Health Disparities are health differences between groups of people based on their social and environmental exposures, among others, that disproportionately impact community health outcomes and quality of life. These differences may include access to basic healthcare and screenings, the prevalence and severity of diseases, or health complications and mortality.
Some places to get started understanding health disparities include MedLine Plus summary on Health Disparities and the CDC overview of Health Equity.
Black Mental Health: Patients, Providers, and Systems by
Novel in its approach and unique in its scope, Black Mental Health: Patients, Providers, and Systems examines the role of African Americans within American psychiatric health care from distinct but interconnected perspectives. The experiences of both black patients and the black mental health professionals who serve them are analyzed against the backdrop of the cultural, societal, and professional forces that have shaped their place in this specialized health care arena. The volume opens with the singular, first-person accounts of five senior black psychiatrists -- including Dr. Altha J. Stewart, president of the American Psychiatric Association -- who describe their individual journeys to the top of their field, not shying away from discussing the racism and discrimination that have challenged their paths to leadership. The book's second part focuses on the complexities of and opportunities for delivering mental health care to various subsets of the African American population, including children, women, elderly patients, and LGBTQ individuals. System design strategies, biological therapies, and church-based mental health promotion initiatives are all considered as methods for reducing racial and ethnic disparities in access to effective treatment. Part III examines the training of black mental health professionals and their representation in psychiatry, particularly in the face of discrimination and implicit bias. A chapter on historically black colleges and universities discusses the importance of their role in the delivery of psychiatric services and research development for African Americans. The fourth part builds on this discussion, addressing research that is relevant to the care of the black population. A concluding chapter highlights the key themes that emerged from each of the previous four parts, providing a holistic view of the place of black patients and providers in American psychiatry. With its blend of scholarship, clinical insight, and training analysis, Black Mental Health is compulsory reading both for trainees -- as care delivery to minority groups is of ever greater importance -- and practicing clinicians, who will glean useful information from the chapters on research advances and treatment modalities. Additionally, policy makers, educators, and historians, among others, will gain a better understanding of the challenges and necessity of developing integrated approaches to the care of nondominant groups.
Climate Change and the People's Health by
Climate change and social inequity are both sprawling, insidious forces that threaten populations around the world. It's time we start talking about them together. Climate Change and the People's Health offers a brave and ambitious new framework for understanding how our planet's two greatest existential threats comingle, complement, and amplify one another -- and what can be done to mitigate future harm.
Communities in Action: Pathways to Health Equity by
Free PDF download available on linked site
Disability As Diversity: Developing Cultural Competence by
Disability as Diversity: Developing Cultural Competence reveals why disability is a cultural experience, rather than merely a medical status. Conceptual models of disability have evolved into a complex biopsychosocial phenomenon that disability service providers must understand to fully appreciate the intricacy of the lives of the people they serve. In this volume, Andrews sets the stage with the must-know history of disability rights and the social and cultural evolution of disabled people in the United States. She presents important concepts about attitudes toward disability and the impact of ableism. Andrews illustrates that not only are negative attitudes harmful, but that overly positive stereotypes can have an equally detrimental effect on disabled people. The reader will learn about disability microaggressions and how attempts to improve disability awareness can be misguided. Andrews argues that there is a distinct disability culture, and introduces the reader to its characteristics and features. She explores the concept of disability identity development, and how some people with disabilities identify readily as disabled and embrace the disability community, while others do not view themselves as disabled even though they meet commonly accepted criteria for disability. Andrews delves into the intricacies and controversies of disability language, including person-first and identity-first language. The reader will gain enhanced knowledge and skills to provide culturally competent care to individuals, as well as methods to enrich cultural humility at the organizational level. Andrews offers readers a guide to disability-related considerations for psychological testing and assessment and the role of universal design. Readers will learn about specific considerations for intervention with children and adults with disabilities, including how to tailor intervention approaches, clinician attitudes, and the use of evidence based treatments. Researchers will find a thorough exploration of the challenges inherent in disability research, the importance of full consumer inclusion, and future directions to reduce health disparities based on disability. This book offers practical suggestions for clinicians and researchers who work with people with disabilities in order to be culturally effective in all aspects of assessment, intervention, and scientific inquiry.
