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July
27,
2004 IOM REPORTS:
MEASURING HEALTH IN THE YOUNG AND OLD
The definition of “health” for some of the nation’s
youngest and oldest members is rapidly changing, revealing significant
gaps in the data researchers collect and analyze for these populations,
according to two reports from the Institute of Medicine. The first report, “Children’s Health, The Nation’s
Wealth,” recommends adopting a new definition for children’s
health that moves away from an emphasis on infectious disease toward
a new focus on chronic conditions such as obesity, diabetes and asthma.
The report’s authors say researchers should redouble their efforts
to collect data on children and chronic disease as it relates to childhood
development, long-term health consequences and health disparities. They
point in particular to gaps in the data on the healthy development of
children between their toddler and adolescent years. The report also suggests establishing
a special HHS children’s
unit that would coordinate relevant research among government agencies
and encourage state and local health data collection programs. At the other end of the age
spectrum, researchers would like to learn more about how social and
behavioral differences, as well as a legacy
of discrimination, influence the health of the nation’s elderly
racial and ethnic minorities. The second report, “Understanding
Racial and Ethnic Differences in Health in Late Life,” lays out
a research agenda to address these issues. As with children, the report’s
authors stress the importance of following health across the lifespan
and collecting more information on the conditions that affect certain
populations disproportionately. The report’s authors
say elder health researchers need to be more careful about separating
morbidity and mortality statistics for different
racial and ethnic populations and make stronger efforts to find out how
stress and discrimination influence health and health behaviors. At the
moment, most of the research on the health effects of discrimination
focuses on differences between black and white patients, with little
information about how Hispanic and Asian populations react to such stress. To read the new
reports, go here (children’s
health) and here (elder health). |
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