Racial and Ethnic Disparities in Health and Health Care: an Assessment and Analysis of the Awareness and Perceptions of Public Health Workers Implementing a Statewide Community Transformation Grant in Texas

Autor: Kathryn Cardarelli, Roderick Harrison, Kim Linnear, Marcus Martin, James C. Murdoch, Thomas E. James, Eddilisa Martin, Allison J. Ottenbacher, Oladimeji Akinboro
Rok vydání: 2015
Předmět:
Adult
Male
Financing
Government
Health Knowledge
Attitudes
Practice
medicine.medical_specialty
Health (social science)
Adolescent
Sociology and Political Science
Social Determinants of Health
education
Race and health
Young Adult
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
Environmental health
parasitic diseases
Health care
medicine
Humans
Community Health Services
030212 general & internal medicine
Social determinants of health
Healthcare Disparities
Health policy
030505 public health
business.industry
Health Policy
Public health
Public Health
Environmental and Occupational Health
Health Status Disparities
Middle Aged
Texas
Health equity
Logistic Models
Health promotion
Anthropology
Family medicine
Multivariate Analysis
Female
Health education
Public Health
0305 other medical science
business
State Government
Zdroj: Journal of Racial and Ethnic Health Disparities. 3:46-54
ISSN: 2196-8837
2197-3792
Popis: Little is known about the awareness of public health professionals regarding racial and ethnic disparities in health in the United States of America (USA). Our study objective was to assess the awareness and perceptions of a group of public health workers in Texas regarding racial health disparities and their chief contributing causes. We surveyed public health professionals working on a statewide grant in Texas, who were participants at health disparities’ training workshops. Multivariable logistic regression was employed in examining the association between the participants’ characteristics and their perceptions of the social determinants of health as principal causes of health disparities. There were 106 respondents, of whom 38 and 35 % worked in health departments and non-profit organizations, respectively. The racial/ethnic groups with the highest incidence of HIV/AIDS and hypertension were correctly identified by 63 and 50 % of respondents, respectively, but only 17, and 32 % were knowledgeable regarding diabetes and cancer, respectively. Seventy-one percent of respondents perceived that health disparities are driven by the major axes of the social determinants of health. Exposure to information about racial/ethnic health disparities within the prior year was associated with a higher odds of perceiving that social determinants of health were causes of health disparities (OR 9.62; 95 % CI 2.77, 33.41). Among public health workers, recent exposure to information regarding health disparities may be associated with their perceptions of health disparities. Further research is needed to investigate the impact of such exposure on their long-term perception of disparities, as well as the equity of services and programs they administer.
Databáze: OpenAIRE
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