Defending Social Determinants and Unpacking the Impact on Outcomes in the Black Community

July 4, 2023

Shaquille Morgan

“We just some products of our environment. How the f**k they gon' blame us?”
~ Lil Baby - The Bigger Picture

In most cases, my emotional ties to various topics is what inspires me to dig further—largely in search of a truth that can help mediate my thoughts between research and experience. It’s this emotional tie that has led me to the subject for this piece, largely because far too often I see and hear opinions and manipulated facts that discredit the efforts of Black people to escape poverty. And it troubles me.

For as long as I can remember there’s been a debate about how to contextualize the plight of Black people. This debate has created a fixed cultural divide, with people on both sides arguing whether or not the social determinants of health, income, and crime (as understood through the legacy of systemic racism) are relevant to the current conditions of Black people. If you have read previous chapters, it’s no secret that I believe social determinants are relevant to the current conditions of Black people. And although I don’t point to a single factor in history (or presently) as the main cause of present conditions, I do believe the cumulative effects of myriad systems of overt and covert oppression is what we are seeing manifested today in Black communities.

With this in mind, my aim in this piece is to systematically walk through how the layering of the multiple systems of oppression that Black Canadians have had to navigate have aided in creating current conditions. Being that I have spent a number of chapters discussing the history of Black people and the effects of racist laws and segregated societies, I will only focus on how the history has shaped today’s communities.

Unpacking the Arguments for the Rejection of Social Determinants

As with any topic of two opinions, the debate around the social determinants of health, crime, and income has supportive and rejectionist arguments. Rejectionist arguments are often rooted in the idea that it coddles Black people into accepting mediocrity. In doing this, it’s believed that Black people have lacked accountability and absolved themselves of their role in producing their present reality. For this reason, any argument that aims to contextualize Black experiences and struggles is vilified by rejectionists because they argue that it reassigns blame to the racist policies and societies, which removes any form of agency and judgment.

In holding these ideologies, rejectionists have offered some simple solutions. The first is to accept that inequality is a factor of life that largely impacts all low-income people similarly, despite an individual’s race. The second is that stewing in self-pity perpetuates beliefs of innate inequality, which in turn pushes Black people to look to the government for bailouts. In this regard, they suggest that Black people should stop seeking assistance and making excuses as it presents Black people as incapable of moving beyond their positions. The third is that Black people must advocate for self-discipline and pursuits of higher education to escape the poverty trap.

I’ve come to understand that this perspective is more popular than I realized. In fact, in addition to the white conservatives, it’s often used among middle and high-income earners in the Black community and immigrants whose families left their home countries with ‘nothing’, worked hard, and created a comfortable life for their families. Of course this can be said in many cases irrespective of race. Yet, it discounts the many people who have taken similar paths and have worked hard, yet still found themselves in poverty because of systemic forces.

Still, some feed into this argument by suggesting that being a low-income citizen is a product of their own doings. Thomas Sowell famously argued that the spending habits of Black people in a consumerist culture has caused massive dents in their pockets. Others have suggested that it’s their poor decision-making in terms of education, career choices, criminal offence rates, and the prevalence of single-parent households that has put Black people in such predicaments. To varying degrees, the statistics in relation to education, single-parent households, and crime certainly reify that these are all elements that impact the quality of life and income of all people. But the data often fails to contextualize how historical factors contributed to creating these low-income, clustered—or segregated—neighbourhoods, where people become weighted averages of their environment.

Defending Social Determinants and Unpacking Influential Factors

The biggest flaw in rejecting the role of social determinants is that it presents the social determinants of health, income, and crime as synonymous with racial determinism. Social determinants help us to understand how the wider set of forces in the environment an individual grows up in shapes their lives and behaviour. But what racial determinism argues is that race is a biological factor that regulates and ultimately determines how Black people behave and make decisions. The fundamental difference here is that social determinants don’t dictate how Black people behave because of their racial biology making genetic prompts; rather, it contextualizes how a series of events (rooted in intentioned racism) when layered, have put Black people in unequal, undeveloped, and neglected positions. Ultimately, this makes it harder for them to succeed in comparison to non-racialized people. I will acknowledge that today we can say that affirmative action, the welfare state, and diversity policies have made it easier for Black people to thrive. However, the implementation of these policies and approaches doesn’t mean all barriers have been accounted for, and it also doesn’t erase or rectify the history that created these environments and structures, given that they continue to have negative impacts on Black people.

