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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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- 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
- 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
- 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
- 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
- The U.S. and the state of Colorado are more racially diverse than ever. Thirty years from now, it’s expected that fewer than half of Americans will be white, according to Manuel Pastor, PhD, director of the program for environmental and regional equity at the University of Southern California, citing census data. What’s driving this change isn’t immigration but births; people of color are younger…August 2017Classism, Racism
- Faith-based organizations (FBOs) (e.g., churches, mosques, and gurdwaras) can play a vital role in health promotion. The Racial and Ethnic Approaches to Community Health for Asian Americans (REACH FAR) Project is implementing a multi-level and evidence-based health promotion and hypertension (HTN) control program in faith-based organizations serving Asian American (AA) communities (Bangladeshi,…May 2017Community-rooted/Participatory Research
- We used the Racial and Ethnic Approaches to Community Health Across the US (REACH US) Risk Factor Survey from 2009 through 2012 to examine the association between body mass index (BMI, calculated as kg/m2) and 3 cardiovascular disease risk factors among Chinese Americans in New York City. We used traditional BMI cut points and cut points modified for the Asian population. Compared with normal/…May 2017Community-rooted/Participatory Research
- Recent literature on racial or ethnic discrimination and mental health was reviewed to assess the current science and identify key areas of emphasis for social epidemiology. Objectives of this review were to: 1) Determine whether there have been advancements in the measurement and analysis of perceived discrimination; 2) Identify the use of theories and/or frameworks in perceived discrimination…April 2017Mental/Behavioral Health
- 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 2017Services & Programs, Social/Structural Determinants, Historical Trauma, Systemic Determinants
- The 2017 AAMC Community Engagement Toolkit features presentations, discussion questions, and interviews with 17 urban-dwelling Native Americans that academic health centers can use to engage their communities in dialogue about the perceived risks and benefits of participating in the NIH All of Us Research Program and other research efforts. The All of Us Research Program was designed to deploy…January 2017Illness/Disease/Injury/Wellbeing
- Background: Structural violence shapes the health of Indigenous peoples globally, and is deeply embedded in history, individual and institutional racism, and inequitable social policies and practices. Many Indigenous communities have flourished, however, the impact of colonialism continues to have profound health effects for Indigenous peoples in Canada and internationally. Despite increasing…October 2016Community-rooted/Participatory Research, Services & Programs
- 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 2016Illness/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 2016Substance Use and Misuse
- In the late 1970s and 1980s, the concept of cross-cultural medicine emerged from recognition and advocacy surrounding cultural and linguistic barriers to health care. In the early 1990s, increased emphasis on health care disparities expanded the focus of cultural competency programs and trainings beyond immigrant populations and interpersonal aspects of cross-cultural health care. New focal areas…March 2016Policy and Practice
- Health care organizations have increasingly acknowledged the presence of health care disparities across race/ethnicity and socioeconomic status, but significantly fewer have made health equity for diverse patients a true priority. Lack of financial incentives is a major barrier to achieving health equity. To create a business case for equity, governmental and private payors can: 1) Require…February 2016Health Reform, Services & Programs
- From San Francisco, California to Flint, Michigan, the nation is facing an escalating housing crisis. Skyrocketing rents, inadequate infrastructure and stagnant wages are some of the barriers that are preventing millions of low-income Americans and communities of color from reaching their full potential. Healthy Communities of Opportunity: An Equity Blueprint to Address America’s Housing…January 2016Physical Environment, Healthy Housing
- A collection of analyses and research findings examining the link between immigration status, health care and health. (website abstract)November 2015Systemic Determinants, Racism
- More than 5.2 million American Indian and Alaska Native (AI/AN) people live in the United States today. Spread mostly throughout the western United States and Alaska, many live mainly on or near reservations and rural communities. The AI/AN population is incredibly diverse, representing 566 federally recognized tribes. AI/AN people are disproportionately affected by diabetes. According to the…October 2015Diabetes
- Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPIs) experience a large burden from certain chronic disease-related risk factors. The STRIVE Program funded four AANHPI community-based organizations (CBOs) to implement culturally adapted community gardens and farmers' markets to increase access to healthy foods. CBO key informant interviews were conducted to understand processes and…July 2015Community-rooted/Participatory Research
- The Racism and Racial Healing Blueprinting Workgroup is pleased to share the following Blueprint with individuals and groups in active pursuit of eliminating racial and ethnic inequities in our communities. Its contents reflect a collaborative effort on the part of individuals participating in the national PLACE MATTERS initiative. We base the frameworks and suggested approaches on our collective…July 2015Community-rooted/Participatory Research, Interventions, Racism
- There is a clear need for greater diversity in the field of art therapy, with a particular need to increase the representation of racial and ethnic minorities in educational programs. In a sample of 16 art therapy program directors, strategies and barriers to recruitment were identified through an anonymous online survey. The results of the survey indicate that a majority of programs would like…July 2015Services & Programs
- This article describes a framework and empirical evidence to support the argument that educational programs and policies are crucial public health interventions. Concepts of education and health are developed and linked, and we review a wide range of empirical studies to clarify pathways of linkage and explore implications. Basic educational expertise and skills, including fundamental knowledge,…May 2015Advocacy, Communication
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