What are Health Disparities and Health Equity? We Need to Be Clear
Open accessAbstract
“Health disparities” and “health equity” have become increasingly familiar terms in public health, but rarely are they defined explicitly. Ambiguity in the definitions of these terms could lead to misdirection of resources . This article discusses the need for greater clarity about the concepts of health disparities and health equity, proposes definitions, and explains the rationale based on principles from the fields of ethics and human rights.
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The 100% care-gap closure rate by autonomous AI in this racially and ethnically diverse pediatric population could have the potential to reduce health disparities for vision loss from diabetes, furthering health equity.
“However, the 100% care-gap closure rate by autonomous AI in this racially and ethnically diverse pediatric population could have the potential to reduce health disparities for vision loss from diabetes, furthering health equity, and deserves further study42,43.”
From Autonomous artificial intelligence increases screening and follow-up for diabetic retinopathy in youth: the ACCESS randomized control trial (2024) · cites this paper as [42]
The passage defining health equity and health disparities says that reducing disparities is evidence of progress toward health equity. It does not address autonomous AI, a 100% care-gap closure rate, or whether that intervention could reduce disparities in diabetes-related vision loss among children. (LLM, conf=0.85)
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Cites
The Concepts and Principles of Equity and Health
Whitehead, M. (1992) · International Journal of Health Services · doi:10.2190/986l-lhq6-2vte-yrrn · Cited by 2,284 · see citing works
Health disparities and health equity: Concepts and measurement
Braveman, P. (2006) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.27.021405.102103 · Cited by 1,570 · see citing works
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Research works printed but not linked: 16
- [1]Carter-Pokras O, Baquet C. What is a “health disparity”? Public Health Rep. 2002;117:426–34. doi: 10.1093/phr/117.5.426. [DOI] [PMC free article] [PubMed] [Google Scholar] · DOI
- [2]Braveman PA, Kumanyika S, Fielding J, Laveist T, Borrell LN, Manderscheid R, et al. Health disparities and health equity: the issue is justice. Am J Public Health. 2011;101(Suppl 1):S149–55. doi: 10.2105/AJPH.2010.300062. [DOI] [PMC free article] [PubMed] [Google Scholar] · DOI
- [4]Adler NE, Stewart J, editors. The biology of disadvantage: socioeconomic status and health. Hoboken (NJ): John Wiley & Sons; 2010. [DOI] [PubMed] [Google Scholar]
- [5]World Health Organization, Commission on Social Determinants of Health. Geneva: WHO; 2008. Closing the gap in a generation: health equity through action on the social determinants of health. CSDH final report. [Google Scholar]
- [6]Krieger N. The ostrich, the albatross, and public health: an ecosocial perspective—or why an explicit focus on health consequences of discrimination and deprivation is vital for good science and public health practice. Public Health Rep. 2001;116:419–23. doi: 10.1093/phr/116.5.419. [DOI] [PMC free article] [PubMed] [Google Scholar] · DOI
- [7]Virchow RC. Report on the typhus epidemic in Upper Silesia. 1848. Am J Public Health. 2006;96:2102–5. doi: 10.2105/ajph.96.12.2102. [DOI] [PMC free article] [PubMed] [Google Scholar] · DOI
- [8]Rosen G. Baltimore: Johns Hopkins University Press; 1993. A history of public health. Expanded ed. [Google Scholar]
- [9]Winslow CE. Poverty and disease. Am J Public Health Nations Health. 1948;38(1 Pt 2):173–84. doi: 10.2105/ajph.38.1_pt_2.173. [DOI] [PMC free article] [PubMed] [Google Scholar] · DOI
- [10]Braveman P, Gottlieb L. The social determinants of health: it's time to consider the causes of the causes. Public Health Rep. 2014;129(Suppl 2):19–31. doi: 10.1177/00333549141291S206. [DOI] [PMC free article] [PubMed] [Google Scholar] · DOI · Paper page
- [12]Daniels N. Health-care needs and distributive justice. Philos Public Aff. 1981;10:146–79. [PubMed] [Google Scholar]
- [13]Daniels N, Kennedy BP, Kawachi I. Why justice is good for our health: the social determinants of health inequalities. Daedalus. 1999;128:215–51. [PubMed] [Google Scholar]
