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Health Disparities 

What are "health disparities"? One definition is: "health disparities are the differences in well-being among population groups." * Population groups in this case may mean racial or ethnic groups or socioeconomic groups. The phrase is used to indicate that - depending on what income/education bracket you fall into, and/or what your ethnic or racial background is - your health outcomes may be far better or worse than are other peoples' health outcomes.  For example, in 2003, of the 15 leading causes of death in the United States, Hispanics had higher death rates than whites for diabetes, hypertension, cirrhosis of the liver, and homicide. However, Hispanics had equivalent rates of kidney disease and lower death rates than whites for heart disease, cancer, stroke, accidents, flu and pneumonia, septicemia, respiratory diseases, Alzheimer’s disease, and suicide.** African American infants were almost 4 times as likely to die from causes related to low birthweight, compared to non-Hispanic white infants. ** And immigrants from all racial/ethnic groups tend to have better health than their native born counterparts, but the health advantage of Asian and Latino immigrants declines the longer these immigrants stay in the U.S. ***


This subject guide will introduce you to some of the issues, statistics, and research relevant to the multi-faceted problem of health disparities. The information is arranged into several categories: government web sites, organizational web sites & foundations; documents; online books; and multimedia.

see also: Unnatural Causes project web page

At  Rio Hondo College Library:

Books     |     RHC Online Databases    |     Embedded ProQuest searches

On the Web:
Glossaries | Government sites |  Organization sites  California & local orgs.  |  Documents  |  Online books  |  Multimedia  |  Bibliographies & Subject Guides


Books in the RHC catalog

The economics of poverty and discrimination
HC110.P6S27 2008
 

Latina health in the United States : a public health reader
RA778.4.H57L38 2003
 

Unequal Treatment
RA563.M56U53 2003
 

Ethnic diseases sourcebook
RA563.M56E838 2001


Culture, religion and childbearing in a multiracial society
RA564.86.S36 1996

Click on the Subject Headings to find more books
on this topic:

Health care reform
 

Minorities and health
 

Minorities--medical care


Transcultural medical care--United States

RHC databases to use for researching this topic:

ProQuest
Health Reference Center - Academic
Health & Wellness Center
Gale Virtual Reference Library

Other sources for journal articles:
Highwire Press
Kaiser Health Disparities Report

ProQuest searches:
If you are viewing this subject guide from an on-campus computer, simply click on the links below. To gain access
if you are at home or off-campus, first click here: https://rioweb.rh.cc.ca.us/library/. Input your student ID
number and password [your birthdate]. You will see a list
of  all the online databases to which you have access. Click
on ProQuest and enter the database. You may conduct your own searches at this point or come back to this subject guide and click on any of the links below:
 
(hispanic paradox)
(health disparities)
SU(hispanic americans ) AND SU(health)
SU(asian americans ) AND SU(health)
SU(african americans ) AND SU(health)
TITLE(health disparities)
SU(minority & ethnic groups) AND SU(health)

Specific journals to search in ProQuest:

American Journal of Public Health
Hispanic Health Care International
Health AffairsJournal of Health and Social Behavior

Glossaries

Center for Health Research Equity and Promotion (CHERP) Glossary of Terms

This short glossary will guide you through the major concepts used in health disparities research.

Health Promotion Glossary (WHO, 1998)

This glossary has been assembled to enable as wide an
audience as possible to understand the basic ideas and concepts which are central to the development of health promotion strategies and practical action.

A Working Glossary of Terms (Prevention Institute, 2005)  

Government departments/agencies involved in addressing health disparities

Centers for Disease Control and Prevention - Office of Minority Health & Health Disparities (OMHD)

The mission of the OMHD is to accelerate CDC’s health impact in the U.S population and to eliminate health disparities for vulnerable populations as defined by race/ethnicity, socio-economic status, geography, gender, age, disability status, risk status related to sex and gender, and among other populations identified to be at-risk for health disparities. The web site features an extensive collection of reports and other publications. In addition, specific racial/ethnic population "profiles" may be found for all Census-based race categories. Profiles include detailed health statistics, demographics, leading causes of death, funding, high-prevalence health issues, and health disparities.
Centers for Disease Control and Prevention - National Center for Health Statistics (NCHS)

