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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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- 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 2019Systemic 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 2019Social Environment
- Background: Patient-centered care for people with disability requires effective communication and compliance with the Americans with Disabilities Act (ADA).Objective: To understand physicians’ perspectives on communication experiences with people with disability.Design: Twenty semi-structured individual interviews. Interview recordings were transcribed verbatim for analysis.Setting: Massachusetts…March 2019Policy and Practice
- 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 2019Racism
- We introduce the National Institute on Minority Health and Health Disparities (NIMHD) research framework, a product that emerged from the NIMHD science visioning process. The NIMHD research framework is a multilevel, multidomain model that depicts a wide array of health determinants relevant to understanding and addressing minority health and health disparities and promoting health equity. We…January 2019Health Reform
- Building Public Health Capacity to Advance Equity is an environmental scan funded by the W.K. Kellogg Foundation (WKKF) to explore governmental public health’s role in advancing health equity with racial equity as a major priority and community engagement as a central strategy. The project team consisted of ten partner organizations collaborating to examine the federal landscape and the capacity…January 2019Policy and Practice
- The Office of Developmental Primary Care facilitated two discussion groups in order to learn more about the experiences of people with disabilities and their families in accessing the health care system. Discussion topics included communication, personal life values, changes in or loss of function, medical decision-making, and end of life care conversations. Our ultimate purpose was to uncover…January 2019
- Background: Traditional ecological knowledge (TEK) is a conceptual framework that highlights Indigenous knowledge (IK) systems. Although scientific literature has noted the relevance of TEK for environmental research since the 1980s, little attention has been given to how Native American (NA) scholars engage with it to shape tribal-based research on health, nor how non-Native scholars can…December 2018Environmental/Community Health
- Cancer patients can experience healthcare system-related challenges during the course of their treatment. Yet, little is known about how these challenges might affect the quality and completion of cancer treatment for all patients, and particularly for patients of color. Accountability for Cancer Care through Undoing Racism and Equity is a multi-component, community-based participatory research…December 2018Cancer, Racism
- The complexities of social identity and genetic ancestry have led to confusion and consternation related to the use and interpretation of race, ethnicity, and ancestry data in biomedical research. These discussions and overt debates have intensified with advances in genomics and in knowledge about how social factors interact with biology. As more information about genomic diversity becomes…October 2018Social/Structural Determinants
- The purpose of this fact sheet is to provide guidance to hiring managers seeking to diversify their sustainability staff by applying an equity lens. Recent and historical studies have shown that sustainability and environmental fields lag in their ability to recruit, hire, and retain employees of color. This can be due to a variety of systemic factors including access to social and professional…October 2018Isms and Phobias
- This study focused on: 1) whether disparities in timely receipt of substance use services can be explained in part by the characteristics of the community in which the clients reside; and 2) whether the effect of community characteristics on timely receipt of services was similar across racial/ethnic groups. The sample was composed of adults receiving publicly-funded outpatient treatment in…October 2018Substance Use and Misuse
- In 2005, PASOs, a community-reaching organization created in response to research showing that Latino families in South Carolina value health and wellness, began addressing the need for trusted sources of information and support to address challenges and fill in gaps. PASOs, which means steps in Spanish, works with the rapidly growing Latino population of South Carolina to promote health,…October 2018Services & Programs
- With support from the W.K. Kellogg Foundation, Prevention Institute initiated Partnering for Health Equity: Grassroots Organizations on Collaborating with Public Health Agencies to better understand community perspectives on the challenges, opportunities, facilitators, and barriers to working with public health agencies to advance health equity. Prevention Institute spoke to organizational…August 2018Policy and Practice
- California is one of the most racially and ethnically diverse states in the United States. In fact, racial and ethnic minorities are now the majority in California, with the proportion of Latinos now surpassing Whites. However, non-White groups – namely, Latinos, African-Americans, and American Indians – are underrepresented in health professions that require an undergraduate or graduate degree.…July 2018Policy and Practice, Social/Structural Determinants
- Background: Equitable access to health services is a key ingredient in reaching health for persons with disabilities and other vulnerable groups. So far, research on access to health services in low- and middle-income countries has largely relied on self-reported survey data. Realizing that there may be substantial discrepancies between perceived and actual access, other methods are needed for…June 2018Services & Programs
- Objectives: Although a range of factors shapes health and well-being, institutionalized racism (societal allocation of privilege based on race) plays an important role in generating inequities by race. The goal of this analysis was to review the contemporary peer-reviewed public health literature from 2002-2015 to determine whether the concept of institutionalized racism was named (ie, explicitly…April 2018Systemic Determinants, Racism
- Objective: To delineate the factors inherent in caring for patients with intellectual and developmental disabilities (IDD) that lead to complexity and to provide perspectives and techniques mapped to the phases of the clinical encounter.Sources of information: The authors of the physical health section of the 2018 Canadian consensus guidelines on the primary care of adults with IDD consisted of…April 2018Policy and Practice
- Objective: To update the 2011 Canadian guidelines for primary care of adults with intellectual and developmental disabilities (IDD).Methods: Family physicians and other health professionals experienced in the care of people with IDD reviewed and synthesized recent empirical, ecosystem, expert, and experiential knowledge. A system was developed to grade the strength of recommendations.…April 2018Policy and Practice
- Current approaches to health care quality have failed to reduce health care disparities. Despite dramatic increases in the use of quality measurement and associated payment policies, there has been no notable implementation of measurement strategies to reduce health disparities. The National Quality Forum developed a road map to demonstrate how measurement and associated policies can contribute…March 2018Health Reform
- Guided by the Interpersonal Theory of Suicide (IPTS), this study aims to understand the applicability of the constructs of belongingness and burdensomeness and their relevance to suicide risk and mental health among ethnocultural minoritized youth. A qualitative exploratory study was conducted using five focus groups with 29 self-identified Latinx and Black adolescents aged 13–17 years to explore…March 2018Suicide
- Although racism has been posited as driver of racial/ethnic inequities in healthcare, the relationship between racism and health service use and experience has yet to be systematically reviewed or meta-analysed. This paper presents a systematic review and meta-analysis of quantitative empirical studies that report associations between self-reported racism and various measures of healthcare…December 2017Racism
- The objective of this study was to assess trends in health insurance coverage, health service utilization, and health care access among working-age adults with and without disabilities before and after full implementation of the Affordable Care Act (ACA), and to identify current disability-based disparities following full implementation of the ACA. The ACA was expected to have a disproportionate…November 2017Policy and Practice
- Digital storytelling is an emergent method in health promotion. It addresses health inequities by combining technology with the voices of members of vulnerable, often underrepresented populations. The overall goal of this pilot project was to explore if digital storytelling could be a culturally relevant health promotion tool for Hispanics/Latinos to share their experiences with cancer, or other…November 2017Policy and Practice
- 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 2017Suicide, Social/Structural Determinants, Historical Trauma, Systemic Determinants
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