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Health Equity
Health Disparities, Health Equity, Health Psychology
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Why is the rich US in such poor health? - opinion - 15 July 2013 - New Scientist

Why is the rich US in such poor health? - opinion - 15 July 2013 - New Scientist | Health Equity | Scoop.it
In the wake of a startling report highlighting the US's poor health compared with other wealthy nations, its study director Laudan Aron searches for
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AMERICANS die younger and experience more injury and illness than people in other rich nations, despite spending almost twice as much per person on healthcare. That was the startling conclusion of a major report released earlier this year by the US National Research Council (NRC) and the Institute of Medicine (IOM).

It received widespread attention. The New York Times concluded: "It is now shockingly clear that poor health is a much broader and deeper problem than past studies have suggested."

What it revealed was the extent of the US's large and growing "health disadvantage", which shows up as higher rates of disease and injury from birth to age 75 for men and women, rich and poor across all races and ethnicities. The comparison countries – Australia, Austria, Canada, Denmark, Finland, France, Germany, Italy, Japan, Norway, Portugal, Spain, Sweden, Switzerland, the Netherlands and the UK – generally do much better, although the UK isn't far behind the US.

The poorer outcomes in the US are reflected in measures as varied as infant mortality, the rate of teen pregnancy, traffic fatalities and heart disease. Even those with health insurance, high incomes, college educations and healthy lifestyles appear to be sicker than their counterparts in other wealthy countries. The US Council on Foreign Relations, a non-partisan think tank, described the report as "a catalog of horrors".

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If this was a pill, you’d do anything to get it

If this was a pill, you’d do anything to get it | Health Equity | Scoop.it
Why is Medicare shutting down one of the most promising health-care experiments in the country?
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Blogger Resources from @CDC Tracking Network

Blogger Resources  from @CDC Tracking Network | Health Equity | Scoop.it
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This is every blogger's one-stop source for resources to help you blog about the Tracking Network. You can use these communication materials and social media tools to learn about Tracking, share with your audiences, and stay up-to-date with Tracking News. Check out this Introduction to Environmental Public Health Tracking for Bloggers  to find out how you can use and blog about the Tracking Network!

 

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How does an illness become an identity? Andrew Solomon

How does an illness become an identity? Andrew Solomon | Health Equity | Scoop.it
Talk Details
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Andrew Solomon at TEDMED 2013Many affected by illness and disability find profound meaning, inspiration and identity in their differences, says author Andrew Solomon, who holds that it is diversity that truly unites us all.

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Live Graphic Recording: Culturally Safe Spaces | Sam Bradd

Live Graphic Recording: Culturally Safe Spaces | Sam Bradd | Health Equity | Scoop.it
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These live graphic recordings were created for nurses attending the “Creating Culturally Safe Spaces: What it Takes” workshop prior to the 20th Annual Conference of the Canadian Association of Nurses in AIDS Care (CANAC/ACIIS), hosted by the Center for Aboriginal Health Research (CAHR) at the University of Victoria.

Cultural competency in Aboriginal health care is described by CAHR as “respectful care that is based on a community framework of health, including integrating traditional health and healing knowledge to inform service delivery.” The speakers shared many stories about best practices, recommendations, and ways to move forward with culturally competent health care.

 

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The Oregon Experiment--Effects of Medicaid on Clinical Outcomes

The Oregon Experiment--Effects of Medicaid on Clinical Outcomes | Health Equity | Scoop.it
Major benefits seen from this Medicaid expansion trial—improved health and well-being; reduced financial strain.
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Professors' Facebook Content Affects Students' Perceptions and Expectations

Professors' Facebook Content Affects Students' Perceptions and Expectations | Health Equity | Scoop.it
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Facebook users must make choices about level of self-disclosure, and this self-disclosure can influence perceptions of the profile's author. We examined whether the specific type of self-disclosure on a professor's profile would affect students' perceptions of the professor and expectations of his classroom. We created six Facebook profiles for a fictitious male professor, each with a specific emphasis: politically conservative, politically liberal, religious, family oriented, socially oriented, or professional. Undergraduate students randomly viewed one profile and responded to questions that assessed their perceptions and expectations. The social professor was perceived as less skilled but more popular, while his profile was perceived as inappropriate and entertaining. Students reacted more strongly and negatively to the politically focused profiles in comparison to the religious, family, and professional profiles. Students reported being most interested in professional information on a professor's Facebook profile, yet they reported being least influenced by the professional profile. In general, students expressed neutrality about their interest in finding and friending professors on Facebook. These findings suggest that students have the potential to form perceptions about the classroom environment and about their professors based on the specific details disclosed in professors' Facebook profiles

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Independent Review Of Social And Population Variation In Mental Health Could Improve Diagnosis In DSM Revisions

