Healthy People in a Healthy Economy: A Blueprint for Action in Massachusetts

Examines the recession's effects on health and the cost of chronic disease. Suggests proven strategies for schools, municipalities, state government, payers, employers, the food industry, physicians, philanthropies, and media to promote healthy behaviors

State of Health Equity Movement, 2011 Update Part C: Compendium of Recommendations DRA Project Report No. 11-03

State of Health Equity Movement, 2011 Update Part C: Compendium of Recommendations DRA Project Report No. 11-0

Rapid assessments in urban areas

The diversity of urban areas presents substantial challenges to the validity of information from rapid assessments, yet CARE's experiences in Bangladesh and Tanzania suggest a number of ways that rapid assessment procedures can be strengthened to address these concerns.Urban poor ,Bangladesh ,Tanzania ,

Development and validation of the Just Community Gardening Survey: A measure of the social and dietary outcomes of community garden participation

Our aim was to develop and validate a survey measuring outcomes of community gardening related to food system equity. Face validity was assessed by six community gardening experts and resulted in minor changes to the survey. Weighted kappa and Cronbach’s alpha were used to determine test-retest reliability and internal consistency using a sample of community gardeners in New York City (n=38). Weighted kappa analyses revealed almost perfect agreement (mean = 0.981, range 0.498-1, p≤.001). Cronbach’s alpha was calculated for eight scales, most of which had excellent agreement. The resulting 25-item Just Community Gardening Survey consisted of demographic, garden participation, garden activities, social participation, social cohesion, collective efficacy, perceived impact on dietary intake, food access and security, horticultural and environmental knowledge and diet-related health questions. This validated survey not only measures the social and dietary outcomes of community gardening, it incorporates important aspects of food justice not assessed in previous research

Breaking the Barriers to Specialty Care: Practical Ideas to Improve Health Equity and Reduce Cost - Striving for Equity in Specialty Care Full Report

Tremendous health outcome inequities remain in the U.S. across race and ethnicity, gender and sexual orientation, socio-economic status, and geography—particularly for those with serious conditions such as lung or skin cancer, HIV/AIDS, or cardiovascular disease.These inequities are driven by a complex set of factors—including distance to a specialist, insurance coverage, provider bias, and a patient's housing and healthy food access. These inequities not only harm patients, resulting in avoidable illness and death, they also drive unnecessary health systems costs.This 5-part series highlights the urgent need to address these issues, providing resources such as case studies, data, and recommendations to help the health care sector make meaningful strides toward achieving equity in specialty care.Top TakeawaysThere are vast inequalities in access to and outcomes from specialty health care in the U.S. These inequalities are worst for minority patients, low-income patients, patients with limited English language proficiency, and patients in rural areas.A number of solutions have emerged to improve health outcomes for minority and medically underserved patients. These solutions fall into three main categories: increasing specialty care availability, ensuring high-quality care, and helping patients engage in care.As these inequities are also significant drivers of health costs, payers, health care provider organizations, and policy makers have a strong incentive to invest in solutions that will both improve outcomes and reduce unnecessary costs. These actors play a critical role in ensuring that equity is embedded into core care delivery at scale.

Built environment assessment: Multidisciplinary perspectives.

Context:As obesity has become increasingly widespread, scientists seek better ways to assess and modify built and social environments to positively impact health. The applicable methods and concepts draw on multiple disciplines and require collaboration and cross-learning. This paper describes the results of an expert team׳s analysis of how key disciplinary perspectives contribute to environmental context-based assessment related to obesity, identifies gaps, and suggests opportunities to encourage effective advances in this arena. Evidence acquisition:A team of experts representing diverse disciplines convened in 2013 to discuss the contributions of their respective disciplines to assessing built environments relevant to obesity prevention. The disciplines include urban planning, public health nutrition, exercise science, physical activity research, public health and epidemiology, behavioral and social sciences, and economics. Each expert identified key concepts and measures from their discipline, and applications to built environment assessment and action. A selective review of published literature and internet-based information was conducted in 2013 and 2014. Evidence synthesis:The key points that are highlighted in this article were identified in 2014-2015 through discussion, debate and consensus-building among the team of experts. Results focus on the various disciplines׳ perspectives and tools, recommendations, progress and gaps. Conclusions:There has been significant progress in collaboration across key disciplines that contribute to studies of built environments and obesity, but important gaps remain. Using lessons from interprofessional education and team science, along with appreciation of and attention to other disciplines׳ contributions, can promote more effective cross-disciplinary collaboration in obesity prevention

Healthy Communities Matter: The Importance of Place to the Health of Boys of Color

Summarizes a study of health disparities and trauma among African-American and Latino/Hispanic boys, the underlying social inequality and negative neighborhood conditions, and the need for a healing approach. Outlines case studies of best practices

Cumulative Risk and a Call for Action in Environmental Justice Communities

Health disparities, social inequalities, and environmental injustice cumulatively affect individual and community vulnerability and overall health; yet health researchers, social scientists and environmental scientists generally study them separately. Cumulative risk assessment in poor, racially segregated, economically isolated and medically underserved communities needs to account for their multiple layers of vulnerability, including greater susceptibility, greater exposure, less preparedness to cope, and less ability to recover in the face of exposure. Recommendations for evidence-based action in environmental justice communities include: reducing pollution in communities of highest burden; building on community resources; redressing inequality when doing community-based research; and creating a screening framework to identify communities of greatest risk

Disrupting Poverty: Coming Together to Build Financial Security for Individuals and Communities

Despite the efforts of many groups and partners working to alleviate poverty, national trends concerning wealth are disconcerting because they appear to be moving in the wrong direction. For example, according to The Urban Institute, approximately 30 percent of American households live from paycheck to paycheck, without an adequate financial safety net. The Pew Research Center has found that disparities in wealth between Native populations and white populations are pronounced, while wealth gaps between white households and households of other races and ethnicities are widening.This report highlights organizations that are reversing these trends. We examine six projects that are taking bold approaches to solve one of the biggest challenges in our country today: disrupting poverty by building financial security. The report highlights lessons and best practices gleaned from our examination of a variety of projects that we and other foundations support. We expect that this information can help practitioners and funders as they look for opportunities to stregthn financial security and foster wealth-building initiatives across the countr

Integrating Immigrants in Colorado: Accomplishments, Challenges and Lessons Learned

Presents findings from an evaluation of the Supporting Immigrant and Refugee Families initiative, including grantees' strategies, activities, and accomplishments; conditions and factors that affected their work; sustainability; and lessons learned