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Building a culture of health in Kentucky to address racism a public health crisis

MOJ Public Health
Naiya Patel


Importance: Health disparities are the leading underlying cause for disproportionate
pandemic effect. A sustainable solution must inculcate and address key community stake
holders needs to implement strategies. Racism is recently identified as a public health crisis
and in order to address it a sustainable multidisciplinary strategy calls for action. Clearly
existing solutions are not sustainable and effective and is evident through the case study of
Kentucky in the current research. The elimination of health disparities is a multidisciplinary
and cross sector approach which the RWJF action framework inculcates.
Observations: Kentucky State has the Gini and Social Index Score that needs urgent
attention. Racial segregation is prominent among the black versus white compared to other
racial minorities. Income inequality is highest among the blacks than the other minorities
and white in Kentucky. Infant mortality rate, premature deaths, preventable hospitalizations,
and unhealthy behavior is highest among the black community members compared to their
white counterparts.
Conclusions and Relevance: The identified sustainable strategy and entry points for key
Kentucky stakeholders can help address the racism. The stakeholder analysis matrix of
the research can help implement proposed strategy feasibly and effectively. The action
framework itself is structured in a way that the issues framed utilizing the model can help
disseminate and implement the strategy sustainably.


racism, culture of health, RWJF framework, public health