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The Partners for Advancing Health Equity (P4HE) Resource Library is a virtual portal containing action-oriented health equity research, practice, and policies. The library aims to increase equity in health by offering free access to field-tested, evidence-informed and evidence-based programs strategies and high-quality research.
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- Minorities’ Diminished Return (MDR) theory suggests systematically smaller effects of socioeconomic status (SES) indicators on the health of non-white populations compared to white in the United States (US). We test whether MDR theory holds with regard to subjective well-being (SWB) by investigating racial differences in the association between SES and SWB in the US using data from the Gallup…August 2025Social/Structural Determinants
- Background: The Latinx community faces an increasing amount of mental health challenges and disparities in care. While the contributing factors are complex, there are likely potential barriers related to connecting with mental health support and accessing care that can be addressed.Methods: To investigate barriers in connecting to mental health care, we conducted a cross-sectional survey of…November 2024Mental/Behavioral Health, Policy and Practice
- Objectives.To examine the association between caregiver-perceived cultural sensitivity of health care providers and child health status in the United States.Methods.We analyzed National Survey of Children’s Health data (n = 145,226) from 2016–2020. Using logistic regression, we determined odds of reporting a better health status by level of caregiver-perceived provider cultural sensitivity while…October 2024Policy and Practice
- Background: Although racially and ethnically minoritized populations are less likely to participate in cancer trials, it is unknown whether social determinants of health (SDOH) explain these inequities. Here we identify SDOH factors that contribute to racial and ethnic inequities in clinical trial participation among patients with 22 common cancers.Methods: This retrospective cohort study used…September 2024Cancer, Policy and Practice, Social/Structural Determinants
- In 2022, over 10% of the United States population aged 65 or older (6.5 million) lived with dementia. However, the disease burden is unequal; older adults racialized as Black experience 1.5–1.9 times higher incidence compared with older adults racialized as White and suffer steeper cognitive decline. These profound Black-White disparities in cognitive health stem from lifetime exposure to…April 2024Racism
- Societal systems act individually and in concert to create and perpetuate structural racism through both policies and practices at the local, state, and federal levels that, in turn, generate racial health disparities. Both current and historical policy approaches across multiple sectors including but not limited to housing, employment, health insurance, immigration and criminal legal, have the…February 2024Policy & Law
- Racial and ethnic minoritized uninsured populations in the United States face the greatest barriers to accessing mental healthcare. Historically, systems of care in the U.S. were set up using inadequate evidence at the federal, state, and local levels, driving inequities in access to quality care for minoritized populations. These inequities are most evident in community-based mental health…January 2024Mental/Behavioral Health, Policy & Law
- Culturally Responsive Programs to Reduce Substance Misuse and Promote Mental Health in American Indian and Alaska Native Populations is a guide designed to inform strategic prevention planning by helping tribal communities identify and select culturally responsive programs that have been shown or have the potential to reduce substance misuse and foster holistic well-being. Programs or practices…January 2024Substance Use and Misuse, Services & Programs
- Using principles of Community-Based Participatory Research, we describe a community of practice for community health workers and promotoras (CHW/Ps) to address COVID-19 inequities in the Latinx community. We offer a concrete example of how programs can engage CHW/Ps as full partners in the research process, and how programs can support CHW/Ps’ capacity and workforce development during…November 2023Community-rooted/Participatory Research
- Living with intersectional identities, having a disability, and being a member of a racial or ethnic minoritized group in the U.S., contributes to marginalization that may result in health disparities and health inequities. The purpose of this scoping review is to describe health research regarding adult racial/ethnic minoritized individuals in the U.S with intellectual and developmental…October 2023Policy and Practice
- Racial disparities in health are among the most disconcerting forms of inequity in the United States. Divergent health outcomes between Americans racialized as White and those racialized as Black, Latinx, and Indigenous do not stem from biological or genetic differences. To the contrary, “race” comes to have concrete consequences through social, economic, and political systems. Yet the political…October 2023Advocacy, Community-rooted/Participatory Research, Systemic Determinants, Healthy Housing, Racism
- Historical, cultural, and social trauma, along with social determinants of health (SDOH), shape health outcomes, attitudes toward medicine, government, and health behaviors among communities of color in the United States (U.S.). This study explores how trauma and fear influence COVID-19 testing and vaccination among Black/African American, Latinx/Indigenous Latin American, and Native American/…September 2023COVID-19/Coronavirus, Historical Trauma
