health

Photo of emergency worker on a street responding to a release of mercury. Photo by Massachusetts Dept. of Environmental Protection, Flickr CC

Gentrification is rapidly transforming once-industrial cities into trendy urban neighborhoods.  However, the dangers that lie below the surface – “hundreds of millions of pounds” of hazardous wastes released by small and large businesses each year – fail to be addressed at the same rate. In a recent interview in The Guardian, sociologists Scott Frickel and James R. Elliot discuss findings from their book about the limitations of current data on environmental hazards and how gentrification has diversified the types of people at risk of exposure to toxic waste.

Frickel and Elliot explain that government databases on hazardous sites only appeared in mid 1980s, and databases often exclude manufacturers that have few employees or release under a specified threshold of pollutants. Reporting is also completely voluntary, meaning the databases only contain the information facilities choose to report. In their research, Frickel and Elliot use old manufacturing directories to address these limitations by creating their own database. They found manufacturing to be heavily concentrated in certain “legacy sites,” or areas where you would expect to find heavy industry with large concentrations of factories or other facilities. However, these site boundaries also spread out slowly over time, and so too did the hazardous wastes. While disadvantaged social groups are more typically exposed to these pollutants, gentrification has disrupted this to some extent.  Elliot explains,

“We do also find things that we’ve come to unfortunately expect from the vast research on environmental injustices… These larger facilities are opening up and disproportionately concentrating in areas of ethnic minority and low-income settlement. But when we begin to consider the spread and the accumulation across cities as land uses change, that picture also changes. We begin to see, as one of our colleagues put it, that we’re all in this together. Many different types of neighborhoods are exposed.”

To remedy this exposure to hazardous materials, Frickel suggests that urban planners seriously consider the history of pollutants that exist below our cities when addressing sustainability. It remains to be seen how gentrification will impact citizens’ ability to hold businesses and government officials accountable for these environmental hazards, but recent events such as the water crisis in Flint should serve as a key example of how far we have left to go to address toxic hazards. 

Lousiana National Guard evacuates a from the flood waters caused by Hurricane Isaac in 2012. Photo by The U.S. Army, Flickr CC

While the catastrophic flooding by Hurricane Florence made recent headlines, the emotional trauma it caused — particularly for children — may be overlooked. A growing approach to natural disasters as “social phenomena” with social consequences sheds light on how storms, earthquakes, and wildfires impact the emotional health of young survivors. In a recent article in The Atlantic, sociologist Alice Fothergill discusses her research on the emotional turmoil caused by Hurricane Katrina.

Fothergill finds that lack of communication with friends and family during a storm leads to tremendous anxiety for children. However, children who stay together with family in unsafe conditions also suffer. She explains,

“In a lot of studies, we find that kids who experience the intensity of the event do have a harder time coping. It really is important to evacuate and not be in it. Being with family is important, [but so is] not feeling like they’re in a life-threatening situation.”

The good news is, emergency responders are learning. Fothergill notes that during Hurricane Katrina, many kids in foster families and their biological parents completely lost contact and family records were destroyed in the storm. However, during Hurricane Sandy, the Department of Children and Families in New Jersey was able to learn from these mistakes.

Fothergill says one of the best things to do is to allow children to help prepare for the storm — for example, let them have a say in what comes in the car and what stays at home — so they feel like they have some control over the situation. While Fothergill notes that children are especially vulnerable to trauma, they are also very resilient; for this reason, showing them how to prepare and rebuild after a deadly storm can make all the difference.

Photo by Karim Corban, Flickr CC

 Once released back into their communities, formerly incarcerated people are expected to successfully acclimate back into society, yet they are often barred from the very assistance they need. Researchers are continually learning about what life is like after prison. A recent article in The New York Times details a new study that reveals how childhood trauma and mental illness hinder formerly incarcerated individuals’ ability to reconnect with loved ones, establish housing, and find work in the first year after prison.

The lead investigator of the study, sociologist Bruce Western, followed 122 former inmates in Massachusetts in their first year out of prison. He found that childhood trauma — particularly childhood violence — affected many of the participants in his study. Half of his participants also reported having a chronic condition and nearly two-thirds reported either a physical or mental health concern. In his recent book about the study, Homeward, Western argues that those who go to prison are much more likely to have challenges with addiction, mental illness, and physical disability. Western writes,

“Redressing the historic injustice of mass incarceration must do more that settle accounts with the past. Police, judges, and penal officials who acknowledge historic harms can begin to heal relationships and build trust with disadvantaged communities. But such efforts will feel hollow without real change. Under the harsh conditions of American poverty, the antidote to violence is not more punishment but restoring the institutions, social bonds, and well-being that enable order and predictability in daily life.”

