Lower Life Expectancy Research Articles

PERSPECTIVES OVER THE ECONOMIC TRANSITION AND DEMOGRAPHIC AGING IN EASTERN EUROPE

The countries of Eastern Europe represent a particular case from the demographic and economic point of view, as their demographic transition overlapped the economic development process. This represents a major challenge for the sustainability of their health and pension systems and has resulted in reforms and measures to support economic growth and increase the birth rate. Two categories of countries from Eastern Europe were analysed, Romania and Poland as representatives of the ex-Communist countries that joined the European Union and the Russian Federation as representative of the former Soviet Union. The Russian Federation experienced the most profound changes after 1990, being the only country in the Eastern bloc that is close to the generational replacement threshold, the only country with a positive migration balance, but also the only country with the lowest life expectancy.

CISD1 Is a Breast Cancer Prognostic Biomarker Associated with Diabetes Mellitus.

Women with diabetes mellitus are believed to have increased risk of developing breast cancer and lower life expectancies. This study aims to depict the association between the CISD1, the co-expressed genes, and diabetes mellitus to offer potential therapeutic targets for further mechanical research. The TCGA-BRCA RNAseq data is acquired. All the data and analyzed using R packages and web-based bioinformatics tools. CISD1 gene expression was evaluated between tumor bulk and adjacent tissue. Immune cell infiltration evaluation was performed. CISD1 expressed significantly higher in tumor tissue than that of the normal tissue, indicating poor overall survival rates. High expression level of CISD1 in tumor shows less pDC and NK cells penetration. There are 138 genes shared between CISD1 co-expressed gene pool in BRCA and diabetes mellitus related genes using "diabetes" as the term for text mining. These shared genes enrich in "cell cycle" and other pathways. MCODE analysis demonstrates that p53-independent G1/S DNA damage checkpoint, p53-independent DNA damage response, and ubiquitin mediated degradation of phosphorylated cdc25A are top-ranked than other terms. CISD1 and co-expressed genes, especially shared ones with diabetes mellitus, can be the focused genes considered when addressing clinical problems in breast cancer with a diabetes mellitus background.

The physical health nurse consultant and mental health consumer: An important therapeutic partnership.

People diagnosed with mental illness (hereon referred to as consumers) experience a disproportionately lower life expectancy of up 30 years compared to the general population. Systemic issues such as diagnostic overshadowing and stigma from healthcare professionals have inhibited the development of positive therapeutic partnerships that enable consumers to seek and engage support for their physical health concerns. Consumers have called for healthcare professionals to skillfully develop and prioritize therapeutic partnerships whilst coordinating and providing physical healthcare. The aim of this qualitative descriptive research was to explore consumer views and experiences of their interactions with a specialist mental health nursing role, the Physical Health Nurse Consultant. Semi-structured interviews were conducted with 14 consumers from a large public Community Mental Health Service in the Australian Capital Territory. Interviews were transcribed and thematically analysed. Therapeutic partnerships were an overarching theme identified from the data and included three sub-themes: personal attributes of the Physical Health Nurse Consultant; behaviour change engagement strategies; and impact of the therapeutic partnership. Consumers described the personal and professional attributes of the Physical Health Nurse Consultant that enabled the establishment and maintenance of their highly valued therapeutic partnership. This therapeutic partnership was perceived to positively impact their personal and clinical outcomes. With increasing support from consumers, clinical practice settings should move towards embedding a Physical Health Nurse Consultant role in routine practice. Further research exploring the co-development of health behaviour change goals and, barriers and facilitators experienced by the consumers regarding the Physical Health Nurse Consultant is required to further role development.

