to health care facilities for all regardless of race or ethnic background.
Is there any good news in the area of Black health?
There is hope if there is a change. This change has to start now and has to start with our children—our future. The habits and lifestyles that are children learn will determine the quality and quantity of their lives. Children learn best by example.
Exercise, eat right, sleep enough, study more and do more in your home as well as in your community to promote the a good and long life. Remember! Your children are watching you like a “hawk.”
Dr. Harris, thank you so very much for taking the time to share your wisdom and expertise with us. God bless you, your family, your book and your medical practice!
For more health statistics view our Data Sheet...
Visit Dr. Harris' Website
Read Part 2 of this Series on the "State of the Black Family"...
Copyright ©2006 by Keeping Family First.
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