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

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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Description

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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