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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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  • 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 2017
    Community-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 2017
    Mental/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 2017
    Services & 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 2017
    Illness/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 2016
    Community-rooted/Participatory Research, Services & Programs
  • There is a common assumption that programs aiming to increase coverage of health services and reduce morbidity and mortality among the poor are, by virtue, equitable. However, without careful attention to equity in the design, implementation, monitoring, evaluation, and adjustment of the strategy, these programs may result in narrow impacts that only improve the situation of those who are…
    September 2016
    Maternal/Child Health, Reproductive/Sexual Health, Policy and Practice
  • 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 2016
    Illness/Disease/Injury/Wellbeing
  • Significant progress has been made in maternal, newborn, and child health (MNCH) in recent decades. Between 1990 and 2015, the global mortality rate for children under age five years dropped by 53 percent, from 90.6 deaths per 1,000 live births in 1990 to 42.5 in 2015 (Liu and others 2016). Maternal mortality is also on the decline globally.1 Despite progress, maternal, neonatal, and under-…
    April 2016
    Maternal/Child Health
  • 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 2016
    Substance Use and Misuse
  • The Hewlett Foundation’s Global Development and Population Program's International Women’s Reproductive Health Strategy aims to achieve three outcomes: preventing unwanted pregnancies, eliminating deaths from unsafe abortions, and integrating family planning into broader development goals. Focusing on Francophone West Africa and East Africa, the program employs tools like behavioral economics and…
    April 2016
    Global Health
  • 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 2016
    Policy 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 2016
    Health 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 2016
    Physical Environment, Healthy Housing
  • A collection of analyses and research findings examining the link between immigration status, health care and health. (website abstract)
    November 2015
    Systemic 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 2015
    Diabetes
  • The United Nations’ first Every Woman Every Child strategy, Global Strategy for Women’s and Children’s Health, provided an impetus “to improve the health of hundreds of millions of women and children around the world and, in so doing, to improve the lives of all people.” The updated Global Strategy for Women’s, Children’s and Adolescents' Health calls for an even more ambitious agenda of…
    September 2015
    Illness/Disease/Injury/Wellbeing
  • 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 2015
    Community-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 2015
    Community-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 2015
    Services & 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 2015
    Advocacy, Communication
  • Objective: This study examined mental health treatment barriers following intake at a counseling center among racially/ethnically diverse college students. Methods: College students (N = 122) seen for intake at a college counseling center in 2012–2013 completed self-reports of depressive symptoms, suicidal ideation, and mental health treatment barriers 6 months later. Results: Racial/ethnic…
    April 2015
    Mental/Behavioral Health
  • Understanding physician perspectives on the intersection of race and genomics in clinical decision making is critical as personalized medicine and genomics become more integrated in health care services. There is a paucity of literature in the United States of America (USA) and globally regarding how health care providers understand and use information about race, ethnicity and genetic variation…
    October 2014
    Illness/Disease/Injury/Wellbeing
  • Since 2007, the W.K. Kellogg Foundation has invested more than $20 million to support development of health equity collaboration within and across AA and NHPI communities throughout the nation. As a result of this investment – in partnership with the Asian Pacific Islander Health Forum (APIAHF) and Social Policy Research Associates (SPR) – significant learning has already been surfaced focusing…
    August 2014
    Social/Structural Determinants
  • Cancer clinical trials are important for resolving cancer health disparities for several reasons; however, clinical trial participation among African Americans is significantly lower than Caucasians. This study engaged focus groups of 82 female African American cancer survivors or cancer caregivers, including those in better resourced, more urban areas and less resourced, more rural areas.…
    June 2014
    Illness/Disease/Injury/Wellbeing
  • This article draws upon a major social science theoretical approach–systemic racism theory–to assess decades of empirical research on racial dimensions of U.S. health care and public health institutions. From the 1600s, the oppression of Americans of color has been systemic and rationalized using a white racial framing–with its constituent racist stereotypes, ideologies, images, narratives, and…
    February 2014
    Systemic Determinants, Racism

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