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| Paula Braveman, MD, MPH |
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- Director, Center on Social Disparities in Health
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- BA, Philosophy, Swarthmore College, Swarthmore, PA
- BS, General Studies, Portland, OR
- MD, Medicine, University of California San Francisco
- MPH, Epidemiology, UC Berkeley
- (Post-Doc) Health Policy Fellow, Institute for Health Policy Studies, UCSF
- Residency, Family and Community Medicine, UCSF (SFGH)
- Fellowship, UCSF (SFGH), Pediatrics
- Research Fellowship, UCSF, Family and Community Medicine
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To better understand perceptions of racism and social position among
women of childbearing age in order to systematically develop measures
of racism and social position for subsequent research on disparities in
birth outcomes. Toward this end, we plan to conduct about 20 focus
groups with African-American and European-American women of different
socioeconomic groups. Specifically, we aim to: (a) identify and explore
a wide range of domains of perceived and internalized racism (among
African American women) and/or domains related to social position
(among African American and European American women) relevant to women
of childbearing age throughout their life course, including a range of
domains relevant during childhood and adolescence as well as more
recently for adult women; (b) explore the differential experiences/
perceptions of racism and social position among African-American women
of different socioeconomic groups and differential experiences/
perceptions of social position among European American women of
different socioeconomic groups; and (c) develop measures that capture
the cumulative experiences of racism and social position.
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The long-term goal of this effort is to contribute toward improving thMay 16, 2007ion on socioeconomic
status/position (SES) in health research. Our specific goals are to:
(a) initiate a series of technical background papers (for discussion at
CDC) on different aspects of SES measurement, (b) prepare 1 or 2 brief
papers (for wider dissemination) containing practical guidance for
measurement of one or more aspects of SES, and (c) provide technical
assistance to CDC’s Social Determinants of Health Working Group, and
particularly its Science and Surveillance Committees, and begin a
process of assessing how CDC data sets measure SES.
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The overall goal of our work in this area has been to: (1) describe
social disparities in selected maternal-infant health outcomes; (2)
interpret the policy implications; and (3) recommend sound approaches
for examining disparities in an ongoing fashion. Specific activities
relevant to each of these goals are: (a) examining distributions of
challenges faced by pregnant women (that could impact their own health
or well-being as well as that of their children) across different
income, insurance, racial/ethnic, age and parity groups, (b) conducting
an inter-related series of studies looking at the contributions of
selected social factors to preterm birth, and (c) continued work
examining the relationship between area-level SES characteristics and
maternal and infant health outcomes.
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- Braveman P. Health disparities and health equity: concepts and measurement. Annu Rev Public Health. 27: 18.1-18.28, 2006.
- Braveman PA, Cubbin C, Egerter S, Chideya S, Marchi K, Posner S,
Metzler M. Socioeconomic Status in Health Research: One Size Does Not
Fit All. JAMA. Issue: 22. 294: 2879-88, 2005.
- Braveman P, Egerter S, Cubbin C, Marchi K. An approach to studying
social disparities in health and health care. Am J Public Health. 94:
2139-48, 2004.
- Braveman P, Gruskin S. Defining equity in health. J Epidemiol Community Health. 57:254-258, 2003.
- Braveman PA, Tarimo E. Social inequalities in health within countries:
not only an issue for affluent nations. Soc Sci Med. Issue: 11.
54(11):1621-35, 2002.
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Department of Family and Community Medicine
Parnassus Heights
Box 0900
500 Parnassus Avenue, MU3E
San Francisco, CA 94143-0900
ph 415-476-1259
braveman@fcm.ucsf.edu
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