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Leveraging Science to Advance Health Equity: Preliminary Considerations for Implementing Health Equity Science at
Ashley Ottewell1, Elizabeth Ruebush, Locola Hayes
1Author Affiliations: Association of State and Territorial Health Officials (ASTHO), Arlington, Virginia (Mss Ottewell, Ruebush, Harper-Hardy, Lewis, and Mr Lane); and Office of Science, Centers for Disease Control and Prevention (CDC).
State and local health departments can advance health equity by using the Health Equity Science (HES) framework. Key considerations include enhancing data, interdisciplinary collaboration, and community engagement to eliminate health inequities.
Area of Science:
- Public Health
- Health Equity Science
- Implementation Science
Background:
- The Centers for Disease Control and Prevention (CDC) introduced CORE, a strategy to integrate health equity across its operations.
- Health Equity Science (HES) was defined with principles to guide the investigation of root causes and actionable strategies for health equity.
- The HES framework offers a tool for state and local health departments to advance health equity initiatives.
Purpose of the Study:
- To identify implementation considerations for technical assistance and support for state and local health departments advancing Health Equity Science.
- To explore opportunities for enhancing the capacity of public health departments to implement HES.
Main Methods:
- Consultations and facilitated discussions were conducted with state/local health departments and community partners in five states.
- Feedback was gathered on current efforts, opportunities, and support needs for advancing HES.
- Data were analyzed using inductive and deductive methods, validated with partners, and summarized into themes and considerations.
Main Results:
- Five key themes emerged: enhancing the evidence base, addressing interdisciplinary needs, valuing qualitative data, evaluating programs/policies, and community inclusion.
- Implementation considerations were identified within these themes to guide future HES advancement.
- Specific needs for technical assistance and support were highlighted for state and local health departments.
Conclusions:
- Leveraging the Health Equity Science framework and identified implementation considerations can strengthen health equity efforts.
- State and local health departments can enhance their capacity to address health inequities through strategic application of HES principles.
- The findings provide actionable insights for improving public health practice and policy to achieve health equity.
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