Dicent Taillepierre Julio C, Liburd Leandris, OʼConnor Ann, Valentine Jo, Bouye Karen, McCree Donna Hubbard, Chapel Thomas, Hahn Robert
Office of Minority Health and Health Equity, Office of the Director (Mr Dicent Taillepierre and Drs Liburd and Bouye), Division of Nutrition, Physical Activity and Obesity, National Center for Chronic Disease Prevention and Health Promotion (Ms O'Connor), Division of STD and TB Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (Ms Valentine), Division of HIV/AIDS Prevention, Office of the Director, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (Dr McCree), Program Evaluation, Program Performance Evaluation Office, Office of the Director (Mr Chapel), and Division of Public Health Information Dissemination, Center for Surveillance, Epidemiology, and Laboratory Services, Office of Public Health Scientific Services (Dr Hahn), Centers for Disease Control and Prevention, Atlanta, Georgia.
J Public Health Manag Pract. 2016 Jan-Feb;22 Suppl 1:S43-9. doi: 10.1097/PHH.0000000000000375.
Health equity, in the context of public health in the United States, can be characterized as action to ensure all population groups living within a targeted jurisdiction have access to the resources that promote and protect health. There appear to be several elements in program design that enhance health equity. These design elements include consideration of sociodemographic characteristics, understanding the evidence base for reducing health disparities, leveraging multisectoral collaboration, using clustered interventions, engaging communities, and conducting rigorous planning and evaluation. This article describes selected examples of public health programs the Centers for Disease Control and Prevention (CDC) has supported related to these design elements. In addition, it describes an initiative to ensure that CDC extramural grant programs incorporate program strategies to advance health equity, and examples of national reports published by the CDC related to health disparities, health equity, and social determinants of health.
在美国公共卫生背景下,健康公平可被描述为采取行动,以确保生活在目标管辖区域内的所有人群都能获得促进和保护健康的资源。项目设计中似乎有几个要素可增强健康公平。这些设计要素包括考虑社会人口学特征、了解减少健康差距的证据基础、利用多部门合作、采用集群式干预措施、让社区参与以及进行严格的规划和评估。本文介绍了美国疾病控制与预防中心(CDC)支持的与这些设计要素相关的公共卫生项目的选定示例。此外,还介绍了一项确保CDC校外资助项目纳入促进健康公平的项目策略的倡议,以及CDC发布的与健康差距、健康公平和健康的社会决定因素相关的国家报告示例。