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Toward a fourth generation of disparities research to achieve health equity

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Authors:
Summary:

These US-based researchers discuss their proposed new generation of health disparities research that is grounded in public health critical race praxis and employs comprehensive interventions to address race, racism, and structural inequalities and advancing evaluation methods, as a means of achieving health equity. The researchers examined a conceptual framework of three generations of health disparities research to understand data trends, factors driving disparities, and solutions for closing the gap. Their research model addresses the researcher’s own biases as part of the research process

Comment:
An interesting paper with useful references for people interested in looking at or implementing interventions to address racism at the ‘structural or systematic’ level.
Reference: Annu Rev Public Health. 2011;32:399-416.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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