The DOI matches its Crossref record; 44 of the 45 references it cites were found in a registry or an index.
Structural Interventions to Reduce and Eliminate Health Disparities
Open accessAbstract
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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“When abusers fight for and obtain custody, what they are often looking for is not more meaningful involvement with their children, but rather acknowledgement of their status and importance (Bancroft et al., 2002; Brown et al., 2019; Silverman et al., 2004; Slote et al., 2005).”
From Post‐separation abuse: A concept analysis (2023) · cites this paper as Brown et al., 2019
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Citations
Cites
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1 of the 45 references couldn’t be matched to a known paper.
Research works printed but not linked: 4
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Cited by
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Yeo, Y. H., Samaan, J. S., Ng, W. H., Ting, P., Trivedi, H. D., Vipani, A., Ayoub, W. S., Yang, J. D., Liran, O., Spiegel, B. M. R., et al. (2023) · Clinical and Molecular Hepatology · doi:10.3350/cmh.2023.0089 · Cited by 669
“Enhancement of availability and ease of access to this resource could reduce health disparities, diminish disease burden, and improve the overall well-being of the population.(29) Furthermore, this increased accessibility can also reduce anxiety among patients and caregivers by providing access to real-time informatio…”
BackgroundImplementation science should give higher priority to health equity
Brownson, R. C., Kumanyika, S., Kreuter, M. W., & Haire-Joshu, D. L. (2021) · Implementation Science · doi:10.1186/s13012-021-01097-0 · Cited by 585
“Second, we need more “disease-agnostic interventions,” which are structural interventions, often outside the health sector, that address common risk factors that are linked with multiple disparities [125].”
BackgroundReframing implementation science to address inequities in healthcare delivery
Baumann, A. A., & Cabassa, L. J. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-4975-3 · Cited by 479
Addressing Health Equity and Social Determinants of Health Through Healthy People 2030
Gomez, C. A., Kleinman, D. V., Pronk, N., Gordon, G. W., Ochiai, E., Blakey, C., Johnson, A., & Brewer, K. H. (2021) · Journal of Public Health Management and Practice · doi:10.1097/phh.0000000000001297 · Cited by 356
“Structural inequities in social, physical, economic, or political environments shape or limit health behaviors and outcomes.(37) Structural inequities can include economic instability, limited opportunities for education and employment, racism, discrimination, and inadequate access to resources (eg, healthy food, clea…”
BackgroundOdoms‐Young, A. M., Brown, A., Agurs‐Collins, T., & Glanz, K. (2023) · American Journal of Clinical Nutrition · doi:10.1016/j.ajcnut.2023.12.019 · Cited by 372
“Strategies and solutions that emerged include evaluating the ef fi cacy of structural and upstream approaches, such as universal basic income (UBI) interventions and childcare subsidies in social, economic, and political environments that contribute to food insecurity outcomes [54].”
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Metadata
- Authors
- 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.
- Affiliations
- Fox Chase Cancer Center (US)
- 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...
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2019-01
- Volume
- 109
- Issue
- S1
- Pages
- S72-S78
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC6356131
- OpenAlex
- W2912527863
- Cited by
- 465
- References
- 45
- Citations by year
- 2026: 52 · 2025: 97 · 2024: 86 · 2023: 79 · 2022: 58 · 2021: 53 · 2020: 30 · 2019: 9
- FWCI
- 36.42
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- TUScholarShare (Temple University) (submittedVersion)
- Funders
- National Institutes of Health (UL1TR001881)
- National Cancer Institute (U54CA153513)
- National Institute of Neurological Disorders and Stroke (U54NS081764)
- National Center for Chronic Disease Prevention and Health Promotion (U58 DP005828, U48DP005008)
- National Center for Advancing Translational Sciences
- National Institute on Minority Health and Health Disparities (U54MD000538)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Health › Public Health and Social Inequalities
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Public Health Policies and Education
- Keywords
- health disparities, structural interventions, structural determinants of health, minority health, health care access, socioeconomic factors, environmental factors, health policy, multilevel interventions, evidence-based interventions
- MeSH terms
- Health Status, Humans, Minority Groups, Socioeconomic Factors, United States, Healthcare Disparities
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