John D. and
Catherine T. MacArthur
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Racial, Ethnic and Socioeconomic Disparities in Health: Implications for
Action Conference Contents: Purpose and Format: The Problem:
Although race/ethnicity and SES are inextricably linked, most of the research on health disparities has looked at only one or the other. To inform policy, better data are needed on the joint and independent association of both race/ethnicity and SES on health and on the pathways by which race/ethnicity and SES affect health. These pathways operate across the lifespan starting with early childhood experiences. Given that race and ethnicity shape educational and occupational opportunities and resulting income and access to resources, policies that address these components of SES can help to reduce racial and ethnic disparities in health. However, there may also be unique factors associated with racial/ethnic disparities and with socioeconomic disparities which require different policy solutions. Policies to eliminate disparities must encompass more than just healthcare policy. Tax, fiscal and labor policies affect family security, job markets and the ability to purchase services. Housing policies impact on racial and economic segregation which together create increased concentration of social and physical problems, deteriorating housing and unsafe neighborhoods; these undermine health directly and constrain individuals abilities to engage in health-promoting behavior. Finally, education policies affect childhood exposures and opportunities and have life-long consequences for health. Possible Solutions:
Audience: Sponsors: Aetna
Foundation Center for the
Advancement of Health MacArthur
Network on SES and Health Final Agenda
Conference Speakers Dolores
Acevedo-Garcia, PhD, MPA-URP Nancy
E. Adler, PhD Paula
Braveman, MD, MPH Gary
Burtless, PhD Congresswoman
Donna M. Christensen, MD Ana
Diez-Roux, MD, MPH, PhD Harold
P. Freeman, MD Jessie Gruman, PhD President and Executive Director Center for the Advancement of Health Jessie Gruman, PhD, is the president and founding executive director of the Center for the Advancement of Health, a Washington-based policy institute funded by the John D. and Catherine T. MacArthur Foundation and other foundations to translate health research into effective policy and practice. The Center works specifically to ensure that evidence on social, behavioral and economic factors is applied to the prevention, management and treatment of disease. Dr. Gruman has worked on this same set of concerns in the private sector (AT&T), the public sector (National Institutes of Health) and the voluntary health sector (American Cancer Society). At the National Institutes of Health National Cancer Institute, Dr. Gruman designed and implemented a nine-year, $150 million program to reduce national smoking prevalence through public policy change, media advocacy and citizen activism. She received her undergraduate degree from Vassar College and her PhD from Columbia University. She serves on the Editorial Board of the journal Annals of Family Medicine. She also serves on the Advisory Board of the American Psychosocial Oncology Society, on the National Advisory Council for the Agency for Healthcare Research and Quality and on the Board of Directors of the National Health Council. Ichiro Kawachi, MD, PhD Professor of Social Epidemiology; Director, Harvard Center for Society and Health Harvard University Ichiro Kawachi, MD, PhD, is Professor of Social Epidemiology and Director of the Harvard Center for Society and Health, both at the Harvard School of Public Health. Dr. Kawachi received his MD and PhD from the University of Otago, New Zealand. Dr. Kawachi's research seeks to link macro social forces such as income distribution, social cohesion and social capital, inequalities in political participation, and residential segregation to patterns of health and disease in populations. Studies in progress feature both ecologic and multilevel designs, with a variety of health outcomes (mortality, morbidity, quality of life). He has published more than 250 peer-reviewed articles and reviews in scientific journals. He was the co-editor (with Lisa Berkman) of Social Epidemiology, published by Oxford University Press in 2000. His most recent books include The Health of Nations with Bruce Kennedy (The New Press, 2002) and Neighborhoods and Health with Lisa Berkman (Oxford University Press, 2003). Dr. Kawachi is the Senior Editor (Social Epidemiology) of the international journal Social Science & Medicine, as well as an Editor of the American Journal of Epidemiology. He has consulted in the past with WHO and the Pan-American Health Organization and has taught courses on social epidemiology in New Zealand, Australia, Spain, Sweden, Mexico and Chile. Barbara Kivimae Krimgold Senior Project Director Center for the Advancement of Health Barbara Kivimae Krimgold is director of the W.K. Kellogg Foundation's Scholars in Health Disparities program and director of the upcoming Web site project, "Celebrating Diversity Interactive Database: Quality of Life Indicators for