CDC - Newsletter - Health Equity Matters - Current - Minority Health

CDC - Newsletter - Health Equity Matters - Current - Minority Health

Health Equity Matters

In this Newsletter

Winter 2014 ~ Vol.3, #1

• News You Can Use!
• Commentary
• Science Speaks
• Blog: Conversations in Equity
• Health Equity Champion
• Announcements
• Statistics
• Quick Links
• Trivia!
• Archive

A quarterly e-newsletter in which the Centers for Disease Control and Prevention's (CDC) Office of Minority Health and Health Equity (OMHHE) shares news, perspectives and progress in the science and practice of health equity.

Leandris C. Liburd, PhD, MPH, MA
Associate Director for Minority Health and Health Equity, CDC/ATSDR

Welcome to Health Equity Matters, an electronic newsletter intended to promote awareness of minority health and health equity issues that affect our work at CDC and in the broader public health community, support the achievement of our goal to eliminate health disparities, and foster ongoing communication and collaboration.

I’m noticing that the Bradford pear trees in my neighborhood are blooming after a surprising winter in Atlanta. The white and pink blooms signal ‘Spring’ even as we continue to experience some winter-like temperatures. Spring has been described as a time of transition and renewal.

As the Office of Minority Health and Health Equity ends its 25th anniversary celebration, we carry forward the rich history of the OMHHE and the wisdom of its original framers along with a host of new opportunities to accelerate CDC’s impact in reducing health disparities, enhancing women’s health, ensuring a diverse and inclusive public health workforce, and achieving health equity for all Americans.

In this issue of Health Equity Matters, we highlight a panel discussion featuring Dr. Helene Gayle, President and CEO of CARE USA, who spent a significant part of her career at CDC and was one of the minority scientists who petitioned for the establishment of the Office of Minority Health in 1988. She was joined by Dr. Jonathan Mermin, Director of the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP) and Ms. Carmen Villar, Chief of Staff for CDC for a lively discussion on the topic “Can We Have a Nation Free of Health Disparities?: Positioning CDC for the Future.” A key component of our ability to have a nation free of health disparities is ensuring access to high quality health information that supports healthy lifestyles and community health promotion.

Our Health Equity Champion, Mr. Reggie Ware, CEO of BlackDoctor.org, launched the nation’s first health portal for African Americans in 2005, and in 2013 he launched LatinoDr.org – a comparable Latino-focused health portal. We congratulate our colleagues in the Division of Public Affairs for designating 2014 as the year of Latino Media Outreach.

Throughout this issue of Health Equity Matters, you will find important information about communications initiatives and resources that facilitate the development of skills in cultural competence as we prepare for Minority Health Month (April 2014). 

Leandris C. Liburd, PhD, MPH, MA
Associate Director for Minority Health and Health Equity, CDC/ATSDR
Office of Minority Health & Health Equity (OMHHE)

As always, we hope you will enjoy this issue, and your comments are always welcome!
Our readership reached a milestone this year. We now have over 10,000 subscribers, so please continue to share Health Equity Matters with others in your professional networks. We look forward to your comments, and encourage you to continue to circulate the newsletter among your colleagues and friends.

News You Can Use!

• Conversations about a Milestone for CDC’s Health Equity Work

  OMHHE held the culminating event of its 25th anniversary celebration on January 10, 2014 with a panel discussion featuring special guest Dr. Helene Gayle, President and Chief Executive Officer of CARE, and one of the original framers of CDC’s Office of Minority Health.The purpose of the panel was to revisit the initial establishment of CDC’s Office of Minority Health in 1988, take a quick stock of how things have changed over the past 25 years, and give some thought to what will be required to reduce health disparities that have been persistent and in some instances are getting worse. Dr. Gayle is a well-known and highly regarded global leader in public health, and we knew she would provide insights to contribute to the way forward.
  
  “My roots are CDC, and CDC is a lot of why I’ve been able to do the things I’ve been able to do. I carry CDC with me wherever I go,” said Dr. Gayle. “We felt very strongly that the issues within the organization around diversity at higher levels of the organization were not being adequately addressed, and that if you truly believed that organizations ought to reflect the populations that they try to reach, it was as important to be thinking about diversity and career development internally as it was to think about how did that impact our programs externally as well.”
  