Dying at the Margins; Reflections on Justice and Healing for the Inner-City Poor by
Dying at the Margins: Reflections on Justice and Healing for Inner-City Poor gives voice to the most vulnerable and disempowered population-the urban dying poor- and connects them to the voices of leaders in end-of-life-care. Chapters written by these experts in the field discuss the issues that challenge patients and their loved ones, as well as offering insights into how to improve the quality of their lives. In an illuminating and timely follow up to Dancing with Broken Bones, all discussions revolve around the actual experiences of the patients previously documented, encouraging a greater understanding about the needs of the dying poor, advocating for them, and developing best practices in caring. Demystifying stereotypes that surround poverty, Moller illuminates how faith, remarkable optimism, and an unassailable spirit provide strength and courage to the dying poor.Dying at the Margins serves as a rallying call for not only end-of-life professionals, but compassionate individuals everywhere, to understand and respond to the needs of the especially vulnerable, yet inspiring, people who comprise the world of the inner city dying poor.
Health Disparities, Diversity, and Inclusion by
Despite the many Public Health successes over the last century, health disparity continues to exist in in American society. This introductory text addresses this topic head on, exploring steps that must be taken to prepare for the rapidly changing demographics in American society, including immigration reform (emerging majorities), and evidenced based information substantiating the fact that diversity matters in terms of the provision of health care.
Health disparities in allergic diseases: An evidence-based look at causes, conditions, and outcomes by
This book comprehensively and thoroughly reviews the current literature regarding the impact of health disparities and socioeconomic factors on allergic diseases outcomes: such as food allergies and anaphylaxis. The morbidity associated with these conditions is significantly higher in under-privileged populations around the world, including groups who have experienced greater social or economic obstacles to health based on racial, socioeconomic, gender, geographic location. Health Disparities in Allergic Diseases presents evidence and reviews studies from both developed and developing countries that witness health disparities in allergic disease. Concise in format, Health Disparities in Allergic Diseases: An Evidence-Based Look at Causes, Conditions, and Outcomes is made up of 11 expertly written chapters and divided into two parts. It begins with an introductory on global health through an analysis of the theoretical framework of epidemiologic transition. Subsequent chapters then review the socioeconomic and racial variables in treating allergic diseases using a multifactorial approach. Part II discusses disparities in allergic conditions, including asthma health, rhinitis and rhinosinusitis, food allergy, and atopic dermatitis. The book concludes with an exploration of potential strategies to providing solutions for asthmatic impoverished populations. Health Disparities in Allergic Diseases is a practical resource that can be used by researchers and clinicians in the field of allergy who are interested in learning about health related disparities in the context of allergic conditions or who seek solutions for this important issue.
LGBTQ Health Research: Theory, Methods, Practice by
The first book focused entirely on the growing field of LGBTQ health research, this volume provides the necessary public health tools to teach about and study LGBTQ populations effectively. Over the last 30 years, the health needs of lesbian, gay, bisexual, transgender, and queer Americans have become increasingly recognized, in particular for the ways in which they are distinct from those typically assessed and addressed in society. Universities and researchers are paying greater attention to LGBTQ public health issues and how they might adapt existing methods to research marginalized communities, but--until now--there has been no authoritative resource to guide their education or practice. Developed for graduate students in public health and health sciences--but perfect for anyone interested in this topic--this book will fill that gap and provide the necessary public health tools to teach about and study LGBTQ populations effectively. Divided into three sections and edited by top scholars, LGBTQ Health Research explains research methods important to descriptive epidemiology that are needed to document health disparities among LGBTQ populations. The book also examines research methods that help explain the driving forces of these disparities. Focusing on real-world experience in developing and testing interventions to mitigate health disparities in LGBTQ populations, it also breaks down issues that challenge the direct application of standard research methods with these communities, including those related to sampling, measurement, choice of theoretical variables to explain the distribution of health and illness, cultural competence in intervention design, and community participation. Promoting the creation and diffusion of effective interventions, the book takes a holistic approach to address longstanding research gaps regarding important marginalized communities. It also documents profound health disparities in many LBGTQ populations across a wide range of health conditions and explains why future development of the field must be based on inclusive science and rigorous research methods. LGBTQ Health Research is an essential textbook for any courses that deal with the intersection of marginalization, health, sexuality, and gender. Contributors: José A. Bauermeister, Chris Beyrer, Kerith Conron, Brian Dodge, Rita Dwan, Stephen L. Forssell, Peter Gamache, Gary W. Harper, Mark L. Hatzenbuehler, Colleen Hoff, Carl Latkin, Ilan H. Meyer, Robin Lin Miller, Angulique Y. Outlaw, Christopher Owens, Tonia Poteat, Erin Riley, Joshua Rosenberger, Ayden I. Scheim, Shauna Stahlman, Randall Sell, Ron Stall, Rob Stephenson, Rachel Strecher, Ryan C. Tingler, Karin E. Tobin, Ronald O. Valdiserri, and Richard J. Wolitski
Pathogenic Policing: Immigration Enforcement and Health in the U.S. South by
The relationship between undocumented immigrants and law enforcement officials continues to be a politically contentious topic in the United States. Nolan Kline focuses on the hidden, health-related impacts of immigrant policing to examine the role of policy in shaping health inequality in the U.S., and responds to fundamental questions regarding biopolitics, especially how policy can reinforce 'race' as a vehicle of social division. He argues that immigration enforcement policy results in a shadow medical system, shapes immigrants' health and interpersonal relationships, and has health-related impacts that extend beyond immigrants to affect health providers, immigrant rights groups, hospitals, and the overall health system. Pathogenic Policing follows current immigrant policing regimes in Georgia and contextualizes contemporary legislation and law enforcement practices against a backdrop of historical forms of political exclusion from health and social services for all undocumented immigrants in the U.S. For anyone concerned about the health of the most vulnerable among us, and those who interact with the overall health safety net, this will be an eye-opening read.
