Health Disparities

Population-specific differences in access to quality health care, whether caused by gender, race, geography, environment, or other factors, can affect individual and community health. RAND research aims to understand the causes of—and thereby reduce disparities in—health outcomes, access, and care at the individual, community, and international levels.

Research conducted by: RAND Health; International Programs; RAND Europe; RAND Labor and Population

Reports (20)

Cancer Disparities Between D.C. Blacks and Whites Greater Than Those Nationwide — Oct 22, 2012

Across the United States in 2009, overall cancer incidence was 4 percent higher among blacks than among whites. The disparity was more striking in Washington, D.C., where the overall cancer incidence among black residents was 54 percent higher than the incidence among white residents.

Efforts to Curb Tobacco Use in Arkansas Have Paid Dividends, but More Effort Is Needed — Aug 16, 2012

A decade of unprecedented efforts in Arkansas has cut cigarette use by nearly one-third and reduced incidence of tobacco-related illnesses such as heart attacks and stroke. To maintain the gains it has made, Arkansas should continue its financial commitment of devoting the tobacco settlement funds to public health programs.

Evaluation of the Arkansas Tobacco Settlement Program: Progress Through 2011 — Summary — Aug 16, 2012

This summary of the external evaluation of Arkansas Tobacco Settlement Commission activities looks at program implementation and changes in health outcomes associated with seven health-related programs funded by the Master Settlement Agreement over the past decade.

Negotiating Prices of Antiretroviral Medications for HIV Treatment — Jul 10, 2012

Antiretroviral (ARV) treatment has transformed HIV from a death sentence to a chronic condition, allowing patients to live longer and healthier lives. Options for reducing costs of ARV medications should be explored in order to allow more people to receive treatment.

Patient Incentives to Motivate Doctor Visits and Reduce Hypertension Disparities — Nov 30, 2011

Examines whether small financial incentives for patients can motivate physician visits and reduce racial/ethnic disparities in hypertension.

Living Longer in Mexico: Income Security and Health — Oct 18, 2011

Mexican citizens are living longer and overall have experienced an improvement in the quality of life compared to that of prior generations. However, the demographic transition in Mexico, combined with the lack of formal sources of income in retirement, places many older persons in a state of financial insecurity.

Living Longer in Mexico: Income Security and Health: Executive Summary — Oct 18, 2011

Describes the income security, health status, and health care coverage of older persons in Mexico and presents policy recommendations that may lead to increased old-age income security and health in Mexico.

Living Longer in Mexico: Income Security and Health (Spanish-language version) — Oct 18, 2011

Describes the income security, health status, and health care coverage of older persons in Mexico and presents policy recommendations that may lead to increased old-age income security and health in Mexico (Spanish-language version).

Living Longer in Mexico: Income Security and Health: Executive Summary (Spanish-language version) — Oct 18, 2011

Describes the income security, health status, and health care coverage of older persons in Mexico and presents policy recommendations that may lead to increased old-age income security and health in Mexico (Spanish-language version).

Evaluation of the Arkansas Tobacco Settlement Program: Progress During 2008 and 2009 — Jun 17, 2010

Updates RAND's evaluation of the antismoking and health programs established by the state of Arkansas with its share of the tobacco Master Settlement Agreement funds.

A Prototype Interactive Mapping Tool to Target Low Health Literacy in Missouri — Apr 29, 2010

Describes a web-based mapping tool to help healthcare decisionmakers identify neighborhood-level ''hotspots'' of suboptimal health or healthcare that may be due to low health literacy.

Health and Health Care Among District of Columbia Youth — Sep 18, 2009

Assesses health and health care use among youth in Washington, D.C., using a unique combination of survey, administrative, and focus group data, and offers recommendations for addressing District children's health needs.

Selection, Wear, and Tear: The Health of Hispanics and Hispanic Immigrants in the United States — Jun 22, 2009

Discusses issues surrounding the health of Hispanics in general, and of Hispanic immigrants in particular.

Report Quantifies Level of Disadvantage Faced by Boys and Men of Color in California — Feb 5, 2009

The first multi-dimensional effort to quantify the disparities faced by African-American and Latino boys and men in California across a broad spectrum of health and social factors provides a disquieting outlook for their lives.

Reparable Harm: Assessing and Addressing Disparities Faced by Boys and Men of Color in California, Executive Summary — Jan 4, 2009

The summary discusses some of the greatest socioeconomic, health, safety, and school readiness disparities for boys and men of color in California and reviews strategies to reduce disparities, including effective programs, practices, and policies.

Evaluation of the Arkansas Tobacco Settlement Program: Progress During 2006 and 2007 — Dec 21, 2008

Updates RAND's evaluation of the antismoking and health programs established by the state of Arkansas with its share of the tobacco Master Settlement Agreement funds.

The Place We Live, the Health We Have: A Multi-Level, Life Course Perspective on the Effects of Residential Segregation and Neighborhood Poverty on Health and Racial Health Disparities — Oct 27, 2008

Investigates the relationship between metropolitan-level segregation measures and individual-level health outcomes and estimates the causal impact of neighborhood disadvantage on health.

A Good Start in Life: Revisiting Racial and Ethnic Disparities in Health Outcomes At and After Birth — Aug 21, 2007

Develops a method to assess racial and ethnic disparities in birth outcomes and shows that the importance of risk factors and birth outcome measures varies by race/ethnicity, gender, and time.

Evaluation of the Arkansas Tobacco Settlement Program: Progress During 2004 and 2005 — Mar 26, 2007

Evaluates the progress of Arkansas' seven health related programs funded by the tobacco Master Settlement Agreement.

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