Pengaruh Inklusi Keuangan dan Bank Syariah terhadap Kemiskinan di Indonesia


 Indonesia's Muslim population is 229 million, which only accounts for 6.18% of the Islamic banking market share in national finance. This is evidenced by the fact that 92 million adults in Indonesia do not have access to financial or banking services. Compared to other ASEAN countries such as Malaysia, Thailand and Singapore, the low life expectancy of the Indonesian people shows that Islamic finance is not yet so inclusive. This study is here to determine the effect of Financial Inclusion on Poverty in Indonesia and to determine the effect of Islamic Banks on Poverty in Indonesia. This study uses an associative quantitative research type, using the variable Financial Inclusion (Islamic Bank Third Party Funds) and the variable Islamic Bank (Islamic Banking Financing) to find out whether there is an effect of these variables on the dependent variable, namely Poverty (Amount of Poverty). The data collected is secondary data and time series data. In this study using panel data regression method which is processed using Eviews 9. The findings in this study are: First, Financial Inclusion is not significant to Poverty Second, Islamic Banks are significant to Poverty. 1.) It is recommended to be able to provide new product variants in order to reach the potential of the community who have not been reached by Islamic financial inclusion and Islamic financing 2.) It is recommended that this research can be used as a material consideration when making strategies for Financial Inclusion, Islamic Banking, and Poverty so that can have more impact on the wider community 3.) It is recommended to be able to use other indicators of the variables that the author uses so that they are more varied so that we can all reach the inclusiveness of Islamic finance in Indonesia.
 Keywods: Financial Inclusion, Islamic Banks, Poverty, Panel Data Regression, and Eviews 9.
 

The burden of somatic diseases among people with alcohol- and drug use disorders are influenced by mental illness and low socioeconomic status. A registry-based cohort study in Norway

ObjectivesPersons with alcohol use disorder (AUD) and drug use disorder (DUD) have a lower life expectancy than the general population. We examined the burden of somatic diseases among persons with AUD or DUD and investigated impact of socioeconomic status (SES) and mental health disorders on the co-occurrence of somatic diseases in these groups. MethodsWe performed a retrospective, register-based cohort study with a 6-year follow-up of persons (aged ≥18 y) with AUD (13,478) or DUD (16,659). Cox regression analyses were used to estimate hazard ratios (HRs) of somatic diseases. ResultsPatients with DUD were, on average, 10 years younger at the point of diagnosis than patients with AUD. Mental illnesses were prominent in both groups (AUD: 40.5%, and DUD: 46.9% vs 3.5% in controls). Adjusting for mental disorders, the risk of all somatic diseases among the AUD and DUD groups was reduced by 30%. Some of the elevated risk of somatic diseases among persons with AUD and DUD is explained by low SES, though less than that explained by the presence of mental disorders. The diseases with highest risk among AUD patients were metabolic disorders (16.9-fold) and hypertension (14.8-fold), and among AUD patients, viral hepatitis (23.3-fold), after adjusting for low SES and mental disorders. ConclusionsPersons with AUD had a higher risk of most somatic diseases, while those with DUD had specific risks for infections and viral hepatitis. Mental health disorders and SES adjusted the associations regarding most somatic diseases. In general, improvement of socio-economic conditions, preferably in combination with professional support to self-manage mental health problems, will reduce the risk of somatic illness in both groups. For DUD patients, available sterile user equipment will reduce the risk of viral hepatis.

Waterborne diseases and ethnic-related disparities: A 10 years nationwide mortality and burden of disease analysis from Ecuador.

Despite worldwide progress in terms of clean water supply, sanitation, and hygiene knowledge, some middle and most of low-income countries are still experiencing many diseases transmitted using unsafe water and the lack of sanitation. To understand the impact of all waterborne diseases (WBD) registered in Ecuador. We performed a population-based analysis of all cases and deaths due to WBD in Ecuador based on the national public databases of hospital discharges as a proxy of incidence, in-hospital mortality, and countrywide general mortality rates from 2011 to 2020. In Ecuador, mestizos (mixed European and Indigenous American ancestry) had the greatest morbidity rate (141/100,000), followed by indigenous (63/100,000) and self-determined white patients (21/100,000). However, in terms of mortality, indigenous population have the greatest risk and rates, having a 790% additional mortality rate (2.6/100,000) than the reference group (self-determined white populations) at 0.29/100,000. The burden of disease analysis demonstrated that indigenous had the highest burden of disease caused by WBD with 964 YLL per every 100,000 people while mestizos have 360 YYL per 100,000 and self-determined white Ecuadorians have 109 YYL per 100,000. In Ecuador, waterborne diseases (WBD) are still a major public health problem. We found that indigenous population had higher probability of getting sick and die due to WBD than the rest of the ethnic groups in Ecuador. We also found that younger children and the elderly are more likely to be admitted to the hospital due to a WBD. These epidemiological trends are probably associated with the lower life expectancy found among Indigenous than among the rest of the ethnic groups, who die at least, 39 years earlier than the self-determined white populations, 28 years earlier than Afro-Ecuadorians and 12 years earlier than the mestizos.

