Targeting health disparities: a model linking upstream determinants to downstream interventions. Export

@article{gehlert_et_al_2008, abstract = {Certain social/environmental factors put some groups at extraordinary risk for adverse health outcomes, creating health disparities. We present a downward causal model, originating at the population level and ending at disease, with psychological and behavioral responses linking the two. This approach identifies how specific social environments "get under the skin" to cause disease, illustrated with the disparity in mortality from aggressive premenopausal breast cancer suffered by black women. Broadening our lens to consider the entire chain of causal factors, spanning multiple levels and interacting across the life span, heightens our ability to craft specific interventions to address group differences in health.}, address = {School of Social Services Administration, University of Chicago, IL, USA. sgehlert@uchicago.edu}, author = {Gehlert, S. and Sohmer, D. and Sacks, T. and Mininger, C. and McClintock, M. and Olopade, O.}, citeulike-article-id = {3132130}, citeulike-linkout-0 = {http://dx.doi.org/10.1377/hlthaff.27.2.339}, citeulike-linkout-1 = {http://content.healthaffairs.org/cgi/content/abstract/27/2/339}, citeulike-linkout-2 = {http://view.ncbi.nlm.nih.gov/pubmed/18332488}, citeulike-linkout-3 = {http://www.hubmed.org/display.cgi?uids=18332488}, comment = {Proposes a theoretical model causally linking ecological and area conditions downwards through scales all the way to biomedical processes. Also investigates the different levels at which interventions can occur and the effects may they have downstream. ``Although a host of hereditary and individual behavioral factors are linked to health outcomes, we now understand that social circumstances and environmental factors place minority groups at a distinct disadvantage in health and disease.'' (p.340) }, doi = {10.1377/hlthaff.27.2.339}, issn = {1544-5208}, journal = {Health affairs (Project Hope)}, keywords = {causal-model, conceptual-framework, individual, multilevel, social}, number = {2}, pages = {339--349}, posted-at = {2008-10-13 20:00:45}, priority = {0}, title = {Targeting health disparities: a model linking upstream determinants to downstream interventions.}, url = {http://dx.doi.org/10.1377/hlthaff.27.2.339}, volume = {27}, year = {2008} }

TY - JOUR ID - gehlert_et_al_2008 L3 - citeulike-article-id:3132130 N2 - Certain social/environmental factors put some groups at extraordinary risk for adverse health outcomes, creating health disparities. We present a downward causal model, originating at the population level and ending at disease, with psychological and behavioral responses linking the two. This approach identifies how specific social environments "get under the skin" to cause disease, illustrated with the disparity in mortality from aggressive premenopausal breast cancer suffered by black women. Broadening our lens to consider the entire chain of causal factors, spanning multiple levels and interacting across the life span, heightens our ability to craft specific interventions to address group differences in health. IS - 2 JF - Health affairs (Project Hope) SN - 1544-5208 AD - School of Social Services Administration, University of Chicago, IL, USA. sgehlert@uchicago.edu EP - 349 TI - Targeting health disparities: a model linking upstream determinants to downstream interventions. VL - 27 SP - 339 KW - causal-model KW - conceptual-framework KW - individual KW - multilevel KW - social N1 - Proposes a theoretical model causally linking ecological and area conditions downwards through scales all the way to biomedical processes. Also investigates the different levels at which interventions can occur and the effects may they have downstream. ``Although a host of hereditary and individual behavioral factors are linked to health outcomes, we now understand that social circumstances and environmental factors place minority groups at a distinct disadvantage in health and disease.'' (p.340) AU - Gehlert, S AU - Sohmer, D AU - Sacks, T AU - Mininger, C AU - McClintock, M AU - Olopade, O PY - 2008///r UR - http://dx.doi.org/10.1377/hlthaff.27.2.339 ER -