[EQ] Establishing a Holistic Framework to Reduce Inequities in HIV, Viral Hepatitis, STDs, and Tuberculosis in the United States

Establishing a Holistic Framework to Reduce Inequities in
HIV, Viral Hepatitis, STDs, and Tuberculosis in the United States

NCHHSTP National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention White Paper on Social Determinants of Health
Atlanta (GA): U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; October 2010

Available online PDF [32p.] at: http://bit.ly/cLsgxk

“…..This white paper outlines the strategic vision of CDC’s National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention for reducing health disparities and promoting health equity related to our conditions of interest. The purpose of the white paper is to advance a holistic approach to the design of our public health programs to advance the health of communities and increase their opportunities for healthy living…”

TABLE OF CONTENTS

Executive Summary.

Introduction.

A Systematic Approach.

Social Determinants of Health.

Definition.

Vision for Change.

Rationale.

Theoretical Framework.

Applying the Framework.

NCHHSTP Efforts to Address SDH.

2011–2015 Priority Actions for Addressing SDH and HIV, Viral Hepatitis, STDs and TB Prevention.

Research and Surveillance.

Health Communication and Marketing.

Health Policy.

Prevention Programs.

Capacity Building.

Partnership Activities.

Tracking Our Progress.

Activities for Partners to Consider.

Leadership.

Research and Surveillance.

Communication.

Policy.

Programs.

Capacity Building.

Partners.

Summary.
References

Glossary

Health disparity is a particular type of health difference that is closely linked with social or economic disadvantage.

Health equity is the absence of systematic, unfair disparities in health (or determinants of health) among population groups in a social hierarchy or with different levels of social advantage or disadvantage.

Health equity (U.S. Department of Health and Human Services [DHHS] definition) is attainment of the highest level of health for all people. Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of health and health care disparities.

Heath inequity is a difference or disparity in health outcomes that is systematic, unfair, and about which you can do something.

Individual-level risk factors are characteristics of individuals that may explain health status or behavior (e.g., age, sex, marital status).

Social determinants of health (SDH) are the complex, integrated, and overlapping social structures

and economic systems that include the social environment, physical environment, and health services; structural and societal factors that are responsible for most health inequities. SDH are shaped by the distribution of money, power and resources at global, national, and local levels, which are themselves influenced by policy choices.

Sources:

U.S. Department of Health and Human Services. Healthy People 2020 Draft. 2009, U.S. Government Printing Office. Available at: http://www.healthypeople.gov/hp2020/advisory/PhaseI/glossary.htm

Braveman, P. and S. Gruskin. Defining equity in health. Journal of Epidemiology and Community Health, 2003. 57(4): p. 254-258.

World Health Organization. Closing the gap in a generation: Health equity through action on the social determinants of health. Report from the Commission on Social Determinants of Health. 2008. http://www.who.int/social_determinants/thecommission/finalreport/en/index.html

 

Health Equity Symposium

On October 20, NCHHSTP hosted the 2010 Health Equity Symposium on Establishing a Holistic Framework to Reduce Inequities in HIV, Viral Hepatitis, STDs, and Tuberculosis in the United States. Slides from the invited speakers' presentations are now available.

·         The Social Determinants of Health and Infectious Disease , Paula Braveman

·         Law in a Social Determinants State – A Public Health Law Research Perspective , Scott Burris

·         Healthy Ohio – One State’s Perspectives on the NCHHSTP Strategic Plan , Johnnie (Chip) Allen

 

 

WHO Commission on Social Determinants of Health

 

The World Health Organization (WHO) Commission on Social Determinants of Health (CSDH) charged world public health action to:
1) improve the conditions of daily life;
2) tackle the inequitable distribution of power, money, and resources, and;
3) measure and understand the problem and assess the impact of action.

·         Report: Closing the Gap in a Generation — Health Equity Through Action on the Social Determinants of Health  (7.28Mb)

·         The Commission - what, why and how?

·         Closing the gap in a generation - how?

·         Key concepts

 

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