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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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- Helping someone less fortunate feels good, right? But when people from rich countries show up in low- and middle-income countries dispensing goodwill and largesse, their efforts may, at best, be too little and, at worst, could do harm. Dr. Kirk Scirto, a family practice physician in Buffalo, New York, has devoted more than two decades to trying to help others through global health promotion…February 2023Interventions, Global Health
- The Affordable Care Act (ACA) Medicaid expansions increased preconception and postpartum insurance coverage among low-income birthing people, leading to greater use of outpatient care. In this study we evaluated whether the expansions affected rates of postpartum hospitalization. Our analyses took advantage of underused longitudinal hospital data from the period 2010–17 to examine…January 2023Adverse Birth Outcomes, Medicaid
- Since its founding in 2007 at the Yale School of Public Health, the Community Alliance for Research and Engagement (CARE) has worked to identify solutions to health challenges such as diabetes, asthma, and heart and lung diseases through community-based research and projects focusing on social, environmental, and behavioral risk factors. In the fall of 2016, The Community Alliance for Research…July 2022Illness/Disease/Injury/Wellbeing
- Hospital at Home (HaH) has been demonstrated to be effective in a variety of settings and patient populations.1, 2 However, it is unknown whether HaH is feasible or effective for socioeconomically disadvantaged patients. Our aim is to determine whether HaH services were received by disadvantaged patients, and if so, whether effectiveness differs for patients depending on socioeconomic status (SES…April 2022Environment/Context
- Through the lens of administrative burden and ordeals, we investigate challenges that low-income families face in accessing health and human services critical for their children's healthy development. We employ a mixed methods approach—drawing on administrative data on economically disadvantaged children in Tennessee, publicly available data on resource allocations and expenditures, and data…September 2021Policy and Practice, Services & Programs
- This paper explores the intersection of poverty, housing, and health among low-income weatherization program participants in the United States. These income-qualifying programs seek to reduce energy burden, which is the proportion of a household’s annual income spent on residential energy. These programs produce secondary benefits by reducing material deprivation, health inequalities, and energy…March 2021Healthy Housing
- Importance There has been little rigorous evidence to date comparing public vs private health insurance. With policy makers considering a range of policies to expand coverage, understanding the trade-offs between these coverage types is critical. Objective To compare months of coverage, utilization, quality, and costs between low-income adults with Medicaid vs those with…January 2021Medicaid
- Primary health care offers a cost–effective route to achieving universal health coverage (UHC). However, primary health-care systems are weak in many low- and middle-income countries and often fail to provide comprehensive, people-centred, integrated care. We analysed the primary health-care systems in 20 low- and middle-income countries using a semi-grounded approach. Options for strengthening…November 2020Services & Programs, Global Health
- Poverty has consistently been linked to poor mental health and risky health behaviors, yet few studies evaluate the effectiveness of programs and policies to address these outcomes by targeting poverty itself. We test the hypothesis that the earned income tax credit (EITC)—the largest U.S. poverty alleviation program—improves short-term mental health and health behaviors in the months immediately…October 2020Mental/Behavioral Health
- The relationship between housing and health is more than just the four walls that shelter an individual or family each night. More broadly, the link between health and housing is a result of influences from both the individual home unit and a variety of structural and societal factors within a neighborhood. These elements have the potential to provide safety, recreation, access to transportation…May 2020Housing Discrimination, Social/Structural Determinants, Environment/Context, Systemic Determinants, Healthy Housing, Racism
- Many public and subsidized housing developments in the US are aging and in need of significant repairs. Some observers worry that their poor condition threatens the health of residents. We evaluated a recent renovation of public housing that was undertaken through the transfer of six housing developments from the New York City Housing Authority to a public-private partnership. We studied whether…February 2020Healthy Housing
- While the number of people experiencing unsheltered homelessness has decreased over the last ten years, the number of older adults experiencing sheltered homelessness is on the rise, as we report in Housing America’s Older Adults 2019. Incomes for the lowest-income older adults have not risen as fast as rents, leaving a growing number of older adult renters at risk for homelessness as they…November 2019Environment/Context
- Digital technologies shape the way in which individuals and health systems interact to promote health and treat illness. Their propensity to exacerbate inequalities is increasingly being highlighted as a concern for public health. Personal, contextual and technological factors all interact and determine uptake and consequent use of digital technologies for health. This article reviews evidence on…October 2019Systemic Determinants
- Food insecurity is associated with limited food resources that may lead to poor nutritional intake and diet-related chronic disease. Food prescription programs offer an avenue for facilitating access to fresh and healthy nonperishable food while reducing food insecurity. The purpose of this pilot study is to examine the feasibility, perceptions, and impact of a collaborative food prescription…October 2019Services & Programs
- Housing is a major pathway through which health disparities emerge and are sustained over time. However, no existing unified conceptual model has comprehensively elucidated the relationship between housing and health equity with attention to the full range of harmful exposures, their cumulative burden and their historical production. We synthesized literature from a diverse array of disciplines…September 2019Housing Discrimination, Social/Structural Determinants, Environment/Context, Healthy Housing, Racism
- The Community Preventive Services Task Force (CPSTF) recommends permanent supportive housing with Housing First (Housing First programs) to promote health equity for people who are experiencing homelessness and have a disabling condition. Evidence shows Housing First programs decrease homelessness, increase housing stability, and improve quality of life for homeless persons living…June 2019HIV, Healthy Housing
- Homelessness represents an enduring public health threat facing communities across the developed world. Children, families, and marginalized adults face life course implications of housing insecurity, while communities struggle to address the extensive array of needs within heterogeneous homeless populations. Trends in homelessness remain stubbornly high despite policy initiatives to end…April 2019Environment/Context, Systemic Determinants
- Fruit and vegetable (F&V) intake is inversely associated with obesity, which is disproportionately high in urban food deserts and low-income populations, including Supplemental Nutrition Assistance Program (SNAP) participants. This cross sectional study sought to examine factors associated with food desert SNAP recipients’ F&V purchases and weight status in multi-person households. Socio-…February 2019Environmental/Community Health
- The significant rise in the number of international health electives undertaken by medical students and doctors in the US, Canada and UK reflects acknowledgement of the inter-connected nature of these challenges to health systems and the drive to help solve them. However, the next generation of international volunteers often operate under a conflicting duality: whilst many of their role models…June 2017Global Health
- This article describes a framework and empirical evidence to support the argument that educational programs and policies are crucial public health interventions. Concepts of education and health are developed and linked, and we review a wide range of empirical studies to clarify pathways of linkage and explore implications. Basic educational expertise and skills, including fundamental knowledge,…May 2015Advocacy, Communication
- Background: An inequitable distribution of parks and other ‘green spaces’ could exacerbate health inequalities if people on lower incomes, who are already at greater risk of preventable diseases, have poorer access.Methods: The availability of green space within 1 kilometre of a Statistical Area 1 (SA1) was linked to data from the 2011 Australian census for Sydney (n = 4.6 M residents); Melbourne…March 2014Social/Structural Determinants, Physical Environment, Access, Global Health
- For the poorest people, moving out of poverty can be an enormous challenge. But continuing to stay out of poverty for the rest of their lives is a much greater and for some, impossible, task. Many people rise above the poverty line only to tumble back beneath it. This report demonstrates that escaping from poverty is not a one-way street – many families slide back below the poverty line…March 2014Policy and Practice
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