The National Center for Health Statistics is the premier destination for large data sets that are used by researchers as well as pre-packaged sets for the general public. See FastSTATS A-Z for comprehensive listings for individual diseases and specific populations. For example, Health of Hispanic/Latino Population gives vital statistics (births, deaths, etc); information on specific health risk factors, access to health care, and many links to other web pages and data sources. In addition, you can read about Healthy People 2010 - which is a comprehensive, nationwide health promotion and disease prevention agenda. 'Healthy People 2010 contains 467 objectives designed to serve as a framework for improving the health of all people in the United States during the first decade of the 21st century.'
National Institutes of Health - National Center on Minority Health & Health Disparities (NCMHD)

Yet another government office on minority health, the NIH National Center on Minority Health & Health Disparities' focus is on research. Clicking on "Our Programs" will give you links
to the Strategic Research Plan and Budget to Reduce and Ultimately Eliminate Health Disparities (2000-2006). Volume II is especially interesting as it contains links to the official strategies to reduce health disparities from some 27 national institutes and offices.
Dept. of Health & Human Services - The Office of Minority Health (OMH)

The web site of the Office of Minority Health has information on campaigns and initiatives that are aimed at reducing health disparities. See, for example, the section on the National Partnership for Action to End Health Disparities for accessible stories and "promising practices." By clicking on Health Disparities, you find links to many of the major governmental reports and surveys in this field.

Organizations and foundations working to reduce health disparities    top

American Medical Association - Eliminating Health Disparities   top

The AMA is the professional organization of the nation's physicians. The right-hand panel has links to documents and
a series of web-based videos aimed at assisting physicians to "examine their own practices" to ensure there is equality in the medical care they offer their patients.
Kaiser Permanente Institute for Health Policy   top

Kaiser Permanente is the largest privately organized health care delivery system in the United States. They conduct research in a number of issue areas, one of which is racial and ethnic health disparities. Click on the Library tab for many policy documents.
PolicyLink Center for Health and Place    top

While not specifically dedicated to health issues alone, PolicyLink does have a strong advocacy component in its health section. Use the Resources link at the top and the Toolkits and Reports links on the left-hand panel to find many publications relevant to health disparities. Highly recommended is the The Influence of Community Factors
on Health: An Annotated Bibliography
.
The Robert Wood Johnson Foundation   top

The Robert Wood Johnson Foundation contains a treasure trove of reports, surveys, articles, and other publications concerned with disparities in health. The Foundation is devoted exclusively to improving the health and health care of all Americans through its grant-making to programs and projects working to eliminate disparities. Last year (2006) the Foundation made grants for $10.71 million to programs and projects working to eliminate health disparities. You should plan to spend a lot of time on this web site. In addition to the extensive publications section, there are web casts, news items, and links to speeches and commentary by RWJF executives.
Henry J Kaiser Family Foundation  top

See particularly the News section for recent and ongoing stories about health disparities in the media.

The Pew Hispanic Center   top

The Pew Hispanic Center is a nonpartisan research organization supported by the Pew Charitable Trusts. Its mission is to improve understanding of the U.S. Hispanic population and to chronicle Latinos' growing impact on the entire nation - from the web site. While the Center does not include health as one of its key subject areas, you will find information on many of the social factors that correlate with health outcomes, such as economics, education, labor, and politics. The section on demography lists many factsheets
and reports that can be used as background information and context for a health disparities research paper.
The Woodrow Wilson International Center for Scholars   top
The Woodrow Wilson International Center for Scholars aims to unite the world of ideas to the world of policy by supporting pre-eminent scholarship and linking that scholarship to issues of concern to officials in Washington - from the web site. The Wilson Center has a program area entitled the Global Health Initiative which contains links to several relevant topics, such as Demography/Population Studies and Environmental Health. The Wilson Quarterly, the journal published by the Center, is well worth scanning for articles about racial and ethnic groups and health policy. It is available in full-text from our ProQuest online database.

California and local organizations/programs   top

Latino Coalition for a Healthy California

LCHC - the only statewide organization with a specific emphasis on Latino health - was founded in 1992 by health care providers, consumers and advocates to impact Latino health through enhanced information, policy development
and community involvement - from the web site. The Coalition produces research and policy briefs that are concise, timely, and great sources of information for research papers. See especially under the Research tab.
Latino Health Access   top

This center was created to assist with the multiple health needs of Latinos in Orange County. Based in Santa Ana, Latino Health Access uses participatory approaches to community health education. Latino Health Access trains community health workers to be leaders of wellness and change - from the web site. The organization is a model for the dedication and dynamism of its director and staff, and its outreach and community programs.

