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The Director of the Health Disparities Group, Vence L. Bonham Jr., leads a team that seeks to qualify and better understand the disparities and reduce the gap in access to genetic counseling, inclusion of minority communities in original research, and access to genetic information to improve health. [220]
While medical care and genetics play significant roles, a person’s health outcomes are also profoundly shaped by their social, economic, and environmental conditions. Understanding these determinants is imperative for devising effective strategies to address health disparities and promote equitable access to healthcare.
The National Health Interview Survey indicated that in 1998, 16% of rural adults reported poor health. [67] Poor rural residents have only 21% Medicaid coverage, while poor urban populations report 30% coverage. [67] Demographic and socioeconomic factors vary between rural and urban areas, which contributes to some health disparities. [67]
A "meta-evaluation" of 56 studies published 1982–2005 found that worksite health promotion produced on average a decrease of 26.8% in sick leave absenteeism, a decrease of 26.1% in health costs, a decrease of 32% in workers' compensation costs and disability management claims costs, and a cost-benefit ratio of 5.81. [47]
The 1978 World Health Organization (WHO) declaration at Alma-Ata was the first formal acknowledgment of the importance of intersectoral action for health. [5] The spirit of Alma-Ata was carried forward in the Ottawa Charter for Health Promotion (adopted in Ottawa in 1986), which discussed "healthy public policies" as a key area for health promotion.
The Hopkins Center for Health Disparities Solutions was established in October 2002 with a 5-year grant from the National Center for Minority Health and Health Disparities (NCMHD), of the National Institutes of Health (NIH) under the Centers of Excellence in Partnerships for Community Outreach, Research on Health Disparities, and Training program (Project EXPORT).
As the Surgeon General notes, we all have a role in eliminating tobacco-related health disparities. Dr. Murthy advised the following: Addressing the factors that influence tobacco-related disparities.
In 1995, Jo C. Phelan and Bruce G. Link developed the theory of fundamental causes.This theory seeks to outline why the association between socioeconomic status (SES) and health disparities has persisted over time, [1] particularly when diseases and conditions previously thought to cause morbidity and mortality among low SES individuals have resolved. [2]