Health Disparity

This Comment supports SDGs 3 and 10 by highlighting the need to centre race in the work of the global health community. The authors call on colleagues to meaningully engage with critical race theory, a transdisciplinary intellectual movement to understand and disrupt systemic racism.

The Lancet Global Health, Volume 9, April 2021

This Comment article supports SDGs 3, 10, and 17 by highlighting the need for full inclusivity and representation, and the involvement of a diverse range of stakeholders and voices, in order to successfully design solutions to global health problems and to reform the systems that are exacerbating global health inequities.
Background: The population of older adults (ie, those aged ≥55 years) in England is becoming increasingly ethnically diverse. Previous reports indicate that ethnic inequalities in health exist among older adults, but information is limited by the paucity of data from small minority ethnic groups. This study aimed to analyse inequalities in health-related quality of life (HRQoL) and five determinants of health in older adults across all ethnic groups in England.

The Lancet Digital Health, Volume 3, March 2021

This Comment supports SDGs 3 and 10 by highlighting the role of data scientists in challenging racism and discrimination. The Comment highlights how structural inequalities in society are easily encoded in datasets and in the application of data science, which can reinforce existing injustices.
This Article supports SDGs 3 and 10 by evaluating ethnic inequalities in health among older adults (55 years or older) in England. The large, cross-sectional study includes more than a million survey respondents, and identifies wide ethnic inequalities in health-related quality of life, prevalence of long-term conditions, experiences of primary care, support from local services, and confidence in managing one's own health. Outcomes varied widely between minority ethnic groups, both in the direction and magnitude of associations.
It is estimated that 32.5 million US adults have clinical osteoarthritis (OA), with the most common sites being knee and hip. OA is associated with substantial individual and societal costs. Race/ethnicity, socioeconomic status (SES), and geographic variations in the prevalence of knee and hip OA are well established around the world. In addition, clinical outcomes associated with hip and knee OA differ according to race/ethnicity, SES, and geography. This variation is likely multifactorial and may also reflect country-specific differences in health care systems.
This study supports SDG 3 and 10 by reporting that Māori and Pacific people with type 2 diabetes have consistently poorer health outcomes than European patients, indicating the need for specific policies and interventions to better manage type 2 diabetes in these subpopulations.