Population Health in America by
In this engaging and accessibly written book, Population Health in America weaves demographic data with social theory and research to help students understand health patterns and trends in the U.S. population. While life expectancy was estimated to be just 37 years in the United States in 1870, today it is more than twice as long, at over 78 years. Yet today, life expectancy in the U.S. lags behind almost all other wealthy countries. Within the U.S., there are substantial social inequalities in health and mortality: women live longer but less healthier lives than men; African Americans and Native Americans live far shorter lives than Asian Americans and White Americans; and socioeconomic inequalities in health have been widening over the past 20 years. What accounts for these population health patterns and trends? Inviting students to delve into population health trends and disparities, demographers Robert Hummer and Erin Hamilton provide an easily understandable historical and contemporary portrait of U.S. population health. Perfect for courses such as population health, medical or health sociology, social epidemiology, health disparities, demography, and others, as well as for academic researchers and lay persons interested in better understanding the overall health of the country, Population Health in America also challenges students, academics, and the public to understand current health policy priorities and to ask whether considerably different directions are needed.
Public health nutrition: Rural, urban, and global community-based practice
Public Health Nutrition is a comprehensive, practice-based textbook for graduate and upper undergraduate students and community nutrition and public health professionals. It provides readers with the principal understanding of how improving access to healthy foods at individual, local, regional and global levels as well as improving food security and sustainability can improve community health and combat noncommunicable diseases, infectious diseases, hunger and malnutrition, obesity, social injustice, and debilitating food environments. Across diverse communities, this book not only directs readers' attention towards key public health nutrition-related challenges that affect rural and urban populations across the globe, it also adds critical thinking exercises, cases, and engaging discussion topics to advance application of evidence-based practice in the real world. Using an interprofessional approach and supported with evidence-based research in public health, nutritional science, and behavioral economics, this textbook covers how to plan health promotion programs and interventions in diverse communities, how to analyze and influence food policy, sustainability, and security initiatives, and how to address cultural competency, nutritional monitoring, professional development, and many other practice-based skills out in the field.. All chapters are complete with learning objectives, detailed case studies, discussion questions, learning activities for beyond the classroom, and a review of core topics covered. Essential for public health students studying nutrition, public policy, social work, and other health science-related areas, the book presents a strategic context to real-world initiatives while employing an interprofessional outlook to tackle public health nutrition issues.--
The Racial Divide in American Medicine: Black Physicians and the Struggle for Justice in Health Care by
Contributions by Richard D. deShazo, John Dittmer, Keydron K. Guinn, Lucius M. Lampton, Wilson F. Minor, Rosemary Moak, Sara B. Parker, Wayne J. Riley, Leigh Baldwin Skipworth, Robert Smith, and William F. Winter The Racial Divide in American Medicine documents the struggle for equity in health and health care by African Americans in Mississippi and the United States and the connections between what happened there and the national search for social justice in health care. Dr. Richard D. deShazo and the contributors to the volume trace the dark journey from a system of slave hospitals in the state, through Reconstruction, Jim Crow, and the civil rights era, to the present day. They substantiate that current health disparities are directly linked to America's history of separation, neglect, struggle, and disparities. Contributors reveal details of individual physicians' journeys for recognition both as African Americans and as professionals in Mississippi. Despite discrimination by their white colleagues and threats of violence, a small but fearless group of African American physicians fought for desegregation of American medicine and society. For example, T. R. M. Howard, MD, in the all-black city of Mound Bayou led a private investigation of the Emmett Till murder that helped trigger the civil rights movement. Later, other black physicians risked their lives and practices to provide care for white civil rights workers during the civil rights movement. DeShazo has assembled an accurate account of the lives and experiences of black physicians in Mississippi, one that gives full credit to the actions of these pioneers. DeShazo's introduction and the essays address ongoing isolation and distrust among black and white colleagues. This book will stimulate dialogue, apology, and reconciliation, with the ultimate goal of improving disparities in health and health care and addressing long-standing injustices in our country.
