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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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Summary Report/Recommendations
This report represents a landscape review of community-level efforts to address SDOH, followed by interviews with participants in three community-level initiatives that have built networks to coordinate clinical and social services. This report presents a cross-site analysis of the three initiatives, highlighting factors they identified as facilitating their efforts, the challenges they faced, their plans for continued expansion, and opportunities for federal and state entities, among other actors, to contribute.
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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Toolkit
The Health Equity Assessment Toolkit (HEAT) is a software application that facilitates the assessment of within-country health inequalities. It was developed for use on desktop or laptop computers and mobile devices. Explore inequality, which enables users to explore the situation in one setting of interest (e.g. a country, province or district) to determine the latest situation of inequality and the change in inequalities over time. Compare inequality, which enables users to benchmark, i.e. compare the situation in one setting of interest with the situation in other settings.
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 looks at survey data from the 2020 U.S. Household Pulse Survey to estimate the associations between state-specific mobility restrictions and well-being across historically excluded groups, including those groups at the intersections of race/ethnicity, sex, and income categorizations. Results found that low-income and African American populations are most likely to be affected by lockdown restrictions, including unemployment, food insufficiency, mental health problems, inaccessibility of medical care, rent or mortgage defaults, and class cancellations.
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 article describes the survey results of 33 Black adolescents (ages 12-17) living in Southeastern United States during the COVID-19 pandemic. The survey illustrates stressors and barriers for these teenagers, citing financial issues, access to health care, and increased mental health strain as key issues during the pandemic. These answers could provide context for addressing issues within this population.
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 article examines the relationship between changes in health-related socioeconomic risks (HRSRs) and mental health for women ages 18-90 during the COVID-19 pandemic. Data was collected through a survey that asked questions about any patterns of change in HRSRs (food insecurity, housing instability, interpersonal violence, and difficulties with utilities and transportation). The results found that 40% of women had one or more prepandemic HRSRs, with an increase in HRSRs experience during the pandemic. The odds of depression, anxiety, and post-traumatic stress symptoms are two or three times higher among women who reported at least one HRSR.
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 sought to examine perceptions of COVID-19 related to prevention, coping, and testing of African American residents in under-resourced communities in Alabama. Utilizing the PRECEDE-PROCEED model, virtual focus groups were conducted in five urban and rural Alabama communities. The focus groups asked questions about prevention and coping barriers, prevention facilitators, and testing barriers surrounding COVID-19 for these communities. The study finds that addressing downstream determinants might be key in reducing disparities for African Americans, who experience higher rates of health disparities.
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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Data Collection Tool
The Vulnerable Population Footprint is a mapping and reporting tool that identifies where high concentrations of populations living in poverty and populations living without a high school diploma overlap.
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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Systematic Review/Meta-Analysis
In an effort to help build the evidence base around social determinants of health (SDOH), the Assistant Secretary for Planning and Evaluation (ASPE) engaged RAND in a project to evaluate the current evidence from programs and policies targeting SDOH and identify research questions, data sources, and data gaps. RAND used a multi-methods approach that included an environmental scan of the published and gray literature of SDOH interventions; key informant interviews with subject matter experts; and a convening of U.S. Department of Health and Human Services agencies and operating divisions to review the results of the environmental scan and offer insights on findings.
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
This systematic review examines COVID-19 literature on the association of race and ethnicity with COVID-19 outcomes. It also examines the association between race, ethnicity, COVID-19 outcomes, and socioeconomic determinants. Within these studies, it is shown that African American and Hispanic individuals are most likely to test positive, while Asian Americans have the highest risk for ICU admission and mortality rates run higher in Hispanic and Asian Americans. These results demonstrate health disparities for minority groups across various factors. Socioeconomic factors additionally are associated with worse COVID-19 outcomes.
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
This study compares Veterans Association (VA) Electronic Health Records data with county-level sociodeterminant factors to determine correlations between income inequality and COVID-19 incidence rates for veterans. Results found that female, Black, urban, low-income, and disabled veterans are more likely to test positive for COVID-19.