By Avella P., Boccia M., Sforza A.

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1998). Local-level data collection is one possible solution to this problem. It allows for the examination of health problems for specific groups at the community level, which is particularly relevant for large, diverse urban centers. The study of populations in smaller geographic areas can help to uncover the nature of health disparities and offer insight to shape targeted community-based interventions. This is especially noteworthy because one of the overarching goals for the “Healthy People” Initiative has been to reduce and eliminate disparities over the last two decades (United States Public Health Service, 1991; United States Department of Health and Human Services, 2000).

Promoting Health/Preventing Disease These objectives became the first “Healthy People” document and were published in 1980 as Promoting Health/Preventing Disease: Objectives for the Nation (USDHHS, 1980). That volume was followed by annual reports on the health status of the people of the United States. Each year, goals for additional measures were added and old goals were refined. These reports, entitled Health, United States, featured data from hundreds of sources, History of the Movement to Address Health Disparities 17 including the National Center for Health Statistics (NCHS), the Health Resources and Services Administration (HRSA), the National Institutes of Health (NIH), and the Public Health Foundation (National Center for Health Statistics, 1993).

Braveman, Paula. 2006. Health disparities and health equity: Concepts and measurement. Annual Review of Public Health 27:167–194. Byrd, W. Michael and Linda A. Clayton. 2000. An American Health Dilemma: A Medical History of African Americans and the Problem of Race, Beginnings to 1900. New York, NY: Routledge. , Jr. 1981. Governing America: An Insider’s Report from the White House and the Cabinet. New York, NY: Simon and Schuster. Centers for Disease Control and Prevention (CDC). 1986. Perspectives in disease prevention and health promotion, Report of the Secretary’s Task Force on Black and minority health.

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