Upstream Interventions In Public Health

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Moving Upstream: How Interventions that Address the Social …

(3 days ago) WebIt focuses both on interventions within the healthcare system that address some of the social determinants of health, as well as, interventions in upstream factors such as housing, neighborhood conditions and increased socioeconomic status that can lead to improvements in health. Public Health Nursing. 2003; 20 (3):190–203. [Google

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3431152/

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Global public health starts at home: upstream approaches to …

(3 days ago) WebThe interconnectedness of today's globalised world brings with it challenges and inequality in the health of populations. But all too often health professionals' training focuses on downstream individual intervention approaches (eg, smoking cessation, diet improvement), at the expense of upstream determinants (eg, food marketing, trade agreements).

https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(18)30558-8/fulltext

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Working ‘upstream’ to reduce social inequalities in health: a

(6 days ago) WebThe diverse nature of the collaboration, which spanned topics from acute care to public health, provided a unique opportunity to explore how different partners, who had varying degrees of familiarity with health inequalities, interpreted and understood the ‘upstream-downstream’ story.

https://www.tandfonline.com/doi/full/10.1080/09581596.2021.1931663

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Upstream Policy Changes to Improve Population Health and …

(9 days ago) WebThe upstream/downstream metaphor for understanding the root causes or fundamental upstream drivers of population health and how they produce downstream effects, consequences, and inequities is well understood in research, teaching, and public health practice circles. The upstream/downstream framework is visible in the World …

https://onlinelibrary.wiley.com/doi/10.1111/1468-0009.12640

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Reconsidering upstream approaches to improving population health

(3 days ago) WebRacial and socioeconomic disparities in health outcomes have been well documented.1,2 Although overall global rates of poor birth outcomes have decreased, decades of research and interventions have not eliminated disparities. However, much intervention research has focused on individual-level risk factors and groups at high …

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01958-9/fulltext

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Towards health equity: the urgent need for upstream intervention

(3 days ago) WebHealth inequity is a major challenge to achieving broader social equity and a just society. Interventions to reduce health inequity can be directed at downstream determinants of health, such as individual health-care needs, midstream determinants, such as neighbourhood conditions, or upstream determinants, such as structural racism and …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9236852/

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Using Participatory Mapping to Diagnose Upstream …

(7 days ago) WebThese results were a strong illustration of the process and products by which PGIS produces novel public health knowledge. From upstream determinants to downstream community organizing and policy …

https://www.cdc.gov/pcd/issues/2020/20_0123.htm

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Moving upstream: how interventions that address the social

(1 days ago) WebMoving upstream: how interventions that address the social determinants of health can improve health and reduce disparities J Public Health Manag Pract. 2008 Nov;14 Suppl (Suppl):S8 Human Development and Health, Harvard School of Public Health, Boston, Massachusetts 0211, USA. [email protected]; PMID: 18843244

https://pubmed.ncbi.nlm.nih.gov/18843244/

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Moving upstream: healthcare partnerships addressing - BMC …

(7 days ago) WebHealthcare-based interventions addressing social needs such as food and housing generally fail to impact the upstream wealth and power inequities underlying those needs. However, a small number of US healthcare organizations have begun addressing these upstream inequities by partnering with community wealth building initiatives. …

https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-023-16761-x

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3 key upstream factors that drive health inequities

(1 days ago) WebThe BARHII public health framework for reducing health inequities explains the connections between three categories of upstream factors and future health and is meant to focus attention "on measures which have not characteristically been within the scope of public health epidemiology." Interventions such as community organizing …

https://www.ama-assn.org/delivering-care/health-equity/3-key-upstream-factors-drive-health-inequities

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Upstream interventions to promote oral health and reduce …

(4 days ago) WebIntroduction Improving oral health and reducing oral health inequalities is an important global health priority. ‘Upstream interventions’ are a vital part of the collective effort to reduce oral disease burdens, however it is a rather nebulous term. Furthermore, there is little evidence on the effectiveness, impact and sustainability of upstream interventions …

https://bmjopen.bmj.com/content/12/6/e059441

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Intersectoral action for health equity: a rapid systematic review

(3 days ago) WebThe association between upstream interventions and health outcomes is less conclusive. This is likely because the impact of upstream interventions on health equity and SDH is more difficult to evaluate. Micucci S. A process for systematically reviewing the literature: providing the research evidence for public health nursing …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3830502/

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Preventing Chronic Disease: July 2010: 09_0249 - Centers for …

(1 days ago) WebA difference between individual-level health care and population-level approaches for improving health is that public health interventions often occur at multiple levels (6). Upstream interventions involve policy approaches that can affect large populations through regulation, increased access, or economic incentives.

https://www.cdc.gov/pcd/issues/2010/jul/09_0249.htm

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Towards health equity: the urgent need for upstream intervention

(3 days ago) WebHealth inequity is a major challenge to achieving broader social equity and a just society. Interventions to reduce health inequity can be directed at downstream determinants of health, such as individual health-care needs, midstream determinants, such as neighbourhood conditions, or upstream determinants, such as structural racism and …

https://www.thelancet.com/journals/langas/article/PIIS2468-1253(22)00012-7/fulltext