Documents on health disparities    top

Issue Brief: Racial and Ethnic Health Disparities - by Kate Meyers, 2007

This document is an excellent introduction to the issue of health disparities. It begins with a discussion of the contested nature of the definition for "health disparities" and moves on to identify the key findings and implications for policy (from the point of view of the Kaiser Permanente Institute for Health Policy). The information presented in the document covers all aspects of the factors that interact to inhibit good health and is well cited. There is a wonderful diagram on p. 6 that shows in visual form the "landscape of influences on health disparities and arenas for policy action." Take some time to absorb this diagram - it makes clear what would take thousands of words to describe in text! Note the selected resources at the end of the document; if you liked this issue brief, you may want to read the full report and follow up some of the 136 references listed: http://kpihp.org/publications/docs/disparities.pdf .
The Imperative of Reducing Health Disparities through Prevention: Challenges, Implications, and Opportunities - by The Prevention Institute, 2006
 
The point of this document is to underline the fact that the majority of health dollars are spent on treatment. "Of the 5% of health dollars spent on health promotion and disease prevention, relatively few resources are devoted to prevention initiatives that address the underlying reasons that people become sick or injured. Yet, ensuring that resources are directed at the underlying reasons, at community factors, can improve health and reduce disparities." The section titled "Emerging Approaches: Five Ways to Reduce Health Disparities" does give actual suggestions for specific steps that can be taken to reduce the causes of health disparities. A lengthy bibliography completes the report.
Patterns and causes in health disparities - by David Williams, 2005   top

This is a chapter in Policy Challenges in Modern Health Care published by Rutgers University Press. Williams is
a professor at Harvard School of Public Health and his research is concerned with the social factors that affect health - socioeconomic status (SES), gender, and even culture. The writing is clear and not too technical and there is a great bibliography of references at the end of the chapter.
Americans' Views of Disparities in Health Care - A poll conducted by the Harvard School of Public Health, the Robert Wood Johnson Foundation and ICR/International Communications Research, 2005   top

A major finding of this survey was that while the majority of Americans know that many people face serious problems getting quality health care because of their race or ethnicity, most of the population does not think that the problem of getting quality health care is any worse for racial and ethnic minorities than it is for white Americans. The introduction and overview of the findings can be read in only a few minutes, with the many tables and charts rounding out the information. You will probably not be surprised at the conclusion.
What is a 'Health Disparity'? - by Olivia Carter-Pokras and Claudia Baquet, 2002   top

Although this article is dense (and may seem to be
splitting hairs), it does provide a useful figure on p. 430
-431 that lists several definitions of health disparity. The authors conclude that "What should be agreed upon is
that a disparity acts like a signpost  - indicating that something is wrong."
Health Disparities Fact Sheet - National Institutes of Health, 2006   top

This two page fact sheet discusses several examples of specific diseases that disproportionately affect racial and ethnic groups - and what the NIH is trying to do about it.

Latino Health in California - a research brief by the Latino Coalition for a Healthy California, 2005   top

This 3 page research brief summarizes the main health facts relating to the Latino population, including
immigrants.

Key Facts: Race, Ethnicity & Health Care - by Cara James, Megan Thomas, and Marsha Lillie-Blanton of the Henry J. Kaiser Family Foundation, and Rachel Garfield of Harvard University, 2002   top

This 53 page report is completely composed of charts and graphs that are grouped into the following categories: demographics, health status, health insurance coverage, preventive and primary care, diabetes, HIV/AIDS, asthma, and tracking changes in quality and access disparities. Each chart and graph is accompanied by a text summary that makes it perfect for inserting into your research paper or powerpoint presentation, properly cited.

Online books    top

Unequal Treatment (2003)

 Unequal Treatment is the landmark report commissioned by Congress and published by the Institute of Medicine. In it a
panel of experts documents the evidence on health disparities and explores how persons of color experience the health care environment. You can read this book for free online and it is also available to check out from the library.

Emerging Issues in Hispanic Health - Summary of a Workshop (2002)
This report is a part of the National Academies’ effort to develop a larger, broad-scale study of Hispanics in the United States to explore the demographic, economic, and social trends affecting the Hispanic population in the areas of health, education, labor, immigration, community development, and others.

Multimedia     top

Health Status Disparities in the United States NO

This is video of a program held at the Woodrow Wilson International Center for Scholars. It opens in Windows Media Player and consists of two parts. The participants discuss the socioeconomic, regional, and racial factors that affect disparities in health. If you cannot view the videos, the powerpoints used by the speakers are available to the right of the screen.

