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Health Disparities Research & Reports
Michigan 2009 Young Men’s
Health Study
Study Conducted by Michigan State University & Funded by Michigan
Department of Community Health (Note: This is a large file to download)
See also the PowerPoint Presentation
presented to MHAC in November 2009.
Addressing
Social Determinants of Health: Accelerating the Prevention and Control of
HIV/AIDS, Viral Hepatitis, STD and TB is now available on
the web site dedicated to the topic; visit
www.cdc.gov/socialdeterminants.
Two Government Reports Show Little Progress in
Improving Patient Safety; Reducing Racial, Ethnic Health Disparities
New York Times (Requires free, one-time
registration)
http://www.kaisernetwork.org/fe.cfm?id=11806
The 2008 Health Disparities Report to the
Michigan Legislature was recently submitted and is available on the
MDCH Health Disparities Reduction & Minority Health Section web site.
Physicians’ Failure To Address Cultural Needs of Patients Leads to Racial
Health Care Disparities, According to Study New York Times (Requires free,
one-time registration)
http://www.kaisernetwork.org/fe.cfm?id=9168
UNITED STATES:
"Black-White Mortality from HIV in the United States
Before and After Introduction of Highly Active Antiretroviral Therapy in 1996"
American Journal of Public Health Vol. 97; No. 10: P. 1884-1892,
(10..2007) Robert S. Levine, MD; Nathanial C. Briggs, MD, MSc; Barbara S.
Kilbourne, PhD; William D. King, MD, JD; Yvonne Fry-Johnson, MD; Peter T.
Baltrus, PhD; Baqar A. Husaini, PhD; George S. Rust, MD, MPH
The authors sought to describe black/white differences in HIV disease mortality
before and after the introduction of highly active antiretroviral treatment (HAART).
Using data from the nation as a whole, the researchers performed regression
analysis to predict county-level mortality for black men ages 25-84 and the
corresponding black:white mortality ratios (disparities) in 140 counties with
reliable black mortality for 1999-2002.
The study found that national black/white disparities widened significantly
after the introduction of HAART, especially among women and the elderly. In
county regression analyses, contextual socioeconomic status (SES) was not a
significant predictor of black:white mortality ratio after controlling for
percentage of the population who were black and percentage of the population who
were Hispanic. Neither contextual SES nor race/ethnicity was a significant
predictor after controlling for pre-HAART mortality. Contextual SES, race, and
pre-HAART mortality were all significant and independent predictors of mortality
among black men.
"Although nearly all segments of the black population experienced widened post-HAART
disparities, disparities were not inevitable and tended to reflect pre-HAART
levels," the authors concluded. "Public health policymakers should consider the
hypothesis of unequal diffusion of the HAART innovation, with place effects
rendering some communities more vulnerable than others to this potential
problem."
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