I agree, and thank you for your short and powerful educational session.
Ana Natale-Pereira, MD
Assistant Professor of Medicine
Division of Academic Medicine, Geriatrics, and Community Programs
Medical Director
Focus Community Health Center
449 Broad Street
Newark, New Jersey 07102
973-972-0980
973-972-0984 Fax
[log in to unmask]
>>> [log in to unmask] 12/2/2004 4:44:09 PM >>>
I think there is research being conducted looking for common threads
leading
to disparities across various groups. Whether this leads to
development of
a national strategy is a political question that depends upon
grassroots and
researcher action to move the administration in this direction (as well
as
the administration's willingness to move). That question, however, is
a
different one from the question of whether disparities are only
conceptualized in terms of racial/ethnic dimensions and not
socioeconomic
position. Race, ethnicity and SEP are being considered by US
researchers, as
well as other dimensions (gender, rural/urban, etc.) across which we
observe
disparities in health and health outcomes.
In the US, at least (wouldn't presume to speak for other nations), it
is
important to remember how important racism and ethnic prejudice are
sources
of inequity. It is a difficult and perhaps not a realistic task to
disentangle the effects of racism and SEP in the US.
When we consider health disparities in the US, I think it's important
not to
use a single effects model in trying to explain the patterns of
disparity
that we observe. Observed disparities in health are the outcomes of
the
complex interaction of factors and processes including SEP, politics,
economic ideologies and structures, geography, racism, ethnic prejudice
and
gender bias. This is just to name a few of the obvious ones.
From my point of view, we use the term disparities to describe
observed
patterns of differential health across populations. Inequities,
however,
must be understood as phenomena leading to observed disparities. I
don't
think disparities and inequities are the same thing.
Suzanne Heurtin-Roberts, Ph.D., M.S.W.
Health Disparities Research Coordinator
Office of the Associate Director
Behavioral Research Program,
Division of Cancer Control and Population Sciences
National Cancer Institute
6130 Executive Blvd., MSC 7326
Executive Plaza North, Rm 4054
Bethesda, MD 20892-7326
Rockville, MD 20852 for express mail
301-594-6655 (voice)
301-435-7547 (fax)
[log in to unmask]
http://behavioralresearch.cancer.gov
-----Original Message-----
From: Barbara Starfield [mailto:[log in to unmask]]
Sent: Thursday, December 02, 2004 3:13 PM
To: [log in to unmask]
Subject: Re: [SDOH] Pretty major event re: health disparities, BUT
Then why is it that so little is known about the health problems of
Caucasian individuals who are of low and working class? Or why has
there not been an effort to find the common threads (like low minimum
wages levels and other similar characteristics) across disadvantaged
groups to enable the development of a coherent national strategy to
eliminate/reduce inequity, at least in health?
Barbara Starfield, MD
*******************************************************
Barbara Starfield, MD, MPH
University Distinguished Professor
Johns Hopkins University & Medical Institutions
624 North Broadway, Room 452
Baltimore, Maryland 21205
Phone 410-955-3737
Fax 410-614-9046
[log in to unmask]
*******************************************************
-----Original Message-----
From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf
Of
Heurtin-Roberts, Suzanne (NIH/NCI)
Sent: Thursday, December 02, 2004 2:35 PM
To: [log in to unmask]
Subject: Re: [SDOH] Pretty major event re: health disparities, BUT
A little further in this vein, in the US we generally recognized
disparities
in health founded on race, ethnicity, or socioeconomic position among
other
factors. We certainly attend to more than racial or ethnic
disparities
in
health.
Suzanne Heurtin-Roberts, Ph.D., M.S.W.
Health Disparities Research Coordinator
Office of the Associate Director
Behavioral Research Program,
Division of Cancer Control and Population Sciences
National Cancer Institute
6130 Executive Blvd., MSC 7326
Executive Plaza North, Rm 4054
Bethesda, MD 20892-7326
Rockville, MD 20852 for express mail
301-594-6655 (voice)
301-435-7547 (fax)
[log in to unmask]
http://behavioralresearch.cancer.gov
-----Original Message-----
From: Mario Browne [mailto:[log in to unmask]]
Sent: Thursday, December 02, 2004 1:04 PM
To: [log in to unmask]
Subject: Re: [SDOH] Pretty major event re: health disparities, BUT
Your assumptions amuse me. Perhaps white folk who are poor are
experiencing "racial" health disparities, especially since "race" is a
social construct, however I am sure that "racism" occurs in Canada,
doesn't it? We cannot afford to only look at the socioeconomic
"inequities", but also the underlying racial and ethnic "disparities".
But
hey, we all have our battles to fight. Some of us fight from an etic
perspective and some from an emic perspective.
Thank you for making my point.
