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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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  • Transgender and gender-diverse (TGD) populations experience health disparities across all areas of health care due to issues of bias, discrimination, and structural barriers to care. Existing literature on cancer screening in TGD populations demonstrates significant gaps in care; for example, transgender men receive Pap smears at lower rates than cisgender women. Because of known disparities in…
    February 2025
    Cancer, Social/Structural Determinants
  • Voters in seven states in the 2024 election approved measures to protect access to abortion, continuing a streak nationwide that brought together voters from both parties and in red, blue and purple states to support reproductive freedom.Abortion is an LGBTQ issue. LGBTQ people can and do become pregnant and need reproductive health care. The same activists pushing anti-abortion laws also fought…
    November 2024
    Abortion, Abortion Access
  • The Trevor Project, the leading suicide prevention and crisis intervention organization for LGBTQ+ young people, shared that its classic crisis services (lifeline, chat, text) began to experience significant increases in volume towards the end of election night.Update from The Trevor Project: Thank you for looking into The Trevor Project’s increased volume of crisis contacts, which was data our…
    November 2024
    Mental/Behavioral Health
  • Research has found that sexual and gender minorities, including lesbian, gay, bisexual, transgender, queer, and intersex people (LGBTQI+), have higher rates of substance misuse and substance use disorders than people who identify as heterosexual. People from these groups are also more likely to enter treatment with more severe disorders. People in LGBTQI+ communities can face stressful situations…
    May 2024
    Substance Use and Misuse
  • The Elton John AIDS Foundation funded ANOVA Health Institute in South Africa to create We The Brave, a sexual health campaign for men who have sex with men to protect and learn about HIV/AIDS. It is the first large-scale campaign ever in South Africa specifically for gay men which addresses both prevention and treatment issues in an affirming, non-judgmental and sex positive way that is…
    January 2024
    HIV, HIV, Global Health
  • Purpose of review: Global disparities in HIV infection, particularly among gay, bisexual, and other men who have sex with men (GBMSM), indicate the importance of exploring the multi-level processes that shape HIV’s spread. We used Complex Systems Theory and the PRISMA guidelines to conduct a systematic review of 63 global reviews to understand how HIV is socially patterned among GBMSM. The…
    July 2023
    HIV
  • Strengthening and maintaining brain health is important for people of all ages, particularly as we grow older and may experience changes in memory and thinking. Although this topic is a considerable concern for many older adults, there remains stigma around public dialogue, and accessible resources promoting brain health as we age are limited. A group of researchers, nurses, social workers, and…
    June 2023
    Illness/Disease/Injury/Wellbeing, Aging and Life Course
  • We investigate the association neighborhood cohesion, as source of social support, has with psychological distress among white, Black, and Latinx lesbian, gay, and bisexual (LGB) individuals, compared to heterosexual individuals in the United States.Neighborhood cohesion has differing impact on psychological distress outcomes by racial/ethnic-sexual orientation groups, but in general provides a…
    May 2022
    Mental/Behavioral Health, Social/Structural Determinants
  • Growing reliance on the patient portal as a mainstream modality in health system interactions necessitates prioritizing digital health equity through systems-level strategies that acknowledge and support all persons. Older adults with physical, cognitive, sensory, and socioeconomic vulnerabilities often rely on the involvement of family and friends in managing their health, but the role of these…
    April 2022
    COVID-19/Coronavirus, Aging and Life Course
  • The Trevor Project’s 2022 National Survey on LGBTQ Youth Mental Health demonstrates that rates of suicidal thoughts have trended upward among LGBTQ young people over the last three years, making our life-saving work all the more important. Capturing the experiences of nearly 34,000 LGBTQ youth ages 13-24 across the United States, with 45% of respondents being LGBTQ youth of color and 48% being…
    January 2022
    Mental/Behavioral Health
  • The Equitable Healthy Aging in Public Health Toolkit Report aims to increase the capacity of public health departments to enhance equitable health and wellbeing of older adults and promote healthy aging across the life course in community health improvement practice. The toolkit begins by framing and defining the scope of equitable healthy aging vis-à-vis the roles and opportunities for…
    January 2022
    Communicable Disease, Aging and Life Course
  • 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)  #P4HEwebinarMay2023
    December 2021
    Illness/Disease/Injury/Wellbeing, Social/Structural Determinants
  • A growing body of research has identified health disparities among transgender and gender nonconforming (TGNC) adults in the United States, including substantial disparities in mental health, compared with their cisgender (heterosexual and sexual minority) counterparts. Differences in mental health may be influenced by the high levels of stress associated with being members of a marginalized…
