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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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  • Institutional review boards (IRBs) function to regulate research for the protection of human participants. We share lessons learned from the development of an intertribal IRB in the Rocky Mountain/Great Plains Tribal region of the United States. We describe the process through which a consortium of Tribes collaboratively developed an intertribal board to promote community-level protection and…
    December 2013
    Community-rooted/Participatory Research, Interventions
  • There is a shortage of Western-trained health care personnel in state hospitals and clinics in South Africa. However, traditional healers are in abundance in both the urban and rural areas of South Africa. Some health care interest groups and individual researchers have called for integration of traditional healing and Western biomedicine in South Africa. The South African government seems to…
    November 2013
    Interventions
  • Increasing workforce diversity is a critical step in achieving health equity. People of color make up more than 30 percent of Coloradans and 35 percent of the U.S. population, but the health care workforce does not reflect these demographics. Given that communities of color experience a disproportionate burden of morbidity and mortality, increasing workforce diversity is vital to eliminating…
    October 2013
    Environment/Context
  • Over the past few decades, the United States has become an increasingly multicultural country.1 As the nation’s demographics change, some of the greatest challenges many health care organizations experience in providing quality health care services are knowing the patient populations they serve, identifying their patients’ needs and preferences, and implementing and monitoring improvements in…
    September 2013
    Services & Programs
  • News about health disparities often compares health risks faced by different demographic groups. Does this social comparison produce a contrast effect? It was hypothesized that when two racial groups are compared, people would perceive the relatively more at-risk group to be more, and the less at-risk group to be less, at-risk than if the same risk information was presented without the…
    July 2013
    Social Environment
  • Nearly 12% of all Hispanics have diabetes, compared to 7.1% of non-Hispanic whites. The prevalence of diagnosed diabetes is not homogenous within subgroups of the Hispanic population, but instead ranges from as low as 7.6% for Cubans to as high as 13.3 and 13.8% for Puerto Rican and Mexican Americans, respectively. Disparities in some diabetes-related complications are also higher among Hispanics…
    January 2013
    Diabetes
  • A Practitioner's Guide for Advancing Health Equity is a resource for practitioners, partners, and stakeholders working to advance health equity through community health interventions. While health disparities can be addressed at multiple levels, this resource focuses on policy, systems, and environmental improvement strategies designed to improve the places where people live, learn, work, and…
    January 2013
    Chronic Disease
  • Diabetes is a devastating disease that is affected by interdependent genetic, social, economic, cultural, and historic factors. In the United States, nearly 26 million Americans are living with diabetes, and another 79 million Americans have prediabetes. This means almost one-third of the total U.S. population is affected by diabetes.  Diabetes not only affects the quality of life of…
    July 2012
    Diabetes
  • Intersectionality is a theoretical framework that posits that multiple social categories (e.g., race, ethnicity, gender, sexual orientation, socioeconomic status) intersect at the micro level of individual experience to reflect multiple interlocking systems of privilege and oppression at the macro, social-structural level (e.g., racism, sexism, heterosexism). Public health’s commitment to social…
    June 2012
    Social Environment, Sexism
  • African-American and Latino males are half as likely to receive mental health services compared to non- Hispanic White youth, yet both groups experience emotional and behavioral problems that often result in school and social issues. It is important to understand how African-American and Latino young men perceive and experience available mental health services, particularly services offered…
    January 2012
    Mental/Behavioral Health
  • Today, there are approximately 5.2 million Native Americans living in the United States (Infoplease, 2011), of which 2.1 million are under the age of twenty-four (American Fact Finder, 2010). For those who belong to one of the 565 federally-recognized Indian tribes, the federal government has definite legal, treaty and trust obligations to provide these individuals health care, education, public…
    November 2011
    Depression, Suicide
