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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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  • Cancer patients can experience healthcare system-related challenges during the course of their treatment. Yet, little is known about how these challenges might affect the quality and completion of cancer treatment for all patients, and particularly for patients of color. Accountability for Cancer Care through Undoing Racism and Equity is a multi-component, community-based participatory research…
    December 2018
    Cancer, Racism
  • This study focused on: 1) whether disparities in timely receipt of substance use services can be explained in part by the characteristics of the community in which the clients reside; and 2) whether the effect of community characteristics on timely receipt of services was similar across racial/ethnic groups. The sample was composed of adults receiving publicly-funded outpatient treatment in…
    October 2018
    Substance Use and Misuse
  • 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 2018
    Suicide
  • 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 2017
    Suicide, Social/Structural Determinants, Historical Trauma, Systemic Determinants
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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 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
  • 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
  • The high prevalence of alcohol use and its consequences among American Indians may be attributed to a number of factors, including the influence of the European colonists who first made large amounts of alcohol available to Indians, as well as current social and cultural factors. Efforts to prevent and treat alcohol problems among the American Indian population may be more effective if native…
    January 1998
    Alcohol, Social/Structural Determinants

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