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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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  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • Given chronic experiences of historical oppression, Indigenous peoples tend to experience much higher rates of depression than the general US population, which then, drives disproportionately high rates of suicide and other health disparities. The purpose of this research was to examine the core components of the culturally grounded Framework of Historical Oppression, Resilience, and…
    June 2019
    Depression, Social/Structural Determinants, Historical Trauma
  • Many people with mental health and substance use conditions lose access to housing because of poverty and disruption of personal relationships related to their disability, and between 20 and 33% of homeless people have serious mental illnesses.[i] In addition, according to the Office of National Drug Control Policy, approximately 67% of people experiencing chronic homelessness have a primary…
    September 2018
    Substance Use and Misuse, Housing Discrimination
  • Mental health disorders are among the most burdensome health concerns in the United States. Nearly 1 in 5 US adults aged 18 or older (18.3% or 44.7 million people) reported any mental illness in 2016. Many people with mental health disorders also need care for other physical health conditions, including heart disease, diabetes, respiratory illness, and disorders that affect muscles, bones, and…
    July 2018
    Illness/Disease/Injury/Wellbeing
  • Health care providers have long struggled with the utility of race in the prescribing and dosing of medications. It is widely accepted that self-identified race often correlates with geographical ancestry, that geographical ancestry is a major determinant of genomic variation, and that genomic variation can influence reactions to drugs. The challenge for clinicians, however, is that self-…
    May 2016
    Illness/Disease/Injury/Wellbeing
  • This study investigates how racial and ethnic disparities in treatment episode completion vary across different problem substances in an urban sample of 416,224 outpatient treatment discharges drawn from the 2011 U.S. Treatment Episode Dataset-Discharge (TEDS-D) data set. Fixed effects logistic regression is employed to test for the association of race and ethnicity with treatment episode…
    April 2016
    Substance Use and Misuse
  • Caring Across Communities: Addressing Mental Health Needs of Diverse Children and Youth brought school-connected mental health services to immigrants and refugees in 15 communities in eight states. From 2007 to 2010, partnerships developed model mental health programs that engaged schools, families, students, mental health agencies, and other local organizations in building culturally appropriate…
    February 2015
    Anxiety, Depression, Racism
  • Understanding physician perspectives on the intersection of race and genomics in clinical decision making is critical as personalized medicine and genomics become more integrated in health care services. There is a paucity of literature in the United States of America (USA) and globally regarding how health care providers understand and use information about race, ethnicity and genetic variation…
    October 2014
    Illness/Disease/Injury/Wellbeing
  • A Decade of Advocacy is a case study of the Strategic Alliance, a network of 15 California-based organizations that came together to promote health food and activity environments. This document provides a roadmap for effective collaboration and highlights the impact a group of organizations can have when working tougher to effect change. The document answers a series of critical questions,…
    April 2012
    Chronic Disease, Advocacy, Environmental/Community Health
  • The California Endowment is strongly committed to multicultural health approaches as a crucial aspect of fulfilling its mission to promote the health and well-being of all Californians. As The Endowment has deepened its understanding of how to best develop and implement strategies that can meet the burgeoning needs of diverse communities, it has consistently relied on evaluation as an important…
    January 2005
    Illness/Disease/Injury/Wellbeing, Policy and Practice, Environmental/Community Health
  • The high prevalence of alcohol use and its consequences among American Indians may be attributed to a number of factors, including the influence of the European colonists who first made large amounts of alcohol available to Indians, as well as current social and cultural factors. Efforts to prevent and treat alcohol problems among the American Indian population may be more effective if native…
    January 1998
    Alcohol, Social/Structural Determinants

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