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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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  • Darryl Kickett is a Noongah Aboriginal man with whom I worked for many years at the Centre for Aboriginal Studies at Curtin University in Western Australia. At a time when very few Aboriginal people entered university studies, we were able to work with a team at that Centre to develop culturally appropriate courses that not only saw hundreds of Aboriginal graduate, but also demonstrated the…
    October 2020
    Postsecondary Education
  • The United States is the only developed nation that fails to guarantee any kind of paid leave to workers. We lack a national paid family and medical leave (PFML) policy that encompasses: (1) paid parental leave, which would apply to both mothers and fathers after the birth of a child, adoption of a child, or fostering a child; (2) paid family leave (PFL), which would apply to caregivers of a…
    September 2020
    Maternal/Child Health, Paid Family Leave
  • Physicians still lack consensus on the meaning of race. When the Journal took up the topic in 2003 with a debate about the role of race in medicine, one side argued that racial and ethnic categories reflected underlying population genetics and could be clinically useful. Others held that any small benefit was outweighed by potential harms that arose from the long, rotten history of racism in…
    August 2020
    Illness/Disease/Injury/Wellbeing, Racism
  • Importance: Health disparities continue to exist despite the call to increase education of health care practitioners. An assessment of health disparities education has not been previously studied in a national cohort. Objective: To describe and compare the curriculum on health disparities from the perspective of program directors and perceptions of training among internal medicine…
    August 2020
    Illness/Disease/Injury/Wellbeing, Services & Programs
  • The Americans with Disabilities Act became law in 1990 to help remove barriers in the workplace and in daily life for people with disabilities. As we celebrate the 30th anniversary of the law, let’s examine the barriers to employment for those with disabilities. In July 2019, 47.5 percent of people age 16 and older with a disability who were not employed (either unemployed or not in the labor…
    July 2020
    Policy and Practice
  • Objectives: Despite improvements in infant mortality rates (IMR) in the United States, racial gaps in IMR remain and may be driven by both structural racism and place. This study assesses the relationship between structural racism and race-specific IMR and the role of urban-rural classification on race-specific IMR and Black/White racial gaps in IMR. Methods: We conducted an analysis of…
    July 2020
    Infant Mortality
  • In the face of the global epidemic of diet related chronic disease, there is increased experimentation with the use of “food is medicine” interventions to prevent, manage, and treat illness. Interventions used with increasing frequency in the US and piloted to some extent in other countries include medically tailored meals, medically tailored groceries, and produce prescription programmes. Scaled…
    June 2020
    Health Reform
  • This special issue and introduction focuses on promoting health equity and addressing health disparities among Indigenous peoples of the United States (U.S.) and associated Territories in the Pacific Islands and Caribbean. We provide an overview of the current state of health equity across social, physical, and mental health domains. In Part 1 of the special issue, we trace promotive, protective…
    June 2020
    Social/Structural Determinants
  • Objective: To assess the impact of integrating Psychiatric Assessment Officers (PAO) and telepsychiatry in rural hospitals on their all-cause emergency department (ED) revisit rates. As a pilot project, a full-time PAO was embedded in each of three rural hospitals in New York State and was augmented by telepsychiatry. Method: A retrospective data analysis using ED census data…
    June 2020
    Services & Programs
  • We know that pandemics, natural disasters, wars, and other crises magnify the burden of disease among people who experience poverty and other marginalized groups. With the COVID-19 pandemic, the flaws in our health care system and social safety net have been unmasked, highlighting how inequities in education, income, and housing can cripple a nation’s response to a crisis. Also laid bare is the…
    June 2020
    Policy and Practice
  • Measures taken in response to the COVID-19 pandemic in the United States have had sudden and profound effects on the labor market, with millions of American workers being laid off since March 2020. The national unemployment rate increased from 3.5 percent in February 2020 to 14.7 percent in April 2020, the highest rate since the Great Depression in the 1930s. Experts believe that the sudden and…
    May 2020
    COVID-19/Coronavirus, Environment/Context
  • 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 2020
    Housing Discrimination, Social/Structural Determinants, Environment/Context, Systemic Determinants, Healthy Housing, Racism
