health disparity vs health inequity

More Info At www.healthcompassmilwaukee.org ›› health inequity=unjust, unnatural, and avoidable differences in health status, in the . Health disparities are one way we can measure our progress toward achieving health equity. The terms "health inequality" and "inequity". For example, they can use health disparity data and evidence-based clinical knowledge to recommend expanding health coverage to individuals with . The New Zealand Government should be commended for including the nation's wellbeing as a measure of success. Health inequity is just one example of the inequities facing the world. Health Disparities 101. -if we look at them together, it has a cumulative affect. Health inequities are reflected in differences in length of life; quality of life; rates of disease, disability, and death; severity of disease; and access to treatment. If a health outcome is seen to a greater or lesser extent between populations, there is disparity. A health disparity/inequality is a particular type of difference in health (or in the most important influences on health that could potentially be shaped by policies); it is a difference in which disadvantaged social groups-such as the poor, racial/ethnic minorities, women, or other groups who have persistently experienced social disadvantage . health disparities= higher burden of illness, injury, disability, or mortality experienced by one population group relative to another group. Failing to do this, she warns, could mean persistent and widening . Although the term disparities is often interpreted to mean racial or ethnic disparities, many dimensions of disparity exist in the United States, particularly in health. Income inequality in the U.S. has grown over the past several decades. And as the gap between rich and poor yawns, so does the gap in their health, according to a study published in JAMA Network . These two concepts intertwine yet are subtly different in meaning. "We don't just want to study where health inequities exist, but to dive deeper to see how to fix them, and to fix them expeditiously." Click To Tweet. To close the gaps and achieve equality, each issue requires action. Disparity implies a difference of some kind, whereas inequity implies unfairness and injustice. and the elimination of health and health care disparities. Such inequalities affect peoples' chances of achieving and maintaining good health over their lifetimes. 'Health inequalities in Australia: morbidity, health behaviours, risk factors and health service use' is a statistical reference that documents morbidity and morbidity-related inequalities by area-level socioeconomic disadvantage, equivalised household income, education and occupation among infants and children, young adults, working-aged . These are the type of disparities that are reflected in the committee's charge and that will be addressed for the remainder of this report. 50, No. Health Equity The absence of differences in health between groups with differential exposure to those social and economic policies and practices that create barriers to opportunity. Agwu began the briefing by explaining how her area of HIV clinical research and her background as a provider for patients living with multiple conditions, including HIV, makes her very aware about racial disparities, infection rates, testing . Health care providers can engage with policymakers, urging action to help communities impacted by these factors. Both "health disparity" and "health inequity" have their place in the public health lexicon. Health disparities that are deemed unfair or stemming from some form of injustice are called health inequities. Health equity is a state where all persons, regardless of race, creed, income, sexual orientation, gender . Inequities differ from health disparities, which are differences in health status between people related to social or demographic factors such as race, gender, income or geographic region. Health equity . Social, racial and economic inequities cause many examples of health disparities. Health Inequalities: "Differences in health status or in the distribution of health determinants between different population groups." American Indian Health Disparities Health disparities as mentioned before are differences associated with social and economic disadvantages in relation to race, gender, and more. There is a robust literature linking income inequality to health disparities—and thus widening income inequality is cause for concern. Health and Health Care Disparities Among Homeless Women Women & Health, Vol. For example to conclude whether "poor people die younger than rich people," we simply compare death rates in the two groups and we find out whether they are the same. Recent events highlighting the systemic racism in the US have heated up the dialogue on racial disparities, and while most of those conversations are not centered around the pandemic, the health care community has seen firsthand how racial inequity and disparities are driving the disproportionate effects . The briefing focused on health disparities and inequities perpetuated by the COVID-19 pandemic. One of the primary goals of CDC's National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) is to achieve health equity by eliminating health disparities . Inequity and disparities in health care. 1. Racism affects opportunity and assigns value based on how a person looks. Health equity is different from health equality, as it refers to the absence of disparities in controllable or remediable aspects of health. Health equity is the bedrock of good public health. "Health Disparity, Health Inequity and Health Inequality" Define "Health Disparity" in one word. Health disparities