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Syllabus

Health Disparities Research Methods EPI222

Date/Time Activity Topic/Content Faculty Locations
Thurs 4/2/2009
2:45 PM-4:15 PM		Lecture

Overview of class; Race/ethnicity, social class, and culture in Disparities Research

Required Reading:

  1. Braveman et al. Socioeconomic Status in Health Research.
  2. Burchard et al. Latino Populations: A Unique Opportunity for the Study of Race, Genetics, and Social Environment in Epidemiological Research.
  3. Baker DW, et al. Patients attitudes toward health care providers collecting information about their race and ethnicity. J Gen Internal Medicine 2005; 20: 895-900.
  4. Burchard et al. The Importance of Race and Ethnic Background in Biomedical Research and Clinical Practice.

Note/Slide Files: Course_Overview_09.doc (46 KB) EPI_222_Lectures_09.doc (38 KB) EPI_222_Objectives_Smmry_09.doc (49 KB) Lecture_1.ppt (956 KB)

E Perez-StableCB 6702
Thurs 4/9/2009
2:45 PM-4:15 PM		Lecture

Identifying and selecting health measures for health disparities research

A brief history of conceptual frameworks of determinants of health and health disparities (distinguishing health services research from population based research). Identifying study populations (e.g., patients, community members). Evidence of health and treatment disparities from the literature will be used to illustrate main points.

Required Reading:

  1. Switzer GE, Wisniewski SR, Belle SH, Dew MA, Schultz R. Selecting, developing, and evaluating research instruments. Soc Psychiatry Psychiatr Epidemiol, 1999;34:399-409.

Note/Slide Files: instructions_for_accessing_questionnaires.pdf (52 KB) Lecture_2.ppt (419 KB) locating_measures.pdf (203 KB) measurement_core_website.pdf (14 KB) measures_compilations_and_reviews.pdf (24 KB) Stewart_syllabus_sections.doc (21 KB) Summary_of_surveys.pdf (212 KB)

Assignment Files: Class_2_and_5_homework.doc (68 KB)

A StewartCB 6702
Thurs 4/16/2009
2:45 PM-4:15 PM		Lecture

Determinants of health and health disparities: conceptual frameworks and mechanisms

For studies of disparities where racial/ethnic groups will be compared, we need to know that measures have similar psychometric properties across groups and that no bias is present. We present a framework for considering conceptual adequacy and equivalence, and psychometric adequacy and equivalence. We will review methods for locating self-reported measures, and provide a brief overview of how to critique measures for adequacy and equivalence, and how to select the best ones as candidates for a study of disparities.

Required Reading:

  1. Jackson, J. and David Williams. Surveying the Black American Population.

Note/Slide Files: Lecture 3.ppt (335 KB)

Assignment Files: Class3_homework_09.doc (22 KB)

E Perez-StableCB 6702
Thurs 4/23/2009
2:45 PM-4:15 PM		Lecture

Measuring Neighborhood and place

Analytic issues in predicting disparities in outcomes across groups; methods for analyzing interactions between race/ethnicity and social class in their effects on health; methods for dealing with missing data.

Required Reading:

  1. Matthews
  2. Winkleby
  3. Yen

Note/Slide Files: Lecture_4.ppt (4695 KB)

I YenCB 6702
Thurs 4/30/2009
2:45 PM-4:15 PM		Lecture

Measurement issues in research in diverse populations

Required Reading:

  1. Stewart AL, Nápoles-Springer AM. Advancing health disparities research: can we afford to ignore measurement issues? Med Care, 2003;41:1207-1220.

Note/Slide Files: Lecture_5.ppt (224 KB)

A StewartCB 6702
Thurs 5/7/2009
2:45 PM-4:15 PM		Lecture

Analytic issues in assessing outcome disparities across groups, with emphasis on testing mediation

Note/Slide Files: Lecture_6.pdf (109 KB)

Assignment Files: EPI_222_Session_6_Homework.doc (38 KB) Kressin_2004.pdf (2258 KB)

S GregorichCB 6702
Thurs 5/14/2009
2:45 PM-4:15 PM		Lecture

Analytic issues in assessing outcome disparities across groups, with emphasis on testing moderation

Present data on community perceptions of research and barriers to participation; conceptual framework of determinants of recruitment; review barriers from participants’ perspective and strategies for overcoming these barriers; overview of successful models for building community partnerships; planning a survey (flowchart of points of attrition).

Note/Slide Files: Lecture_7.pdf (133 KB)

Assignment Files: Assignment_7.doc (36 KB) Stark_2005.pdf (91 KB)

S GregorichCB 6702
Thurs 5/21/2009
2:45 PM-4:15 PM		Lecture

Using qualitative methods in developing and testing concepts and self-reported measures

Required Reading:

  1. Krause N. A comprehensive strategy for developing closed-ended survey items for use in studies of older adults. J Gerontol:Social Sci 2002;57B:S263-274.
  2. Vogt DS, King DW, King LA. Focus groups in psychological assessment: enhancing content validity by consulting members of the target population. Psych Assessment 2004;16(3):231-243.

Note/Slide Files: Lecture_8.ppt (2584 KB) Napoles_Springer_syllabus_sections.doc (24 KB)

Assignment Files: Assignment_8.doc (24 KB)

A Napoles-SpringerCB 6702
Thurs 5/28/2009
2:45 PM-4:15 PM		Lecture

Recruitment and retention and community-academic partnerships

Required Reading:

  1. Wendler D, Kington R Madans J, Van Wye G, Christ-Schmidt H, Pratt LA, Brawley OW, Gross CP, Emanuel E. Are racial and ethnic minorities less willing to participate in health research? PLoS Med 2006 Feb;3(2):e19.Ep2005 Dec 6.
  2. Paskett ED, Reeves KW, McLaughlin JM, Katz ML, McAlearney AS, Ruffin MT, Halbert CH, Merete C, Davis F, Gehlert S. Recruitment of minority and underserved populations in the United States: The centers for population health and health disparities experience. Contemporary Clinical Trials 2008;29;847-861.

Note/Slide Files: Lecture_9.ppt (3564 KB)

Assignment Files: Assignment_9.doc (27 KB) Recrtmt_Framewk.pdf (96 KB)

A Napoles-SpringerCB 6702
Thurs 6/4/2009
2:45 PM-4:15 PM		Lecture

Issues in Development and Evaluation of Interventions to Reduce Health Disparities

Required Reading:

  1. The Multiple Baseline Design for Evaluating Population-Based Research

Note/Slide Files: Lecture_10.ppt (2522 KB)

C Kaplan
E Perez-Stable		CB 6702
CB 6702