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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
This brief lists interventions to support state public health efforts to address rural disparities and racial discrimination. It emphasizes the importance of localized data on social determinants of health and improving systemic and structural underpinnings of racial disparities. Suggested interventions address data collection and workforce issues, including representativeness and paid family leave.
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 article seeks to assess COVID-19 case and mortality rates in non-Hispanic American Indian and Alaska Natives (AI/AN) through an analysis of laboratory-reported COVID-19 data from January 22-July 3, 2020, for 23 U.S. states. The results show that AI/AN individuals are 3.5 times more likely to contract COVID-19 than White individuals, and more accurate race/ethnicity data must be reported by all states to more accurately represent this population.
Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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White Paper/Brief
To help policymakers and other stakeholders identify opportunities to improve health equity in their states, SHADAC has produced a set of data resources for the 50 states and the District of Columbia. Using the Behavioral Risk Factor Surveillance System (BRFSS) Survey — combining the three most recent years of data (2018–2020) to improve our ability to develop reliable state-level estimates for smaller population subgroups — SHADAC created maps and charts showing how states compare to the U.S. average in measures of people’s self-reported physical and mental health, and how people’s physical and mental health varies depending on their race and ethnicity, level of income, and age within each state.
Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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Summary Report/Recommendations
This study uses data from the COVID Tracking Project’s Racial Data Tracker, which aggregates state-level COVID-19 reporting and tracking databases to determine racial/ethnic trends of COVID-19 incidence and evaluate the racial/ethnic distribution of COVID-19 related mortality in the US. Results found that disparities are more apparent at the county and city level, and discusses the importance of transparent, local data in order to allow for greater precision in resource allocation and effective policy changes aimed at reducing disparities. The study includes choropleth maps of the results by state.
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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Summary Report/Recommendations
This article is a review of legal issues impacting Tribal public health during the pandemic. Most notably the article highlights the failure of the federal government to adequately support American Indians and Alaska Natives, as well as the impacts and importance of Tribal authority/jurisdiction in creating culturally appropriate public health measures. The article includes recommendations for Tribal, federal, and local governments in how to best manage the pandemic.
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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Summary Report/Recommendations
The authors identify strategies and approaches for creating culturally resonant health promotion interventions in partnership with Native communities, drawing on lessons learned from five community-based Native health intervention studies. The practice strategy this article is focused on is community-based, culturally resonant health promotion. Adaption of these strategies will be required for interventions specific to COVID-19 mitigation.
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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Summary Report/Recommendations
In this report, the authors evaluate health equity across race and ethnicity, both within and between states, to illuminate how state health systems perform for Black, White, Latinx/Hispanic, American Indian/Alaska Native, and Asian American, Native Hawaiian, and Pacific Islander populations.