  The panel, “Can We Have a Nation Free of Health Disparities?: Positioning CDC for the Future,” included Dr. Jonathan Mermin, Director, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), and Carmen Villar, CDC’s Chief of Staff, Office of the Director. Acting as moderator, Dr. Liburd hailed the opportunity to revisit the context in which the Office was created in 1988 and encouraged the discussion on how to strengthen the impact on institutionalizing work across CDC to improve minority health, reduce health disparities, and pursue health equity.
  
  “The mission of CDC is very aligned with the mission of health equity and a greater focus on minority health and minority populations," said Dr. Gayle. "It can sometimes be a challenge for such an organization that sees health equity as ‘part of its DNA’ to create an office focal point for such issues. This created an early tension at CDC,” added Dr. Gayle.
  
  “If we don’t explicitly focus on increasing health equity as well as improving overall health outcomes we could inadvertently exacerbate the existing disparities,” said Dr. Mermin, adding that this is ongoing work. “The science of exactly how to have the greatest effect on both public health and equity is not completely known.”
  
  “I think this Office is really here to help us do that --to remind us why we’re here, and to make sure that we’re coming together to address these very hard issues. We should learn from each other so we don’t reinvent the wheel all the time,” said Carmen Villar.
  
  The event was attended by close to 200 CDC staff. Attendees were encouraged to submit solutions for health equity, which will be shared in future publications.
  
  

• Museum Exhibit Remains Open for Minority Health Month

  The Health Is a Human Right: Race and Place in Americamuseum exhibit will remain open until April 25, 2014. The exhibit is a compelling reflection on the historic conditions and social factors that have shaped the health in the United States, and how they have been unequally experienced by Americans based on race, ethnicity, and economic disadvantage. 
  Health Is a Human Right: Race and Place in America is organized and sponsored by the David J. Sencer CDC Museum, Office of the Associate Director for Communication, and the Office of Minority Health and Health Equity, celebrating its 25th anniversary; with additional support from the California Endowment through the CDC Foundation.
  
  As of March, 21,000 people have visited the exhibition since it opened on September 28, 2013. It has also brought partners together during several “community coffees,” where CDC Museum Curator, Louise E. Shaw, along with CDC subject matter experts, offer guided tours that help spread the word about the event.For more information about Museum Tours, contact museum@cdc.gov.
  
  You can also read The Lancet review of the exhibition, Memories of race and place in the USA 
  The Lancet, Volume 383, Issue 9911, Page 19, 4 January 2014.
  
  

• Meeting to Coordinate U.S. – Brazil Binational Action Plan to Eliminate Racial and Ethnic Discrimination

  A U.S. delegation, coordinated by OMHHE, traveled to Brasilia, Brazil to participate in the U.S. Brazil Joint Action Plan to Eliminate Racial and Ethnic Discrimination and Promote Health Equality (JAPER), February 3-6, 2014. The purpose of the visit was to support greater collaboration between both countries on the elimination of racial discrimination in health, in accordance with the 2008 agreement signed by the U.S. State Department and the Brazilian Secretariat for the Promotion of Racial Equality. The U.S. delegation, including HHS Deputy Assistant Secretary for Minority Health and Director of the Office of Minority Health Dr. Nadine Gracia, and Vice President for Program Strategy at the WK Kellogg Foundation Dr. Gail A. Christopher, were invited based on their expertise in a variety of areas related to public health and racial disparities in health.
  
  The U.S. delegation participated in a series of technical presentations and discussions on the state of the science and practice of reducing racial disparities in health of both countries. Both countries reviewed the development of a binational health action plan. There will be follow up activities and a meeting in 2015.
  
  

• Celebrating Outstanding African American Women

  The CDC/ATSDR Chapter of Blacks in Government will host the “2014 Black Women Rock Ceremony” May 3, 2014 in Atlanta, Georgia. This event will recognize Black women from all walks of life who have made contributions in the community through their personal services and sacrifices that have impacted the lives of others.
  
