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首页> 外文期刊>Journal of public health management and practice: JPHMP >State and Territorial Infrastructure for Health Equity and Minority Health
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State and Territorial Infrastructure for Health Equity and Minority Health

机译：州和地区基础设施，促进健康公平和少数民族健康

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Objective: With support from the National Partnership for Action to End Health Disparities, the Association of State and Territorial Health Officials conducted a survey of state and territorial health agencies (STHAs) to identify agencies' infrastructure and capacity for addressing health equity and improving minority health outcomes. Design: The Minority Health Infrastructure Survey was a census design survey distributed to STHAs in 2007, 2010, and 2014. Both cross-sectional and select longitudinal data are presented. Methods: Descriptive data from the Association of State and Territorial Health Officials' Minority Health Infrastructure Survey were recorded, and chi(2) tests were performed on selected variables. Results: In 2007, 95.7% of jurisdictions had a primary contact person for health equity initiatives. That number rose to 98.0% in 2010 and to 100% in 2014. In STHAs with a primary contact person, that individual worked full-time on health equity initiatives in 63.6% of STHAs in 2007, 82.0% of STHAs in 2010, and 81.1% of STHAs in 2014. The proportion of STHAs with an organizational unit devoted to minority health was 78.3% in 2007, 90.2% in 2010, and 84.9% in 2014. In 2014, 92.6% of STHAs had included minority health in an agencywide or dedicated strategic plan. The most common strategies for addressing health equity included in strategic plans were collecting and tracking disparities data (91.8%), leveraging and engaging public/private partners in solutions for health disparities (87.8%), and increasing cultural competency or health literacy (87.8%). All respondents collaborated with external partners on health equity initiatives in some way. Conclusions: STHAs increased their organizational resources to address minority health between 2007 and 2010, but resources leveled off or decreased in some areas between 2010 and 2014. Closing the disparities gap will require substantial nationwide investment and implementing strategies with the potential to make a lasting impact.
机译：目标：在全国消除健康差异行动伙伴关系的支持下，州和地区卫生官员协会对州和地区卫生机构（STHA）进行了调查，以确定机构的基础设施和能力，以实现健康公平和改善少数民族健康结果。设计：《少数民族健康基础设施调查》是2007年，2010年和2014年分发给STHA的普查设计调查。同时提供了横截面数据和选定的纵向数据。方法：记录来自州和地区卫生官员协会少数民族健康基础设施调查的描述性数据，并对所选变量进行chi（2）测试。结果：在2007年，有95.7％的司法管辖区设有卫生公平倡议的主要联系人。这个数字在2010年上升到98.0％，在2014年上升到100％。在拥有主要联系人的STHA中，该人在2007年占STHA的63.6％，2010年占STHA的82.0％和81.1的专职工作于健康权益计划2014年STHA的百分比。拥有专门负责少数民族健康的组织单位的STHA的比例在2007年为78.3％，在2010年为90.2％，在2014年为84.9％。2014年，有92.6％的STHA在机构范围内将少数民族健康纳入了专门的战略计划。战略计划中包括的最常见的解决健康平等问题的策略是收集和跟踪差异数据（91.8％），利用公共/私营合作伙伴并使其参与解决健康差异（87.8％）以及提高文化能力或健康素养（87.8％） ）。所有受访者都在某种程度上与外部合作伙伴就健康公平计划进行了合作。结论：STHA在2007年至2010年期间增加了组织资源以解决少数群体的健康问题，但在2010年至2014年之间某些地区的资源趋于稳定或减少。弥合差距差距将需要在全国范围内进行大量投资，并实施可能产生持久影响的战略。

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