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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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- US Food and Drug Administration (FDA) draft guidance from April 2022 calls for the improvement of clinical trial enrollment of participants from historically excluded racial and ethnic populations, and key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
- The United States spends more on health care than other high-income countries, but our health care system is failing us. Not only are our health outcomes relatively poor, but they are also deeply inequitable, undermining our collective future.From the Supreme Court’s Dobbs decision overturning Roe, to our worsening maternal health crisis that disproportionately hurts Black and other birthing…July 2023Reproductive/Sexual Health, Policy and Practice
- Cardiovascular disease (CVD) and stroke are the leading causes of death in the United States. On average, someone dies of CVD every 34 seconds, and someone dies of a stroke every 3 minutes and 17 seconds in the US. Risk factors for CVD and stroke include hypertension, diabetes, high cholesterol, physical inactivity, smoking, and obesity. Beyond the human toll, CVD poses a significant economic…July 2023Policy and Practice
- From 2018–2020, 19 states enacted Medicaid work requirements as a strategy for reducing program enrollment and overall cost. While these requirements were later rescinded, strategies to reduce Medicaid costs are likely to reemerge as states attempt to recover economically from the COVID-19 pandemic. Here, we evaluated the impact of Medicaid work requirements on adults aged > 50, a group that…July 2023Medicaid
- 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
- Background: The U.S. monkeypox (mpox) outbreak of 2022 was a unique emergent public health crisis disproportionately affecting Black sexual minority men (BSMM). Similar to other stigmas, mpox-related stigma may have adverse effects on BSMM, including deterring HIV prevention such as PrEP. Methods: Our study investigated the experiences and perceptions of BSMM related to mpox, including mpox-…July 2023Stigma, Vaccines
- Most employers offer benefits to promote and protect the health and well-being of their employees. These benefits can range from affordable health care options, on-site daycare, and healthy food choices in the cafeteria, to free health screenings and discounts on gym memberships. But private sector employers can go beyond considering the needs of their employees and clients. By addressing the…June 2023Policy and Practice
- The current state of the world: The world is once again going through immense change and disruption: from the global pandemic and the disproportionate impact on poorer nations and classes to the murder of George Floyd and the return to prominence of the fight for racial equality; from the urgent fight for the rights of women highlighted by the reversal of Roe vs Wade in the US, the recent…June 2023Advocacy
- Health and civic engagement are linked. Healthier people may be able to participate more fully in civic life, although those with poorer health may be motivated to address the roots of their health challenges using collective action. In turn, civically active people may experience better health, and societies with more equitable health and health care may experience healthier civic life.…June 2023Policy & Law
- Background: With their close connection to community and increasing preventive health remit, local governments are well positioned to implement policies and programs to address health inequities. Nevertheless, there is a lack of evidence of equity-focused policy action in this sector. We aimed to understand how local government representatives approach equity in the development and implementation…June 2023Advocacy, Policy & Law
- Despite advances in prevention and treatment, people of color in the United States are at heightened risk for substance use and HIV because of underlying structural and social inequities. Although racism, stigma, and discrimination are known drivers of disparate substance abuse and HIV outcomes, public health efforts to advance research and support the systemic policy and programmatic changes…June 2023Policy and Practice, Social/Structural Determinants
- This review is made up of two parts; the first part discussing intellectual disability (ID) in general, while the second part covers the pain associated with intellectual disability and the challenges and practical tips for the management of pain associated with (ID). Intellectual disability is characterized by deficits in general mental abilities, such as reasoning, problem solving, planning,…June 2023Policy and Practice
- American Indian and Alaska Native (AIAN)* communities have successfully relied on long-held traditional ceremonial practices (TCPs) to survive and recover from historical traumas for generations. Interventions that incorporate TCPs to prevent or treat problem substance use are increasingly replacing the more deficit-based clinical approaches employed by Western science. Beyond merely introducing…June 2023Substance Use and Misuse
- As the month of LGBTQ+ Pride approaches, it is worth noting the elevated and preventable health risks of those who are LGBTQ+. As two gay men who have been public health officials for a few decades, we see the health and well-being of LGBTQ+ people as being at a crossroads. On the one hand, notable progress has been made since we began our public health careers when the health of LGBTQ+…May 2023Advocacy
- 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
- A source of support during birth could be the solution to negative outcomes for the mother and her baby. To improve the birthing experience and increase positive birthing outcomes, sources of support during pregnancy should be evaluated and understood. The goal of this review was to synthesize the existing literature on how doulas might improve birth outcomes. This scoping review also aimed to…May 2023Maternal/Child Health, Policy and Practice
- 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
- In the United States, recreational drugs continue to play a prominent role in drug use disorders and fatalities. Included in this category are psychostimulant drugs such as cocaine, which is well-known for its euphoric effects and abuse potential. Cocaine produces euphoria by blocking the reuptake of neurotransmitters, that is, dopamine, norepinephrine, and serotonin. Although cocaine produces…May 2023Substance Use and Misuse
- Purpose: Perceived Social Support (PSS) can impact breastfeeding behaviors, and a lack of PSS potentially contributes to disparities in breastfeeding rates for African American women (AA). Objectives were to describe PSS at two timepoints and test associations between PSS and breastfeeding intensity for AA.Methods: Data are from a feasibility trial of breastfeeding support among AA. The Hughes…May 2023Maternal/Child Health
- 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
- 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
- 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
- Importance: Studies have suggested that greater primary care physician (PCP) availability is associated with better population health and that a diverse health workforce can improve care experience measures. However, it is unclear whether greater Black representation within the PCP workforce is associated with improved health outcomes among Black individuals.Objective: To assess county-level…April 2023Policy and Practice
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