Peace,
Mario
Social Determinants of Health <[log in to unmask]> on Thursday, December
02,
2004 at 11:29 AM -0500 wrote:
>The nomenclature "racial" and "ethnic" health disparities used in the
>States (compared to Social Determinants of Health as "we" refer to it
in
>Canada) is so very interesting since so many poor people in the U.S.
are
>definitively Caucasian and wouldn't refer to or see themselves as
being
>ethnically diverse because they are poor. Yet according to your
>terminology they are catagorically experiencing racial and ethnic
health
>disparity.
>
>
>Good luck to you,
>
>
> Deborah
>
>
>>>> [log in to unmask] 12/1/2004 10:20:09 PM >>>
>In the US "we" call them RACIAL and ETHNIC Health Disparities!
>
>
>Social Determinants of Health <[log in to unmask]> writes:
>>Well it won't get far whilke even progressives in the US continue to
>call
>>health inequities "disparities". That Thatcherist/Reagonist term
>should
>>be consigned to the waste and even health inequalities should only
be
>>used for descriptive purposes. But for analysis and policy
>development,
>>let's call them what they are, preventable, reinforced by elites in
>the
>>face of evidence and therefore inequities.
>>
>>
>>>>> [log in to unmask] 12/02/04 03:09am >>>
>>This looks like a temendous opportunity. And since it will be
>>web-archived, it can be accessed and saved, I would think on CDs.
>>
>>
>>But the big question is, and I ask this in the greatest sympathy to
>my
>>neighbours to the south:
>>
>>
>>Can this come to anything in George Bush's America? - dr
>>----------------------------------------------------------------------
----
---------
>>From EQUIDAD/PAHO list
>>----------------------------------------------------------------------
----
---------
>>
>>
>>HEALTH DISPARITIES & THE BODY POLITIC:
>>
>>
>>POLICY, RESEARCH, DATA & GOVERNMENT RESPONSIBILITY
>>
>>
>> Three international symposia sponsored by the Harvard School of
>Public
>>Health:
>> March 3, 2005 - April 14, 2005 - May 5, 2005
>> For free registration & information on accessing free webcast, see
>>website
>>at: http://www.hsph.harvard.edu/disparities
>>
>>
>> Social inequality may be harmful to your health. It increases the
>burden
>>of disability and disease in communities and cuts short lives.
>>Economic deprivation, discrimination, lack of access to health
>services,
>>and violation or neglect of human rights all play a part in shaping
>>population health.
>> Yet, despite centuries of evidence on the toll of adverse living
and
>>working conditions on health, only been in the past decade has
>concern
>>with
>>social inequalities in health become part of the mainstream public
>health
>>agenda.
>> To explore the role that governments and engaged communities can
play
>in
>>reducing and rectifying social inequities in health worldwide, the
>Harvard
>>School of Public Health is hosting a three-part symposium series.
>>
>>
>> --Thursday, March 3, 2:00 pm -- 5:00 pm, Harvard Conference Center,
>77
>>Avenue Louis Pasteur, Boston
>> "Spreading the Health: Government's Role in Addressing Health
>>Disparities."
>>
>>
>> --Thursday, April 14, 2:00 pm -- 5:00 pm, Harvard Conference
Center,
>77
>>Avenue Louis Pasteur, Boston.
>> "Investigating Health Disparities: New Agendas for National Health
>>Research Institutes"
>>
>>
>> --Thursday, May 5, 2:00 -- 5:00 pm, Harvard Conference Center, 77
>Avenue
>>Louis Pasteur, Boston
>>"Making Disparities Count: From Government Statistics Systems to
>Action"
>>
>>
>> To enhance the global reach of the symposia, each session will be
>web
>>cast
>>live, with free access. All sessions will be archived, also with
free
>>access, at this symposium web site hosted by the Harvard School of
>Public
>>Health.
>>
>>
>> The content of all the symposia has been developed independently of
>our
>>sponsors. Admission is free. Seating is limited. See symposium
>>descriptions
>>for registration deadlines.
>>
>>
>> SYMPOSIUM PARTICIPANTS:
>>
>>
>> --March 3, 2005: "Spreading the Health: Government's Role in
>Addressing
>>Health Disparities"
>>
>>
>> Moderator:
>>David Studdert, PhD, HSPH Associate Professor of Law and Public
>Health
>>
>>
>> Speakers:
>>Carolyn Clancy, MD, Director, Agency for Healthcare Research and
>Quality,
>>United States Department of Health and Human Services;
>> Fiona Adshead, MD, Deputy Medical Officer, Department of Health,
>United
>>Kingdom;
>> Asa Christina Laurell, MD, Minister of Health, Mexico City;
>> Irene Nilsson Carlsson, Director, Division for Public Health,
>Sweden.