In other words, for true change to occur, we must address the frequent connections between childhood trauma, mental health, and criminal involvement with adequate programming and treatment. At this point, the United States addresses crime with lengthy stints of incarceration, disentangling it from a complicated picture of people’s lived experiences with violence and trauma. As Western strongly asserts in the article,

“The whole ethical foundation of our system of punishment I think is threatened once you take into account the reality of people’s lives.”

Photo by Britt-knee, Flickr CC

Pregnancy can be risky and expensive at any age.  But for those who can afford the costs, holding off until an older age can be advantageous. A recent article in The Atlantic describes how first-time moms over 40 tend to have greater education and financial stability. Drawing from a national fertility study, sociologist Karina Shreffler finds that half of women over 40 had to pursue expensive treatments like in vitro fertilization (IVF) in order to get pregnant. Older women are also at higher risk for various medical conditions. However, more affluent women have the financial ability to bear these expenses. Shreffler discusses numerous advantages that accompany this choice:

“People who are pursuing college are more likely to create this broader life plan: when to time their education, when to form their families, when to go for the promotion…We just don’t see that to that extent with women who don’t have college degrees.”

Waiting to have children can lead to more financial success and additional career opportunities, benefiting the children of older moms. Sociologist Karen Guzzo explains,

“These women are aware that, the longer they work before having kids, the more established they’ll be when they need to take time off — and the more valuable they’ll be to their companies.”

But again, these benefits are contingent upon the economic ability to bear the added costs that come with waiting to have children. As long as affluent, educated women are better equipped to benefit from late motherhood than women without college degrees, these benefits will perpetuate inequality.

Photo by James Palinsad, Flickr CC

A recent public focus on workplace discrimination against women has inspired heightened attention to the effects of gender inequality. Previous research shows that sexual harassment at work disrupts women’s employment, causing various economic harms. New research, recently featured in Salon, shows it also makes women sick. Researchers Catherine Harnois and Joao Luiz Bastos studied the relationship between workplace discrimination and health — both physical and mental — and their findings indicate the two are strongly linked for women:

“Among women, perceptions of gender discrimination are significantly associated with worse self-reported mental health. Women who perceived sexual harassment also reported worse physical health. We did not find a significant association between gender discrimination and sexual harassment with health outcomes among men, but this may be a result of the small number of men reporting these forms of mistreatment.”

In this study, women reported an average of 3.6 days of poor mental health compared with men’s 2.8 days, and an average of 2.7 days with poor physical health, compared with men’s 2.2 days. Certain factors increased the risk of negative health:

“Respondents who perceived multiple forms of mistreatment reported significantly worse mental health than those who perceived no mistreatment, or just one form of mistreatment. Among women, the combination of age and gender discrimination was particularly detrimental for mental health. Women who reported experiencing both age and gender discrimination had an average of 9 days of poor mental health in the past 30 days.”

Based on their findings, this health gap could be significantly reduced by decreasing the amount of gender discrimination in the workplace.

Photo by westsubindy, Flickr CC

National Geographic recently made a dramatic, if unsurprising, proclamation: The publication has a racist past. For decades, National Geographic depicted “savage” and “inferior” races on its pages. But in owning this history, argues the Editor in Chief, National Geographic is part of a progressive and nuanced dialogue on race. However, in a recent article in The Washington Post, sociologist Victor Ray explains the problematic nature of this “new” conversation about race and how it overstates the progress made on issues of racism and discrimination.

Ray focuses on National Geographic’s cover story, which features biracial twins:

“The cover photo depicts 11-year-old mixed-race twin girls, with the tabloid-esque framing that one is black, the other white. And the headline makes the grand claim that the girls’ story will ‘make us rethink everything we know about race.’ The ‘we’ here is implicitly white people, and the story of these children doesn’t break new ground so much as reinforces dangerous racial views. The girls in the photo, with their differing skin tones, are depicted as rare specimens and objects of fascination.”

While sociologists have long understood race as a social construction, National Geographic paints this as a new discovery. Additionally, the publication implies that individual attitudes and interpersonal conflicts are the root cause of racism. In doing so, they overlook the effects of structural racism:

“Racism is likely to influence the lives of these girls in ways that can’t be reduced to individual, mean-spirited prejudice. For instance, whites in the United States have, on average, 10 times as much wealth as black people. This wealth gap has multiple causes, including institutional racism in lending and housing discrimination. Similarly, because of current and historical patterns of segregation, black Americans are more likely to live in polluted neighborhoods with adverse implications for their long-term health.”

In focusing on the individual actions and the “personal sin” of racism, we underestimate the impact race can have on structural factors, such as wealth, housing, and health. As Ray suggests, National Geographic can take steps to account for its racist past by avoiding frames that overstate progress.

