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Disparities Research, Disparities Researchers, and Health Equity

Educational Objective
To understand recommendations needed to repair inequities in health disparity research funding
1 Credit CME

Disparities in life expectancy by race, ethnicity, sex, and socioeconomic status present a significant challenge in the United States and around the world. In response, the world’s largest funder of biomedical research, the US National Institutes of Health (NIH), supports a suite of research and career development programs designed to eliminate health disparities.1 Despite the clear message from the NIH that health disparities are a significant concern, the scientific community has not embraced the message.

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Article Information

Corresponding Author: Mercedes R. Carnethon, PhD, Northwestern University, Department of Preventive Medicine, 680 N Lake Shore Dr, Ste 1400, Chicago, IL 60611 (carnethon@northwestern.edu).

Published Online: December 16, 2019. doi:10.1001/jama.2019.19329

Conflict of Interest Disclosures: Drs Carnethon, Kershaw, and Kandula reported receiving grants from NIH outside the submitted work. No other disclosures were reported.

References
1.
Jones  NL, Breen  N, Das  R, Farhat  T, Palmer  R.  Cross-cutting themes to advance the science of minority health and health disparities.  Am J Public Health. 2019;109(S1):S21-S24. doi:10.2105/AJPH.2019.304950PubMedGoogle ScholarCrossref
2.
Ginther  DK, Schaffer  WT, Schnell  J,  et al.  Race, ethnicity, and NIH research awards.  Science. 2011;333(6045):1015-1019. doi:10.1126/science.1196783PubMedGoogle ScholarCrossref
3.
Hoppe  TA, Litovitz  A, Willis  KA,  et al.  Topic choice contributes to the lower rate of NIH awards to African-American/black scientists.  Sci Adv. 2019;5(10):eaaw7238. doi:10.1126/sciadv.aaw7238PubMedGoogle Scholar
4.
 Research Topic Contributes to Persistent Gap in NIH Research Grants to Black Scientists. Bethesda, MD: National Institutes of Health; 2019.
5.
NIH Center for Scientific Review. How Scientists Are Selected to Be Members of a Chartered Review Group. https://public.csr.nih.gov/ForReviewers/BecomeAReviewer/CharteredReviewers. Accessed October 30, 2019.
6.
Valantine  HA, Collins  FS.  National Institutes of Health addresses the science of diversity.  Proc Natl Acad Sci U S A. 2015;112(40):12240-12242. doi:10.1073/pnas.1515612112PubMedGoogle ScholarCrossref
7.
Pritlove  C, Juando-Prats  C, Ala-Leppilampi  K, Parsons  JA.  The good, the bad, and the ugly of implicit bias.  Lancet. 2019;393(10171):502-504. doi:10.1016/S0140-6736(18)32267-0PubMedGoogle ScholarCrossref
8.
Gaucher  D, Friesen  J, Kay  AC.  Evidence that gendered wording in job advertisements exists and sustains gender inequality.  J Pers Soc Psychol. 2011;101(1):109-128. doi:10.1037/a0022530PubMedGoogle ScholarCrossref
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Centola  D, Becker  J, Brackbill  D, Baronchelli  A.  Experimental evidence for tipping points in social convention.  Science. 2018;360(6393):1116-1119. doi:10.1126/science.aas8827PubMedGoogle ScholarCrossref
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