- [14]Braveman P, Gruskin S. Defining equity in health. J Epidemiol Community Health. 2003;57:254–8. doi: 10.1136/jech.57.4.254. [DOI] [PMC free article] [PubMed] [Google Scholar] · DOI
- [16]Braveman P. Social conditions, health equity, and human rights. Health Hum Rights. 2010;12:31–48. [PubMed] [Google Scholar]
- [17]Williams DR, Collins C. Racial residential segregation: a fundamental cause of racial disparities in health. Public Health Rep. 2001;116:404–16. doi: 10.1093/phr/116.5.404. [DOI] [PMC free article] [PubMed] [Google Scholar] · DOI
- [18]Williams DR, Mohammed SA. Discrimination and racial disparities in health: evidence and needed research. J Behav Med. 2009;32:20–47. doi: 10.1007/s10865-008-9185-0. [DOI] [PMC free article] [PubMed] [Google Scholar] · DOI · Paper page
- [19]Whitehead M, Dahlgren G. Concepts and principles for tackling social inequities in health: levelling up part 1. Copenhagen: World Health Organization Regional Office for Europe; 2006. [Google Scholar]
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Metzler, M., Merrick, M. T., Klevens, J., Ports, K. A., & Ford, D. C. (2017) · Children and Youth Services Review · doi:10.1016/j.childyouth.2016.10.021 · Cited by 713 · see citing works
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The Relationship between Health Literacy and Health Disparities: A Systematic Review
Mantwill, S., Monestel-Umaña, S., & Schulz, P. J. (2015) · PLOS ONE · doi:10.1371/journal.pone.0145455 · Cited by 395 · see citing works
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Abràmoff, M. D., Tarver, M. E., Loyo-Berrios, N., Trujillo, S., Char, D., Obermeyer, Z., Eydelman, M. B., Foundational Principles of Ophthalmic Imaging and Algorithmic Interpretation Working Group of the Collaborative Community for Ophthalmic Imaging Foundation, W., & Maisel, W. H. (2023) · npj Digital Medicine · doi:10.1038/s41746-023-00913-9 · Cited by 349 · see citing works
on behalf of the EQUIP Research Team, Browne, A. J., Varcoe, C., Ford-Gilboe, M., & Wathen, C. N. (2015) · International Journal for Equity in Health · doi:10.1186/s12939-015-0271-y · Cited by 152 · see citing works
Wolf, R. M., Channa, R., Liu, T. Y. A., Zehra, A., Bromberger, L., Patel, D., Ananthakrishnan, A., Brown, E. A., Prichett, L., Lehmann, H. P., et al. (2024) · Nature Communications · doi:10.1038/s41467-023-44676-z · Cited by 116 · see citing works
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van Roode, T., Pauly, B. M., Marcellus, L., Strosher, H. W., Shahram, S., Dang, P., Kent, A., & MacDonald, M. (2020) · International Journal for Equity in Health · doi:10.1186/s12939-020-01276-3 · Cited by 40 · see citing works
Bosch-Capblanch, X., Zuske, M.-K., & Auer, C. (2017) · International Journal for Equity in Health · doi:10.1186/s12939-017-0587-x · Cited by 25 · see citing works
Rhee, K., Dankwa-Mullan, I., Brennan, V., & Clark, C. (2021) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2021.0045 · Cited by 24 · see citing works
Krishnaswami, J., Jaini, P. A., Howard, R., & Ghaddar, S. (2018) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2018.04.012 · Cited by 20 · see citing works
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- Authors
- Braveman, P.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Braveman, Paula
- ORCID
- Braveman, Paula
- Venue
- Public Health Reports®
- Publisher
- SAGE Publications
- Published
- 2014-01
- Volume
- 129
- Issue
- 1_suppl2
- Pages
- 5-8
- ISSN
- 0033-3549 (ISSN-L)
- 1468-2877
- PMC
- PMC3863701
- OpenAlex
- W21514708
- Cited by
- 860
- References
- 2
- Citations by year
- 2026: 52 · 2025: 85 · 2024: 131 · 2023: 136 · 2022: 127 · 2021: 99 · 2020: 71 · 2019: 45 · 2018: 43 · 2017: 35 · 2016: 19 · 2015: 14 · 2014: 2
- FWCI
- 29.70
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Public Health Reports (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Public Health and Social Inequalities
- Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- health disparities, health equity, definitions, conceptual clarity, ethics, human rights, resource allocation
- MeSH terms
- Health Status, Humans, Human Rights, Terminology as Topic, United States, Vulnerable Populations, Health Status Disparities, Social Determinants of Health
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