Rural Women's Health by
The well-being of rural communities affects the well-being of those who reside in towns and cities because of rural-urban connections through food, drinking water, infectious disease, extreme environmental events, recreation, and for many, retirement residence. In rural areas themselves, women play a critical role in the health of their families and communities, yet women's health is often marginalized or ignored. There have been limited nbsp;studies to date about rural women and health in Canada. Filling an important gap in scholarship, this collection identifies priority issues that must be addressed to ensure these women's well-being and offers innovative theoretical and methodological ideas for improvement. Rural Women's Health integrates perspectives from rural practitioners, residents, and scholars in a variety of fields, including nursing, sociology, anthropology, and geography, to tackle issues relevant to diverse settings across the country. As such, it presents a national perspective on the nature of women's health while respecting internal and regional diversity, as well as viewpoints from international scholarship.
The Science of Health Disparities Research by
Integrates the various disciplines of the science of health disparities in one comprehensive volume The Science of Health Disparities Research is an indispensable source of up-to-date information on clinical and translational health disparities science. Building upon the advances in health disparities research over the past decade, this authoritative volume informs policies and practices addressing the diseases, disorders, and gaps in health outcomes that are more prevalent in minority populations and socially disadvantaged communities. Contributions by recognized scholars and leaders in the field--featuring contemporary research, conceptual models, and a broad range of scientific perspectives--provide an interdisciplinary approach to reducing inequalities in population health, encouraging community engagement in the research process, and promoting social justice. In-depth chapters help readers better understand the specifics of minority health and health disparities while demonstrating the importance of advancing theory, refining measurement, improving investigative methods, and diversifying scientific research. In 26 chapters, the book examines topics including the etiology of health disparities research, the determinants of population health, research ethics, and research in African American, Asians, Latino, American Indian, and other vulnerable populations. Providing a unified framework on the principles and applications of the science of health disparities research, this important volume: Defines the field of health disparities science and suggests new directions in scholarship and research Explains basic definitions, principles, and concepts for identifying, understanding and addressing health disparities Provides guidance on both conducting health disparities research and translating the results Examines how social, historical and contemporary injustices may influence the health of racial and ethnic minorities Illustrates the increasing national and global importance of addressing health disparities Discusses population health training, capacity-building, and the transdisciplinary tools needed to advance health equity A significant contribution to the field, The Science of Health Disparities Research is an essential resource for students and basic and clinical researchers in genetics, population genetics, and public health, health care policymakers, and epidemiologists, medical students, and clinicians, particularly those working with minority, vulnerable, or underserved populations.
The Social Determinants of Health and Health Disparities by
A growing body of knowledge has revealed the profound impact of the social determinants of healthâe"the social, political, and economic factors apart from health care that influence health. The question is no longer if social factors are important influences on health, but rather how social factors operate and how to address them most effectively, efficiently, and equitably. Social Determinants of Health and Health Disparities is a comprehensive resource for students and educators to understand the wide-ranging effects of social and political factors, including racism, on individual health. Drawing on Paula Braveman's seminal work in health equity, this volume explains how upstream drivers like law and policy are at the beginning of causal chains influencing health, and in particular how systemic issues like racism are core drivers of health outcomes. Each chapter examines how different social determinants of healthâe"such as income, education, stress, work, and racismâe"are impacted by upstream social factors and how those factors influence health and health disparities through complex pathways. Chapters also include approaches for future practitioners and policymakers to most effectively activate health-promoting pathways while interrupting health-damaging ones. Complete with chapter summaries and discussion questions, Social Determinants of Health and Health Disparities is the definitive classroom guide to understanding and addressing social disparities in health, particularly racial and socioeconomic disparities.
