An American Thoracic Society/National Heart, Lung, and Blood Institute Workshop Report: Addressing Respiratory Health Equality in the United States

Details

• Personal Author:
  Balmes J ; Burchard EG ; Castillo-Salgado C ; Celedón JC ; Cummings, Kristin J. ; Ford JG ; Garcia JGN ; Holguin F ; Kittles R ; Mathias R ; Neptune E ; Ortega VE ; Redline S ; Riekert KA ; Roman J ; Samet J ; Schenker M ; Schraufnagel D ; Thomas A ; Wisnivesky JP
• Description:
  Health disparities related to race, ethnicity, and socioeconomic status persist and are commonly encountered by practitioners of pediatric and adult pulmonary, critical care, and sleep medicine in the United States. To address such disparities and thus progress toward equality in respiratory health, the American Thoracic Society and the National Heart, Lung, and Blood Institute convened a workshop in May of 2015. The workshop participants addressed health disparities by focusing on six topics, each of which concluded with a panel discussion that proposed recommendations for research on racial, ethnic, and socioeconomic disparities in pulmonary, critical care, and sleep medicine. Such recommendations address best practices to advance research on respiratory health disparities (e.g., characterize broad ethnic groups into subgroups known to differ with regard to a disease of interest), risk factors for respiratory health disparities (e.g., study the impact of new tobacco or nicotine products on respiratory diseases in minority populations), addressing equity in access to healthcare and quality of care (e.g., conduct longitudinal studies of the impact of the Affordable Care Act on respiratory and sleep disorders), the impact of personalized medicine on disparities research (e.g., implement large studies of pharmacogenetics in minority populations), improving design and methodology for research studies in respiratory health disparities (e.g., use study designs that reduce participants' burden and foster trust by engaging participants as decision-makers), and achieving equity in the pulmonary, critical care, and sleep medicine workforce (e.g., develop and maintain robust mentoring programs for junior faculty, including local and external mentors). Addressing these research needs should advance efforts to reduce, and potentially eliminate, respiratory, sleep, and critical care disparities in the United States. [Description provided by NIOSH]
• Subjects:
  Delivery Of Health Care Health Personnel Lung Lung Diseases Men Nicotine Occupational Health Race Factors Respiratory System Respiratory Tract Diseases Risk Assessment Risk Factors Safety Sleep Sleep Initiation And Maintenance Disorders Tobacco Products

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• Keywords:
  Children Health Care Humans Medical Care Medical Personnel Pulmonary Function Pulmonary System Pulmonary System Disorders Racial Factors Respiratory Health Risk Factors Sleep Disorders Socioeconomics Sociological Factors Tobacco

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• ISSN:
  2329-6933
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 3 ; Pennsylvania
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  RHD - Respiratory Health Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  14
• Issue:
  5
• NIOSHTIC Number:
  nn:20050024
• Citation:
  Ann Am Thorac Soc 2017 May; 14(5):814-826
• Contact Point Address:
  Juan C. Celedón, M.D., Dr.P.H., Division of Pulmonary Medicine, Allergy, and Immunology, Children's Hospital of Pittsburgh of UPMC, 4401 Penn Avenue, Pittsburgh, PA 15224
• Email:
  juan.celedon@chp.edu
• CAS Registry Number:
  (-)-Nicotine (CAS RN 54-11-5)
• Federal Fiscal Year:
  2017
• Peer Reviewed:
  True
• Source Full Name:
  Annals of the American Thoracic Society
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:f929df90c278a2525897adb0af6120fea3f3ff0142e06361910eeb62814c13fb0172b09eed34b480a47fa5bbfeeec5b2f987c93ca5bd8f26eda8b0e7aa3d2466
• Download URL:
  https://stacks.cdc.gov/view/cdc/210575/cdc_210575_DS1.pdf
• File Type:
  [PDF - 565.51 KB ]