Minority Health and Health Equity Archive

Permanent URI for this collectionhttp://hdl.handle.net/1903/21769

Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.

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Author: search.filters.author.Fine, Michael J.Subject: search.filters.subject.studies

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    Understanding Racial Disparities in HIV Using Data From the Veterans Aging Cohort 3-Site Study and VA Administrative Data
    (2003) McGinnis, Kathleen A.; Fine, Michael J.; Sharma, Ravi K.; Skanderson, Melissa; Wagner, Joseph H.; Rodriguez-Barradas, Maria C.; Rabeneck, Linda; Justice, Amy C.
    Objectives. We identified race-associated differences in survival among HIV-positive US veterans to examine possible etiologies for these differences. Methods. We used national administrative data to compare survival by race and used data from the Veterans Aging Cohort 3-Site Study (VACS 3) to compare patients’ health status, clinical management, and adherence to medication by race. Results. Nationally, minority veterans had higher mortality rates than did white veterans with HIV. Minority veterans had poorer health than white veterans with HIV. No significant differences were found in clinical management or adherence. Conclusions. HIV-positive minority veterans experience poorer survival than white veterans. This difference may derive from differences in comorbidities and in the severity of illness of HIV-related disease.
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    Advancing Health Disparities Research Within the Health Care System: A Conceptual Framework
    (2006) Kilbourne, Amy M.; Switzer, Galen; Hyman, Kelly; Crowley-Matoka, Megan; Fine, Michael J.
    We provide a framework for health services-related researchers, practitioners, and policy makers to guide future health disparities research in areas ranging from detecting differences in health and health care to understanding the determinants that underlie disparities to ultimately designing interventions that reduce and eliminate these disparities. To do this, we identify potential selection biases and definitions of vulnerable groups when detecting disparities. The key factors to understanding disparities were multilevel determinants of health disparities, including individual beliefs and preferences, effective patient-provider communication, and the organizational culture of the health care system. We encourage interventions that yield generalizable data on their effectiveness, and that promote further engagement of communities, providers, and policy makers to ultimately enhance the application and the impact of health disparities research.