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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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- Across the nation, communities of color have experienced enduring health disparities due to systemic racism, which have been exacerbated by disproportionate physical, social, and economic impacts from the COVID-19 pandemic. State Medicaid and public health programs —working within their own agencies and collaboratively — have great potential to advance health equity for the communities they serve…November 2021Policy and Practice
- This is an account of the crucial role played by a strong local Aboriginal workforce in health care delivery. We report on the personal experience of dedicated Aboriginal health professionals across Western Australia. Their understanding of what has worked in the provision of primary health care in their communities emphasises the importance of strong, local collaboration in the development of…October 2021Community-rooted/Participatory Research, Services & Programs
- The Centers for Disease Control and Prevention recently issued a declaration reflecting what many already realized: racism is a threat to public health and a fundamental cause of health inequity in the United States. As we continue to grapple with COVID-19, now is the time to move beyond research that shines a light on health disparities and provide evidence of what works to address structural…October 2021Racism
- The COVID-19 pandemic’s disproportionate impact on people from some racial and ethnic groups in the U.S. persisted throughout 2021. Black, Latinx, and American Indian persons have been hospitalized and died at a higher rate than White persons consistently from the start of the pandemic. Early data show that hospitalization and mortality rates for Black, Latinx, and American Indian children are…October 2021COVID-19/Coronavirus
- For generations, Indigenous Peoples have known that our health is intertwined with the health of our earth. Their worldview recognizes that being healthy means ensuring the natural resources that give us life are well cared for. In contrast, Western mindsets tend to view the natural world as an inventory of useful commodities—separate from, and existing only in service to, humanity. Overusing…October 2021Interventions, Historical Trauma, Systemic Determinants, Environmental Injustice
- Maternal safety refers to the safety of a person during pregnancy, childbirth, and the postnatal period. Transitions through pregnancy and birth can pose complex safety challenges, and normal physiologic changes can result in signs and symptoms that make it difficult to recognize and diagnose serious illness. Additionally, patients may not receive timely or adequate information about their health…October 2021Maternal Morbidity and Mortality
- Structural racism causes significant inequities in the diagnosis of perinatal and maternal mental health disorders and access to perinatal and maternal mental health treatment. Black birthing populations are particularly burdened by disjointed systems of care for mental health. To identify strategies to address racism and inequities in maternal and infant mental health care, we interviewed ten…October 2021Maternal/Child Health, Isms and Phobias
- This article has four aims. First, we briefly review the basic principles and processes described in life course theory. Second, we discuss racial residential segregation (RRS) and disproportionate rates of Black premature mortality as examples of systemic and structural racism (i.e., racialized policies and practices), which operate as fundamental drivers of the social and health inequities…September 2021Policy & Law, Racism
- Black individuals are less likely to receive an accurate diagnosis of mild cognitive impairment (MCI) than their White counterparts, possibly because diagnoses are typically made by a physician, often without reference to objective neuropsychological test data. We examined racial differences in actuarial MCI diagnoses among individuals diagnosed with MCI via semi-structured clinical interview (…September 2021Chronic Disease
- Fueled by the massive health disparities exposed by the coronavirus pandemic and the racial reckoning that followed the murder of George Floyd, health equity research is now in vogue. Journals are clamoring for it, the media is covering it, and the National Institutes of Health, after publicly apologizing for giving the field short shrift, recently announced it would unleash nearly $100 million…September 2021Racism
- Changing the narrative: Structural barriers and racial and ethnic inequities in COVID-19 vaccinationThe COVID-19 pandemic has disproportionately affected racial and ethnic minority groups in the United States. Although a promising solution of the COVID-19 vaccination offers hope, disparities in access again threaten the health of these communities. Various explanations have arisen for the cause of disparate vaccination rates among racial and ethnic minorities, including discussion of vaccine…September 2021COVID-19/Coronavirus, Vaccines
- On the occasion of the 20th anniversary of the publication of To Err Is Human: Building a Safer Health System (IOM, 2000) and Crossing the Quality Chasm: A New Health System for the 21st Century (IOM, 2001), the National Academy of Medicine convened the leaders of seven prominent U.S. health care quality organizations to discuss and author a paper identifying the most important priorities for the…September 2021Illness/Disease/Injury/Wellbeing, Policy and Practice, Social/Structural Determinants
