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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.

NIH Almanac

National Institutes of Health (U.S.). Division of Public Information

Published: 1998

Total Pages: 162


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The report says that important organizational changes are needed at the National Institutes of Health to ensure the agency meets future challenges effectively. In particular, the report advises NIH to devote additional resources to innovative interdisciplinary research that reflects its strategic objectives and cuts across all agency's institutes and centers. The report recommends that Congress should establish a formal process for determining how specific proposals for changes in the number of NIH agencies and centers should be addressed.
Includes: Drug Abuse Prevention through Family Based Interventions: Future Research; Familial Factors and Substance Abuse: Implications for Prevention; Family-Focused Substance Abuse (SA) Prevention: What Has Been Learned from Other Fields; Scientific Findings from Family Prevention Intervention Research; A Universal Intervention for the Prevention of SA: Preparing for the Drug-Free Years; Selective Prevention Interventions: The Strengthening Families Program; Parental Monitoring and the Prevention of Problem Behavior: A Conceptual and Empirical Reformulation; and Family Measures in SA Prevention Research.