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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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  • Since Andrew Carnegie established the first US charitable foundation in 1911, grantmakers have fought hard to address entrenched social problems. Billions of charitable gifts have gone to feed the hungry, house the homeless, heal the sick, and educate the underserved. For the better part of a century, responsive giving to address existing needs was the preferred approach for philanthropy. …
    January 2018
    Policy and Practice, Social/Structural Determinants
  • Where an individual chooses to live can have a profound effect on their short- and long-term health. “Eight Americas: Investigating Mortality Disparities Across Races, Counties, and Race-Counties in the United States,” a paper by Murray et al. (2006), examines the gap in life expectancies found in different parts of the United States in order to more fully elucidate issues related to health…
    January 2018
    Environment/Context, Environmental/Community Health
  • Although racism has been posited as driver of racial/ethnic inequities in healthcare, the relationship between racism and health service use and experience has yet to be systematically reviewed or meta-analysed. This paper presents a systematic review and meta-analysis of quantitative empirical studies that report associations between self-reported racism and various measures of healthcare…
    December 2017
    Racism
  • Social Determinants of Health (SDoH) are pivotal factors influencing health outcomes beyond medical interventions. While clinicians recognize their impact, challenges such as expertise boundaries and evidence gaps persist. Yet, healthcare is increasingly integrating SDoH into practice through community partnerships and new payment models emphasizing outcomes. This abstract explores the evolving…
    October 2017
    Social/Structural Determinants
  • When comparing suicide in the Aboriginal and Torres Strait Islander (Indigenous) population to that in the non-Indigenous populations of Australia, there are significant differences in the rates of suicide and the age groups at risk of suicide. The etiology of these differences includes a history of colonisation and its aftermath including a burden of intergenerational trauma in the Indigenous…
    September 2017
    Suicide, Social/Structural Determinants, Historical Trauma, Systemic Determinants
  • The Colorado Trust recognizes the essential role of advocacy and policy change in achieving health equity for all Coloradans. To this end, The Colorado Trust’s Health Equity Advocacy (HEA) strategy aims to establish a field of health equity advocates who can strategically promote policy changes addressing social, economic and environmental determinants of health. (author introduction)
    August 2017
    Environmental/Community Health
  • The world of community development is often complex, requiring savvy professionals able to navigate a complicated web of interdependent issues such as housing, generational poverty, financial capability, social and economic mobility, employment and education. As community development professionals, we trade in systems—systems of complex social problems hosting many different actors, policies,…
    August 2017
    Community-rooted/Participatory Research, Environmental/Community Health
  • The U.S. and the state of Colorado are more racially diverse than ever. Thirty years from now, it’s expected that fewer than half of Americans will be white, according to Manuel Pastor, PhD, director of the program for environmental and regional equity at the University of Southern California, citing census data. What’s driving this change isn’t immigration but births; people of color are younger…
    August 2017
    Classism, Racism
  • Introduction The United States continues to become more racially and ethnically diverse, and racial/ethnic minority communities encounter sociocultural barriers to quality health care, including implicit racial/ethnic bias among health care providers. In response, health care organizations are developing and implementing cultural competency curricula. Using a community-based participatory…
    August 2017
    Services & Programs, Racism
  • With an eye toward understanding how to achieve greater equity through interventions both inside and outside the health services sector, in 2016 Health Affairs launched a multi-year project to examine and overcome the factors that contribute to disparities in health and health care. The results of the first phase of this work are contained in the recently released June 2017 issue of the journal…
    June 2017
    Social/Structural Determinants
  • The significant rise in the number of international health electives undertaken by medical students and doctors in the US, Canada and UK reflects acknowledgement of the inter-connected nature of these challenges to health systems and the drive to help solve them. However, the next generation of international volunteers often operate under a conflicting duality: whilst many of their role models…
    June 2017
    Global Health
  • Life expectancy and disease rates in the United States differ starkly among Americans depending on their demographic characteristics and where they live. Although health care systems are taking important steps to reduce inequities, meaningful progress requires interventions outside the clinic, in sectors such as employment, housing, transportation, and public safety. Inequities exist in each of…
    June 2017
    Social/Structural Determinants