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Targeting Upstream Social Determinants of Health

(3 days ago) WebConducting multi-level interventions that directly address upstream SDOH (e.g. cariogenic diet, access-to-care, or transportation barriers) as part of the overall intervention to improve oral health; Demonstrating the use of social workers, case managers, or community health workers to promote oral health and address SDOH barriers; and

https://www.nidcr.nih.gov/grants-funding/funding-priorities/future-research-initiatives/targeting-upstream-social-determinants-health

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New approaches for moving upstream: how state and local health …

(1 days ago) WebGrowing evidence shows that unequal distribution of wealth and power across race, class, and gender produces the differences in living conditions that are "upstream" drivers of health inequalities. Health educators and other public health professionals, however, still develop interventions that focus mainly on "downstream" behavioral risks.

https://pubmed.ncbi.nlm.nih.gov/25829117/

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Taking public health policy models upstream - The Lancet

(3 days ago) WebThe reduction of societal inequalities has risen to prominence as a policy goal internationally through the Sustainable Development Goals. Thus, the scopes of modelling studies aimed at prospectively appraising the effects of relevant policy options have broadened to assess their distributional effects on individual and population health. A huge range of …

https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(20)30027-X/fulltext

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Key Element 4: Increase Upstream Investments - Public Health …

(6 days ago) WebA population health approach recognizes the tension between short and long term goals. Health problems have to be treated immediately, but at the same time, upstream investments are needed to keep people healthy. Furthermore, upstream investments need sustained support to have a real impact. The population health approach strives to strike …

https://cbpp-pcpe.phac-aspc.gc.ca/population-health-approach-organizing-framework/key-element-4-increase-upstream-investments/

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Evaluating “Midstream” and “Upstream” Impact

(8 days ago) WebPublic Health is Challenged in Implementing Upstream Change Drivers Public health is challenged in implementing “upstream” drivers that address health promotion and health inequities, a result of: •Allegiance to the status quo (i.e., downstream interventions) •Public health practice is often grounded in dominant biomedical and

https://mchnutritionpartners.ucla.edu/wp-content/uploads/2022/08/4c-Midstream-and-Upstream-Impact-Evaluation-FINAL.pdf

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The Upstream-Downstream Parable for Health Equity - Salud …

(6 days ago) WebPublic health advocates talk about health in an “upstream-downstream” fashion. They want to highlight the importance of health promotion and the influence of social, economic, environmental and cultural factors on health equity for Latino and other people of color. Treating the entire neighborhood as the patient, the intervention

https://salud-america.org/the-upstream-downstream-parable-for-health-equity/

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Targeting Health Disparities: A Model Linking Upstream …

(3 days ago) WebAn advantage of clearly articulated, disease-specific models of health disparities with demonstrated links between levels is that they allow us to predict the impact of interventions aimed at one level on factors downstream from that level. 32 Although this approach is in its infancy, designing and targeting interventions based on empirically

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2494954/

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To Improve the Public Health Workforce's Mental Health, We Must …

(4 days ago) WebAs a nation, our mental health is on the decline. According to the National Alliance on Mental Illness (NAMI), nearly 23% of U.S. adults – 57.8 million people — experienced mental illness in 2021. These trends were exacerbated by the social isolation, economic decline, and overall fear that dominated the COVID-19 pandemic.

https://debeaumont.org/news/2024/go-upstream-to-improve-public-health-workforce-mental-health/

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Interventions in ambulatory healthcare settings to reduce social

(1 days ago) WebBackground Social isolation is associated with increased all-cause and premature mortality, poor chronic disease management, and mental health concerns. Limited research exists on interventions addressing social isolation among individuals under 65 despite its increasing prevalence among young and middle-aged adults. Aim …

https://bjgpopen.org/content/early/2024/05/17/BJGPO.2023.0119

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Public Health Considerations for Strategies and Partnerships

(7 days ago) WebOverdose Response Strategy. The Overdose Response Strategy (ORS) is a unique collaboration between CDC and the High Intensity Drug Trafficking Areas (HIDTA) program designed to enhance public health and public safety partnerships. The mission of ORS is to help communities reduce fatal and non-fatal drug overdoses by connecting …

https://www.cdc.gov/overdose-prevention/php/public-health-strategy/index.html

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NYC Council Calls for Budget Restorations and Greater …

(6 days ago) WebEffective mental health interventions and programs that the City committed to implement as part of efforts to lower the jail population and close Rikers have been left out of the mayor’s proposed budget. Supporting Public Safety Intervention Programs for “While we have heard the Mayor talk about investing upstream to close the

https://council.nyc.gov/press/2024/05/17/2610/

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Working ‘upstream’ to reduce social inequalities in health: a

(5 days ago) WebThe diverse nature of the collaboration, which spanned topics from acute care to public health, provided a unique opportunity to explore how different partners, who had varying degrees of familiarity with health inequalities, interpreted and understood the ‘upstream-downstream’ story.

https://www.tandfonline.com/doi/pdf/10.1080/09581596.2021.1931663

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