Disparities In Urban Health
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Author | : Steven Whitman |
Publisher | : Oxford University Press |
Total Pages | : 395 |
Release | : 2010-10-28 |
Genre | : Medical |
ISBN | : 0199750157 |
The 1980s opened a discussion of the varying nature of health in different segments of the United States. Falling under the rubric of "health disparities," a great deal of research has been published demonstrating the substantial differences in health status within a population. The causes of health disparities are varied and not always clear but most researchers agree that disparities are a reflection of social and economic inequities and political injustice. One of the obstacles to addressing disparities is the lack of meaningful health data especially for vulnerable populations, which is often nonexistent despite being a critical factor for informing health programs and policies at the local level. This book provides a model for combating health disparities by describing how the authors gathered local health information, engaged the community at every step of the process, and created movement toward evidence-based sustainable change. This book describes how a landmark health survey in Chicago generated dramatic data that are allowing investigators throughout the city to move from data to action and from observation to intervention. In providing a detailed description of how the community-focused collection and analysis of health data can serve as an impetus for improved well-being, Urban Health is an invaluable resource for researchers, community groups, students and professionals.
Author | : National Academies of Sciences, Engineering, and Medicine |
Publisher | : National Academies Press |
Total Pages | : 583 |
Release | : 2017-04-27 |
Genre | : Medical |
ISBN | : 0309452961 |
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Author | : World Health Organization. Centre for Health Development |
Publisher | : World Health Organization |
Total Pages | : 145 |
Release | : 2010 |
Genre | : Health & Fitness |
ISBN | : 9241548037 |
"The joint WHO and UN-HABITAT report, Hidden cities: unmasking and overcoming health inequities in urban settings, is being released at a turning point in human history. For the first time ever, the majority of the world's population is living in cities, and this proportion continues to grow. Putting this into numbers, in 1990 fewer than 4 in 10 people lived in urban areas. In 2010, more than half live in cities, and by 2050 this proportion will grow to 7 out of every 10 people. The number of urban residents is growing by nearly 60 million every year. This demographic transition from rural to urban, or urbanization, has far-reaching consequences. Urbanization has been associated with overall shifts in the economy, away from agriculture-based activities and towards mass industry, technology and service. High urban densities have reduced transaction costs, made public spending on infrastructure and services more economically viable, and facilitated generation and diffusion of knowledge, all of which have fuelled economic growth"--Page ix.
Author | : Maritt Kirst |
Publisher | : Springer Science & Business Media |
Total Pages | : 182 |
Release | : 2010-11-05 |
Genre | : Medical |
ISBN | : 1441963308 |
As urban populations grow, new health problems evolve in tandem with longstanding issues. And as a welter of social, environmental, and access factors further complicate the picture, workable solutions require increasingly sophisticated understanding and innovative methods—generally beyond the scope of one professional field. Converging Disciplines introduces the concept of transdisciplinary research as a multidimensional, research-to-practice approach to urban health issues, not only bringing researchers together but also linking stakeholders, from practitioners to policymakers to community members. This immediately accessible volume differentiates transdisciplinary research from multi- and interdisciplinary strategies, as well as from popular community-based models, and brings a uniquely North American set of perspectives to the concept. Chapter authors explore the theory behind the methods as well as their application in meeting chronic problems (e.g., domestic violence, substance abuse) and working with vulnerable populations (e.g., homeless individuals, refugees) in ways that are ecologically based, ethically sound, and eminently practical. Key areas of coverage: Benefits and challenges of transdisciplinary research in the urban health setting. Transdisciplinary research process, including methodologies, collaboration, and information sharing. Detailed case examples of transdisciplinary research used in addressing health issues among marginalized urban populations. An overview of training programs in the U.S. and Canada. The view from funding agencies. Preparing the university, researchers, and the job market for a transdisciplinary future researchers and graduate students in urban and public health will find inspiring reading in Converging Disciplines: a bold framework for transforming their fields, and the tools for meeting the new generation of urban health challenges.
Author | : Kenneth J. Rothman |
Publisher | : Lippincott Williams & Wilkins |
Total Pages | : 776 |
Release | : 2008 |
Genre | : Medical |
ISBN | : 9780781755641 |
The thoroughly revised and updated Third Edition of the acclaimed Modern Epidemiology reflects both the conceptual development of this evolving science and the increasingly focal role that epidemiology plays in dealing with public health and medical problems. Coauthored by three leading epidemiologists, with sixteen additional contributors, this Third Edition is the most comprehensive and cohesive text on the principles and methods of epidemiologic research. The book covers a broad range of concepts and methods, such as basic measures of disease frequency and associations, study design, field methods, threats to validity, and assessing precision. It also covers advanced topics in data analysis such as Bayesian analysis, bias analysis, and hierarchical regression. Chapters examine specific areas of research such as disease surveillance, ecologic studies, social epidemiology, infectious disease epidemiology, genetic and molecular epidemiology, nutritional epidemiology, environmental epidemiology, reproductive epidemiology, and clinical epidemiology.
