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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 2018Cancer, Racism
- The complexities of social identity and genetic ancestry have led to confusion and consternation related to the use and interpretation of race, ethnicity, and ancestry data in biomedical research. These discussions and overt debates have intensified with advances in genomics and in knowledge about how social factors interact with biology. As more information about genomic diversity becomes…October 2018Social/Structural Determinants
- The purpose of this fact sheet is to provide guidance to hiring managers seeking to diversify their sustainability staff by applying an equity lens. Recent and historical studies have shown that sustainability and environmental fields lag in their ability to recruit, hire, and retain employees of color. This can be due to a variety of systemic factors including access to social and professional…October 2018Isms and Phobias
- California is one of the most racially and ethnically diverse states in the United States. In fact, racial and ethnic minorities are now the majority in California, with the proportion of Latinos now surpassing Whites. However, non-White groups – namely, Latinos, African-Americans, and American Indians – are underrepresented in health professions that require an undergraduate or graduate degree.…July 2018Policy and Practice, Social/Structural Determinants
- Objectives: Although a range of factors shapes health and well-being, institutionalized racism (societal allocation of privilege based on race) plays an important role in generating inequities by race. The goal of this analysis was to review the contemporary peer-reviewed public health literature from 2002-2015 to determine whether the concept of institutionalized racism was named (ie, explicitly…April 2018Systemic Determinants, Racism
- Although racism has been posited as driver of racial/ethnic inequities in healthcare, the relationship between racism and health service use and experience has yet to be systematically reviewed or meta-analysed. This paper presents a systematic review and meta-analysis of quantitative empirical studies that report associations between self-reported racism and various measures of healthcare…December 2017Racism
- 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 2017Suicide, Social/Structural Determinants, Historical Trauma, Systemic Determinants
- The U.S. and the state of Colorado are more racially diverse than ever. Thirty years from now, it’s expected that fewer than half of Americans will be white, according to Manuel Pastor, PhD, director of the program for environmental and regional equity at the University of Southern California, citing census data. What’s driving this change isn’t immigration but births; people of color are younger…August 2017Classism, Racism
- 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 2017Services & Programs, Social/Structural Determinants, Historical Trauma, Systemic Determinants
- 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 2016Physical Environment, Healthy Housing
- A collection of analyses and research findings examining the link between immigration status, health care and health. (website abstract)November 2015Systemic Determinants, Racism
- 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 2015Community-rooted/Participatory Research, Interventions, Racism
- 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 2014Social/Structural Determinants
- 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 2014Systemic Determinants, Racism
- Increasing workforce diversity is a critical step in achieving health equity. People of color make up more than 30 percent of Coloradans and 35 percent of the U.S. population, but the health care workforce does not reflect these demographics. Given that communities of color experience a disproportionate burden of morbidity and mortality, increasing workforce diversity is vital to eliminating…October 2013Environment/Context
- News about health disparities often compares health risks faced by different demographic groups. Does this social comparison produce a contrast effect? It was hypothesized that when two racial groups are compared, people would perceive the relatively more at-risk group to be more, and the less at-risk group to be less, at-risk than if the same risk information was presented without the…July 2013Social Environment
- Intersectionality is a theoretical framework that posits that multiple social categories (e.g., race, ethnicity, gender, sexual orientation, socioeconomic status) intersect at the micro level of individual experience to reflect multiple interlocking systems of privilege and oppression at the macro, social-structural level (e.g., racism, sexism, heterosexism). Public health’s commitment to social…June 2012Social Environment, Sexism
- Racial scholars argue that racism produces rates of morbidity, mortality, and overall well-being that vary depending on socially assigned race. Eliminating racism is therefore central to achieving health equity, but this requires new paradigms that are responsive to structural racism's contemporary influence on health, health inequities, and research. Critical Race Theory is an emerging…April 2010Systemic Determinants, Racism
- Women's health research strives to make change. It seeks to produce knowledge that promotes action on the variety of factors that affect women's lives and their health. As part of this general movement, important strides have been made to raise awareness of the health effects of sex and gender. The resultant base of knowledge has been used to inform health research, policy, and practice.…February 2010Health Reform, Sexism
- 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 2006Mental/Behavioral Health, Social/Structural Determinants
- 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 2005Illness/Disease/Injury/Wellbeing, Policy and Practice, Environmental/Community Health
- When I was invited to submit a paper for this issue of Phylon, I immediately knew that my topic would be “Confronting Institutionalized Racism.” That is because I have become convinced that it is only by naming racism, asking the question “How is racism operating here?” and then mobilizing with others to actually confront the system and dismantle it that we can have any significant or lasting…December 2003Systemic Determinants, Racism
- Racial discrimination occurs on many levels, in a variety of contexts, intertwined with income, education level, and other sociodemographic factors. It can be subtle or disturbingly overt. During the eight focus groups, participants were asked to talk about their own personal experiences with racism in health care. When asked whether discrimination exists in receiving quality health care, one…January 2003Policy and Practice, Racism
- American Indian and Alaska Native (AI/AN) land rights, sovereignty conflicts, and health outcomes have been significantly influenced by settler colonialism. This principle has driven the numerous relocations and forced assimilation of AI/AN children as well as the claiming of AI/AN lands across the United States. As tribes across the country begin to reclaim these lands and others continue to…November 2001Historical Trauma, Environmental Injustice
- The author presents a theoretic framework for understanding racism on 3 levels: institutionalized, personally mediated, and internalized. This framework is useful for raising new hypotheses about the basis of race-associated differences in health outcomes, as well as for designing effective interventions to eliminate those differences.She then presents an allegory about a gardener with 2 flower…August 2000Social/Structural Determinants, Racism
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