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The “Long Tail” and Public Health

New Thinking for Addressing Health Disparities

Bibliographic Data

ID11032296
AuthorsMatthew W Kreuter (0000-0001-7272-0785, Matthew W. Kreuter, Debbie J. Pfeiffer, Maggie Fairchild, Suchitra Rath, Balaji Golla, and Chris Casey are with the Health Communication Research Laboratory, Washington University in St. Louis, St. Louis, MO. Peter Hovmand is with The Brown School, Washington University in St. Louis.), Peter Hovmand (Matthew W. Kreuter, Debbie J. Pfeiffer, Maggie Fairchild, Suchitra Rath, Balaji Golla, and Chris Casey are with the Health Communication Research Laboratory, Washington University in St. Louis, St. Louis, MO. Peter Hovmand is with The Brown School, Washington University in St. Louis.), Peter S Hovmand (0000-0003-2096-6868, Washington University in St. Louis), Debbie J Pfeiffer (Matthew W. Kreuter, Debbie J. Pfeiffer, Maggie Fairchild, Suchitra Rath, Balaji Golla, and Chris Casey are with the Health Communication Research Laboratory, Washington University in St. Louis, St. Louis, MO. Peter Hovmand is with The Brown School, Washington University in St. Louis.), Maggie Fairchild (Matthew W. Kreuter, Debbie J. Pfeiffer, Maggie Fairchild, Suchitra Rath, Balaji Golla, and Chris Casey are with the Health Communication Research Laboratory, Washington University in St. Louis, St. Louis, MO. Peter Hovmand is with The Brown School, Washington University in St. Louis.), Suchitra Rath (Matthew W. Kreuter, Debbie J. Pfeiffer, Maggie Fairchild, Suchitra Rath, Balaji Golla, and Chris Casey are with the Health Communication Research Laboratory, Washington University in St. Louis, St. Louis, MO. Peter Hovmand is with The Brown School, Washington University in St. Louis.), Balaji Golla (Matthew W. Kreuter, Debbie J. Pfeiffer, Maggie Fairchild, Suchitra Rath, Balaji Golla, and Chris Casey are with the Health Communication Research Laboratory, Washington University in St. Louis, St. Louis, MO. Peter Hovmand is with The Brown School, Washington University in St. Louis.), Chris Casey (Matthew W. Kreuter, Debbie J. Pfeiffer, Maggie Fairchild, Suchitra Rath, Balaji Golla, and Chris Casey are with the Health Communication Research Laboratory, Washington University in St. Louis, St. Louis, MO. Peter Hovmand is with The Brown School, Washington University in St. Louis.)
Year2014
Volume104
Issue12
Pages2271-2278
Publication date2014-12-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2014.302039
PMID25322308
PMCIDPMC4232172
OpenAlexW1982861882
LanguageEN
Citations received6
References cited14

The prevailing approach to improving population health focuses on shifting population means through a few targeted and universal interventions. The success of this approach for eliminating health disparities depends on an assumption about the distribution of demand for such interventions. We explored whether long tail thinking from business might yield greater progress in eliminating disparities. We examined 2011 to 2013 data from 513 state and local health agency representatives in 47 states who used an online system to create 4351 small media and client reminder products promoting colorectal cancer screening. Products in the long tail were more likely to target minority groups with higher rates of colorectal cancer and lower rates of screening than Whites. Long tail thinking could help improve the public's health and eliminate disparities

Agency (philosophy) · Business · Environmental health · Health equity · Population · Psychological intervention · Public health · Public health interventions · Social science · Sociology · Consumer Attitudes and Food Labeling · Global Public Health Policies and Epidemiology · Medicine · Nursing · Obesity, Physical Activity, Diet · Gerontology

  • Increasing gaps in health inequalities related to non-communicable diseases in South Australia; implications towards behavioural risk factor surveillance systems to provide evidence for action

    Open Access•Campostrini, Stefano Campostrini et al.•BMC Public Health•2019

  • Use of digital distress metrics to assess digital exclusion can obscure vulnerable groups

    Open Access•Joseph G L Lee, Catherine E LePrevost et al.•Universal Access in the…•2026

  • Risk, Resilience, and Smoking in a National, Probability Sample of Sexual and Gender Minority Adults, 2017, USA

    Open Access•Joseph G L Lee, Bonnie E Shook‐sa et al.•Health Education & Behavior•2020

  • Community based system dynamic as an approach for understanding and acting on messy problems

    Open Access•Jean-Francois Trani, Elaine Ballard et al.•Conflict and Health•2016

  • Influence of advanced notice record cards on waterfowl hunting participation and harvest distributions

    Jerry J Vaske, Jay Beaman et al.•Human Dimensions of Wildlife•2019

  • Minimal effect sizes do not imply minimal effects for differences in long-tailed distributions

    Jerry J Vaske, Jay Beaman et al.•Human Dimensions of Wildlife•2020

  • The Knowledge Gap

    Open Access•Cecilie Gaziano•Communication Research•1983

  • Revisiting the Knowledge Gap Hypothesis

    Open Access•Yoori Hwang, Se-Hoon Jeong•Journalism & Mass Communication…•2009

  • Sick individuals and sick populations

    Geoffrey Rose•International Journal of…•2001

  • Co-creation experiences

    Open Access•C K Prahalad, Venkat Ramaswamy•Journal of Interactive Marketing•2004

  • Increasing Information-Seeking About Human Papillomavirus Vaccination Through Community Partnerships in African American and Hispanic Communities

    Matthew W Kreuter, Maria E Fernandez et al.•Family & Community Health•2012

  • Sick Individuals and Sick Populations

    Geoffrey Rose•International Journal of…•1985

  • Transcending the Known in Public Health Practice

    Katherine L Frohlich, Leigh Potvin et al.•American Journal of Public Health•2008

Citations per year0.6
Citation span2016 - 2026 (11)
Highly citedNo

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