  • Research on anxiety treatment with African American women reveals a need to develop interventions that address factors relevant to their lives. Such factors include feelings of isolation, multiple roles undertaken by Black women, and faith. A recurrent theme across treatment studies is the importance of having support from other Black women. Sister circles are support groups that build upon…
    September 2011
    Anxiety, Interventions
  • The primary hypothesis of this study is that racial/ethnic disparities in health and health care impose costs on numerous aspects of society, both direct health care costs and indirect costs such as loss of productivity. The authors conducted three sets of analysis, assessing: (1) direct medical costs and (2) indirect costs, using data from the Medical Expenditure Panel Survey (2002-2006) to…
    April 2011
    Services & Programs
  • This report presents key findings from a series of community health care discussions of Asian American community members in New York City conducted by Project CHARGE. Project CHARGE (Coalition for Health Access to Reach Greater Equity) is a New York City based collaborative of 15 organizations devoted to improving healthcare access for Asian Americans through capacity building and health policy…
    April 2010
    Advocacy
  • Racial scholars argue that racism produces rates of morbidity, mortality, and overall well-being that vary depending on socially assigned race. Eliminating racism is therefore central to achieving health equity, but this requires new paradigms that are responsive to structural racism's contemporary influence on health, health inequities, and research. Critical Race Theory is an emerging…
    April 2010
    Systemic Determinants, Racism
  • Women's health research strives to make change. It seeks to produce knowledge that promotes action on the variety of factors that affect women's lives and their health. As part of this general movement, important strides have been made to raise awareness of the health effects of sex and gender. The resultant base of knowledge has been used to inform health research, policy, and practice.…
    February 2010
    Health Reform, Sexism
  • The aim of this paper is to discuss the study of equity in mental health contexts. We review major principles and theories of distributive justice, covering various disciplines such as ethics, philosophy, economics, medicine and sociology. Recent literature on empirical analysis of inequalities in the mental health field is also reviewed. The review of literature reveals a general lack of debate…
    December 2006
    Mental/Behavioral Health, Social/Structural Determinants
  • Since time immemorial Indigenous peoples in Canada have been using plants and other natural materials as medicine. Plant medicines are used more frequently than those derived from animals. In all, Indigenous peoples have identified over 400 different species of plants (as well as lichens, fungi and algae) with medicinal applications. Medicine traditions — the plants used, the ailments treated,…
    February 2006
    Interventions
  • Mexican immigrants, Mexican-Americans, and non-Hispanic white Americans all face different stressors. Stress-coping strategies may vary for each group as well. We compared relationships among perceived stress, stress-coping strategies, and health-related quality of life (HRQL) in a rural sample of Mexican citizens living in the United States, MexicanAmericans, and non-Hispanic whites. Health-…
    July 2005
    Mental/Behavioral 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
  • When I was invited to submit a paper for this issue of Phylon, I immediately knew that my topic would be “Confronting Institutionalized Racism.” That is because I have become convinced that it is only by naming racism, asking the question “How is racism operating here?” and then mobilizing with others to actually confront the system and dismantle it that we can have any significant or lasting…
    December 2003
    Systemic Determinants, Racism
  • Racial discrimination occurs on many levels, in a variety of contexts, intertwined with income, education level, and other sociodemographic factors. It can be subtle or disturbingly overt. During the eight focus groups, participants were asked to talk about their own personal experiences with racism in health care. When asked whether discrimination exists in receiving quality health care, one…
    January 2003
    Policy and Practice, Racism
  • 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
  • This resource provides a guide for health professionals to follow when working with Aboriginal people, employing cross cultural understanding. #P4HEwebinarJuly2023
    February 2001
    Interventions
  • The author presents a theoretic framework for understanding racism on 3 levels: institutionalized, personally mediated, and internalized. This framework is useful for raising new hypotheses about the basis of race-associated differences in health outcomes, as well as for designing effective interventions to eliminate those differences.She then presents an allegory about a gardener with 2 flower…
    August 2000
    Social/Structural Determinants, Racism

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