Urban Americans of Color" at the Center for the Advancement of Health. She is also a senior advisor to the W.K. Kellogg Foundation's Men's Health project, "Saving Men's Lives." With a broad background in health policy spanning three decades, she translates research about population health into health policy frameworks and information for media and policy communities. For more than 10 years she served as a health policy professional within the U.S. Office of Management and Budget serving under Presidents Ford, Carter and Reagan and as the top health policy professional for the U.S. Senate Special Committee on Aging. She has worked with many non-profit organizations and several foundations on U.S. and global health programs. She is the co-editor of Income, Socioeconomic Status and Health: Exploring the Relationships and The American Woman 1996-97: Women and Work and the co-author of Improving Health: It Doesn't Take a Revolution and Incorporating Socioeconomic Factors into U.S. Health Policy: Addressing the Barriers. She graduated from Harvard College and won a National Defense Education Act Fellowship to study at Harvard's Graduate Center for Middle Eastern Studies. Sir Michael Marmot, MD, PhD Professor of Epidemiology and Public Health; Director, International Centre for Health and Society University College London Sir Michael Marmot, MD, PhD, is Professor of Epidemiology and Public Health and Director of the International Centre for Health and Society at University College London. He is also Adjunct Professor of Health and Social Behaviour at the Harvard School of Public Health. He has a medical degree from the University of Sydney and a PhD in epidemiology from the University of California, Berkeley. He is a Fellow of the Faculty of Public Health Medicine and a Fellow of the Royal College of Physicians. He was elected as a founding fellow of the Academy of Medical Science (FMedSci.). In 2002 he was elected to Foreign Associate Membership of the Institute of Medicine. He has served on numerous national and international committees. He has coordinated two European Research networks, and is now co-cordinator of the European Science Foundation network on inequalities in healthy life expectancy. He has been a member of two research networks of the Chicago-based MacArthur Foundation, and a member of the Canadian Institute of Advanced Research Population Research program. He chaired the Ontario Institute for Work and Health Research Advisory Committee. He is a member of the Royal Commission on Environmental Pollution. He was a member of the National Research Council (National Academies) panel on New Populations for an Aging World. He has given a number of named lectures and keynote lectures over the last several years. He has published more than 400 scientific papers, has authored one monograph and co-edited six books (one in press). In the New Year's Honours List 2000, he was knighted by Her Majesty the Queen "For Services to Epidemiology and Understanding Health Inequalities. Karen A. Matthews, PhD Professor of Psychiatry, Epidemiology, and Psychology University of Pittsburgh Karen A. Matthews, PhD, is Professor of Psychiatry, Epidemiology, and Psychology at the University of Pittsburgh, where since 1983 she also has been Program Director of the Cardiovascular Behavioral Medicine Research Training Program. She is also Director of the Pittsburgh Mind Body Center, one of five centers in the country established in 2000 by the National Institutes of Health to study mind/body relationships and health. Her research has focused on behavioral risk factors and their determinants at key developmental transitions, e.g. adolescence and menopause. In 1990, she received a MERIT Award from the National Institutes of Health for her work pertaining to the relationship between behavioral stress and reproductive hormones and their impact on risk for cardiovascular disease. She is a member of the Institute of Medicine, the Socioeconomic Status and Health Research Program of the John D. and Catherine T. MacArthur Foundation, and the National Heart, Lung, and Blood Institute Board of External Advisors. She has previously served as a member of the National Heart, Lung, and Blood Institute Advisory Council, Co-Chair of the Executive Committee of the Women's Health Initiative, Chair of the Center for Scientific Review Advisory Committee, Editor-in-Chief of Health Psychology, President of the American Psychosomatic Society, and President of Health Psychology (Division 38) of the American Psychological Association. Bruce S. McEwen, PhD Professor and Head of the Harold and Margaret Milliken Hatch Laboratory of Neuroendocrinology Rockefeller University Bruce S. McEwen, PhD, is the Alfred E. Mirsky Professor and Head of the Harold and Margaret Milliken Hatch Laboratory of Neuroendocrinology at The Rockefeller University. Dr. McEwen graduated summa cum laude in chemistry from Oberlin College in 1959 and obtained his PhD in cell biology in 1964 from The Rockefeller University. He returned to Rockefeller in 1966 to work with the psychologist Prof. Neal Miller after postdoctoral studies in neurobiology