September 3,   2015
IN THE NEWS

Eliseo Perez-Stable, MD, MPH - Director NIMHD
 
Q: What are the big questions in health
 disparities?
A:   Race and ethnicity play a central role but so does socioeconomic status and social determinants are critical. On the other hand, there are a number of behaviors that we know are important, a number of constructs related to individuals and ecological issues. The health care system that people interact with, especially for the most vulnerable, the chronically ill. And then there's this explosion of information on the biology of human systems. Genetics, but also mechanistic, cellular function.
So I'm excited about the scientific questions that can be asked using this laboratory of the diverse population in the United States. The issue of race, ethnicity, looked at not necessarily just from a social perspective, but also from a systems, behavioral, and biological perspective and how these interact. That's something that will not only help us reduce health disparities, but will also help us understand mechanisms of how disease operates and adverse outcomes develop.
Source: Science Magazine, September 2015

"From recent studies of the general population, we know that approximately 50 percent of children lose ideal cardiovascular health by adolescence because they are overweight or obese. Among women, overweight and obesity impact pre-conception health and potentially the long-term heart health of mothers and offspring. This tells us there's much more at work here than poverty alone." 
While socioeconomic position and access to care play a significant role in cardiovascular health; Siscovick points to a need to learn about the interplay of complex issues such as social support and social networks; race, ethnicity and culture; residential environment; patient abilities and beliefs, education, housing, health literacy, and other factors.
Source: American Heart Association, via Newswise. August 2015

Much of the work today is about weaving public-private coalitions to do battle in the newer frontiers of childhood obesity; access to healthy foods; health gaps in sexual minority communities; and in the root causes of poverty, housing, education and other "social determinants of health."
S ource: American Heart Association, August 2015

New York's City health commissioner, Mary Bassett, calls race, a critical factor in public health.
Source: Politico NY, September 2015

S CIENTIFIC PUBLICATIONS

Andrew W Bazemore,  Erika K Cottrell Rachel Gold Lauren S Hughes Robert L Phillips Heather Angier Timothy E Burdick Mark ACarrozza
Journal of the American Medical Informatics Association, September 2015

Naoki Kondo
Department of Health and Social Behaviour/Department of Health Education and Health Sociology, School of Public Health, The University of Tokyo, Tokyo, Japan 
Journal of Epidemiology 2015

Niederdeppe J, Roh S, Shapiro MA (2015) 
PLoS ONE 10(2): e0117565. doi:10.1371/journal.pone.0117565

Mary T. Bassett, M.D., M.P.H.
N Engl J Med 2015; 372:1085-1087 March 19, 2015DOI: 10.1056/NEJMp1500529

Ronald Bayer, Ph.D., and Sandro Galea, M.D., Dr.P.H. 
N Engl J Med 2015; 
373;6 nejm.org August 6 , 2015
Outcomes following stressor exposure vary markedly across ..... in T allele carrying  healthy  adults and adolescents after exposure to .... PTG, for example, following exposure to the  Hurricane Katrina  
Neuropsychopharmacology  advance online publication 2 September 2015; doi: 10.1038/npp.2015.235







RESOURCES

The problem with precision medicine is "the paradox of prevention... some very significant achievements at the individual level can be achieved without having much of an impact at a population level," says a public health researcher.
Source: HealthLeaders Media. August 21, 2015  

VIDEO
Source: RAND, September 2015

 



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