Monday, July 14, 2008

[EQ] Monitoring Social Disparities in health

Monitoring Social Disparities in Health

Health Surveillance and Disease Management - PAHO/WHO Seminar -PAHO/WHO Washington DC

Link to recording session July 14 2008:
https://sas.elluminate.com/site/external/jwsdetect/playback.jnlp?psid=2008-07-14.0616.M.08720582EFA3AA33EE90AFB823C2D1.vcr

 

Presentation PDF [68p.] at
http://www.paho.org/English/dd/ikm/Monitoring-Socia-Inequalities-in-Health-08.pdf

      

Related Papers:

An Overview of Methods for Monitoring Social Disparities in Cancer with an Example Using Trends in Lung Cancer Incidence by Area-Socioeconomic Position and Race-Ethnicity, 1992–2004

Sam Harper1, John Lynch1, Stephen C. Meersman2, Nancy Breen2, William W. Davis2 and Marsha E. Reichman2

1 Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada
2 Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Bethesda


American Journal of Epidemiology 2008 167(8):889-899; doi:10.1093/aje/kwn016
Website: http://aje.oxfordjournals.org/cgi/content/abstract/167/8/889


“……The authors provide an overview of methods for summarizing social disparities in health using the example of lung cancer. They apply four measures of relative disparity and three measures of absolute disparity to trends in US lung cancer incidence by area-socioeconomic position and race-ethnicity from 1992 to 2004. ..”

 


Trends in the Black-White Life Expectancy Gap in the United States, 1983-2003


Sam Harper,  John Lynch, Scott Burris, George Davey Smith


JAMA, March 21, 2007—Vol 297, No. 11 American Medical Association
http://jama.ama-assn.org/cgi/reprint/297/11/1224.pdf

 

“….Recent life expectancy trends indicate positive movement toward one of the major US public health goals of eliminating black-white mortality inequalities, but substantial inequalities and challenges remain. Reducing social and individual risk factors for major causes of death and improving access and quality of care for blacks, particularly for cardio vascular diseases, should be a pressing priority for public health and health care…’

 

Explaining the social gradient in coronary heart disease: comparing relative and absolute risk approaches


John Lynch, George Davey Smith, Sam Harper, Kathleen Bainbridge

J Epidemiol Community Health 2006;60:436–441. doi: 10.1136/jech.2005.041350

 

“….Understanding the causes of social inequalities in coronary heart disease CHD may depend on whether one is interested in explaining absolute or relative inequalities in CHD. Conventional risk factors account for the vast majority of CHD cases and for a substantial portion of absolute social inequalities in CHD—72% of the excess risk. An absolute risk approach to understand social inequalities in CHD focuses attention on those risk factors that cause most cases of disease attributable to social inequality. If the concern is to reduce the overall population health burden of CHD and the disproportionate population health burden associated with the social inequalities in CHD, then reducing conventional risk factors will do the job….”

 


Methods for Measuring Cancer Disparities:

Using Data Relevant to Healthy People 2010 Cancer-Related Objectives


Sam Harper, John Lynch, Center for Social Epidemiology and Population Health

University of Michigan, 2006

Surveillance Research Program (SRP) and the Applied Research Program (ARP) of the Division of Cancer Control and Population Sciences of the National Cancer Institute, NIH.

Available online as PDF file [80p.] at: http://seer.cancer.gov/publications/disparities/measuring_disparities.pdf

 

“……This report raises some conceptual issues and reviews different methodological approaches germane to measuring progress toward the goal of eliminating cancer-related health disparities. Despite the increased attention to social disparities in health, no clear framework exists to define and measure health disparities….”

 

Measuring Health Disparities Computer-based Course MHDID0806

John W. Lynch, Sam Harper
Michigan Public Health Training Center (MPHTC) - University of Michigan, School of Public Health

Website:
https://practice.sph.umich.edu/mphtc/site.php?module=courses_one_online_course&id=247

“….This interactive course focuses on some basic issues for public health practice -- how to understand, define and measure health disparity. This course examines the language of health disparity to come to some common understanding of what that term means, explains key measures of health disparity and shows how to calculate them. This computer-based course provides a durable tool that is useful to daily activities in the practice of public health….”

 

 

 

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