An Analysis Of Community Level Chronic Disease Mortality Rates And Demographics To Assess Health Disparities Between San Diego County Communities

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An Analysis of Community-level Chronic Disease Mortality Rates and Demographics to Assess Health Disparities Between San Diego County Communities

Author : Amelia Charlotte Kenner
Publisher :
ISBN 13 :
Total Pages : 42 pages
Book Rating : 4.:/5 (72 download)

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Book Synopsis An Analysis of Community-level Chronic Disease Mortality Rates and Demographics to Assess Health Disparities Between San Diego County Communities by : Amelia Charlotte Kenner

Download or read book An Analysis of Community-level Chronic Disease Mortality Rates and Demographics to Assess Health Disparities Between San Diego County Communities written by Amelia Charlotte Kenner and published by . This book was released on 2011 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health disparities have been a concern in the public health world for decades, yet there is no standard methodology for determining health disparities, or for understanding which indicators are best for determining health disparities. Using the 3-Four-50% concept that three behaviors (tobacco use, physical inactivity, and poor nutrition) cause four diseases (cancer, diabetes, respiratory disease, and cardiovascular disease) that lead to 50% of the deaths in the United States, and the social determinants of health concept to guide which indicators to pick, this study attempts to discover the best indicators for measuring health disparities among San Diego County communities. Univariate analysis is used to determine which indicators should be included in the multiple linear regression with the four outcome variables of cancer mortality rate, diabetes mortality rate, respiratory disease mortality rate, and cardiovascular disease mortality rate. Then cluster analysis was performed to identify communities within San Diego County that are similar based on the indicator variables and the outcome variables. Results show that work is still needed to find the best indicators to predict health disparities in San Diego County communities. Although the cluster analysis was not successful in identifying communities that are different from each other, there is still hope that the cluster analysis would be a good tool for analysis of communities within a larger geographic area, such as a county.

Analyzing Chronic Disease Health Disparities Among San Diego County Residents by Race/ethnicity

Author : Alicia J. Sampson
Publisher :
ISBN 13 :
Total Pages : 45 pages
Book Rating : 4.:/5 (72 download)

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Book Synopsis Analyzing Chronic Disease Health Disparities Among San Diego County Residents by Race/ethnicity by : Alicia J. Sampson

Download or read book Analyzing Chronic Disease Health Disparities Among San Diego County Residents by Race/ethnicity written by Alicia J. Sampson and published by . This book was released on 2011 with total page 45 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the burden of infectious disease has decreased, chronic disease has become a major concern in the United States. Although overall, chronic diseases have impacted all demographic groups, race/ethnic groups are not equally affected by these diseases. The unequal difference in such health outcomes is termed health disparities. Health disparities not only negatively impact the affected group, they have the potential to negatively impact the community as a whole. The purpose of this cross-sectional population study was to determine if race/ethnicity would explain the variability in coronary heart disease and overall cancer mortality rates in San Diego County. The six San Diego County Health and Human Services Agency's geographic service areas by race/ethnicity (White, Black, Hispanic, and Asian) and corresponding coronary heart disease and overall cancer mortality rates were included in analysis. Associated factors such as socioeconomic status, gender, age, geography, and behavioral risk factors were included in the analysis. The mean rate of coronary heart disease deaths for the county was 193.08 per 100,000 residents, while the mean rate of overall cancer deaths was 141.88 per 100,000 residents. For coronary heart disease, only race/ethnicity, gender, and age were significantly associated with mortality rates. However, for overall cancer, only race/ethnicity was significantly associated with mortality rate. The results of this study hint at a racial/ethnic health disparity with coronary heart disease and overall cancer mortality. Although further studies will be needed to confirm these results, this study will help local county public health professionals develop tailored prevention measures and intervention programs to decrease the burden of chronic disease in San Diego County.