  For the selection, the honorees must demonstrate at least one of these characteristics:
  • Implements strategies that hold principles of leadership, creating opportunities for others, and influencing systemic change;
  • Has a significant role in enhancing public awareness and an understanding of African American culture in the community;
  • Shares generously of knowledge, skills and other resources to improve the lives of others, acting with integrity, honesty and trust worthiness; or
  • Embodies and promotes an inclusive and diverse community, creating significant programs that make a difference in the community, or advocating for issues that promote the social, economic, health, and well-being of the community.
  
  In May 2012, 50 women were honored during this event.
  
  
• 

  CDC/ATSDR Tribal Support Unit Updates

  In November 2013, the Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry (CDC/ATSDR)finalized the Tribal Consultation Policy,updated the Tribal Advisory Committee (TAC) Charter, and initiated open recruitment for 11 positions on the TAC. The TAC serves as an advisory committee to CDC/ATSDR, providing input and guidance on policies, guidelines, and programmatic issues affecting the health of Indian tribes.
  
  The CDC/ATSDR TAC Meeting and 10th Biannual Tribal Consultation Session were held in Atlanta February 18–19, 2014. Eight tribal leaders joined the TAC in January and participated in the February meeting. Recruitment is under way for the three remaining open seats. More information about these open seats and the nomination process will be posted on theTAC website.Information about the upcoming summer 2014 TAC Meeting and 11th Biannual Tribal Consultation Session will be posted to theTribal Support Unit website as soon as it is available.For additional information or if you have any questions, please email the Tribal Support Unit attribalsupport@cdc.gov.
  

• CDC Vital Signs: Child Passenger Safety

  One in three children who died in crashes in 2011 was not buckled up, according to CDC’sVital Signs.Almost half of all black (45 percent) and Hispanic (46 percent) children who died in crashes were not buckled up, compared to 26 percent of white children (2009-2010). CDC analyzed 2002–2011 data from the Fatality Analysis Reporting System, collected by the National Highway Traffic Safety Administration, to determine the number and rate of motor-vehicle occupant deaths, and the percentage of child deaths among children 12 and younger who were not buckled up (not buckled in a car seat, booster seat, or seat belt). Motor vehicle crash deaths among children 12 and younger decreased by 43 percent in the past decade (2002-2011), however, more than 9,000 children died in crashes during that period.
  
  Research has shown that using age- and size-appropriate child restraints (car seats, booster seats, seat belts) is the best way to save lives and reduce injuries in a crash. Almost half of all black (45 percent) and Hispanic (46 percent) children who died in crashes were not buckled up, compared to 26 percent of white children (2009-2010).
  
  
  States and communities can:
  
  • Use proven actions that increase car seat, booster seat, and seat belt use and reduce child motor vehicle deaths. Options proven to be effective include:
    • Child passenger restraint laws that require car seat or booster seat use through 8 years of age.
    • Car seat and booster seat give-away programs that include education for parents and caregivers.
  • States can also increase the number of certified Child Passenger Safety Technicians, as well as partner with researchers to develop and evaluate programs to address racial/ethnic differences in getting children buckled up.
  
  Visit CDC's Injury Prevention & Control: Motor Vehicle Safety,Child Passenger Safety page for more information.
  

• Migrant Health Meeting

  OMHHE hosted a meeting at CDC on November 22, 2013 to share an overview and updates on the threeRegional Migrant Health Stream Forumsand other migrant-related activities. The participants, including staff from CDC’s internal Migrant Health Committee, discussed ways to exchange knowledge and expertise on migrant farmworker health issues and solidify working relationships in support of training opportunities for migrant lay health workers (“promotoras”) who attend the migrant stream forums on CDC topic areas.
  
  One focus of collaboration between the Committee and the migrant stream coordinators for 2014 will be enhancing coordination of language access and health literacy training.
  
  

• CDC’s Tool for Clear Communication (CCIS)

  It may not be obvious, but poor communication contributes to health inequities. CDC is helping public health professionals become clear communicators with the Clear Communication Index (Index). The Index identifies the most important factors that increase clarity and aid understanding of public messages and materials. The Index supports the efforts of the CDC to comply with the Plain Writing Act of 2010  and expands on plain language techniques in the Federal Plain Language Guidelines.
  
