Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology
Eliminating health disparities is a Healthy People goal. Given the diverse and sometimes broad definitions of health disparities commonly used, a subcommittee convened by the Secretary's Advisory Committee for Healthy People 2020 proposed an operational definition for use in developing objectives and targets, determining resource allocation priorities, and assessing progress.
Based on that subcommittee's work, we propose that health disparities are systematic, plausibly avoidable health differences adversely affecting socially disadvantaged groups; they may reflect social disadvantage, but causality need not be established. This definition, grounded in ethical and human rights principles, focuses on the subset of health differences reflecting social injustice, distinguishing health disparities from other health differences also warranting concerted attention, and from health differences in general.
We explain the definition, its underlying concepts, the challenges it addresses, and the rationale for applying it to United States public health policy. (Am J Public Health. 2011;101:S149-S155. doi:10.2105/AJPH.2010.300062)
Health Disparities and Health Equity: The Issue Is Justice
Creators
Paula A. Braveman - University of California, San Francisco
Shiriki Kumanyika - University of Pennsylvania
Jonathan Fielding - University of California at Los Angeles
Thomas LaVeist - Bloomberg
Luisa N. Borrell - Lehman College
Ron Manderscheid - Natl Assoc Cty Behav Hlth & Dev Disabil Directors, Washington, DC USA
Adewale Troutman - Department of Public Health and Wellness
Publication Details
American journal of public health (1971), v 101(1), pp S149-S155
Publisher
Amer Public Health Assoc Inc
Number of pages
7
Grant note
R24 HD042854 / NICHD NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
R24HD042854 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Resource Type
Journal article
Language
English
Academic Unit
Urban Health Collaborative; Dana and David Dornsife School of Public Health
Web of Science ID
WOS:000297141000022
Scopus ID
2-s2.0-81355143918
Other Identifier
991019312330804721
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