If we think about the layering of these negative influences in Black communities, it can help us to understand why policy attempts to remedy past wrongs (which some see as sufficient) don’t erase the history that created these communities. It also helps us to understand why the solution isn’t simply self discipline and accountability, particularly because studies have demonstrated that we are weighted averages of the communities that we grew up in. Notably, the effects of where we grew up wear off the less time that we spend in the core environment that shaped us. But the key takeaway here is that living in a toxic environment throughout one’s life increases the likelihood of engaging in risky behaviours, especially when compared to those who didn’t grow up in such an environment. In saying this, I want it to be clear that I have used the description of “toxic” not because of the people that live there. I want to emphasize that government neglect in terms of services and resources plays a dynamic role.

Taken together, the impact of these negative influences in combination with the lack of government resources for some is a strong pull towards drug abuse (often as an escape from their environment), criminal activity, and early sexual activity (resulting in teenage parenthood) among other things. Of course, not all people subjected to these conditions make poor decisions at a significant cost of their future success. However, the increased level of exposure to poor decisions by merely living in these environments must be accounted for if we are to have a serious conversation about the present conditions of Black people.

The question in relation to all of this is not should we blame or absolve these people of their crimes or decisions; but can we contextualize what influenced them to make these decisions, and use that information to make positive changes to communities with these issues? An additional question would be, does this context allow us to justify providing greater resources and support to these communities?

Assessing Income as a Social Determinant

The conversation on social determinants is important because it’s the compounding effects of multiple factors that marginalize Black communities. The first factor that I consider essential to this discussion is income.

In the grand scheme of time it’s the intersection of race and income that shapes life outcomes for Black people. What I mean here is that the historical treatment and conditions of Black people, backed by laws and societal discrimination, has created a series of barriers felt today by the Black community. This correlation isn’t linear; however, it can be argued that the cumulative effects of segregation, immigration policies, unsolicited construction through Black neighbourhoods, and exclusionary tactics in housing, education, and employment have heavily shaped the conditions of Black people in Canada. It’s the pull on these levers that aided in white flight, limited Black businesses and home/land ownership, and made it difficult to obtain an education and meaningful employment. When layered, the lasting effects are segregated and clustered Black communities with inadequate government resources and services. This includes public transit, schooling, and more.

I consider income the overarching bucket where all other social determinants stem from.  Relatively speaking, this is because with controlled spending habits, more income means more disposable income and more options, contributing to a greater quality of life. In material terms this may look like access to better housing in better neighbourhoods, likely leading to better access to public transit. It may also look like the ability to own a car, subsequently providing access to more jobs.

Living in higher income neighbourhoods also means the tax base is higher. Having children in such neighbourhoods thus ensures access to well-maintained schools and top quality teachers, resulting in a better education. This is where the feedback loop of opportunity provided for the next generation aids in elevating their chances for success. On the other end, this is also one mechanism in how poverty traps become generational.

The relevance of income to race is important because research suggests Black people make up a disproportionate percentage of low-income households. Consider how among racialized groups, 12.4% of Black Canadians lived in poverty in 2020 despite accounting for about 3.5% of Canada’s total population. In Toronto, Black people make up approximately 9% of the city’s population but, represent 13% of residents in low-income neighbourhoods. Data also shows that 23% of the Black population in the Toronto Census Metropolitan Area experienced low-income compared to 11% of non-racialized people. Further consider how in 2015, while white people earned $87,312 in average employment income, Black people earned $35,946—41% of what their white counterparts earned.

