Category: Diversity and Inclusion

Strategic Skill Area

A Commitment to Advancing Health Equity
Equity Illustration

Course Objective

  • The strengths of the place-based approach as a means to achieve health equity
  • The responsibility of a public health practitioner in acknowledging and addressing the underlying causes as to why health inequalities persist
  • The importance of neighborhood health planning to advance equity

Date: August 4, 2015

Reviewed June 30, 2020

Aletha Maybank, MD, MPH
Deputy Commissioner and Founding Director
Center for Health Equity at the New York City Department of Health and Mental Hygiene (DOHMH)

Dr. Aletha Maybank discusses the Center for Health Equity’s revitalization of a de-centralized, multi-level, “inside-outside” approach to addressing health inequities in New York City. She suggests that collaboration between city government agencies and community advocates groups may help tackle racism as well as a variety of social justice and health issues created and exacerbated by residential segregation. In a large city like New York, community involvement and partnership between existing district health center hubs with the Department of Health may help to address root causes of health equity gaps and reduce redundancy in services.

Adapting Evidence-Based Interventions for New Populations and Settings
People Sitting Outside in the Park

Course Objective

  • Define cultural adaptation and its importance
  • Describe recommended strategies for enhancing cultural appropriateness of program materials and instruments
  • Describe models that can be used to adapt interventions for new settings and populations

Date: July 7, 2015

Reviewed June 30, 2020

Rachel C. Shelton, ScD, MPH
Assistant Professor, Sociomedical Sciences
Columbia University Mailman School of Public Health

Dissemination and implementation sciences are defined as the systematic study of how a specific set of activities and designated strategies are used to successfully adopt and integrate an evidence-based public health intervention (EBI) within specific settings, and are comprised of four steps: 1) exploration, 2) adoption/preparation, 3) implementation, and 4) sustainment. The overall goal is to reduce the gap between science and practice/policy. Implementation research speaks more to processes and factors associated with successful integration of EBIs within a particular setting, while dissemination research focuses on the processes and factors that lead to widespread adoption and use of EBIs. EBIs are shaped by research evidence, resources, population, and context, and are popularly used due to their demonstrated effectiveness, cost-effectiveness, and fast process. In order to successfully select an EBI, interventionists must Identify community needs, assess organizational capacity, and search program registries to select a program. When preparing for implementation, and EBI can either be adopted as is or adapted to fit the local conditions. Adaptation is an important part of the process in order to enhance engagement, reach the audience, address disparities, increase fit and relevance, and reinforce the message. Adaptations can be either surface or deep structure, and the use of either or both should be a conscious, well thought out decision. Surface adaptations use visual and auditory cues for culturally appropriate messages, while deep structure adaptations involves cultural sensitivity and comprehensive understanding of ethnic group’s core cultural values, norms, and stressors (economic, social, environmental) affecting health behaviors. Models for guiding adaptation include Card, ADAPT-ITT, and MAP.

Immigration and Health Disparities: Beyond Acculturation
Permanent Resident

Course Objective

  • Discuss the possible explanations for the apparent deterioration in health over time among immigrants within and across generations.
  • Explain the apparent deterioration of health over time among immigrants through incorporating the role of social context.
  • Describe how a life course approach could contribute to the study of immigrant health.

Date: March 3, 2015

Reviewed June 30, 2020

Lisa M. Bates, ScD
Assistant Professor, Epidemiology
Columbia University Mailman School of Public Health

In this webinar, Dr. Bates presents an overview of how immigration status affects health outcomes in the United States using the research surrounding the concept “acculturation.”

Structural Stigma and the Health of Lesbian, Gay, and Bisexual Populations
People Blocks

Course Objective

  • Define structural stigma as it compares with stigma based on individual-level perceptions or interpersonal experiences.
  • Describe the methodological approaches used to study relationships between structural stigma and Lesbian, Gay and Bisexual (LGB) health.
  • Describe the research evidence regarding the health consequences of exposure to structural stigma among LGB populations.

Date: February 3,2015

Reviewed June 30, 2020

Mark L. Hatzenbueler, PhD
Associate Professor of Sociomedical Sciences, Co-Director of the Center for the Study of Social Inequalities and Health
Columbia University Mailman School of Public Health

In this webinar, participants are given an overview of structural stigma and how it affects the health of LGBT populations.

Region 2 Public Health Training Center