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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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- Issue: In the United States, high spending on maternity care does not translate to better maternal health outcomes. People of color, particularly Black and Indigenous women, are at heightened risk for negative outcomes.Goal: To examine models for delivering maternity care that could improve outcomes and reduce racial inequities in maternal morbidity and mortality.Methods: Review of research…March 2021Maternal/Child Health, Policy and Practice
- Foundations that support advocacy historically have measured success by whether a policy or systems change “win” has been achieved. Did the campaign succeed in passing Medicaid expansion? Were advocates successful in getting home visiting programs funded? This report, and the evaluation that informed it, examines what it takes for advocacy to build power in addition to achieving wins. This report…March 2021Advocacy
- Cross-sector collaboration and systems alignment can address social determinants of health, improve family well-being, and create a more equitable society. In attempts to align Temporary Assistance for Needy Families (TANF) and Medicaid to promote health through its trauma-informed program, The Building Wealth and Health Network (The Network) encountered three major challenges to meeting those…March 2021Medicaid, Social Environment, Systemic Determinants
- This paper explores the intersection of poverty, housing, and health among low-income weatherization program participants in the United States. These income-qualifying programs seek to reduce energy burden, which is the proportion of a household’s annual income spent on residential energy. These programs produce secondary benefits by reducing material deprivation, health inequalities, and energy…March 2021Healthy Housing
- Objective: We examine whether broadened access to Medicaid helped insulate households from declines in health coverage and health care access linked to the 2007-2009 Great Recession. Data source: 2004-2010 Behavioral Risk Factor Surveillance System (BRFSS). Study design: Flexible difference-in-difference regressions were used to compare the impact of county-level unemployment on health…March 2021Medicaid
- Background and Objectives: Framed within Conservation of Resources theory, this study addressed race–ethnic differences in the relationships between emotional distress and current and expected coronavirus disease 2019 (COVID-19) pandemic stressors.Research Design and Methods: The study employed data from the Household Pulse Survey, a large national survey collecting weekly data to understand the…March 2021COVID-19/Coronavirus, Mental/Behavioral Health
- Among the many lessons to come out of the coronavirus disease 2019 (COVID-19) pandemic, perhaps the most enduring will be how interconnected it showed the world to be. No one has been left unaffected; all of us know someone who has had the virus or have seen firsthand the tragic toll it can take. COVID-19 has reminded us that no one can live in a bubble—that what happens anywhere affects all of…March 2021Social/Structural Determinants
- Importance: There are limited data on the racial disparities in the incidence of attention-deficit/hyperactivity disorder (ADHD) diagnosis in children at the national level.Objective: To explore differences in rates of diagnosis of ADHD and use of treatment among children by race and ethnicity.Design, Setting, and Participants: This retrospective cohort study assessed insurance claims data of…March 2021Mental/Behavioral Health
- Despite a number of important global public health successes, for many health behaviours there is a continued lack of interventions that have been sufficiently scaled up to achieve system-wide integration. This has limited sustainable and equitable population health improvement. Systems change plays a major role in the relation between implementation processes and at-scale institutionalisation of…March 2021Social/Structural Determinants, Systemic Determinants
- In 2021, due to the COVID-19 pandemic, Continuums of Care (CoCs) across the nation were faced with the possibility that conducting a count of those experiencing unsheltered homelessness would not be feasible. Conducting the annual January count of individuals experiencing unsheltered homelessness requires hundreds of community volunteers. Additionally, volunteers gather in groups and approach…March 2021Community-rooted/Participatory Research, Housing Discrimination, Healthy Housing
- The COVID-19 outbreak in the U.S. has shown the country what all hospital and health systems leaders have known for years: Serious gaps exist in access, cost and quality for patients based on race, ethnicity, gender and gender identity, age, sexual orientation or other demographic and socio-economic factors. Hospitals and health systems have the opportunity to use data to identify outcome…March 2021Interventions
- Social determinants of health, such as working and living conditions and quality healthcare access, aren’t the same for everyone. Health inequities pose a serious challenge to the healthcare community, but healthcare providers have a powerful tool at their disposal: cultural competence. Cultural competence in health care addresses the disparities that people of racially and culturally diverse…March 2021Social/Structural Determinants