Technical Feasibility, Short-Term Patency, Safety, and Efficacy of Percutaneously Delivered Double Pig-Tail Stent for Palliation of Unresectable Biliary Malignancies

Abstract Purpose The aim of this study was to evaluate the technical feasibility, complication rate, and efficacy of percutaneously delivered plastic biliary stent, compared with that of internal–external biliary drainage catheter. Methods Patients with unresectable malignant biliary obstruction were included who underwent percutaneous transhepatic biliary drainage and double pigtail plastic stenting (DPT-PS) or internal–external biliary drainage catheter in 15 months' duration. Results Seventy-seven patients were included in the study who underwent DPT-PS (n = 37) or internal external drainage catheter placement (n = 40). Overall, the technical success rate for percutaneous plastic stenting was 92.5% and technical success rate for primary stenting at the time of initial puncture was 62%. The incidence of fever and hemobilia was similar across the two groups, whereas bile leakage in the perihepatic space and through the skin at puncture site was higher in patients with internal–external drainage catheter. Both the techniques were effective in reducing the bilirubin levels of patients. Re-intervention was done in five patients in DPT-PS and six patients with ring biliary catheter. Conclusion DPT-PS may be used as a viable cost-efficient alternative for unresectable biliary malignancies with low post-procedure life expectancy

Human Capital Development Challenges During the COVID-19 Pandemic

The concept of human capital and strategic human resource management are critical to ensure success. Human capital is crucial to increase assets and give long-term advantages to both an enterprise and a country. However, the COVID-19 pandemic which began in early 2020 and still continues today is the reason behind the issues of health deterioration and low life expectancy rates. Similarly, the quality of learning suffered severe disturbance during the pandemic. As a result, this situation is critical for the overall development of human capital in Indonesia. The government's challenging task in the future is to develop a plan to ameliorate the situation in different affected areas such as health, education, and employment. This article examines various literature and supporting data that are relevant to the role of human capital in development in a country, current conditions, obstacles, achievements, and strategies that must be implemented in the framework of recovery from disruptions caused by the global economic crisis and the COVID-19 pandemic, both of which disrupted the overall economic order. This report also illustrates how Indonesia's situation improves human capital while also highlighting its successes. Keywords: Human Capital, Strategic Management, COVID-19 Pandemic, Human Development

Paleodemography of the Altyn-Asar burial grounds (concerning migrations in the Lower Syrdarya Basin)

Jetyasar archaeological culture was discovered and studied by the Khorezm expedition of the Institute of Ethnography of USSR. According to archeological data, this culture experienced many times transformations due to the influx of new population groups. This article presents for the first time complete data on paleodemography of samples from nineteen burial grounds of Altyn-Asar 4a–t, Kosasar 2 and Tompakasar, taking into account frac-tional chronological differentiation. We examined anthropological materials from over 600 burials in the storage of the Institute of Archeology RAS. In total samples from Altyn-Asar 4 of the 2nd c. BC. — 4th century was mentioned to the weak numerical predominance of females. The sex ratio in favor of males changed in the 4th–6th centuries. The average age at death of the adult population decreased by the 6th century, primarily among men. Data on separate cemeteries allow a more differentiated assessment of the chronological dynamics of demographic indi-cators. The numerical predominance of male burials was found: in the 2nd c. BC. — 4th c. AD in burial grounds Kosa-sar 2, Altyn-Asar 4 m; in the 4th–6th c. in the Altyn-Asar necropolises 4a, b, o, v. In opposite to the most groups, the Kosasar 2 sample stands out with its demographic profile and increased average age of death for males and fe-males. According to archeological data, it may be associated with Xiongnu migration. In 2nd–4th centuries the number of this group was falling, it showed a decrease in life expectancy for men, however, for this period, it seems to be comparable the maximal one. Their antagonists during this period were representatives of other group of incomers, buried in necropolis AA4m, with a low life expectancy for males and females. Despite the supposed influx of new-comers, it is obvious that the genetic continuity of a part of the Jetyasar population, which probably belonged to in-fluential local clans (the necropolises of Altyn-Asar4l and later Altyn-Asar4r), might be evident.

Experience of COVID-19 disease and fear of the SARS-CoV-2 virus among Polish students.

