Collaborative In Action

The Collaborative In Action features research briefs, papers, and presentations in order to disseminate current topics and research projects. 

  • Disparities in Infertility and Assisted Reproductive Technology (ART) Utilization- Race, Socioeconomic Status, EducationDisparities in Infertility and Assisted Reproductive Technology (ART) Utilization- Race, Socioeconomic Status, Education

    Women's reproductive justice is a topic we need to be especially vigilant about, especially now as women's bodies are constantly under scrutiny by policy makers and institutions. Furthermore, vulnerable populations and minority women face even more obstacles and disparities in receiving the equitable care they need when it comes to their reproductive health. A salient example of this includes the examples of disparities in infertility and in assisted reproductive technology (ART) treatments.

    Wed, 04 Apr 2018 20:48:00 -0500

  • Culture as a Tool to Decrease Cervical Cancer Screening DisparitiesCulture as a Tool to Decrease Cervical Cancer Screening Disparities

    Latina women experience the highest incidence and mortality rates for cervical cancer in the United States. However, they continue to have much lower rates of cervical cancer screening when compared to their White counterparts. Furthermore, the National Health Interview Survey (NHIS) indicates that the disparities become more pronounced based on nativity.

    Wed, 04 Apr 2018 20:36:49 -0400

  • The Nuance of Neighborhood: Exploring the Complicated Relationship Between Neighborhood, Birth Outcomes, and RaceThe Nuance of Neighborhood: Exploring the Complicated Relationship Between Neighborhood, Birth Outcomes, and Race

    If you look at statistics regarding birth outcomes on the CDC website, there is a section that lists potential risk factors, including tobacco use during pregnancy, or medical issues like infections. However, some of the most dangerous risk factors are not individual behaviors, but individual characteristics: under outcomes like preterm birth or maternal mortality, the CDC lists "black race" as a risk factor for a negative outcome.

    Wed, 04 Apr 2018 14:30:00 -0500

  • Food Insecurity and Health Outcomes: The relationship Between Food Access and Type 2 Diabetes in Detroit, MI.Food Insecurity and Health Outcomes: The relationship Between Food Access and Type 2 Diabetes in Detroit, MI.

    Being diagnosed with a chronic disease is hard, especially when you have no control over the options given to you in your environment. Food insecurity in Detroit Michigan is a problem to the current residents as well as the future population, this is the state of being without reliable access to a sufficient quantity of affordable, nutritious food. Almost half of the population in Detroit are food insecure and enrolled in SNAP (Supplemental Nutrition Assistance Program), another eighteen percent of household who qualify for SNAP are not receiving benefits.

    Wed, 04 Apr 2018 13:24:00 -0500

  • The Effect of Socioeconomic Status on the Mental Health of ChildrenThe Effect of Socioeconomic Status on the Mental Health of Children

    Social determinants of health have become an increasingly important topic when discussing health inequities. The effect of socioeconomic inequalities on health are an important topic in public health and social science research as the income gap in America continues to increase. Growing up in Hamtramck, an inner city in Detroit and a low-income community, I have been able to experience the effects of income inequality in health firsthand. According to the Health Resources & Services Administration, Hamtramck is identified as a Mental Health Professional Shortage Area.

    Tue, 03 Apr 2018 16:14:00 -0500

  • Looking Toward the Future: Understanding the Social Implications of HIV in AdolescenceLooking Toward the Future: Understanding the Social Implications of HIV in Adolescence

    In an ideal, more equitable world, children would fall asleep at night feeling hopeful and excited about waking up the next morning. Head hitting the pillow, young people would think about goals for their future and dream of where they see themselves further down the line. Unfortunately, in reality, the ability to have hope and goals for one's future has become a privilege that excludes many. For some youth, especially youth living with HIV (YLWH), the struggle of surviving day-to-day life takes precedence over thinking about the future. However, for many of these adolescents, the day-to-day struggle is not consumed by their physical health but by negative social conditions, stigma, and marginalization.