- There is striking racial disparity in the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection rates in the United States. We hypothesize that the disparity is significantly smaller in areas with a higher ratio of green spaces. County level data on the SARS-CoV-2 infection rates of black and white individuals in 135 of the most urbanized counties across the United States were…February 2021COVID-19/Coronavirus, Systemic Determinants
- February marks Black History Month and it is a time for us to celebrate and remember the people and events that have got us to where we are today. It encourages many to learn about the history they were never taught, how the world has changed, and what still needs to be done to create a world free from racism, stigma, and discrimination. (author introduction)February 2021HIV, HIV, Advocacy
- A lingering mistrust of the medical system makes some Black Americans more hesitant to sign up for COVID-19 vaccines. It has played out in early data that show a stark disparity in whom is getting shots in this country — more than 60% going to white people, and less than 6% to African Americans. The mistrust is rooted in history, including the infamous U.S. study of syphilis that left Black men…February 2021COVID-19/Coronavirus, Vaccine Trust
- As our nation continues to reel from the impact of the dual crises of the COVID-19 pandemic and racial strife, we increasingly understand that trust in each other and our institutions will be essential for progress. However, data from the last several decades show a progressive erosion of trust. Absent a foundation of trust, we have watched pseudo-science and conspiracy theories gain traction on…February 2021Policy and Practice
- The passage of US immigrant-related policies at the federal, state, and local level is on the rise. These policies may affect child health through several mechanisms. We performed a systematic review of English-language, peer-reviewed, quantitative studies examining US immigrant-related policies and the mental and physical health of youth in immigrant families. We searched PubMed and five social…February 2021Policy & Law
- Differential impacts of the COVID-19 pandemic have brought deeply rooted inequities to the forefront, where increasing evidence has shown that racialized immigrant and migrant (im/migrant) populations face a disproportionate burden of COVID-19. Im/migrant communities may be worst affected by lockdowns and restrictive measures, face less opportunity to physically distance or stay home sick within…February 2021COVID-19/Coronavirus, Social/Structural Determinants
- Trans and gender non-conforming (TGNC) people experience poor health care and health outcomes. We conducted a qualitative scoping review of studies addressing TGNC people's experiences receiving physical health care to inform research and practice solutions. A systematic search resulted in 35 qualitative studies for analysis. Studies included 1,607 TGNC participants, ages 16–64 years. Analytic…February 2021Transphobia
- 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 United States, despite significant investment and the efforts of multiple maternal health stakeholders, maternal mortality (MM) has reemerged since 1987 and MM disparity has persisted since 1935. This article provides a review of the U.S. MM trajectory throughout its history up to its current state. From this longitudinal perspective, MM trends and themes are evaluated within a global…February 2021Maternal Morbidity and Mortality
- For decades, the tobacco industry has targeted Black Americans, especially youth, with marketing for menthol cigarettes and other tobacco products like flavored cigars. The tobacco industry’s predatory marketing has had a devastating impact on Black health and lives. Tobacco use is the number one cause of preventable death among Black Americans, claiming 45,000 Black lives each year. Black…February 2021Advocacy
- Since the World Health Organization launched its commission on the social determinants of health (SDOH) over a decade ago, a large body of research has proven that social determinants—defined as the conditions in which people are born, grow, live, work, and age—are significant drivers of disease risk and susceptibility within clinical care and public health systems. Unfortunately, the term has…February 2021Maternal/Child Health, Social/Structural Determinants
- Black women in the United States have experienced substantial improvements in health during the last century, yet health disparities persist. These health disparities are in large part a reflection of the inequalities experienced by Black women on a host of social and economic measures. In this paper, we examine the structural contributors to social and economic conditions that create the…February 2021Illness/Disease/Injury/Wellbeing, Social/Structural Determinants
- Public health is the science of reducing and preventing injury, disease, and death and promoting the health and well-being of populations through the use of data, research, and effective policies and practices. A public health approach to prevent gun violence is a population level approach that addresses both firearm access and the factors that contribute to and protect from gun violence. This…February 2021Gun Violence/Firearms
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