  The Index can be used to
  1. Inform the design and development of a new communication material
  2. Assess the clarity of materials prior to public release
  3. Foster discussion and collaboration between writers and reviewers before or during the clearance process as they work to attain scientific accuracy and clarity of content
  4. Quickly assess the clarity and ease of use of already released material
  
  To find the Clear Communication Index User Guide and score sheets, visit CDC’sGateway to Health Communication & Social Marketing Practice website.
  

• First Anniversary of CLAS!

   In April, the enhanced National Standards for Culturally and Linguistically Appropriate Services (CLAS) mark their first anniversary. First published in 2000 and revised in 2013, the National CLAS Standards provide a blueprint for health and health care organizations to advance health equity, improve quality, and help eliminate health care disparities. The Center for Linguistic and Cultural Competence in Health Care (CLCCHC) at the HHS Office of Minority Health is collecting experiences from health care providers to help understand how the National CLAS Standards are being adopted at different health and health care organizations around the country. For more information, visit the HHS Think Cultural Health, CLAS Standards website.
  
  

• New Spanish-language Video about the Importance of Tracking Children’s Developmental Milestones

  The Centers for Disease Control and Prevention has released its new video,Desarrollo Infantil: Es Mejor Saber (“Child Development: It’s Better to Know”).
  In the 5-minute video, Spanish-speaking parents share their experiences recognizing developmental milestones in their children and highlight what to do if there is a concern about a child’s development.
  
  For more information, please visit CDC's Learn the Signs. Act Early. websiteor the Spanish version: Aprenda los signos. Reaccione pronto. website.Email ActEarly@cdc.gov if you have questions.
  

• CDC’s Newest Resource on Sickle Cell Disease (SCD) 
  for School Staff and Parents of Affected Children

  School personnel and caregivers play an important role in a student’s health and academic success. For students living with a chronic health condition like SCD, communication between parents and school officials is essential in supporting positive academic outcomes. With this in mind, CDC developed a customizable booklet,Tips for Supporting Students with Sickle Cell Disease for teachers, students, and caregivers, to read and tailor for their use.For More Information, See CDC's Sickle Cell Disease (SCD) website

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Commentary

Latino Media Outreach Health Initiative

Barbara J. Reynolds, PhD
Crisis Communication Senior Advisor, OADC, OD, CDC

Barbara J. Reynolds, PhD
Crisis Communication Senior Advisor,
Office of the Associate Director for Communication, Office of the Director, CDC

Hispanics are the largest ethnic minority population in the United States. An estimated 53 million Hispanics constitute 17 percent of the United States population.1 Further, 37 million Hispanics speak Spanish at home in addition to almost four million residents in Puerto Rico whose primary language is Spanish.1

The Census Bureau estimates that by 2060, the U.S. Hispanic population will represent 31 percent of the nation’s population; nearly one in three U.S. residents would be Hispanic.

Hispanics experience serious health disparities. They have higher rates of preventable hospitalizations2 than non-Hispanic whites; are disproportionately affected by HIV3 and diabetes,4 and have high rates of teen pregnancy5 and childhood obesity6. CDC is committed to help eliminate these disparities and other disparities affecting Hispanics.

CDC has taken important, purposeful steps to include Hispanics in our research and surveillance systems, and in assessing the socio economic factors affecting Hispanics' health. The logical complement to this strategy is a comprehensive communication plan to keep all Hispanics informed about how to protect their health and prevent diseases. Some of this communication work is happening programmatically, and that has also been critical work. However, there is still a need for more tailored communication strategies.

With that in mind, the Division of Public Affairs (DPA) has begun working with various teams across the agency to identify Spanish speaking subject matter experts and has provided some of them with media training in Spanish. DPA is working closely with CDC’s Multilingual Services and Broadcast Services in developing health education materials and video clips in Spanish with the CDC Director and other CDC experts and have made them available to the Hispanic Media.

