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Jabari Asim: Black American Males, or Short-TimersPosted on Sep 17, 2006By Jabari Asim What does it say about our culture that African-American men living in the nation’s inner cities have a life expectancy roughly equal to that of people of similar age living in West Africa? WASHINGTON—Back in my days as an aspiring poet in the Midwest, I frequented spoken-word gatherings and open-mike nights with a group of like-minded folks. One of them, Percy Wells, used to perform this attention-grabbing poem that began, “Where in the (expletive) is Bangladesh?’’ Whereas Percy often sang his lines in a charismatic, jazzy drawl, he would spit that poem out with all the force of a saxophone blast. It wasn’t an ode to geographic confusion: He knew where Bangladesh was. Percy had heard about a 1990 article in the New England Journal of Medicine which concluded that a black man living in Harlem was less likely to reach 65 than a “comparable’’ man living in Bangladesh. He wanted to know why the odds of living a long and healthy life were so daunting for African-American men such as himself. His poem went on to ask how men living in the world’s wealthiest nation could somehow be worse off than men living in a nation where more than a third of the population lived on less than $1 a day. More than a decade has passed since I first heard Percy recite that poem, but its central question still resonates. I found myself thinking of it while reading about a new longevity study published in PloS Medicine, the Public Library of Science’s online journal. The study found that middle-aged African-American men living in the nation’s inner cities have a life expectancy roughly equal to that of people of similar age living in West Africa. It’s hard to escape the feeling that black men’s health statistics are often compared to those of people in other countries because they’ve run out of analogies here in the United States. The numbers only reinforce that suspicion. Of all the groups covered in the PloS report, black men in the inner cities had the shortest life expectancy, 66.7 years. Guess who fared just slightly better? Rural black men, who can expect to live 67.7 years. So it seems that for black men living anywhere in the United States—tenement, townhouse, mansion or farm—the bell will likely be tolling significantly sooner than it will for their countrymen. No surprise there, since the article in the New England Journal of Medicine said as much. What is surprising, however, is that 16 years have come and gone between the appearance of these two studies. And black men’s health prognosis remains mostly unchanged. Advertisement Meanwhile, undoubtedly critics will mount their soapboxes to denounce black men as victims of their own self-destructive behavior. Their accusations, as usual, will be partly true. Some black men engage in reckless pursuits such as unsafe sex, drug abuse and shooting up neighborhoods. It’s easy to condemn them if they bring about their own undoing, even as we reserve our compassion for their unfortunate victims. But the overwhelming majority of black men live upright lives—and their lives also tend to be shorter than those of their nonblack counterparts. For example, consider, as The Washington Post has reported, that “high mortality in urban black men persists even when homicide and AIDS are removed.’‘ That points to other ailments, such as heart disease, stroke and diabetes, and factors such as lack of access to quality healthcare. To be sure, irresponsible lifestyles can also be the cause of those maladies. But even when African-Americans make healthy choices and regularly consult doctors, their treatment may be less than thorough. A 2002 review by the Institute of Medicine found that blacks and other minorities often received poorer care despite having the same income and insurance coverage as whites. Clearly, wholesale changes are necessary, and not least from the government. Black men between 45 and 64 are most likely to die before others in their age range, which happens to be the very part of the population least likely to be targeted for new, vital government health programs. Until healthcare spending expands to include investment in new options for that vulnerable group, the conclusion of a 2002 W.K. Kellogg Foundation report on the health of minority men still rings true. “From birth,’’ it noted, “a black male on average seems fated to a life so unhealthy that a white man can only imagine.’‘ Previous item: Essential Reading From Sam Harris and Daniel Ellsberg Next item: Marie Cocco: 'Scare Tactics' on Social Security Elsewhere: . CommentsAre you a Truthdig member yet? Login now, or register with Truthdig. Add Your Comment
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By Dave Summers, M.D., September 19, 2006 at 3:04 pm #
(Unregistered commenter)
Response to “Colonel”, #24069, dated 9/18/06
Remember, please, or don’t forget, all races originated in “black”
Report thisAfrica (black, of course, not unlike white, being achromatic in the physical color scale, yet both have persisted over time, via mostly a Caucasian preference, whereby both Mongoloid & Negroid groups are labelled “non-white” or “darker races”, etc. often with “inferior” or “subordinate” connotations—truth therefore “forever on the scaffold” with “wrong [therefore] forever on the throne”). “Race” anthropologically & genetically, is deceptive, all humans (or Homo sapiens as a species) are exteriorly & inherently, still variants of the same DNA, only minimally different from chimps thereby, while even hominids
(the truly subordinate-to-human species) have DNA that’s only
slightly different from H. sapiens DNA. Race, therefore, is
hardly “obvious” nor a “fundamental answer”. (See Watson’s DNA, just published in 2005 & Carl Zimmer’s SMITHSONIAN INTIMATE GUIDE to HUMAN ORIGINS, also a 2005 publication).
By Marsha Vilt, September 19, 2006 at 10:30 am #
(Unregistered commenter)
Does this study look at black male vets, too? I ask because in my personal life I have encountered many black male vets that don’t seem to be benefitting from their right to use VA facilities. Does this study take into account how many black vets were exposed to Agent Orange and other life-altering war experiences?
Another possible study should look at retired military black males. They would supposedly have access to the same healthcare as retired military white males.
We are all victims of our own self-destructive behavior. That’s a fact. So why higher rates among black males?
