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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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  • BackgroundPeople with intellectual and developmental disabilities (IDD) appear to be at greater risk for severe outcomes from COVID-19. The roles of congregate living and skilled nursing care needs in this disparity are unclear.ObjectiveTo determine the impact of residential setting and level of skilled nursing care on COVID-19 outcomes for people receiving IDD services, compared to those not…
    April 2021
    COVID-19/Coronavirus
  • 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 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
  • Lesbian, gay, bisexual and transgender (LGBT) individuals are often stigmatized and discriminated against. This population is expected to experience poorer mental health outcomes compared with heterosexual and cis-gendered people, a phenomenon healthcare providers need to take note of and act upon. This study aimed to explore and describe the mental health challenges of LGBT people. An…
    January 2021
    Isms and Phobias
  • Autism research has a race problem. Despite improvements in screening and diagnosis, autism continues to be underdiagnosed in Black and Hispanic children, and those who obtain a diagnosis often have limited access to support services. Racial disparities persist during the transition to adulthood, with autistic adults from racial and ethnic minority groups experiencing a number of challenges,…
    December 2020
    Mental/Behavioral Health
  • This special webinar series explores how climate change affects low-income people, Black, Indigenous, Latinx, people of color and other people who are at increased risk due to climate change. In addition, presenters will suggest what is needed to prevent illness, disability, and death from climate change-related conditions among these and other Connecticut residents. Each webinar was held for one…
    December 2020
  • This study aims to examine how gender variation in trans identities shape exposure to bias and discrimination. The authors then examine how trans identities intersect with race/ethnicity, education and social class to shape exposure risk to bias, discrimination and harassment in the workplace. (author abstract) #HES4A
    October 2020
    Transphobia
  • 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 Americans with Disabilities Act became law in 1990 to help remove barriers in the workplace and in daily life for people with disabilities. As we celebrate the 30th anniversary of the law, let’s examine the barriers to employment for those with disabilities. In July 2019, 47.5 percent of people age 16 and older with a disability who were not employed (either unemployed or not in the labor…
    July 2020
    Policy and Practice
  • For many people who have a disability or a disabling condition caused by an illness or injury, it can be difficult to find an employer who not only strives to create an environment and policies that ensure they are supported, but also fosters a culture in which the differences of its employees are sincerely valued.  An important piece of this work is to reach out to employees about their…
    July 2020
    Services & Programs
  • This episode of On the Evidence focuses on transition-age youth (ages 14 to 24) who have disabilities and must navigate a complex and fragmented system to access benefits and support services. Recent research suggests that it is possible to intervene with youth with disabilities and smooth the transition to adulthood, especially by providing well-designed, customized supports to specific…
    July 2020
    Services & Programs, Opportunity Youth
  • Background: Globally, people with intellectual disabilities and/or autism experience health inequalities. Death occurs at a younger age and the prevalence of long-term morbidities is higher than in the general population. Despite this, their primary healthcare access rates are lower than the general population, their health needs are often unmet, and their views and experiences are frequently…
    July 2020
    Policy and Practice
  • 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
  • Measures taken in response to the COVID-19 pandemic in the United States have had sudden and profound effects on the labor market, with millions of American workers being laid off since March 2020. The national unemployment rate increased from 3.5 percent in February 2020 to 14.7 percent in April 2020, the highest rate since the Great Depression in the 1930s. Experts believe that the sudden and…
    May 2020
    COVID-19/Coronavirus, Environment/Context
  • Up to 40% of people with intellectual and developmental disabilities (IDD) experience co-occurring mental illness. Despite the prevalence of mental health needs among people with IDD, little is known about the best approaches for supporting the needs of people with IDD and co-occurring mental health challenges and their families. This uncertainty has led to the dependence on outdated and…
    November 2019
    Policy and Practice
  • Transgender people experience intersecting forms of social marginalization and are disproportionately affected by health inequities. We elucidate a novel conceptual framework for transgender health research that theorizes the constructs and pathways through which social inequities produce health inequities for transgender populations. Drawing on theories of intersectionality and structural…
    October 2019
    Systemic Determinants, Transphobia
  • 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
  • Over the past 20 years, services and supports for people with intellectual and developmental disabilities (IDD) have changed significantly. The vast majority of adults with IDD now live in home and community-based settings rather than institutions. Data are collected on the IDD population's use of public programs (e.g., Medicaid and Social Security), their places of residence, and their…
    September 2019
    Services & Programs
  • Care providers are key agents in the lives of individuals with an intellectual disability (ID). The quality of their support can be affected by manifestations of stigma. This scoping review was conducted to explore studies that provide indications of care providers’ stigmatization of people with ID. Methods: A structured search was made in four databases to identify relevant studies in English-…
    July 2019
    Isms and Phobias
  • It is exactly a decade ago that Sexual and Relationship Therapy published a special issue entitled “Gender Variance and Transgender Identity”, which was guest edited by Walter Bockting, former Editor-in-Chief of International Journal of Transgenderism (IJT). In his editorial Bockting wrote “[this issue] is comprised of a collection of articles that reflect a transition in this growing field from…
    July 2019
    Genderism, Transphobia
  • Transitioning from high school to the next step can be both exciting and daunting. Do you remember participating in school activities, getting that first job (Staples and the ballpark concession stand for us!), studying for the SAT, and filling out college applications—all in the hopes of creating the future you imagined after high school? Maybe you waited in anticipation for a college acceptance…
    May 2019
    Education
  • Patients with a history of intellectual disability (ID) have been noted to experience pain more frequently and to a higher degree than the general population. Previously referred to as “mental retardation,” ID occurs in approximately 1% of the population. A diagnosis of ID is generally based upon the presence of an intelligence quotient score below a specific level, along with noted impairments…
    April 2019
    Illness/Disease/Injury/Wellbeing
  • Background: Patient-centered care for people with disability requires effective communication and compliance with the Americans with Disabilities Act (ADA).Objective: To understand physicians’ perspectives on communication experiences with people with disability.Design: Twenty semi-structured individual interviews. Interview recordings were transcribed verbatim for analysis.Setting: Massachusetts…
    March 2019
    Policy and Practice
  • 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
  • The Office of Developmental Primary Care facilitated two discussion groups in order to learn more about the experiences of people with disabilities and their families in accessing the health care system. Discussion topics included communication, personal life values, changes in or loss of function, medical decision-making, and end of life care conversations. Our ultimate purpose was to uncover…
    January 2019

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