Science Forum: Adding a One Health approach to a research framework for minority health and health disparities
- Department of Public Health Sciences, University of California, Davis, United States
- Center for Animal Disease Modeling and Surveillance (CADMS), Department of Veterinary Medicine, University of California, Davis, United States
- Departments of Preventive Medicine and Urology, Keck School of Medicine of USC, United States
- Norris Comprehensive Cancer Center, University of Southern California, United States
- Office of the Director, National Institute on Minority Health and Health Disparities, National Institutes of Health, United States
- Comprehensive Cancer Center, University of California, Davis, United States
Figures
Figure 1
Proposed expansion of the National Institute on Minority Health and Health Disparities (NIMHD) research framework.
The NIMHD research framework includes five domains (rows) and four levels (columns) that influence minority health and health disparities. The proposed expansion of the framework introduces two new levels of influence – the interspecies level and the planetary level (both shaded in grey). The new framework reflects how human health is a product of the human ecosystem, which combines traditionally recognized ecosystem components (plants, animals, microbes, physical environmental complex) with the built environment and social characteristics, structures, and interactions between all these elements. The figure shows examples of some of the factors that are relevant at the intersection between each domain and each level. The origins of the two new levels lie in the “One Health” approach, which recognizes that the health of people is closely connected to the health of animals and our shared environment. The bottom row of the framework demonstrates that health outcomes can also span multiple levels – individual, family and organizational, community, population, and, in the expanded framework, One Health.
Figure 2
Expanded framework applied to health disparities research in antimicrobial resistance (AMR).
An example of how the expanded framework can be utilized by investigators as they develop their research questions and study designs for research into disparities related to AMR and AMR-related infections. The factors listed under the interspecies and planetary levels of influence are included in a more straightforward and systematic way than they would be in the original NIMHD framework.
Figure 3
Expanded framework applied to health disparities research in obesity.
An example of how the expanded framework can be utilized by investigators as they develop their research questions and study designs for research into disparities related to obesity. The factors listed under the interspecies and planetary levels of influence are included in a more straightforward and systematic way than they would be in the original NIMHD framework.
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Science Forum: Adding a One Health approach to a research framework for minority health and health disparities
eLife 11:e76461.
https://doi.org/10.7554/eLife.76461