Author | : Nicholas Freudenberg |
Publisher | : John Wiley & Sons |
Total Pages | : 467 |
Release | : 2009-07-08 |
Genre | : Medical |
ISBN | : 0470483032 |
Praise for Urban Health and Society "This is a spectacular resource for practitioners, policymakers, researchers, and students interested in improving the lives and health of individuals and families in urban settings. This book provides the most current frameworks, research, and approaches for understanding how unique features of the urban physical and social environments that shape the health of over half of the world's population that is already residing in large cities. Its interdisciplinary research and practice focus is a welcome innovation." Hortensia Amaro, associate dean, Urban Health Research; Distinguished Professor, Bouve College of Health Sciences; and director, Institute on Urban Health Research, Northeastern University "Urban Health and Society: Interdisciplinary Approaches to Research and Practice provides students in public health, urban planning, social work, and other professions with the critical knowledge and practical guidance they need to work as effective members of interdisciplinary teams aimed at studying and addressing urban health problems. Throughout the chapters, the book's attention to community participation, social justice, and equity as well as interdisciplinary research methods make it an invaluable resource." Barbara A. Israel, professor, Department of Health Behavior and Health Education, School of Public Health, University of Michigan "The book will be of great interest to academics, politicians, planners, and public health professionals attempting to understand or reduce urban health risks, create safe urban environments, and deliver effective and sustainable health services and programs to urban populations." Stephen Lepore, professor and PhD program director, Department of Public Health, Temple University
Author | : Maureen R. Benjamins |
Publisher | : JHU Press |
Total Pages | : 332 |
Release | : 2021-09-07 |
Genre | : Medical |
ISBN | : 1421440997 |
"The contributors to this edited volume explore the degree to which racial health disparities affect death rates in America's 30 largest cities. By examining mortality statistics related to leading causes of death, they are able to show that each of the cities in question has some serious work to do and that in many places the differences are more or less pronounced than in others"--
Author | : Institute of Medicine |
Publisher | : National Academies Press |
Total Pages | : 200 |
Release | : 2011-08-26 |
Genre | : Medical |
ISBN | : 0309212197 |
Chronic diseases are common and costly, yet they are also among the most preventable health problems. Comprehensive and accurate disease surveillance systems are needed to implement successful efforts which will reduce the burden of chronic diseases on the U.S. population. A number of sources of surveillance data-including population surveys, cohort studies, disease registries, administrative health data, and vital statistics-contribute critical information about chronic disease. But no central surveillance system provides the information needed to analyze how chronic disease impacts the U.S. population, to identify public health priorities, or to track the progress of preventive efforts. A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases outlines a conceptual framework for building a national chronic disease surveillance system focused primarily on cardiovascular and chronic lung diseases. This system should be capable of providing data on disparities in incidence and prevalence of the diseases by race, ethnicity, socioeconomic status, and geographic region, along with data on disease risk factors, clinical care delivery, and functional health outcomes. This coordinated surveillance system is needed to integrate and expand existing information across the multiple levels of decision making in order to generate actionable, timely knowledge for a range of stakeholders at the local, state or regional, and national levels. The recommendations presented in A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases focus on data collection, resource allocation, monitoring activities, and implementation. The report also recommends that systems evolve along with new knowledge about emerging risk factors, advancing technologies, and new understanding of the basis for disease. This report will inform decision-making among federal health agencies, especially the Department of Health and Human Services; public health and clinical practitioners; non-governmental organizations; and policy makers, among others.
Author | : Institute of Medicine |
Publisher | : National Academies Press |
Total Pages | : 210 |
Release | : 2008-06-13 |
Genre | : Medical |
ISBN | : 030918570X |
In early 2007, the Institute of Medicine convened the Roundtable on Health Disparities to increase the visibility of racial and ethnic health disparities as a national problem, to further the development of programs and strategies to reduce disparities, to foster the emergence of leadership on this issue, and to track promising activities and developments in health care that could lead to dramatically reducing or eliminating disparities. The Roundtable's first workshop, Challenges and Successes in Reducing Health Disparities, was held in St. Louis, Missouri, on July 31, 2007, and examined (1) the importance of differences in life expectancy within the United States, (2) the reasons for those differences, and (3) the implications of this information for programs and policy makers.
Author | : Institute of Medicine |
Publisher | : National Academies Press |
Total Pages | : 215 |
Release | : 2002-10-25 |
Genre | : Medical |
ISBN | : 0309085195 |
The Agency for Healthcare Research Quality commissioned the Institute of Medicine establish a committee to provide guidance on the National Healthcare Disparities Report is of access to health care, utilization of services, and the services received. The committee was asked to con population characteristics as race and ethnicity, society status, and geographic location. It was also asked to examine factors that included possible data sources and types of measures for the report.