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The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.
This book describes the principal conceptual, methodological, and empirical developments stemming from PAHO and WHO's institutional efforts in public health, which have entailed the broad and committed participation of the Member States. It provides and overview of the status of Essential Public Health Functions (EPHF) in 41 countries and territories of the Americas, based on self-evaluation exercises performed by health authorities to measure their performance.
Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.
During the past decade, tremendous growth has occurred in the use of nutrition symbols and rating systems designed to summarize key nutritional aspects and characteristics of food products. These symbols and the systems that underlie them have become known as front-of-package (FOP) nutrition rating systems and symbols, even though the symbols themselves can be found anywhere on the front of a food package or on a retail shelf tag. Though not regulated and inconsistent in format, content, and criteria, FOP systems and symbols have the potential to provide useful guidance to consumers as well as maximize effectiveness. As a result, Congress directed the Centers for Disease Control and Prevention (CDC) to undertake a study with the Institute of Medicine (IOM) to examine and provide recommendations regarding FOP nutrition rating systems and symbols. The study was completed in two phases. Phase I focused primarily on the nutrition criteria underlying FOP systems. Phase II builds on the results of Phase I while focusing on aspects related to consumer understanding and behavior related to the development of a standardized FOP system. Front-of-Package Nutrition Rating Systems and Symbols focuses on Phase II of the study. The report addresses the potential benefits of a single, standardized front-label food guidance system regulated by the Food and Drug Administration, assesses which icons are most effective with consumer audiences, and considers the systems/icons that best promote health and how to maximize their use.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
This book presents new insights into the consequences of the impending growth in and impact of the older segment of Latino aging adults across distinctive regions of the Americas. It uses a comparative research framework to further understanding of current issues in health and aging in the transnational context of the health and migratory experiences of the U.S.- Mexican population. It provides an important contribution to the interdisciplinary investigation of chronic diseases and functional impairments, social care and medical services, care-giving and intervention development, and neighborhood factors supporting optimal aging, using new conceptual and methodological approaches (inter-group comparisons). Specifically, the chapters employ different methodologies that investigate trends in aging health and services related to immigration processes, family and household structure, macroeconomic changes in the quality of community life, and focus on the new realities of aging in Latino families in local communities. The book focuses on measurement, data-quality issues, new conceptual modeling techniques, and longitudinal survey capabilities, and suggests needed areas of new research. As such it is of interest to researchers and policy makers in a wide range of disciplines from social and behavioral sciences to economics, gerontology, geriatrics, and public health.
The World health statistics 2020 report is the latest annual compilation of health statistics for 194 Member States. It summarizes trends in life expectancy and causes of death and reports on progress towards the health and health related Sustainable Development Goals (SDGs) and associated targets. Four indicators of emerging public health importance relating to poliomyelitis, hypertension and obesity in adults and school age children have been included. These are part of the WHO's Thirteenth General Programme of Work 2019-2023 (GPW13), which the 71st World Health Assembly approved in May 2018. The GPW13 is largely based on the SDGs and sets out WHO's strategic direction until 2023
Though it is highly preventable, tooth decay is a common chronic disease both in the United States and worldwide. Evidence shows that decay and other oral diseases may be associated with adverse pregnancy outcomes, respiratory disease, cardiovascular disease, and diabetes. However, individuals and many health care professionals remain unaware of the risk factors and preventive approaches for many oral diseases. They do not fully appreciate how oral health affects overall health and well-being. In Advancing Oral Health in America, the Institute of Medicine (IOM) highlights the vital role that the Department of Health and Human Services (HHS) can play in improving oral health and oral health care in the United States. The IOM recommends that HHS design an oral health initiative which has clearly articulated goals, is coordinated effectively, adequately funded and has high-level accountability. In addition, the IOM stresses three key areas needed for successfully maintaining oral health as a priority issue: strong leadership, sustained interest, and the involvement of multiple stakeholders from both the public and private sectors. Advancing Oral Health in America provides practical recommendations that the Department of Health and Human Services can use to improve oral health care in America. The report will serve as a vital resource for federal health agencies, health care professionals, policy makers, researchers, and public and private health organizations.
In this engaging and accessibly written book, Population Health in America weaves demographic data with social theory and research to help students understand health patterns and trends in the U.S. population. While life expectancy was estimated to be just 37 years in the United States in 1870, today it is more than twice as long, at over 78 years. Yet today, life expectancy in the U.S. lags behind almost all other wealthy countries. Within the U.S., there are substantial social inequalities in health and mortality: women live longer but less healthier lives than men; African Americans and Native Americans live far shorter lives than Asian Americans and White Americans; and socioeconomic inequalities in health have been widening over the past 20 years. What accounts for these population health patterns and trends? Inviting students to delve into population health trends and disparities, demographers Robert Hummer and Erin Hamilton provide an easily understandable historical and contemporary portrait of U.S. population health. Perfect for courses such as population health, medical or health sociology, social epidemiology, health disparities, demography, and others, as well as for academic researchers and lay persons interested in better understanding the overall health of the country, Population Health in America also challenges students, academics, and the public to understand current health policy priorities and to ask whether considerably different directions are needed.