Subprime Health: Debt and Race in U.S. Medicine by
From race-based pharmaceutical prescriptions and marketing, to race-targeted medical "hot spotting" and the Affordable Care Act, to stem-cell trial recruitment discourse, Subprime Health is a timely examination of race-based medicine as it intersects with the concept of debt. The contributors to this volume propose that race-based medicine is inextricable from debt in two key senses. They first demonstrate how the financial costs related to race-based medicine disproportionately burden minorities, as well as how monetary debt and race are conditioned by broader relations of power. Second, the contributors investigate how race-based medicine is related to the concept of indebtedness and is often positioned as a way to pay back the debt that the medical establishment--and society at large--owes for the past and present neglect and abuses of many communities of color. By approaching the subject of race-based medicine from an interdisciplinary perspective--critical race studies, science and technology studies, public health, sociology, geography, and law--this volume moves the discussion beyond narrow and familiar debates over racial genomics and suggests fruitful new directions for future research. Contributors: Ruha Benjamin, Princeton U; Catherine Bliss, U of California, San Francisco; Khiara M. Bridges, Boston U; Shiloh Krupar, Georgetown U; Jenna M. Loyd, U of Wisconsin-Milwaukee; Anne Pollock, Georgia Tech.
Tackling Causes and Consequences of Health Inequalities by
Addressing health inequalities is a key focus for health and social care organizations. This book explores how best frontline health workers in areas of deprivation can address these problems. Aimed at doctors and their wider multidisciplinary teams, this book provides key knowledge and practical advice on how to address the causes and consequences of health inequalities to achieve better outcomes for patients. Considering the psychological, financial and social aspects of well-being as well as health concerns, this book offers a concise but comprehensive overview of the key issues in health inequalities and, most importantly, how practically to address them. Key Features Comprehensively covers the breadth of subjects identified by RCGP's work to formulate a curriculum for health inequalities The first book to address the urgent area of causes and consequences of health inequalities in clinical practice. Chapters are authored by expert practitioners with proven experience in each aspect of health care. Applied, practical focus, demonstrating approaches that will work and can be applied in 'every' situation of inequality. Provides evidence of how community based primary care can make a change.
Why Are Health Disparities Everyone's Problem? by
How can we all work together to eliminate the avoidable injustices that plague our health care system and society? Health is determined by far more than a person's choices and behaviors. Social and political conditions, economic forces, physical environments, institutional policies, health care system features, social relationships, risk behaviors, and genetic predispositions all contribute to physical and mental well-being. In America and around the world, many of these factors are derived from a lingering history of unequal opportunities and unjust treatment for people of color and other vulnerable communities. But they aren't the only ones who suffer because of these disparities--everyone is impacted by the factors that degrade health for the least advantaged among us. In Why Are Health Disparities Everyone's Problem? Dr. Lisa Cooper shows how we can work together to eliminate the injustices that plague our health care system and society. The book follows Cooper's journey from her childhood in Liberia, West Africa, to her thirty-year career working first as a clinician and then as a health equity researcher at Johns Hopkins University. Drawing on her experiences, it explores how differences in communication and the quality of relationships affect health outcomes. Through her work as the founder and director of the Johns Hopkins Center for Health Equity, it details the actions and policies needed to reduce and eliminate the conditions that are harming us all. Cooper reveals with compelling detail how health disparities are crippling our health care system and society, driving up health care costs, leading to adverse health outcomes and ultimately an enormous burden of human suffering. Why Are Health Disparities Everyone's Problem? demonstrates the ways in which everyone's health is interconnected, both within communities and across the globe. Cooper calls for a new kind of herd immunity, when a sufficiently high proportion of people, across race and social class, become immune to harmful social conditions through "vaccination" with solidarity among groups and opportunities created by institutional and societal practices and policies. By acknowledging and acting upon that interconnectedness, she believes everyone can help to create a healthier world. Features * Raises readers' health care inequities literacy through an approachable narrative with specific examples * Introduces the concept of "herd immunity" as it applies to building communal awareness of systemic injustices * Features sections that underscore key takeaways * Includes contributions from the world's leading minds through their research findings and quotations * Guides readers on what can be done at an individual level as a patient, public health professional, and community member * Includes inspiring stories of effective health equity studies and practices around the world, from Ghana's ADHINCRA Project addressing hypertension control to Baltimore's BRIDGE Study for depression in African Americans and the Maryland and Pennsylvania-based RICH LIFE Project for hypertension, diabetes, and other medical conditions Johns Hopkins Wavelengths In classrooms, field stations, and laboratories in Baltimore and around the world, the Bloomberg Distinguished Professors of Johns Hopkins University are opening the boundaries of our understanding of many of the world's most complex challenges. The Johns Hopkins Wavelengths book series brings readers inside their stories, illustrating how their pioneering discoveries benefit people in their neighborhoods and across the globe in artificial intelligence, cancer research, food systems' environmental impacts, health equity, science diplomacy, and other critical arenas of study. Through these compelling narratives, their insights will spark conversations from dorm rooms to dining rooms to boardrooms.
