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Resource Library

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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  • Review question: The aim of this review was to compare whether women taking abortion drugs on their own without healthcare provider supervision can do so as successfully and safely as women who take the drugs in the presence of trained healthcare providers. Background: Medical abortion used to end pregnancies has been successful and safe when women have access to appropriate information and…
    March 2020
    Abortion, Contraceptive Use/Access, Reproductive Justice
  • 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
  • One in five Americans lives in a rural area, including about 18 million women of reproductive age, but key indicators, including mortality figures, show that the health of mothers and children in these communities lags behind that of their urban peers and is worsening. Nationwide, child mortality rates have declined over the past decade, but recent research shows that improvement among infants…
    February 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
  • Pregnancy-related deaths among American women have risen markedly over the past 30 years, despite an overall downward trend worldwide. Many of these deaths are preventable, and the risk remains three to four times higher for black women than white women at all levels of income or education. Maternal mortality—a key measure of health care quality—is typically defined as the death of a woman…
    January 2020
    Maternal Morbidity and Mortality
  • Social determinants of health—the conditions in which people are born, grow, work, live, and age that affect health and quality of life—are strongly associated with disparities in health status and life expectancy. Nurses require a comprehensive understanding of social determinants and their associations with health outcomes to provide patient-centered care. Nurses can be leaders and change…
    January 2020
    Services & Programs, Social Environment
  • 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
  • Last month, I had the opportunity to join a passionate panel of advocates and experts at the inaugural TIME 100 Health Summit, to discuss both the strategy and urgency needed to transform women’s health. I walked away with the overarching feeling that our ability to improve women’s health outcomes depends on our will to do so, as much as it depends on the health tools and services that we must…
    November 2019
    Maternal/Child Health
  • 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
  • In Washington, DC, and in state capitols across the nation, policy debates over the future of access to reproductive and sexual health services are shaping the range of services and providers available to low-income women. Access to these services, including contraceptive care, sexually transmitted infection (STI) prevention and treatment, obstetrical care, and abortion services, have a profound…
    November 2019
    Reproductive/Sexual Health, Social/Structural Determinants
  • 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
  • The rising trend in pregnancy-related deaths during the past 2 decades in the United States stands out among other high-income countries where pregnancy-related deaths are declining. Cardiomyopathy and other cardiovascular conditions, hemorrhage, and other chronic medical conditions are all important causes of death. Unintentional death from violence, overdose, and self-harm are emerging causes…
    October 2019
    Maternal Morbidity and Mortality
  • 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
  • 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

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