학술논문
Leveraging Science to Advance Health Equity: Preliminary Considerations for Implementing Health Equity Science at State and Local Health Departments.
Document Type
Academic Journal
Author
Ottewell A; Author Affiliations: Association of State and Territorial Health Officials (ASTHO), Arlington, Virginia (Mss Ottewell, Ruebush, Harper-Hardy, Lewis, and Mr Lane); and Office of Science, Centers for Disease Control and Prevention (CDC).; Ruebush E; Hayes L; Harper-Hardy P; Lewis M; Lane JT; Bunnell R
Source
Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9505213 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-5022 (Electronic) Linking ISSN: 10784659 NLM ISO Abbreviation: J Public Health Manag Pract Subsets: MEDLINE
Subject
Language
English
Abstract
Context: In 2021, the Centers for Disease Control and Prevention (CDC) launched CORE, an agency-wide strategy to embed health equity as a foundational component across all areas of the agency's work. The CDC established a definition of health equity science (HES) and principles to guide the development, implementation, dissemination, and use of the HES framework to move beyond documenting inequities to investigating root causes and promoting actionable approaches to eliminate health inequities. The HES framework may be used by state and local health departments to advance health equity efforts in their jurisdictions.
Objective: Identify implementation considerations and opportunities for providing technical assistance and support to state and local public health departments in advancing HES.
Design: A series of implementation consultations and multi-jurisdictional facilitated discussions were held with state and local health departments and community partners in 5 states to gather feedback on the current efforts, opportunities, and support needs to advance HES at the state and local levels. The information shared during these activities was analyzed using inductive and deductive methods, validated with partners, and summarized into themes and HES implementation considerations.
Results: Five themes emerged regarding current efforts, opportunities, and support needed to implement HES at state and local health departments. These themes included the following criteria: (1) enhancing the existing health equity evidence base; (2) addressing interdisciplinary public health practice and data needs; (3) recognizing the value of qualitative data; (4) evaluating health equity programs and policies; and (5) including impacted communities in the full life cycle of health equity efforts. Within these themes, we identified HES implementation considerations, which may be leveraged to inform future efforts to advance HES at the state and local levels.
Conclusion: Health equity efforts at state and local health departments may be strengthened by leveraging the HES framework and implementation considerations.
Competing Interests: Financial Disclosure: The authors declare no conflicts of interest. Conflicts of Interest: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc.)
Objective: Identify implementation considerations and opportunities for providing technical assistance and support to state and local public health departments in advancing HES.
Design: A series of implementation consultations and multi-jurisdictional facilitated discussions were held with state and local health departments and community partners in 5 states to gather feedback on the current efforts, opportunities, and support needs to advance HES at the state and local levels. The information shared during these activities was analyzed using inductive and deductive methods, validated with partners, and summarized into themes and HES implementation considerations.
Results: Five themes emerged regarding current efforts, opportunities, and support needed to implement HES at state and local health departments. These themes included the following criteria: (1) enhancing the existing health equity evidence base; (2) addressing interdisciplinary public health practice and data needs; (3) recognizing the value of qualitative data; (4) evaluating health equity programs and policies; and (5) including impacted communities in the full life cycle of health equity efforts. Within these themes, we identified HES implementation considerations, which may be leveraged to inform future efforts to advance HES at the state and local levels.
Conclusion: Health equity efforts at state and local health departments may be strengthened by leveraging the HES framework and implementation considerations.
Competing Interests: Financial Disclosure: The authors declare no conflicts of interest. Conflicts of Interest: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc.)