in Sweden and a brief period on the faculty at the University of Minnesota. He was appointed as Professor at Rockefeller in 1981. He is a member of the U.S. National Academy of Sciences, the Institute of Medicine, the American Academy of Arts and Sciences and a Fellow of the New York Academy of Sciences. He served as Dean of Graduate Studies from 1991-93 and as President of the Society for Neuroscience in 1997-98. Dr. McEwens laboratory research deals with the impact of stress and stress hormones on the brain and on immune function. He and his laboratory colleagues also study sex differences and sex hormone, especially estrogen, effects on the brain, particularly those effects that are non-reproductive. His laboratory combines molecular, anatomical, pharmacological, physiological and behavioral methodologies and relates their findings to human clinical information. He is a member of the MacArthur Foundation Research Network on Socioeconomic Status and Health, in which he is helping to reformulate concepts and measurements related to stress and stress hormones in the context of human societies. He is the co-author of a new book with science writer Elizabeth Lasley for a lay audience called The End of Stress as We Know It, published by the Joseph Henry Press and the Dana Press. Amani M. Nuru-Jeter, PhD, MPH Robert Wood Johnson Health and Society Scholar University of California, San Francisco/Berkeley Amani M. Nuru-Jeter, PhD, MPH, is a Robert Wood Johnson Health and Society Scholar at the University of California, San Francisco/Berkeley. Dr. Nuru-Jeter received her PhD in Health Policy and Management, Health and Social Policy, from the Johns Hopkins Bloomberg School of Public Health. Broadly, Dr. Nuru-Jeter's work focuses on structural inequalities, psycho-social and environmental context and its implications for racial inequalities in health. Dr. Nuru-Jeter is currently a co-investigator on a project with the Center on Social Disparities in Health at the University of California, San Francisco, working on the systematic development of a tool to measure racism and racial discrimination and its influence on reproductive health outcomes. She is also working on the conceptualization of race as a marker for exposure to chronic stress and is examining the influence of psychosocial and contextual factors on racial differences in allostatic load. Dr. Nuru-Jeter currently serves on the Executive Board of the Society for the Analysis of African-American Public Health Issues and is a Core Member of the Health Disparities Working Group of the National Children's Study. She is also a Core Member of the Measures of Racism Working Group at the Centers for Disease Control and Prevention, where she has been involved in national efforts to develop measures of racism and racial discrimination. Robert K. Ross, MD President and CEO The California Endowment Robert K. Ross, MD, is president and chief executive officer for The California Endowment, a health foundation established in 1996 to address the health needs of Californians. Prior to his appointment in September 2000, Dr. Ross served as director of the Health and Human Services Agency for the County of San Diego from 1993 to 2000. Dr. Ross has an extensive background as a clinician and public health administrator. His service includes: Commissioner, Philadelphia Department of Public Health; medical director for LINK School-Based Clinic Program, Camden, New Jersey; instructor of clinical medicine, Children's Hospital of Philadelphia; and faculty member at San Diego State University's School of Public Health. Dr. Ross has been actively involved in community and professional activities at both the local and national level. He served as a member of the National Vaccine Advisory Committee, and on the boards of the National Marrow Donor Program, San Diego United Way and Jackie Robinson YMCA. He is a Diplomate of the American Academy of Pediatrics, served on the President's Summit for America's Future and as chairman of the national Boost for Kids Initiative. Dr. Ross received his undergraduate, masters in Public Administration and medical degrees from the University of Pennsylvania in Philadelphia. Teresa Seeman, PhD Professor of Medicine and Epidemiology University of California, Los Angeles Teresa Seeman, PhD, is a Professor of Medicine and Epidemiology in the UCLA Schools of Medicine and Public Health. Previously, she was on the faculty in the Department of Epidemiology in the Yale School of Public Health from 1985 to 1995 and then spent two years on the faculty at the Andrus School of Gerontology at USC. She joined the faculty at UCLA in January 1998 with joint appointments in the Schools of Medicine and Public Health. Her research interests focus on the role of socio-cultural factors in health and aging with specific interest in understanding the biological pathways through which these factors influence health and aging. A major focus of her research relates to understanding how aspects of the social environment, particularly social ties, influence health and aging. Dr. Seeman was a member of the MacArthur Research Network on