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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Item Superwoman Schema: African American Women's Views on Stress, Strength, and Health(2010) Woods-Giscombe, C. L.Abstract available at publisher's website.Item Culturally Sensitive Care 1969-2000: The Indian Chicano Health Center(2010) Barone, T. L.Abstract available at publisher's web site.Item Eliminating Health Disparities: Measurement and Data Needs(National Academies Press, 2004) Panel on DHHS Collection of Race , and Ethnic Data; Ver Ploeg , Michele; Perrin, EdwardDisparities in health and health care across racial, ethnic, and socioeconomic backgrounds in the United States are well documented. The reasons for these disparities are, however, not well understood. Current data available on race, ethnicity, SEP, and accumulation and language use are severely limited. The report examines data collection and reporting systems relating to the collection of data on race, ethnicity, and socioeconomic position and offers recommendations.Item Fighting invisible barriers to equitable health care. Interview by Patrick Mullen.(2001) Hood, R GLast August, Rodney G. Hood, M.D., was installed as the 101st president of the National Medical Association, which represents more than 25,000 African-American physicians. As president, he will focus on eliminating racial and ethnic health disparities, particularly in the areas of cardiovascular disease, cancer, diabetes mellitus, and HIV/AIDS. A board-certified internist, Hood has been in private medical practice for more than 20 years and is currently managing partner of Care-View Medical Group in San Diego. He cofounded and is president of MultiCultural Primary Physician Medical Group, a 300-physician IPA, and founded CompCare, a 7,000-enrollee Medicaid health plan. In 1973, Hood…Item Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care.(2003) Betancourt, Joseph R; Green, Alexander R; Carrillo, J Emilio; Ananeh-Firempong, OwusuOBJECTIVES: Racial/ethnic disparities in health in the U.S. have been well described. The field of "cultural competence" has emerged as one strategy to address these disparities. Based on a review of the relevant literature, the authors develop a definition of cultural competence, identify key components for intervention, and describe a practical framework for implementation of measures to address racial/ethnic disparities in health and health care. METHODS: The authors conducted a literature review of academic, foundation, and government publications focusing on sociocultural barriers to care, the level of the health care system at which a given barrier occurs, and cultural competence efforts that address these barriers. RESULTS: Sociocultural barriers to care were identified at the organizational (leadership/workforce), structural (processes of care), and clinical (provider-patient encounter) levels. A framework of cultural competence interventions--including minority recruitment into the health professions, development of interpreter services and language-appropriate health educational materials, and provider education on cross-cultural issues--emerged to categorize strategies to address racial/ethnic disparities in health and health care. CONCLUSIONS: Demographic changes anticipated over the next decade magnify the importance of addressing racial/ethnic disparities in health and health care. A framework of organizational, structural, and clinical cultural competence interventions can facilitate the elimination of these disparities and improve care for all Americans.Item Health Care Access Among Latinos: Implications for Social and Health Care Reforms(2010) Perez-Escamilla, R.According to the Institute of Medicine, health care access is defined as “the degree to which people are able to obtain appropriate care from the health care system in a timely manner.” Two key components of health care access are medical insurance and having access to a usual source of health care. Recent national data show that 34% of Latino individuals do not have health insurance and 27% do not have access to a usual source of health care. This article identifies barriers and solutions for improving health care access among Latino individuals.Item State of the USA Health Indicators: Letter Report(The National Academies Press, 2009) UNSPECIFIEDResearchers, policymakers, sociologists and doctors have long asked how to best measure the health of a nation, yet the challenge persists. The nonprofit State of the USA, Inc. (SUSA) is taking on this challenge, demonstrating how to measure the health of the United States. The organization is developing a new website intended to provide reliable and objective facts about the U.S. in a number of key areas, including health, and to provide an interactive tool with which individuals can track the progress made in each of these areas. In 2008, SUSA asked the Institute of Medicine's Committee on the State of the USA Health Indicators to provide guidance on 20 key indicators to be used on the organization's website that would be valuable in assessing health.Item Socioeconomic Disparities In Health: Pathways And Policies Inequality in education, income, and occupation exacerbates the gaps between the health “haves” and “have-nots.”(2002) Adler, Nancy E.; Newman, KatherineSocioeconomic status (SES) underlies three major determinants of health: health care, environmental exposure, and health behavior. In addition, chronic stress associated with lower SES may also increase morbidity and mortality. ReducingSES disparities in health will require policy initiatives addressingthe components of socioeconomic status (income, education, and occupation) as well as the pathways by which these affect health. Lessons for U.S. policy approaches are taken from the Acheson Commission in England, which was charged with reducing health disparities in that country.Item America's Health Rankings: A Call to Action for Individuals & Their Communities 2008 Edition(2008) UNSPECIFIEDHealth is a result of our personal behaviors, our individual genetic predisposition to disease, the environment and the community in which we live, the clinical care we receive and the policies and practices of our health care and prevention systems. Each of us, individually, as a community, and as a society, strives to optimize these health determinants, so that all of us can have a long, diseasefree and robust life regardless of race, gender or socio-economic status. This report looks at the four groups of health determinants that can be affected:Item A More Perfect Union(2008) Obama, Barack"We the people, in order to form a more perfect union." Two hundred and twenty one years ago, in a hall that still stands across the street, a group of men gathered and, with these simple words, launched America's improbable experiment in democracy. Farmers and scholars; statesmen and patriots who had traveled across an ocean to escape tyranny and persecution finally made real their declaration of independence at a Philadelphia convention that lasted through the spring of 1787. The document they produced was eventually signed but ultimately unfinished. It was stained by this nation's original sin of slavery, a question that divided the colonies and brought the convention to a stalemate until the founders chose to allow the slave trade to continue for at least twenty more years, and to leave any final resolution to future generations.