    Tue, 03 Apr 2018 16:03:00 -0500

  • Race and Asthma DevelopmentRace and Asthma Development

    Over the summer of 2017, I volunteered at Delray Neighborhood House Center. Delray is a small neighborhood located on the southwest side of Detroit, and it is about 15 minutes away from Detroit downtown. Delray's residences came from diverse backgrounds and tend to have low socioeconomic status, due to the devastating economic status of the area. Thus, the residents of the neighborhood either worked in the factories or inherited their houses. The neighborhood center is near fisher highways and surrounded by two factories, one of which includes the Detroit water and sewage.

    Tue, 03 Apr 2018 14:11:00 -0500

  • Going the Distance: Understanding Barriers to Primary Care Access in Rural CommunitiesGoing the Distance: Understanding Barriers to Primary Care Access in Rural Communities

    In comparison to my urban classmates, one characteristic of my life at home that stands out the most is undoubtedly my lack of healthcare. Growing up in rural Michigan, I never had a primary care physician, and neither had my parents. It was something so normal for my area; yearly check-ups were not a part of the communities' regimen, and if they were, it often meant traveling far outside the county to make appointments. For me, it truly felt like an unfixable part of rural living, but does that mean it could not have been addressed?

    Tue, 03 Apr 2018 14:01:00 -0500

  • Autism Spectrum Disorder & Minority Identities: The Effect of Identities of Quality of LifeAutism Spectrum Disorder & Minority Identities: The Effect of Identities of Quality of Life

    To many people, Autism Spectrum Disorder is something they hear about on the news. To me, ASD is a huge influence on my life and identity. Autism Spectrum Disorder, as defined by the CDC, is a development disorder that is characterized by behavioral, social and communication challenges. This can be expressed in many different ways, which is why Autism is called a spectrum disorder. My sister was diagnosed with Autism before I was born, so I have grown up being aware of the Autism community. When I began my college education, I realized that the community I consider myself an ally to has many problems.

    Tue, 03 Apr 2018 13:33:00 -0500

  • Creating a Culture of Care: Mental health among low-income African American Adolescents and the Role of Protective FactorsCreating a Culture of Care: Mental health among low-income African American Adolescents and the Role of Protective Factors

    Reflecting back on your 17 year old self what were some of the main factors of stress or anxiety in your life? Many would mention academic pressure, fitting in, planning for prom, or uncertainty about the future as top stressors. Thinking of those stressors now add other issues such as housing instability, neighborhood violence, family substance abuse, and encounters with racism. In addition to the regular stress a 17 year-old might experience African American youth, particularly those from low-income backgrounds experience a multitude of stressors.

    Tue, 03 Apr 2018 13:19:00 -0500

  • Depression Disparities in Rural America: How unequal access to treatment and stigma leaves some Americans trappedDepression Disparities in Rural America: How unequal access to treatment and stigma leaves some Americans trapped

    Imagine you are trapped. You cannot seem to gain any sort of bearings. You have nowhere to go, nobody to go to, and no sense in how you may get out of this place. Everyday there are people trapped in their own minds by their own negative thoughts. A intense tirade of self-loathing and negativity floods the mind causing people to lose their ability to function. Without proper treatment, individuals can be caught or trapped in this state of depression for prolonged periods of time.

    Mon, 02 Apr 2018 12:20:00 -0500

  • Your Housing Can Ruin Your HealthYour Housing Can Ruin Your Health

    In the United States there have been many foreclosed houses sold by the Federal National Mortgage Association (Fannie Mae), many of which have been unfit for human habitation. Investors bought the homes of Fannie Mae and turned them into rent-to-own (RTO) leases and contracts for deed (CFD). Those who enter these contracts are typically low-income people of color, who often must leave the situation because the costs become too much.

    Mon, 02 Apr 2018 12:01:00 -0500

  • The Correlation Between Mental Health and Suicide Rates Among African American Male YouthThe Correlation Between Mental Health and Suicide Rates Among African American Male Youth

    Did you know that an African American boy is suffering in silence and is waiting to be heard? This boy has a mental health disorder that is not recognized by himself or his support system, all he knows is that he feels sad, angry, and alone. He tries to express to his parents how he feels but they tell him to brush it off, stay strong, and that this feeling will go away eventually. At school, he acts out of anger and aggression trying his hardest to be seen and heard, his teacher suspends him and calls him a "bad" kid.

