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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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- Fruit and vegetable (F&V) intake is inversely associated with obesity, which is disproportionately high in urban food deserts and low-income populations, including Supplemental Nutrition Assistance Program (SNAP) participants. This cross sectional study sought to examine factors associated with food desert SNAP recipients’ F&V purchases and weight status in multi-person households. Socio-…February 2019Environmental/Community Health
- Health inequities are well-documented, but their economic dimensions have received less attention. In this report, we describe four economic dimensions of health inequities in the United States. First, we describe an economic conceptual framework that connects poverty and health inequities at both individual and population levels and conveys the concept of reverse causality, where poverty worsens…February 2019Policy and Practice
- This special issue of Global Public Health presents a collection of articles that analyse power and its mechanisms in health systems and health policy processes. Researchers have long noted that the influence of power is implicated throughout the global health field, yet theories and methods for examining power—its sources, workings, and effects—are rarely applied in health policy and systems…February 2019Policy and Practice, Systemic Determinants
- ‘Intersectional stigma’ is a concept that has emerged to characterize the convergence of multiple stigmatized identities within a person or group, and to address their joint effects on health and wellbeing. While enquiry into the intersections of race, class, and gender serves as the historical and theoretical basis for intersectional stigma, there is little consensus on how best to characterize…February 2019Policy and Practice
- In recent decades, there has been remarkable growth in scientific research examining the multiple ways in which racism can adversely affect health. This interest has been driven in part by the striking persistence of racial/ethnic inequities in health and the empirical evidence that indicates that socioeconomic factors alone do not account for racial/ethnic inequities in health. Racism is…February 2019Racism
- In 2015, the National Institutes on Minority Health and Health Disparities (NIMHD) engaged in a two-year science visioning process for health disparities and convened a series of workshops aimed at identifying promising research directions. A central theme that resonated throughout these workshops was the importance of social determinants of health and their relationship to health disparities.…January 2019Social/Structural Determinants
- When defining health and illness, we often look to governing bodies such as the Centers for Disease Control and Prevention and the World Health Organization rather than our communities. With health disparities prominent throughout the US, it is important to look at the structures we have set forth in health care and find new ways to address health as well as new definitions. Storytelling is a…January 2019Communication
- Health disparities research in the United States over the past 2 decades has yielded considerable progress and contributed to a developing evidence base for interventions that tackle disparities in health status and access to care. However, health disparity interventions have focused primarily on individual and interpersonal factors, which are often limited in their ability to yield sustained…January 2019Community-rooted/Participatory Research, Interventions, Environment/Context, Systemic Determinants
- Understanding health disparity causes is an important first step toward developing policies or interventions to eliminate disparities, but their nature makes identifying and addressing their causes challenging. Potential causal factors are often correlated, making it difficult to distinguish their effects. These factors may exist at different organizational levels (e.g., individual, family,…January 2019Policy and Practice
- Background: Traditional ecological knowledge (TEK) is a conceptual framework that highlights Indigenous knowledge (IK) systems. Although scientific literature has noted the relevance of TEK for environmental research since the 1980s, little attention has been given to how Native American (NA) scholars engage with it to shape tribal-based research on health, nor how non-Native scholars can…December 2018Environmental/Community Health
- 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
- Background: Research funders in several countries have posited a new vision for research that involves patients and the public as co-applicants for the funding, and as collaborative partners in decision-making at various stages and/or throughout the research process. Patient engagement (or patient and public involvement) in health research is presented as a more democratic approach that leads to…December 2018Community-rooted/Participatory Research
- 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
- Purpose: Rural residents may have lower access to and use of certain health information sources relative to urban residents. We investigated differences in information source access and use between rural and urban US adults and whether having low health literacy might exacerbate rural disparities in access to and use of health information.Methods: Six hundred participants (50% rural) completed an…November 2018Social/Structural Determinants
- Some of the nation’s greatest public health successes would not have been possible without policy change. The Centers for Disease Control and Prevention’s list of “Ten Great Public Health Achievements”—including motor vehicle safety, tobacco control, and maternal and infant health—all involved policy change.1 Because of these public health achievements, the average life expectancy at birth for…November 2018Policy and Practice
- The authors propose a policy compact to achieve more inclusive growth in G20 countries so that economic growth regains the ultimate sense of improving all people’s lives. Guiding principles are: 1) prosperity is not just about income but about all relevant outcomes of well-being and capabilities to overcome the initial social disadvantage; 2) it is also about including people in participatory…October 2018Systemic Determinants
- The complexities of social identity and genetic ancestry have led to confusion and consternation related to the use and interpretation of race, ethnicity, and ancestry data in biomedical research. These discussions and overt debates have intensified with advances in genomics and in knowledge about how social factors interact with biology. As more information about genomic diversity becomes…October 2018Social/Structural Determinants
- Economic policies can have unintended consequences on population health. In recent years, many states in the USA have passed ‘right to work’ (RTW) laws which weaken labour unions. The effect of these laws on occupational health remains unexplored. This study fills this gap by analyzing the effect of RTW on occupational fatalities through its effect on unionization. (author abstract)October 2018Policy & Law
- This study focused on: 1) whether disparities in timely receipt of substance use services can be explained in part by the characteristics of the community in which the clients reside; and 2) whether the effect of community characteristics on timely receipt of services was similar across racial/ethnic groups. The sample was composed of adults receiving publicly-funded outpatient treatment in…October 2018Substance Use and Misuse
- BackgroundThe health care sector has a significant role to play in fostering equity in the context of widening global social and health inequities. The purpose of this paper is to illustrate the process and impacts of implementing an organizational-level health equity intervention aimed at enhancing capacity to provide equity-oriented health care.MethodsThe theoretically-informed and evidence-…September 2018Interventions
- Objective: To understand potential for multi-sector partnerships among community-based organizations and publicly funded health systems to implement health improvement strategies that advance health equity. Design: Key stakeholder interviewing during HNI planning and early implementation to elicit perceptions of multi-sector partnerships and innovations required for partnerships to…September 2018Policy and Practice
- This article reports how a large Medi-Cal managed care plan addressed challenges in accessing health care for approximately 7,000enrollees with multiple chronic conditions through a project known as the Behavioral Health Integration and Complex Care Initiative. The initiative increased staffing for care management, care coordination, and behavioral health integration. In our evaluation of the…September 2018Mental/Behavioral Health
- Influencing public policy change can be difficult and complex, particularly for those with limited power and resources. For any one issue there may be several groups, including the commercial sector and public health advocates advocating from different policy perspectives. However, much of the public health advocacy literature and tools available for those wanting to improve their practice is…August 2018Advocacy
- Background: To identify the strategies and contextual factors that enable optimal engagement of patients in the design, delivery, and evaluation of health services.Methods: We searched MEDLINE, EMBASE, CINAHL, Cochrane, Scopus, PsychINFO, Social Science Abstracts, EBSCO, and ISI Web of Science from 1990 to 2016 for empirical studies addressing the active participation of patients, caregivers, or…July 2018Policy and Practice
- This paper provides a general overview on different perspectives and studies on social cohesion, offers a definition of social cohesion that is deeply rooted in current literature, and provides a framework that can be used to characterize social cohesion and help support resilient cities. The framework highlights the factors that play a substantial role in enabling social cohesion and shows from…July 2018Social Environment
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