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Brown AF, Ma GX, Miranda J, et al. Structural Interventions to Reduce and Eliminate Health Disparities. Am J Public Health. 2019;109:S72-S78doi: 10.2105/AJPH.2018.304844.
Brown, A. F., Ma, G. X., Miranda, J., Eng, E., Castille, D., Brockie, T., Jones, P., Airhihenbuwa, C. O., Farhat, T., Zhu, L., & Trinh-Shevrin, C. (2019). Structural Interventions to Reduce and Eliminate Health Disparities. American journal of public health, 109S72-S78. https://doi.org/10.2105/AJPH.2018.304844
Brown, Arleen F, et al. "Structural Interventions to Reduce and Eliminate Health Disparities." American journal of public health vol. 109 (2019): S72-S78. doi: https://doi.org/10.2105/AJPH.2018.304844
Brown AF, Ma GX, Miranda J, Eng E, Castille D, Brockie T, Jones P, Airhihenbuwa CO, Farhat T, Zhu L, Trinh-Shevrin C. Structural Interventions to Reduce and Eliminate Health Disparities. Am J Public Health. 2019 Jan;109:S72-S78. doi: 10.2105/AJPH.2018.304844. PMID: 30699019; PMCID: PMC6356131.
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Am J Public Health. 2019 Jan;109:S72-S78. doi: 10.2105/AJPH.2018.304844.

Structural Interventions to Reduce and Eliminate Health Disparities.

American journal of public health

Arleen F Brown, Grace X Ma, Jeanne Miranda, Eugenia Eng, Dorothy Castille, Teresa Brockie, Patricia Jones, Collins O Airhihenbuwa, Tilda Farhat, Lin Zhu, Chau Trinh-Shevrin

Affiliations

  1. Arleen F. Brown is with General Internal Medicine and Health Services Research, University of California Los Angeles (UCLA) and Olive View-UCLA Medical Center, Los Angeles, CA. Grace X. Ma is with Center for Asian Health, Fox Chase Cancer Center, Lewis Katz School of Medicine, Temple University, Philadelphia, PA. Jeanne Miranda is with the Department of Psychiatry and Biobehavioral Sciences, Jonathan and Karin Fielding School of Public Health, UCLA. Eugenia Eng is with the Gillings School of Global Public Health, University of North Carolina at Chapel Hill. Dorothy Castille is with the National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD. Teresa Brockie is with Community Public Health Nursing, Johns Hopkins School of Nursing, Johns Hopkins Bloomberg Center for American Indian Health, Baltimore, MD. Patricia Jones is with Division of Clinical Innovation, National Center for Advancing Translational Sciences, National Institutes of Health. Collins O. Airhihenbuwa is with Health Policy and Behavioral Sciences, Global Research Against Noncommunicable Diseases, Georgia State School of Public Health, Atlanta, GA. Tilda Farhat is with the Office of Science Policy, Planning, Analysis, Reporting and Data; National Institute on Minority Health and Health Disparities. Lin Zhu is with the Center for Asian Health, Lewis Katz School of Medicine, Temple University. Chau Trinh-Shevrin is with the Department of Population Health, New York University School of Medicine, New York, NY. Tilda Farhat is also a Guest Editor for this supplement issue.

PMID: 30699019 PMCID: PMC6356131 DOI: 10.2105/AJPH.2018.304844

Abstract

Health disparities research in the United States over the past 2 decades has yielded considerable progress and contributed to a developing evidence base for interventions that tackle disparities in health status and access to care. However, health disparity interventions have focused primarily on individual and interpersonal factors, which are often limited in their ability to yield sustained improvements. Health disparities emerge and persist through complex mechanisms that include socioeconomic, environmental, and system-level factors. To accelerate the reduction of health disparities and yield enduring health outcomes requires broader approaches that intervene upon these structural determinants. Although an increasing number of innovative programs and policies have been deployed to address structural determinants, few explicitly focused on their impact on minority health and health disparities. Rigorously evaluated, evidence-based structural interventions are needed to address multilevel structural determinants that systemically lead to and perpetuate social and health inequities. This article highlights examples of structural interventions that have yielded health benefits, discusses challenges and opportunities for accelerating improvements in minority health, and proposes recommendations to foster the development of structural interventions likely to advance health disparities research.

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