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. 2023 Apr;101(S1):20-35.
doi: 10.1111/1468-0009.12640.

Upstream Policy Changes to Improve Population Health and Health Equity: A Priority Agenda

Rashawn Ray  1 , Paula M Lantz  2 , David Williams  3
Affiliations

Upstream Policy Changes to Improve Population Health and Health Equity: A Priority Agenda

Rashawn Ray et al. Milbank Q. 2023 Apr.

Abstract

Policy Points Upstream factors-social structures/systems, cultural factors, and public policy-are primary forces that drive downstream patterns and inequities in health that are observed across race and locations. A public policy agenda that aims to address inequities related to the well-being of children, creation and perpetuation of residential segregation, and racial segregation can address upstream factors. Past successes and failures provide a blueprint for addressing upstream health issues and inhibit health equity.

Keywords: health equity; policy; population health; race; racism.

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References

    1. Solar O, Irwin A. A Conceptual Framework for Action on the Social Determinants of Health . Social Determinants of Health Discussion Paper 2 (Policy and Practice). World Health Organization. 2010. Accessed March 21, 2023. https://apps.who.int/iris/bitstream/handle/10665/44489/9789241500852_eng...
    1. Braveman PA, Arkin E, Proctor D, Kauh T, Holm N. Systemic and structural racism: definitions, examples, health damages, and approaches to dismantling. Health Aff (Millwood). 2022;41(2):171‐178. - PubMed
    1. Williams DR, Sternthal M. Understanding racial‐ethnic disparities in health: sociological contributions. J Health Soc Behav. 2010;51(Suppl):S15‐S27. - PMC - PubMed
    1. Adeola FO, Picou JS. Hurricane Katrina‐linked environmental injustice: race, class, and place differentials in attitudes. Disasters. 2017;41(2):228‐257. 10.1111/disa.12204.27238758. - DOI - PubMed
    1. Honoré RL. Speaking truth to power on how hurricane Katrina beat us. Am J Public Health. 2020;110(10):1463‐1465. 10.2105/AJPH.2020.305778 - DOI - PMC - PubMed

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