Health disparities: reframing the problem
Health disparities are of continuing concern to the community of public health professionals. Despite concerted efforts on a number of fronts, little progress seems to have been made towards eliminating these disparities. This is due in part to a frame of reference that focuses on race and racism. W...
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Veröffentlicht in: | Medical science monitor 2003-03, Vol.9 (3), p.SR9-S15 |
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description | Health disparities are of continuing concern to the community of public health professionals. Despite concerted efforts on a number of fronts, little progress seems to have been made towards eliminating these disparities. This is due in part to a frame of reference that focuses on race and racism. While racism plays a role, continued focus on socially constructed racial groups will not lead to solutions to the problem. Humans are biological organisms and the presence of disease indicates a maladaptation between the individual human organism and its environment. Lumping together into a 'racial' group large numbers of individuals who share little in terms of phenotype, culture, and/or behavior inhibits reaching appropriate solutions. Progress will only be made when the issue of health disparities is reframed as one of phenotype/environmental mismatch. Such a frame crosscuts current racial groups. Health disparities such as hypertension, prostate cancer, low-birth-weight (LBW) infants, infant mortality, rickets, and melanoma are affected by the interactions of degree of pigmentation, amount of exposure to ultraviolet B (UVB) radiation, and levels of serum vitamin D. Reframing the problem of health disparities from one of race and racism to one of phenotype/environmental mismatch permits a solution to an otherwise intractable problem. |
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Despite concerted efforts on a number of fronts, little progress seems to have been made towards eliminating these disparities. This is due in part to a frame of reference that focuses on race and racism. While racism plays a role, continued focus on socially constructed racial groups will not lead to solutions to the problem. Humans are biological organisms and the presence of disease indicates a maladaptation between the individual human organism and its environment. Lumping together into a 'racial' group large numbers of individuals who share little in terms of phenotype, culture, and/or behavior inhibits reaching appropriate solutions. Progress will only be made when the issue of health disparities is reframed as one of phenotype/environmental mismatch. Such a frame crosscuts current racial groups. Health disparities such as hypertension, prostate cancer, low-birth-weight (LBW) infants, infant mortality, rickets, and melanoma are affected by the interactions of degree of pigmentation, amount of exposure to ultraviolet B (UVB) radiation, and levels of serum vitamin D. Reframing the problem of health disparities from one of race and racism to one of phenotype/environmental mismatch permits a solution to an otherwise intractable problem.</description><identifier>ISSN: 1234-1010</identifier><identifier>PMID: 12640358</identifier><language>eng</language><publisher>United States</publisher><subject>Environment ; Epidemiologic Factors ; Ethnic Groups ; Female ; Humans ; Male ; Melanoma - epidemiology ; Melanoma - etiology ; Phenotype ; Prejudice ; Prostatic Neoplasms - epidemiology ; Prostatic Neoplasms - etiology ; Public Health ; Risk Factors ; Skin Neoplasms - epidemiology ; Skin Neoplasms - etiology ; Skin Pigmentation ; Ultraviolet Rays - adverse effects ; United States ; Vitamin D - blood</subject><ispartof>Medical science monitor, 2003-03, Vol.9 (3), p.SR9-S15</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12640358$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fuller, Kathleen E</creatorcontrib><title>Health disparities: reframing the problem</title><title>Medical science monitor</title><addtitle>Med Sci Monit</addtitle><description>Health disparities are of continuing concern to the community of public health professionals. Despite concerted efforts on a number of fronts, little progress seems to have been made towards eliminating these disparities. This is due in part to a frame of reference that focuses on race and racism. While racism plays a role, continued focus on socially constructed racial groups will not lead to solutions to the problem. Humans are biological organisms and the presence of disease indicates a maladaptation between the individual human organism and its environment. Lumping together into a 'racial' group large numbers of individuals who share little in terms of phenotype, culture, and/or behavior inhibits reaching appropriate solutions. Progress will only be made when the issue of health disparities is reframed as one of phenotype/environmental mismatch. Such a frame crosscuts current racial groups. Health disparities such as hypertension, prostate cancer, low-birth-weight (LBW) infants, infant mortality, rickets, and melanoma are affected by the interactions of degree of pigmentation, amount of exposure to ultraviolet B (UVB) radiation, and levels of serum vitamin D. Reframing the problem of health disparities from one of race and racism to one of phenotype/environmental mismatch permits a solution to an otherwise intractable problem.