Along these lines, a 2013 study based in the U.S by Sawhill and Karpilow found that low-income households “are disproportionately female, minority, and young.” In the study, most of these households had young children and were headed by single parents. The findings in this study is relevant to Canada as a 2016 study by Statistics Canada found that 21% of the Black population aged 25 to 59 lived in a low-income situation, compared with 12% of their counterparts in the rest of the population. In this same year, 27% of Black children were living in low-income situations compared to 14% of children in the rest of the population. Black people further made up 19.3% of single-parent households, in contrast to 7.9% of the rest of the population. These Black single-parents were more likely to be living in a low-income situation (34%) compared to single-parents in the rest of the population (26%). What this all means is that income is a crippling problem for Black Canadians, particularly when compared with their non-racialized counterparts.

Assessing Education as a Social Determinant

With the overarching picture of the financial situation of the Black community understood, we can assess the factors of education and it’s correlation with employment as it relates to social determinants.

Beyond expanding employment opportunities, education is linked to better outcomes for health and well-being, and is strongly associated with life expectancy, morbidity, and health behaviours. However, research suggests that some individuals find it difficult to get a job, even when there is high demand in the job market because of gaps in their education. Notably, I will point out that some researchers have found that it’s not that Black people couldn’t find a job if they really desired to—it’s the type of job or wage they were looking for. As such, there were and are opportunities to gain employment, but this isn’t indicative of meaningful employment.

Sawhill and Karpilow found that increasing education through post-secondary school or specialized jobs would have great effects on employment. Agreeably this should be the case. However, in 2020 Statistics Canada indicated that while having a university degree in Canada largely leads to a higher employment rate and earnings, there exists barriers in relation to the accreditation of degrees earned overseas, skill matches, and discrimination. This is troubling because in 2021 it was reported that 66.3% of Black Canadians aged 15 to 69 were found to be immigrants. Here, we can draw the conclusion that a significant portion of this group with degrees earned them in countries that Canada might deem inadequate.

Irrespective of the country where the degree was earned, in January 2021, it was reported that Black Canadians in the core-age group of 25 to 54-years-old were more likely to hold a bachelor’s degree or higher (43.8%) than non-racialized Canadians (33.6%) in the same age group. Yet, Black Canadians with a university degree had a lower employment rate (86.1%) than their non-racialized counterparts (91.1%). For those that found jobs, the Boston Consulting Group found that Black university graduates earned only 80 cents for every dollar earned by white university graduates, despite having the same credentials. There are a few caveats I will add here in relation to the data. Often I’ve found that wage and salary gaps between races or genders fail to account for tenure, prior career experience, and hours worked. When factored in, part of this gap is reduced. It’s also important to consider, in relation to employment percentages, that although the data conveys that Black people have higher levels of education but are more unemployed, it doesn’t indicate the areas that these degrees are in. My assumption would be there are lower numbers of Black people in STEM fields. If so, this may be able to explain a portion of the gap, but not all. It’s the remaining portion of this gap that I find problematic.

The data on Black education among adults is important because it conveys the desire for upward mobility. What’s more, it’s these education and employment outcomes of Black adults that often determine their position on the income spectrum. But this desire to escape poverty seems insufficient as Black Canadians are 2 times the rate of the working poor as compared to white populations.

What we have seen thus far is that the education and employment outcomes for adults are strongly correlated. Of these adults that become/are parents, the outcomes for their children are strongly correlated to their achievements. This means that at the level of the child, their experiences, exposure to ways of living, and education are all impacted negatively when they are low-income.

If we look specifically at education, at large there are some troubling statistics in relation to Black youth education. For starters, the Boston Consulting Group found that two times as many Black students are coming from low-income households in comparison to white students. In addition, Black students are four times more likely to be expelled from a Toronto high school than white students. The study also showed that 42% are suspended at least once in comparison to 18% for white students, and that they make up 48% of expulsions in Toronto high schools despite making up 12% of the population. The question I ask here is, why is this the case? The answer from my perspective can’t be reduced to a single factor. I also won’t place the burden of this on racism in the educational institutions. The answer is likely to be somewhere between the historical effects of racism and poor decision-making skills (at times coupled with inexcusable behaviour) can create this. And so, intervention points are required in the early childhood.