    November 2021
    Mental/Behavioral Health
  • Background: Lesbian, gay, bisexual, and transgender (LGBT) people present poorer mental and physical health results compared to the heterosexual and cisgender population. There are barriers in the healthcare system that increase these health inequities.Objective: To synthesise the available evidence on how nurses can intervene in reducing health inequities in LGBT people, identifying their…
    November 2021
    Chronic Disease, Mental/Behavioral Health, Health Reform, Social/Structural Determinants
  • Individuals from sexual minority groups have elevated rates of depression, anxiety, substance use disorders, and suicidality relative to their heterosexual counterparts. These differences result from stress due to belonging to a sexual minority group: experiences of sexuality-based stigma that result in increased stress and adverse behavioral and mental health (BMH) outcomes. Research has…
    August 2021
    Mental/Behavioral Health
  • Background and Objectives: Framed within Conservation of Resources theory, this study addressed race–ethnic differences in the relationships between emotional distress and current and expected coronavirus disease 2019 (COVID-19) pandemic stressors.Research Design and Methods: The study employed data from the Household Pulse Survey, a large national survey collecting weekly data to understand the…
    March 2021
    COVID-19/Coronavirus, Mental/Behavioral Health
  • Health care professionals nationally may be inadequately trained to address gaps in health care affecting underserved communities, according to findings published this summer in a JAMA Network Open paper. VCU’s health sciences schools are working to bridge this gap. In the fall of 2020, VCU’s health sciences schools initiated several inaugural events to increase awareness of the health care…
    January 2021
    Illness/Disease/Injury/Wellbeing, Policy and Practice, Social/Structural Determinants
  • There is mounting evidence that lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) adults experience disparities across several cardiovascular risk factors compared with their cisgender heterosexual peers. These disparities are posited to be driven primarily by exposure to psychosocial stressors across the life span. This American Heart Association scientific statement reviews…
    October 2020
    Illness/Disease/Injury/Wellbeing
  • The Journal of Gay & Lesbian Mental Health seeks out and publishes the most current clinical and research scholarship on LGBT mental health with a focus on clinical issues. The Journal strives to represent the full breadth of LGBTQ+ mental health treatment, including issues relevant to patients and mental health care providers in all types of settings. The Journal of Gay & Lesbian Mental…
    June 2020
    Mental/Behavioral Health
  • This study aimed to examine racial and ethnic differences in significant depressive symptoms among long-term nursing home residents. We analyzed the 2014 national Minimum Data Set linked to a nursing home file, and estimated multivariable logistic regressions to determine the associations of race and ethnicities with significant depressive symptoms (score≥10 on the 9-item Patient Health…
    December 2019
    Depression, Aging and Life Course
  • Objective:The authors qualitatively examined how lesbian, gay, bisexual, transgender, and queer (LGBTQ) young adults with probable substance use disorders conceptualized their substance use vis-à-vis their LGBTQ identities.Methods:Individual, in-depth, semistructured interviews were conducted with 59 LGBTQ young adults (ages 21–34) who were participants in a larger longitudinal cohort study and…
    October 2019
    Substance Use and Misuse
  • On Jan. 10, 2019, Taté Walker (they/them) presented on the violence and marginalization faced by Indigenous womxn*, primarily due to the ongoing, chronic impacts of settler colonialism. Walker, who is Lakota and a citizen of the Cheyenne River Sioux Tribe of South Dakota, is an Indigenous rights activist and award-winning multimedia storyteller. Walker observed that the U.S. murder rate for…
    January 2019
    Community Violence, Structural Violence
  • About 3.5% Americans identify themselves as lesbian, gay, or bisexual while 0.3% identify themselves as transgender. The LGBT (lesbian, gay, bisexual, and transgender) community belongs to almost every race, ethnicity, religion, age, and socioeconomic group. The LGBT youth are at a higher risk for substance use, sexually transmitted diseases (STDs), cancers, cardiovascular diseases, obesity,…
    April 2017
    Chronic Disease
  • Advance gender affirming care by applying best practices in organizational change to your health care setting. This guide details a health center’s journey through an organizational assessment process. With practical templates and facilitation guides, you can implement a similar approach in your health center. (author abstract) #P4HEwebinarJune2023
    January 2017
    Adolescent Health, Policy and Practice
  • The World Professional Association for Transgender Health (WPATH) standards of care for transsexual, transgender, and gender non-conforming people (version 7) represent international normative standards for clinical care for these populations. Standards for optimal individual clinical care are consistent around the world, although the implementation of services for transgender populations will…
    July 2016
    Reproductive/Sexual Health, Services & Programs

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