  • Too many special education students are at risk of leaving high school unprepared for the future. That’s my conclusion after making a deep dive into their backgrounds and experiences for a national study.Consider these facts:Special education students are half as likely as their peers to take college entrance tests such as the SAT.They are less likely to have paid work experience, despite…
    May 2017
    Education
  • In a report designed to increase consensus around meaning of health equity, the Robert Wood Johnson Foundation (RWJF) provides the following definition: “Health equity means that everyone has a fair and just opportunity to be as healthy as possible. This requires removing obstacles to health such as poverty, discrimination, and their consequences, including powerlessness and lack of access to…
    May 2017
    Policy and Practice, Social Environment
  • This paper outlines briefly how the living environment can affect health. It explains the links between social and environmental determinants of health in urban settings. Interventions to improve health equity through the environment include actions and policies that deal with proximal risk factors in deprived urban areas, such as safe drinking water supply, reduced air pollution from household…
    April 2017
    Physical Environment, Healthy Housing
  • This inaugural volume in the Robert Wood Johnson Foundation's Culture of Health book series explores topics including: efforts to address disparities in health and achieve health equity; strategies for identifying solutions to persistent health and health care issues to better future policy and practice; explorations of the connections between policing and urban design and health and well-being;…
    April 2017
    Policy and Practice, Social/Structural Determinants
  • The project team evaluated the impact of the implementation of an increased minimum wage ordinance in the early childhood education (ECE) setting. The team examined how changes to the minimum wage affected the health of ECE providers and how provider health relates to the quality of the ECE environment. The study was designed to compare minimum wage change outcomes over time in Seattle, WA and…
    April 2017
    Early Childhood Education
  • The proposal for a global health treaty aimed at health equity, the Framework Convention on Global Health, raises the fundamental question of whether we can achieve true health equity, globally and domestically, and if not, how close we can come. Considerable knowledge currently exists about the measures required to, at the least, greatly improve health equity. Why, then, do immense inequities…
    February 2017
    Advocacy, Community-rooted/Participatory Research, Systemic Determinants
  • With so many challenges in finding equitable ways for Coloradans to live, it should come as no surprise there are troubling challenges in finding equitable ways to die. Deep questions of how Colorado values individual lives and freedoms, and how to assure fairness in the most daunting of medical situations, were not solved when voters in November overwhelmingly passed Proposition 106 to legalize…
    February 2017
    Medicaid, Frailty
  • Idealized versions of health care are common, and access to health care is often viewed as an unambiguous good. In the social determinants of health literature, for example, access to health care is treated as an intermediate determinant of health. This conceals a simplistic inference: the better your access to health care, the better your health. The reality is more complex: a modern industrial…
    January 2017
    Services & Programs, Social/Structural Determinants, Historical Trauma, Systemic Determinants
  • In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health.Only part of an individual's health status depends on his or her behavior and…
    January 2017
    Community-rooted/Participatory Research, Interventions, Services & Programs, Social/Structural Determinants
  • There are many tools available to communities to help them design, implement, and evaluate community-based solutions that advance health equity. These tools can be organized by the three elements identified in the committee's conceptual model (see Figure 8-1): (1) creating a shared vision and value of health equity, (2) increasing community capacity to shape health outcomes, and (3)…
    January 2017
    Community-rooted/Participatory Research, Physical Environment, Social Environment
  • Arts and culture are essential for building community, supporting development, nurturing health and well-being, and contributing to economic opportunity. Collectively, arts and culture enable understanding of the past and envisioning of a shared, more equitable future. In disinvested communities, arts and culture act as tools for community development, shaping infrastructure, transportation,…
    January 2017
    Services & Programs, Social Environment
  • Purpose: The purpose of this study was to investigate how an individual’s social determinants of health are affected by the acquisition of physical disability in adulthood. The secondary aim was to report the described facilitators and barriers to living with a disability. Method: This qualitative study used an exploratory, descriptive approach. Nine individuals with a neurologically…
    December 2016
    Social Environment, Ableism
  • There is strong evidence from around the globe that people who are poor and less educated have more health problems and die earlier than those who are richer and more educated, and these disparities exist even in wealthy countries like Canada. To make an impact on improving health equity and providing more patient-centred care, it is necessary to better understand and address the underlying…
    December 2016
    Advocacy, Social/Structural Determinants

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