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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 2025Cancer, Social/Structural Determinants
- People with intellectual disabilities (IDs) experience extensive health disparities, including premature mortality and higher incidence of chronic disease. These inequities have been linked to reduced access to preventive health care for this population. We review the evidence as it relates to barriers and facilitators of effective implementation of health checks and screenings for people with…February 2024Chronic Disease
- 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 2023HIV
- US Food and Drug Administration (FDA) draft guidance from April 2022 calls for the improvement of clinical trial enrollment of participants from historically excluded racial and ethnic populations, and key organizations have made similar calls for more diverse representation among oncology trial participants. Earlier research offered evidence of racial and ethnic inequities in clinical trial…July 2023Cancer
- Historical trauma has been posited as a key framework for conceptualizing and addressing health equity in Indigenous populations. Using a community-based participatory approach, this study aimed to examine historical trauma and key psycho-social correlates among urban Indigenous adults at risk for diabetes to inform diabetes and other chronic disease prevention strategies. Indigenous adult…April 2023Diabetes
- Malignant pleural mesothelioma (MPM) represents a relatively rare histologic tumor type both in the US and globally. It accounts for less than 0.17% (approximately 3000 total) of all US tumor diagnoses as of 2018, and this proportion is expected to continue decreasing given greater awareness of causality linked to asbestos exposure. 1. Guidelines suggest that multimodality therapy, including…March 2023Cancer
- Background Although preventable through screening, cervical cancer incidence and mortality are higher among American Indian and Alaska Native women (AIAN) than White women. The Patient Protection and Affordable Care Act's (ACA) Medicaid expansions may uniquely impact access and use of cervical cancer screening among AIAN women and ultimately alleviate this disparity. Methods Using Medicaid…January 2023Cancer, Medicaid
- Florida –the 3rd most populous state in the USA–has the highest rates of Human Immunodeficiency Virus (HIV) infections and of unfavorable HIV outcomes, with marked social and racial disparities. In this work, we leveraged large-scale, real-world data, i.e., statewide surveillance records and publicly available data resources encoding social determinants of health (SDoH), to identify social and…January 2023HIV
- Middle-class African Americans are generally ignored in Type 2 Diabetes (T2D) prevention efforts, because of presumed protective factors. However, middle-class African Americans often live with psychosocial stressors not traditionally associated with this socioeconomic position. This study examines influencers related to T2D prevention in this under-researched segment of the African American…January 2023Diabetes
- Community-based participatory strategies are a promising approach to addressing disparities in community health outcomes. This paper details the efforts of Siteman Cancer Center to achieve breast health equity over the past 15+ years. We begin by describing the activities and successes arising from our breast health community partnerships including identifying priorities, developing…May 2022Cancer
- Importance: Increasing prices of antidiabetic medications in the US have raised substantial concerns about the effects of drug affordability on diabetes care. There has been little rigorous evidence comparing the experiences of patients with diabetes across different types of insurance coverage. Objective: To compare the utilization patterns and costs of prescription drugs to treat…January 2022Diabetes, Medicaid
- Health disparities in breast cancer are complex and pervasive across the spectrum of the patient journey and range from unequal access to cancer screening and tools for cancer prevention, such as genetic testing, to racial differences in cancer survivorship. Compared with non-Hispanic White women, racial and ethnic minorities are more likely to be diagnosed with later stage cancer and more…December 2021Cancer
- To effectively support asthma self-management among children most at risk for poor outcomes, it is important to examine potential disparities in parents' asthma-related knowledge. This study draws on baseline data collected from a randomized controlled trial to analyze how knowledge of asthma self-management varies by sociodemographic characteristics in a racially and economically diverse sample…November 2021Asthma, Adolescent Health, Education
- 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 2021Chronic Disease, Mental/Behavioral Health, Health Reform, Social/Structural Determinants
- 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
- Black individuals are less likely to receive an accurate diagnosis of mild cognitive impairment (MCI) than their White counterparts, possibly because diagnoses are typically made by a physician, often without reference to objective neuropsychological test data. We examined racial differences in actuarial MCI diagnoses among individuals diagnosed with MCI via semi-structured clinical interview (…September 2021Chronic Disease
- This retrospective, secondary qualitative analysis investigates whether health system factors influence social support among Black and White breast and lung cancer survivors and racial differences in support. These data come from race- and cancer-stratified focus groups (n=6) and interviews (n=2) to inform a randomized controlled trial utilizing anti-racism and community-based participatory…July 2021Cancer
- Malignant pleural mesothelioma (MPM) is a cancer of the mesothelial lining of the pleura that has traditionally been associated with asbestos exposure in an industrial setting. Asbestos usage has fortunately been banned or phased out in most industrialized countries resulting in its decline in countries such as the United States. Despite this, MPM continues to place significant burden on its…June 2021Cancer
- One in seven people living in the US are immigrants, and this number has tripled since 1970. In this narrative review we focus on immigrants to the US, a particularly vulnerable population in which many adverse social determinants of health (SDOH) often cluster. Following The Lancet Commission on Migration and Health, we define immigrants as any person who has moved away from his/her habitual…March 2021Heart disease, Social/Structural Determinants
- Background: The global policy discourse on sustainability and health has called for dietary transformations that require diverse, concerted actions from governments and institutions. In this article, we highlight the need to examine sociocultural influences on food practices as precursors to food policy decisions. Discussion: Sociocultural food practices relate to ideas and…December 2020Chronic Disease, Social Environment
- The concept of sleep health provides a positive holistic framing of multiple sleep characteristics, including sleep duration, continuity, timing, alertness, and satisfaction. Sleep health promotion is an underrecognized public health opportunity with implications for a wide range of critical health outcomes, including cardiovascular disease, obesity, mental health, and neurodegenerative disease.…January 2020Chronic Disease, Social/Structural Determinants
- Most US cities lack built environments that support physical activity, which is a key determinant of health. Making permanent changes to the physical environment to promote physical activity is not always feasible. Play Streets is a place-based intervention that is typically organized by local governments or community organizations and involves temporarily closing streets to create safe places…September 2019Obesity, Physical Environment
- Although the pace of gentrification has accelerated in cities across the US, little is known about the health consequences of growing up in gentrifying neighborhoods. We used New York State Medicaid claims data to track a cohort of low-income children born in the period 2006–08 for the nine years between January 2009 and December 2017. We compared the 2017 health outcomes of children who started…September 2019Asthma, Obesity, Anxiety, Depression, Physical Environment, Classism
- Cancer patients can experience healthcare system-related challenges during the course of their treatment. Yet, little is known about how these challenges might affect the quality and completion of cancer treatment for all patients, and particularly for patients of color. Accountability for Cancer Care through Undoing Racism and Equity is a multi-component, community-based participatory research…December 2018Cancer, Racism
- Importance: Having health insurance is a strong determinant of cancer outcomes in the United States, and Medicaid expansion under the Patient Protection and Affordable Care Act (ACA) may have reduced the prevalence of uninsured patients. Prior research has only assessed the aggregate effects of expansions, and little is known about changes in uninsured patients by state and key sociodemographic…December 2018Cancer, Policy and Practice
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