08_RCE_PPT_tape1_010405

08_RCE_PPT_tape1_010405 - Health Disparities...

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Unformatted text preview: Health Disparities Race/Ethnicity/Culture Carol Bryant PhD Dept. of Community and Family Health Health Disparities Comparison of health outcome, health status, and health care among subgroups Requires us to differentiate ourselves into groups Social Differentiation How should we categorize ourselves? How would you monitor trends? Counting Change in US Census categories each year Hispanics 1940 based on language 1950 based on surname 1970 based on origin A race to Census Bureau but not all federal agencies 2000 Census Created new categories Now list in 63 categories Allow to self identify more than one category 2% selected multiple options Impact of New OMB Guidelines Change denominators for rates, e.g., birth and death Many move from other into two or more categories Change assessments of needs and claims for resources Impact greatest on small groups (e.g., American Indians mixed group now larger than single race group) States must conform if want to compare with federal datasets Categories Used in Public Health Surveillance Race Ethnicity Minority Race Introduced into the biology literature in 1794 Arbitrary classification based on skin color First used in the US census in 1790 Prior to 1989, white was defined as both parents white Census Before 1980 determined by census taker List included Black or Negro White Hawaiian Korean Samoan Use in Public Health Literature Review of health sciences research 1966 to 1990 shows extensive use of the concept of race and ethnicity 36% - 60% of articles refer to race/ethnicity Describe the sample or adjust or stratify the results Use in Public Health Literature...
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08_RCE_PPT_tape1_010405 - Health Disparities...

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