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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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- Internalized racism, or the acceptance of negative stereotypes about one’s own racial group, is associated with psychological distress; yet, few studies have explored the longitudinal impact of internalized racism on the psychological well-being of African American emerging adults. Furthermore, racial identity’s role as a protective factor in the context of internalized racism remains unclear.…April 2021Mental/Behavioral Health, Racism
- The COVID-19 pandemic has disproportionately affected specific demographics, with Black, Latinx, and Indigenous communities being among the hardest hit. As vaccinations ramp up across the country, data has shown that — despite some efforts to provide vaccines to typically underserved populations — people of color are at higher risk yet are still less likely to be vaccinated.In this…April 2021Vaccine Access and Uptake, Racism
- Fossil fuels — coal, oil, and gas — lie at the heart of the crises we face, including public health, racial injustice, and climate change. This report synthesizes existing research and provides new analysis that finds that the fossil fuel industry contributes to public health harms that kill hundreds of thousands of people in the U.S. each year and disproportionately…April 2021Interventions, Environment/Context, Climate Change, Environmental Injustice, Racism
- The majority of hospitals and health systems are collecting race, ethnicity, language and other data on demographic and socio-economic factors about their patients. But how can health care organizations use that data to tell a story that guides the delivery of quality care and improves outcomes for all patients? A new Market Insights report from the AHA Center for Health Innovation describes how…March 2021Systemic Determinants, Racism
- The events of the past year raised our collective awareness of racial and ethnic health disparities, social inequities, and some of the systemic policies driving these inequities. In response to this awakening, numerous organizations issued statements condemning the injustices and committing to address inequities. In an effort to provide a more complete picture of how foundations have…February 2021Services & Programs, Systemic Determinants, Racism
- In the early 1900s, African Americans died at higher rates, got sick more often, and had worse health outcomes for almost all diseases when compared to whites. This disparity was due to a combination of racism, discrimination, and segregation. Most blacks could only afford to live in unhealthy conditions and had little or no access to medical professionals. Problematically, poor black health led…December 2020Interventions, Racism
- Physicians still lack consensus on the meaning of race. When the Journal took up the topic in 2003 with a debate about the role of race in medicine, one side argued that racial and ethnic categories reflected underlying population genetics and could be clinically useful. Others held that any small benefit was outweighed by potential harms that arose from the long, rotten history of racism in…August 2020Illness/Disease/Injury/Wellbeing, Racism
- 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 2020Maternal Morbidity and Mortality, Medicaid, Racism
- Objective: One of the fundamental challenges in research on, and the practice of, anti-racism is helping people open their minds to new possibilities and new ways of thinking.Design: This commentary illustrates how art can help people unlearn misinformation and narrow ways of thinking while enhancing flexibility that allows people to think creatively about efforts to eliminate or mitigate the…July 2020Advocacy, Racism
- 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 2020Maternal/Child Health, Racism
- 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
- COVID-19 will not only have a disparate impact on historically under-resourced and marginalized communities, but also carries the risk of deepening pre-existing racial inequities in health care access, treatment, and social service delivery. Even a health care system striving to provide fair and equal treatment to all persons is not immune to structural racism and the other inequities that exist…April 2020Policy and Practice, 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
- This toolkit provides information on the characteristics of white supremacy culture.November 2019Racism
- 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
- 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
- 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
- In recent decades, there has been remarkable growth in scientific research examining the multiple ways in which racism can adversely affect health. This interest has been driven in part by the striking persistence of racial/ethnic inequities in health and the empirical evidence that indicates that socioeconomic factors alone do not account for racial/ethnic inequities in health. Racism is…February 2019Racism
- Launched in 2014, the Health Equity Advocacy (HEA) strategy is a multi-year investment of The Colorado Trust (The Trust), designed to build a robust field of organizations that advance policy solutions to address health equity and improve the health and well-being of all Coloradans. Given this focus, from the beginning of this grantee-driven initiative, the cohort of 18 HEA grantee organizations…January 2019Community-rooted/Participatory Research, Racism
- Cancer patients can experience healthcare system-related challenges during the course of their treatment. Yet, little is known about how these challenges might affect the quality and completion of cancer treatment for all patients, and particularly for patients of color. Accountability for Cancer Care through Undoing Racism and Equity is a multi-component, community-based participatory research…December 2018Cancer, Racism
- 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
- Last Thursday, in an Oval Office meeting with lawmakers, President Trump is reported to have made a derogatory statement about immigrants, and their places of origin. White House sources say the context for the remarks had been the President expressing frustration at the US protecting immigrants from Haiti, El Salvador, and Africa. Trump reportedly expressed his desire for the US to instead…January 2018Racism
- 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 2017Racism
- 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 2017Classism, Racism
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