DES MOINES, Iowa - Health disparities in the United States are getting more attention, between the pandemic and last year's social-justice protests. In Iowa, certain barriers are being addressed, including mistrust of health agencies and providers.

State health officials have said Iowa mirrors national data for people of color experiencing negative health outcomes. They have noted that the state's Black population has the highest rate of mortality in almost every cause of death, not including suicide.

Izaah Knox, executive director of Urban Dreams, a statewide nonprofit that helps reduce racial barriers, said he feels that, in terms of outreach, the health-care industry has lacked a strong presence in marginalized neighborhoods.

"I think the biggest thing," he said, "is that too many times organizations, hospitals - or anybody that all of a sudden wants to reach out - only comes out every once in a while, and if it's of benefit to them. "

He said that's why his group is partnering with others, such as the American Heart Association, to maintain a consistent presence. The Heart Association is advocating for increased state funding for a program to help marginalized Iowans get healthier foods at a lower cost. The group has said expansion of tele-health is another priority in closing these gaps.

Nalo Johnson, division director of health promotion at the Iowa Department of Public Health, agreed that improved engagement can help make these communities more resilient, especially during public-health emergencies. She said the state is trying to ramp up support for lower-level agencies in this area.

"Providing resources around translation; providing connections from what we are hearing or seeing at the federal level, in terms of resources or information," she said.

Through grant opportunities, the department also is trying to reduce disparities for diseases such as hypertension. Community groups have said policymakers need to bolster infrastructure in poorer neighborhoods, so residents can be more mobile and improve their physical health. On its website, the American Heart Association has more information on efforts to end structural racism and other initiatives to improve health outcomes in states such as Iowa.

As today begins National Farmworker Awareness Week, North Carolina boasts the sixth-largest number of farmworkers of any state.

More than 150,000 people in the Tar Heel State are farmworkers or dependents of them.

Quirina Vallejos, executive director of the North Carolina Farmworkers Project, said the issues facing farmworkers include exposure to pesticides, inadequate housing and wage theft. But Vallejos pointed out the most pressing problem remains helping farmworkers know and defend their rights.

"Even if the workers know what their rights are, it's very challenging for them to speak up for themselves, defend their own rights," Vallejos explained. "Because if they're undocumented, they're afraid of being reported to ICE, and I've heard of employers threatening that very thing in order to get people to do what they want."

Farmworkers in North Carolina help harvest numerous crops, including tobacco, cucumbers, apples and bell peppers. In 2022, the U.S. Department of Labor's National Agricultural Worker Survey found more than 40% of agricultural workers were not authorized to work in the U.S.

Vallejos argued strong enforcement of existing regulations would best help farmworkers. One sort of policy lawmakers in many states could initiate, Vallejos suggested, would be the passage of laws to protect them from extreme heat.

"Workers are out there sunrise to sunset. That's a long time to be out in the fields and not get any breaks, not have time in the shade," Vallejos contended. "Employers should be required to be educated on emergency response to heat stress and heat-induced illnesses because that would save lives."

Carolina consumers who wish to support farmworkers, Vallejos added, could try to purchase produce from companies with strong labor standards.


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Nationwide, it is estimated about one-third of Americans either adhere to Christian Nationalist ideals or sympathize with them.

Groups working for social justice in Washington state are organizing to counter what they see as a movement harmful to democracy.

Aaron Scott, author of "Bring Back Your People: Ten Ways Regular Folks Can Put a Dent in White Christian Nationalism," is the keynote speaker at this weekend's Peace and Justice Action Conference in Spokane.

It is estimated 16% of people in Washington support Christian Nationalist ideas and although it is hardly a majority, Scott said the movement should not be disregarded.

"We can't afford to say, 'Well, we're not going to really deal with that stuff, that's a side conversation,'" Scott explained. "Because clearly we are now in a moment where it is not a side conversation. It is the central conversation."

Scott noted white Christian Nationalist groups embed in rural areas, building churches and securing funds to win local elections. Their beliefs often appear as anti-immigrant and anti-LGBTQ. He pointed out the ideology thrives where voter suppression and disengagement are high and encouraged people to stay engaged in their communities.

Christian Nationalists want the U.S. to be declared a Christian nation, with laws based on their far-right values. Though the ideas can seem threatening, Scott stressed arguing with strangers is usually not an effective way to change someone's mind. Instead, he suggested having direct, thoughtful conversations within trusting relationships, reinforcing their values of honesty and compassion.

"You can do things like point to the way this person lives their lives and the values that you know they hold, and highlight, like, 'This does not seem aligned with this,'" Scott advised.

Scott, who also works with the Episcopal Church, emphasized the core of Christianity runs counter to the ideas of Christian Nationalism. He added many Christian groups recognize the movement provides cover for white supremacy and are concerned about the threat it may pose to their religious communities as well as democracy. Scott acknowledged it takes time and commitment to counter extreme ideologies.


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In a nationwide movement, Latinos are being urged to boycott retail stores tomorrow that have curtailed programs promoting fair hiring practices.

The diversity, equity and inclusion framework has been a cornerstone for many large retailers for several decades but attacks by President Donald Trump and the GOP have led such giants as Walmart, Target, McDonald's and others to scale back their DEI initiatives.

Caroline Tso Chen, associate professor of taxation at San Jose State University, said one person might not be able to make a huge difference but if 20% of people joined "Latino Freeze Day," the effect would be substantial.

"By basically telling those companies, we do not approve of what you are doing and we will take our money and we will spend it elsewhere," Tso Chen explained.

The annual purchasing power of Latinos in the U.S. continues to grow, now topping more than $3 trillion. New Mexico is among the top 10 states with the largest Hispanic/Latino buying power, which has increased due to population growth, labor force participation and educational attainment.

DEI programs have been around since the 1960s and are meant to promote the fair treatment and full participation of all people, particularly groups historically underrepresented or subject to discrimination. As an Asian woman, Tso Chen noted she knows what it is like, but added Friday's boycott would need to be just the beginning.

"You can't make this just February 28," Tso Chen stressed. "In order to make any sort-of significant economic impact to any of these retailers, it is going to have to be for an extended period of time."

The Latino Freeze Movement is encouraging supporters to find alternative ways to purchase what they need at other retailers, including local stores, swap meets, farmers markets, secondhand stores or negotiating trades.


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