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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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- Through the lens of administrative burden and ordeals, we investigate challenges that low-income families face in accessing health and human services critical for their children's healthy development. We employ a mixed methods approach—drawing on administrative data on economically disadvantaged children in Tennessee, publicly available data on resource allocations and expenditures, and data…September 2021Policy and Practice, Services & Programs
- This article has four aims. First, we briefly review the basic principles and processes described in life course theory. Second, we discuss racial residential segregation (RRS) and disproportionate rates of Black premature mortality as examples of systemic and structural racism (i.e., racialized policies and practices), which operate as fundamental drivers of the social and health inequities…September 2021Policy & Law, Racism
- The notion of equity in health service delivery has been embodied in several of the Global Sustainable Development Goals (SDGs), especially the aspiration for universal health coverage (UHC). At the same time, escalating healthcare costs amidst dwindling resources continue to ignite discussions on the efficiency aspect of healthcare delivery at both operational and system levels. Therefore,…September 2021Policy and Practice
- Black individuals are less likely to receive an accurate diagnosis of mild cognitive impairment (MCI) than their White counterparts, possibly because diagnoses are typically made by a physician, often without reference to objective neuropsychological test data. We examined racial differences in actuarial MCI diagnoses among individuals diagnosed with MCI via semi-structured clinical interview (…September 2021Chronic Disease
- People affected by overdose deaths are advocating for prevention and increased access to treatment. Activist coalitions challenged the deadly impact of stigma, discrimination, and inadequate access to life-saving substance use disorder (SUD) and mental health care. Advocacy by coalitions resulted in federal and state funding and legislation, improving access to care. New York State is a model for…September 2021Substance Use and Misuse, Advocacy
- Fueled by the massive health disparities exposed by the coronavirus pandemic and the racial reckoning that followed the murder of George Floyd, health equity research is now in vogue. Journals are clamoring for it, the media is covering it, and the National Institutes of Health, after publicly apologizing for giving the field short shrift, recently announced it would unleash nearly $100 million…September 2021Racism
- The pandemic has exposed long-standing inequalities in healthcare and created a stark contrast between the haves and have-nots. At the country-level, developing countries still do not have enough COVID-19 vaccine to cover the majority of its population. Within developed countries and specifically in underserved communities, vaccine hesitancy remains high and COVID-19 vaccination rates remain low…September 2021COVID-19/Coronavirus, Vaccines
- Many children and adolescents in the United States are exposed to neighborhood gun violence. Associations between violence exposure and children’s short-term mental health are not well understood. Exposure to neighborhood gun violence is associated with an increase in children’s acute mental health symptoms. City health departments and pediatric health care systems should work together to provide…September 2021Gun Violence/Firearms, Mental/Behavioral Health
- Changing the narrative: Structural barriers and racial and ethnic inequities in COVID-19 vaccinationThe COVID-19 pandemic has disproportionately affected racial and ethnic minority groups in the United States. Although a promising solution of the COVID-19 vaccination offers hope, disparities in access again threaten the health of these communities. Various explanations have arisen for the cause of disparate vaccination rates among racial and ethnic minorities, including discussion of vaccine…September 2021COVID-19/Coronavirus, Vaccines
- Introduction: Tobacco control laws that raise the minimum age of tobacco sales to 21 years (T21) play a pivotal role in youth tobacco prevention, yet empirical data are sorely needed to inform enforcement, compliance efforts, and future legislation. Methods: Spatial analysis was conducted at the zip code level by geocoding the states and localities that adopted T21 ordinances from 2015 to…September 2021Services & Programs
- Introduction & Background: Global persistence of health inequities for Indigenous peoples is evident in ongoing discrepancies in health and standards of living. International literature suggests the key to transformation lies in Indigenous efforts to control Indigenous health and healthcare. Previous authors have focused upon participation, structural transformation, and culturally…September 2021Community-rooted/Participatory Research, Systemic Determinants
- On the occasion of the 20th anniversary of the publication of To Err Is Human: Building a Safer Health System (IOM, 2000) and Crossing the Quality Chasm: A New Health System for the 21st Century (IOM, 2001), the National Academy of Medicine convened the leaders of seven prominent U.S. health care quality organizations to discuss and author a paper identifying the most important priorities for the…September 2021Illness/Disease/Injury/Wellbeing, Policy and Practice, Social/Structural Determinants
