Ella lives in one the wealthiest areas of the city. People come from throughout New York—and the world—to visit the restaurants and shops in Ella’s neighborhood, and the old rail line next to her house that has been converted to a beautiful park is always full of tourists and natives. Here, the health benefits start from birth. Simply by virtue of being born in the right zip code, Ella starts out with a huge health advantage over Amara. In fact, if current trends persist, she will live 6 years longer.
In Ella’s neighborhood, most babies are born into stable families, and few are born preterm. The schools are excellent, and attendance is good. And with abundant supermarkets, safe streets, and green spaces and gyms, it’s easy to be healthy in Ella’s neighborhood; the percentage of adults with obesity and diabetes is less than half the city average.
Statistics are drawn from NYC Environment & Health Data Portal. http://a816-dohbesp.nyc.gov/IndicatorPublic/QuickView.aspx
Adapted from a concept developed by George Kaplan, to appear in Kaplan G, Galea S, Diez Roux A, Simon CP (eds), Growing Inequality: Bridging Complex Systems, Population Health, and Health Disparities, Washington, D.C., Westphalia Press (2016).”