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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 its inception in 1996, The California Endowment (TCE) has sought ever greater impact in improving the health and lives of all Californians, with an intense focus on the state’s populations and communities of color experiencing low income. The foundation’s approach has evolved from supporting programmatic efforts to a focus on communities, policy change, and systems reform, to now an…December 2020Policy & Law, Systemic Determinants
- While the terms equity and equality may sound similar, the implementation of one versus the other can lead to dramatically different outcomes for marginalized people. Equality means each individual or group of people is given the same resources or opportunities. Equity recognizes that each person has different circumstances and allocates the exact resources and opportunities needed to reach an…November 2020Systemic Determinants
- This blog post covers a Dutch participatory research project called The Workspace, a study which brought policymakers together with unemployed people to share perspectives on municipal initiatives to encourage unemployed people's participation in society. The article outlines how The Workspace encouraged dialogue and furthered the goals of action participatory research.October 2020Structural Violence, Systemic Determinants
- Policies that increase access to SNAP are related to reduced risk of food insecurity, particularly among economically vulnerable households.More widely available school breakfast may help offset food insecurity. Policies outside of food assistance—including length of unemployment insurance availability, generosity of EITC and potentially higher minimum wages —are linked to food security. A…October 2020Services & Programs, Systemic Determinants
- Social factors are becoming more widely recognized as having an impact on health. There is growing evidence that social, economic, and environmental factors contribute significantly to disparities in health outcomes (Braveman et al 2011). As a result, those looking to close health disparities are increasingly looking at interventions that address structural issues that create an unfair and…September 2020Community-rooted/Participatory Research, Systemic Determinants
- We know that pandemics, natural disasters, wars, and other crises magnify the burden of disease among people who experience poverty and other marginalized groups. With the COVID-19 pandemic, the flaws in our health care system and social safety net have been unmasked, highlighting how inequities in education, income, and housing can cripple a nation’s response to a crisis. Also laid bare is the…June 2020Policy and Practice, Systemic Determinants
- The relationship between housing and health is more than just the four walls that shelter an individual or family each night. More broadly, the link between health and housing is a result of influences from both the individual home unit and a variety of structural and societal factors within a neighborhood. These elements have the potential to provide safety, recreation, access to transportation…May 2020Housing Discrimination, Social/Structural Determinants, Environment/Context, Systemic Determinants, Healthy Housing, Racism
- 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
- 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
- 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
- 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
- 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
- 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
- In a recent issue of this Journal, Politzer, Shmueli, and Avni estimate the economic costs of health disparities due to socioeconomic status (SES) in Israel (Politzer et al., Isr J Health Policy Res 8: 46, 2019). Using three measures of SES, the socioeconomic ranking of localities, individual income, and individual education, Politzer and colleagues estimate welfare loss due to higher…May 2019Systemic Determinants
- Purpose: We examined coalition health equity capacity using a three-dimensional conceptual framework in a 3-year study (2011–2014) of 28 local coalitions engaged in health promotion. Methods: Coalition health equity capacity was defined according to (1) conceptual foundations, (2) collective action and impact, and (3) civic orientation. This framework was used to qualitatively assess…April 2019Services & Programs, Systemic Determinants
- The determinants of health inequities between Indigenous and non-Indigenous populations include factors amenable to medical education’s influence—for example, the competence of the medical workforce to provide effective and equitable care to Indigenous populations. Medical education institutions have an important role to play in eliminating these inequities. However, there is evidence that…April 2019Interventions, Systemic Determinants
- Homelessness represents an enduring public health threat facing communities across the developed world. Children, families, and marginalized adults face life course implications of housing insecurity, while communities struggle to address the extensive array of needs within heterogeneous homeless populations. Trends in homelessness remain stubbornly high despite policy initiatives to end…April 2019Environment/Context, Systemic Determinants
- According the United States Department of Agriculture (USDA), food insecurity “is defined as a household-level economic and social condition of limited or uncertain access to adequate food”.1 Recent data indicate that approximately 12.3% or 15.6 million households in the United States (U.S.) were food insecure at least some time during the last year.1 The adverse social, physical, and…April 2019Systemic Determinants, Racism
- This special issue of Global Public Health presents a collection of articles that analyse power and its mechanisms in health systems and health policy processes. Researchers have long noted that the influence of power is implicated throughout the global health field, yet theories and methods for examining power—its sources, workings, and effects—are rarely applied in health policy and systems…February 2019Policy and Practice, Systemic Determinants
- Health disparities research in the United States over the past 2 decades has yielded considerable progress and contributed to a developing evidence base for interventions that tackle disparities in health status and access to care. However, health disparity interventions have focused primarily on individual and interpersonal factors, which are often limited in their ability to yield sustained…January 2019Community-rooted/Participatory Research, Interventions, Environment/Context, Systemic Determinants
- The authors propose a policy compact to achieve more inclusive growth in G20 countries so that economic growth regains the ultimate sense of improving all people’s lives. Guiding principles are: 1) prosperity is not just about income but about all relevant outcomes of well-being and capabilities to overcome the initial social disadvantage; 2) it is also about including people in participatory…October 2018Systemic Determinants
- 1 out of every 20 children under age six experiences homelessness—here's where change begins. I recently asked several friends and coworkers if they knew just how many children and families were affected by homelessness in the U.S. They were shocked to discover that an incredible 1 out of every 20 children under age six experiences homelessness. In Georgia, where I live, the statistics aren’t…August 2018Housing Discrimination, Systemic Determinants
- Objectives: Although a range of factors shapes health and well-being, institutionalized racism (societal allocation of privilege based on race) plays an important role in generating inequities by race. The goal of this analysis was to review the contemporary peer-reviewed public health literature from 2002-2015 to determine whether the concept of institutionalized racism was named (ie, explicitly…April 2018Systemic Determinants, Racism
- This article arises out of our work over several decades in the evaluation field and in philanthropy with a focus on designing and facilitating the implementation of systems-change strategies and evaluation. It addresses our current thinking about how foundations and communities can work within complex systems to identify key levers for change and use evaluation to track progress and assess…March 2018Systemic Determinants
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