Vulnerable Populations and Health Care:  NO
How Can We Improve? 
This event was sponsored by the journal Health Affairs and sought to address this question and others: What policies can reduce health care disparities? How can early-life factors such as nutritional and environmental conditions affect health in subsequent years, and what sorts of early interventions might best prevent future disease? Also take a look at the Additional Resources to the right of the screen.
Decreasing Racial and Ethnic Health   NO
Disparities

A dynamic speaker, Reed Tuckson, MD, addresses the topic of racial and ethnic health disparities in this video. This event was one of the U. of Minnesota School of Public Health Roundtable Series. You can skip the introductions - Dr. Tuckson begins his talk 9:33 minutes into the video.

Today's Topics in Health Disparities   NO

This is a series of live, interactive webcasts devoted to addressing a range of issues relating to health and health care disparities in the United States. Each discussion features a panel of experts tackling current issues in health disparities and answering questions from webcast viewers. From the Kaiser Family Foundation.

The Latino mortality paradox revisited: Is  
acculturation bad for your health?

This is a PowerPoint presentation that is somewhat technical but you should be able to glean some of the ideas from the slides. You can learn more about this topic by searching for "Latino OR Hispanic paradox" in an online database.

Office of Minority Health & Health  Disparities: an overview

This PowerPoint presentation outlines the functions and goals of the OMHD. It will give you a good idea about what is being done on the national level to address health disparities.

Targeting Early Life to Make the Nation   O
Healthy Again: Evolution, Health, and Disease

This is an audio presentation with slides by Dr. Stephen Bezruchka from the School of Public Health and Community Medicine at the University of Washington. He talks about how the United States stacks up in terms of life expectancy and other public health measures. See also Dr. Bezruchka's web site here.

Racism and Health: Needed Contributions  O
by Social and Biological Scientists

Dr. David Williams, then at the University of Michigan in 2005, gives an eye-opening talk about the disparities suffered by African Americans, in particular. If you have never heard or read about these statistics before, you will be shocked.

 


Unnatural Causes: is inequality making us sick?NO

This web site contains a preview video clip of the DVD that will be released in March of 2008. The library will be purchasing the series, but until then, have a look around the web site; take the Health Equity Quiz, download the "Ways To Take Action" document; think about whether you would like to get involved with the Public Impact Campaign.

Race, Ethnicity & Health Care                          O

Presented by Cara James, a senior policy analyst for the Kaiser Family Foundation, this is an audio lecture with slides that shows many of the indicators of health disparities between non-Hispanic whites and minorities. You can pause on each slide to really take in the information and also read the transcript. As with many other presentations, this one finds that unequal access to health care is a major cause of health disparities, rather than the poor economic and social conditions in which many minorities live.

Bibliographies/Subject Guides  top

Health Disparities Bibliographies  (2004)


From the Center for Health Disparities Research and Training, San Francisco State University.

HEALTH FOR ALL: Eliminating California’s Racial & Ethnic Health Disparities (2003)

References start on p.19, but the whole report is worth reading.

Knowledge Path: Racial and Ethnic Disparities in Health (2005)


Outstanding subject guide from
the Maternal and Child Health (MCH) Library at Georgetown University.

Health Disparities: A Selected Bibliography (2005)

  
This is a web-based bibliography from the National Center for Chronic Disease Prevention and Health Promotion of the CDC of citations to journal articles that can be found in PubMed, a service of the US National Library of Medicine. Most of the citations have free abstracts, and Rio Hondo College librarians can help you find the full-text of the articles.

Global Health Bibliography (2007)

From the Global Health Education Consortium. See particularly the citations under the "Ethical and Equity Issues" section.

The Right to Equal Treatment  (2003)

Published by Physicians for Human Rights, this is an annotated list of peer-reviewed articles about racial and ethnic disparities in medical care.


*"Introduction to Health Disparities." Center for Health Equity Research & Promotion (CHERP). http://www.cherp.research.med.va.gov/introhd.php
** Williams, D.R. (2007). Racial Inequalities in Health: the social determinants of disease. Slide 7.
http://www.wilsoncenter.org/events/docs/Williams.pdf
*** Williams, D.R. (2007). Racial Inequalities in Health: the social determinants of disease. Slide 37.
http://www.wilsoncenter.org/events/docs/Williams.pdf


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Researched and evaluated by J. Coe, Librarian, 11/2007
This page was last updated on:   Thursday, December 06, 2007

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