Structural Inequalities and Health Outcomes for Chronic Disease provides a conceptual framework for understanding existing evidence and guides the research around promising interventions and policies. In addition, it demonstrates how structural inequalities impact health and presents ways the healthcare system can participate in the solution. The book covers major chronic diseases and the special populations impacted by structural inequalities. Those working and studying public health, medicine, nursing, pharmacology will find this work of interest, as well as diversity and disparity scholars and health policymakers.
Table of Contents
Section I Definitions, Frameworks, and Historical Perspectives1. Overview of the Textbook
2. Structural Racism: Definitions and Historical Context
3. Frameworks, Models, and Theoretical Approaches
4. Structural Racism and Social Determinants of Health
Section II Summarizing the Evidence: Structural Racism and Health Outcomes
5. Cardiovascular Disease, Hypertension, and Stroke
6. Diabetes
7. Chronic Kidney Disease
8. Obesity and Nutrition
9. Mental Health
10. Preventative Care and Healthcare Utilization
Section III Special Populations
11. Racial and Ethnic Minority Groups
12. Immigrants, Refugees, and Asylees
13. Sex and Gender Minorities
14. Geographic Populations
15. Older Adults
16. Marginalized Populations
Section IV Case Studies
17. Case Study in Disparate Burden of Disease
18. Case Study in Social Risk
19. Case Study in Special Populations
20. Case Study in Health Care System
Section V Charting a Path Forward
21. Addressing Mutually Reinforcing Systems in the US
22. The Role of Research and Evidence
23. The Role of Local Communities and Local Government
24. The Role of State and Federal Government
25. Diversity, equity, and inclusion in healthcare
Authors
Leonard E. Egede Professor of Medicine and Chair, Department of Medicine, Charles and Mary Bauer Endowed Chair; President & CEO, UBMD Internal Medicine, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences.Dr. Leonard E. Egede, MD, MS, FACP, is a distinguished general internist and health services researcher with over 25 years of experience in health disparities research. His work primarily focuses on developing and testing innovative interventions to address structural racism and health inequalities. Dr. Egede is currently the Chair of the Department of Medicine at the University at Buffalo, Jacobs School of Medicine, Buffalo, NY.
Dr. Egede's extensive research has significantly contributed to understanding the impact of structural racism on health outcomes. He has published over 475 influential articles on the intersection of structural racism, social determinants of health, and health disparities. His work has been pivotal in highlighting how systemic inequities affect healthcare delivery and patient outcomes, particularly for racial and ethnic minority communities.
In addition to his research, Dr. Egede is deeply committed to mentoring the next generation of health services researchers. He has developed comprehensive mentoring programs that support junior and mid-career faculty, particularly those traditionally underrepresented in medicine, including women and ethnic minorities. His leadership extends beyond mentoring; he has spearheaded significant initiatives in faculty development and research infrastructure, securing substantial funding to support these efforts.
Dr. Egede has led numerous National Institutes of Health (NIH) grants, including five R01 grants and an R21, securing nearly $20 million in total funding. His research is also funded by the National Institute for Diabetes, Digestive, and Kidney Diseases (NIDDK), National Institute on Minority Health and Health Disparities, Centers for Disease Control and Prevention, Agency for Healthcare Research and Quality, the Department of Defense, and the Department of Veterans Affairs.
Dr. Egede's dedication to health equity is evident in his leadership roles and his commitment to creating equitable health systems. His efforts continue to inspire and drive meaningful change in the field of healthcare. His H-index, a measure of the impact and quality of his scientific output, is 81.