Studies have shown that Latinos’ most trusted health resource is their doctors. DPA is producing Vital Signs communication products in Spanish to help health professionals share critical health information with their Spanish-speaking patients, and there is so much more that could be done. In support of this critical effort, DPA designates 2014 as the year of Latino Media Outreach! The plan is to ensure that CDC’s 24/7 work to save lives and protect people from health threats reaches everyone!

References

1. U.S. Census Bureau (2013, July 30) Profile America Facts for Features: Hispanic Heritage Month 2013: Sept. 15 - Oct. 15.
Retrieved November 20, 2013, from http://www.census.gov/newsroom/releases/archives/facts_for_features_special_editions/cb13-ff19.html

2. Centers for Disease Control and Prevention. (2013). MMWR weekly report: CDC Health Disparities and Inequalities Report — United States, 2013.
Retrieved November 20, 2013, from http://www.cdc.gov/mmwr/pdf/other/su6203.pdf.

3. Centers for Disease Control and Prevention. (2013). Fact Sheet: HIV and AIDS among Latinos.
Retrieved November 20, 2013, from http://www.cdc.gov/nchhstp/newsroom/docs/CDC-HIV-Latinos-508.pdf.

4. Centers for Disease Control and Prevention. (2013). MMWR weekly report: CDC Health Disparities and Inequalities Report — United States, 2013.
Retrieved November 20, 2013, from http://www.cdc.gov/mmwr/pdf/other/su6203.pdf.

5. Martin JA, Hamilton BE, Ventura SJ, Osterman MJK, Mathews TJ. Births Final data for 2011.
National Vital Statistics Reports, 2013;62(1).

6. Centers for Disease Control and Prevention. Trends in the Prevalence of Extreme Obesity Among US Preschool-Aged Children Living in Low-Income Families, 1998-2010.
JAMA. 2012; 308 (24): 2563-2565.

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Science Speaks

Selected publications from OMHHE authors:

--------------------------------------------------------------------------------------------

Sonja Hutchins, MD, MPH, DrPH, (OMHHE Senior Medical Advisor)

Gina Thornton-Evans, DDS, Paul Eke, PhD, Liang Wei, MS, Astrid Palmer, Refilwe Moeti, MA, Sonja Hutchins, MD; Luisa N. Borrell, DDS.
Periodontitis Among Adults Aged ≥30 Years — United States, 2009–2010. 
MMWR Supplements November 22, 2013 / 62(03);129-135.

Leandris C. Liburd, PhD, MPH, 
(Associate Director for Minority Health & Health Equity, CDC/ATSDR)

Leandris C. Liburd,, Wayne Giles, and Leonard Jack Jr.
Health Equity: The Cornerstone of a Healthy Community. 
National Civic Review, Special Issue: Twenty-Five Years of Healthy Communities: Part 1 Winter 2013 / 102(4);52-54.

Ramal Moonesinghe, PhD, (OMHHE Senior Mathematical Statistician)

Ramal Moonesinghe, PhD; Man-huei Chang, MPH; Benedict I. Truman, MD.
Health Insurance Coverage — United States, 2008 and 2010. 
MMWR Supplements November 22, 2013 / 62(03);61-64.

Ana Penman-Aguilar, PhD, MPH, (OMHHE Associate Director for Science)

Pamela A. Meyer, PhD; Ana Penman-Aguilar, PhD; Vincent A. Campbell. PhD; Corinne Graffunder, DrPH; Ann E. O'Connor, MPA; Paula W. Yoon, ScD.
Conclusion and Future Directions: CDC Health Disparities and Inequalities Report — United States, 2013. 
MMWR Supplements November 22, 2013 / 62(03);184-186.


Jamshidi R; Penman-Aguilar, A; Wiener J; Gallo MF; Zenilman JM; Melendez JH; Snead M; Black CM; Jamieson DJ; Macaluso M.
Detection of two biological markers of intercourse: prostate-specific antigen and Y-chromosomal DNA. 
Contraception 2013 Dec; 88(6); 749-57. PMID: 24028752.

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Conversations in Equity

Our blog Conversations in Equity shares and exchanges perspectives and progress in the science and practice of health equity.

See the latest post and add your comments today!

