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Health Equity, Disparities and Social Determinants

Raised hands of different heights and colors

Social and structural factors such as poverty, education, healthcare access, neighborhood environment, and stigma and racism, are large drivers of disparities and health inequities that have marginalized and historically underrepresented groups’ experiences. At the Yale School of Public Health, researchers work to narrow health inequities through science, epidemiology, public policy and development of interventions.

Our work includes:

  • Understanding underlying mechanisms and the interplay between risk factors that drive health inequity

  • Effects of racism and stigma on health

  • Ways that neighborhoods shape health

  • Role of housing as a social determinant of health

  • Influence of social networks and capital on health

  • Social and structural interventions to ameliorate disparities in chronic diseases

  • Developing evidence-based models to narrow health and healthcare inequalities, with a particular focus on racial and ethnic minority populations

  • Effects of public policy on access to care

  • Quality and efficiency in healthcare systems

Practice- and community-based research and initiatives

  • Hispanic/Latino residents of New Haven. Interventions are focused on nutrition, physical activity and community-clinical linkages, while providing opportunities for our partners and the community members to inform its research, policy, and practice.

  • Local initiatives from the Center for Interdisciplinary Research on AIDS include strong community collaborations with organizations such as A Place to Nourish your Health (APNH), Anchor Health Clinic and the Cornell Scott Health Center.

  • Global initiatives led by centers such as the Through the initiatives of the Prevention Research Center, Community Alliance for Research and Engagement (CAR

    E), and the Yale Cancer Center’s Center for Community Engagement and Health Equity, and Center for Interdisciplinary Research on AIDS (CIRA), Y

    SPH leverages research partnerships to identify and implement equitable solutions.

  • CARE’s 13-year focus has centered on health disparities in New Haven and has led a variety of initiatives to address disparities. Most recently, CARE received a CDC Racial and Ethnic Approaches to Community Health (REACH) grant. Through REACH, CARE plans and carries out local, culturally appropriate programs to address a wide range of health issues among Black and Yale Institute for Global Health, CIRA, Center for Methods in Implementation Science, Global Health Leadership Initiative and others infuse underfunded health infrastructures and communities with action-oriented research. For example, work in Uganda will inform national implementation guidelines on evidence-based TB interventions.