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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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  • Although autism spectrum disorder (ASD) can be reliably detected in the second year of life, the average age of diagnosis is 4 to 5 years. Limitations in access to timely ASD diagnostic evaluations delay enrollment in interventions known to improve developmental outcomes. As such, developing and testing streamlined methods for ASD diagnosis is a public health and research priority. In this report…
    August 2020
    Mental/Behavioral Health
  • Maternal morbidity and mortality (MMM) is a significant problem in the USA, with about 700 maternal deaths every year and an estimated 50,000 "near misses." Disparities in MMM by race are marked; black women are disproportionately affected. We use Urie Bronfenbrenner's ecological systems theory to examine the root causes of racial disparities in MMM at the individual (microsystem), interpersonal…
    July 2020
    Maternal Morbidity and Mortality, Medicaid, Racism
  • The coronavirus 2019 (COVID-19) pandemic and related policies have led to an unequal distribution of morbidity and mortality in the U.S. For Black women and birthing people, endemic vulnerabilities and disparities may exacerbate deleterious COVID-19 impacts. Historical and ongoing macro-level policies and forces over time have induced disproportionately higher rates of maternal morbidity and…
    July 2020
    COVID-19/Coronavirus, Maternal/Child Health, Social/Structural Determinants, Isms and Phobias
  • Objectives: Despite improvements in infant mortality rates (IMR) in the United States, racial gaps in IMR remain and may be driven by both structural racism and place. This study assesses the relationship between structural racism and race-specific IMR and the role of urban-rural classification on race-specific IMR and Black/White racial gaps in IMR. Methods: We conducted an analysis of…
    July 2020
    Infant Mortality
  • Research in Adverse Childhood Experiences (ACEs) has increased in recent years with hundreds of studies finding a strong and consistent relationship between child adversity and numerous public health outcomes (see the ACE Pyramid in Figure 1). According to the CDC, ACEs are potentially traumatic events that occur in childhood as well as the conditions in the child’s environment that can undermine…
    July 2020
    Maternal/Child Health, Racism
  • A behavioral health crisis has been building in the US workforce for years. In any given year, one in five adults will experience a diagnosable mental health condition, and more than half will go untreated.1 While those statistics present a sizeable enough issue, comorbidity and siloed care make the challenge that much greater. The reality is those diagnosed with a chronic condition are…
    July 2020
    Mental/Behavioral Health
  • The Journal of Gay & Lesbian Mental Health seeks out and publishes the most current clinical and research scholarship on LGBT mental health with a focus on clinical issues. The Journal strives to represent the full breadth of LGBTQ+ mental health treatment, including issues relevant to patients and mental health care providers in all types of settings. The Journal of Gay & Lesbian Mental…
    June 2020
    Mental/Behavioral Health
  • In 2020 Fairbank, Maslin, Maullin, Metz & Associates (FM3) surveyed 813 vulnerable Californians, revealing widespread concern about the coronavirus, with many fearing the worst is yet to come. While economic impacts like job loss and wage cuts are significant, infection remained the primary anxiety. Respondents recognized that low-income communities and people of color are disproportionately…
    May 2020
    COVID-19/Coronavirus, Social/Structural Determinants
  • As society we put a lot of prisons in rural communities to create jobs. the prison is largely staffed by people who live in these rural communities. As people travel from their homes to work, to stores and to church, it's likely that SARS-CoV-2 will travel along with them. Rural communities don't have the medical services to deal with what is coming. (author introduction)
    May 2020
    COVID-19/Coronavirus
  • This fact sheet provides information on the framework and principles of trauma-informed care. Trauma-informed care recognizes and responds to the signs, symptoms, and potential consequences of trauma to better support the health needs of patients who have experienced ACEs and toxic stress. (author introduction)
    May 2020
    Mental/Behavioral Health, Policy and Practice
  • The Coronavirus pandemic has been wrecking African American communities. COVID-19 is disproportionately affecting African Americans nationwide. Dying at higher rates, it is becoming clear that the consequences of this virus will continue long after this pandemic has ended. This campaign, The Skin You’re In: Coronavirus & Black America, is intended to provide accurate and relevant information…
    May 2020
    COVID-19/Coronavirus
  • Africa will need urgent intervention post-COVID-19 in strengthening the health system, the economy, and issues related to debt. Firstly, this crisis is revealing deep structural deficiencies in our health infrastructure. It cannot be that only the elite, the rich, can get the best health services where they are offered. Secondly, this pandemic will shatter economies. In tourism, for example,…
    May 2020
    COVID-19/Coronavirus, Advocacy, Global Health
