Disparities and Health Equity

The differences in ability to access health care and in health outcomes across the population.

Racial/Ethnic Disparities in US Pediatric Growth Hormone Treatment

Adda Grimberg, MD
Sep. 13, 2018

Adda Grimberg, Anders Lindberg, Michael Wajnrajch, Andrew J. Cucchiara, Cecilia Camacho-Hübner

Abstract [from journal]

Background/Aims: To compare racial/ethnic proportions of subjects receiving growth hormone (GH) treatment to the expected proportions, and secondarily, to assess racial/ethnic differences in subject characteristics at GH treatment initiation. 

Methods: Race/ethnicity-based expected frequencies of height <–2.25 SD were determined by applying relative risks for short stature, calculated from a regional population of 189,280 pediatric primary care patients, to US census data, and compared to racial/...

Racial Disparities in Nephrology Consultation and Disease Progression among Veterans with CKD: An Observational Cohort Study

Peter P. Reese, MD, MSCE
Aug. 20, 2018

Jonathan Suarez, Jordana B. Cohen, Vishnu Potluri, Wei Yang, David E. Kaplan, Marina Serper, Siddharth P. Shah, ...

Abstract [from journal]

Background: Incident rates of ESRD are much higher among black and Hispanic patients than white patients. Access to nephrology care before progression to ESRD is associated with better clinical outcomes among patients with CKD. However, it is unknown whether black or Hispanic patients with CKD experience lower pre-ESRD nephrology consultation rates compared with their white counterparts,

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Perceptions of Factors Associated With Inclusive Work and Learning Environments in Health Care Organizations: A Qualitative Narrative Analysis

Jaya Aysola, MD, MPH
Aug. 6, 2018

Jaya Aysola, Frances K. Barg, Ana Bonilla Martinez, Matthew Kearney, ...

Abstract [from journal]

Importance: Diversifying the health care workforce remains a critical goal for health care organizations focused on reducing disparities in care. However, it remains unknown what factors create inclusive health system environments and help organizations retain a diverse workforce.

Objective: To understand from members of the health care workforce what factors contribute to inclusive work and learning environments and what can be done to improve inclusion within health care organizations.

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Effect of Greening Vacant Land on Mental Health of Community-Dwelling Adults: A Cluster Randomized Trial

Jul. 25, 2018

Eugenia C. South, Bernadette C. Hohl, Michelle C. Kondo, John M. MacDonaldCharles C. Branas

ABSTRACT [FROM JOURNAL]

Importance: Neighborhood physical conditions have been associated with mental illness and may partially explain persistent socioeconomic disparities in the prevalence of poor mental health.

Objective: To evaluate whether interventions to green vacant urban land can improve self-reported mental health.

Design, Setting, and Participants:This citywide cluster randomized trial examined 442 community-dwelling sampled adults living in Philadelphia, Pennsylvania, within 110 vacant lot clusters...

SUMR 2018 Attends AHRQ National Research Service Awards Conference

Jul. 2, 2018
The 24nd annual National Research Service Award (NRSA) Conference took place in tandem with the 2018 AcademyHealth Annual Research Meeting at the Sheraton Seattle Hotel and the adjacent Washington State Convention Center. NRSA is part of the Agency for Healthcare Research and Quality (AHRQ) program that provides training, grants and other supports to undergraduate, predoctoral and postdoctoral trainees and fellows in the health services research field. This year's event was attended by 23 Summer Undergraduate Minority Research (SUMR) scholars from the University of Pennsylvania program co-...

Police Killings and Their Spillover Effects on the Mental Health of Black Americans: A Population-Based, Quasi-Experimental Study

Jul. 2, 2018

Jacob Bor, Atheendar S. Venkataramani, David R Williams, Alexander C. Tsai

Abstract [from journal]

Background: Police kill more than 300 black Americans—at least a quarter of them unarmed—each year in the USA. These events might have spillover effects on the mental health of people not directly affected.

Methods: In this population-based, quasi-experimental study, we combined novel data on police killings with individual-level data from the nationally representative 2013–15 US Behavioral Risk Factor Surveillance System (

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Photo Page: 2018 SUMR Tour of Philadelphia's Crescenz VA Medical Center

Jun. 19, 2018
Photo montage: Hoag Levins As part of the LDI Summer Undergraduate Minority Research (SUMR) program, this year's scholars toured the Crescenz Veterans Affairs Medical Center, located directly next to the University of Pennsylvania campus. Sponsored by LDI and the Wharton School Health Care Management Department, the three-month long SUMR program is aimed at underrepresented minority undergraduates and others interested in exploring potential careers in the field of health services research (HSR). The visit was designed to familiarize the scholars with the extensive HSR programs that are a...

A Mixed Methods Evaluation of Early Childhood Abuse Prevention Within Evidence-Based Home Visiting Programs

Jun. 13, 2018

Meredith Matone, Katherine Kellom, Heather Griffis, William Quarshie, Jennifer Faerber, Peter Gierlach, Jennifer Whittaker, David M. Rubin...

ABSTRACT [FROM JOURNAL]

Objectives: In this large scale, mixed methods evaluation, we determined the impact and context of early childhood home visiting on rates of child abuse-related injury. 

Methods: Entropy-balanced and propensity score matched retrospective cohort analysis comparing children of Pennsylvania Nurse–Family Partnership (NFP), Parents As Teachers (PAT), and Early Head Start (EHS) enrollees and children of Pennsylvania Medicaid eligible women from 2008 to 2014. Abuse-related injury episodes were identified in medical...

The ‘Warming Effect’ of DACA on American Children

Jun. 4, 2018

New research shows that young citizen children were more likely to receive important social services when their undocumented mothers became eligible for the Deferred Action for Childhood Arrivals (DACA) program. Providing evidence of the multi-generational spillover effects of immigration policy, this new analysis comes as the U.S.

What State Legislators Say About Medicaid, and Why It Matters

May. 29, 2018

Medicaid’s federal-state partnership structure has long permitted states to adopt modifications to coverage design, including benefits and cost-sharing. That structure, combined with an Administration signaling its support for greater state flexibility and funding constraints, could produce substantial shifts in state Medicaid policy.

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