There are challenges measuring health disparities, including identifying how to measure the health
disparity and selecting appropriate benchmark populations. The following scientific goals and research
strategies focus on measurement to provide solutions to these obstacles and advance minority health and
health disparities research.

Goal 1: Promote research to understand and to improve the health of racial/ethnic minority
populations

This goal advances the understanding of health determinants that contribute to the health status of
minority populations, including subpopulations. Scientific knowledge generated should span the life course
and address sociocultural variations and within-group differences. As the understanding of the interplay
between biology and environment advances, better interventions can continue to be developed to improve the
health of minority groups. In addition, research into the determinants that impact minority health may
lead to new knowledge about the health differences experienced by minority groups.

Strategy 1.1: Examine health determinants that underlie resilience or
susceptibility to diseases
and conditions experienced by racial/ethnic minority populations.

Action Priority Areas

Starting Line:

  • Expand support for large-scale observational, epidemiologic, and longitudinal cohort studies focused
    on multiple co-occurring chronic diseases and conditions in minority populations.
  • Support ancillary etiologic studies using existing cohorts to examine the interplay between
    biological, behavioral, socioecological, sociocultural, and environmental health determinants in
    minority populations, as well as interactions with health care and public health systems.
  • Support interdisciplinary minority health studies to delineate mechanisms of embodiment of social,
    cultural, and environmental factors experienced over the life course to better understand how those
    factors influence individual early development, physiology, cognitive processes, biopsychosocial
    processes and behavior, and disease trajectories.

Building Momentum:

  • Support research, including international research, to identify genomic factors that contribute to
    U.S. racial and ethnic differences in health outcomes.
  • Support research to identify key developmental origins or stages of susceptibility to common diseases
    and conditions or exposures where interventions would most likely have the greatest effect.
  • Expand research efforts to delineate risk factors for developing obesity in early childhood and
    adolescence as well as identify opportunities for developing more effective and contextually tailored
    interventions.
  • Accelerate efforts to define the critical contributions of oral health to overall health and disease
    in minority populations through studies to identify genetic and genomic risk or protective factors that
    contribute to racial and ethnic differences in health outcomes, and mediating or moderating influences
    of the microbiome, diet and nutrition, access to preventive dental and health care across the life
    course, and co-occurring chronic diseases and conditions.
  • Expand support for research to identify sociocultural factors and other positive resources that
    promote population health and contribute to resiliency at the individual, family, and community levels.
  • Support oversampling of racial/ethnic minority participants in population-based and patient-oriented
    studies to increase power to detect hypothesized racial/ethnic differences and enable analysis and
    comparison of racial/ethnic subpopulations.

Strategy 1.2: Develop and assess interventions to improve the health status of
minority
populations.

Action Priority Areas

Starting Line:

  • Develop and implement individual-, family-, peer group-, and community-level health promotion and
    disease prevention interventions tailored to address the specific needs and cultural contexts of
    minority populations.
  • Develop and implement evidence-based health care system interventions that reduce socioecological
    barriers to care and promote coordination and integration of preventive care, primary care, and
    behavioral health services.
  • Support secondary data analyses of ongoing cohort studies and public use surveys, as well as other
    approaches such as simulation modeling, to determine whether minority health differences observed in
    population studies reflect health disparities arising from social, economic, and/or environmental
    disadvantages based on group characteristics historically linked to discrimination or exclusion.

Building Momentum:

  • Establish a national consortium to develop, validate, and implement assessment tools that can be used
    in primary care settings for early detection and diagnosis of cognitive impairment and decline, as well
    as Alzheimer’s disease and related dementias, which are frequently underdiagnosed in aging minority
    populations, often due to cultural and logistic barriers.
  • Expand research to improve access to and coordination of health care services across specialties
    through innovative care delivery models and the use of health information technology, including research
    on the use of electronic health records (EHRs) and e-prescribing databases to address potential risks of
    adverse drug reactions and drug–drug interactions in minority patient populations.
  • Support rigorous research on patient–clinician communication factors in primary care and specialty
    settings that lead to an increase or decrease in health disparities in patient outcomes.
  • Support rigorous evaluation of community-engaged interventions to address gaps and improve
    implementation of evidence-based interventions in community settings and to better understand factors
    that influence intervention effectiveness and adaptability.
  • Support innovative research incorporating strengths-based approaches, behavioral economics principles,
    and multilevel intervention strategies to promote overall health in disadvantaged minority populations
    and reduce the incidence of preventable diseases and conditions in early childhood, such as dental decay
    and overweight/obesity.
  • Expand local, regional, and national efforts to assess the impact of policies and policy changes on
    racial/ethnic minority population health and delineate specific mechanisms by which policies or policy
    changes mitigate or exacerbate social, economic, and environmental disadvantages.
  • Strengthen the capacity of community members, health professionals, policy makers, and community
    organizations to assess and utilize research findings to effect positive, systemic changes to reduce
    health disparities.

