Last data update: Jun 03, 2024. (Total: 46935 publications since 2009)
Records 1-5 (of 5 Records) |
Query Trace: Huang DT [original query] |
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Principles of health equity science for public health action
Burton DC , Kelly A , Cardo D , Daskalakis D , Huang DT , Penman-Aguilar A , Raghunathan PL , Zhu BP , Bunnell R . Public Health Rep 2023 333549231213162 Health equity is the state in which everyone has a fair and just opportunity to attain their highest level of health, and no one is disadvantaged from achieving this potential because of social position or other socially determined circumstances.1 Science is a cornerstone of public health and central to efforts to achieve health equity. Science designed to generate knowledge to advance equity can improve population health and promote health for all members of society.2 In contrast, science and interventions not designed and implemented with equity in mind may inadvertently perpetuate or widen disparities, even while fostering overall improvements in population health.3 | Health equity science provides a conceptual framework for scientific endeavors that are designed and conducted to advance health equity.4 Health equity science investigates patterns and underlying contributors to health inequities and builds an evidence base that can guide action across the domains of the public health program, surveillance, policy, communication, and scientific inquiry to move toward eliminating, rather than simply documenting, inequities. | Building on extensive work in developing the importance and application of equity concepts in public health practice,5-7 we describe an equity-focused scientific framework and set of principles to guide public health efforts to fulfill the health equity mission of the Centers for Disease Control and Prevention (CDC).8 |
Measuring the magnitude of health inequality between two population subgroup proportions
Talih M , Moonesinghe R , Huang DT . Am J Epidemiol 2020 189 (9) 987-996 The paper evaluates 11 measures of inequality d(p1,p2) between two proportions p1 and p2, some of which are new to the health disparities literature. These measures are selected because they are continuous, nonnegative, equal to zero if and only if |p1-p2|=0, and maximal when |p1-p2|=1. They are also symmetric [d(p1,p2)=d(p2,p1)] and complement-invariant [d(p1,p2)=d(1-p2,1-p1)]. To study inter-measure agreement, five of the 11 measures, including the absolute difference, are retained, because they remain finite and are maximal if and only if |p1-p2|=1. Even when the two proportions are assumed to be drawn at random from a shared distribution-interpreted as the absence of an avoidable difference-the expected value of d(p1,p2) depends on the shape of the distribution (and the choice of d) and can be quite large. To allow for direct comparisons among measures, a standard measurement unit akin to a z-score is proposed. For skewed underlying beta distributions, four of the five retained measures, once standardized, offer more conservative assessments of the magnitude of inequality than the absolute difference. The paper concludes that, even for measures that share the highlighted mathematical properties, magnitude comparisons are most usefully assessed relative to an elicited or estimated underlying distribution for the two proportions. |
Comparisons of self-reported and measured height and weight, BMI, and obesity prevalence from national surveys: 1999-2016
Flegal KM , Ogden CL , Fryar C , Afful J , Klein R , Huang DT . Obesity (Silver Spring) 2019 27 (10) 1711-1719 OBJECTIVE: The aim of this study was to compare national estimates of self-reported and measured height and weight, BMI, and obesity prevalence among adults from US surveys. METHODS: Self-reported height and weight data came from the National Health and Nutrition Examination Survey (NHANES), the National Health Interview Survey, and the Behavioral Risk Factor Surveillance System for the years 1999 to 2016. Measured height and weight data were available from NHANES. BMI was calculated from height and weight; obesity was defined as BMI >/= 30. RESULTS: In all three surveys, mean self-reported height was higher than mean measured height in NHANES for both men and women. Mean BMI from self-reported data was lower than mean BMI from measured data across all surveys. For women, mean self-reported weight, BMI, and obesity prevalence in the National Health Interview Survey and Behavioral Risk Factor Surveillance System were lower than self-report in NHANES. The distribution of BMI was narrower for self-reported than for measured data, leading to lower estimates of obesity prevalence. CONCLUSIONS: Self-reported height, weight, BMI, and obesity prevalence were not identical across the three surveys, particularly for women. Patterns of misreporting of height and weight and their effects on BMI and obesity prevalence are complex. |
Seven prevention priorities of USPHS scientist officers
Huang DT , Dee DL , Ko J , Cole JG , Houston K , Sircar KD , Gaines J . Am J Public Health 2017 107 (1) 39-40 The Commissioned Corps of the US Public Health Service (USPHS), one of America’s seven uniformed services, comprises more than 6700 public health professionals whose mission is to protect, promote, and advance the health and safety of the nation. The Scientist Category, one of 11 professional USPHS categories, includes more than 300 doctoral-level scientists stationed at various state and federal agencies. Among USPHS scientists’ varied work duties and responsibilities are activities related to the seven health priorities delineated in the National Prevention Strategy (NPS), a 2011 federal agenda developed by the Surgeon General–led National Prevention Council that aims to guide improvements in health and well-being in the United States. |
Progress toward the Healthy People 2010 goals and objectives
Sondik EJ , Huang DT , Klein RJ , Satcher D . Annu Rev Public Health 2009 31 271-81 4 p folliwng 281 Healthy People 2010 is a comprehensive framework for improving the health of Americans, built on the foundation of several decades of predecessor initiatives. Its two overarching goals, to "[i]ncrease the quality and years of healthy life" and "[e]liminate health disparities," subsume 28 focus areas and comprise 955 objectives and subobjectives. This review evaluates progress toward meeting the Healthy People 2010 program's challenging agenda in the context of leading health indicator (LHI) measures, developed by the Department of Health and Human Services (DHHS), augmented by additional objectives for a total of 31 measures. Our evaluation of progress includes analysis of changes in objective values, including progress toward Healthy People 2010 targets, where appropriate, and analysis of changes in disparities. The Healthy People 2010 LHI measures suggest that although some progress has been made, there is much work to be done toward the Healthy People 2010 targets and both overarching goals. Expected final online publication date for the Annual Review of Public Health Volume 31 is March 17, 2010. Please see http://www.annualreviews.org/catalog/pubdates.aspx for revised estimates. |
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