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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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- Maternal safety refers to the safety of a person during pregnancy, childbirth, and the postnatal period. Transitions through pregnancy and birth can pose complex safety challenges, and normal physiologic changes can result in signs and symptoms that make it difficult to recognize and diagnose serious illness. Additionally, patients may not receive timely or adequate information about their health…October 2021Maternal Morbidity and Mortality
- Structural racism causes significant inequities in the diagnosis of perinatal and maternal mental health disorders and access to perinatal and maternal mental health treatment. Black birthing populations are particularly burdened by disjointed systems of care for mental health. To identify strategies to address racism and inequities in maternal and infant mental health care, we interviewed ten…October 2021Maternal/Child Health, Isms and Phobias
- The 2020-21 school year demanded something brand new—shaped by the needs of students, families and educators facing unprecedented challenges. In this crisis, existing inequities grew worse. They required targeted solutions and a reimagining of the status quo. The best solutions were designed to help students and families least supported by the system. And those solutions proved widely…October 2021Education, Ableism
- This article introduces the Hewlett Foundation’s refreshed Global Reproductive Equity (GRE) strategy, focusing on improving sexual and reproductive health and rights (SRHR) in East and Francophone West Africa. The strategy, developed with input from grantee partners, funders, and stakeholders, addresses the impact of COVID-19 on health systems and emphasizes the need for equity and power shifting…September 2021Social/Structural Determinants
- The United States has the highest maternal mortality rate among developed countries and experiences substantial disparities in maternal health outcomes, particularly by race and ethnicity. The most recent national report on maternal mortality in the US reveals a significant increase in the national maternal mortality rate in 2019 compared to 2018 (20.1 and 17.4 deaths per 100,000 live births…August 2021Maternal/Child Health, Policy and Practice
- As Congress considers proposals to be included in the upcoming budget reconciliation package, a number of health care measures are on the table. Among these potential reforms are pathways to close the gap in Medicaid coverage that exists in the twelve states that declined to expand Medicaid after the passage of the Affordable Care Act (ACA). A Supreme Court ruling in 2012 made Medicaid expansion…August 2021Maternal/Child Health, Reproductive/Sexual Health, Medicaid
- 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 2021Policy and Practice, Isms and Phobias
- Background: Medications for opioid use disorder (MOUD) improve outcomes for pregnant women and infants. Our primary aim was to examine disparities in maternal MOUD receipt by family sociodemographic characteristics. Methods: This retrospective cohort study included mother-infant dyads with Medicaid-covered deliveries in Tennessee from 2009 to 2016. First, we examined family sociodemographic…July 2021Maternal/Child Health, Substance Use and Misuse, Medicaid
- Definition and prevalence of Intellectual DisabilityIntellectual disability (ID) is characterized by significant limitations both in intellectual functioning (e.g. reasoning, learning, problem solving) and in adaptive behavior in a range of everyday social and practical skills. This disability originates before the age of 18 years. Etiologies of ID include, but are not restricted to: cerebral…July 2021Illness/Disease/Injury/Wellbeing
- The strong relationship between housing and health has been well-established, a reality that can be critically important for those who are pregnant. Affordable, quality housing—and where it is located—directly affect families’ physical and emotional well-being. Since October 2019, cross-sector “core teams” in nine states and Washington, D.C., have been working to address drivers of maternal and…June 2021COVID-19/Coronavirus, Maternal/Child Health, Social/Structural Determinants
- Substantial research documents health consequences of neighborhood disadvantage. Patterns of residential mobility that differ by race/ethnicity and socioeconomic status (SES) may sort non-Hispanic (NH) Black and low-SES families into disadvantaged neighborhoods. In this study, we leverage a sibling-linked dataset to track residential mobility among birthing persons between pregnancies and…May 2021Maternal/Child Health, Healthy Housing
- The reproductive justice framework holds much promise for guiding research that can contribute to social change. Its limited integration and use in social psychology therefore represents a missed opportunity for justice-oriented social researchers. The purpose of this article is to provide an overview of the reproductive justice framework and demonstrate its value for social psychologists…May 2021Maternal Morbidity and Mortality, Abortion Access