Communities in Action

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309452961
Total Pages : 583 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309212197
Total Pages : 200 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases by : Institute of Medicine

Download or read book A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases written by Institute of Medicine and published by National Academies Press. This book was released on 2011-08-26 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic diseases are common and costly, yet they are also among the most preventable health problems. Comprehensive and accurate disease surveillance systems are needed to implement successful efforts which will reduce the burden of chronic diseases on the U.S. population. A number of sources of surveillance data-including population surveys, cohort studies, disease registries, administrative health data, and vital statistics-contribute critical information about chronic disease. But no central surveillance system provides the information needed to analyze how chronic disease impacts the U.S. population, to identify public health priorities, or to track the progress of preventive efforts. A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases outlines a conceptual framework for building a national chronic disease surveillance system focused primarily on cardiovascular and chronic lung diseases. This system should be capable of providing data on disparities in incidence and prevalence of the diseases by race, ethnicity, socioeconomic status, and geographic region, along with data on disease risk factors, clinical care delivery, and functional health outcomes. This coordinated surveillance system is needed to integrate and expand existing information across the multiple levels of decision making in order to generate actionable, timely knowledge for a range of stakeholders at the local, state or regional, and national levels. The recommendations presented in A Nationwide Framework for Surveillance of Cardiovascular and Chronic Lung Diseases focus on data collection, resource allocation, monitoring activities, and implementation. The report also recommends that systems evolve along with new knowledge about emerging risk factors, advancing technologies, and new understanding of the basis for disease. This report will inform decision-making among federal health agencies, especially the Department of Health and Human Services; public health and clinical practitioners; non-governmental organizations; and policy makers, among others.

Southeast San Diego Health Study

Author : Gertrud Weiss
Publisher :
ISBN 13 :
Total Pages : 328 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Southeast San Diego Health Study by : Gertrud Weiss

Download or read book Southeast San Diego Health Study written by Gertrud Weiss and published by . This book was released on 1970 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Hispanics and the Future of America

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309164818
Total Pages : 502 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Hispanics and the Future of America by : National Research Council

Download or read book Hispanics and the Future of America written by National Research Council and published by National Academies Press. This book was released on 2006-02-23 with total page 502 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hispanics and the Future of America presents details of the complex story of a population that varies in many dimensions, including national origin, immigration status, and generation. The papers in this volume draw on a wide variety of data sources to describe the contours of this population, from the perspectives of history, demography, geography, education, family, employment, economic well-being, health, and political engagement. They provide a rich source of information for researchers, policy makers, and others who want to better understand the fast-growing and diverse population that we call "Hispanic." The current period is a critical one for getting a better understanding of how Hispanics are being shaped by the U.S. experience. This will, in turn, affect the United States and the contours of the Hispanic future remain uncertain. The uncertainties include such issues as whether Hispanics, especially immigrants, improve their educational attainment and fluency in English and thereby improve their economic position; whether growing numbers of foreign-born Hispanics become citizens and achieve empowerment at the ballot box and through elected office; whether impending health problems are successfully averted; and whether Hispanics' geographic dispersal accelerates their spatial and social integration. The papers in this volume provide invaluable information to explore these issues.

Homelessness, Health, and Human Needs

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309038324
Total Pages : 257 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Homelessness, Health, and Human Needs by : Institute of Medicine

Download or read book Homelessness, Health, and Human Needs written by Institute of Medicine and published by National Academies Press. This book was released on 1988-02-01 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.

An Assessment of East County, San Diego, for a Relationship Violence Program Using the Community Readiness Model

Author :
Publisher :
ISBN 13 :
Total Pages : 61 pages
Book Rating : 4.:/5 (686 download)

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Book Synopsis An Assessment of East County, San Diego, for a Relationship Violence Program Using the Community Readiness Model by :

Download or read book An Assessment of East County, San Diego, for a Relationship Violence Program Using the Community Readiness Model written by and published by . This book was released on 2010 with total page 61 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study applies the Community Readiness Model and its assessment tool to determine the level of readiness for change regarding domestic violence in the eastern communities of San Diego County, California. Domestic violence is an issue that affects all populations in the United States regardless of gender, race, ethnicity, age, or socioeconomic status. Costs associated with domestic violence are estimated at over $10 billion per year, as well as an increased prevalence of mental and physical health issues compared to non-victims. The East County Domestic Violence Coalition, founded in response to an increase in the incidence of domestic violence in the region, utilized the Community Readiness Model's key informant interview to identify which of the nine levels of readiness East County ranks. An anchored rating scale is used to score interviewee responses on six dimensions that embody significant influences in a community in regards to knowledge, attitude, and resources. Once a score is computed for each of the six dimensions, those scores are then averaged to determine an overall readiness level. Readiness scores are useful to researchers and program planners as baseline measures, and can be used to determine which programs or activities are most appropriate based on a community's attitudes and perceptions. Nine key informant interviews were completed and analyzed according to procedures outlined in the handbook entitled Community Readiness: A Handbook for Successful Change, the results of which place East County in the Preplanning stage. This level of readiness indicates that the residents of East County understand that domestic violence is an issue in their community but have not made efforts to correct the problem. East County's next steps should include: working to make the six dimension scores comparable, building Coalition membership, and creating trust between community members and leaders. Continued use of the Community Readiness Model's key informant assessment tool will provide East County with the measurement by which to track their progress.

