4206.0: Tuesday, October 23, 2001 - Table 7

Abstract #27003

Aiming for one world - global health in the twenty-first century: race, ethnicity and other challenges to health care access

Nana Yaw Adoo, BA Econ & BS Bus, East Stroudsburg University, 410 Lenape Hall, East Stroudsburg, PA 18301, 570-422-4728, karrpos@hotmail.com and Adenike Bitto, MD, DrPH, MPH, CHES, Health, East Stroudsburg University, P.O. Box 155, East Stroudsburg, PA 18301.

The purpose of this work is to focus on policies derived from a review of multiple programs in many settings with global transportability of lessons learned. The presentation will emphasize state-of-the-art ideas and activities. Programs and models will be described with reflection and discussion of the research implications. Specific topics may include race, ethnicity, economic diversity, health care inequalities and access, classification and measurement of race and ethnicity including the “one-drop rule” and its implications for the 2000 census, genetic, social and behavioral determinants of health status, self-esteem and human dignity. The research was based on a global literature review and scientific survey of theoretic models and programmatic findings. A multi-faceted research component included meta-analyses of longitudinal descriptive survey findings, correlations and editorial contextual commentaries. While great improvements have been made in attaining global health, access to health care may be improved for all. Poverty, race and ethnicity, poor self-esteem, and other related social and behavioral factors affect access to health care and health care inequalities. Innovative models and programs were reviewed and will be presented for implementation in various settings. The current focus on eliminating health disparities suggests the need for involvement by all components of the health care industry and related agencies. Policies may need to be modified at the intra- and inter-agency levels for improved performance, and more equitable delivery of services. Implementation of the cross-national findings of this research can help with attaining the goal of one world – global health with total health for all.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to: (i) Discuss and analyze how race and ethnicity influence attainment of health status, and access to health care, (ii) Prioritize plans for developing holistic models to improve global health; (iii) Develop procedures for implementation and long-term maintenance of global improvements in health status, and (iv) Describe how to utilize the multiple challenges posed by race and ethnicity issues to obtain the goal of one world – global health.

Keywords: Health Care Access, Ethnicity

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA