Health equity, in the context of public health in the United States, can be characterized as action to ensure all population groups living within a targeted jurisdiction have access to the resources that promote and protect health. There appear to be several elements in program design that enhance health equity. These design elements include consideration of sociodemographic characteristics, understanding the evidence base for reducing health disparities, leveraging multisectoral collaboration, using clustered interventions, engaging communities, and conducting rigorous planning and evaluation. This article describes selected examples of public health programs the Centers for Disease Control and Prevention (CDC) has supported related to these design elements. In addition, it describes an initiative to ensure that CDC extramural grant programs incorporate program strategies to advance health equity, and examples of national reports published by the CDC related to health disparities, health equity, and social determinants of health.
This article describes a set of design elements for health equity programs supported by the Centers for Disease Control and Prevention.
Office of Minority Health and Health Equity, Office of the Director (Mr Dicent Taillepierre and Drs Liburd and Bouye), Division of Nutrition, Physical Activity and Obesity, National Center for Chronic Disease Prevention and Health Promotion (Ms O'Connor), Division of STD and TB Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (Ms Valentine), Division of HIV/AIDS Prevention, Office of the Director, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (Dr McCree), Program Evaluation, Program Performance Evaluation Office, Office of the Director (Mr Chapel), and Division of Public Health Information Dissemination, Center for Surveillance, Epidemiology, and Laboratory Services, Office of Public Health Scientific Services (Dr Hahn), Centers for Disease Control and Prevention, Atlanta, Georgia.
Correspondence: Julio C. Dicent Taillepierre, MS, Office of Minority Health and Health Equity, Office of the Director, Centers for Disease Control and Prevention, 4700 Buford Hwy NE, MS K-77, Atlanta, GA 30341 (firstname.lastname@example.org).
The authors gratefully acknowledge Lynne S. Wilcox for scientific editorial assistance in the preparation of the manuscript.
The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
The authors declare no conflicts of interest.