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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
- Objectives:This qualitative study explored the beliefs and values influencing healthcare providers’ delivery of gender-affirming care (GAC) to transgender and gender-diverse (TGD) youth amidst current social and political dynamics.Methods:The study PI conducted 43 semi-structured interviews with providers across states with varying GAC legislation. Responses from 41 providers were analyzed in…January 2025Social/Structural Determinants
- Climate distress in young people is very likely to increase in coming years, and young people’s mental health services need to be prepared to meet the demand. This paper reports a qualitative pilot study to establish the views of three stakeholder groups involved in youth mental health counselling services in England: young people, mental health counsellors, and strategic partners. We find broad…October 2024Mental/Behavioral Health, Climate Change
- Republicans and Democrats responded in starkly different ways to the COVID-19 pandemic, from their attitudes in 2020 about whether the virus posed a threat to whether the pandemic ended in 2023. The consequences of COVID-19 for health equity has been a central concern in public health, and the concept of health equity has also been beset by partisan polarization. In this essay, we present and…June 2024COVID-19/Coronavirus, Systemic Determinants
- The characteristics of a neighborhood’s built environment may influence health-promoting behaviors, interactions between neighbors, and perceptions of safety. Although some research has reported on how youth in high-violence communities navigate danger, less work has investigated how these youth perceive the built environment, their desires for these spaces, and how these desires relate to their…April 2024Physical Environment
- In 2022, over 10% of the United States population aged 65 or older (6.5 million) lived with dementia. However, the disease burden is unequal; older adults racialized as Black experience 1.5–1.9 times higher incidence compared with older adults racialized as White and suffer steeper cognitive decline. These profound Black-White disparities in cognitive health stem from lifetime exposure to…April 2024Racism
- In contemporary societies, pursuing equality and inclusivity is a paramount objective. However, intersectional inequalities often impede achieving these ideals, which impact various facets of identity. Among those most affected are individuals with intellectual and developmental disabilities (IDD), whose experiences of exclusion are compounded by intersecting factors such as race, gender,…April 2024Social/Structural Determinants
- Child well-being refers to the overall state of a child's physical, emotional, social, and cognitive development, encompassing their health, happiness, safety, and ability to thrive. Child well-being is influenced by various factors, including family support, education, access to healthcare, and neighborhood characteristics. Neighborhood characteristics refer to a range of attributes defining the…March 2024COVID-19/Coronavirus, Environmental/Community Health
- Policy PointsThe structural determinants of health are 1) the written and unwritten rules that create, maintain, or eliminate durable and hierarchical patterns of advantage among socially constructed groups in the conditions that affect health, and 2) the manifestation of power relations in that people and groups with more power based on current social structures work—implicitly and explicitly—to…February 2024Social/Structural Determinants
- This study examines how misinformation-susceptible individuals from historically excluded and marginalized communities engage with science topics (e.g., climate change, vaccines, and health/wellness) and interpret misinformation and corrective intervention strategies. Two focus groups reveal that most participants are highly distrustful of authority figures, celebrity endorsements, and fact-…December 2023Policy and Practice, Social/Structural Determinants
- To use evidence on addressing racism in social care intervention research to create a framework for advancing health equity for all populations with marginalized social identities (e.g., race, gender, and sexual orientation). Such groups have disproportionate social needs (e.g., food insecurity) and negative social determinants of health (SDOH; e.g., poverty). We recommend how the Agency for…November 2023Social Environment, Racism
- Purpose: The Promise of Adolescence: Realizing Opportunity for All Youth report recommends several Medicaid policies to increase insurance coverage among adolescents: approve Medicaid expansion; eliminate the 5-year Medicaid waiting period for lawfully present adolescent immigrants; increase Medicaid reimbursement rates for adolescent health services to the level of Medicare; and ensure coverage…October 2023Advocacy, Access
- School-based mental health services (SBMH) may increase students’ access to care, which could yield benefits for mental health status and human capital-related outcomes. This paper uses a difference-in-differences design with 19 years of survey and administrative data to estimate the impacts of SBMH on a range of K-12 student outcomes. SBMH increases average outpatient mental health service use…October 2023Suicide, School-Based Health Care