Photo by Agnes Scott College, Flickr CC

We know that a college degree can often help ensure employment, creating pathways to better opportunities and resources in someone’s career and even one’s personal health. A recent article in The Washington Post shows that the health benefits of higher education are more nuanced than scholars originally believed. Drawing from the work of sociologists Andrew J. Cherlin and Jennifer Karas Montez, the article demonstrates that location, race and ethnicity, and even expectations all shape the relationship between a college degree and health.

College degree attainment is related to many health benefits, including longevity. In recent years, White Americans without college degrees faced increasing mortality rates, while Black and Hispanic Americans showed overall advancements in their longevity, even among those without a degree. Andrew Cherlin argues that expectations are particularly important for understanding why there are clear racial differences in the link between degrees and health benefits. As the article outlines,

“It wasn’t long ago that white working-class Americans could count on leading a comfortable life with just a high-school degree. Middle-aged men and women, the very group falling ill and dying, are the first generation without that guarantee. They compare themselves with their parents and find their lives falling short. For black and Hispanic Americans, if you haven’t got as much to hope for, you might just have less to lose.”

Geography and economic differences add more complexity to unpacking the causes of health disparities. Living without a degree in areas that are heavily impacted by economic shifts and with inadequate medical resources like the rural United States can further exacerbate health problems. As Jennifer Karas Montez suggests, tackling these issues on a large scale is even more difficult given that public policies are created at state and local levels. In short, the relationship between health and college attainment is complex. Having a college degree does not directly translate into health benefits and vice versa — those without a college degree are not fated to poor health. 

Flowers and Candles for Kiante Tay Campbell. Photo by George Kelly, Flickr CC

Despite the current administration’s affirmations of high crime rates and push for more tough on crime policies, their approach does not align with the reality of crime in the United States, where violent crime fell substantially over the past 25 years. In a recent article in The New York Times, sociologist Patrick Sharkey discusses his research on both the causes and social benefits of the violent crime drop.

Reductions in crime improved the overall climate in major cities, but especially improved social conditions in disadvantaged communities of color. Declines in homicide led to increased life expectancy for young Black males. Sharkey’s research also demonstrates that declines in homicide helped to narrow the achievement gap between Black and White children and decreased concentrations of poverty in many cities. According to Sharkey, “living in poverty used to mean living with the constant threat of violence. In most of the country, that is no longer true.”

Undervalued forms of violence prevention —  non-profit organizations in particular — could help keep levels of violent crime low. Sharkey argues that a method that focuses on safety and creating community, rather than tough policing and prosecution, is the next step to a further reduction in violent crimes:

“These findings suggest a new model for combating urban violence. While police departments remain crucial to keeping city streets safe, community organizations may have the greatest capacity to play a larger role in confronting violence. Working directly with law enforcement and residents, these organizations are central to the next stage in the effort to make our cities even safer.”

Photo by Yandle, Flickr CC

Around this time of year — when many people are focusing on their romantic partners — it’s easy to forget how important our friendships are. In fact, spending more time with friends may actually improve romantic relationships. In a recent article in The New York Times, Stephanie Coontz reviews social science research demonstrating that a flourishing social life can lead to a better marriage. Coontz writes,

“Socializing with friends and family and participating in clubs, political organizations, teams, unions and churches are essential components of what sociologists call social integration. And health researchers report that maintaining high levels of social integration provides as much protection against early mortality as quitting smoking.”

There are multiple ways social integration can be beneficial. For example, sociologist Kristi Williams suggests that difficulties of those divorced and widowed may be based in their lack of self-reliance skills and smaller social networks, rather than the end of their marriages. Additionally, one experiment showed that couples who went on double dates reported more passionate feelings toward their partners than those who went on a date only as a couple. So, when you’re planning your next date night, consider inviting your friends.

Photo by Maryland GovPics, Flickr CC

In the wake of tragically-familiar mass shootings, the media and concerned citizens understandably look to a perpetrator’s background to understand why they would carry out a shooting and whether it could have been prevented. Many of these investigations identify mental illness as blameworthy.

There’s a problem with this routine, however. It assumes that mental illness is the root cause of violent acts. New research from Miranda Lynne Baumann and Brent Teasdale shows this assumption is not valid. Writing in The Conversation, Baumann and Teasdale detail their findings from a project that followed people who received treatment for mental illnesses and compared them to a demographically-similar group of people who did not. Results demonstrated that respondents with mental illness did not pose a significant threat to their communities. In fact, the authors write that:

“People with serious mental illness who have access to firearms are no more likely to be violent than people living in the same neighborhoods who do not have mental illnesses…the reality of firearm-related risk among individuals with mental illness lies not in the potential for harm to others, but in the risk of harming oneself.”

In other words, the only significant difference between these groups was the suicide rate, not rates of violence against others. These trends suggest that we should also pay attention to other factors, such as access to firearms, emergency response practices, and cultural assumptions about violence and masculinity, in our attempts to limit the impact of mass violence, rather than singularly focusing on mental illness.