  • Data shows that the new coronavirus is disproportionately striking black and Hispanic residents and killing black residents at a significantly higher rate than others. This is a tragic reflection of a longstanding reality in our state and country – widespread racial and ethnic health disparities. (author introduction)
    April 2020
    COVID-19/Coronavirus
  • Community engagement (CE) interventions include a range of approaches to involve communities in the improvement of their health and wellbeing. Working with communities defined by location or some other shared interest, these interventions may be important in assisting equity and reach of communicable disease control (CDC) in low and lower-middle income countries (LLMIC). We conducted an umbrella…
    April 2020
    Communicable Disease, Sustainable Development
  • The coronavirus pandemic continues to draw an ever-wider range of public policy responses across the United States, from the expansion of unemployment and paid leave benefits to temporary reprieves from student loan payments, evictions, and municipal water service shut-offs. Such actions reflect a recognition that virtually all government branches and agencies can contribute to controlling this…
    April 2020
    COVID-19/Coronavirus
  • Recently the president said the worst was over and the pandemic was on the decline.  I do not agree.  I am especially worried about the poorest region of the nation, the region that I recently moved to: the South. (author introduction)
    April 2020
    COVID-19/Coronavirus
  • As COVID-19-related quarantines were being implemented across America, homelessness researchers were estimating the immediate needs of people experiencing homelessness. They concluded that $11.5 billion is necessary for 400,000 new shelter beds needed to accommodate everyone who is unsheltered and to ensure appropriate social distancing, andthe creation of quarantine locations for the sick and…
    March 2020
    COVID-19/Coronavirus, Social/Structural Determinants
  • Review question: The aim of this review was to compare whether women taking abortion drugs on their own without healthcare provider supervision can do so as successfully and safely as women who take the drugs in the presence of trained healthcare providers. Background: Medical abortion used to end pregnancies has been successful and safe when women have access to appropriate information and…
    March 2020
    Abortion, Contraceptive Use/Access, Reproductive Justice
  • Objective: Sleep disturbances during pregnancy are associated with gestational diabetes and excessive weight gain. Diet could potentially play a role in these relationships, yet examinations of sleep and diet in African American pregnant populations are scarce. Methods: The study population includes pregnant African American women from Detroit, MI (n=53). At the baseline study…
    March 2020
    Maternal/Child Health
  • One in five Americans lives in a rural area, including about 18 million women of reproductive age, but key indicators, including mortality figures, show that the health of mothers and children in these communities lags behind that of their urban peers and is worsening. Nationwide, child mortality rates have declined over the past decade, but recent research shows that improvement among infants…
    February 2020
    Maternal/Child Health
  • Pregnancy-related deaths among American women have risen markedly over the past 30 years, despite an overall downward trend worldwide. Many of these deaths are preventable, and the risk remains three to four times higher for black women than white women at all levels of income or education. Maternal mortality—a key measure of health care quality—is typically defined as the death of a woman…
    January 2020
    Maternal Morbidity and Mortality
  • The concept of sleep health provides a positive holistic framing of multiple sleep characteristics, including sleep duration, continuity, timing, alertness, and satisfaction. Sleep health promotion is an underrecognized public health opportunity with implications for a wide range of critical health outcomes, including cardiovascular disease, obesity, mental health, and neurodegenerative disease.…
    January 2020
    Chronic Disease, Social/Structural Determinants
  • There is a well-established association between income and child health. We examine the Supplemental Security Income (SSI) program, which provides cash assistance to low-income children with disabilities, to assess how this relationship arises. We use a large database of Medicaid administrative records to estimate the causal effects of SSI receipt on children’s health, using a regression…
    January 2020
    Maternal/Child Health, Medicaid
  • The coronavirus (COVID-19) is a massive threat to the safety of U.S. workers. Black, Indigenous, and other workers of color are particularly vulnerable, as they are overrepresented in jobs with high exposure rates, and structural racism has led to disproportionate rates of COVID-19 infection and death.COVID-19 will likely lead to a prolonged period of economic disparity and unemployment. This…
    January 2020
    COVID-19/Coronavirus, Social/Structural Determinants
  • Racial and ethnic health inequities have been magnified during the coronavirus disease 2019 (COVID-19) pandemic. Linguistic barriers are a recognized source of health inequities for ethnic minority communities whose health communication needs cannot be adequately met in the majority language. Emergency circumstances, such as respiratory distress and end-of-life care, carry elevated risk of…
    January 2020
    COVID-19/Coronavirus, Communication

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