{"id":4586,"date":"2010-01-18T19:53:38","date_gmt":"2010-01-18T19:53:38","guid":{"rendered":"http:\/\/www.mixedracestudies.org\/wordpress\/?p=4586"},"modified":"2010-01-18T19:55:27","modified_gmt":"2010-01-18T19:55:27","slug":"impacts-of-multiple-race-reporting-on-rural-health-policy-and-data-analysis","status":"publish","type":"post","link":"https:\/\/mixedracestudies.org\/wp\/?p=4586","title":{"rendered":"Impacts of Multiple Race Reporting on Rural Health Policy and Data Analysis"},"content":{"rendered":"

Impacts of Multiple Race Reporting on Rural Health Policy and Data Analysis<\/a><\/em><\/strong><\/p>\n

Working Paper No. 73
\nWorking Paper Series
\nNorth Carolina Rural Health Research and Policy Analysis Center<\/a>
\nCecil G. Sheps Center for Health Services Research<\/a>
\nThe University of North Carolina at Chapel Hill<\/a><\/em><\/p>\n

2002-05-01
\n39 pages<\/p>\n

Randy Randolph, M.R.P.<\/strong><\/p>\n

Rebecca Slifkin, Ph.D.<\/strong><\/p>\n

Lynn Whitener, Dr.P.H.<\/strong><\/p>\n

Anna Wulfsberg, M.S.P.H.<\/strong><\/p>\n

This work was supported by Cooperative Agreement 1-U1C-RH-00027-01 with the federal Office of Rural Health Policy.<\/em><\/p>\n

Introduction<\/strong><\/p>\n

In the 1990s the policy goal of improving the rural minority population’s health status and access to health care gained prominence. \u00a0The President’s Initiative on Race, announced in 1998, established goals for improvements in health indicators and declared 2010 as the target year for achieving these goals. In A National Agenda for Rural Minority Health, the National Rural Health Association outlined strategies to realize the President’s goals in rural America. The plan identified three priority areas associated with these goals: Information and Data, Health Policy and Practices, and Health Delivery Systems. All three of these areas require a consistent stream of data describing the racial composition of rural areas and rural residents’ health status. The information and data section recommends that \u201cData collection systems will incorporate core data sets and employ uniform definitions for relevant terms to facilitate information sharing and comparisons among and across minority populations and nonminority populations as well\u201d (NRHA, 1999).<\/p>\n

Recent changes in federal policy will complicate achieving NRHA\u2019s stated goal and measuring the rural success of the Initiative on Race. On October 30, 1997, the U.S. Office of Management and Budget (OMB) announced the first revised federal standards for collecting data on race and ethnicity since 1977. The revisions are to be adopted by all federal agencies working with race-based information.\u00a0 The modifications to Statistical Policy Directive No. 15, Race and Ethnic Standards for Federal Statistics and Administrative Reporting (the existing policy) contained changes in both content and naming of racial and ethnic categories requiring that respondents be allowed to choose one or more of five race categories: \u201cAmerican Indian or Alaska Native,\u201d \u201cAsian,\u201d \u201cBlack or African American,\u201d \u201cNative Hawaiian or Other Pacific Islander,\u201d and \u201cWhite\u201d; an optional \u201cOther Race\u201d is allowed, but not encouraged, under the rule. Two categories for data on ethnicity\u2014\u201cHispanic or Latino\u201d and \u201cNot Hispanic or Latino\u201d are offered in a separate question. The separate ethnicity choice is only a change in category naming with the addition of Latino to the category\u2014the option of also including Spanish Origin is permitted. Some of the new race categories defined by the revision to Directive 15 were changes from the 1977 rule. The most obvious change was disaggregating the \u201cAsian or Pacific Islander\u201d category to distinct \u201cAsian\u201d and \u201cNative Hawaiian or Other Pacific Islander\u201d categories. The population covered by the \u201cAmerican Indian or Alaskan Native\u201d category has been expanded from the 1977 classification\u2014which included the indigenous peoples of the United States and Canada\u2014to also include those indigenous to Central America and South America…<\/p>\n

Read the entire paper here<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

Impacts of Multiple Race Reporting on Rural Health Policy and Data Analysis Working Paper No. 73 Working Paper Series North Carolina Rural Health Research and Policy Analysis Center Cecil G. Sheps Center for Health Services Research The University of North Carolina at Chapel Hill 2002-05-01 39 pages Randy Randolph, M.R.P. Rebecca Slifkin, Ph.D. Lynn Whitener, […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,14,26,20],"tags":[1832,1834,1831,1833,1829,1830],"class_list":["post-4586","post","type-post","status-publish","format-standard","hentry","category-media-archive","category-papers","category-politics","category-usa","tag-anna-wulfsberg","tag-cecil-g-sheps-center-for-health-services-research","tag-lynn-whitener","tag-north-carolina-rural-health-research-and-policy-analysis-center","tag-randy-randolph","tag-rebecca-slifkin"],"_links":{"self":[{"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/posts\/4586","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4586"}],"version-history":[{"count":0,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/posts\/4586\/revisions"}],"wp:attachment":[{"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4586"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4586"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4586"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}