Goal 2: Advance scientific understanding of the causes of health disparities

This goal seeks to examine the etiology of health disparities and the influence of health determinants on
various stages of the life course trajectories and across generations, including the intersection of sex,
gender, geography, and race and ethnicity. It also seeks to further the scientific understanding of both
the individual effects on health disparities and the complex interactions among health determinants that
impact health disparities. These health determinants include both studied and unstudied determinants as
well as known and unknown determinants. Research is needed to identify and better understand the
integrated relationship of these determinants, especially in real-world settings. These complexities often
require interdisciplinary systems science approaches to understand interactions among multiple factors and
over time. Results from such research should provide a robust foundation for designing effective
interventions to reduce health disparities.

Strategy 2.1: Investigate health determinants through basic, behavioral, clinical,
and applied
research to better understand the contributions to health disparity outcomes.

Action Priority Areas

Starting Line:

  • Identify risk factors that act as health determinants in creating and/or sustaining health disparity
    outcomes for NIH-designated populations experiencing health disparities.

Building Momentum:

  • Support research that seeks mechanisms and pathways behind health determinants that confer worse
    outcomes in populations experiencing health disparities and identify feasible intervention targets for health disparity
    outcomes.
  • Identify disparities in understudied populations experiencing health disparities—for example, sexual and gender
    minorities (SGMs) and Native Hawaiians and other Pacific Islanders.
  • Support research in understudied health conditions and risk factors that impact health, such as
    comorbidities and/or violence, that disproportionately affect populations experiencing health disparities.

Strategy 2.2: Support research to examine multilevel pathways and dynamic
interrelationships of
health determinants that impact health disparity outcomes over the life course and across
generations.

Action Priority Areas

Starting Line:

Explore associations between established determinants of health disparity outcomes occurring at multiple
levels (e.g., environmental, health care, sociocultural, biological) to identify mechanisms and pathways
for health disparity outcomes.

Building Momentum:

  • Examine how health disparities develop or are sustained over the life course and across generations.
  • Replicate mechanistic and pathway analyses of determinants for additional, related health outcomes,
    populations experiencing health disparities, life course approaches, and/or across generations.
  • Support the collection of diverse ancestral backgrounds in NIH-funded and analyzed -omics data sets to
    achieve representation similar to the U.S. population.

Strategy 2.3: Identify modifiable or reversible determinants of health disparities
during
relevant critical periods that can serve as feasible targets for health disparity
interventions.

Action Priority Areas

Starting Line:

  • Link data on environmental, health care, sociocultural, behavioral, and/or biological health
    determinants
    in racial, ethnic, socioeconomically, sexual identity, geographically, and ancestrally diverse cohorts
    to
    existing systems for specific outcome ascertainment (e.g., hospitalizations, incidence of specific
    conditions, mortality, emphasizing life course, and age cohort perspectives).

Building Momentum:

  • Support research that enables culturally relevant and appropriate interventions to disrupt fundamental
    determinants at critical periods that produce health disparity outcomes for priority populations.

Goal 3: Develop and test interventions to reduce health disparities

This goal advances the development and testing of population-specific interventions that reduce adverse
health differences and poor health outcomes. This research should capitalize on existing evidence on
health determinants to develop interventions that are culturally appropriate, as well as develop new
evidence, drawing on research from many different scientific disciplines. Health disparities can include
biological, behavioral, sociocultural, environmental, and health care system–level factors. The
interventions should be intentional about which populations, time points in the life course, and risk or
protective factors are targeted for reduction of health disparity outcomes. Implementation science methods
should be employed to inform feasibility, generalizability, and validity assessments of efficacious
interventions.