    Mon, 02 Apr 2018 11:41:00 -0500

  • MOTHER NURTURE: Making Baby-Friendly Hospital Policies more Health Equitable for African American WomenMOTHER NURTURE: Making Baby-Friendly Hospital Policies more Health Equitable for African American Women

    If 90% of mothers exclusively breastfed for 6 months, as advised by the World Health Organization, nearly 1,000 excess infant deaths would be prevented annually. If these mothers then continued to breastfeed for a year, 2,619 maternal deaths would also be avoided. “Breastfeeding is the natural biological conclusion to pregnancy and an important mechanism for the continued normal development of the infant.” Human milk is species-specific making it superior to other feeding options providing the perfect nutrition and immune protection to the infant.

    Mon, 18 Dec 2017 09:48:00 -0500

  • Creating Spaces for College Students to Cope: A Proactive Approach to Race-Related DiscriminationCreating Spaces for College Students to Cope: A Proactive Approach to Race-Related Discrimination

    Imagine your first week of your undergraduate career. Adjusting to dorm life, trying to make new friends and figuring out how to get to all of your classes. And then you experience something you may not have experienced first-hand in your hometown: race-related discrimination. Being a student of color at a predominantly white institution brings its own set of challenges on top of the stress of figuring out what you want to do with your life. Equipping students of color with strategies to cope with these experiences are critical in order to support them in their transition to college

    Mon, 18 Dec 2017 09:28:00 -0500

  • The Ever-Changing Forms of Authenticity in Healthcare LeadershipThe Ever-Changing Forms of Authenticity in Healthcare Leadership

    The current political atmosphere has the potential to drastically change the entire healthcare infrastructure in the United States of America, and not necessarily in a positive way. With the proposed removal of the affordable care act, millions of Americans are in a position where their healthcare coverage may very well be voided, left responsible for the full priced out-of-pocket medical care and treatment costs that they may or may not be able to afford.

    Fri, 15 Dec 2017 11:34:52 -0500

  • The Built Environment and Mental Health in the WorkplaceThe Built Environment and Mental Health in the Workplace

    Halimat Olaniyan is alum of the University of Michigan Summer Enrichment Program (UMSEP 2017) who interned at the University of Michigan Depression Center under the supervision of Ms. Stephanie Salazar who is the Outreach and Education Program Manager.

    Wed, 08 Nov 2017 11:36:09 -0500

  • Barriers to the Integration of Community Health Workers in Coordinated Care ModelsBarriers to the Integration of Community Health Workers in Coordinated Care Models

    Community Health Workers are an important component of integrated service delivery and community health, with 51,900 employed in almost 50 states in the United States. More than just public health workers, CHWs are unique because they are often members of the community they are serving and can therefore establish trust and rapport within it. CHWs improve health outcomes, using their connection to the community, through preventive services and targeting social determinants of health.

    Tue, 07 Nov 2017 16:14:00 -0500

  • Network Integrity: Implementation and Referral PatternsNetwork Integrity: Implementation and Referral Patterns

    In the "Western" World, reverence for the older portion of the population has been lost. They are often cast aside when they are no longer able to work, and the wisdom and value that they hold from long lives is neglected in favor of younger people for their value to the country's productivity. However, at Trinity Health Senior Communities, they are seeking to change the narrative around seniors and improve the care framework surrounding the geriatric population. THSC has recently turned its focus to Network Integrity--ensuring that when a patient leaves a Trinity Health hospital they are more likely to remain with a Trinity Health skilled nursing facility.

    Tue, 07 Nov 2017 16:05:00 -0500

  • Black Girl Magic - The Glow UpBlack Girl Magic - The Glow Up

    Black Girl Magic: The Glow Up is a FREE public event open to all girls ages 13-17 in the metro-Detroit area. The goal of the workshop is to provide a fulfilling experience and a safe space for young Black girls to partake in dialogue centered on their experience as both Black and female in Detroit and the U.S. During the workshop. There will be a number of exercises and discussion topics for the girls to learn about the power of self-definition, transparency, and sisterhood.