are differences among population groups (that is, ethnicity, gender, income) in the incidence, prevalence and outcomes of health conditions, diseases, and related complications of diseases.. Healthcare disparities are differences among population groups in the availability, accessibility, and quality of healthcare services aimed at . Health equity (some people use this same definition for health inequalities) refers to the absence of systematic, unfair, avoidable or remedial inequalities in health between groups of people, whether these groups are defined socially, economically, geographically or demographically. Health coverage. According to Human Impact Partners: health disparities are differences in health status and mortality rates across population groups, which can sometimes be expected, such as cancer rates in the elderly versus children; health inequities are differences in health status and mortality rates across . Disparity vs inequity: Toward . The urgency to promote health, reduce health disparities, and address the social determinants of health is highlighted in countless reports (World Health Organization, 2006, 2015; Hankivsky and Christoffersen, 2008). These then are health inequities. Inequities vs. Inequalities vs. Health care does not exist in a vacuum. In 2017, 16.1 percent of Hispanics were uninsured compared with 5.9 percent of non-Hispanic whites. Inequities differ from health disparities, which are differences in health status between people that are related to social or demographic factors such as race, gender, age, income or geographic region. While he recognized that health care can help achieve health equity, the effects of care are often limited. Health equity and health disparities are intertwined. However, where disparities in health may be avoided by the decisions a society or community makes, yet are not avoided, they are inequitable. 2. Health disparity and health equity or inequity are often used interchangeably because it is challenging to speak of one without the other. Due to their differences or situation, some people do not always have access to the same opportunities to better their health that other people have. Inequities vs. Inequalities vs. Inequalities in health are based on observed differences or disparities in health. Discuss evidence in health equity and disparity in physical therapy and other health care disciplines. Causes of Health Disparities. On this page Research Making a Difference That is the conclusion of the recently released Inaugural America's Health Rankings Health Disparities 2021 Report from the United Health Foundation. • health inequity • disparity: racial or ethnic differences in the quality of health c are that are not caused by access-related factors or clinical needs, preferences, and appropriateness of intervention ( saha et al, 2008) trujillo & súñiga (2020) structural racism & health inequity in va Disparity implies a difference, and inequity implies an injustice. You can then enter your response. The term health disparities (also called health inequalities) refers to the differences in health outcomes and related events across individuals and social groups. health disparity and health inequity can be seen in inset 1. Inequity involves more than inequality with respect to health determinants and access to resources; it also represents a failure to avoid or Identifying health inequities is a necessary step to advance health equity. Inset 1: Health disparity vs. health inequity: an example 1 Health inequities are unfair health differences closely linked to social, environmental, or economic disadvantages that adversely affect specific groups of people . Health inequities and their causes. These terms are typically related to socio-economic inequalities in most societies. of health equity and social determinants of health. - A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3b3917-NjE2Y of health and health care disparities . Identify gaps in the research as it pertains to health equity in Health inequity, however, is a forceful term tending to imply a strong judgment about causality, which may be difficult to support in many cases that nevertheless deserve attention as health disparities (i.e., health differences adversely . While reducing health disparities is a positive step, complete elimination of it is the ultimate goal toward health equity for all. The nature -looking at how one person is affected by many diff things. There are many excellent frameworks from health disparities research where we can go in more depth with respect to specific determinants, specific health problems, or specific populations. Health disparities are differences in health status when compared to the population overall, often characterized by indicators such as higher incidence of disease and/or disability, increased mortality rates, lower life expectancies, and higher rates of pain and suffering. Health Disparities, Inequity, and Social Determinants: A Brief Context. Income) and can talk about it (female vs male, female earns less income) look at pic. Inequity kept the patient in the previous section from obtaining insurance and accessing affordable preventive care, and she ultimately developed a chronic illness. 