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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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  • Historical, cultural, and social trauma, along with social determinants of health (SDOH), shape health outcomes, attitudes toward medicine, government, and health behaviors among communities of color in the United States (U.S.). This study explores how trauma and fear influence COVID-19 testing and vaccination among Black/African American, Latinx/Indigenous Latin American, and Native American/…
    September 2023
    COVID-19/Coronavirus, Historical Trauma
  • Strengthening and maintaining brain health is important for people of all ages, particularly as we grow older and may experience changes in memory and thinking. Although this topic is a considerable concern for many older adults, there remains stigma around public dialogue, and accessible resources promoting brain health as we age are limited. A group of researchers, nurses, social workers, and…
    June 2023
    Illness/Disease/Injury/Wellbeing, Aging and Life Course
  • 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 2023
    Aging and Life Course
  • Backgrounds: The prevalence of loneliness increases among older adults, varies across countries, and is related to within-country socioeconomic, psychosocial, and health factors. The 2000–2019 pooled prevalence of loneliness among adults 60 years and older went from 5.2% in Northern Europe to 24% in Eastern Europe, while in the US was 56% in 2012. The relationship between country-level factors…
    December 2022
    Aging and Life Course, 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) #P4HEwebinarJuly2023
    July 2022
    Social/Structural Determinants, Historical Trauma, Racism
  • Within the discipline of public health, it is commonly understood that health outcomes are influenced by more than genetics and behavior. Many health problems can be firmly linked to a political determinant that created and is perpetuating health inequities in the United States. The COVID-19 pandemic has exacerbated these inequities, causing disproportionate outcomes, particularly for vulnerable…
    April 2022
    Policy and Practice, Aging and Life Course
  • Growing reliance on the patient portal as a mainstream modality in health system interactions necessitates prioritizing digital health equity through systems-level strategies that acknowledge and support all persons. Older adults with physical, cognitive, sensory, and socioeconomic vulnerabilities often rely on the involvement of family and friends in managing their health, but the role of these…
    April 2022
    COVID-19/Coronavirus, Aging and Life Course
  • Structural racism toward American Indians and Alaska Natives is found in nearly every policy regarding and action taken toward that population since non-Natives made first contact with the Indigenous peoples of the United States. Generations of American Indians and Alaska Natives have suffered from policies that called for their genocide as well as policies intended to acculturate and dominate…
    February 2022
    Policy & Law, Social/Structural Determinants, Historical Trauma, Systemic Determinants, Racism
  • The Equitable Healthy Aging in Public Health Toolkit Report aims to increase the capacity of public health departments to enhance equitable health and wellbeing of older adults and promote healthy aging across the life course in community health improvement practice. The toolkit begins by framing and defining the scope of equitable healthy aging vis-à-vis the roles and opportunities for…
    January 2022
    Communicable Disease, Aging and Life Course
  • For generations, Indigenous Peoples have known that our health is intertwined with the health of our earth. Their worldview recognizes that being healthy means ensuring the natural resources that give us life are well cared for. In contrast, Western mindsets tend to view the natural world as an inventory of useful commodities—separate from, and existing only in service to, humanity. Overusing…
    October 2021
    Interventions, Historical Trauma, Systemic Determinants, Environmental Injustice
  • Loneliness and social isolation in older adults are serious public health risks affecting a significant number of people in the United States and putting them at risk for dementia and other serious medical conditions. A report from the National Academies of Sciences, Engineering, and Medicine (NASEM) points out that more than one-third of adults aged 45 and older feel lonely, and nearly one-…
    April 2021
    Aging and Life Course
  • Health inequity and not health equity is an ever-present problem for minority elders. We believe that health inequity in later life is best understood from a life-course perspective—to fully grasp current and past effects of inequities. Today, about one in every four adults ages 65 and older in the United States is part of a racial or ethnic minority group (i.e., Blacks/African Americans, Latinos…
    January 2021
    Aging and Life Course, Ageism
  • The rapid growth of the global aging population has raised attention to the health and healthcare needs of older adults. The purpose of this mini-review is to: (1) elucidate the complex factors affecting the relationship between chronological age, socio-economic status (SES), access to care, and healthy aging using a SES-focused framework; (2) present examples of interventions from across the…
    June 2020
    Aging and Life Course
  • Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more…
    February 2020
    Aging and Life Course
  • This study aimed to examine racial and ethnic differences in significant depressive symptoms among long-term nursing home residents. We analyzed the 2014 national Minimum Data Set linked to a nursing home file, and estimated multivariable logistic regressions to determine the associations of race and ethnicities with significant depressive symptoms (score≥10 on the 9-item Patient Health…
    December 2019
    Depression, Aging and Life Course
  • 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
  • When comparing suicide in the Aboriginal and Torres Strait Islander (Indigenous) population to that in the non-Indigenous populations of Australia, there are significant differences in the rates of suicide and the age groups at risk of suicide. The etiology of these differences includes a history of colonisation and its aftermath including a burden of intergenerational trauma in the Indigenous…
    September 2017
    Suicide, Social/Structural Determinants, Historical Trauma, Systemic Determinants
  • Idealized versions of health care are common, and access to health care is often viewed as an unambiguous good. In the social determinants of health literature, for example, access to health care is treated as an intermediate determinant of health. This conceals a simplistic inference: the better your access to health care, the better your health. The reality is more complex: a modern industrial…
    January 2017
    Services & Programs, Social/Structural Determinants, Historical Trauma, Systemic Determinants
  • American Indian and Alaska Native (AI/AN) land rights, sovereignty conflicts, and health outcomes have been significantly influenced by settler colonialism. This principle has driven the numerous relocations and forced assimilation of AI/AN children as well as the claiming of AI/AN lands across the United States. As tribes across the country begin to reclaim these lands and others continue to…
    November 2001
    Historical Trauma, Environmental Injustice

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