Unequal Treatment

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030908265X
Total Pages : 781 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Unequal Treatment by : Institute of Medicine

Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Access to Health Care in America

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309047420
Total Pages : 240 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Access to Health Care in America by : Institute of Medicine

Download or read book Access to Health Care in America written by Institute of Medicine and published by National Academies Press. This book was released on 1993-02-01 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.

Analysis of Cancer Risks in Populations Near Nuclear Facilities

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309255716
Total Pages : 424 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Analysis of Cancer Risks in Populations Near Nuclear Facilities by : National Research Council

Download or read book Analysis of Cancer Risks in Populations Near Nuclear Facilities written by National Research Council and published by National Academies Press. This book was released on 2012-06-29 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the late 1980s, the National Cancer Institute initiated an investigation of cancer risks in populations near 52 commercial nuclear power plants and 10 Department of Energy nuclear facilities (including research and nuclear weapons production facilities and one reprocessing plant) in the United States. The results of the NCI investigation were used a primary resource for communicating with the public about the cancer risks near the nuclear facilities. However, this study is now over 20 years old. The U.S. Nuclear Regulatory Commission requested that the National Academy of Sciences provide an updated assessment of cancer risks in populations near USNRC-licensed nuclear facilities that utilize or process uranium for the production of electricity. Analysis of Cancer Risks in Populations near Nuclear Facilities: Phase 1 focuses on identifying scientifically sound approaches for carrying out an assessment of cancer risks associated with living near a nuclear facility, judgments about the strengths and weaknesses of various statistical power, ability to assess potential confounding factors, possible biases, and required effort. The results from this Phase 1 study will be used to inform the design of cancer risk assessment, which will be carried out in Phase 2. This report is beneficial for the general public, communities near nuclear facilities, stakeholders, healthcare providers, policy makers, state and local officials, community leaders, and the media.

Population Health Implications of the Affordable Care Act

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309294371
Total Pages : 99 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Population Health Implications of the Affordable Care Act by : Institute of Medicine

Download or read book Population Health Implications of the Affordable Care Act written by Institute of Medicine and published by National Academies Press. This book was released on 2014-03-20 with total page 99 pages. Available in PDF, EPUB and Kindle. Book excerpt: Population Health Implications of the Affordable Care Act is the summary of a workshop convened in June 2013 by the Institute of Medicine Roundtable on Population Health Improvement to explore the likely impact on population health improvement of various provisions within the Affordable Care Act (ACA). This public workshop featured presentations and discussion of the impact of various provisions in the ACA on population health improvement. Several provisions of the ACA offer an unprecedented opportunity to shift the focus of health experts, policy makers, and the public beyond health care delivery to the broader array of factors that play a role in shaping health outcomes. The shift includes a growing recognition that the health care delivery system is responsible for only a modest proportion of what makes and keeps Americans healthy and that health care providers and organizations could accept and embrace a richer role in communities, working in partnership with public health agencies, community-based organizations, schools, businesses, and many others to identify and solve the thorny problems that contribute to poor health. Population Health Implications of the Affordable Care Act looks beyond narrow interpretations of population as the group of patients covered by a health plan to consider a more expansive understanding of population, one focused on the distribution of health outcomes across all individuals living within a certain set of geopolitical boundaries. In establishing the National Prevention, Health Promotion, and Public Health Council, creating a fund for prevention and public health, and requiring nonprofit hospitals to transform their concept of community benefit, the ACA has expanded the arena for interventions to improve health beyond the "doctor's" office. Improving the health of the population - whether in a community or in the nation as a whole - requires acting to transform the places where people live, work, study, and play. This report examines the population health-oriented efforts of and interactions among public health agencies (state and local), communities, and health care delivery organizations that are beginning to facilitate such action.

