Child Health Disparities Research Agenda
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Questions and Answers

The multidisciplinary conference planning committee reviewed existing health disparities ______ reports.

reports

Nine topic areas were chosen to be discussed in two conference panels on conceptualization of child health ______.

disparities

Nine articles were ______ and briefly presented at the conference.

commissioned

The views presented in the articles are those of the authors and ______, not the organizations.

<p>participants</p> Signup and view all the answers

The authors have indicated they have no financial ______ relevant to this article to disclose.

<p>relationships</p> Signup and view all the answers

The conference organizers included Tina L. Cheng and ______ Jenkins.

<p>Renée</p> Signup and view all the answers

The final conference recommendations make up this ______ to Pediatrics.

<p>supplement</p> Signup and view all the answers

The workshop titled 'Challenges and Successes in Reducing Health Disparities' was summarized by the ______.

<p>Roundtable on Health Disparities</p> Signup and view all the answers

A research action agenda was developed for discussion and ______ at the conference.

<p>development</p> Signup and view all the answers

The 2007 National Healthcare Disparities Report was published by the Agency for Healthcare ______.

<p>Research and Quality</p> Signup and view all the answers

The National Center for Child Health and Health Development aims to bridge the gap in ______ disparities.

<p>health</p> Signup and view all the answers

In 2004, the Committee on Evaluation of Children's Health released a report titled 'Children's Health, the Nation's ______.'

<p>Wealth</p> Signup and view all the answers

The publication on child health services research by Forrest, Simpson, and Clancy appeared in ______.

<p>JAMA</p> Signup and view all the answers

Child health is unique and distinct from that of adult health, suggesting that research on child health should incorporate this ______.

<p>perspective</p> Signup and view all the answers

Health disparities are defined as significant differences in health, health care, or developmental outcomes, particularly among racial and ______ groups.

<p>ethnic</p> Signup and view all the answers

The adapted definition of health disparities implies that they should be regarded as inequitable and potentially ______ differences.

<p>systematic</p> Signup and view all the answers

Researchers believe health disparities research should consider life chances, opportunity, risk, and quality of ______.

<p>life</p> Signup and view all the answers

Health disparities should be defined, investigated, and ameliorated based on race and ethnicity, socioeconomic status, generation, and ______.

<p>geography</p> Signup and view all the answers

Understanding health disparities within groups characterized by specific racial, ethnic, and socioeconomic ______ is essential for identifying resiliency factors.

<p>characteristics</p> Signup and view all the answers

The conference participants proposed broadening the understanding of health disparities to include psychosocial and socioeconomic ______.

<p>perspectives</p> Signup and view all the answers

In health disparities research, traditional attention to health status should be balanced with attention to the provision of health ______.

<p>care</p> Signup and view all the answers

The future health and well-being of America is linked to how successfully we manage the health and well-being of today’s ______.

<p>children</p> Signup and view all the answers

On November 6–7, 2008, a multidisciplinary group of 70 ______, practitioners, and funders gathered in Washington, DC.

<p>researchers</p> Signup and view all the answers

The meeting focused on disparities, defined as differences in health, health care, and developmental ______.

<p>outcomes</p> Signup and view all the answers

This report reviews recommendations for a research agenda on the disparities that affect the health and ______ of many children.

<p>opportunities</p> Signup and view all the answers

The DC-Baltimore Research Center on Child Health Disparities is a collaboration of Howard University, Johns Hopkins University, and ______ National Medical Center.

<p>Children’s</p> Signup and view all the answers

The conference was sponsored by several organizations, including the American Academy of ______.

<p>Pediatrics</p> Signup and view all the answers

High rates of childhood asthma morbidity mean that adult caretakers take time off ______.

<p>work</p> Signup and view all the answers

The ______ Center on Minority Health and Health Disparities contributed to the conference's sponsorship.

<p>National</p> Signup and view all the answers

Adults with chronic diseases, such as type 2 diabetes and early ______, experience limitations in their roles as parents and grandparents.

<p>stroke</p> Signup and view all the answers

The research agenda aims at eliminating child health ______.

<p>disparities</p> Signup and view all the answers

The focus on disease and diagnosis tends to minimize the importance of broad social forces and socioeconomic ______.

<p>disadvantage</p> Signup and view all the answers

A narrow focus on biomedical factors constrains our consideration of opportunities for ______.

<p>intervention</p> Signup and view all the answers

The conference provided recommendations regarding training and ______ for conducting health disparities research.

<p>funding</p> Signup and view all the answers

Several definitions of health disparities exist, but the majority are oriented towards ______.

<p>adults</p> Signup and view all the answers

The conference discussed useful models that informed the overall ______ of health disparities.

<p>conceptualization</p> Signup and view all the answers

Our recommendations aim to inform future research on child health disparities in terms of ______, content, and methods.

