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The "long tail" and public health: New thinking for addressing health disparities

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Listed:
  • Kreuter, M.W.
  • Hovmand, P.
  • Pfeiffer, D.J.
  • Fairchild, M.
  • Rath, S.
  • Golla, B.
  • Casey, C.

Abstract

The prevailing approach to improving population health focuseson shifting population means through a fewtargeted and universal interventions. The success of this approach for eliminating health disparities depends on an assumption about the distribution of demand for such interventions. We explored whether long tail thinking from business might yield greater progress in eliminating disparities. We examined 2011 to 2013 data from 513 state and local health agency representatives in 47 states who used an online system to create 4351 small media and client reminder products promoting colorectal cancer screening. Products in the long tail were more likely to target minority groups with higher rates of colorectal cancer and lower rates of screening than Whites. Long tail thinking could help improve the public's health and eliminate disparities. © 2013 American Public Health Association.

Suggested Citation

  • Kreuter, M.W. & Hovmand, P. & Pfeiffer, D.J. & Fairchild, M. & Rath, S. & Golla, B. & Casey, C., 2014. "The "long tail" and public health: New thinking for addressing health disparities," American Journal of Public Health, American Public Health Association, vol. 104(12), pages 2271-2278.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302039_7
    DOI: 10.2105/AJPH.2014.302039
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