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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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- Many public and subsidized housing developments in the US are aging and in need of significant repairs. Some observers worry that their poor condition threatens the health of residents. We evaluated a recent renovation of public housing that was undertaken through the transfer of six housing developments from the New York City Housing Authority to a public-private partnership. We studied whether…February 2020Healthy Housing
- While Connecticut ranks among the healthiest states in the country, a closer look at health data reveals major disparities by race and ethnicity – differences that result in poorer health, premature deaths, and hundreds of millions of dollars in unnecessary health care costs, according to a report from the Connecticut Health Foundation. (author introduction)January 2020Environmental/Community Health
- This brief examines health disparities in Connecticut, highlighting significant differences in health outcomes by race and ethnicity. It identifies key factors contributing to these disparities, such as socioeconomic status, disparate treatment in healthcare, and the physiological effects of racism. There is also discussion of the economic costs of health disparities and provides recommendations…January 2020Social/Structural Determinants
- Social determinants of health—the conditions in which people are born, grow, work, live, and age that affect health and quality of life—are strongly associated with disparities in health status and life expectancy. Nurses require a comprehensive understanding of social determinants and their associations with health outcomes to provide patient-centered care. Nurses can be leaders and change…January 2020Services & Programs, Social Environment
- 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 2020Chronic Disease, Social/Structural 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
- This summary of the literature on Housing Instability as a social determinant of health is a narrowly defined examination that is not intended to be exhaustive and may not address all dimensions of the issue. Please note: The terminology used in each summary is consistent with the respective references. For additional information on cross-cutting topics, please see the Incarceration, …January 2020Healthy Housing
- 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 2020COVID-19/Coronavirus, Social/Structural Determinants
- People with higher levels of education are more likely to be healthier and live longer. Healthy People 2030 focuses on providing high-quality educational opportunities for children and adolescents — and on helping them do well in school. Children from low-income families, children with disabilities, and children who routinely experience forms of social discrimination — like bullying — …January 2020Early Childhood Education, High School Graduation, Classism
- 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
- This study aimed to examine racial and ethnic differences in significant depressive symptoms among long-term nursing home residents. We analyzed the 2014 national Minimum Data Set linked to a nursing home file, and estimated multivariable logistic regressions to determine the associations of race and ethnicities with significant depressive symptoms (score≥10 on the 9-item Patient Health…December 2019Depression, Aging and Life Course
- Today’s public health challenges are complex, with many biological, environmental, and social contributors. One of the most intractable public health issues is the racial/ethnic disparity in health outcomes. To address racial/ethnic disparities in health outcomes, it is important to have a racially and ethnically diverse workforce that is capable of addressing such public health issues. Given its…November 2019Environment/Context
- In Washington, DC, and in state capitols across the nation, policy debates over the future of access to reproductive and sexual health services are shaping the range of services and providers available to low-income women. Access to these services, including contraceptive care, sexually transmitted infection (STI) prevention and treatment, obstetrical care, and abortion services, have a profound…November 2019Reproductive/Sexual Health, Social/Structural Determinants
- While the number of people experiencing unsheltered homelessness has decreased over the last ten years, the number of older adults experiencing sheltered homelessness is on the rise, as we report in Housing America’s Older Adults 2019. Incomes for the lowest-income older adults have not risen as fast as rents, leaving a growing number of older adult renters at risk for homelessness as they…November 2019Environment/Context
- This toolkit provides information on the characteristics of white supremacy culture.November 2019Racism
- Millions of people in the United States face health disparities related to social and economic factors, including race, ethnicity, gender, sexual orientation, and income. Understanding and addressing disparities is critical to improving health equity nationwide. See the subpage on disparities in maternal health to learn more about that particular aspect of health equity. (website abstract)November 2019Policy & Law, Systemic Determinants
- From predicting who will be a repeat offender to who’s the best candidate for a job, computer algorithms are now making complex decisions in lieu of humans. But increasingly, many of these algorithms are being found to replicate the same racial, socioeconomic or gender-based biases they were built to overcome.This racial bias extends to software widely used in the health care industry,…October 2019Policy and Practice, Racism
- 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
- Health systems rely on commercial prediction algorithms to identify and help patients with complex health needs. We show that a widely used algorithm, typical of this industry-wide approach and affecting millions of patients, exhibits significant racial bias: At a given risk score, Black patients are considerably sicker than White patients, as evidenced by signs of uncontrolled illnesses.…October 2019Health Reform, Racism
- Housing is a major pathway through which health disparities emerge and are sustained over time. However, no existing unified conceptual model has comprehensively elucidated the relationship between housing and health equity with attention to the full range of harmful exposures, their cumulative burden and their historical production. We synthesized literature from a diverse array of disciplines…September 2019Housing Discrimination, Social/Structural Determinants, Environment/Context, Healthy Housing, Racism
- ContextImproving the health of the total population may be insufficient in eliminating racial disparities in population health. An expanding commitment to understanding social determinants of health aims to address the social conditions that produce racialized patterns in health inequity. There is also a resurging and evolving interest in the influence of cultural barriers and assets in shaping…September 2019Environment/Context
- Although the pace of gentrification has accelerated in cities across the US, little is known about the health consequences of growing up in gentrifying neighborhoods. We used New York State Medicaid claims data to track a cohort of low-income children born in the period 2006–08 for the nine years between January 2009 and December 2017. We compared the 2017 health outcomes of children who started…September 2019Asthma, Obesity, Anxiety, Depression, Physical Environment, Classism
- Most US cities lack built environments that support physical activity, which is a key determinant of health. Making permanent changes to the physical environment to promote physical activity is not always feasible. Play Streets is a place-based intervention that is typically organized by local governments or community organizations and involves temporarily closing streets to create safe places…September 2019Obesity, Physical Environment
- Our health is influenced by where we live, learn, work, and play. The economic, political, structural, and cultural factors that interact in our homes, schools, workplaces, and communities influence food security, safety, employment, physical activity, and family and community support. In resource-rich communities, these determinants help to protect health, well-being, and student achievement. In…August 2019Early Childhood Education
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