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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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- 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
- In recent years and across many nations, public health has become subject to forms of governance that are said to be aimed at establishing accountability. In this introduction to a special issue, From Person to Population and Back: Exploring Accountability in Public Health, we suggest opening up accountability assemblages by asking a series of ostensibly simple questions that inevitably…August 2019Policy & Law, Systemic Determinants
- Background: Increasing numbers of children have been forced to flee and seek asylum in high-income countries. Current research indicates that focusing on resilience and protective factors is an important long-term goal for positive mental health and psychological functioning of refugee children.Methods: We performed a systematic review of quantitative literature regarding psychological and…August 2019Migration
- Systemic inequities in the U.S. healthcare system have impeded many people’s ability to get essential medical care. Factors such as race, sexual identity, occupation, housing status, and education level can lessen the quality of care people receive. Government and medical organizations often perpetuate disparities due to historical and systemic discrimination. Eliminating inequities in health…August 2019Systemic Determinants
- Care providers are key agents in the lives of individuals with an intellectual disability (ID). The quality of their support can be affected by manifestations of stigma. This scoping review was conducted to explore studies that provide indications of care providers’ stigmatization of people with ID. Methods: A structured search was made in four databases to identify relevant studies in English-…July 2019Isms and Phobias
- It is exactly a decade ago that Sexual and Relationship Therapy published a special issue entitled “Gender Variance and Transgender Identity”, which was guest edited by Walter Bockting, former Editor-in-Chief of International Journal of Transgenderism (IJT). In his editorial Bockting wrote “[this issue] is comprised of a collection of articles that reflect a transition in this growing field from…July 2019Genderism, Transphobia
- Income inequality in the U.S. has grown over the past several decades. And as the gap between rich and poor yawns, so does the gap in their health, according to a study published in JAMA Network Open Friday.The study drew from annual health survey data collected by the Centers for Disease Control and Prevention from 1993 to 2017, including around 5.5 million Americans ages 18-64. The researchers…June 2019Environment/Context
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