China
Africa
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Telehealth and the Covid-19 Era
Published in Frederick J. DeMicco, Ali A. Poorani, Medical Travel Brand Management, 2023
To provide parity, community-based healthcare organizations for under-served populations can be further developed to relieve health disparity issue after the pandemic. A phone call or a virtual conference can be used to perform a basic telehealth. On the flipside, Philips Health is pushing things to the next level with virtual care stations, which provide the individuals without internet in their homes, access to a community-based telehealth solution that connects patients and clinicians remotely through a secure clinical environment. In this way, telehealth serves as a particularly beneficial method for reaching out to disadvantaged communities. In 2019, thanks to technical breakthroughs in virtual care, the Department of Veterans Affairs’ telehealth program serviced over 900,000 veterans. The technology could potentially be used to help close the gaps in health care that many communities still have, including tribal homelands and peripheral areas (Sweet, 2020).
Local groups in shaping the advocacy of population health
Published in Ben Y.F. Fong, Martin C.S. Wong, The Routledge Handbook of Public Health and the Community, 2021
Chesney P.Y. Wong, Fiona C.M. Yuen, Percy W.T. Ho
An accurate and detailed data collection to identify and analyse the protective and risk factors are necessary to aid both government and non-governmental groups in tackling health disparity and inequality, and to advocate the health for the population as well.
Principles and theories
Published in Emily Ying Yang Chan, Disaster Public Health and Older People, 2019
In public health, health determinants describe clusters of causes, risk factors and outcome modifiers as public health emphasises prevention and adopts the life-course approach in strategy and policy planning. It aims to balance between population-wide and individual-based approaches to set health priority and narrow health disparity. It advocates the importance of evidence-based decision making and improves health with settings and system approaches.
Age as a moderator for the association between depression and self-rated health among cancer survivors: a U.S. based population study
Published in Journal of Psychosocial Oncology, 2023
Anao Zhang, Kaipeng Wang, Chiara Acquati, Aarti Kamat, Emily Walling
Racial minority cancer survivors, including Hispanic and non-Hispanic Asians, reported significantly reduced odds of better SRH when compared with non-Hispanic White cancer survivors in the United States. This finding of race, as a major social determinant of health, is consistent with the minority population health literature of non-cancer individuals, which have repeatedly documented that being Hispanic and non-Hispanic Asian is associated with poor SRH.47 One possible explanation for such health disparity is likely the Hispanic patients and non-Hispanic Asian patients’ poorer access to healthcare services than their non-Hispanic White counterparts.47 This further highlights the importance of attention to cancer care disparities among nonwhite cancer survivors, especially Hispanic and non-Hispanic Asians.
Understanding the determinants of circadian health disparities and cardiovascular disease
Published in Chronobiology International, 2023
Dayna A. Johnson, Philip Cheng, Maya FarrHenderson, Kristen Knutson
In this paper, we present the current scientific evidence on racial/ethnic disparities in circadian and cardiovascular health. Disparities in this context relate to inequities between groups such as race or ethnicity that are preventable and unfair/unjust (McGuire et al. 2006). We adopt the definition of Duran et al. that defines a health disparity as “a health difference that adversely affects defined disadvantaged populations, based on one or more health outcomes” (Duran and Perez-Stable 2019). Further, we are defining race as a social (not genetic) construct that is a proxy for experiences of racism. Race as a social construct has biological consequences that result from socio-economic and environmental factors that are differentially experienced across racial/ethnic groups as a result of historical and contemporary forms of discriminatory practices as well as policies on the basis of race/ethnicity (Smedley and Smedley 2005). This paper will utilize a socio-ecological approach, which takes into account the complex interplay between individual, relationship, community, and societal-level factors to the discussion racial/ethnic disparities in CVD and circadian health.
Social overcrowding impacts gut microbiota, promoting stress, inflammation, and dysglycemia
Published in Gut Microbes, 2021
Clara Delaroque, Mélissa Chervy, Andrew T. Gewirtz, Benoit Chassaing
Humanity is increasingly afflicted by an array of chronic inflammatory diseases, including obesity and type 2 diabetes, which are not viewed as infectious diseases per se but yet are associated with, and thought to be promoted by, alterations in gut microbiota1,2. These diseases disproportionately impact low-income communities3, a health disparity likely driven, in part, by differential access to education, healthcare, and high-quality foods. More generally, those residing in low-income communities can be afflicted by chronic stress, which can be physical and/or psychological in nature. Chronic stress is a central factor in diseases characterized by histopathologically evident inflammation such as Inflammatory Bowel Disease (IBD)4,5, as well as diseases associated with low-grade inflammation such as irritable bowel syndrome (IBS)6 and metabolic syndrome. Incidence of these chronic disorders have increased in recent decades7,8, perhaps concomitant with increased stress exposure. More generally, while genetic predisposition has a strong influence on development of chronic diseases, chronic stress can be viewed as an environmental (i.e. nongenetic) factor that might have contributed to increased incidence of these diseases.