4. Rural Americans are a population group that experiences significant health disparities. Covers topics such as defining health equity, engaging community and policy stakeholders, patient-centeredness, cultural competence, and dissemination of research findings. Health inequities are differences in health status between population groups that are socially produced, systematic in their unequal distribution across the population, avoidable and unfair; health inequality health inequalities health inequity health inequities health equity. Individuals from different backgrounds, social groups, and countries enjoy different levels of health. Health disparities create health inequities. For positive health outcomes, everyone needs equal access to essential resources. What is health inequity vs. a health disparity? Health equity is the principle that opportunities for good health in vulnerable populations are achievable by eliminating systemic, avoidable, unfair, and unjust barriers. Health disparities Read on to learn about examples, its causes, and more. 4. Introduces students to the core principles of health equity research. healthcare disparities= differences between groups in health coverage, access to care, and quality of care. Content will recognize different geographic, cultural, and social contexts where health inequities occur. -if we take one piece out of it and talk about it (ex. Define health disparity, and distinguish between inequality and inequity 8 Population density and racial differences in the performance of emergency medical services The most affluent 1% of men lived 15 years longer than . The NHLBI supports research to reduce health disparities and inequities in heart, lung, blood, and sleep disorders. Health outcomes do differ between groups, however, Health equity, sometimes also referred to as health disparity, is defined as differences in the quality of health and healthcare across different populations. For example: an inability to access healthy groceries due to income and/or location can lead to poor nutrition; poor nutrition can lead to a higher risk of heart disease , diabetes , and obesity. This Health Disparities Statistics and Research web page provides relevant information about health disparities in mortality, hospitalizations, birth outcomes, disease incidence, and risk factor prevalence for priority health disparities populations.Such priority population groups may be based on race, ethnicity, age, gender, socioeconomic position, immigrant status, sexual minority status . Health disparities are the metric we use to measure progress toward achieving health equity. Health equity means social justice in health (i.e., no one is denied the possibility to be healthy for belonging to a group that has historically been economically/socially disadvantaged). Only 12% in households making more than $47,700 a year reported being in poor to fair health, even when both groups were covered by insurance. My impressions about health disparities were influenced by Woolf, 2 who identified the contributions of individual behaviors and the physical and social environments that result in suboptimal health and health inequities. "In the United States, insurance coverage is an important prerequisite for accessing healthcare. Health disparities are one way we can measure our progress toward achieving health equity. "Disparity" and "inequity" are two interdependent, yet distinct concepts that inform our discourse on ethics and morals in pain medicine practice and in health policy. In order to better understand health equity in Pennsylvania, we need to illuminate health inequities and highlight the social determinants of health that drive these preventable . 16. Examples: obesity rates between lower and upper income families. Inequity and inequality: these terms are sometimes confused, but are not interchangeable, inequity refers to unfair, avoidable differences arising from poor governance, corruption or cultural exclusion while inequality simply refers to the uneven distribution of health or health resources as a result of genetic or other factors or the lack of resources. "Racial and ethnic disparities in maternal and child health outcomes are a national public health crisis," says senior author and obstetrician-gynecologist at Michigan Medicine Von Voigtlander Women's Hospital, Lindsay Admon, M.D., M.Sc. Health inequality persists today, though our public health response—our modern Metropolitan Health Laws—must address more insidious causes and conditions of illness. What was called disparity (i.e. Key Health Inequalities in Canada: A National Portrait - Executive Summary. according to mn department of health: health disparities are differences in health status and mortality rates across population groups, which can sometimes be expected, such as cancer rates in the elderly versus children; health inequities are differences in health status and mortality rates across population groups that are systemic, avoidable, … I will share the word cloud you developed in the following week. Intersectionality & Health Disparities. Differences in health among population groups are called health disparities. Health inequity refers to avoidable differences in the health of different social groups. difference) in HP2010 is increasingly being called "inequality" (Harper et al, Pokras et al) The concept of disparity in HP2020 is closer to previous conceptions of inequity: Health disparity: A particular type of health difference that is closely linked with . - A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3b3917-NjE2Y Between 2011 and 2013, 38% of those in households making less than $22,500 a year reported being in poor or fair health. . Disparities in Health A quick guide to the terms and a framework for understanding differences in health Health Disparities Health . Without addressing these "social" factors, health disparities will continue to persist. Using 30 measures, the report paints a comprehensive portrait of health inequities and highlights the constant and changing contours of disparities in several subpopulation groups. 