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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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- Policy PointsThe structural determinants of health are 1) the written and unwritten rules that create, maintain, or eliminate durable and hierarchical patterns of advantage among socially constructed groups in the conditions that affect health, and 2) the manifestation of power relations in that people and groups with more power based on current social structures work—implicitly and explicitly—to…February 2024Social/Structural Determinants
- Strategies such as diversifying the public health workforce; building capacity related to diversity, equity, inclusion, and belonging; and conducting research on oppression are necessary but insufficient to improving health in communities that have been marginalized by systems of oppression. Working toward health and racial equity requires changing the structural drivers of health. Public health…October 2023Systemic Determinants
- In this episode, we speak with Kyriakos (Kokos) Markides, PhD, the Annie and John Gnitzinger Distinguished Professor of Aging and Professor at the School of Public and Population Health at the University of Texas Medical Branch in Galveston, and Editor of the Journal of Aging and Health. We discuss his immigration to the United States from Cyprus as a child, and how his life journey led him to…May 2023Aging and Life Course
- Context: Within the field of public health, there is growing awareness of how complex social conditions shape health outcomes and the role that power plays in driving health inequities. Despite public health frameworks lifting up the need to tackle power imbalances to advance equity, there is little guidance on how to accomplish this as an integral part of health promotion.Objective: …January 2023Policy and Practice, Social/Structural Determinants, Systemic Determinants
- Chronic diseases are increasingly responsible for the burden of health outcomes across the world. However, there is also increasing recognition that patterns of chronic disease outcomes (e.g., mortality, quality of life, etc.) have inequities across race, gender, and socioeconomic groups that cannot be solely attributed to these determinants. There is a need for an organizing framework which…September 2022Social/Structural Determinants, Systemic Determinants
- In this Special Feature, we draw from the work of experts on American Indian health inequities to highlight the unfair disparities this population faces as a result of historical trauma. (author introduction) #P4HEwebinarJuly2023July 2022Social/Structural Determinants, Historical Trauma, Racism
- This three-part series highlights learnings from Lead Local: Community-Driven Change and the Power of Collective Action, a collaborative effort funded by the Robert Wood Johnson Foundation that convened well-respected local organizations and leaders in the fields of community organizing, advocacy, and research to examine the relationship between health and power building. Building on the National…June 2022Community-rooted/Participatory Research, Systemic Determinants
- Health equity means everyone can live the healthiest life possible. Health inequities are unnatural, unjust, and avoidable. To advance health equity, we believe it is critical to interrogate how funding, research, and community intersect to align and harmonize our efforts to create an equitable and just world. These resources compiled by the P4HE Collaborative Team are provided to support…February 2022Policy and Practice, Social/Structural Determinants
- The COVID-19 pandemic has illuminated and amplified the harsh reality of health inequities experienced by racial and ethnic minority groups in the United States. Members of these groups have disproportionately been infected and died from COVID-19, yet they still lack equitable access to treatment and vaccines. Lack of equitable access to high-quality health care is in large part a result of…February 2022Vaccine Access and Uptake, Health Reform, Racism
- Structural racism refers to the public and private policies, institutional practices, norms, and cultural representations that inherently create unequal freedom, opportunity, value, resources, advantage, restrictions, constraints, or disadvantage for individuals and populations according to their race and ethnicity both across the life course and between generations. Developing a research agenda…January 2022Policy and Practice, Racism
- Systemic racism damages the health of people of color, and can also damage the health and well-being of virtually the entire society in which it operates. Systemic racism is racism that is pervasively and deeply embedded in systems and structures such as laws, written or unwritten policies, and widespread, deeply rooted, established practices, beliefs, and attitudes that produce, condone, and…January 2022Social/Structural Determinants, Racism
- Power is a growing area of study for researchers and practitioners working in the field of health policy and systems research (HPSR). Theoretical development and empirical research on power are crucial for providing deeper, more nuanced understandings of the mechanisms and structures leading to social inequities and health disparities; placing contemporary policy concerns in a wider historical,…November 2021Policy and Practice, Systemic Determinants
