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Questions and Answers
The multidisciplinary conference planning committee reviewed existing health disparities ______ reports.
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 ______.
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.
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.
The views presented in the articles are those of the authors and ______, not the organizations.
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The authors have indicated they have no financial ______ relevant to this article to disclose.
The authors have indicated they have no financial ______ relevant to this article to disclose.
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The conference organizers included Tina L. Cheng and ______ Jenkins.
The conference organizers included Tina L. Cheng and ______ Jenkins.
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The final conference recommendations make up this ______ to Pediatrics.
The final conference recommendations make up this ______ to Pediatrics.
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The workshop titled 'Challenges and Successes in Reducing Health Disparities' was summarized by the ______.
The workshop titled 'Challenges and Successes in Reducing Health Disparities' was summarized by the ______.
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A research action agenda was developed for discussion and ______ at the conference.
A research action agenda was developed for discussion and ______ at the conference.
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The 2007 National Healthcare Disparities Report was published by the Agency for Healthcare ______.
The 2007 National Healthcare Disparities Report was published by the Agency for Healthcare ______.
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The National Center for Child Health and Health Development aims to bridge the gap in ______ disparities.
The National Center for Child Health and Health Development aims to bridge the gap in ______ disparities.
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In 2004, the Committee on Evaluation of Children's Health released a report titled 'Children's Health, the Nation's ______.'
In 2004, the Committee on Evaluation of Children's Health released a report titled 'Children's Health, the Nation's ______.'
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The publication on child health services research by Forrest, Simpson, and Clancy appeared in ______.
The publication on child health services research by Forrest, Simpson, and Clancy appeared in ______.
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Child health is unique and distinct from that of adult health, suggesting that research on child health should incorporate this ______.
Child health is unique and distinct from that of adult health, suggesting that research on child health should incorporate this ______.
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Health disparities are defined as significant differences in health, health care, or developmental outcomes, particularly among racial and ______ groups.
Health disparities are defined as significant differences in health, health care, or developmental outcomes, particularly among racial and ______ groups.
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The adapted definition of health disparities implies that they should be regarded as inequitable and potentially ______ differences.
The adapted definition of health disparities implies that they should be regarded as inequitable and potentially ______ differences.
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Researchers believe health disparities research should consider life chances, opportunity, risk, and quality of ______.
Researchers believe health disparities research should consider life chances, opportunity, risk, and quality of ______.
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Health disparities should be defined, investigated, and ameliorated based on race and ethnicity, socioeconomic status, generation, and ______.
Health disparities should be defined, investigated, and ameliorated based on race and ethnicity, socioeconomic status, generation, and ______.
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Understanding health disparities within groups characterized by specific racial, ethnic, and socioeconomic ______ is essential for identifying resiliency factors.
Understanding health disparities within groups characterized by specific racial, ethnic, and socioeconomic ______ is essential for identifying resiliency factors.
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The conference participants proposed broadening the understanding of health disparities to include psychosocial and socioeconomic ______.
The conference participants proposed broadening the understanding of health disparities to include psychosocial and socioeconomic ______.
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In health disparities research, traditional attention to health status should be balanced with attention to the provision of health ______.
In health disparities research, traditional attention to health status should be balanced with attention to the provision of health ______.
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The future health and well-being of America is linked to how successfully we manage the health and well-being of today’s ______.
The future health and well-being of America is linked to how successfully we manage the health and well-being of today’s ______.
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On November 6–7, 2008, a multidisciplinary group of 70 ______, practitioners, and funders gathered in Washington, DC.
On November 6–7, 2008, a multidisciplinary group of 70 ______, practitioners, and funders gathered in Washington, DC.
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The meeting focused on disparities, defined as differences in health, health care, and developmental ______.
The meeting focused on disparities, defined as differences in health, health care, and developmental ______.
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This report reviews recommendations for a research agenda on the disparities that affect the health and ______ of many children.
This report reviews recommendations for a research agenda on the disparities that affect the health and ______ of many children.
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The DC-Baltimore Research Center on Child Health Disparities is a collaboration of Howard University, Johns Hopkins University, and ______ National Medical Center.
The DC-Baltimore Research Center on Child Health Disparities is a collaboration of Howard University, Johns Hopkins University, and ______ National Medical Center.
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The conference was sponsored by several organizations, including the American Academy of ______.
The conference was sponsored by several organizations, including the American Academy of ______.
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High rates of childhood asthma morbidity mean that adult caretakers take time off ______.
High rates of childhood asthma morbidity mean that adult caretakers take time off ______.
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The ______ Center on Minority Health and Health Disparities contributed to the conference's sponsorship.
The ______ Center on Minority Health and Health Disparities contributed to the conference's sponsorship.
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Adults with chronic diseases, such as type 2 diabetes and early ______, experience limitations in their roles as parents and grandparents.
Adults with chronic diseases, such as type 2 diabetes and early ______, experience limitations in their roles as parents and grandparents.
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The research agenda aims at eliminating child health ______.
The research agenda aims at eliminating child health ______.
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The focus on disease and diagnosis tends to minimize the importance of broad social forces and socioeconomic ______.
The focus on disease and diagnosis tends to minimize the importance of broad social forces and socioeconomic ______.
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A narrow focus on biomedical factors constrains our consideration of opportunities for ______.
A narrow focus on biomedical factors constrains our consideration of opportunities for ______.
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The conference provided recommendations regarding training and ______ for conducting health disparities research.
The conference provided recommendations regarding training and ______ for conducting health disparities research.
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Several definitions of health disparities exist, but the majority are oriented towards ______.
Several definitions of health disparities exist, but the majority are oriented towards ______.
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The conference discussed useful models that informed the overall ______ of health disparities.
The conference discussed useful models that informed the overall ______ of health disparities.
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Our recommendations aim to inform future research on child health disparities in terms of ______, content, and methods.
Our recommendations aim to inform future research on child health disparities in terms of ______, content, and methods.
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Most existing health disparities frameworks approach inequities with an adult focus and make the assumption that child inequities follow a similar _____ .
Most existing health disparities frameworks approach inequities with an adult focus and make the assumption that child inequities follow a similar _____ .
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Horn and Beal have argued that a _____ framework is needed when investigating child health disparities.
Horn and Beal have argued that a _____ framework is needed when investigating child health disparities.
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The life-course framework emphasizes the development of disparities across the continuum of childhood, adolescence, and _____ .
The life-course framework emphasizes the development of disparities across the continuum of childhood, adolescence, and _____ .
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The ecological model focuses on appreciating the complex _____ and extraindividual factors present at every point in time.
The ecological model focuses on appreciating the complex _____ and extraindividual factors present at every point in time.
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These models are _____, meaning they work together to provide a more comprehensive understanding of health disparities.
These models are _____, meaning they work together to provide a more comprehensive understanding of health disparities.
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The developmental or life-course model and an ecological model provide cogent _____ for understanding the precursors of health outcomes.
The developmental or life-course model and an ecological model provide cogent _____ for understanding the precursors of health outcomes.
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The conceptual model presented in Children’s Health, the Nation’s Wealth: Assessing and Improving Child Health incorporates these _____ .
The conceptual model presented in Children’s Health, the Nation’s Wealth: Assessing and Improving Child Health incorporates these _____ .
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There continues to be debate regarding the evidence for, and _____ of, the life-course approach.
There continues to be debate regarding the evidence for, and _____ of, the life-course approach.
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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.
Demographic Trends in the United States
- 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.