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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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- The field of health informatics is defined as “the science of how to use data, information, and knowledge to improve human health and the delivery of health care services.” Health information technology—a vital part of informatics—refers specifically to electronic systems that are used to collect, store, share, and analyze health information. Some common examples of health information technology…November 2021Social Environment
- A growing body of research has identified health disparities among transgender and gender nonconforming (TGNC) adults in the United States, including substantial disparities in mental health, compared with their cisgender (heterosexual and sexual minority) counterparts. Differences in mental health may be influenced by the high levels of stress associated with being members of a marginalized…November 2021Mental/Behavioral Health
- Importance Severe maternal morbidity (SMM) is a major risk factor for maternal mortality, yet little is known about geographic variation in SMM or factors associated with geographical variation at the local level. Municipal governments incur substantial expenditures providing services that are an essential part of residents’ lives, but associations between municipal expenditures and…November 2021Maternal Morbidity and Mortality
- When the coronavirus disease 2019 (COVID-19) global pandemic first began, there was a great deal of confusion among health care professionals, government officials, and those simply going about their daily routines (1). Indeed, physicians were unaware initially of the severity of the novel constellation of systemic and respiratory symptoms being appreciated in numerous patients. Similarly,…November 2021COVID-19/Coronavirus
- Health disparities disproportionately affect minority cultural groups (e.g., Indigenous, immigrant, refugee) worldwide; enduring across time, disease states, and risk factors despite co-occurring advancements in health and medicine. Fundamental cause theory holds that important social factors (e.g., socioeconomic status, stigma, racism) produce health disparities by restricting equitable access…November 2021Social/Structural Determinants
- Hate crimes against Asian American/Pacific Islanders (AAPIs) have surged in the United States during the COVID-19 pandemic to alarming new levels. We analyzed data from the Healthy Minds Study, and found that COVID-19 related racial/ethnic discrimination was associated with greater odds of having depression, anxiety, non-suicidal self-injury, binge drinking, and suicidal ideation among AAPI…November 2021Mental/Behavioral Health, Racism
- Background: Lesbian, gay, bisexual, and transgender (LGBT) people present poorer mental and physical health results compared to the heterosexual and cisgender population. There are barriers in the healthcare system that increase these health inequities.Objective: To synthesise the available evidence on how nurses can intervene in reducing health inequities in LGBT people, identifying their…November 2021Chronic Disease, Mental/Behavioral Health, Health Reform, Social/Structural Determinants
- Chronic kidney disease is an important clinical condition beset with racial and ethnic disparities that are associated with social inequities. Many medical schools and health centres across the USA have raised concerns about the use of race — a socio-political construct that mediates the effect of structural racism — as a fixed, measurable biological variable in the assessment of kidney disease.…November 2021Chronic Disease, 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
- Population-based health studies demonstrate that sexual minorities (e.g., lesbian, gay, bisexual persons) have less access to health care services than their heterosexual counterparts. For example, sexual minorities are more likely than heterosexuals to delay or forgo necessary medical care and to not have a regular health care provider. Research suggests that these disparities can be attributed…November 2021Social Environment
- This article describes sexual and reproductive health equity (SRHE) and how nurse practitioners can apply this framework to improve research, policy, and clinical practice. It means that systems ensure that all individuals, across the range of age, gender, race, and other intersectional identities, have what they need to attain their highest level of sexual and reproductive health. This includes…November 2021Reproductive/Sexual Health, Genderism
- This is an account of the crucial role played by a strong local Aboriginal workforce in health care delivery. We report on the personal experience of dedicated Aboriginal health professionals across Western Australia. Their understanding of what has worked in the provision of primary health care in their communities emphasises the importance of strong, local collaboration in the development of…October 2021Community-rooted/Participatory Research, Services & Programs
