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Commentary to Special Issue on Health Discrepancies

Expanding the Frame of Understanding Health Disparities: From a Focus on Health Systems to Social and Economic Systems

Bibliographic Data

ID8088298
AuthorsBrian D Smedley (The Opportunity Agenda, Silver Spring, Maryland, corresponding author)
Year2006
Volume33
Issue4
Pages538-541
Publication date2006-06-12
Open AccessYes
TypeARTICLE
VenueHealth Education & Behavior (JOURNAL)
Journal identifiersISSN: 1090-1981 • E-ISSN: 1552-6127
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/1090198106288340
PMID16878351
OpenAlexW2169662698
LanguageEN
Citations received7
References cited3

Policy makers are increasingly attending to the problem of racial and ethnic health disparities, but much of this focus has been on evidence of inequality in health care systems. This attention is important and laudable, but eliminating inequality in the health care system would be insufficient to eliminate racial and ethnic disparities and improve the health of all Americans. Social and economic factors, such as disadvantaged socioeconomic status, racism, discrimination, and geographic inequality shape virtually all risks for poor health. Interventions that focus solely on improving access to health care, or on reducing individual behavioral and psychosocial risks, therefore have limited potential to reduce racial and ethnic health disparities. The elimination of health disparities requires comprehensive, intensive strategies that address inequality in many sectors, including housing, education, employment, and health systems. These interventions must be targeted at many levels, including individuals and families, workplaces, schools, and communities

Environmental health · Focus (optics · Frame (networking · Health equity · Health promotion · Public health · Social determinants of health · Sociology · Computer Science · Food Security and Health in Diverse Populations · Health disparities and outcomes · Medicine · Nursing · Psychology · Racial and Ethnic Identity Research

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    Open Access•Jeff Niederdeppe, Cabral A Bigman et al.•Journal of Communication•2013

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    Open Access•Sandra Peláez, Kristin N Hendricks et al.•Globalization and Health•2017

  • Using photovoice to explore social determinants of obesity in two underserved communities in the southeast

    Lori Brand Bateman, Zachary Simoni et al.•Sociological Spectrum•2019

  • Characteristics Associated with Racial Disparities in Illness Beliefs of Patients with Heart Failure

    Nancy M Albert, Kathleen Trochelman et al.•Behavioral Medicine•2009

  • The Polarizing Effect of News Media Messages About the Social Determinants of Health

    Sarah E Gollust, Paula M Lantz et al.•American Journal of Public Health•2009

  • Aging, Diabetes, and the Public Health System in the United States

    Carl J Caspersen, G Darlene Thomas et al.•American Journal of Public Health•2012

  • Black

    Open Access•Bijou R Hunt, Bijou Hunt et al.•Journal of Racial and Ethnic…•2015

  • Racial/Ethnic Discrimination and Health

    David R Williams, Harold W Neighbors et al.•American Journal of Public Health•2003

  • Painting a Truer Picture of US Socioeconomic and Racial/Ethnic Health Inequalities

    Nancy Krieger, Jarvis T Chen et al.•American Journal of Public Health•2005

Citations per year0.41
Citation span2009 - 2019 (11)
Highly citedNo

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