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Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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White Paper/Brief
The paper outlines the work of the Gender Harmony Project, which has developed a gender-inclusive Health Level Seven International (HL7) logical model: the HL7 Gender Harmony Model. The Gender Harmony Model is a logical model that provides a standardized approach that is both backwards-compatible and an improvement to the meaningful capture of gender identity, recorded sex or recorded gender, sex for clinical use, the name to use, and pronouns that are affirmative and inclusive of gender-marginalized people. The Gender Harmony Project was formed to create more inclusive health information exchange standards to enable a safer, higher-quality, and embracing healthcare experience. The Gender Harmony Model provides the informative guidance for standards for developers to implement a more thorough technical design that improves the narrow binary design used in many legacy clinical systems.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
This study details a national, state-level analysis of COVID-19 infection and mortality disparities between ethnic and racial subgroups using data from the COVID Tracking Project. Results found significantly higher rates of COVID-19 infections among Hispanic and African American populations. A choropleth map of disparities in the United States was produced as part of the study.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Summary Report/Recommendations
To begin bridging the gap in knowledge about COVID-19 risk among sexual minority adults, the Centers for Disease Control and Prevention examined disparities between sexual minority and heterosexual adults in the prevalence of underlying conditions with strong or mixed evidence of associations with severe COVID-19-related illness, by using data from the 2017–2019 Behavioral Risk Factor Surveillance System (BRFSS). Collecting data on sexual orientation in COVID-19 surveillance and other studies would improve knowledge about disparities in infection and adverse outcomes by sexual orientation, thereby informing more equitable responses to the pandemic.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
Using patient record data from the New York University Langone Health System, this study examines outcomes from individuals who tested positive for COVID-19 in New York City from March 1 through April 8, 2020, to examine differences in outcomes based on age, sex, body mass index, comorbidity, insurance type, and neighborhood socioeconomic status. The results indicated that while Black and Hispanic communities were experiencing larger mortality rates in the general population, the study did not find that Black and Hispanic individuals are experiencing worse COVID-19 outcomes, including mortality when hospitalized, as compared to hospitalized patients who are white. This study supports the idea that existing social determinants of health, such as access to housing, access to health care, differential employment outcomes, and poverty can impact mortality rates for Black and Hispanic communities.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
The study analyzed data from different sources to estimate the racial and ethnic diversity of the current healthcare workforce and the graduate pipeline for healthcare professions, and to evaluate whether the diversity of the pipeline suggests greater representation of Black, Hispanic, and Native American populations in the future.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
This study used a randomized controlled trial to determine whether physician-delivered prevention messages affect knowledge and information-seeking behavior of Black and Latinx individuals and whether this differs according to the race and ethnicity of the physician and tailored content. Participants viewed video messages regarding COVID-19 that varied by physician race and ethnicity, acknowledgment of racism and inequality, and community perceptions of mask wearing.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
RELEASE DATE:
Peer Review Study
The article highlights quantitative bias analysis as a method for improving racial and ethnic COVID-19 disparity estimates when data are missing.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Commentary
This article provides an overview of the link between racism and COVID-19 disparities, missing race and ethnicity data, and literature on demographic data gaps. The authors also provide recommendations on how health departments and healthcare systems can engage communities of color to co-develop race and ethnicity data collection processes.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
RELEASE DATE:
White Paper/Brief
This paper serves as a foundational look into how structural racism and social determinants of health impact communities of color — particularly Black and Latino communities — in Massachusetts. This document uses local Massachusetts and national data sources to examine multiple factors for health inequities among racial minorities within the state. The primer covers demographic profiles, social drivers of health, access to coverage and care, service utilization, health outcomes, and the disparate impact of COVID-19 with infographics across multiple areas of health.