Download Presentation (3.8 MB)

Streaming Media




Transportation policies at the local, regional, state and national levels have a direct impact on urban land use and development patterns. Transportation intersects with multiple areas including public health, education, climate change, physical activity, health outcomes, build environment, violence, safety, social cohesion and the wellness of communities. For the health outcomes influenced by transportation, disparities exist by race, ethnicity, and socioeconomic status in Multnomah County. Disproportionate exposure to injury, air pollution, and noise contributes to inequitable burdens of injuries and chronic disease among race and ethnic groups. This is exacerbated by lack of access to safe places for active transportation and lack of safe access to destinations that support health such as jobs, schools, and healthcare. According to an analysis conducted by the Health Department, the REACH focus population faces safety issues from both traffic crashes and concerns for personal security. These exposures result in a disproportionate burden of injury and chronic disease. Black/African Americans residents in Multnomah county die from traffic crash injuries at higher rates than white residents, about 1.8 times higher from 2013-2017. Compared to their White counterparts, more deaths are observed from chronic diseases among African Americans than expected: 24% more from heart disease, 68% more from stroke, and 32% more from cancer.

The cost of health inequalities in Multnomah County is an estimated $442 million annually, including $332 million from premature death, $92 million in direct health care costs, and $18 million in indirect costs of illness. The Oregon Health Authority estimated that implementing Metro’s Climate Smart Strategy would avoid $100 million in treatment costs annually.

Biographical Information

Charlene, Charlene McGee, Multnomah County REACH Program Manager, brings over 15 years of leadership working at the intersection of public health and healthcare systems to confront and change social determinants of health. She holds a Bachelors of Science in public health, health promotion and education, with a minor in community health from Oregon State University. She is currently pursuing an executive master’s in public administration at Portland State University. As a Liberian-Oregonian, her experience as a survivor of the Liberian civil war and Black immigrant heavily influenced her career in health equity, health policy and program development. She works closely with community partners to elevate lived experience and community wisdom in order to advocate for systems and policy improvements, and culturally appropriate interventions to


Medical care -- Regional disparities, Transportation and state -- Health aspects, Medical care -- Social aspects, Minorities -- Oregon -- Multnomah County -- Social conditions


Transportation | Urban Studies | Urban Studies and Planning

Persistent Identifier

At the Intersection of Safety + Race + Transportation



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.