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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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  • The COVID-19 pandemic and nationwide racial justice movement over the past several years have heightened the focus on health disparities and their underlying causes and contributed to the increased prioritization of health equity. These disparities are not new and reflect longstanding structural and systemic inequities rooted in racism and discrimination. Although growing efforts have focused…
    April 2023
    Social/Structural Determinants, Racism
  • Social connectedness is essential for health and longevity, while isolation exacts a heavy toll on individuals and society. We present U.S. social connectedness magnitudes and trends as target phenomena to inform calls for policy-based approaches to promote social health. Using the 2003–2020 American Time Use Survey, this study finds that, nationally, social isolation increased, social engagement…
    March 2023
    Social Environment
  • The purpose of this report is to establish the Evidence Agenda described in EO 14075 and to provide a roadmap for federal agencies as they work to create their own data-driven and measurable SOGI Data Action Plans to help assess, improve, and monitor the health and well-being of LGBTQI+ people over time.
    January 2023
    Policy & Law
  • Backgrounds: The prevalence of loneliness increases among older adults, varies across countries, and is related to within-country socioeconomic, psychosocial, and health factors. The 2000–2019 pooled prevalence of loneliness among adults 60 years and older went from 5.2% in Northern Europe to 24% in Eastern Europe, while in the US was 56% in 2012. The relationship between country-level factors…
    December 2022
    Aging and Life Course, Systemic Determinants
  • In honor of PRIDE month, speakers discussed strategies to advance justice and health. This P4HE Webinar included information on how to take LGBTQ+ research and science to engage with policy makers to advance LGBTQ+ rights, which is particularly critical given the anti LGBTQ+ movement springing up across the United States and globally.#P4HEwebinarJune2022 
    June 2022
    Policy and Practice
  • 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
  • Within the discipline of public health, it is commonly understood that health outcomes are influenced by more than genetics and behavior. Many health problems can be firmly linked to a political determinant that created and is perpetuating health inequities in the United States. The COVID-19 pandemic has exacerbated these inequities, causing disproportionate outcomes, particularly for vulnerable…
    April 2022
    Policy and Practice, Aging and Life Course
  • 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
  • Hospital at Home (HaH) has been demonstrated to be effective in a variety of settings and patient populations.1, 2 However, it is unknown whether HaH is feasible or effective for socioeconomically disadvantaged patients. Our aim is to determine whether HaH services were received by disadvantaged patients, and if so, whether effectiveness differs for patients depending on socioeconomic status (SES…
    April 2022
    Environment/Context
  • 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
  • Population-based health studies demonstrate that sexual minorities (e.g., lesbian, gay, bisexual persons) have less access to health care services than their heterosexual counterparts. For example, sexual minorities are more likely than heterosexuals to delay or forgo necessary medical care and to not have a regular health care provider. Research suggests that these disparities can be attributed…
    November 2021
    Social Environment
  • 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 2021
    Policy & Law, Racism
  • 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
  • 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 2021
    Policy 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 2021
    Isms and Phobias
  • Lawmakers in at least 35 states have introduced more than 250 bills that aim to curb the rights of LGBTQ people, with more than 100 bills specifically targeting transgender people in what advocacy groups have called the worst year for anti-LGBTQ legislation in recent history.A majority of the measures impact transgender youth, a population that is already disproportionately impacted by mental…
    May 2021
    Policy & Law, Social/Structural Determinants, Transphobia
  • Loneliness and social isolation in older adults are serious public health risks affecting a significant number of people in the United States and putting them at risk for dementia and other serious medical conditions. A report from the National Academies of Sciences, Engineering, and Medicine (NASEM) points out that more than one-third of adults aged 45 and older feel lonely, and nearly one-…
    April 2021
    Aging and Life Course
  • 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
  • Trans and gender non-conforming (TGNC) people experience poor health care and health outcomes. We conducted a qualitative scoping review of studies addressing TGNC people's experiences receiving physical health care to inform research and practice solutions. A systematic search resulted in 35 qualitative studies for analysis. Studies included 1,607 TGNC participants, ages 16–64 years. Analytic…
    February 2021
    Transphobia
  • Health inequity and not health equity is an ever-present problem for minority elders. We believe that health inequity in later life is best understood from a life-course perspective—to fully grasp current and past effects of inequities. Today, about one in every four adults ages 65 and older in the United States is part of a racial or ethnic minority group (i.e., Blacks/African Americans, Latinos…
    January 2021
    Aging and Life Course, Ageism
  • 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

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