title: Evaluating Strategies For Reducing Health Disparities By Addressing The Social Determinants Of Health.
abstract: The opportunities for healthy choices in homes, neighborhoods, schools, and workplaces can have decisive impacts on health. We review scientific evidence from promising interventions focused on the social determinants of health and discuss how such interventions can improve population health and reduce health disparities. We found sufficient evidence of successful outcomes to support disparity-reducing policy interventions targeted at education and early childhood; urban planning and community development; housing; income enhancements and supplements; and employment. Cost-effectiveness evaluations show that these interventions lead to long-term societal savings, but the interventions require more routine attention to cost considerations. We discuss challenges to implementation, including the need for long-term financing to scale up effective interventions for implementation at the local, state, and national levels.
authors: Rachel L. J. Thornton is an assistant professor in the Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, at the Johns Hopkins School of Medicine, in Baltimore, Maryland.
authors: Rachel L J
authors: RL
authors: Thornton
authors: Crystal M. Glover is an assistant professor and BMO Harris Bank Health Disparities Research Fellow at the Rush University Medical School, in Chicago, Illinois.
authors: Crystal M
authors: CM
authors: Glover
authors: Crystal W. Cené is an associate professor in the Division of General Medicine and Clinical Epidemiology, Department of Medicine, at the Chapel Hill School of Medicine, University of North Carolina.
authors: Crystal W
authors: CW
authors: Cené
authors: Deborah C. Glik is a professor of community health sciences at the UCLA Fielding School of Public Health, University of California, Los Angeles.
authors: Deborah C
authors: DC
authors: Glik
authors: Jeffrey A. Henderson is president and CEO of the Black Hills Center for American Indian Health, in Rapid City, South Dakota.
authors: Jeffrey A
authors: JA
authors: Henderson
authors: David R. Williams (dwilliam@hsph.harvard.edu) is the Florence and Laura Norman Professor of Public Health in the Department of Social and Behavioral Sciences at the Harvard T. H. Chan School of Public Health, in Boston, Massachusetts, and a professor in the Department of African and African American Studies at Harvard University, in Cambridge, Massachusetts.
authors: David R
authors: DR
authors: Williams
mesh_terms: D000067576:Child Health; D005260:Female; D006285:Health Planning / Q000458:organization & administration*; D006291:Health Policy; D006293:Health Promotion / Q000458:organization & administration*; D054624:Health Status Disparities; D054625:Healthcare Disparities; D006801:Humans; D008297:Male; D011050:Policy Making; D011634:Public Health; D018570:Risk Assessment; D064890:Social Determinants of Health / Q000191:economics* / Q000639:trends; D014481:United States
keywords: Determinants Of Health; Disparities; Minority Health; Public Health