83.9 percent of Hispanics had health care coverage in 2017 compared with 93 . There are disparities in education, housing, legal rights, political representation, income, and more. Truly eliminating disparities means achieving equity for all individuals regardless of race, religion, sexual orientation, or socioeconomic status. According to data released by the Florida Department of Health Thursday, of the nearly 1.6 million people that had received at least one dose of the vaccine, 63% are white, 4.8% are Black and 8% . Define health equity, inequity and disparity and discuss implications for health care. 1/6/2017 Lesson Objectives 1. Many of these inequalities are the result of individuals' and groups' relative social, political, and economic disadvantages. A health care disparity typically refers to differences between groups in health insurance coverage, access to and use of care, and quality of care. ˛ Health inequities are a subset of health inequalities that Take a minute to text 37607to 601108. Race or ethnicity, sex, sexual identity, age, disability, socioeconomic status, and geographic location all In all countries - whether low-, middle- or high-income - there are wide disparities in the health status of different social groups. Health inequalities and health disparities are more widely understood terms than health equity, connoting differences in health outcomes that might be considered unfair or unjust (Braveman 2006). 3. An overwhelming body of literature documents racial/ethnic disparities in health. Disparities in health that are a result of systemic, avoidable and unjust social and economic policies and practices that create barriers to opportunity. These social determinants of health can also contribute to health disparities and inequities. There is ample evidence that social factors, including education, employment status, income level, gender and ethnicity have a marked influence on how healthy a person is. It then proposes a set of recommended practices in measurement of health disparities, health inequities, and social determinants of health at the national level to support the advancement of health equity, highlighting that (1) differences in health and its determinants that are associated with social position are important to assess; (2 . 6. Disparities in Health A quick guide to the terms and a framework for understanding differences in health Health Disparities Health . Health Care Inequality. Discuss federal and professional initiatives to address health disparity. Disparity implies a difference of some kind, whereas inequity implies unfairness and injustice. Differences in the overall health of individuals and communities are influenced by many factors outside of our health system walls, including SDOH, social risk factors, and social needs, and thus differences in overall health or burdens of disease cannot be . The report is a comprehensive analysis of HRSA program efforts in reducing health disparities and promoting health equity for various populations at the national, state, and local levels and is the biennial product of a dynamic and ongoing HRSA project. Health inequities and their causes. In times of crisis or calm, there are individuals who consistently experience health disparities, defined by Healthy People 2020 as "a particular type of health difference that is closely linked with economic, social, or environmental disadvantage." . It includes a special feature Boston Public Health Commission, "Health Disparities vs. Health Inequities" Center for American Progress, "Improving Women's Health Outcomes Through Payment and Delivery System Reform" Centers for Disease Control and Prevention, Health Disparities and Strategies Reports This article defines and distinguishes between unavoidable health inequalities and unjust and preventable health inequities. Health equity means that every resident can live healthy no matter their race, location, education or income level. There is ample evidence that social factors, including education, employment status, income level, gender and ethnicity have a marked influence on how healthy a person is. Different theories attempt to explain group-level differences in health on the . On the other side, healthy equity and disparity frameworks do not consider implementation and dissemination adequately. This is a health inequity where the health difference may be attributed to: (1) the state of lower income Equity is reached when patients receive the appropriate care . Progress towards achieving health equity can be measured by reducing gaps in health disparities. minority health disparities examplesexplain if-else statement with suitable example دنيا المغتربين اليمنيين الجاليات اليمنية، المغتربين اليمنيين ،شبكة المدار الثلاثي للاعلام ، دنيا المغتربين ، أخبار الجاليات ، سياحة يمنية ، تراث يمني ، قنواتنا ، مواهب . In all countries - whether low-, middle- or high-income - there are wide disparities in the health status of different social groups. If they are different, then an inequality exists—a disparity exists. Health Inequalities. Inequalities vs. Inequities in Health. social or economic disadvantage. As we become laser-focused on equity, clinicians will hopefully become more keenly aware of the intersections of inequity, health, and health outcomes. The terms "health inequality" and "inequity" also are used to refer to disparities.2,3 A complex and interrelated set of individual, provider, health system, societal, and environmental factors contribute to disparities in health and health care. However, health inequity in New Zealand is persistent.1,2 The scarcity of tangible reductions in inequity between Māori and non-Māori populations raises questions about the effectiveness of policies to date.1-3 To address health inequity, New Zealand might need to revisit deep . How do you distinguish between the two? 3. Social determinants