- US Food and Drug Administration (FDA) draft guidance from April 2022 calls for the improvement of clinical trial enrollment of participants from historically excluded racial and ethnic populations, and key organizations have made similar calls for more diverse representation among oncology trial participants. Earlier research offered evidence of racial and ethnic inequities in clinical trial…July 2023Cancer
- Background: The U.S. monkeypox (mpox) outbreak of 2022 was a unique emergent public health crisis disproportionately affecting Black sexual minority men (BSMM). Similar to other stigmas, mpox-related stigma may have adverse effects on BSMM, including deterring HIV prevention such as PrEP. Methods: Our study investigated the experiences and perceptions of BSMM related to mpox, including mpox-…July 2023Stigma, Vaccines
- During the last two decades, the higher mortality rate among Black Americans resulted in more than 1.6 million premature deaths compared to the White population. Join Washington Post Live for conversations with assistant secretary for health Rachel L. Levine and top experts about the medical toll of racial inequality and ways to address disparities in health care. (author abstract)June 2023Illness/Disease/Injury/Wellbeing
- American Indian and Alaska Native (AIAN)* communities have successfully relied on long-held traditional ceremonial practices (TCPs) to survive and recover from historical traumas for generations. Interventions that incorporate TCPs to prevent or treat problem substance use are increasingly replacing the more deficit-based clinical approaches employed by Western science. Beyond merely introducing…June 2023Substance Use and Misuse
- Importance: Health inequities exist for racial and ethnic minorities and persons with lower educational attainment due to differential exposure to economic, social, structural, and environmental health risks and limited access to health care. Objective: To estimate the economic burden of health inequities for racial and ethnic minority populations (American Indian and Alaska Native, Asian,…May 2023Social/Structural Determinants
- Purpose: Perceived Social Support (PSS) can impact breastfeeding behaviors, and a lack of PSS potentially contributes to disparities in breastfeeding rates for African American women (AA). Objectives were to describe PSS at two timepoints and test associations between PSS and breastfeeding intensity for AA.Methods: Data are from a feasibility trial of breastfeeding support among AA. The Hughes…May 2023Maternal/Child Health
- Profound racial inequities were entrenched in crucial domains of American life long before COVID‐19. In the wake of the pandemic, these preexisting disparities deepened. Housing offers an arresting example. In 2019, just before the onset of the pandemic, 46% of renter households were paying more than 30% of their income toward rent, and nearly a quarter were spending more than half their income…April 2023Racism
- Historical trauma has been posited as a key framework for conceptualizing and addressing health equity in Indigenous populations. Using a community-based participatory approach, this study aimed to examine historical trauma and key psycho-social correlates among urban Indigenous adults at risk for diabetes to inform diabetes and other chronic disease prevention strategies. Indigenous adult…April 2023Diabetes
- Racial residential segregation is considered a fundamental cause of racial health disparities, with housing discrimination as a critical driver of residential segregation. Despite this link, racial discrimination in housing is far less studied than segregation in the population health literature. As a result, we know little about how discrimination in housing is linked to health beyond its…April 2023Healthy Housing, Racism
- Importance: Studies have suggested that greater primary care physician (PCP) availability is associated with better population health and that a diverse health workforce can improve care experience measures. However, it is unclear whether greater Black representation within the PCP workforce is associated with improved health outcomes among Black individuals.Objective: To assess county-level…April 2023Policy and Practice
- Social connectedness is essential for health and longevity, while isolation exacts a heavy toll on individuals and society. We present U.S. social connectedness magnitudes and trends as target phenomena to inform calls for policy-based approaches to promote social health. Using the 2003–2020 American Time Use Survey, this study finds that, nationally, social isolation increased, social engagement…March 2023Social Environment
- The emergence and increasing use of artificial intelligence and machine learning (AI/ML) in healthcare practice and delivery is being greeted with both optimism and caution. We focus on the nexus of AI/ML and racial disparities in healthcare: an issue that must be addressed if the promise of AI to improve patient care and health outcomes is to be realized in an equitable manner for all…March 2023Health Reform, Isms and Phobias
- Children and teens in the US experience staggeringly high rates of gun deaths and injuries. They are also harmed when a friend or family member is killed with a gun, when someone they know is shot, and when they witness and hear gunshots. Gun homicides, non-fatal shootings, and exposure to gun violence stunt lives and, because of their disproportionate impact, reflect and intensify this country’s…February 2023Gun Violence/Firearms, Structural Violence, Environment/Context
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