The SARS-CoV-2 virus pandemic has significantly affected individuals and entire societies. It has caused a number of adverse consequences for public health. It has contributed to lower average life expectancy and significantly reduced the sense of health security. It has affected not only physical but also mental health. COVID-19 infections have become so common in many countries, including Poland, that almost every member of society has either experienced it themselves or has a family member or friend who have been affected by the disease. The investigations undertaken in the article concern the fear of COVID-19 infection among Polish university students, determined by the experience of the disease -whether direct or among loved ones. An online survey was conducted with 851 students. It took place between 1 and 15 March 2021, a year after detection of the first case of infection with the virus in Poland. The aim of the study was to find out about the relationship between the experience of COVID-19 disease (whether direct or among people close to the respondent) and fear of this disease among university students in Poland. The analysis used intergroup comparison tests (Mann-Whitney U Test and t-test). The results indicate that the level of fear of COVID-19 among Polish university students was low (M = 1.98; SD = .49), with women (M = 2.04; SD = .75) presenting statistically higher (t (620.46) = 3.05; p = .002) fear than men (M = 1.87; SD = .74). The situation of the respondent having had a close person fall ill with COVID-19 or die as a result of coronavirus infection was found to be significant for the level of experienced fear of COVID-19 in the studied group (t (469.46) = -2.98; p = .003). The significantly higher level of fear in the group of young people who knew someone close with severe (fatal) COVID-19 disease indicates that psychological support may be more significant for such people than for individuals who have not experienced such a situation. A similar conclusion can be formulated taking into account the gender criterion, as the results make it possible to predict that women expect more support in a pandemic situation.

Juvenile survival curves in a solitary ground squirrel with a prolonged hibernation: effects of individual characteristics, environment, and maternal investment.

Juvenile survival is a key life-history influence on population dynamics and adaptive evolution. We analyzed the effects of individual characteristics, early environment, and maternal investment on juvenile survival in a large solitary hibernating rodent-yellow ground squirrel Spermophilus fulvus using Cox mixed-effects models. Only 48% of weaned pups survived to dispersal and 17% survived to hibernation. Early life expectancy was primarily determined by individual characteristics and, to a lesser extent, by the early environment. The strongest and positive predictor of juvenile survival was body mass which crucially affected mortality immediately after weaning. Males suffered higher mortality than females after the onset of dispersal; however, the overall difference between sexes was partly masked by high rates of mortality in the first days after emergence in both sexes. Later emerged juveniles had lower life expectancy than the earliest pups. The overall effect of local juvenile density was positive. Prolonged lactation did not enhance juvenile survival: Pups nursed longer survived shorter than the young nursed for a shorter period. Our findings support the hypothesis that females of S. fulvus cannot effectively regulate maternal expenditures to mitigate the effects of unfavorable conditions on their offspring. The strategy to deal with seasonal time constraints on life history in female S. fulvus suggests an early termination of maternal care at the cost of juvenile quality and survival. This female reproductive strategy corresponds to a "fast-solitary" life of folivorous desert-dwelling S. fulvus and other solitary ground squirrels with prolonged hibernation.

On the Impact of Income per Capita on Health Outcomes: Is Africa Different?

This paper examines the link between income per capita, adult life expectancy and mortality rates for children. We estimate a dynamic panel model using data from 128 developing countries and find that all else equal external (i.e., non-country specific) factors have a positive and significant impact on health outcomes, and this effect has increased over time; countries in Sub-Saharan Africa (SSA) have a higher mortality rate and lower life expectancy than non-SSA countries and the effect of income per capita on health outcomes is different for SSA countries.

Long-term oncological outcomes of organ-sparing treatment of patients with early breast cancer aged 65 years and older who had no postoperative radiation therapy

Postoperative radiation therapy after breast-conserving surgery is a standard method of treating breast cancer, but recently the issue of its de-escalation in patients older than 65 due to concomitant pathology, lower life expectancy and possible development of post-radiation complications has been discussed. The results of some foreign studies prove the absence of a statistically significant difference in relapse-free and overall survival in patients with early breast cancer older than 65 years with relatively favorable clinical and morphological characteristics without postoperative radiation therapy. We analyzed the long-term oncological results in patients with breast cancer older than 65 years after breast-conserving surgery without postoperative radiation therapy. The results of the study showed that postoperative radiation therapy in patients over 65 years of age with stage IA pT1N0M0 breast cancer of luminal immunophenotype A does not improve long-term oncological indicators. Thus, the exclusion of postoperative radiation therapy from the treatment plan of this group of patients is oncologically safe and economically justified.