<p>scope</p> Signup and view all the answers

Most existing health disparities frameworks approach inequities with an adult focus and make the assumption that child inequities follow a similar _____ .

<p>paradigm</p> Signup and view all the answers

Horn and Beal have argued that a _____ framework is needed when investigating child health disparities.

<p>child-specific</p> Signup and view all the answers

The life-course framework emphasizes the development of disparities across the continuum of childhood, adolescence, and _____ .

<p>adulthood</p> Signup and view all the answers

The ecological model focuses on appreciating the complex _____ and extraindividual factors present at every point in time.

<p>environmental</p> Signup and view all the answers

These models are _____, meaning they work together to provide a more comprehensive understanding of health disparities.

<p>complementary</p> Signup and view all the answers

The developmental or life-course model and an ecological model provide cogent _____ for understanding the precursors of health outcomes.

<p>paradigms</p> Signup and view all the answers

The conceptual model presented in Children’s Health, the Nation’s Wealth: Assessing and Improving Child Health incorporates these _____ .

<p>models</p> Signup and view all the answers

There continues to be debate regarding the evidence for, and _____ of, the life-course approach.

<p>value</p> Signup and view all the answers

Flashcards

Consensus building

The process of forming a shared understanding and agreement among a group of experts.

Health disparities

Differences in health outcomes that are linked to socioeconomic factors like race, ethnicity, and income.

Research action agenda

A plan outlining specific actions to address a problem, often involving research.

Discussant

A group of experts invited to provide feedback and insight on a topic.

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Conference panels

A series of articles or presentations that explore a specific topic in depth.

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Conceptualization of child health disparities

The focus on the origins and nature of health disparities affecting children.

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Solving child health disparities

Efforts aimed at finding solutions to health disparities affecting children.

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Health disparities reports

Documents that provide data and insights into the state of health disparities.

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DC-Baltimore Research Center on Child Health Disparities Writing Group

A group of researchers, practitioners, and funders who came together to create a plan for addressing health disparities in children.

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Life-Course Perspective

The long-term effects of early childhood experiences on health and well-being.

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Research Agenda

A research agenda focused on understanding and eliminating child health disparities.

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Healthcare Access

The ability to reach and use quality healthcare services.

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Health Outcomes

The overall outcome of a person's health and well-being.

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Developmental Opportunities

The ability to develop and grow to your full potential.

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Organizations Supporting the Research Agenda

The National Center on Minority Health and Health Disparities, Eunice Kennedy Shriver National Institute of Child Health and Human Development, American Academy of Pediatrics, Agency for Healthcare Quality and Research, The Commonwealth Fund, Academic Pediatric Association, Lucile Packard Foundation for Children’s Health, and Robert Wood Johnson Foundation.

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Biomedical Focus

Focuses on the differences in disease rates and prevention measures, but may not fully consider the impact of wider social factors.

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Child Health Disparities

The impact of health disparities on children, which can be a factor in their development and well-being.

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Social Determinants of Health

The ability to understand and consider broad societal factors that contribute to health disparities, such as poverty or discrimination.

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Social-Ecological Model

A model that helps to understand the complex interactions between individual factors and the environment, influencing health disparities.

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Upstream-Downstream Model

A model that focuses on the factors that contribute to health disparities, including individual, social, and environmental factors.

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Health Behaviors

The ability of individuals to make healthy choices, which can be influenced by social and environmental factors.

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Health Disparities Defined

Differences in health, healthcare, or development outcomes that are unfair and potentially avoidable due to systemic or preventable factors.

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Beyond Traditional Health Measures

A broad perspective on health disparities that considers factors like life chances, opportunities, risks, and quality of life, encompassing social, psychological, and economic aspects.

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Interplay of Factors

The study of health disparities should investigate how factors like race, ethnicity, socioeconomic status, generation, and geography interact to contribute to disparities.

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Disparities Within Groups

It's crucial to examine health disparities not only across different groups but also within groups that share similar racial, ethnic, and socioeconomic characteristics.

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Resilience Factors

Focusing on health disparities within specific groups allows researchers to identify factors that contribute to resilience and positive health outcomes.

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Unique Child Health

Research on child health should be approached differently from adult health research because children's needs, development, and vulnerabilities are unique.

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NIH's Definition of Health Disparities

The Eunice Kennedy Shriver National Institute of Child Health and Human Development provides a working definition of health disparities that focuses on differences in health, healthcare, or development outcomes among different racial and ethnic groups.

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National Healthcare Disparities Report

A publication focusing on healthcare inequalities, examining their causes and exploring solutions.

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National Research Council and Institute of Medicine

A scientific organization committed to improving the health of children. Conducts research and publishes reports like "Children's Health, the Nation's Wealth."

