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Details

Research article
Authors

Mehdipanah R, Schulz AJ, Israel BA, Gamboa C, Rowe Z, Khan M, Allen A

Journal

Journal of Urban Health: Bulletin of the New York Academy of Medicine

Summary
This paper describes the process of adopting and implementing the Urban HEART tool for Detroit, Michigan. The six steps of Urban HEART were implemented by a community-based participatory research partnership made up of community-based organizations, health service providers, and researchers based in academic institutions. The authors examined how principles of CBPR influenced the implementation of the tool. Urban HEART tool involves six steps: building an inclusive team; defining local indicators and benchmarks indicative of social determinants of health equity; assembling relevant and valid data with which to assess those indicators; generating evidence; assessing and prioritizing health equity gaps and gradients; and identifying the best response to health equity issues identified in the previous steps. The evidence generated is in the form of a matrix that allows assessment of indicators at the relevant geographic units, using the data collected. For the health equity matrix, 15 indicators were chosen within the Urban HEART five policy domains (physical environment and infrastructure, social and human development, economics, governance, and population health). This project provides pilot data and a foundation for expanding Urban HEART to other areas. Urban HEART Detroit is an ongoing effort.
Population

Not Available

Health Outcomes

  • Asthma, cardiovascular disease, psychological distress

Health Outcome List:

  • Not available

Environmental Agents

List of Environmental Agents:

  • Not Available

Source of Environmental Agents:

  • Not Available

Economic Evaluation / Methods and Source

Type:

  • Cost analysis (CA)

Cost Measures:

  • Not Available

Potential Cost Measures:

  • Not available

Benefits Measures:

  • Not available

Potential Benefits Measures:

  • Promoting health equity in Detriot

Location:

  • Detriot, Michigan

Models Used:

  • Urban Health Equity Assessment Response Tool (Urban HEART)
  • Community-based participatory research (CBPR)

Models References:

  • References cited in publication - Urban HEART (www.hepdetroit.org)

Methods Used:

  • The authors examined how Community Based Participatory Research (CBPR) Principles influenced Urban HEART as well as the process of adopting and implementing this tool in Detroit, Michigan to achieve health equity.

Sources Used:

  • Urban HEART tool (WHO, 2010); Most data came from the American Community Survey (ACS), a yearly survey conducted by the U.S. Census Bureau (Bureau UC, 2016); The National Air Toxics Assessment from 2011 was used to attain broad estimates of diesel PM exposures (US EPA O, 2011); Average percent of population that died per year from 2009 to 2013 was obtained from the Michigan Department of Health and Human Services (MDHHS), using 5-year estimates (2009–2013) (Veinot et al., 2016); Additional sources cited in the publication.

Economic Citation / Fundings

Citation:

  • Mehdipanah R, Schulz AJ, Israel BA, Gamboa C, Rowe Z, Khan M, Allen A. Urban HEART Detroit: a Tool To Better Understand and Address Health Equity Gaps in the City. Journal of Urban Health: Bulletin of the New York Academy of Medicine. 2018. 95; 5.
  • Pubmed
  • DOI

NIEHS Funding:

  • R01ES022616, P30ES017885

Other Funding:

  • R24MD001619