Strategy 3.1: Design and test interventions that target known health determinants
within the
context of specific populations and appropriate life course time points to influence specific health
disparity outcomes.

Action Priority Areas

Starting Line:

  • Adapt evidence-based interventions for implementation and evaluation within health disparity
    populations in culturally appropriate ways that consider the role of cultural processes in health
    disparity outcomes.
  • Develop and test interventions that target multiple socioecological levels at appropriate life course
    time points to improve health disparity outcomes within community-based populations.

Building Momentum:

  • Design and test strategies to improve access to and quality of care for populations experiencing health disparities
    within the health care system.
  • Assess the implementation of interventions within clinical system processes and settings, as well as
    determine the effects on health disparity outcomes and populations.
  • Develop and test interventions to improve symptom self-management and health-related quality-of-life
    outcomes in populations experiencing health disparities experiencing chronic and overlapping health conditions.

Strategy 3.2: Embed implementation science within intervention studies to inform
efforts to
scale, sustain, and translate efficacious interventions within and across populations and
settings.

Action Priority Areas

Starting Line:

  • Develop and test practical and sustainable adaptations within routine health care settings to improve
    health disparity outcomes and enable dissemination of effective practices.
  • Incorporate elements of implementation and scalability into the design and testing of interventions to
    enhance related effectiveness in real-world settings, particularly low-resource clinical and community
    settings that serve populations experiencing health disparities.

Building Momentum:

  • Develop guidance for NIH-supported researchers conducting intervention studies to include analyses of
    the pathways and mechanisms by which health disparity interventions produce observed effects.
  • Use implementation science approaches to understand and promote the adoption of evidence-based
    interventions to reduce health disparities.
  • Expand research in areas of implementation science with emphasis on clinical and public health systems
    processes for delivering preventive and treatment interventions in populations experiencing health disparities.
  • Develop criteria to assess whether interventions have sufficient evidence for demonstrating success,
    and create and maintain a compendium of evidence-based interventions with demonstrated success in
    reducing health disparities in the United States.

Strategy 3.3: Promote prevention and evaluate the impact of upstream interventions
on distal
health disparity outcomes across the lifespan and across generations.

Action Priority Areas

Starting Line:

  • Develop, implement, and evaluate participatory multilevel interventions to reduce exposures to
    environmental factors for which exposures create adverse health effects in disadvantaged populations,
    and assess the impact on early biomarkers of associated chronic diseases and conditions.
  • Develop and evaluate school-based prevention and health promotion interventions related to health
    behaviors and mental health.

Building Momentum:

  • Promote research on the benefits of preventive interventions, including assessments of the long-term
    impact on direct measures of health, health-related outcomes, and inter-generational transmission of
    health disparities.
  • Review available evidence to identify key gaps in prevention science related to health disparities,
    and promote targeted research on preventive services with the aim to increase population health equity.
  • Develop and evaluate workplace-based prevention and health promotion interventions related to health
    behaviors and mental health.

Goal 4: Create and improve scientific methods, metrics, measures, and tools that support
health
disparities research

The science of health disparities is a relatively new discipline, drawing on expertise from many
different fields of study. This diversity of thought presents unique opportunities, allowing researchers
to bring methodologies from all parts of academia to bear on reducing health disparities. Researchers have
access to a variety of powerful methods, metrics, measures, and tools to identify when health disparities
exist, what causes a disparity, and when a disparity is impacted. This diversity can present a challenge,
however, in understanding health disparities data across the field. Development and adaptation of common
indicators, measures, and methods is needed to enable comparisons among populations, to quantify the roles
of various health determinants in influencing and impacting a health disparity, and to promote
interdisciplinary collaboration. Population-based data systems should include representative samples of
minority and populations experiencing health disparities to facilitate methods development and testing.

Strategy 4.1: Identify and test the adoption of common indicators to quantify the
status of
health disparities across different diseases/conditions and populations.

Action Priority Areas

Starting Line:

  • Compile measurement tools (surveys and administered tests) in non-English languages applicable to the
    region.
  • Develop common standards for capturing data on health disparities, including health determinants that
    encompass social determinants, with support from the National Library of Medicine.

