ferent racial and ethnic groups. Framing, Roundtable Chair Nicole Lurie noted, is critical in determining how disparities are discussed.

The workshop, titled America in Transition, a View from California: Implications for Addressing Health Disparities, was organized to advance the dialogue about health disparities by facilitating a discussion of the topic among stakeholders in the community, including residents, academia, health care, business, policy makers, and philanthropy. The goal of the meeting was to discuss how the framing of health disparities in diverse communities influences the public debate about improving health outcomes. The workshop was also organized to help identify commonalities in community strategies, best practices, and lessons learned from community successes and failures in their attempts to address health disparities.

As populations shift across a geographic area, there is often a redistribution of health risk factors and health problems that leads to a need to reassess the solutions that will best address these redistributions. By understanding how demographic shifts in communities are affecting health disparities, the strategies that communities develop may differ depending on the racial and ethnic composition of that community. How issues of health disparities are framed may also differ across different racial and ethnic groups.


After two keynote speakers talked about the changing face of American communities and the implications of these demographic transitions for California in particular, Lori Dorfman described the science of framing health disparities and its use in policy discussions.

These three morning presentations were followed by panels from three California communities: East Palo Alto, Fresno, and South Central Los Angeles. Each of these communities is grappling with major demographic transitions. By bringing together a panel of individuals from each community, the purpose was to learn how different racial and ethnic groups work together to solve health disparities and how they frame health disparities within the community.

The afternoon was spent in small breakout sessions facilitated by Roundtable members in which the community representatives talked with workshop attendees and Roundtable members about these issues in more detail and in a smaller setting and reported back on their discussions of the following topics and questions:

  • Briefly talk about the demographic transitions that have occurred over the past 10 to 15 years in your community. Are there “old”

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