- Low-wage workers in the US were the most likely to report missing work due to COVID-19 but the least likely to have access to paid sick days or family leave. As many required time off from work to quarantine, recover from serious symptoms, or to care for others, workers were sometimes forced to forgo wages and left without enough food to eat. Pre-pandemic, 24 percent of US workers did not…October 2021COVID-19/Coronavirus, Policy and Practice
- Introduction: Despite the widespread availability of SARS-CoV-2 vaccines in the USA, vaccine hesitancy continues to represent a significant impediment to the attainment of herd immunity and the end of the COVID-19 pandemic. This survey analysis provides an update for clinical healthcare providers and public health officials regarding current trends in misinformation exposure, as well as common…October 2021Vaccine Trust, Policy and Practice
- The COVID-19 pandemic’s disproportionate impact on people from some racial and ethnic groups in the U.S. persisted throughout 2021. Black, Latinx, and American Indian persons have been hospitalized and died at a higher rate than White persons consistently from the start of the pandemic. Early data show that hospitalization and mortality rates for Black, Latinx, and American Indian children are…October 2021COVID-19/Coronavirus
- Structural racism causes significant inequities in the diagnosis of perinatal and maternal mental health disorders and access to perinatal and maternal mental health treatment. Black birthing populations are particularly burdened by disjointed systems of care for mental health. To identify strategies to address racism and inequities in maternal and infant mental health care, we interviewed ten…October 2021Maternal/Child Health, Isms and Phobias
- Through the lens of administrative burden and ordeals, we investigate challenges that low-income families face in accessing health and human services critical for their children's healthy development. We employ a mixed methods approach—drawing on administrative data on economically disadvantaged children in Tennessee, publicly available data on resource allocations and expenditures, and data…September 2021Policy and Practice, Services & Programs
- This article has four aims. First, we briefly review the basic principles and processes described in life course theory. Second, we discuss racial residential segregation (RRS) and disproportionate rates of Black premature mortality as examples of systemic and structural racism (i.e., racialized policies and practices), which operate as fundamental drivers of the social and health inequities…September 2021Policy & Law, Racism
- The notion of equity in health service delivery has been embodied in several of the Global Sustainable Development Goals (SDGs), especially the aspiration for universal health coverage (UHC). At the same time, escalating healthcare costs amidst dwindling resources continue to ignite discussions on the efficiency aspect of healthcare delivery at both operational and system levels. Therefore,…September 2021Policy and Practice
- Black individuals are less likely to receive an accurate diagnosis of mild cognitive impairment (MCI) than their White counterparts, possibly because diagnoses are typically made by a physician, often without reference to objective neuropsychological test data. We examined racial differences in actuarial MCI diagnoses among individuals diagnosed with MCI via semi-structured clinical interview (…September 2021Chronic Disease
- People affected by overdose deaths are advocating for prevention and increased access to treatment. Activist coalitions challenged the deadly impact of stigma, discrimination, and inadequate access to life-saving substance use disorder (SUD) and mental health care. Advocacy by coalitions resulted in federal and state funding and legislation, improving access to care. New York State is a model for…September 2021Substance Use and Misuse, Advocacy
- Many children and adolescents in the United States are exposed to neighborhood gun violence. Associations between violence exposure and children’s short-term mental health are not well understood. Exposure to neighborhood gun violence is associated with an increase in children’s acute mental health symptoms. City health departments and pediatric health care systems should work together to provide…September 2021Gun Violence/Firearms, Mental/Behavioral Health
- Changing the narrative: Structural barriers and racial and ethnic inequities in COVID-19 vaccinationThe COVID-19 pandemic has disproportionately affected racial and ethnic minority groups in the United States. Although a promising solution of the COVID-19 vaccination offers hope, disparities in access again threaten the health of these communities. Various explanations have arisen for the cause of disparate vaccination rates among racial and ethnic minorities, including discussion of vaccine…September 2021COVID-19/Coronavirus, Vaccines
- Introduction: Tobacco control laws that raise the minimum age of tobacco sales to 21 years (T21) play a pivotal role in youth tobacco prevention, yet empirical data are sorely needed to inform enforcement, compliance efforts, and future legislation. Methods: Spatial analysis was conducted at the zip code level by geocoding the states and localities that adopted T21 ordinances from 2015 to…September 2021Services & Programs
- 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
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