Building Momentum:

  • Develop tools to measure health indicators for health disparities research.
  • Develop measurement tools in non-English languages that can measure differences in population
    responses applicable to the region.

Strategy 4.2: Define the continuum from health differences to health disparities,
both
qualitatively and quantitatively across multiple dimensions, as well as develop contextually informed
clinical and statistical measures of disparities reductions.

Action Priority Areas

Starting Line:

  • Set priorities and a research agenda around health disparities measures and metrics.
  • Determine the metric that can be established to standardize a disparity reduction.

Building Momentum:

  • Collect and disseminate longitudinal data about specific health disparity conditions to develop
    measures of clinical change over time that apply to different subpopulations.

Strategy 4.3: Apply complex systems modeling approaches to identify and predict
relationships
between health determinants and health disparity outcome measures.

Action Priority Areas

Starting Line:

  • Promote interdisciplinary collaboration among health researchers and experts in computational
    approaches to further the development of modeling- and simulation-based systems science methodologies.

Building Momentum:

  • Assess multilevel interventions in the context of these simulation modeling and systems science
    research projects.
  • Develop innovative model systems to advance understanding of disabilities that can lead to disparities
    and inequities in access and utilization of health care, rehabilitation treatments, and knowledge of
    preventive measures.

Strategy 4.4: Support movement toward standardization, collection, reporting, and
leveraging of
measures of health determinants in both existing and emerging data sources, including administrative
clinical data, to foster linkages between health, sex and gender, and relevant health determinants data
for use in identifying health disparities and underlying causes through emerging techniques found in
data science.

Action Priority Areas

Starting Line:

  • Promote analysis and publication of research results that include relevant and appropriately sized
    samples from populations experiencing health disparities.

Building Momentum:

  • Sponsor and support workshops that result in technical reports and publications related to specific
    measurement issues in health disparities research, such as statistical analysis of small samples,
    self-identified race and ethnicity, and ancestry informative markers.
  • Review and compile major papers on measures and metrics in health disparities to create a repository
    of technical papers, tools, and publications.
  • Identify a representative from NIMHD and the NIH-wide Minority Health and Health Disparities
    Measurement and Methods Committee to collaborate with NIH’s Office of Data Science Strategy (ODSS) to
    facilitate the inclusivity and external validity of calculations and labels that impact health disparity
    populations.

Strategy 4.5: Identify and strengthen rigorous quantitative and qualitative methods
to enable
analysis on small populations and subpopulations.

Action Priority Areas

Starting Line:

  • Foster methodologies for conducting small population analyses.

Building Momentum:

  • Map the state of the science for qualitative and quantitative studies with small populations and
    subpopulations.
  • Develop research agendas for health disparity measurement in small populations and subpopulations.

Strategy 4.6: Evaluate minority health and health disparities proposals,
programs,and policies to
assess the effectiveness in improving minority health and/or reducing health disparities.

Action Priority Areas

Starting Line:

  • Develop educational materials for program officers, program analysts, evaluators, and policy analysts
    on measures, metrics, and their use in outcome assessments of health disparity research.

Building Momentum:

  • Assess the effects of social policies on minority health and health disparities.
  • Assess the impact of previous NIH grants that were identified as focusing on minority health and/or
    health disparities.

Page updated Jan. 12, 2024

link

By admin

https://muehlenbar.de/wp-includes/slot-online/

https://the-chef.co/sbobet/

Slot Gacor Terbaru

Link Slot Gacor

Sbobet

Situs Slot Gacor

Slot Gacor 2022

Login Sbobet

Daftar Sbobet

https://www.dcosmeticclinics.com.au/wp-includes/sbobet/

https://thetastesoflife.com/wp-includes/sbobet/

https://www.townshipofsugargrove.com/wp-includes/slot-gacor/

https://texasmamaboutique.com/wp-includes/slot-gacor/

https://bizu-me.com/wp-includes/slot-gacor/

https://tiketa.co.za/wp-includes/slot-gacor/

situs slot gacor

slot gacor gampang menang

slot gacor terbaru

daftar sbobet

slot bonus newmember

link sbobet

sbobet login