Trimming Health Inequity: Barbershops/Salons as Trusted Partners - - PowerPoint PPT Presentation

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Trimming Health Inequity: Barbershops/Salons as Trusted Partners - - PowerPoint PPT Presentation

Aug 12, 2023 175 likes •468 views

Trimming Health Inequity: Barbershops/Salons as Trusted Partners Stephen B. Thomas, Ph.D. Professor Health Policy & Management School of Public Health Director, Maryland Center for Health Equity University of Maryland College Park, MD

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Trimming Health Inequity: Barbershops/Salons as Trusted Partners

Stephen B. Thomas, Ph.D.

Professor Health Policy & Management School of Public Health Director, Maryland Center for Health Equity University of Maryland College Park, MD sbt@umd.edu

Live Zoom Town Hall Anne Arundel Women Giving Together June 17, 2020

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Fred Spry, Dr. T and Mike Brown

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The Social Context of Health Disparities

The ultimate aim is to uncover social, cultural and environmental factors beyond the biomedical model and address a broad range of issues. This approach includes, but not limited to, breaking the cycle of poverty, increasing access to quality health care, eliminating environmental hazards in homes and neighborhoods, and the implementation of effective prevention programs tailored to specific community needs.

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The Historical Context of Health Disparities

“..If there is no struggle, there is no progress. Those who profess to favor freedom, and yet depreciate agitation, are men who want crops without plowing up the ground. They want rain without thunder and

  • lightning. They want the ocean

without the awful roar of its many waters…” (Fredrick Douglass)

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National Institute of Minority Health and Health Disparities and Office of the Director, National Institutes of Health American Reinvestment and Recovery Act RC2MD004766; Principal Investigators: Sandra Quinn & Stephen Thomas

SCHOOL OF PUBLIC HEALTH § CENTER FOR HEALTH EQUITY

Defining Health Disparities and Health Equity

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The words we use can matter. Definitions can matter: While some differences in definitions may reflect only stylistic preferences,

  • thers convey values and beliefs that can

be used explicitly or implicitly to justify and promote particular views, policies, and practices.

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“Health equity means that everyone has a fair and just opportunity to be as healthy as possible...”

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For the purposes of measurement, health equity means reducing and ultimately eliminating disparities in health and its determinants that adversely affect excluded

  • r marginalized groups.
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… if an effort does not address poverty, discrimination, or their health- damaging consequences for groups of people who have historically been excluded or marginalized – it’s probably not a health equity effort.

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IMAGINE two men of the same age in the United States standing together on a Metro platform in Washington, D.C., heading to their respective homes. One boards a train that takes him to Montgomery County,

  • Maryland. The other rides a train to his home

in Prince George’s County, Maryland. The men live just ten miles from each other. Can you predict how long each will live based on where the subway stops?

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Life Expectancy by Metro Stop

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National Institute of Minority Health and Health Disparities and Office of the Director, National Institutes of Health American Reinvestment and Recovery Act RC2MD004766; Principal Investigators: Sandra Quinn & Stephen Thomas

SCHOOL OF PUBLIC HEALTH § CENTER FOR HEALTH EQUITY

History Matters

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National Institute of Minority Health and Health Disparities and Office of the Director, National Institutes of Health American Reinvestment and Recovery Act RC2MD004766; Principal Investigators: Sandra Quinn & Stephen Thomas

SCHOOL OF PUBLIC HEALTH § CENTER FOR HEALTH EQUITY

U.S. Public Health Service Syphilis Study done at Tuskegee (1932-1972)

A doctor draws blood from one

  • f the Tuskegee test subjects

The Tuskegee Syphilis Study, described as arguably the most infamous biomedical research study in U.S. History

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“…The people who ran the study at Tuskegee diminished the stature of man by abandoning the most basic ethical precepts. They forgot their pledge to heal and repair. They had the power to heal the survivors and all the others and they did not. Today, all we can do is apologize.…”

President William Jefferson Clinton The White House May 16, 1997 http://www.cdc.gov/tuskegee/clintonp.htm

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Cultural Memory

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National Institute of Minority Health and Health Disparities and Office of the Director, National Institutes of Health American Reinvestment and Recovery Act RC2MD004766; Principal Investigators: Sandra Quinn & Stephen Thomas

SCHOOL OF PUBLIC HEALTH § CENTER FOR HEALTH EQUITY

INNOVATIVE COMMUNITY ENGAGEMENT

Photo Credit: Sandra Quinn

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Cultural Tailoring Matters

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Linnan, L., THOMAS, S., D’Angelo, H., & Ferguson, Y. (2012). African American barbershops and beauty salons: An innovative approach to reducing health disparities through community building and health education In M. Minkler (Ed.), (3rd Edition). New Brunswick, NJ: Rutgers University Press.

THANK YOU CIGNA !!!

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VIDEO VISIT https://go.umd.edu/5GR

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https://sph.umd.edu/center/che/make-gift

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Fred Spry, Dr. T and Mike Brown

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Trimming Health Inequity: Barbershops/Salons as Trusted Partners

Stephen B. Thomas, Ph.D.

Professor Health Policy & Management School of Public Health Director, Maryland Center for Health Equity University of Maryland College Park, MD sbt@umd.edu

Live Zoom Town Hall Anne Arundel Women Giving Together June 17, 2020