- This article has four aims. First, we briefly review the basic principles and processes described in life course theory. Second, we discuss racial residential segregation (RRS) and disproportionate rates of Black premature mortality as examples of systemic and structural racism (i.e., racialized policies and practices), which operate as fundamental drivers of the social and health inequities…September 2021Policy & Law, Racism
- As a part of the American Rescue Plan Act, cities and towns across the United States are attempting to engage with their communities on how to best spend their COVID-19 relief funds from the federal government. Being that this is an unprecedented position, communities are utilizing online surveys, town halls, and more to hear from locals on areas in which the funds could be best served. While it…August 2021Healthy Housing
- This article is part of blog post series, Policy Actions for Racial Equity (PARE), which explores the many ways housing policies contribute and have contributed to racial disparities in our country. (author introduction) #P4HEwebinarJuly2023May 2021Housing Discrimination, Social/Structural Determinants
- Fossil fuels — coal, oil, and gas — lie at the heart of the crises we face, including public health, racial injustice, and climate change. This report synthesizes existing research and provides new analysis that finds that the fossil fuel industry contributes to public health harms that kill hundreds of thousands of people in the U.S. each year and disproportionately…April 2021Interventions, Environment/Context, Climate Change, Environmental Injustice, Racism
- In the 5 years since one of us published “#BlackLivesMatter — A Challenge to the Medical and Public Health Communities” in the Journal,1 we have seen a sea change in the recognition of racism as a durable feature of U.S. society and of its high cost in Black lives. Elected officials, corporate leaders, and academics alike use the slogan “Black Lives Matter,” which has also been widely adopted by…December 2020Social/Structural Determinants
- Social factors are becoming more widely recognized as having an impact on health. There is growing evidence that social, economic, and environmental factors contribute significantly to disparities in health outcomes (Braveman et al 2011). As a result, those looking to close health disparities are increasingly looking at interventions that address structural issues that create an unfair and…September 2020Community-rooted/Participatory Research, Systemic Determinants
- Colonization is a fundamental determinant of Indigenous peoples' health. Indigenous is a term defined by dislocation, and the effects of that displacement are felt by Indigenous peoples around the world. Aug 9, International Day of the World's Indigenous Peoples, is a chance to look at the continuing effects of territorial removal, the destruction of people, culture, and languages, and the lack…August 2020Policy & Law, Social/Structural Determinants
- We tend to study health inequalities as differentials in disease and death that exist within a population. But the most important cause of health inequality is social stratification, and social stratification only varies between populations. Here, I highlight a way forward in the study of health inequality that resolves this mismatch of analytical levels: we must study the fundamental causes as…February 2020Social/Structural Determinants
- This summary of the literature on Housing Instability as a social determinant of health is a narrowly defined examination that is not intended to be exhaustive and may not address all dimensions of the issue. Please note: The terminology used in each summary is consistent with the respective references. For additional information on cross-cutting topics, please see the Incarceration, …January 2020Healthy Housing
- Transgender people experience intersecting forms of social marginalization and are disproportionately affected by health inequities. We elucidate a novel conceptual framework for transgender health research that theorizes the constructs and pathways through which social inequities produce health inequities for transgender populations. Drawing on theories of intersectionality and structural…October 2019Systemic Determinants, Transphobia
- This article arises out of our work over several decades in the evaluation field and in philanthropy with a focus on designing and facilitating the implementation of systems-change strategies and evaluation. It addresses our current thinking about how foundations and communities can work within complex systems to identify key levers for change and use evaluation to track progress and assess…March 2018Systemic Determinants
- In the wake of the waves of women speaking out about sexual harassment; gerrymandering rising to the level of a US Supreme Court case; inaction on gun control in the face of multiple mass shootings; and the riots around the removal of Civil War-era confederate monuments, there is an awareness that these events have affected the health and well-being of our communities. Public health professionals…February 2018Social/Structural Determinants, Systemic Determinants
- In a report designed to increase consensus around meaning of health equity, the Robert Wood Johnson Foundation (RWJF) provides the following definition: “Health equity means that everyone has a fair and just opportunity to be as healthy as possible. This requires removing obstacles to health such as poverty, discrimination, and their consequences, including powerlessness and lack of access to…May 2017Policy and Practice, Social Environment
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