Closing the Gap in a Generation

Author : WHO Commission on Social Determinants of Health
Publisher : World Health Organization
ISBN 13 : 9241563702
Total Pages : 257 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Closing the Gap in a Generation by : WHO Commission on Social Determinants of Health

Download or read book Closing the Gap in a Generation written by WHO Commission on Social Determinants of Health and published by World Health Organization. This book was released on 2008 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Social justice is a matter of life and death. It affects the way people live, their consequent chance of illness, and their risk of premature death. We watch in wonder as life expectancy and good health continue to increase in parts of the world and in alarm as they fail to improve in others.

Achieving Rural Health Equity and Well-Being

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309469058
Total Pages : 95 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Achieving Rural Health Equity and Well-Being by : National Academies of Sciences, Engineering, and Medicine

Download or read book Achieving Rural Health Equity and Well-Being written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-10-17 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rural counties make up about 80 percent of the land area of the United States, but they contain less than 20 percent of the U.S. population. The relative sparseness of the population in rural areas is one of many factors that influence the health and well-being of rural Americans. Rural areas have histories, economies, and cultures that differ from those of cities and from one rural area to another. Understanding these differences is critical to taking steps to improve health and well-being in rural areas and to reduce health disparities among rural populations. To explore the impacts of economic, demographic, and social issues in rural communities and to learn about asset-based approaches to addressing the associated challenges, the National Academies of Sciences, Engineering, and Medicine held a workshop on June 13, 2017. This publication summarizes the presentations and discussions from the workshop.

Access to Affordable and Nutritious Food: Measuring and Understanding Food Deserts and Their Consequences

Author : Michele Ver Ploeg
Publisher : DIANE Publishing
ISBN 13 : 1437921345
Total Pages : 160 pages
Book Rating : 4.4/5 (379 download)

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Book Synopsis Access to Affordable and Nutritious Food: Measuring and Understanding Food Deserts and Their Consequences by : Michele Ver Ploeg

Download or read book Access to Affordable and Nutritious Food: Measuring and Understanding Food Deserts and Their Consequences written by Michele Ver Ploeg and published by DIANE Publishing. This book was released on 2010-02 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Food, Conservation, and Energy Act of 2008 directed the U.S. Dept. of Agr. to conduct a 1-year study to assess the extent of areas with limited access to affordable and nutritious food, identify characteristics and causes of such areas, consider how limited access affects local populations, and outline recommend. to address the problem. This report presents the findings of the study, which include results from two conferences of national and internat. authorities on food deserts and a set of research studies. It also includes reviews of existing literature, a national-level assessment of access to large grocery stores and supermarkets, analysis of the economic and public health effects of limited access, and a discussion of existing policy interventions. Illus.

Strengthening Forensic Science in the United States

Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309142393
Total Pages : 348 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Strengthening Forensic Science in the United States by : National Research Council

Download or read book Strengthening Forensic Science in the United States written by National Research Council and published by National Academies Press. This book was released on 2009-07-29 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: Scores of talented and dedicated people serve the forensic science community, performing vitally important work. However, they are often constrained by lack of adequate resources, sound policies, and national support. It is clear that change and advancements, both systematic and scientific, are needed in a number of forensic science disciplines to ensure the reliability of work, establish enforceable standards, and promote best practices with consistent application. Strengthening Forensic Science in the United States: A Path Forward provides a detailed plan for addressing these needs and suggests the creation of a new government entity, the National Institute of Forensic Science, to establish and enforce standards within the forensic science community. The benefits of improving and regulating the forensic science disciplines are clear: assisting law enforcement officials, enhancing homeland security, and reducing the risk of wrongful conviction and exoneration. Strengthening Forensic Science in the United States gives a full account of what is needed to advance the forensic science disciplines, including upgrading of systems and organizational structures, better training, widespread adoption of uniform and enforceable best practices, and mandatory certification and accreditation programs. While this book provides an essential call-to-action for congress and policy makers, it also serves as a vital tool for law enforcement agencies, criminal prosecutors and attorneys, and forensic science educators.

Prevention, Policy, and Public Health

Author : Amy A. Eyler
Publisher : Oxford University Press
ISBN 13 : 0190224657
Total Pages : 409 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Prevention, Policy, and Public Health by : Amy A. Eyler

Download or read book Prevention, Policy, and Public Health written by Amy A. Eyler and published by Oxford University Press. This book was released on 2016 with total page 409 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prevention, Policy, and Public Health provides a basic foundation for students, professionals, and researchers to be more effective in the policy arena. It offers information on the dynamics of the policymaking process, theoretical frameworks, analysis, and policy applications. It also offers coverage of advocacy and communication, the two most integral aspects of shaping policies for public health.