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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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- Introduction: Transgender people experience health inequities, and stigma often plays an outsize role in shaping the health and lived experiences of transgender persons. We aimed to systematically review the research literature to understand how transphobia is measured and its impacts on the health of trans populations.Methods: We conducted a systematic search using PRISMA guidelines. Titles and…September 2025Transphobia
- 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
- Historically, the attribution of biology to race has shaped societies and manifested in innumerable disparities and irreparable harm, especially in communities of color. From the earliest days of the United States to the present day, the dehumanization and “othering” of African Americans have caused deep racial inequities that have been perpetuated and embedded in American culture. The early…February 2025COVID-19/Coronavirus, Racism
- 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
- Background: Although racially and ethnically minoritized populations are less likely to participate in cancer trials, it is unknown whether social determinants of health (SDOH) explain these inequities. Here we identify SDOH factors that contribute to racial and ethnic inequities in clinical trial participation among patients with 22 common cancers.Methods: This retrospective cohort study used…September 2024Cancer, Policy and Practice, Social/Structural Determinants
- We explored state-level indicators of structural racism on internalizing symptoms of depressive affect among US adolescents. We merged 16 indicators of state-level structural racism with 2015-19 Monitoring the Future surveys (n = 41 258) examining associations with loneliness, self-esteem, self-derogation, and depressive symptoms using regression analyses. Students racialized as Black in states…July 2024Mental/Behavioral Health, Racism
- 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
- Purpose: Racialized economic segregation, a form of structural racism, may drive persistent inequities among patients with breast cancer. We examined whether a composite area-level index of racialized economic segregation was associated with real-world treatment and survival in metastatic breast cancer (mBC).Methods: We conducted a retrospective cohort study among adult women with mBC using a US…May 2024Cancer, Social/Structural 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
- Purpose: Although telemedicine was seen as a way to improve cancer care during the coronavirus disease (COVID-19) pandemic, there is limited information regarding inequities in its uptake. This study assessed sociodemographic factors associated with telemedicine use among patients initiating treatment for 20 common cancers.Methods: This retrospective cohort study used deidentified electronic…September 2023Cancer, Services & Programs, Social/Structural Determinants
- 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
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