>>
>>
>> Discussant:
>>Sir Donald Acheson, professor emeritus, University College of
London,
>>author of The Acheson Inquiry
>>
>>
>> Q & A Panel:
>>
>>
>>Deborah Prothrow Stith, MD, HSPH Professor of Public Health
Practice,
>>Facilitator
>> Kalahn Taylor Clark, HSPH graduate student;
>> Sofia Gruskin, HSPH Associate Professor of Health and Human Rights;
>> Ashih Jha, HSPH Assistant Professor of Health Management and HMS
>Research
>>Fellow in Medicine;
>> Brent Staples (invited), The New York Times, columnist.
>>
>>
>> --April 14, 2005: "Investigating Health Disparities: New Agendas
>for
>>National Health Research Institutes"
>> Moderator: Lisa Berkman, HSPH Professor of Public Policy,
Departments
>of
>>Society, Human Development, and Health and Epidemiology, Harvard
>School of
>>Public Health
>>
>>
>> Speakers:
>>Elias Zerhouni, MD, Director, U.S. National Institutes of Health;
>> John Frank, PhD, Scientific Director, Institute of Population and
>Public
>>Health, Canada;
>> Mirta Roses Periago, MD, Director, Pan American Health
Organization;
>>PAHO/WHO
>> Sujatha Rao, MD, Member Secretary of the National Commission on
>>Macroeconomics and Health, India.
>>
>>
>> Discussant:
>>Harvey Fineberg, MD, PhD, MPH, President, Institute of Medicine
>>
>>
>> Q & A Panel:
>>
>>
>>Howard Koh, MD, HSPH Professor of Health Policy, Facilitator
>> JudyAnn Bigby, MD, Director of Community Health Programs and HMS
>Center
>>of
>>Excellence in Women's Health, Brigham and Women57;s Hospital;
>> Christopher Murray, MD, PhD, HSPH Professor of Population Policy,
>>Director
>>of the Harvard Global Health Initiative;
>> Atul Gawande, MD, Assistant Professor of Surgery, Brigham and
>Women's
>>Hospital;
>> Maria Glymour, SD, Research Associate, HSPH Department of Society,
>Human
>>Development, and Health.
>>
>>
>> --May 5, 2005: "Making Disparities Count: From Government
>Statistics
>>Systems to Action"
>> Moderator: Nancy Krieger, PhD, HSPH Associate Professor of Society,
>Human
>>Development, and Health, Harvard School of Public Health
>>
>>
>> Speakers:
>>John Fox, PhD, Director of Statistics, Department of Health, United
>>Kingdom
>> Vickie Mays, PhD, Professor of Clinical Psychology, University of
>>California-Los Angeles and Director, UCLA Center on Research,
>Education,
>>Training, and Strategic Communications on Minority Health
>Disparities;
>> Eduardo Mota, SD, Chief of Health Statistics, Instituto de Saude
>>Coletiva,
>>Brazil;
>>
>>
>> Discussant:
>>Godfrey Woelk, PhD, Associate Professor, Department of Communitiy
>>Medicine,
>>College of Health Sciences, University of Zimbabwe;
>>
>>
>> Q & A Panel:
>>
>>
>>Robert Blendon, ScD, HSPH Professor of Health Policy and Management,
>>Facilitator
>> Howard Koh, MD, HSPH Professor of Health Policy;
>> Mary Waters, PhD, Professor of Sociology, Harvard;
>> Evelynn Hammonds, PhD, SM, Professor of the History of Science and
>>African
>>and African American Studies, Harvard;
>>
>>
>> David Rehkopf, MPH, doctoral candidate, Harvard School of Public
>Health
>> Organized by the HSPH Health Disparities Working Group symposia
>>committee:
>>Nancy Krieger, Lisa Berkman, David Studdert, Bev Freeman, Alix
>Smullin
>>
>>
>> * * * *
>>
>>
>>-------------------
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>
>
>
>
>
>All Human Beings are born Free and Equal in Dignity and Rights (
>United
>Nations Universal Declaration of Human Rights)
>
>
>Mario C. Browne, BS, CAC
>Center for Minority Health
>University of Pittsburgh
>Graduate School of Public Health
>125 Parran Hall
>130 DeSoto Street
>Pittsburgh, PA 15261
>Phone: (412) 624-5665
>Fax: (412) 624-8679
>Email: [log in to unmask]
>www.cmh.pitt.edu
>
>
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All Human Beings are born Free and Equal in Dignity and Rights (
United
Nations Universal Declaration of Human Rights)
Mario C. Browne, BS, CAC
Center for Minority Health
University of Pittsburgh
Graduate School of Public Health
125 Parran Hall
130 DeSoto Street
Pittsburgh, PA 15261
Phone: (412) 624-5665
Fax: (412) 624-8679
Email: [log in to unmask]
www.cmh.pitt.edu
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