Yukiko Asada, Ph.D.
Associate Professor, Department of Community Health and Epidemiology, Faculty of Medicine
Nova Scotia, Canada
A Lesson from Alice and the Cheshire Cat in Health Disparities Wonderland
“Would you tell me, please, which way I ought to go from here?”
“That depends a good deal on where you want to get to,” said the Cat.
“I don’t much care where—” said Alice.
“Then it doesn’t matter which way you go,” said the Cat.
“—so long as I get somewhere,” Alice added as an explanation.
“Oh, you’re sure to do that,” said the Cat, “if you only walk long enough.”
(Alice’s Adventure in Wonderland1)
Expressing truth about life, this conversation between Alice and the Cheshire Cat is beloved and used in many contexts. Its profound power as a metaphor can also be applied to the science of measurement of health disparities. In Health Disparities Wonderland, Alice might ask, “Would you tell me, please, which way I ought to go from here to put an end to health disparities?” “That depends a good deal on what you mean by health disparities and how you measure and understand them,” would reply the Cat.
In “Harmonizing health disparities measurement” in the special issue of American Journal of Public Health,2 we argued for the science of measurement of health disparities. We believed by now few health disparities researchers and policy-makers would actually answer as Alice would, “I don’t much care about measurement.” But it is not enough for each of us to care. In the article, we urged all of us in the field of health disparities to engage in a community-wide consensus building for harmonization in measurement practice. Continue reading “The Future of Minority Health and Health Disparities Research Blog Series”