- Introduction & Background: Global persistence of health inequities for Indigenous peoples is evident in ongoing discrepancies in health and standards of living. International literature suggests the key to transformation lies in Indigenous efforts to control Indigenous health and healthcare. Previous authors have focused upon participation, structural transformation, and culturally…September 2021Community-rooted/Participatory Research, Systemic Determinants
- This article introduces the Hewlett Foundation’s refreshed Global Reproductive Equity (GRE) strategy, focusing on improving sexual and reproductive health and rights (SRHR) in East and Francophone West Africa. The strategy, developed with input from grantee partners, funders, and stakeholders, addresses the impact of COVID-19 on health systems and emphasizes the need for equity and power shifting…September 2021Social/Structural Determinants
- The use of quality measurement to identify opportunities for improvement in how, where, and when care is delivered has driven remarkable advances and saved countless lives. At the same time, persistent racial and ethnic disparities in health and health care call attention to a striking need to address equity more directly in our health care infrastructure. Harnessing quality measurement as a tool…September 2021Health Reform, Racism
- Darrick Hamilton, the Henry Cohen Professor of Economics and Urban Policy at The New School, has gained national recognition for shaping policy solutions to close the racial wealth gap, which refers to how hundreds of years of structural racism have deprived Black families of resources that accumulate and transfer from one generation to the next. The typical White family has 10 times the wealth…September 2021Systemic Determinants, Racism
- The United States has the highest maternal mortality rate among developed countries and experiences substantial disparities in maternal health outcomes, particularly by race and ethnicity. The most recent national report on maternal mortality in the US reveals a significant increase in the national maternal mortality rate in 2019 compared to 2018 (20.1 and 17.4 deaths per 100,000 live births…August 2021Maternal/Child Health, Policy and Practice
- As Congress considers proposals to be included in the upcoming budget reconciliation package, a number of health care measures are on the table. Among these potential reforms are pathways to close the gap in Medicaid coverage that exists in the twelve states that declined to expand Medicaid after the passage of the Affordable Care Act (ACA). A Supreme Court ruling in 2012 made Medicaid expansion…August 2021Maternal/Child Health, Reproductive/Sexual Health, Medicaid
- Consumer and community trust in health care providers and institutions is critical for optimal health, as trust influences willingness to get crucial medical care, preventive screenings, and mental health care.1 Trust between a patient and a health care provider is also linked to improved patient experience, health outcomes, and the patient’s perception of the care they receive.2 However, it is…August 2021Vaccine Trust, Services & Programs
- Intersectionality is a widely adopted theoretical orientation in the field of women and gender studies. Intersectionality comes from the work of black feminist scholars and activists. Intersectionality argues identities such as gender, race, sexuality, and other markers of difference intersect and reflect large social structures of oppression and privilege, such as sexism, racism, and…August 2021Policy and Practice, Isms and Phobias
- Background: Medications for opioid use disorder (MOUD) improve outcomes for pregnant women and infants. Our primary aim was to examine disparities in maternal MOUD receipt by family sociodemographic characteristics. Methods: This retrospective cohort study included mother-infant dyads with Medicaid-covered deliveries in Tennessee from 2009 to 2016. First, we examined family sociodemographic…July 2021Maternal/Child Health, Substance Use and Misuse, Medicaid
- This year will likely be remembered for important and positive moments for the United States, including passage of the Equality Act in the U.S. House of Representatives and the widespread distribution of COVID-19 vaccines that have provided nearly half of the population with full immunity. However, it also comes with a sobering statistic: 2021 is on track to become the deadliest year in history…July 2021Isms and Phobias
- This retrospective, secondary qualitative analysis investigates whether health system factors influence social support among Black and White breast and lung cancer survivors and racial differences in support. These data come from race- and cancer-stratified focus groups (n=6) and interviews (n=2) to inform a randomized controlled trial utilizing anti-racism and community-based participatory…July 2021Cancer
- The strong relationship between housing and health has been well-established, a reality that can be critically important for those who are pregnant. Affordable, quality housing—and where it is located—directly affect families’ physical and emotional well-being. Since October 2019, cross-sector “core teams” in nine states and Washington, D.C., have been working to address drivers of maternal and…June 2021COVID-19/Coronavirus, Maternal/Child Health, Social/Structural Determinants
- Maternal health outcomes in the United States have reached crisis levels compared with the rest of the world, and they’re getting worse. Preterm birth rates have increased in the U.S. for the past 5 years, and the number of birthing people who experience Severe Maternal Morbidity (SMM) has also continued to grow. These poor outcomes, however, impact some more than others. Black birthing people…June 2021Maternal/Child Health, Medicaid
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