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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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- Transgender, gender nonbinary, and genderqueer (henceforth, transgender) people are more likely to report adverse health outcomes than cisgender people. For example, an estimated 22% of transgender people estimate their health as fair or poor compared with 18% of the overall US population, and 39% of transgender people currently meet the criteria for severe psychological distress (SPD) compared…May 2023Transphobia
- Public health emergencies impact the well-being of people and communities. Long-term emotional distress is a pervasive and serious consequence of high levels of crisis exposure and low levels of access to mental health care. At highest risk for mental health trauma are historically medically underserved and socially marginalized populations and frontline health care workers (HCWs). Current public…May 2023COVID-19/Coronavirus, Mental/Behavioral Health, Social/Structural Determinants
- A source of support during birth could be the solution to negative outcomes for the mother and her baby. To improve the birthing experience and increase positive birthing outcomes, sources of support during pregnancy should be evaluated and understood. The goal of this review was to synthesize the existing literature on how doulas might improve birth outcomes. This scoping review also aimed to…May 2023Maternal/Child Health, Policy and Practice
- 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
- In the United States, recreational drugs continue to play a prominent role in drug use disorders and fatalities. Included in this category are psychostimulant drugs such as cocaine, which is well-known for its euphoric effects and abuse potential. Cocaine produces euphoria by blocking the reuptake of neurotransmitters, that is, dopamine, norepinephrine, and serotonin. Although cocaine produces…May 2023Substance Use and Misuse
- 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
- Malignant pleural mesothelioma (MPM) represents a relatively rare histologic tumor type both in the US and globally. It accounts for less than 0.17% (approximately 3000 total) of all US tumor diagnoses as of 2018, and this proportion is expected to continue decreasing given greater awareness of causality linked to asbestos exposure. 1. Guidelines suggest that multimodality therapy, including…March 2023Cancer
- This resource reports on the sessions of the 2023 Annual Cancer Research Symposium. #P4HEwebinarFebruary2024March 2023Cancer
- Background: Reducing health inequities in marginalized populations, including people with Medicaid insurance, requires care transformation to address medical and social needs that is supported and incentivized by tailored payment methods. Collaboration across health care stakeholders is essential to overcome health system fragmentation and implement sustainable reform in the United States (U.S…March 2023Policy and Practice
- The ubiquity of social and online media networks, the credulousness of online communities, coupled with limited accountability pose a risk of mis-, dis-, mal-, information (mis-dis-mal-information)—the intentional or unintentional spread of false, misleading and right information related to agri-food topics. However, agri-food mis-dis-malinformation in social media and online digital agricultural…March 2023Health Reform
- The coronavirus pandemic has been associated with worsening mental health among people in the United States and around the world. In the U.S, the COVID-19 outbreak in early 2020 caused widespread lockdowns and disruptions in daily life while triggering a short but severe economic recession that resulted in widespread unemployment. Three years later, Americans have largely returned to normal…March 2023COVID-19/Coronavirus, Mental/Behavioral Health
- 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
- Health care systems across the U.S. are increasingly focused on opportunities to achieve greater health equity. Cultivating meaningful relationships with their surrounding communities and involving community members in program and policy decision-making is integral for health systems to offer equitable care. By prioritizing collaborative relationships with community partners, health systems can…March 2023Policy and Practice
- 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
- Background: Clinical algorithms that incorporate race as a modifying factor to guide clinical decision-making have recently been criticized for propagating racial bias in medicine. Equations used to calculate lung or kidney function are examples of clinical algorithms that have different diagnostic parameters depending on an individual’s race. While these clinical measures have multiple…February 2023Policy and Practice, Racism
- 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
- Importance: The prevalence of obesity among youths 2 to 19 years of age in the US from 2017 to 2018 was 19.3%; previous studies suggested that school lunch consumption was associated with increased obesity. The Healthy, Hunger-Free Kids Act of 2010 (HHFKA) strengthened nutritional standards of school-based meals. Objective: To evaluate the association between the HHFKA and youth body mass…February 2023Maternal/Child Health, Policy & Law
- In March 2020, the World Health Organization (WHO) declared the Coronavirus Disease of 2019 (COVID-19) a global pandemic. Immediately following the announcement, states began mandating lockdowns for all non-essential businesses. The lockdown strategy was implemented and ORAU abruptly shifted their work culture to a work from home status. Thus, the identified problem addressed in this study…February 2023COVID-19/Coronavirus
- Recent investments in built environment infrastructure to create healthy communities have highlighted the need for equity and environmental justice. Although the benefits of healthy community design (e.g., connecting transportation systems and land use changes) are well established, some reports suggest that these changes may increase property values. These increases can raise the risk of…February 2023Physical Environment
- Drawing on data from the National Survey of Children’s Health, this brief investigates the prevalence of adverse childhood experiences (ACEs) and disparities in ACEs exposure by children’s race, family income, age and health insurance coverage. The disproportionate impact of ACEs has deep ramifications on health equity due to related research showing that ACEs exposure is associated with…February 2023Maternal/Child Health, Social/Structural Determinants
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