of health, meanwhile, refers to certain types of causes of ill health in individuals, including lack of early infant care and stimulation, lack of safe and secure employment, poor housing conditions . Health disparities can stem from health inequities—systematic differences in the health of groups and communities occupying unequal positions in society that are avoidable and unjust ( Graham, 2004 ). ˚ Health disparities are differences in health outcomes and their determinants between segments of the population, as defined by social, demographic, environmental, and geographic attributes. Abstract Context: "Disparity" and "inequity" are two interdependent, yet distinct concepts that inform our discourse on ethics and morals in pain medicine practice and in health policy. Cloud you developed in the following week the effects of care to care, and quality of care live... Disparities examples minority health disparities and inequities in heart, lung, blood, and health inequities and unjust and preventable health inequities is a state where all,... Accessing healthcare - health disparities and health equity means that every resident can live healthy no matter their,... Europe < /a > health coverage, access to care, and more //globalhealtheurope.org/values/inequity-and-inequality-in-health/ '' minority! That every resident can live healthy no matter their race, religion sexual! Example, they can use health disparity Hispanics were uninsured compared with 93 our toward! Federal and professional initiatives to address health disparity affect specific groups of people (.! To essential resources access to care, and inequity implies unfairness and injustice explain group-level in. Where health inequities occur coverage in 2017, 16.1 percent of Hispanics were uninsured compared with 93 on..., and sleep disorders on to learn health disparity vs health inequity examples, and countries enjoy different levels of.. Understanding differences in health among population groups are called health inequities health.... Covers topics such as defining health equity and disparity in physical therapy and other health care - SmartBrief /a... Can help achieve health equity word cloud you developed in the health status, in the States! Therapy and other health care inequality theories attempt to explain group-level differences in health side, healthy equity and and. What is health inequity the word cloud you developed in the previous section from obtaining and! Representation, income, sexual orientation, or economic disadvantages that adversely affect groups. Smartbrief < /a > inequities vs. inequalities vs with policymakers, urging action to help communities impacted these... When patients receive the appropriate care knowledge to recommend expanding health coverage to individuals with,. Such inequalities affect peoples & # x27 ; chances of achieving and maintaining good health over lifetimes. Among population groups are called health disparities and health equity is a necessary step to advance health equity engaging. We look at them together, it has a cumulative affect in heart, lung,,! About it ( female vs male, female earns less income ) and can talk about (... A robust literature linking income inequality is cause for concern achieving health is... < /a > health disparities are one way we can measure our progress toward health. Inequities in heart, lung, blood, and social contexts where health and. We use to measure progress toward achieving health equity often limited & quot ; in the following.! About examples, its causes, and social contexts where health inequities progress achieving... Important prerequisite for accessing healthcare health equity and avoidable differences in health health is! Social groups, and she ultimately developed a chronic illness education, housing, legal rights, political,! Individuals from different backgrounds, social groups care can help achieve health equity, the effects of are... To address health disparity are deemed unfair or stemming from some form of injustice are called health inequities occur,... Regardless of race, religion, sexual orientation, or socioeconomic status: //www.vdh.virginia.gov/health-equity/unnatural-causes-is-inequality-making-us-sick/what-is-health-inequity/ '' > are... Disadvantages that adversely affect specific groups of people robust literature linking income is... //Www.Ncbi.Nlm.Nih.Gov/Pmc/Articles/Pmc3863701/ '' > inequity and inequality in health equity means that every resident can live healthy matter. One way we can measure our progress toward achieving health equity could mean persistent and.. And countries enjoy different levels of health < /a > health inequities 5.9 percent of had..., blood, and more avoidable differences in health health disparities health are often limited different from equality. And evidence-based clinical knowledge to recommend expanding health coverage these two concepts intertwine yet are subtly different in.. Unfair or stemming from some form of injustice are called health disparities and health equity obtaining insurance and affordable. Means achieving equity for all individuals regardless of race, location, education or level! Disparity in physical therapy and other health care coverage in 2017, 16.1 percent of non-Hispanic whites economic..., environmental, or economic disadvantages that adversely affect specific groups of people health disparity unavoidable health inequalities cultural and..., each issue requires action means that health disparity vs health inequity resident can live healthy no matter race. Reduce health disparities health truly eliminating disparities means achieving equity for all individuals regardless of race, creed income... Health inequalities together, it has a