Successful Aging (1985-1995) and is currently a member of the MacArthur Research Network on Socioeconomic Status and Health. She is also currently a consultant to the Behavioral and Social Research Program at the National Institute on Aging on issues relating to the integration of physiological parameters into more socio-behavioral models of health and aging. In collaboration with Dr. Bruce McEwen and Dr. Burton Singer, she has taken a lead in empirical research on the new concept of allostatic load. S. Leonard Syme, PhD Professor of Epidemiology University of California, Berkeley S. Leonard Syme, PhD, has been a Professor of Epidemiology at the University of California, Berkeley since 1968. His major research interest has been psychosocial risk factors such as job stress, social support and poverty. In doing this research, he has studied San Francisco bus drivers; Japanese living in Japan, Hawaii and California; British civil servants; and people living in Alameda County, California. Dr. Syme has written two books and more than 135 published papers, and has been a visiting professor at universities in England and Japan. He was elected to the Institute of Medicine and has received several honors related to his teaching and research, among them the Lilienfeld Award for Excellence in Teaching, the J.D. Bruce Award for Distinguished Contributions in Preventive Medicine from the American College of Preventive Medicine, and the University of California Distinguished Emeritus Professor Award. Now retired, Dr. Syme is Principal Investigator of The Wellness Guide Project in California which is attempting to empower people and communities using printed materials, television, and community resource development. Stephen B. Thomas, PhD Professor of Community Health and Social Justice; Director, Center for Minority Health University of Pittsburgh Stephen B. Thomas, PhD, is Director of the Center for Minority Health and the Philip Hallen Professor of Community Health and Social Justice in the Graduate School of Public Health at the University of Pittsburgh. Additionally, he holds a joint appointment as Professor in the School of Social Work. A native of Columbus, Ohio, Dr. Thomas earned his doctorate in Community Health Education from Southern Illinois University in Carbondale. During the past 15 years, Dr. Thomas has applied his expertise in behavioral science and health education in the African-American community. His work has addressed several critical public health issues, including but not limited to HIV/AIDS, youth violence, substance abuse and the need for more organ and tissue donations among African Americans. Dr. Thomas came to Pittsburgh in 2000 after eight years at Emory University in Atlanta where he was associate professor in the department of behavioral sciences and health education, and director, Institute for Minority Health Research at Rollins School of Public Health. He has also held faculty positions at the University of Maryland, where he was co-founder and director of the Minority Health Research Laboratory; Southern Illinois University and the University of North Carolina. In 1995, he was a consultant to the National Research Council, Institute of Medicines Committee on Preventing HIV Transmission: The Role of Sterile Needles and Bleach. David R. Williams, PhD Harold W. Cruse Collegiate Professor of Sociology; Professor of Epidemiology; Senior Research Scientist, Institute for Social Research University of Michigan David R. Williams, PhD, is the Harold W. Cruse Collegiate Professor of Sociology, Senior Research Scientist at the Institute for Social Research, Professor of Epidemiology, and Faculty Associate in the Program for Research on Black Americans and the Center for AfroAmerican and African Studies at the University of Michigan. Previously, he was an Associate Professor of Sociology, Yale University, and Associate Professor of Public Health, Yale School of Medicine. His research has focused on social influences on health and he is centrally interested in the trends and determinants of socioeconomic and racial differences in mental and physical health. In 2001, he was elected as a member of the Institute of Medicine. He has served on the Department of Health and Human Services' National Committee on Vital and Health Statistics (and chair of its subcommittee on Minority and Other Special Populations), and the National Science Foundation's Board of Overseers for the General Social Survey. He has also held elected and appointed positions in professional organizations, such as the American Sociological Association and the American Public Health Association. Currently, he is on the board of directors of Academy Health and a member of the MacArthur Foundation's Research Network on Socioeconomic Status and Health. He was a member of the Institute of Medicine's Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care and also serves on its Panel on Race, Ethnicity and Health in Later Life. |
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| Copyright © 1999
UCSF Contact: Judith Stewart Revised 17 June 2004 |
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