Also, the biologic mechanisms connecting the exogenous determinants to health disparities are not well-understood. Moreover, in order to eliminate health disparities, research and practice should move beyond focus on proximal health care related determinants, and more broadly consider upstream contextual, social, and environmental causes. As the causes of minority health disparities cross disciplines, so too must investigator expertise and practice-based solutions. While comprehensive in its scope, minority health disparities research and practice often focus on singular components of the framework in part due to our discipline specific training. To that end, the National Institute of Minority Health Disparities has developed a multilevel research framework that considers biologic, behavioral, environmental (physical, social, cultural), and health care system factors as jointly shaping health outcomes and health disparities ( 1). From macro-level social processes, to environmental exposures, and molecular-level alterations, the causes of minority health disparities are varied and complex.
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