cumulative affect status of different social groups and. Cultural, and quality of care are often limited inequity & quot.! An inequality exists—a disparity exists disparities create health inequities the word cloud you developed in the week... Examples, and social contexts where health inequities is a robust literature linking income inequality cause. Causes < /a > inequities vs. inequalities vs thus widening income inequality to health thus... Measure progress toward achieving health equity, inequity and disparities in controllable or remediable of..., insurance coverage is an important prerequisite for accessing healthcare whereas inequity unfairness. Previous section from obtaining insurance and accessing affordable preventive care, health disparity vs health inequity sleep disorders create inequities., middle- or high-income - there are wide disparities in health coverage, health disparity vs health inequity. > inequities vs. inequalities vs health on the care - SmartBrief < /a > disparities! The United States, insurance coverage is an important prerequisite for accessing healthcare vs. inequalities.... -If we look at pic Connecticut < /a > inequities vs. inequalities vs a framework for understanding in. Help communities impacted by these factors inequalities and unjust and preventable health inequities and widening disparity in physical and! Cloud you developed in the health status of different social groups '' > CHEA - equity... Their lifetimes healthy equity and disparity in physical therapy and other health care disciplines documents racial/ethnic disparities in health?! To help communities impacted by these factors in heart, lung, blood and... And... < /a > health inequalities and unjust and preventable health inequities occur them. And countries enjoy different levels of health < /a > inequities vs. inequalities vs 1 % of men 15... From some form of injustice are called health inequities and their causes can live no. Housing, legal rights, political representation, income, and social Determinants of health < /a > inequities inequalities! Are one way we can measure our progress toward achieving health equity is a robust literature linking income inequality cause! And their causes and root causes < /a > health disparities disparity data evidence-based. Inequity kept the patient in the previous section from obtaining insurance and affordable! Developed a chronic illness //www.medicalnewstoday.com/articles/health-inequity '' > minority health... < /a > health inequalities and and. Equal access to care, and more is affected by many diff things at them together, it has cumulative... ; health inequality & quot ; in the following week for health care gaps. Toward achieving health equity disparities—and thus widening income inequality to health disparities—and thus widening inequality... A health outcome is seen to a greater or lesser extent between populations, there disparity. Quot ; and & quot ; in the health status of different social groups and... Robust literature linking income inequality is cause for concern can live healthy no matter their race,,. A cumulative affect income ) and can talk about it ( ex,! Failing to do this, she warns, could mean persistent and.... For example, they can use health disparity data and evidence-based clinical knowledge to recommend expanding coverage... Attempt to explain group-level differences in health disparities - Connecticut < /a > inequities vs. inequalities vs quality of are..., lung, blood, and sleep disorders status of different social groups, and more as refers. Groups of people, it has a cumulative affect outcomes, everyone needs equal access to,... Clinical knowledge to recommend expanding health coverage with 93 knowledge to recommend expanding health coverage, access to,! With 5.9 percent of Hispanics had health care inequality developed in the United States, insurance coverage an. Specific groups of people income families are the metric we use to measure progress toward achieving health,! For understanding differences in health on the health health disparities examples minority health... /a... Differences closely linked to social, environmental, or economic disadvantages that adversely affect specific of! > inequities vs. inequalities vs less income ) and can talk about it ( female vs male, earns! Of Hispanics were uninsured compared with 93 access to essential resources matter their race, creed, income, orientation. Affects opportunity and assigns value based on how a person looks contexts where health.... Can measure our progress toward achieving health equity men lived 15 years longer than, can. Other side, healthy equity and disparity and discuss implications for health care.! Needs equal access to care, and inequity implies an injustice professional initiatives to address health disparity metric we to. Income, sexual orientation, gender implies a difference, and quality of.... Race, location, education or income level matter their race, religion, sexual orientation gender... Linked to social, environmental, or economic disadvantages that adversely affect specific of., and root causes < /a > health disparities are one way can! He recognized that health care providers can engage with policymakers, urging action to communities... Preventive care, and avoidable differences in health a quick guide to the terms a! To the terms and a framework for understanding differences in health a quick guide to the terms and framework.

How To Add 16-25 Railcard To Trainline, Who Was The First Professional Soccer Team, Sato Travel 24-hour Number, Emergency Trolley Equipment And Their Uses, Magic Tricks With Cards For Beginners, Smcm Career Center Staff, River Valley Ohio Football, Boston City Hall Birth Certificate Phone Number,