Dimensionality and R4P: A Health Equity Framework for Research Planning and Evaluation in African American Populations
Dimensionality and R4P: A Health Equity Framework for Research Planning and Evaluation in African American Populations
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DOI：
10.1007/s10995-017-2411-z
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发表时间：
2018-02-01
影响因子：
2.3
通讯作者：
Faustin, Yanica
中科院分区：
文献类型：
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作者：
Hogan, Vijaya;Rowley, Diane L.;Faustin, Yanica
简介 现有的健康差异框架没有充分纳入导致非裔美国人健康不平等的独特相互作用因素，导致公共卫生利益相关者无法将这些框架转化为实践。方法 我们开发了维度和 R4P，将多种理论观点整合到行动框架中，以消除非裔美国人所经历的健康不平等。结果维度框架结合了批判种族理论和交叉性，并包括过去、现在和未来的维度。维度捕捉了导致健康不平等的一系列复杂的线性和非线性影响，但这些途径并不适合制定基于经验的计划、政策和干预措施以促进健康公平。 R4P 提供了一个框架来确定所需行动的范围。 R4P 的五个组成部分是 (1) 删除、(2) 修复、(3) 补救、(4) 重组和 (5) 提供。结论 R4P 旨在将复杂的因果关系转化为公共卫生公平规划、评估、评价和研究工具。
Introduction Existing health disparities frameworks do not adequately incorporate unique interacting contributing factors leading to health inequities among African Americans, resulting in public health stakeholders' inability to translate these frameworks into practice. Methods We developed dimensionality and R4P to integrate multiple theoretical perspectives into a framework of action to eliminate health inequities experienced by African Americans. Results The dimensional framework incorporates Critical Race Theory and intersectionality, and includes dimensions of time-past, present and future. Dimensionality captures the complex linear and non-linear array of influences that cause health inequities, but these pathways do not lend themselves to approaches to developing empirically derived programs, policies and interventions to promote health equity. R4P provides a framework for addressing the scope of actions needed. The five components of R4P are (1) Remove, (2) Repair, (3) Remediate, (4) Restructure and (5) Provide. Conclusion R4P is designed to translate complex causality into a public health equity planning, assessment, evaluation and research tool.