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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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- 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
- 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
- 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
- In “Strategies for Naming and Addressing Structural Racism in Immigrant Mental Health,” Cerda et al. (p. S72) make a critical call to bring a structural racism framework into efforts to promote immigrants’ mental health. Mounting public health research shows that structures and systems of racism are associated with poor health, yet there have been limited applications of a structural racism…January 2023Systemic Determinants
- Context: Within the field of public health, there is growing awareness of how complex social conditions shape health outcomes and the role that power plays in driving health inequities. Despite public health frameworks lifting up the need to tackle power imbalances to advance equity, there is little guidance on how to accomplish this as an integral part of health promotion.Objective: …January 2023Policy and Practice, Social/Structural Determinants, Systemic Determinants
- Backgrounds: The prevalence of loneliness increases among older adults, varies across countries, and is related to within-country socioeconomic, psychosocial, and health factors. The 2000–2019 pooled prevalence of loneliness among adults 60 years and older went from 5.2% in Northern Europe to 24% in Eastern Europe, while in the US was 56% in 2012. The relationship between country-level factors…December 2022Aging and Life Course, Systemic Determinants
- Population health strategies tend to focus on individuals’ behaviors, genes, or health care access, yet it is well established that socioecological conditions are fundamental to health and strongly influenced by policy. In the US, health and other policies continue to be shaped by the country’s unique legacy of racial and economic segregation. Policy reform must be at the center of population…December 2022Community-rooted/Participatory Research, Policy & Law, Systemic Determinants
- Chronic diseases are increasingly responsible for the burden of health outcomes across the world. However, there is also increasing recognition that patterns of chronic disease outcomes (e.g., mortality, quality of life, etc.) have inequities across race, gender, and socioeconomic groups that cannot be solely attributed to these determinants. There is a need for an organizing framework which…September 2022Social/Structural Determinants, Systemic Determinants
- This three-part series highlights learnings from Lead Local: Community-Driven Change and the Power of Collective Action, a collaborative effort funded by the Robert Wood Johnson Foundation that convened well-respected local organizations and leaders in the fields of community organizing, advocacy, and research to examine the relationship between health and power building. Building on the National…June 2022Community-rooted/Participatory Research, Systemic Determinants
- This three-part series highlights learnings from Lead Local: Community-Driven Change and the Power of Collective Action, a collaborative effort funded by the Robert Wood Johnson Foundation that convened well-respected local organizations and leaders in the fields of community organizing, advocacy, and research to examine the relationship between health and power building. Building on the National…June 2022Community-rooted/Participatory Research, Systemic Determinants
- This three-part series highlights learnings from Lead Local: Community-Driven Change and the Power of Collective Action, a collaborative effort funded by the Robert Wood Johnson Foundation that convened well-respected local organizations and leaders in the fields of community organizing, advocacy, and research to examine the relationship between health and power building. Building on the National…June 2022Community-rooted/Participatory Research, Systemic Determinants
- Structural racism toward American Indians and Alaska Natives is found in nearly every policy regarding and action taken toward that population since non-Natives made first contact with the Indigenous peoples of the United States. Generations of American Indians and Alaska Natives have suffered from policies that called for their genocide as well as policies intended to acculturate and dominate…February 2022Policy & Law, Social/Structural Determinants, Historical Trauma, Systemic Determinants, Racism
- Systemic and structural racism: Definitions, examples, health damages, and approaches to dismantlingRacism is not always conscious, explicit, or readily visible—often it is systemic and structural. Systemic and structural racism are forms of racism that are pervasively and deeply embedded in systems, laws, written or unwritten policies, and entrenched practices and beliefs that produce, condone, and perpetuate widespread unfair treatment and oppression of people of color, with adverse health…February 2022Policy and Practice, Systemic Determinants, Racism
- Power is a growing area of study for researchers and practitioners working in the field of health policy and systems research (HPSR). Theoretical development and empirical research on power are crucial for providing deeper, more nuanced understandings of the mechanisms and structures leading to social inequities and health disparities; placing contemporary policy concerns in a wider historical,…November 2021Policy and Practice, Systemic Determinants
- Introduction & Background: Global persistence of health inequities for Indigenous peoples is evident in ongoing discrepancies in health and standards of living. International literature suggests the key to transformation lies in Indigenous efforts to control Indigenous health and healthcare. Previous authors have focused upon participation, structural transformation, and culturally…September 2021Community-rooted/Participatory Research, Systemic Determinants
- Black people living in Africa must be involved in setting the priorities for global health research, policies and programs that affect their daily lives, in order to move away from a funding culture that fosters colonialism, racism and white supremacy. The killing of George Floyd in the United States in 2020 bolstered the Black Lives Matter movement that began in 2013 and sparked unprecedented…June 2021Interventions, Systemic Determinants, Global Health, Racism
- Despite a number of important global public health successes, for many health behaviours there is a continued lack of interventions that have been sufficiently scaled up to achieve system-wide integration. This has limited sustainable and equitable population health improvement. Systems change plays a major role in the relation between implementation processes and at-scale institutionalisation of…March 2021Social/Structural Determinants, Systemic Determinants
- There is striking racial disparity in the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection rates in the United States. We hypothesize that the disparity is significantly smaller in areas with a higher ratio of green spaces. County level data on the SARS-CoV-2 infection rates of black and white individuals in 135 of the most urbanized counties across the United States were…February 2021COVID-19/Coronavirus, Systemic Determinants
- We know that pandemics, natural disasters, wars, and other crises magnify the burden of disease among people who experience poverty and other marginalized groups. With the COVID-19 pandemic, the flaws in our health care system and social safety net have been unmasked, highlighting how inequities in education, income, and housing can cripple a nation’s response to a crisis. Also laid bare is the…June 2020Policy and Practice, Systemic Determinants
- Recent attention to the interrelationship between racism, socioeconomic status (SES) and health has led to a small, but growing literature of empirical work on the role of structural racism in population health. Area-level racial inequities in SES are an indicator of structural racism, and the associations between structural racism indicators and self-rated health are unknown. Further, because…January 2020Social Environment, Systemic Determinants, Racism
- Cultural behaviors have important implications for human health. Culture, a socially transmitted system of shared knowledge, beliefs and/or practices that varies across groups, and individuals within those groups, has been a critical mode of adaptation throughout the history of our species. Socioeconomic status, gender, religion and moral values all play into how individuals experience,…December 2019Systemic Determinants
- Digital technologies shape the way in which individuals and health systems interact to promote health and treat illness. Their propensity to exacerbate inequalities is increasingly being highlighted as a concern for public health. Personal, contextual and technological factors all interact and determine uptake and consequent use of digital technologies for health. This article reviews evidence on…October 2019Systemic Determinants
- 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 2019Systemic Determinants, Transphobia
- In recent years and across many nations, public health has become subject to forms of governance that are said to be aimed at establishing accountability. In this introduction to a special issue, From Person to Population and Back: Exploring Accountability in Public Health, we suggest opening up accountability assemblages by asking a series of ostensibly simple questions that inevitably…August 2019Policy & Law, Systemic Determinants
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