Unpacking the Social Determinants of Crime and the Motivations for Criminal Activity

I consider the connection of income to crime as one of the most damaging effects. If we consider the connection between crime and income and Canada, in 2014 the rate of violent crime for Canadians living in households with annual incomes between $140,000 and $179,999 was 54 for every 1,000 people. However, for low-income Canadians earning less than $20,000 a year, the rate was 79 victims for every 1,000 people, which is greater than the overall violent crime average of 76 for every 1,000 people. If we look at violent crime, in 2021 there were 788 homicide victims, 31% of them being racialized. About half of these victims were identified as Black. In terms of being accused of homicides, 20% of people accused were Black—nearly 6 times higher than the rate for non-racialized people. Particularly striking is that fact that Black males accounted for 65% of all racialized male persons accused of homicide. The data of homicides can be coupled with the fact that 9% of offenders under federal jurisdiction were Black.

When it comes to anti-social behaviour and crime, the reality is that inadequate education and poorer employment outcomes often gives rise to certain behaviour that isn’t present among middle and high-income earners. It will also create pressures due to the rising cost of living. This may lead some people to take risks which may take the form of property crime, violent crime, fraud, theft, robbery, or drug dealing.

To be clear, the decision to engage in criminal activity is not only or always motivated by money. Some might be motivated by revenge, power, respect, or fear-creation. And these motivations may be driven by deeper factors such as survival, greed, or simply maliciousness. As such, I don’t believe arguments that use racial history as an explanation for all behaviour to be accurate. It’s also not my intention to unpack these in greater detail here. But I bring this up in relation to Black people because a 1999 study by Lochner suggests crime is primarily a problem among young undereducated men. This is because with low levels of education and/or skill, they are more likely to earn greater returns in criminal activities than at work. Ehrlich, in another study, adds further insight to this point by indicating that most criminals were employed, but it was the low wages (and high cost of living) by proxy of their low education that elevated pressures to commit crimes. This was because they considered the high benefits of committing crime outweigh the costs. In the likely scenario that offenders are caught and penalized, the likelihood is decreased as they become less employable. Again, this creates pressure and incentives to repeat criminal behaviour.

Here we can do a thought experiment. Consider a Black male youth with 4 siblings whose mother is a drug addict and on welfare. In many cases the documented challenges of this type of person leads to an expected end where criminal behaviour becomes incentivized. It’s these type of stories where I consider context the most relevant. If this child dropped out of school at a young age to sell drugs to feed their siblings because their mother uses all of her money to buy drugs, can we blame them for their lack of education? If they end up in juvenile detention and prison when they’re older for selling the same drugs they figured would help provide for their homes, can we vilify them? If they become the man of their house at 14, and are able to move around freely, causing them to have their first child at the age of 15, can we chastise them for ruining their prospects of having a two parent household when they’re older? I provide this example to demonstrate that sure, in making these decisions there is agency, but often the conditions one is exposed to might limit their options, and never give them a fair shot, destining them for destruction.

With the cumulative effects of the factors I’ve addressed in this piece, some may suggest there is a systemic failure towards Black people. At large I agree, given that crises, segregated communities, and reduced government resources are byproducts of policy. However, a personal point of departure from arguments that rely on social determinants as an explanation for current conditions is the inconvenient truth that references to our distant history won’t fix the here and now. What this also means is that addressing racism isn’t the only remedy required to better all Black lives.

There are many other factors that can be addressed, and some of the elements addressed here require deeper discussions of their own. But overall, my hope is to show how social determinants can contribute to the poverty trap and may lead to reinforcing feedback loops for the working poor. From this piece, I hope that it became clearer that it can’t simply be said across the board that Black people aren’t trying to do better or have accepted mediocrity. And by contextualizing how various factors may disadvantage a person, I would hope that there is a realization that the goal in referencing social determinants is not to dismiss the actions and decisions of Black people, but to explain how hard it can be to escape poverty and the risks that might come with it, even if others have done it successfully.

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