    Fri, 03 Nov 2017 13:20:43 -0400

  • Increasing the Accessibility of Specialty Drugs to Low-Income SeniorsIncreasing the Accessibility of Specialty Drugs to Low-Income Seniors

    Specialty medications deliver great clinical benefits but have high costs. In 2012 specialty medications accounted for 12% of commercial spending, but only represented 0.5% of total prescription fills. Specialty medications include qualities that make for costly medication delivery and complex molecule composition, especially molecules created with living organisms, called biologics1. A study done on elderly Medicare beneficiaries from 2007-2011 found that spending on specialty drugs increased from 6.7% to 9.1%2.

    Fri, 03 Nov 2017 13:02:12 -0400

  • Assessing the Impact of the ACA on the Previously Incarcerated PopulationAssessing the Impact of the ACA on the Previously Incarcerated Population

    The previously incarcerated population in the United States is not only disproportionately male, minority, and low income, but also much more likely to have physical and mental diseases compared to the rest of the population. They have the highest need for primary care but are historically the least likely to receive primary care due to their underserved status.

    Fri, 03 Nov 2017 12:16:00 -0500

  • Medicaid, Uncompensated Care Burden of Safety-net Hospitals Medicaid, Uncompensated Care Burden of Safety-net Hospitals

    In the year 2008, one in seven Americans were left uninsured. Data collected from the National Health Interview Survey and the American Community Survey show that among those affected were low-income Americans, those ages 19-64, and people of color, more specifically, Blacks, Hispanics, and Native Americans. Due to high uninsured rates among the US population, health care providers continue to face billions of dollars in uncompensated care costs as they continue to rise.

    Thu, 02 Nov 2017 13:52:00 -0500

  • Defining Health Equity: Wolverine PathwaysDefining Health Equity: Wolverine Pathways

    The ambiguity of words leave a lot of room for personal interpretation. We act on words, feel emotions because of words, and devote lives to causes because of words. When it comes to a word such as health equity, the implications it carries creates an overwhelming need to have an explicit definition. Through research, conducted as part of the Health Equity Leadership Pipeline Collaborative at the University of Michigan School of Public Health, I was able to analyze the usage of the word and its relevance in certain contexts.

    Mon, 23 Oct 2017 16:35:00 -0500

  • Data. Leadership. Diversity...A Primer for Data-Driven Leaders of Color.Data. Leadership. Diversity...A Primer for Data-Driven Leaders of Color.

    In an interview with a mid-career and senior leader at two different, yet successful health systems, I learned the pride of data-driven leadership and the distinction between operational and strategic dimensions. As our society progresses further into the age of information, technology, and data, many sectors of our country's infrastructure must adapt to the rapidly changing work environment, including healthcare.

    Mon, 23 Oct 2017 16:16:00 -0500

  • Healthcare Careerists - Middle is the New EarlyHealthcare Careerists - Middle is the New Early

    This research brief was created with the purpose of establishing criteria to create an accurate timeline of career progression for healthcare administrators. The criteria aims to correctly identify positions for each professional on a scale from "Early" to "Middle," to "Senior" Career. This research lends itself to the construction of the Health Equity Leadership Pipeline Competency Analysis. This project is intended to establish a pathway between graduate students as emerging professionals and administrators as senior healthcare executives. Along with career progression, additional information is utilized.

    Mon, 23 Oct 2017 15:54:00 -0500

  • The Best Leadership Style: Authenticity Helps Diverse ExecutivesThe Best Leadership Style: Authenticity Helps Diverse Executives

    Authentic leadership for healthcare executives is becoming synonymous with successful minority executives. A professional organization for Black health services executives is leading a movement to educate its membership on the benefits of this leadership style.

    Thu, 23 Mar 2017 12:52:00 -0500

  • The Role of Emotional Intelligence in LEAN LeadershipThe Role of Emotional Intelligence in LEAN Leadership

    What professional qualities make hospital CEO's and administrators successful? Is it skillful policy analysis, a legal wit, or the ability to operate a 10-digit with computer-like precision as we see frequently in film and television? Not necessarily. In an ongoing study performed by Dr. Ebbin Dotson and his research team at the University of Michigan's Health Equity Leadership Pipeline Collaborative (The Collaborative) find emotional intelligence (EI) is an important asset belonging to successful healthcare executives and administrators.

    Thu, 23 Mar 2017 11:26:00 -0500

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