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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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- Systemic and structural racism: Definitions, examples, health damages, and approaches to dismantlingRacism is not always conscious, explicit, or readily visible—often it is systemic and structural. Systemic and structural racism are forms of racism that are pervasively and deeply embedded in systems, laws, written or unwritten policies, and entrenched practices and beliefs that produce, condone, and perpetuate widespread unfair treatment and oppression of people of color, with adverse health…February 2022Policy and Practice, Systemic Determinants, Racism
- Systemic racism damages the health of people of color, and can also damage the health and well-being of virtually the entire society in which it operates. Systemic racism is racism that is pervasively and deeply embedded in systems and structures such as laws, written or unwritten policies, and widespread, deeply rooted, established practices, beliefs, and attitudes that produce, condone, and…January 2022Social/Structural Determinants, Racism
- The story of our nation is one of justice and freedom, but the unspoken truth is too many people are shut out of equal opportunities because of the color of their skin. Civil Rights laws and advocacy movements have brought racial inequities to light, but have not solved urgent problems caused by structural racism. This inequity has led to wide-scale poorer health outcomes and shorter life spans.…January 2022Racism
- A recent survey of large US employers found women of color and LGBTQ+ employees have the highest share of unmet basic needs. Employers may consider expanding the range of benefits offered. (author introduction) #P4HEwebinarMay2023December 2021Illness/Disease/Injury/Wellbeing, Social/Structural Determinants
- Social and racial injustice and inequity plagued America long before the deep roots of systemic racism were underscored during the COVID-19 pandemic and the deployment of a vaccine to prevent it. Systemic racism is not something that a few people or institutions choose to practice. Rather, it has been a component of the social, economic, and political systems in which we all exist, and it is a…November 2021Systemic Determinants
- To effectively support asthma self-management among children most at risk for poor outcomes, it is important to examine potential disparities in parents' asthma-related knowledge. This study draws on baseline data collected from a randomized controlled trial to analyze how knowledge of asthma self-management varies by sociodemographic characteristics in a racially and economically diverse sample…November 2021Asthma, Adolescent Health, Education
- Health disparities disproportionately affect minority cultural groups (e.g., Indigenous, immigrant, refugee) worldwide; enduring across time, disease states, and risk factors despite co-occurring advancements in health and medicine. Fundamental cause theory holds that important social factors (e.g., socioeconomic status, stigma, racism) produce health disparities by restricting equitable access…November 2021Social/Structural Determinants
- Hate crimes against Asian American/Pacific Islanders (AAPIs) have surged in the United States during the COVID-19 pandemic to alarming new levels. We analyzed data from the Healthy Minds Study, and found that COVID-19 related racial/ethnic discrimination was associated with greater odds of having depression, anxiety, non-suicidal self-injury, binge drinking, and suicidal ideation among AAPI…November 2021Mental/Behavioral Health, Racism
- Chronic kidney disease is an important clinical condition beset with racial and ethnic disparities that are associated with social inequities. Many medical schools and health centres across the USA have raised concerns about the use of race — a socio-political construct that mediates the effect of structural racism — as a fixed, measurable biological variable in the assessment of kidney disease.…November 2021Chronic Disease, Racism
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Black people living in Africa must be involved in setting the priorities for global health research, policies and programs that affect their daily lives, in order to move away from a funding culture that fosters colonialism, racism and white supremacy. The killing of George Floyd in the United States in 2020 bolstered the Black Lives Matter movement that began in 2013 and sparked unprecedented…June 2021Interventions, Systemic Determinants, Global Health, Racism
- “This study highlights the extent to which health care inequities are intertwined with other social inequities, such as employment and education,” says Vanessa Volpe, corresponding author of the study and an assistant professor of psychology at North Carolina State University. “This helps explain why health inequities are so intractable. Tackling health care inequities will require us to address…June 2021Health Reform, Racism
- The COVID-19 pandemic has exacerbated racial, ethnic, and gender disparities that have existed since long before the current public health crisis. With declining infection rates and increasing vaccination rates, the United States seems to be on a path to recovery. But a full recovery from the health and economic fallout of the pandemic will require adequately supporting our most vulnerable…June 2021Services & Programs, Racism
- Immunization inequity contributes to negative health outcomes for both individuals and the population as a whole. Equitable immunization systems not only prevent potentially devastating vaccine-preventable illnesses, but also generate health more broadly by attracting people, including marginalized populations, into healthcare to improve other health inequalities. While longstanding inequities in…June 2021COVID-19/Coronavirus, Vaccine Access and Uptake, Social/Structural Determinants
- Birthing can be an empowering experience for women. Within many Indigenous cultures around the world, birth is a ceremony to celebrate new life, acknowledging the passing from the spiritual world into the physical world. While initiatives to “indigenize” health care have been made, this paper argues that the United Nations Declaration on the Rights of Indigenous Peoples and the United Nations…June 2021Social/Structural Determinants
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