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US Census Bureau

A governmental body responsible for collecting and analyzing information on the US population, including demographic data.

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US Department of Health and Human Services

The US Department of Health and Human Services is responsible for the health and well-being of Americans.

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Child Health Disparities Frameworks

Conceptual frameworks that provide a unique perspective on child health disparities, focusing on factors that contribute to inequalities across different stages of childhood, adolescence, and adulthood.

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Life-Course Framework

A framework that emphasizes the long-term effects of health disparities across different developmental stages of a person's life, highlighting how early experiences impact later health outcomes.

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Ecological Model

A model that examines the complex interplay of multiple factors within an individual's environment that contribute to or worsen health disparities. These factors can include social, economic, and biological elements.

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Integrated Approach to Child Health Disparities

This model is a combination of the life-course and ecological perspectives, providing a comprehensive approach to understanding child health disparities by considering the intricate relationship between individual development and various environmental factors.

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Moving Beyond Disease-Specific Approaches

The integrated approach offers a more nuanced understanding of child health disparities as opposed to singular, disease-focused approaches.

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Transgenerational Impact on Health

The life-course framework recognizes that early life experiences can shape health trajectories and influence health outcomes in later life.

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Multi-Level Environmental Influence on Health

The ecological framework highlights the importance of understanding the complex interplay of various factors in a person's environment that contribute to health disparities, influencing health across multiple levels.

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Holistic Understanding of Child Health Disparities

The integrated approach emphasizes the importance of considering the interconnectedness of various levels of influence, from the individual to the societal level, while understanding health disparities.

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Study Notes

Starting Early: A Life-Course Perspective on Child Health Disparities-Research Recommendations

  • A multidisciplinary group of 70 researchers, practitioners, and funders gathered in Washington D.C. to develop a research agenda for eliminating child health disparities.
  • The meeting focused on disparities defined as differences in health, healthcare and developmental outcomes, particularly among racial and ethnic minority groups.
  • The conference was sponsored by various organizations: the National Center on Minority Health and Health Disparities, Eunice Kennedy Shriver National Institute of Child Health and Human Development, American Academy of Pediatrics, Agency for Healthcare Quality and Research, The Commonwealth Fund, Academic Pediatric Association, Lucile Packard Foundation for Children's Health, and Robert Wood Johnson Foundation.
  • The conference planning committee selected 9 topic areas for discussion in 2 conference panels: conceptualization of child health disparities and solving child health disparities.
  • Nine articles were commissioned and presented at the conference.
  • The report emphasizes the importance of child health in relation to the future health and well-being of America.
  • The report notes that there is significant work to be done to better understand and ameliorate child health disparities.
  • The US population has a significant proportion of children.
  • The United States has a growing racial and ethnic diversity among children.
  • By 2050, ~62% of America's children are estimated to be ethnic minorities.
  • Minority children are disproportionately represented in low-income households.
  • In 2006, 10% of non-Hispanic white children, compared to 27% of black and 33% of Hispanic children lived in poverty.
  • Minority status and lower socioeconomic standing contributes to social disadvantage affecting health disparities.

Previous Disparities Reports

  • Reports from the Institute of Medicine (IOM) and the Agency for Healthcare Quality and Research have addressed racial and ethnic health disparities.
  • Important limitations exist in our understanding: discussion of child health disparities is often less prominent compared to those of adults.
  • Categorical (e.g., asthma, immunization rates) approaches overlook the life-course impact of disparities and the broader context of factors influencing child health.
  • The report critiques the lack of integration between issues of disparities in adults and children.

Defining and Conceptualizing Health Disparities

  • Health disparities are not simply differences but avoidable and potentially systematic inequities.
  • Research should consider life chances, opportunities, risks, and quality of life, beyond health status and healthcare access.
  • Disparities should be examined based on race/ethnicity, socioeconomics, generation, and geography, and their complex interactions.

Future Research on Child Health Disparities: Scope, Content, and Methods

  • Future research should explore mechanistic insights and interventions for all populations.
  • Research should investigate factors that create and sustain disparities: biological, environmental and psychosocial exposures.
  • Investigation should also examine how disparities affect health and well-being (magnitude, naturally occurring response differences, and intergenerational effects).
  • Methods for mitigating or preventing disparities must be tested and implemented.
  • The role of clinician cultural competency and linguistic skills on healthcare access should also be investigated.

Conference Recommendations

  • Recommendations for broader, interdisciplinary training in child health disparities.
  • Recommendations for funding support in child health disparities research across the lifespan.
  • Recommendations to increase workforce diversity
  • Recommendations for incorporating child health disparities research into existing infrastructures.

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Explore the outcomes of a multidisciplinary conference focused on eliminating child health disparities. The event brought together 70 researchers and practitioners to address health differences among minority groups. Learn about the key topics discussed and the recommendations for future research.

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