Imagine a Rhode Island where every person has a fair and just opportunity to be healthy. This is known as health equity. We all want to live in a place without obstacles to health like poverty and discrimination. And we all want to live in communities where we and our loved ones can access good jobs with fair pay, quality education, and safe environments. Yet in every neighborhood, a range of conditions affect people's health and safety every day.
Up to 80 percent of our health is determined outside the doctor's office and inside our homes, schools, jobs, and communities. (more) Generations-long social, economic, and environmental inequities have resulted in adverse health outcomes. They affect communities differently, and have a greater influence on health outcomes than individual choices or one's ability to access healthcare.
Reducing these inequities can help improve opportunities for every Rhode Islander. To improve surveillance of the socioeconomic and environmental factors that drive health inequities, the Rhode Island Department of Health (RIDOH) collaborated with community partners to form the Community Health Assessment Group and develop Rhode Island's first set of statewide health equity measures.
To serve as Rhode Island's statewide standard for assessing the State's progress towards health equity.
We encourage Rhode Islanders to collaborate across sectors to address barriers to health and advance health equity. The Rhode Island Health Equity Measures can help identify systems and policies that affect the ability of every Rhode Islander to live a healthy life and achieve their full potential. They are intended to help communities assess the impact of health equity initiatives, such as Rhode Island's Health Equity Zones, by providing baseline data and supporting outcomes evaluation. They also provide a way to measure our shared progress.
Through an extensive community engagement process, the Community Health Assessment Group developed a core set of 15 measures in five domains that affect health equity: integrated healthcare, community resiliency, physical environment, socioeconomics, and community trauma. Data come from various sources. When possible, data are reported by geographic location, race/ethnicity, disability status, income level, or other demographic characteristics.
|Measure||Ratio: Number of individuals receiving to number of individuals eligible for SNAP benefits, based on income|
|Data Source||Supplemental Nutrition Assistance Program (SNAP), US Census Bureau|
|Measure||Index score that reflects the affordability of transportation for renters|
|Data Source||US Department of Housing and Urban Development (HUD) Low-Cost Transportation Index|
|Strata||City/Town, Census tract|
|Measure||Number and percentage of children with blood lead levels > 5 micrograms/deciliter|
|Data Source||Rhode Island Department of Health (RIDOH) Environmental Lead Program|
|Measure||Percentage of renters and owners who are housing cost burdened|
|Data Source||2013-2017 American Community Survey - Selected Housing Characteristics|
|Measure||Percentage of adults reporting racial discrimination in healthcare settings in the past 12 months|
|Data Source||Behavioral Risk Factor Surveillance System (available 2020)|
|Strata||To be determined|
|Measure||Number of non-violent offenders under RI probation and parole (per 1,000 resident age 18+)|
|Data Source||Rhode Island Department of Corrections, US Census Bureau|