Report thisBy Jo, September 19, 2006 at 10:19 am #
(Unregistered commenter)
The black female lives longer than the white male. The white female lives the longest of all. So, doesn’t that mean it could be something about the male hormones?
The latest statistics show that people are not living longer than they did in the 40s. That is another windy tale that rode in and stayed.
Report thisBy Norman D. Plume, September 19, 2006 at 9:43 am #
(Unregistered commenter)
Just as I was thinking what a well-written article this was, I read the authors conclusion: the problem is white doctors and the cure is a government program. Please….........
Report thisBy Mad As Hell, September 19, 2006 at 7:14 am #
(Unregistered commenter)
Unlike the colonel, I am a little more familiar with the techniques of measuring influences. Every student who must study statistics learns about regression analysis by their second under-grad course.
Despite the fact that at the gross levels Black men seem condemned to shorter lives, it is statistically quite easy to zero in on the factors that make it so and then be able to address those issues.
Some may, indeed be genetic pre-dispositions, but others are undoubtedly environmental. It has long been noted that cardio-vascular disease is significantly higher in Blacks. But I don’t know how much is genetic, and how much is life-style.
Indeed, incidence of cardio-vascular disease is much lower in Japan than it is in the US. Is it genetics or a vastly different diet? Green tea has only just become the health drink of fad, where it’s been a staple in Japan for a millennium.
Sure, lots of non-black people die young of non-violent, non-AIDS causes. I lost a cousin at 21 to leukemia, and I know three different people who all succumbed at 47 to cancer.
My point is: there is no way there is one single cause to why Black men have a significantly lower life expectancy than all American males (which is well over 70 years now). But without research into the causes and measures of significant effects for each cause (Significance meaning statistically significant difference between Black men and other Americans) we are stuck with the colonel’s stupid, ignorant and racist explanation.
The statistics to determine this isn’t that hard and is well-known. But to the cohorts of Mad King George, it’s more important to squander our wealth on a failed experiment in the mid-east than to take care of our own.
Report thisBy Eriekayaker, September 19, 2006 at 1:05 am #
(Unregistered commenter)
I don’t think this is a black & white issue, not meant racially but in terms of the cause. True, inner city blacks aren’t going to get the health care that prosperous folks living in the ‘burbs with good jobs will. But some of those prosperous folks are black. I think the issue is economic, not racial. But I also firmly believe that much of it has to do with lifestyle. What percentage of those black males smoke? Smoking is the biggest cause of preventable death. What about excessive alcohol consumption? What about diet? I suspect that many inner city black men eat a lot of fried food. Fried food is deadly for any human being. And a black person does not have to be wealthy to live a long life. A county employee I know lost his mother in law recently—she was 96!! and black. Most of her life, or half of it was lived in a segregated country. The father of two black men I used to work with lived to age 89. He worked in an auto plant but lived a healthy lifestyle.
I wish the author of that piece had revealed what the life expectancy is of inner city black women. Here in Cuyahoga County, OH, there is access to health care for even inner city folks. It may not be as sophisticated as one can get at the Cleveland Clinic but it is better than nothing. But one must be willing to follow the advice.
I see inner city black men everyday in my work. I also see lower-class whites whom I choose to call “white trash.” They smoke like fiends, they drink too much, they are fat. That is the way they choose to live. Why should our society feel guilty about that?
Anyone who chooses to smoke after all that is known about it is a fool.
Report thisBy G. Richards, September 18, 2006 at 9:35 pm #
(Unregistered commenter)
Should you add that:
1. More black men (and women) should become doctors, scientists, researchers, etc. These professionals influence the direction of research. I’m willing to bet that a proliferation of black researchers would contribute to health/medical research that would benefit African Americans.
2. Refrain from high-risk behaviour. I’m willing to bet that the mortality rate would drop if more black men (and women) stop killing themselves via dangerous activities.
3. Put down the BBQ ribs and fried chicken and go for a jog.
4. Stop waiting for the government to save you. The political process is influenced by too many different interests to make it feasible for any level of government to focus on one issue for too long—especially one issue that doesn’t necessarily give the most bang for the political buck. Sure if government help is important to us. But we’re only 12 percent of the population. Think about that.
Report thisBy Margaret Currey, September 18, 2006 at 12:51 pm #
(Unregistered commenter)
You ain’t seen nothing yet, as the current administration has so screwed up medicare with the donut hole and other inventive ways to cut out the old and poor and help the people who need it less, this country’s health care system is good for the people who can afford it and less for the less fortunate, I am looking at natural health as a way to stay from the drug crazy way doctors treat people. The best way to stay healthy is have a healthy life style and to stay away from doctors as much as possible, we as a people do not have to go to a doctor for every pain, and as a person who has migrines on occassion, pain relivers do nothing, people were healther years back if they came from good stock. In other words todays society by getting lazy have also ending up getting fat.
Marge from Vancouver Washington
Report thisBy Colonel, September 18, 2006 at 12:30 pm #
(Unregistered commenter)
Obviously, the fundamental answer lies in racial difference. Why is that so hard to face when the fact hits you in the face, however unpleasant the thought? There are some things for which society is not to blame.
Report thisBy mr motown, September 18, 2006 at 12:12 pm #
(Unregistered commenter)
Stevie Wonder said it THIRTY years ago: ” You Haven’t Done Nothin’ ”
Report this