  • As COVID-19-related quarantines were being implemented across America, homelessness researchers were estimating the immediate needs of people experiencing homelessness. They concluded that $11.5 billion is necessary for 400,000 new shelter beds needed to accommodate everyone who is unsheltered and to ensure appropriate social distancing, andthe creation of quarantine locations for the sick and…
    March 2020
    COVID-19/Coronavirus, Social/Structural Determinants
  • One in five Americans lives in a rural area, including about 18 million women of reproductive age, but key indicators, including mortality figures, show that the health of mothers and children in these communities lags behind that of their urban peers and is worsening. Nationwide, child mortality rates have declined over the past decade, but recent research shows that improvement among infants…
    February 2020
    Maternal/Child Health
  • Over the past decade, there has been increasing interest in expanding access to college education in the US. This column examines how changes in college access in the US at the end of the 20th century affected schooling and health-related behaviours and outcomes. Increased access to two-year college, in particular, has had a positive impact on health-related behaviours such as smoking or…
    February 2020
    Postsecondary Education
  • To improve health equity, it is critical for health care organizations to develop strong relationships with other organizations in the community. Health care organizations can avoid reinventing the wheel by leveraging community partnerships to address social determinants of health that are beyond the direct reach of health care. The following case story is adapted from IHI’s Improving Health…
    January 2020
    Policy and Practice
  • People with higher levels of education are more likely to be healthier and live longer. Healthy People 2030 focuses on providing high-quality educational opportunities for children and adolescents — and on helping them do well in school. Children from low-income families, children with disabilities, and children who routinely experience forms of social discrimination — like bullying —  …
    January 2020
    Early Childhood Education, High School Graduation, Classism
  • The Black Directors Health Equity Agenda is an organization that advances health equity for Black Americans by fighting for policy change, encouraging innovative thinking and business models, and more. This website offers more information about this organization and the actions that it takes in advancing health equity. #P4HEwebinarMay2023
    January 2020
    Policy and Practice
  • Rationale—Novel approaches to suicide prevention are needed to address increasing rates of suicide deaths. Research suggests that interventions led by certified Peer Specialists may improve suicide protective factors such as hope and connectedness; however, the effectiveness of a Peer Specialist intervention for reducing suicidal thoughts or behaviors has not previously been tested empirically…
    December 2019
    Suicide
  • Today’s public health challenges are complex, with many biological, environmental, and social contributors. One of the most intractable public health issues is the racial/ethnic disparity in health outcomes. To address racial/ethnic disparities in health outcomes, it is important to have a racially and ethnically diverse workforce that is capable of addressing such public health issues. Given its…
    November 2019
    Environment/Context
  • The rising trend in pregnancy-related deaths during the past 2 decades in the United States stands out among other high-income countries where pregnancy-related deaths are declining. Cardiomyopathy and other cardiovascular conditions, hemorrhage, and other chronic medical conditions are all important causes of death. Unintentional death from violence, overdose, and self-harm are emerging causes…
    October 2019
    Maternal Morbidity and Mortality
  • BackgroundSocial inequities are widening globally, contributing to growing health and health care inequities. Health inequities are unjust differences in health and well-being between and within groups of people caused by socially structured, and thus avoidable, marginalizing conditions such as poverty and systemic racism. In Canada, such conditions disproportionately affect Indigenous persons,…
    October 2019
    Interventions
  • 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 2019
    Services & Programs
  • Issue: Kentucky was the first state approved to implement a work requirement for adult Medicaid beneficiaries. A federal judge blocked implementation right before it was scheduled to take effect, but the program may be reinstated on appeal. Goal: To examine several aspects of Kentucky’s Medicaid work requirements, including awareness and current work activities among Medicaid beneficiaries,…
    September 2019
    Medicaid
  • 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 2019
    Housing Discrimination, Social/Structural Determinants, Environment/Context, Healthy Housing, Racism

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