- Racial disparities in health are among the most disconcerting forms of inequity in the United States. Divergent health outcomes between Americans racialized as White and those racialized as Black, Latinx, and Indigenous do not stem from biological or genetic differences. To the contrary, “race” comes to have concrete consequences through social, economic, and political systems. Yet the political…October 2023Advocacy, Community-rooted/Participatory Research, Systemic Determinants, Healthy Housing, Racism
- Strategies such as diversifying the public health workforce; building capacity related to diversity, equity, inclusion, and belonging; and conducting research on oppression are necessary but insufficient to improving health in communities that have been marginalized by systems of oppression. Working toward health and racial equity requires changing the structural drivers of health. Public health…October 2023Systemic Determinants
- Background:Persons with intellectual and developmental disabilities (IDD) suffer from stark, well-documented health and healthcare disparities, despite data indicating that the majority see a healthcare provider at least annually. Multiple surveys have indicated that over 90% of physicians feel they have inadequate knowledge and skill in caring for those with IDD. This has been recognized as a…September 2023Social/Structural Determinants
- Historical, cultural, and social trauma, along with social determinants of health (SDOH), shape health outcomes, attitudes toward medicine, government, and health behaviors among communities of color in the United States (U.S.). This study explores how trauma and fear influence COVID-19 testing and vaccination among Black/African American, Latinx/Indigenous Latin American, and Native American/…September 2023COVID-19/Coronavirus, Historical Trauma
- An overwhelming body of evidence points to an inextricable link between race and health disparities in the United States. Although race is best understood as a social construct, its role in health outcomes has historically been attributed to increasingly debunked theories of underlying biological and genetic differences across races. Recently, growing calls for health equity and social justice…August 2023Policy and Practice, Racism
- Implementation science (IS) could accelerate progress toward achieving health equity goals. However, the lack of attention to the outer setting where interventions are implemented limits applicability and generalizability of findings to different populations, settings, and time periods. We developed a data resource to assess outer setting across seven centers funded by the National Cancer…July 2023Systemic Determinants
- Language is a social determinant and driver of health. Joo and colleagues2 performed a systematic review of perioperative and surgical care that adds to a growing body of literature describing language-related health care disparities. The 29 studies that met their inclusion criteria had mixed results. Most found that patients with limited English proficiency (LEP) experienced reduced access to…July 2023Communication, Social Environment
- Transgender, gender nonbinary, and genderqueer (henceforth, transgender) people are more likely to report adverse health outcomes than cisgender people. For example, an estimated 22% of transgender people estimate their health as fair or poor compared with 18% of the overall US population, and 39% of transgender people currently meet the criteria for severe psychological distress (SPD) compared…May 2023Transphobia
- Public health emergencies impact the well-being of people and communities. Long-term emotional distress is a pervasive and serious consequence of high levels of crisis exposure and low levels of access to mental health care. At highest risk for mental health trauma are historically medically underserved and socially marginalized populations and frontline health care workers (HCWs). Current public…May 2023COVID-19/Coronavirus, Mental/Behavioral Health, Social/Structural Determinants
- Importance: Health inequities exist for racial and ethnic minorities and persons with lower educational attainment due to differential exposure to economic, social, structural, and environmental health risks and limited access to health care. Objective: To estimate the economic burden of health inequities for racial and ethnic minority populations (American Indian and Alaska Native, Asian,…May 2023Social/Structural Determinants
- Profound racial inequities were entrenched in crucial domains of American life long before COVID‐19. In the wake of the pandemic, these preexisting disparities deepened. Housing offers an arresting example. In 2019, just before the onset of the pandemic, 46% of renter households were paying more than 30% of their income toward rent, and nearly a quarter were spending more than half their income…April 2023Racism
- Racial residential segregation is considered a fundamental cause of racial health disparities, with housing discrimination as a critical driver of residential segregation. Despite this link, racial discrimination in housing is far less studied than segregation in the population health literature. As a result, we know little about how discrimination in housing is linked to health beyond its…April 2023Healthy Housing, Racism
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