Sobre la esperanza de vida de un macho de tarántula rosada chilena, Grammostola rosea (Walckenaer, 1837) (Araneae: Theraphosidae) mantenido en cautiverio

Here we present the case of a male Chilean rose tarantula Grammostola rosea (Walckenaer, 1837) (Araneae: Theraphosidae) reared in captivity, whose life expectancy has been dated at 8.5 years. The specimen spent the last three as an adult. Both records are outside the average range of lifespan expected for an adult male. The specimen was kept under natural conditions in a Mediterranean climate, without photoperiod or temperature control. Diet was composed of Tenebrio molitor larvae and Gryllus sp./Acheta sp. nymphs and adults. The feeding regime was 1-2 prey per week in the early stages and later 1 prey every 20 days since the individual exceeded 15 mm body length approximately, to his death. The specimen spent most of its adult life without eating, actively refusing prey. The maximum time without eating was 22 months. At the time of death, the specimen measured 35 mm in body length and 130 with leg expanded. Previous research reported lower life expectancies in male tarantulas. More research on understudied lifecycle aspects of the Theraphosidae is needed.

Premature mortality from four chronic diseases in Wuhai, China and impact on life expectancy, 2015 to 2020.

To analyze the change trend of life expectancy, the change trend of premature death due to 4 major chronic diseases, and its impact on the life expectancy of Wuhai residents from 2015 to 2020, and to provide evidence for the prevention and control of chronic diseases in this area. The data on population death comes from the Wuhai City Residents' Causes of Death Network Reporting System and the total population is calculated using statistics from Wuhai City's permanent population management, from 2015 to 2020. Premature mortality from the 4 main chronic illnesses was calculated using the abridged life table approach. The impact of premature death from chronic diseases on life expectancy was analyzed using the Arriaga method. The increasing trend of life expectancy of Wuhai citizens was not statistically significant from 2015 to 2020 (t = 2.570, P = .062). Each year, men had a lower life expectancy than women (P < .05). From 2015 to 2020, the downward trend of premature deaths caused by the 4 major non-communicable diseases in Wuhai City was statistically significant (EAPC = -7.74%, P = .041). Premature death from cancer and chronic respiratory disorders decreased, both of which were statistically significant (EAPC < 0, P < .05). The decline in premature mortality from cancer, cardiovascular and cerebrovascular disorders, and chronic respiratory system diseases has contributed to increased life expectancy. Diabetes's rise in premature mortality made a possible "negative contribution" to life expectancy (-0.036 years, -1.79%). From 2015 to 2020, the decreasing trend of the overall premature mortality caused by the 4 major non-communicable diseases in Wuhai was statistically significant, and the life expectancy of females was higher than that of males. We should concentrate on the prevention and control of major chronic illnesses in males, as well as the influence of changes in diabetes-related early mortality on life expectancy.

ATTITUDES AMONG HEALTHCARE PROFESSIONALS TOWARD THEIR HEALTH

This article focuses on the attitudes of healthcare workers toward their health and the influence of socio-demographic characteristics and harmful habits (smoking, drinking alcohol) on them. According to the national projects “Demography” and “Public Health,” one of the key contemporary strategic goals is to increase average life expectancy, which requires ongoing interaction with the population to lower risks of developing certain diseases. This can be achieved through regular medical check-ups, breaking bad habits, and in a variety of other ways. It is assumed that the circulation of information and expert knowledge on the importance of good health practices will increase public attention to their health. The study of the behavior of expert groups is pertinent because of the low life expectancy among medical professionals and high interest in their healthcare practices among the public. Using Merton’s anomie theory as a framework, this article attempts to account for the differences in attitudes among healthcare professionals toward their health. We conducted a quantitative sociological survey among medical professionals who work for the Moscow Health Care System. This research allows us to determine the dispersion of various types of health attitudes, including attitudes toward medical examinations, adherence to bad habits, and their impact on healthcare practices among groups with expert knowledge. The results of this study demonstrate the effective influence of expert knowledge on attitudes toward one’s health.