Health Equity Champion

Reginald Ware
BlackDoctor.Org CEO

We cannot reduce or eliminate health disparities without access to high quality health care and credible health information that is presented in ways that are meaningful to communities at risk. Neither can we reduce health disparities without strong public-private partnerships such as the partnership between CDC’s Office of Minority Health and Health Equity and BlackDoctor.org.

The visionary behind BlackDoctor.Org is CEO Reginald Ware. I first met Mr. Ware just over a year ago, and was introduced to BlackDoctor.org, and the comprehensive, timely, and culturally inviting health information provided through their website and other social media outlets. From our first meeting, Mr. Ware has worked with us to effectively build a knowledge and information bridge between public health, medicine, and African American and Latino communities. He is passionate about improving health equity among African Americans and other population groups experiencing preventable health disparities, and I have come to admire his commitment, drive, and generosity. On behalf of the Office of Minority Health and Health Equity, I am honored to recognize Mr. Ware as a Health Equity Champion.

--Leandris C. Liburd

Reginald Ware has over 20 years of healthcare marketing experience and has worked with African American doctors the majority of those years. Ware’s background includes magazine publishing, public relations, website management, television production/sales, sales training and consulting.

Ware is the original founder of Heart & Soul Magazine, which was the first healthy lifestyle magazine for African American women. In its prime, Heart & Soul touched the lives of over one million African Americans.

During Ware’s tenure as head of his public relations firm, leading physicians and dentists were featured in major media outlets from Cosmopolitan, Glamour, Vogue, and Essence magazines to the Oprah Winfrey show.

Ware graduated from the University of Arizona with a degree in Marketing and is a member of Omega Psi Phi Fraternity. “BlackDoctor.org is the leading health destination for Black consumers, and I lead the management team who oversees important aspects of the website, from editorial to marketing to advertising sales and operations,” said Ware, after accepting his nomination from Health Equity Matters.

“My primary life principle is to create win/win situations with everyone I meet. Black Doctor.org enables me to do this by creating much needed, culturally-accurate, health content for African Americans that can change their lives forever. For our employees, we are able to create jobs whereby talented people can have rewarding careers that enable them to live their lives to the fullest. Lastly, for our marketing partners, we offer an engaged audience of 14 million people in a trusted health environment,” added Ware.

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Announcements

• 18th Annual National Hispanic Medical Association (NHMA) Conference
  “The Affordable Care Act & Best Practices in Health Care for Hispanics”
  March 27–30, 2014
  Washington, D.C.
• Hispanics Serving Health Professions Schools’ (HSHPS) Graduate Fellowship Training Program (GFTP)
  GFTP offers paid and unpaid fellowship opportunities for students and recent graduates interested in working on Hispanic and other minority health research.
  Deadline for application: April 1, 2014
• Morehouse Innovation Expo 2014
  Igniting Innovative Ideas: Addressing Global Challenges
  April 16–17, 2014
  Atlanta, Georgia
• Latino Medical Student Association LMSA) 9th Annual National Conference
  Creciendo Juntos: Improving Health Care for and by Latinos
  April 25–27, 2014
  Houston, Texas
• 25th Native Health Research Conference
  June 1–5, 2014
  Phoenix, Arizona
• U.S.-México Border Binational Infectious Disease Conference 
  June 10-12, 2014
  El Paso, Texas
• Latino Health Equity Conference
  Coalition of Community Health Clinics (CCHC), Familias en Acción
  June 13, 2014
  Portland, Oregon
• 9th Summer Institute on Migration and Global Health
  June 16-19, 2014
  Oakland, California
• Northwest Portland Area Indian Health Board, NARCH Training
  Summer Research Training Institute for American Indian and Alaska Native Health Professionals
  June 16-July 2, 2014
  Oakland, California

For more announcements, see the Minority Health Announcements Page

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Statistics Highlight

QuickStats: Infant Mortality Rates,* by Race and Hispanic Ethnicity of Mother — United States, 2000, 2005, and 2010
MMWR Weekly January 10, 2014 / 63(01);25

The figure below shows infant mortality rates, by race and Hispanic origin of mother in the United States during 2000, 2005, and 2010. The U.S. infant mortality rate plateaued during 2000-2005, and then declined from 6.86 infant deaths per 1,000 live births in 2005 to 6.14 in 2010.

