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Resource Library

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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  • Purpose of Review: We review recent community interventions to promote mental health and social equity. We define community interventions as those that involve multi-sector partnerships, emphasize community members as integral to the intervention, and/or deliver services in community settings. We examine literature in seven topic areas: collaborative care, early psychosis, school-based…
    March 2019
    Mental/Behavioral Health, Community-rooted/Participatory Research, Interventions
  • The weathering hypothesis states that chronic exposure to social and economic disadvantage leads to accelerated decline in physical health outcomes and could partially explain racial disparities in a wide array of health conditions. This systematic review summarizes the literature empirically testing the weathering hypothesis and assesses the quality of the evidence regarding weathering as a…
    March 2019
    Social Environment
  • Background: Patient-centered care for people with disability requires effective communication and compliance with the Americans with Disabilities Act (ADA).Objective: To understand physicians’ perspectives on communication experiences with people with disability.Design: Twenty semi-structured individual interviews. Interview recordings were transcribed verbatim for analysis.Setting: Massachusetts…
    March 2019
    Policy and Practice
  • States developing accountable health models often look to Oregon for inspiration. Oregon established its Coordinated Care Organizations (CCOs) in 2012, pursuant to a Medicaid Section 1115 demonstration waiver. CCOs are local networks of all types of health care providers – including physical, behavioral, and oral health providers – that the state pays a global capitated  rate to provide…
    March 2019
    Medicaid
  • Background: There is increased interest in using narratives or storytelling to influence health policies. We aimed to systematically review the evidence on the use of narratives to impact the health policy-making process.Methods: Eligible study designs included randomised studies, non-randomised studies, process evaluation studies, economic studies, qualitative studies, stakeholder analyses,…
    March 2019
  • Fruit and vegetable (F&V) intake is inversely associated with obesity, which is disproportionately high in urban food deserts and low-income populations, including Supplemental Nutrition Assistance Program (SNAP) participants. This cross sectional study sought to examine factors associated with food desert SNAP recipients’ F&V purchases and weight status in multi-person households. Socio-…
    February 2019
    Environmental/Community Health
  • Health inequities are well-documented, but their economic dimensions have received less attention. In this report, we describe four economic dimensions of health inequities in the United States. First, we describe an economic conceptual framework that connects poverty and health inequities at both individual and population levels and conveys the concept of reverse causality, where poverty worsens…
    February 2019
    Policy and Practice
  • 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 2019
    Policy and Practice, Systemic Determinants
  • ‘Intersectional stigma’ is a concept that has emerged to characterize the convergence of multiple stigmatized identities within a person or group, and to address their joint effects on health and wellbeing. While enquiry into the intersections of race, class, and gender serves as the historical and theoretical basis for intersectional stigma, there is little consensus on how best to characterize…
    February 2019
    Policy and Practice
  • 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 2019
    Racism
  • We introduce the National Institute on Minority Health and Health Disparities (NIMHD) research framework, a product that emerged from the NIMHD science visioning process. The NIMHD research framework is a multilevel, multidomain model that depicts a wide array of health determinants relevant to understanding and addressing minority health and health disparities and promoting health equity. We…
    January 2019
    Health Reform
  • In 2015, the National Institutes on Minority Health and Health Disparities (NIMHD) engaged in a two-year science visioning process for health disparities and convened a series of workshops aimed at identifying promising research directions. A central theme that resonated throughout these workshops was the importance of social determinants of health and their relationship to health disparities.…
    January 2019
    Social/Structural Determinants
  • When defining health and illness, we often look to governing bodies such as the Centers for Disease Control and Prevention and the World Health Organization rather than our communities. With health disparities prominent throughout the US, it is important to look at the structures we have set forth in health care and find new ways to address health as well as new definitions. Storytelling is a…
    January 2019
    Communication
  • On Jan. 10, 2019, Taté Walker (they/them) presented on the violence and marginalization faced by Indigenous womxn*, primarily due to the ongoing, chronic impacts of settler colonialism. Walker, who is Lakota and a citizen of the Cheyenne River Sioux Tribe of South Dakota, is an Indigenous rights activist and award-winning multimedia storyteller. Walker observed that the U.S. murder rate for…
    January 2019
    Community Violence, Structural Violence
  • Statistics on overall access to and use of various types of paid family and medical leave for the U.S. workforce are widely available. However, much less is known about disparities in paid-leave access and use by race and ethnicity. This article examines this question, using data from four nationally representative surveys—the American Time Use Survey Leave Module, the Annual Social and Economic…
    January 2019
    Paid Family Leave
  • The Office of Developmental Primary Care facilitated two discussion groups in order to learn more about the experiences of people with disabilities and their families in accessing the health care system. Discussion topics included communication, personal life values, changes in or loss of function, medical decision-making, and end of life care conversations. Our ultimate purpose was to uncover…
    January 2019
  • In November 2017, the The Forum on Promoting Children's Cognitive, Affective, and Behavioral Health, in collaboration with the Roundtable on the Promotion of Health Equity, convened a workshop on promoting children's behavioral health equity. The workshop used a socio-ecological developmental model to explore health equity of children and families, including those with complex needs and chronic…
    January 2019
    Mental/Behavioral Health
  • 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 2019
    Community-rooted/Participatory Research, Interventions, Environment/Context, Systemic Determinants
  • This paper highlights how accountability mechanisms and processes can play a vital role in driving progress on the Health 2020 and Sustainable Development Goals health equity commitments. Using concrete examples, it identifies how accountability mechanisms and processes assist countries in advancing on health equity and demonstrates how progress stalls when they are absent. It highlights how…
    January 2019
    Policy and Practice
  • Understanding health disparity causes is an important first step toward developing policies or interventions to eliminate disparities, but their nature makes identifying and addressing their causes challenging. Potential causal factors are often correlated, making it difficult to distinguish their effects. These factors may exist at different organizational levels (e.g., individual, family,…
    January 2019
    Policy and Practice
  • An unprecedented OECD survey of more than 140 foundations working for development revealed that philanthropies targeted the health and reproductive sector above all else. With contributions of USD 12.6 billion between 2013 and 2015, foundations ranked third in the leading sources of funding for health and reproductive health, just after the United States and the Global Fund to Fight AIDS,…
    January 2019
    Interventions
  • In 2019, the AMA established the Center for Health Equity to embed and advance equity across all aspects of health care, including within the AMA itself. Foundational to the work of the Center, the AMA developed, in partnership with the Association of American Medical Colleges (AAMC) Center for Health Justice, one of the most comprehensive health equity communication guides to support physicians…
    January 2019
    Advocacy
  • 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 2019
    Community-rooted/Participatory Research, Racism
  • In the US, the field of public health is undergoing a paradigmatic shift—moving from a focus on individual health behaviors to a “social ecological” approach. The latter recognizes that individual experiences and choices related to health are often determined by factors beyond the individual, such as environment, policy, or culture. The social ecological model (right) helps visualize this…
    January 2019
    Advocacy, Social/Structural Determinants
  • Between August 2018 and February 2019, the Illinois Public Health Institute (IPHI) worked with Alliance for Health Equity partners to hold a total of 57 focus groups with priority populations such as veterans, individuals living with mental illness, communities of color, older adults, caregivers, teens and young adults, LGBTQ+ community members, adults and teens experiencing homelessness,…
    January 2019
    Illness/Disease/Injury/Wellbeing

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