Regional inequalities in life expectancy and lifespan variation by educational attainment in Spain, 2014–2018

AbstractTwo important sources of inequality in mortality are regional variation and individuals' socioeconomic status. While many studies have investigated the effect that each of these two factors might have had on mortality levels separately, they have rarely been studied simultaneously. Using linked data from the Spanish National Institute of Statistics, we study regional levels of life expectancy and lifespan inequality by sex and educational attainment in contemporary Spain (2014–2018). In all regions, life expectancy was higher (and lifespan variation lower) for individuals with higher educational attainment and among women. We find a negative relationship between life expectancy and lifespan inequality across subnational regions among all sex‐education groups. However, the relationship is much weaker among the highly educated. These findings suggest that spatial conditions still matter as health determinants, but even more among individuals with disadvantaged socioeconomic positions, not only in terms of lower life expectancy but also of higher lifespan variation.

THE ROLE OF THE PHYSICAL THERAPIST IN CHILDREN WITH NEUROPSYCHOMOTOR RETARDATION DIAGNOSED WITH RETT SYNDROME

Introduction: Rett syndrome was initially described as a condition of “Cerebral atrophy associated with hyperammonemia”, by german pediatrician Andreas Rett in a study with 31 girls, where mental and motor regression was noticeable in these patients. It is a genetic syndrome, associated with mutations in the MECP2 gene, located on the X chromosome. SR, being considered rare, and despite the difficulties caused by the condition of the syndrome, these children can survive until adulthood, although with low life expectancy compared to normal individuals. Objective: To verify in the literature the physical therapy approaches used in children with neuropsychomotor retardation diagnosed with Rett syndrome. Materials and Methods: This study is characterized as an integrative review of the literature. Data collection was performed from May to June 2021, using Lilacs, PubMed and Medline electronic databases. The Boolean descriptors and operators used were Rett syndrome AND Physiotherapy intervention. Articles previously or equal to the year 2021 were included in the sample, in English and Portuguese. Results: The physiotherapist has several options of therapies, from the conventional to the alternatives. Regarding the importance of physiotherapy in patients with Rett Syndrome, it is seen that it has great relevance for the extension of survival of these individuals, being a fundamental part in the management of the syndrome. Conclusion: The research demonstrated that the role of the physiotherapist in children diagnosed with Rett syndrome has been of incredible significance, since these professionals provide these children with the opportunity to perform their daily activities in a more functional and often less painful way, this is because children with Rett syndrome have a delay in neuropsychomotor development, which contributes in the future to an adult with consequences that hinder simple day-to-day activities.

The IlluminOss® System: a solution in elderly patients with upper limbs bone metastases.

The IlluminOss® System (IS) based on photodynamic bone stabilization (PBS) is a recent option in between the minimally invasive surgical techniques available to treat bone metastases when medical or radiation therapy is neither effective nor indicated, and major surgery is not possible. In this study, the results obtained using IS in the treatment of impending fractures or bone metastases of the upper limb have been analyzed in terms of improvement in pain, quality of life and recovery of function. Between January 2017 and October 2019, 8 patients over 65 years old with impending fractures or pathological fractures or myeloma of the upper limb have been treated in our institute with IS. All patients were assessed about pain, general health and function of the affected limb before surgery and 1, 3, 6 (consistent with survival) months after the procedure. Mean VAS score improved from 8.88 before surgery to 1.00 six months after surgery, mean Karnofsky index improved at 1 and 3 months post-operative follow-up, and Musculoskeletal Tumor Society Score (MSTS) raised from 44.6 before surgery to 74.7 six months after surgery. Moreover, good reduction and stable fixation of the osteolytic lesion were achieved in all patients, and no complications were found. Numerous studies have been reported in the literature on the use of this system in osteoporotic elderly fractures, whereas only few articles are currently available regarding its use in the treatment of bone metastases or pathological fractures. From our study PBS seems to be an effective solution in the management of bone metastases or myeloma in both pathological fractures and impending upper limb fractures in patients with low life expectancy.

How to leverage innovation models to achieve health equity: Build. Measure. Share.

The Future of Nursing 2020 to 2030: Charting a Path to Achieve Health Equity (2021) highlights inequality throughout healthcare. People of color exhibit lower life expectancy levels than their White counterparts. LGTBQ individuals are 2.7 times more likely than heterosexuals to experience a violent crime . Lower-income individuals report their health status at lower levels than high-income earners. Health and healthcare in America are not equitable. With only 58% of healthcare organizations considering “Heath Equity” as a top-three priority, there is a substantial and dire need for innovation to fill the gap between the healthcare that is needed and what is being provided. This article explores the Build. Measure. Share. model for healthcare innovation as an approach to encourage and empower healthcare professionals to take meaningful steps toward creating an equitable and just health system.