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Health Equity Report 2019-2020: Special Feature on Housing and Health Inequalities

Publisher: U.S. Department of Health and Human Services, Health Resources and Services Administration, Office of Health Equity

Editors/Authors for the Full Report: Gopal K. Singh, Andrew De Los Reyes, Michelle Allender, Christine Ramey, Mehrete Girmay, Gem Daus, Elijah Martin, and Ivy Vedamuthu

Link to the Report: https://www.hrsa.gov/sites/default/files/hrsa/health-equity/HRSA-health-equity-report.pdf

Publication Date: 14 October 2020

Brief Description:

The 2019-2020 Health Equity Report provides current and time trend health disparities data and analyses for a number of vital program areas, including social determinants of health, maternal and child health, primary health care access and quality, HIV/AIDS, mental and behavioral health, chronic disease prevention and health promotion, health workforce, and rural-urban and geographic disparities in the United States. The report includes a special feature on housing and health inequalities, and shows the impact of housing status and housing conditions, a key social determinant, on population health and health equity.

Detailed Abstract:

The Report presents analyses of various health equity trends affecting the nation’s diverse, vulnerable, and socially disadvantaged populations. Trends in health disparities and improvements in health equity are presented for a number of program areas, including maternal and child health, primary health care access and quality, HIV/AIDS, mental and behavioral health, chronic disease prevention and health promotion, health workforce, and rural-urban and geographic disparities. Also addressed are patterns of disparities in several priority areas for the U.S. Department of Health and Human Services: life expectancy, infant mortality, mental health, opioid use, and social determinants of health. Health equity analyses are conducted using a variety of national and HRSA program databases, often stratified by important socioeconomic and demographic characteristics such as gender, race/ethnicity, family structure, education, income, employment status, housing, rural-urban residence, and geographic area/location. On several health outcomes and performance measures, the HRSA programs outperform the national trends by providing greater access to preventive health services, social services, and needed medical care to the underserved and disadvantaged populations and communities in the United States. Although substantial progress has been made in improving the health and well-being of all Americans, health inequities between population groups and geographic areas have persisted and remain marked. Substantial disparities by social determinants, including housing, are found for a number of health indicators, including infant mortality, life expectancy, cardiovascular disease, cancer, diabetes, chronic obstructive pulmonary disease, kidney disease, Alzheimer’s disease, HIV/AIDS, health care access and utilization, health insurance, disability, mental health, preventive health services, smoking, obesity, substance use, drug overdose mortality, suicide, homicide, and unintentional injuries.

The author/source alone is responsible for the views expressed in this article/publication or information resource, and they do not necessarily represent the positions, decisions or policies of the Pan American Health Organization. = El autor/fuente es el único responsable por las opiniones expresadas en este artículo/publicación o recurso de información y no necesariamente representan las posiciones, decisiones o políticas de la Organización Panamericana de la Salud.

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