- This article introduces the Hewlett Foundation’s refreshed Global Reproductive Equity (GRE) strategy, focusing on improving sexual and reproductive health and rights (SRHR) in East and Francophone West Africa. The strategy, developed with input from grantee partners, funders, and stakeholders, addresses the impact of COVID-19 on health systems and emphasizes the need for equity and power shifting…September 2021Social/Structural Determinants
- WHO defines health equity as “the absence of unfair and avoidable or remediable differences in health among population groups defined socially, economically, demographically, or geographically or by other means of stratification”. Yet, contrary to this fundamental aspiration and the international mandate on universal health coverage (UHC), almost 50% of the world’s population does not receive…September 2021Health Reform, Services & Programs
- Darrick Hamilton, the Henry Cohen Professor of Economics and Urban Policy at The New School, has gained national recognition for shaping policy solutions to close the racial wealth gap, which refers to how hundreds of years of structural racism have deprived Black families of resources that accumulate and transfer from one generation to the next. The typical White family has 10 times the wealth…September 2021Systemic Determinants, Racism
- The use of quality measurement to identify opportunities for improvement in how, where, and when care is delivered has driven remarkable advances and saved countless lives. At the same time, persistent racial and ethnic disparities in health and health care call attention to a striking need to address equity more directly in our health care infrastructure. Harnessing quality measurement as a tool…September 2021Health Reform, Racism
- Since the outbreak of the coronavirus disease 2019 (COVID-19) in 2020, the United States suffered over 32 million infections, with an estimated death toll from COVID-19 of well over half a million as of April 2021. In addition to having a direct health impact through infection (the long-term effects of which are still being examined), the COVID-19 pandemic dramatically transformed how society…September 2021COVID-19/Coronavirus, Mental/Behavioral Health
- This article analyses the impact of comprehensive education on health inequalities. Given that education is an important social determinant of health, it is hypothesised that a more equitable comprehensive system could reduce health inequalities in adulthood. To test this hypothesis, we exploited the change from a largely selective to a largely comprehensive system that occurred in the UK from…September 2021Early Childhood Education, Postsecondary Education, Social Environment
- Building Healthy Communities (BHC) is a signature program of The California Endowment (TCE) combining 10 years of continuous funding in 14 historically disinvested communities with state-level and regional policy campaigns and coalition building. A novel approach to health improvement that encompasses the social determinants of health, BHC focuses on power building to promote systems change and…September 2021Policy & Law, Social/Structural Determinants
- The California Endowment (TCE) launched its Community/Stakeholder Engagement (C/SE) process in the fall of 2016 as part of a mid-point review of Building Healthy Communities (BHC). The aim was to learn from a wide range of people involved in or knowledgeable about BHC – including adult and youth residents in BHC sites, other community partners, state advocates and policymakers, evaluators and…September 2021Advocacy, Interventions, Physical Environment, Social Environment
- Climate change affects all Americans—regardless of socioeconomic status—and many impacts are projected to worsen. But individuals will not equally experience these changes. This report improves our understanding of the degree to which four socially vulnerable populations— defined based on income, educational attainment, race and ethnicity, and age (Table 1)—may be more exposed to the highest…September 2021Climate Change
- BackgroundPublished literature on health care administration, management, and leadership and its impacts on health systems’ programs to address health care inequities is limited, as is information about how organizations integrate health equity in their cultures, missions, and strategic plans.PurposeThe aims of this study were to identify the key components necessary for health systems to…August 2021Services & Programs
- US companies consistently report the rising cost of health insurance as a top concern. Indeed, it is the largest employee-related expense, and the cost of health insurance has consistently risen faster than inflation. Surveys show that large, self-insured employers have adopted various strategies to reduce health care costs (for example, adopting high-deductible health plans) and, more…August 2021Environment/Context
- Adverse Childhood Experiences (ACEs) are potentially traumatic events that occur in childhood. ACEs can include violence, abuse, and growing up in a family with mental health or substance use problems. Toxic stress from ACEs can change brain development and affect how the body responds to stress. ACEs are linked to chronic health problems, mental illness, and substance misuse in adulthood.…August 2021Maternal/Child Health
- Individuals from sexual minority groups have elevated rates of depression, anxiety, substance use disorders, and suicidality relative to their heterosexual counterparts. These differences result from stress due to belonging to a sexual minority group: experiences of sexuality-based stigma that result in increased stress and adverse behavioral and mental health (BMH) outcomes. Research has…August 2021Mental/Behavioral Health
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