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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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  • Background: Cultural and religious practices of African origin have decisively influenced traditional health practices in the Americas since the African diaspora. Plants are core elements in the religions of African origin. Compared with other parts of Brazil where the Afro-Brazilian presence is widely recognized, in Southern Brazil, these cultural practices are often socially invisible. Yet,…
    April 2020
    Policy and Practice
  • Recently the president said the worst was over and the pandemic was on the decline.  I do not agree.  I am especially worried about the poorest region of the nation, the region that I recently moved to: the South. (author introduction)
    April 2020
    COVID-19/Coronavirus
  • Objective: Sleep disturbances during pregnancy are associated with gestational diabetes and excessive weight gain. Diet could potentially play a role in these relationships, yet examinations of sleep and diet in African American pregnant populations are scarce. Methods: The study population includes pregnant African American women from Detroit, MI (n=53). At the baseline study…
    March 2020
    Maternal/Child Health
  • While Connecticut ranks among the healthiest states in the country, a closer look at health data reveals major disparities by race and ethnicity – differences that result in poorer health, premature deaths, and hundreds of millions of dollars in unnecessary health care costs, according to a report from the Connecticut Health Foundation. (author introduction)
    January 2020
    Environmental/Community Health
  • This brief examines health disparities in Connecticut, highlighting significant differences in health outcomes by race and ethnicity. It identifies key factors contributing to these disparities, such as socioeconomic status, disparate treatment in healthcare, and the physiological effects of racism. There is also discussion of the economic costs of health disparities and provides recommendations…
    January 2020
    Social/Structural Determinants
  • 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
  • The coronavirus (COVID-19) is a massive threat to the safety of U.S. workers. Black, Indigenous, and other workers of color are particularly vulnerable, as they are overrepresented in jobs with high exposure rates, and structural racism has led to disproportionate rates of COVID-19 infection and death.COVID-19 will likely lead to a prolonged period of economic disparity and unemployment. This…
    January 2020
    COVID-19/Coronavirus, Social/Structural Determinants
  • 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
  • Millions of people in the United States face health disparities related to social and economic factors, including race, ethnicity, gender, sexual orientation, and income. Understanding and addressing disparities is critical to improving health equity nationwide. See the subpage on disparities in maternal health to learn more about that particular aspect of health equity. (website abstract) 
    November 2019
    Policy & Law, Systemic Determinants
  • This toolkit provides information on the characteristics of white supremacy culture. 
    November 2019
    Racism
  • From predicting who will be a repeat offender to who’s the best candidate for a job, computer algorithms are now making complex decisions in lieu of humans. But increasingly, many of these algorithms are being found to replicate the same racial, socioeconomic or gender-based biases they were built to overcome.This racial bias extends to software widely used in the health care industry,…
    October 2019
    Policy and Practice, Racism
  • 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 2019
    Systemic Determinants, Transphobia
  • Health systems rely on commercial prediction algorithms to identify and help patients with complex health needs. We show that a widely used algorithm, typical of this industry-wide approach and affecting millions of patients, exhibits significant racial bias: At a given risk score, Black patients are considerably sicker than White patients, as evidenced by signs of uncontrolled illnesses.…
    October 2019
    Health Reform, Racism
  • As organizations increasingly replace human decision-making with algorithms, they may assume these computer programs lack our biases. But algorithms still reflect the real world, which means they can unintentionally perpetuate existing inequality. A study published Thursday in Science has found that a health care risk-prediction algorithm, a major example of tools used on more than 200 million…
    October 2019
    Policy and Practice
  • 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
  • ObjectiveRacial/ethnic disparities in the use of substance abuse treatment services have been documented. The objective of this study was to re-examine if racial/ethnic disparities in the use of treatment still exist using current data collected post-implementation of the Affordable Care Act.MethodsData were pooled from the National Survey on Drug Use and Health survey years 2015, 2016, and 2017…
    September 2019
    Substance Use and Misuse
  • Although the pace of gentrification has accelerated in cities across the US, little is known about the health consequences of growing up in gentrifying neighborhoods. We used New York State Medicaid claims data to track a cohort of low-income children born in the period 2006–08 for the nine years between January 2009 and December 2017. We compared the 2017 health outcomes of children who started…
    September 2019
    Asthma, Obesity, Anxiety, Depression, Physical Environment, Classism
  • Background: Increasing numbers of children have been forced to flee and seek asylum in high-income countries. Current research indicates that focusing on resilience and protective factors is an important long-term goal for positive mental health and psychological functioning of refugee children.Methods: We performed a systematic review of quantitative literature regarding psychological and…
    August 2019
    Migration
  • 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
  • Colorado’s policies and processes all matter because communities that have been historically disenfranchised from voting and democratic participation are largely the same communities facing a variety of systemic barriers that affect their health, income and overall well-being. (author description)
    May 2019
    Policy & Law
  • Practitioners in maternal and child health (MCH) make it a priority to solve complex public health problems facing women, children, adolescents, and their families across the life course. The field of MCH has made significant advances in the past century, including the expansion of family planning methods and services, the eradication of once-common deadly diseases such as polio, and innovations…
    May 2019
    Maternal/Child Health
  • The determinants of health inequities between Indigenous and non-Indigenous populations include factors amenable to medical education’s influence—for example, the competence of the medical workforce to provide effective and equitable care to Indigenous populations. Medical education institutions have an important role to play in eliminating these inequities. However, there is evidence that…
    April 2019
    Interventions, Systemic Determinants
  • According the United States Department of Agriculture (USDA), food insecurity “is defined as a household-level economic and social condition of limited or uncertain access to adequate food”.1 Recent data indicate that approximately 12.3% or 15.6 million households in the United States (U.S.) were food insecure at least some time during the last year.1 The adverse social, physical, and…
    April 2019
    Systemic Determinants, Racism
  • The weathering hypothesis states that chronic exposure to social and economic disadvantage leads to accelerated decline in physical health outcomes and could partially explain racial disparities in a wide array of health conditions. This systematic review summarizes the literature empirically testing the weathering hypothesis and assesses the quality of the evidence regarding weathering as a…
    March 2019
    Social Environment
  • In recent decades, there has been remarkable growth in scientific research examining the multiple ways in which racism can adversely affect health. This interest has been driven in part by the striking persistence of racial/ethnic inequities in health and the empirical evidence that indicates that socioeconomic factors alone do not account for racial/ethnic inequities in health. Racism is…
    February 2019
    Racism

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