Independent Review Of Social And Population Variation In Mental Health Could Improve Diagnosis In DSM Revisions | Health Equity | Scoop.it
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At stake in the May 2013 publication of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), are billions of dollars in insurance payments and government resources, as well as the diagnoses and treatment of millions of patients. We argue that the most recent revision process has missed social determinants of mental health disorders and their diagnosis: environmental factors triggering biological responses that manifest themselves in behavior; differing cultural perceptions about what is normal and what is abnormal behavior; and institutional pressures related to such matters as insurance reimbursements, disability benefits, and pharmaceutical marketing. In addition, the experts charged with revising the DSM lack a systematic way to take population-level variations in diagnoses into account. To address these problems, we propose the creation of an independent research review body that would monitor variations in diagnostic patterns, inform future DSM revisions, identify needed changes in mental health policy and practice, and recommend new avenues of research. Drawing on the best available knowledge, the review body would make possible more precise and equitable psychiatric diagnoses and interventions.

 

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Food Marketing to Children and Youth: Threat or Opportunity? - Institute of Medicine

Food Marketing to Children and Youth: Threat or Opportunity? - Institute of Medicine | Health Equity | Scoop.it
The report provides the most comprehensive review to date of the scientific evidence on the influence of food marketing on diets and diet-related health of children and youth.
bacigalupe's insight:

Creating an environment in which U.S. children and youth can grow up healthy should be a high priority for the nation. Yet the prevailing pattern of food and beverage marketing to children and youth in America represents, at best, a missed opportunity, and at worst, a direct threat to the health prospects of the next generation.

Dietary patterns begin in childhood and shape the health of Americans, which result from an interplay of many factors--genetics and biology, culture and values, economics, physical and social environments, and commercial media environments. Ensuring that environments are supportive of good health is a fundamental responsibility, requiring leadership and action from all sectors.

How marketing influences children and youth is the focus of the IOM report, Food Marketing to Children and Youth: Threat or Opportunity? The report provides the most comprehensive review to date of the scientific evidence on the influence of food marketing on diets and diet-related health of children and youth. The study was requested by Congress and sponsored by the U.S. Centers for Disease Control and Prevention (CDC). 

The report finds that current food and beverage marketing practices puts children's long-term health at risk. If America's children and youth are to develop eating habits that help them avoid early onset of diet-related chronic diseases, they have to reduce their intake of high-calorie, low-nutrient snacks, fast foods, and sweetened drinks, which make up a high proportion of the products marketed to them.

The report provides recommendations for different segments of society to guide the development of effective marketing and advertising strategies that promote healthier foods, beverages, and meal options to children and youth. Recommendations are provided for

the food beverage, and restaurant industries;food retailers and trade associations;the entertainment industry and the media;parents and caregivers;schools; andthe government.

The report offers guidance on research activities necessary to chart the path of future improvements, and the capacity to monitor and track improvements in marketing practices that have an influence on children's and youth's diets and diet-related health. The recommendations reflect the current context and information in a rapidly changing environment, and should be implemented together as a package to support and complement one another.

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Cancer as a psychological trauma | Mind the Brain

Cancer as a psychological trauma | Mind the Brain | Health Equity | Scoop.it
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The invention of cancer as psychological trauma

It may come as a surprise that the connection between cancer and psychological trauma only appeared in the scientific literature around 1990. A search of “cancer” AND “(psychological trauma or PTSD)” on Thomson Reuters Web of Science can be used to create a graphic display in which only a few studies in the early 90s steadily increase thereafter.


Publications per year Cancer + Trauma

The notion that cancer is traumatic came into play in the late 1980s when changes were contemplated to the DSM criteria for posttraumatic stress disorder (PTSD). Diagnosis of PTSD previously required exposure to an event outside the range of normal human experience. The DSM-III specifically ruled out chronic illness as such an event. However, it was anticipated that this exclusion would be removed in the next revision of DSM. The assumption was not that physical illness was necessarily traumatic, but if certain criteria were met, that physical illness could be considered a cause of PTSD.

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Infographic: Weight of the Union 2013 « Healthcare Intelligence Network

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Weight of the Union 2013, an infographic from Anytime Health, examines the macro-implications of obesity on the nation's health. This graphic not only defines the program, but suggests a treatment program to reverse this unhealthy trend, including the recruitment of food and beverage brands to make and market healthier products and the increased access to locally grown food in restaurants and supermarkets.

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JAMA | Evidence-Based PersuasionAn Ethical ImperativeThe Ethics of Evidence-Based Persuasion

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The primacy in modern medical ethics of the principle of respect for autonomy has led to the widespread assumption that it is unethical to change someone's beliefs, because doing so would constitute coercion or paternalism. In this Viewpoint we suggest that persuasion is not necessarily paternalistic and is an essential component of modern medical practice. There are at least 3 different types of persuasion. The first is the removal of biases; the second is recommending a particular course of action and providing evidence and reasons in favor of it; and the third is the potential creation of new biases, which could cross the line into unethical manipulation. The first of these is always mandatory, the second is usually permissible but sometimes inappropriate, and the third is normally impermissible but sometimes acceptable in rare cases.

