Significant national discourse has focused on the idea of structural inequalities within a variety of societal sectors, including healthcare. 1–3 Structural inequalities occur when differences in access, distribution of wealth, availability of resources, or power are reinforced through structural mechanisms. 4–6 When these differences exist based on race/ethnicity, structural inequalities ...
The Role of Structural Interventions in Reducing or Eliminating Health Disparities. ... The Role of Structural Interventions in Reducing or Eliminating Health Disparities. American Journal of Public Health:109(S1), pp. S72-S78. Page updated August 14, 2024 | published January 1, 2019 .
Here we define structural interventions in public health as interventions that attempt to engage the complex social, economic, and political determinants of health as a way of influencing more downstream outcomes (Blankenship et al., 2000). Such interventions operate at the level of groups or populations and generally attempt to shape an ...
Many of these health disparities are driven by inequities in access to and the scope of society’s health-affirming structural resources and opportunities commonly referred to as structural drivers or social determinants of health—SDoH. ... Fichtenberg, C.; Cené, C.W. Advancing health equity through social care interventions. Health Serv ...
Due to the complex and pervasive nature of structural racism, interventions that act at the structural level, rather than the individual level, are necessary to improve racial health equity. This systematic review was conducted to evaluate the effects of structural-level interventions on determinants of health and health outcomes for racialized ...
Structural determinants play a vital role in health outcomes and the ability to seek preventive and treatment services or support for quality of care. Structural interventions should seek to change the social and environmental contexts that yield and perpetuate social and health inequalities.
Black maternal mortality in the United States remains alarmingly high—Black women are still more than three times as likely to die from pregnancy-related causes than White women. This crisis is not due to individual choices or access alone, but to deeply rooted structural inequities, including systemic racism, policy exclusion, and the neglect of Black-led care models. While efforts like ...
Blankenship et al. (6) also take a broad view of structural intervention, stating that structural interventions in public health alter “the context within which health is produced or reproduced.” (We interpret the term reproduced to indi-cate restoration of optimal health when health is impaired.) The definition of
The biases faced by women seeking health care are well-documented [88 ... Research on the effects of interventions for structural health inequities is lacking, particularly for Black populations. Since research is conducted and funded by structures that perpetuate racism, such as academia and government, significant efforts must be made to ...
Structural interventions refer to public health interventions that promote health by altering the structural context within which health is produced and reproduced. They draw on concepts from multiple disciplines, including public health, psychiatry, and psychology, in which attention to interventions is common, and sociology and political ...
Structural interventions refer to public health interventions that promote health by altering the structural context within which health is produced and reproduced. They draw on concepts from multiple disciplines, including public health, psychiatry, and psychology, in which attention to interventions is common, and sociology and political ...
Adverse childhood experience (ACE) exposure and poor mental health are closely intertwined. In 2020, the prevalence of both began precipitously increasing among adolescents. We explored associations of individual and cumulative ACE exposure with cost and COVID-19 pandemic-related unmet health needs to assess ACEs as risk markers for broader structural adversity.
The framework of structural competency offers a new way to understand and respond to health inequities in clinical care and health services delivery. Clinicians can work toward achieving structural competency at the individual, interpersonal, clinic, and community levels using the interventions described in the article.
The Fundamental Cause Theory [26,27,28] and Psychological Mediation Framework [] directly informed our hypotheses and study design.Guided by Fundamental Cause Theory, we conceptualized racial discrimination in healthcare as a structural barrier that limits access to health-promoting resources, contributing to poor mental health.
Interventions in the Brazilian public healthcare system have been developed to enhance the recognition of inequalities and translate them into actions that provide more humane care. Most of these initiatives have occurred in smaller contexts, often focusing solely on equity and anti-racism in a few hospitals or units [ 32 ].
Health disparities research in the United States over the past 2 decades has yielded considerable progress and contributed to a developing evidence base for interventions that tackle disparities in health status and access to care. However, health disparity interventions have focused primarily on in …
services, in addition to the health care system.8 For more in-formation on designing, con-ducting,andanalyzingmultilevel structural interventions, see the multilevel intervention analytic essay by Agurs-Collins et al. (p. S86) in this special issue. EVIDENCE-BASED STRUCTURAL INTERVENTIONS A few promising interven-tions have addressed structural