Declines from 2005 to 2010 were largest for non-Hispanic black women (from 13.63 to 11.46), followed by non-Hispanic white (from 5.76 to 5.18) and Hispanic women (from 5.62 to 5.25).

In 2000 and 2005, the non-Hispanic black infant mortality rates were 2.4 times the non-Hispanic white rates; however, both the absolute difference and relative difference between the two rates have narrowed, and in 2010, the non-Hispanic black rate was 2.2 times the non-Hispanic white rate”.   

From 2005 through 2011, the U.S. infant mortality rate declined most rapidly for non-Hispanic black women.

The U.S. infant mortality rate declined 12% for both the total population and non-Hispanic white women from 2005 through 2011.

The infant mortality rate declined the most for non-Hispanic black women (16%), and the least for Hispanic women (9%).

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Quick Links

• Six Components Necessary for Effective Public Health Program ImplementationAmerican Journal of Public Health (AJPH),2014 Jan;104(1);17-22.
• Effects of Full-Day Kindergarten on the Long-Term Health Prospects of Children in Low-Income and Racial/Ethnic-Minority Populations A Community Guide Systematic Review
  Am J Prev Med 2014 Mar;46(3):312–323
• Preventing Chronic Disease, PCD Collection: Communities Putting Prevention to Work (CPPW) Formative Evaluation for a Healthy Corner Store Initiative in Pitt County, NC: Assessing the rural food environment, Part 1
  Preventing Chronic Disease, 2013 July 18; V10
• Advanced Social Work Practice Behaviors to Address Behavioral Health Disparities HHS, Office of Minority Health (OMH)
• Accelerating a Social Determinants Model to Build Our Health Ecosystem
  Archived Webinar Available Online
  Association of Schools & Programs of Public Health (ASPPH)
• Reclaiming Public Health: Stories of Self-Determination from Tribes 
  From the Margins to Regional Leadership in Cancer Survivorship
  Association of American Indian Physicians (AAIP), Inside, Winter 2013 Newsletter, Page 11.
• Disparity in the United States
  America’s Health Rankings, United Health Foundation
  To aid in communicating about health disparities, America's Health Rankings has created graphic representations of disparities in smoking, obesity, diabetes, physical inactivity, health status by educational attainment, and gender and race/ethnicity. Information for the United States and for each state is available for viewing and download.
• Diversity & Inclusion at HHS  HHS, Office of the Secretary, Assistant Secretary for Administration, Office of Human Resources
• Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Data Book 
  A Report to the Communities
  HHS, NIH, National Hearth, Lung, & Blood Institute (NLBI)
• Implementing Health Reform: Improved data collection and the monitoring of health disparities
  Annu Rev Public Health. 2014 Mar 18;35:123-38.
• Improving occupational safety and health among Mexican immigrant workers: a binational collaboration
  Public Health Reports (PHR), 2013 Nov; 128 Suppl 3: 33-38.
• Healthy Community Design Checklist ToolkitCDC, National Center for Environmental Health (NCEH), Healthy Places
• The 2013-2014 National Snapshot of Public Health PreparednessCDC, Office of Public Health Preparedness & Response (PHPR), Jan 2014
• 2014 Poverty Guidelines
  HHS, Office of the Assistant Secretary for Planning & Evaluation (OASPE)
• Plain Language: Getting Started or Brushing Up Online Training Course
  National Institutes of Health (NIH)
• Special Issue on Social Determinants of Health
  Pan American Journal of Public Health (PAJPH), V34(5), Nov 2013
• Nursing in 3D: Workforce Diversity, Health Disparities, Social Determinants of Health
  Public Health Reports (PHR), 2014 Jan/Feb; 129 Suppl 2.

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Trivia!

• 
  When was the first National Negro Health Week held? 
  
  A. February, 1926
  B. April, 1915
  C. May, 1932
• 
  Which disease has been completely eradicated? 
  
  A. Hepatitis
  B. Leukemia
  C. Polio
  D. SmallPox
  
• 
  How many States have adopted "Complete Streets" policies? 
  
  A. 12
  B. 27
  C. 42
•