- Objective: To synthesize the literature on associations between social determinants of health and pregnancy-related mortality and morbidity in the US and to highlight opportunities for intervention and future research.Data Sources: We performed a systematic search using Medline Ovid, CINAHL, Popline, Scopus and ClinicalTrials.gov (1990–2018) using MeSH terms related to maternal…April 2021Maternal Morbidity and Mortality, Social/Structural Determinants
- Medicaid has a long history of serving pregnant women, but many women are not eligible for Medicaid before pregnancy or after sixty days postpartum. We used data for new mothers with Medicaid-covered prenatal care in 2015–18 from forty-three states participating in the Pregnancy Risk Assessment Monitoring System (PRAMS) to describe patterns of perinatal uninsurance and health outcomes of women…April 2021Illness/Disease/Injury/Wellbeing, Maternal/Child Health, Depression, Medicaid
- 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 2021COVID-19/Coronavirus
- Issue: In the United States, high spending on maternity care does not translate to better maternal health outcomes. People of color, particularly Black and Indigenous women, are at heightened risk for negative outcomes.Goal: To examine models for delivering maternity care that could improve outcomes and reduce racial inequities in maternal morbidity and mortality.Methods: Review of research…March 2021Maternal/Child Health, Policy and Practice
- Since the World Health Organization launched its commission on the social determinants of health (SDOH) over a decade ago, a large body of research has proven that social determinants—defined as the conditions in which people are born, grow, live, work, and age—are significant drivers of disease risk and susceptibility within clinical care and public health systems. Unfortunately, the term has…February 2021Maternal/Child Health, Social/Structural Determinants
- Black women in the United States have experienced substantial improvements in health during the last century, yet health disparities persist. These health disparities are in large part a reflection of the inequalities experienced by Black women on a host of social and economic measures. In this paper, we examine the structural contributors to social and economic conditions that create the…February 2021Illness/Disease/Injury/Wellbeing, Social/Structural Determinants
- In the United States, despite significant investment and the efforts of multiple maternal health stakeholders, maternal mortality (MM) has reemerged since 1987 and MM disparity has persisted since 1935. This article provides a review of the U.S. MM trajectory throughout its history up to its current state. From this longitudinal perspective, MM trends and themes are evaluated within a global…February 2021Maternal Morbidity and Mortality
- 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 2020Mental/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
- In partnership with the Blue Cross Blue Shield Association, the National Academy for State Health Policy (NASHP) recently held a virtual roundtable discussion of state officials to discuss maternal health initiatives in Illinois and Georgia and explore strategies to improve maternal health outcomes for Medicaid enrollees. Despite spending more than other developed nations on hospital-provided…November 2020Adverse Birth Outcomes, Maternal Morbidity and Mortality
- A Centers for Disease Control and Prevention (CDC) study published in September found that pregnant women, especially Black and Latinx, are at increased risk of severe illness from COVID-19 compared to non-pregnant individuals. They are more likely to be admitted to intensive care units (ICU), receive invasive ventilation, and are at increased risk of death.In response to COVID-19, several states…November 2020COVID-19/Coronavirus, Maternal Morbidity and Mortality
- The inequities laid bare by COVID-19 underscore the importance of states’ efforts to develop policies and interventions to address all health disparities. Systemic racism, a driver of these inequities, also fuels disparities in maternal morbidity and mortality – Black women are four-times more likely to die from pregnancy-related causes than White women. States are on the frontlines, working…October 2020Adverse Birth Outcomes, Maternal Morbidity and Mortality
- The research team is evaluating how different prenatal substance use policies (PSUPs) impact (1) how systems, such as child welfare, criminal justice and healthcare providers, respond; (2) maternal substance use and healthcare behaviors; and (3) maternal and newborn health. The researchers are also examining whether the policies have differential impact based on the mother’s race and ethnicity. (…October 2020Adverse Birth Outcomes, Substance Use and Misuse
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