In an unprecedented door to door health
survey of the Humboldt Park and West Town
neighborhoods, the Sinai Urban Health
Institute found that diabetes was ravaging
through the communities at an alarming rate.
The study was published in the December 6th
issue of the Journal of Community Health.
“We found the highest rate of diabetes
among Puerto Ricans in the Humboldt Park
community than among any other group in
any place,” says Steve Whitman Ph.D.,
director of the Sinai Urban Health Institute
and lead author of the report. “Diabetes is a
big problem nationally with a prevalence of
six percent, which is higher than it has ever
been before. But it is just sweeping through
the Humboldt Park and West Town
communities.”
The study found that the prevalence of
diabetes among Puerto Ricans in the area is
21 percent, or 3.5 times that of the national. Flowers
figure.
Among blacks in the community the
prevalence rate is 15 percent or 2.5 times the
nation’s rate (see bar graph 1.1). In the North
Lawndale community, Whitman says the
prevalence of diabetes probably mirrors that
of blacks in Humboldt Park and West Town.
Such high rates for diabetes in a
concentrated area have motivated researchers
to find a cause for such a large disparity
between the area’s residents and the rest of
the nation.
“I can’t think of anything specific in the
community [that is causing the high diabetes
rate]; it’s not in the air or anything,” explains
Whitman. “But it is all tied into racism and
poverty, that’s for sure. It has to do with
obesity and exercise. What you can eat, in
large part, has to do with what you can afford
to eat. And much of the time exercise has to do with the safety of your neighborhood and if you
have time to do so.”
Dr. Maximo Bermudez works in the Humboldt Park
community.
He says the study’s findings could, in part,
be attributed to “the hereditary make up of the
population because Latinos have a higher incidence of
diabetes in general.” Still, he does find that poverty
affects the treatment of patients in the community,
including diabetics.
“Finances are a problem,” says Dr. Bermudez of
the Armitage Family Health Center which is part of the
ACCESS Community Health Network. “We are looking
forward to the day where almost everyone has
insurance.
Right now I have a lot of patients who are
uninsured. These people are working and have jobs,
yet they do not have any insurance. Most of them are
hard-working and just don’t have the help they need.
And because of their meager incomes, they prioritize
getting food on the table for their family as more
important than taking care of themselves. It’s really a
sad situation.”
Puerto Ricans in Humboldt Park are dying from
diabetes at a rate of 76 per 100,000 compared to 31
and 25 per 100,000 for the rest of Chicago and the
nation, respectively. Whitman called the mortality
findings of the study “shockingly high; the highest that
has ever been found.”
The study’s stark findings led to the formation of a
citywide task force consisting of 20 health professionals
from organizations across the city, including Rush
University Medical Center, the National Diabetes
Foundation, National Kidney Foundation, ACCESS
Community Health Network and the Puerto Rican
Cultural Center.
After meeting for three months, the experts devised
19 recommendations to address the prevalence of
diabetes in the area.
The suggestions include a screening
campaign to identify people with diabetes or those who
are high-risk, providing free diabetes self-management
education and assistance for those who have been
diagnosed and the creation of the Humboldt Park
Diabetes Project that would consist of an executive
director and outreach workers.
The coalition is optimistic about their proposed
community action, which also has been incorporated
into the study’s report.
“We are not only concerned with the problem in
Humboldt Park,” says Whitman. “But we thought it
would be sensible to start implementing the
recommendations there since diabetes is so prevalent.
We hope to then utilize these tactics throughout the city
and even the country.”
For more information on any of ACCESS
Community Health Network’s programs, visit
www.accesscommunityhealth.net or call
866.88.ACCESS.
Aricka Flowers is NLCN’s health reporter and is a
graduate of the Northwestern University Medill
Graduate School of Journalism. |