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Establishing a holistic framework to reduce inequities in HIV, viral hepatitis, STDs, and tuberculosis in the United States : an NCHHSTP white paper on social determinants of health, 2010

Filetype[PDF-2.83 MB]


  • English

  • Details:

    • Alternative Title:
      NCHHSTP white paper on social determinants of health, 2010
    • Description:
      "In the United States, we have made great strides in reducing the incidence and improving the health outcomes of persons infected with the human immunodeficiency virus (HIV), viral hepatitis, sexually transmitted diseases (STDs), and tuberculosis (TB). Our success is a result of advances in surveillance; medical research; and prevention, diagnosis, and treatment. Nevertheless, today there are groups that carry a severe and disproportionate burden of our focus diseases. To address this imbalance, we must complement individual-level interventions, intended to influence knowledge, attitudes, and behaviors, with new approaches that address the interpersonal, network, community, and societal influences of disease transmission and health. Evidence suggests that programs that comprehensively address health where we live, work, learn, and play can have greater impact on health outcomes at the population level than programs utilizing interventions aimed solely at individual behavior change. Social and personal differences should not hinder the opportunity for each of us to make healthy choices. As health begins at home, and is influenced by where we live, the jobs we hold, our knowledge of risk, and our support systems, it is critically important that our public health programs acknowledge and address these broader realities and contexts. This white paper outlines the strategic vision of the Centers for Disease Control and Prevention's (CDC's) National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP) for reducing health disparities and promoting health equity related to our conditions of interest. The purpose of the white paper is to advance a holistic approach to the design of our public health programs to advance the health of communities and increase their opportunities for healthy living. NCHHSTP is committed to promoting awareness, engagement, and action on the many factors that can affect the health of all of us; to addressing these factors in the policy, practice, and research activities of NCHHSTP; and to building partnerships on every level. This white paper extends and builds on the concepts found in the NCHHSTP social determinants of health (SDH) green paper and incorporates recommendations from the 2008 consultation on SDH." - p. 1

      "This strategic plan represents a collaborative effort by staff in the NCHHSTP Office of the Director (OD), the Center's divisions and branches, and other key partners within and outside CDC. It articulates a vision, overarching strategic directions, and innovative strategies to guide the Center's programs to prevent HIV/AIDS, viral hepatitis, sexually transmitted diseases (STDs) and tuberculosis (TB) infections. The plan supports and provides context to the disease-specific strategies and activities being done within divisions. The plan is intended to be a working document--one that will change as we gain additional input, experience, and perspective." - p. 3

    • Content Notes:
      "CS215466"

      Includes bibliographical references (p. 25-27).

      Centers for Disease Control and Prevention. Establishing a Holistic Framework to Reduce Inequities in HIV, Viral Hepatitis, STDs, and Tuberculosis in the United States. Atlanta (GA): U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; October 2010.

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