</description><subject>Environment</subject><subject>Epidemiologic Factors</subject><subject>Ethnic Groups</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Melanoma - epidemiology</subject><subject>Melanoma - etiology</subject><subject>Phenotype</subject><subject>Prejudice</subject><subject>Prostatic Neoplasms - epidemiology</subject><subject>Prostatic Neoplasms - etiology</subject><subject>Public Health</subject><subject>Risk Factors</subject><subject>Skin Neoplasms - epidemiology</subject><subject>Skin Neoplasms - etiology</subject><subject>Skin Pigmentation</subject><subject>Ultraviolet Rays - adverse effects</subject><subject>United States</subject><subject>Vitamin D - blood</subject><issn>1234-1010</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j71OwzAUhT2AaCm8AsqExBDp2te1AxuqgCJVYoE5suNramS3wXYG3p5IlOkM59P5OWNLLlC2HDgs2GUpXwCiU7C-YAsulARcd0t2tyUT675xoYwmhxqoPDSZfDYpHD6buqdmzEcbKV2xc29ioeuTrtjH89P7Ztvu3l5eN4-7duRC1JY6OzhvPSrQXAnQjpAjeqtAzZ60VlnwTsC9EW7QGixImmc5YZ0fpMMVu_3LnXu_Jyq1T6EMFKM50HEqvUbOAVHM4M0JnGwi1485JJN_-v9z-AuB9Umr</recordid><startdate>200303</startdate><enddate>200303</enddate><creator>Fuller, Kathleen E</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200303</creationdate><title>Health disparities: reframing the problem</title><author>Fuller, Kathleen E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p122t-e8bcdfbf360716207de3133fb606e8b4bb6b0fd209a2dc770b04e860d2bdfc4d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Environment</topic><topic>Epidemiologic Factors</topic><topic>Ethnic Groups</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Melanoma - epidemiology</topic><topic>Melanoma - etiology</topic><topic>Phenotype</topic><topic>Prejudice</topic><topic>Prostatic Neoplasms - epidemiology</topic><topic>Prostatic Neoplasms - etiology</topic><topic>Public Health</topic><topic>Risk Factors</topic><topic>Skin Neoplasms - epidemiology</topic><topic>Skin Neoplasms - etiology</topic><topic>Skin Pigmentation</topic><topic>Ultraviolet Rays - adverse effects</topic><topic>United States</topic><topic>Vitamin D - blood</topic><toplevel>online_resources</toplevel><creatorcontrib>Fuller, Kathleen E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Medical science monitor</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fuller, Kathleen E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health disparities: reframing the problem</atitle><jtitle>Medical science monitor</jtitle><addtitle>Med Sci Monit</addtitle><date>2003-03</date><risdate>2003</risdate><volume>9</volume><issue>3</issue><spage>SR9</spage><epage>S15</epage><pages>SR9-S15</pages><issn>1234-1010</issn><abstract>Health disparities are of continuing concern to the community of public health professionals. Despite concerted efforts on a number of fronts, little progress seems to have been made towards eliminating these disparities. This is due in part to a frame of reference that focuses on race and racism. While racism plays a role, continued focus on socially constructed racial groups will not lead to solutions to the problem. Humans are biological organisms and the presence of disease indicates a maladaptation between the individual human organism and its environment. Lumping together into a 'racial' group large numbers of individuals who share little in terms of phenotype, culture, and/or behavior inhibits reaching appropriate solutions. Progress will only be made when the issue of health disparities is reframed as one of phenotype/environmental mismatch. Such a frame crosscuts current racial groups. Health disparities such as hypertension, prostate cancer, low-birth-weight (LBW) infants, infant mortality, rickets, and melanoma are affected by the interactions of degree of pigmentation, amount of exposure to ultraviolet B (UVB) radiation, and levels of serum vitamin D. Reframing the problem of health disparities from one of race and racism to one of phenotype/environmental mismatch permits a solution to an otherwise intractable problem.</abstract><cop>United States</cop><pmid>12640358</pmid></addata></record> |
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subjects | Environment Epidemiologic Factors Ethnic Groups Female Humans Male Melanoma - epidemiology Melanoma - etiology Phenotype Prejudice Prostatic Neoplasms - epidemiology Prostatic Neoplasms - etiology Public Health Risk Factors Skin Neoplasms - epidemiology Skin Neoplasms - etiology Skin Pigmentation Ultraviolet Rays - adverse effects United States Vitamin D - blood |
title | Health disparities: reframing the problem |
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