Category: Diversity and Inclusion

Strategic Skill Area

“School to Prison” to “School Again:” Preparing a New Workforce to Address Health Disparities
Handcuffs on Stack of Books

Course Objective

  • Describe what is needed to develop a public health concentration for any new program that focuses on the education and training of inmates
  • Describe how current ‘pipeline’ programs to increase the participation of underrepresented minority students can be adjusted to create a pipeline for students in prison
  • Describe how evaluation studies can assist in the creation of programs designed to alter the school-to-prison pipeline

Date: January 27, 2016

Reviewed June 30, 2020

Robert Fullilove, EdD
Professor of Sociomedical Sciences
Associate Dean, Community and Minority Affairs
Columbia University Mailman School of Public Health

Mass incarceration is one of the leading contributors of health disparities, with a disproportionately large percentage of African American and Latino men experiencing incarceration during their lifetime. Having ever served time makes finding a job, securing housing, and utilizing health care services significantly more difficult, if not impossible. While the United States prison system is meant to “rehabilitate” inmates, many who are released have no education, no job, and no home, and are forced to resort to criminal activities, leading to high recidivism rates. This webinar raises the importance of educational programs for inmates as an effective tool for improving outcomes after release and reducing recidivism. Dr. Fullilove discusses his experience with the Bard Prison Initiative and his vision for a public health prison education system that would educate and recruit inmates as community public health workers striving to improve health and reduce disparities within their own neighborhoods after their release.

Health Disparity within The Transgender Community
Transgender Symbol Drawn on Notepad

Course Objective

  • Identify appropriate terminology as it pertains to sexual identity / gender identification
  • Recognize key services and resources providers can utilize to assist trans community

Date: January 21, 2016

Reviewed June 30, 2020

Health Disparity within The Transgender Community
BGC Consulting

Individuals who identify as transgender are at greater risk of health disparity. Understanding that gender is not binary is vital to helping clients receive appropriate services. Helping those who do not subscribe to the gender binary and those who are questioning gender is an important consideration for public health professionals in order to provide affirmative services to an underserved population. This webinar will help providers grasp concepts of gender outside the binary, allow providers to identify key elements in helping the Trans population, and create understanding the diversity of the Trans community in receiving health and wellness services.

From Concepts to Practice: Health Equity, Health Inequities, Health Disparities, and Social Determinants of Health
Illustration of Different Colored People Standing in a Group

Course Objective

  • Define key concepts, including health equity, health inequities, health disparities, and social determinants of health.
  • Explain the relationship between health equity, health inequities, health disparities, and social determinants of health.
  • Compare and contrast the concepts of health equity, health inequities, health disparities, and social determinants of health.
  • List appropriate strategies that public health professionals can use to address health disparities and social determinants of health in order to achieve health equity.
  • Appreciate the importance of using strategies to advance health equity.

Date: December 22, 2015

Region 2 Public Health Training Center with subject matter expertise from the Center for Health Equity at the New York City Department of Health and Mental Hygiene

This is an introductory online module on the topic of health inequities, health disparities, and social determinants of health.

Investigation of Causes of Higher Mortality among African American Breast Cancer Patients
Breast Cancer Scan

Course Objective

  • Describe how the temporal trends in breast cancer incidence and mortality compare between African Americans and European Americans in the past 30 years.
  • List the potential causes of growing racial disparity in breast cancer mortality.
  • Provide rationale for targeting patients or the health care system in order to reduce the excess breast cancer death rate among African Americans.

Date: November 10, 2015

Reviewed June 30, 2020

Kitaw Demissie, MD, PhD
Professor and Chair, Department of Epidemiology
Director, Institute for the Elimination of Health Disparities
Rutgers School of Public Health, Rutgers Biomedical Health Sciences

In this webinar, Kitaw Demissie reviews prominently cited causative factors and confounders that produce the longstanding high mortality trends seen in African American breast cancer patients as compared to Whites/European Americans. Place (urban vs suburban environment), race and ethnicity, socioeconomic status, and family history influence many African American individuals’ self-efficacy to screen for and readiness to accept a breast cancer diagnosis. Differential care and later-stage diagnoses also affect mistrust of provider ability and honesty regarding treatment regimens, becoming barriers to African American women’s uptake and adherence to breast cancer treatment. Demissie reviews quantitative research and qualitative triangulation data to assess these factors influencing diagnosis and treatment. He suggests African American breast cancer survivors may have a convincing role to play in future research and interventions directed toward encouraging adherence and early diagnosis.

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