Health Equity: 08/17/10

Tuesday, August 17, 2010

[EQ] Guidance on the prevention of cardiovascular disease at the population level

Guidance on the prevention of cardiovascular disease at the population level

UK Department of Health (DH) asked the National Institute for Health and Clinical Excellence (NICE), 2010

Available online at: http://bit.ly/ba1OJb

The guidance topics include:

· How to reduce the nation’s consumption of salt, saturated fats and trans fats

· How to ensure food marketing and promotions aimed at children and young people do not encourage them to consume high levels of salt, saturated fats and trans fats

· Commercial interests

· Food product labelling

· The European Union’s common agricultural policy

· Public sector catering guidelines

· Advice on take-aways and other food outlets.

The recommendations for practice mainly focus on how to plan, develop and run effective regional CVD prevention programmes (recommendations 13–18). Other topics covered include:

· Children and young people

· Public sector food provision

· Physical activity

· Health impact assessments of regional and local plans and policies

· Take-aways and other food outlets

· Nutrition training for catering managers.

Contents

1 Recommendations

2 Public health need and practice

3 Considerations

4 Implementation

5 Recommendations for research

6 Updating the recommendations

7 Related NICE guidance

8 References

Appendix A Membership of the Programme Development Group (PDG), the NICE project team and external contractors

Appendix B Summary of the methods used to develop this guidance

Appendix C The evidence

Appendix D Gaps in the evidence

Appendix E: supporting documents

Guidance documents

· Guidance PDF format | MS Word format

· Quick reference guide PDF format

Implementing this guidance

· Costing report

· Costing template

· Slide set

· PH25 Prevention of cardiovascular disease: implementing policy goals - slide set

Other information Background information

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[EQ] Combining Explicit and Implicit Measures of Racial Discrimination in Health Research

Combining Explicit and Implicit Measures of Racial Discrimination in Health Research

….the article has just been published, in print, in Am J Public Health
it is concerned with measuring and addressing the impact of racial discrimination on health

Nancy Krieger, Dana Carney, Katie Lancaster, Pamela D. Waterman, Anna Kosheleva, and Mahzarin Banaji

Nancy Krieger, Pamela D. Waterman, and Anna Kosheleva are with the Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA. Dana Carney is with the Graduate School of Business, Columbia University, New York, NY. Katie Lancaster is with Radboud University Nijmegen, Netherlands. Mahzarin Banaji is with the Department of Psychology, Harvard University, Cambridge, MA

Am J Public Health. 2010;100:1485–1492. doi:10.2105/AJPH.2009.159517)

Objectives. To improve measurement of discrimination for health research, we sought to address the concern that explicit self-reports of racial discrimination may not capture unconscious cognition.

Methods. We used 2 assessment tools in our Web-based study: a new application of the Implicit Association Test, a computer-based reaction-time test that measures the strength of association between an individual's self or group and being a victim or perpetrator of racial discrimination, and a validated explicit self-report measure of racial discrimination.

Results. Among the 442 US-born non-Hispanic Black participants, the explicit and implicit measures, as hypothesized, were weakly correlated and tended to be independently associated with risk of hypertension among persons with less than a college degree. Adjustments for both measures eliminated the significantly greater risk for Blacks than for Whites (odds ratio = 1.4), reducing it to 1.1 (95% confidence interval = 0.7, 1.7).

Conclusions. Our results suggest that the scientific rigor of research on racism and health will be improved by investigating how both unconscious and conscious mental awareness of having experienced discrimination matter for somatic and mental health.

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[EQ] Alcohol-use disorders - preventing harmful drinking

Alcohol-use disorders
Preventing the development of hazardous and harmful drinking

UK National Institute for Health and Clinical Excellence NICE, June 2010

Available online at: http://bit.ly/c8wUpN

This guidance is for government, industry and commerce, the NHS and all those whose actions affect the population’s attitude to – and use of – alcohol. This includes commissioners, managers and practitioners working in: local authorities, education, the wider public, private, voluntary and community sectors. It may also be of interest to members of the public.

This is one of three pieces of NICE guidance addressing alcohol-related problems among people aged 10 years and older. (See also: Alcohol-use disorders in adults and young people: clinical management; and Alcohol dependence and harmful use: diagnosis and management in young people and adults.)

Alcohol-related harm is a major health problem. The guidance identifies how government policies on alcohol pricing, its availability and how it is marketed could be used to combat such harm (see recommendation 1 to 3). Changes in policy in these areas is likely to be more effective in reducing alcohol-related harm among the population as a whole than actions undertaken by local health professionals.

The recommendations for practice cover:

· Licensing.

· Resources for identifying and helping people with alcohol-related problems.

· Children and young people aged 10 to 15 years – assessing their ability to consent, judging their alcohol use, discussion and referral to specialist services.

· Young people aged 16 and 17 years – identification, offering motivational support or referral to specialist services.

· Adults – screening, brief advice, motivational support or referral.

Guidance documents

· Guidance PDF format | MS Word format

· Quick reference guide PDF format

Implementing this guidance

· Audit support

· Costing report

· Educational resource

· Alcohol-use disorders - preventing harmful drinking: Self assessment tool

* * *





IMPORTANT: This transmission is for use by the intended
recipient and it may contain privileged, proprietary or
confidential information. If you are not the intended
recipient or a person responsible for delivering this
transmission to the intended recipient, you may not
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any action in reliance on it. If you received this transmission
in error, please dispose of and delete this transmission. 

Thank you.

Tuesday, August 17, 2010

[EQ] Guidance on the prevention of cardiovascular disease at the population level

Guidance documents

Implementing this guidance

Other information Background information

[EQ] Combining Explicit and Implicit Measures of Racial Discrimination in Health Research

[EQ] Alcohol-use disorders - preventing harmful drinking

Alcohol-use disorders Preventing the development of hazardous and harmful drinking

UK National Institute for Health and Clinical Excellence NICE, June 2010

Guidance documents

Implementing this guidance

Alcohol-use disorders
Preventing the development of hazardous and harmful drinking