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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
- 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
- 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
- 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
- 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
- In a time where the world is recovering from a global pandemic, opinions surrounding healthcare are more relevant than they have been many years. In December of 2020, the Center for Disease Control and Prevention (CDC) published an article reporting that racial minorities were disproportionately affected by the consequences of COVID-19. Interestingly enough, one of the factors affecting these…May 2021Social/Structural Determinants, Social Environment, Systemic Determinants, Racism
- Internalized racism, or the acceptance of negative stereotypes about one’s own racial group, is associated with psychological distress; yet, few studies have explored the longitudinal impact of internalized racism on the psychological well-being of African American emerging adults. Furthermore, racial identity’s role as a protective factor in the context of internalized racism remains unclear.…April 2021Mental/Behavioral Health, Racism
- The COVID-19 pandemic has disproportionately affected specific demographics, with Black, Latinx, and Indigenous communities being among the hardest hit. As vaccinations ramp up across the country, data has shown that — despite some efforts to provide vaccines to typically underserved populations — people of color are at higher risk yet are still less likely to be vaccinated.In this…April 2021Vaccine Access and Uptake, Racism
- Fossil fuels — coal, oil, and gas — lie at the heart of the crises we face, including public health, racial injustice, and climate change. This report synthesizes existing research and provides new analysis that finds that the fossil fuel industry contributes to public health harms that kill hundreds of thousands of people in the U.S. each year and disproportionately…April 2021Interventions, Environment/Context, Climate Change, Environmental Injustice, Racism
- The majority of hospitals and health systems are collecting race, ethnicity, language and other data on demographic and socio-economic factors about their patients. But how can health care organizations use that data to tell a story that guides the delivery of quality care and improves outcomes for all patients? A new Market Insights report from the AHA Center for Health Innovation describes how…March 2021Systemic Determinants, Racism
- The events of the past year raised our collective awareness of racial and ethnic health disparities, social inequities, and some of the systemic policies driving these inequities. In response to this awakening, numerous organizations issued statements condemning the injustices and committing to address inequities. In an effort to provide a more complete picture of how foundations have…February 2021Services & Programs, Systemic Determinants, Racism
- In the early 1900s, African Americans died at higher rates, got sick more often, and had worse health outcomes for almost all diseases when compared to whites. This disparity was due to a combination of racism, discrimination, and segregation. Most blacks could only afford to live in unhealthy conditions and had little or no access to medical professionals. Problematically, poor black health led…December 2020Interventions, Racism
- Physicians still lack consensus on the meaning of race. When the Journal took up the topic in 2003 with a debate about the role of race in medicine, one side argued that racial and ethnic categories reflected underlying population genetics and could be clinically useful. Others held that any small benefit was outweighed by potential harms that arose from the long, rotten history of racism in…August 2020Illness/Disease/Injury/Wellbeing, Racism
- Maternal morbidity and mortality (MMM) is a significant problem in the USA, with about 700 maternal deaths every year and an estimated 50,000 "near misses." Disparities in MMM by race are marked; black women are disproportionately affected. We use Urie Bronfenbrenner's ecological systems theory to examine the root causes of racial disparities in MMM at the individual (microsystem), interpersonal…July 2020Maternal Morbidity and Mortality, Medicaid, Racism
- Research in Adverse Childhood Experiences (ACEs) has increased in recent years with hundreds of studies finding a strong and consistent relationship between child adversity and numerous public health outcomes (see the ACE Pyramid in Figure 1). According to the CDC, ACEs are potentially traumatic events that occur in childhood as well as the conditions in the child’s environment that can undermine…July 2020Maternal/Child Health, Racism
- The relationship between housing and health is more than just the four walls that shelter an individual or family each night. More broadly, the link between health and housing is a result of influences from both the individual home unit and a variety of structural and societal factors within a neighborhood. These elements have the potential to provide safety, recreation, access to transportation…May 2020Housing Discrimination, Social/Structural Determinants, Environment/Context, Systemic Determinants, Healthy Housing, Racism
- This toolkit provides information on the characteristics of white supremacy culture.November 2019Racism
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