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Why We Need to Treat America's Poorest Neighborhoods Like Developing Countries

Why We Need to Treat America's Poorest Neighborhoods Like Developing Countries | Health Equity | Scoop.it
Life expectancy can vary as much as 25 years within some cities. And our current solutions are barely having an impact.
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Embracing Uncertainty as a Path to Competence: Cultural Safety, Empathy,and Alterity in Clinical Training

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What Do We Mean by "Behavioral Health Integrated with Primary Care"? | The Academy

What Do We Mean by "Behavioral Health Integrated with Primary Care"? | The Academy | Health Equity | Scoop.it
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In this emerging field, like others, it is important to develop shared language that enables communication and collaboration across sites, disciplines, and time. The Academy’s Lexicon is a set of concepts and definitions developed by expert consensus for what we mean by behavioral health and primary care integration—a functional definition —what things look like in practice. This consensus Lexicon enables effective communication and concerted action among clinicians, care systems, health plans, payers, researchers, policymakers, business modelers, and patients working for effective, widespread implementation on a meaningful scale.

The original version of the Academy’s Lexicon was developed through an Agency for Health Research and Quality (AHRQ) small conference grant in 2009 to develop a National Research Agenda for Collaborative Care. Through the planning process for that meeting, it was clear that the experts used the same words to refer to different concepts or practices and struggled to communicate effectively. After the meeting’s pilot work to develop a shared understanding, participants agreed that the Lexicon was an important, even critical, advancement for the field but that it needed further refinement. To that end, AHRQ funded an R-13 grant that enabled C.J. Peek and the University of Minnesota to collaborate with the Academy’s National Integration Advisory Council (NIAC) to provide expert consensus and further refine the Lexicon. The current lexicon is the culmination of that effort.

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Health behavior models in the age of mobile interventions: are our theories up to the task?

Health behavior models in the age of mobile interventions: are our theories up to the task? | Health Equity | Scoop.it
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Mobile technologies are being used to deliver health behavior interventions. The study aims to determine how health behavior theories are applied to mobile interventions. This is a review of the theoretical basis and interactivity of mobile health behavior interventions. Many of the mobile health behavior interventions reviewed were predominately one way (i.e., mostly data input or informational output), but some have leveraged mobile technologies to provide just-in-time, interactive, and adaptive interventions. Most smoking and weight loss studies reported a theoretical basis for the mobile intervention, but most of the adherence and disease management studies did not. Mobile health behavior intervention development could benefit from greater application of health behavior theories. Current theories, however, appear inadequate to inform mobile intervention development as these interventions become more interactive and adaptive. Dynamic feedback system theories of health behavior can be developed utilizing longitudinal data from mobile devices and control systems engineering models.

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Global Rich List

Global Rich List | Health Equity | Scoop.it
Didn't make it onto the yearly roll call of the mega-wealthy? Why not find out where you'd actually sit in comparison to the rest of the world? You might be surprised.
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American College of Physicians Endorses Shared Decision Making Approach for Prostate Cancer Screening

Partnerships for Quality Care
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The authors of the guidance statement recommend that men between the age of 50 and 69 years should be fully informed of the benefits and harms of screening, and the decision to have a PSA test should be based on the patient’s overall health, life expectancy, risk for prostate cancer and preferences. The guidelines advise that “the harms of screening for prostate cancer outweigh the benefits in average-risk men younger than 50 years, men older than 69 years, or men who have a life expectancy less than 10 to 15 years.” However, the decision to undergo a PSA test is extremely preference-sensitive and some men may place more value on the limited potential benefits and less value on the harms associated with the test.

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Disparities Solutions Center

The Disparties Solutions Center is dedicated to the development and implementation of strategies that advance policy and practice to eliminate racial and ethnic disparities in health care.
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Food and Beverage Marketing to Children and Adolescents

Food and Beverage Marketing to Children and Adolescents | Health Equity | Scoop.it
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This research review summarizes the academic and industry literature on trends in food marketing to children and adolescents, as well as policy initiatives undertaken to address the contribution of marketing practices to the childhood obesity epidemic, from March 2011 to May 2012.

This review finds that self-regulation by the food and beverage industry is not likely to reduce marketing of unhealthy foods to children and adolescents significantly.

The review also finds that the food and beverage industry can exert significant influence on government efforts to reduce the marketing of unhealthy foods to children and adolescents.

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The Guide to Community Preventive Services (The Community Guide)

The Guide to Community Preventive Services (The Community Guide) | Health Equity | Scoop.it
The Community Guide is a resource for evidence-based Task Force recommendations and findings about what works to improve public health.
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The Guide to Community Preventive Services is a free resource to help you choose programs and policies to improve health and prevent disease in your community. Systematic reviews are used to answer these questions:

Which program and policy interventions have been proven effective?Are there effective interventions that are right for my community?What might effective interventions cost; what is the likely return on investment?
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