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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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- Disasters—earthquakes, hurricanes, chemical explosions, wars, school shootings,mass casualty accidents, and acts of terrorism—can strike anyone, regardless of culture, ethnicity, or race. No one who experiences or witnesses a disaster is untouched by it.Peoples’ reactions to disaster and their coping skills, as well as their receptivity to crisis counseling, differ significantly because of their…October 2007Mental/Behavioral Health, Disasters
- Immigrants have been identified as a vulnerable population, but there is heterogeneity in the degree to which they are vulnerable to inadequate health care. Here we examine the factors that affect immigrants’ vulnerability, including socioeconomic background; immigration status; limited English proficiency; federal, state, and local policies on access to publicly funded health care; residential…October 2007Health Reform, Racism
- There is increasing recognition that the nutrition transition sweeping the world’s cities is multifaceted. Urban food and nutrition systems are beginning to share similar features, including an increase in dietary diversity, a convergence toward “Western-style” diets rich in fat and refined carbohydrate and within-country bifurcation of food supplies and dietary conventions. Unequal access to the…April 2007Health Reform, Systemic Determinants
- Objectives: Little is known about why people continue to smoke after learning that they have diseases and conditions that contraindicate smoking. Using data from the Adverse Childhood Experiences (ACE) Study, we examined the relation between ACEs and smoking behavior when smoking-related illnesses or conditions are present, both with and without depression as a mediator.Methods: Participants were…March 2007Tobacco
- A key purpose of the Framework for Action is to promote a common understanding of what a health system is and what constitutes health systems strengthening. It also provides a basis to support countries in scaling up health systems and services: addressing bottlenecks in a collaborative, coordinated way, driven by desired health outcomes, to achieve sustainable system-wide effects. To be most…January 2007Policy and Practice
- The aim of this paper is to discuss the study of equity in mental health contexts. We review major principles and theories of distributive justice, covering various disciplines such as ethics, philosophy, economics, medicine and sociology. Recent literature on empirical analysis of inequalities in the mental health field is also reviewed. The review of literature reveals a general lack of debate…December 2006Mental/Behavioral Health, Social/Structural Determinants
- To promote use of essential clinical preventive services, the New York City Department of Health and Mental Hygiene developed the Public Health Detailing Program, a primary care provider outreach initiative modeled on pharmaceutical detailing. Department representatives conducted topical campaigns, making unscheduled visits to health care practices and meeting with providers and office staff…June 2006Services & Programs
- There is little consensus about the meaning of the terms “health disparities,” “health inequalities,” or “health equity.” The definitions can have important practical consequences, determining the measurements that are monitored by governments and international agencies and the activities that will be supported by resources earmarked to address health disparities/inequalities or health equity.…April 2006Policy and Practice
- Since time immemorial Indigenous peoples in Canada have been using plants and other natural materials as medicine. Plant medicines are used more frequently than those derived from animals. In all, Indigenous peoples have identified over 400 different species of plants (as well as lichens, fungi and algae) with medicinal applications. Medicine traditions — the plants used, the ailments treated,…February 2006Interventions
- Mexican immigrants, Mexican-Americans, and non-Hispanic white Americans all face different stressors. Stress-coping strategies may vary for each group as well. We compared relationships among perceived stress, stress-coping strategies, and health-related quality of life (HRQL) in a rural sample of Mexican citizens living in the United States, MexicanAmericans, and non-Hispanic whites. Health-…July 2005Mental/Behavioral Health
- Objectives: This report discusses six issues that affect the measurement of disparities in health between groups in a population:Selecting a reference point from which to measure disparityMeasuring disparity in absolute or in relative termsMeasuring in terms of favorable or adverse eventsMeasuring in pair-wise or in summary fashionChoosing whether to weight groups according to group sizeDeciding…July 2005Policy and Practice
- In this study we examined the functional and behavioral health status of this group of young Sudanese refugees approximately 1 year after their arrival in the United States. Our focus was directed at the extent to which their experiences of psychologically traumatic events, refugee resettlement, and demographics were associated with clinical symptoms, psychosocial functioning, and general health…June 2005
- The California Endowment is strongly committed to multicultural health approaches as a crucial aspect of fulfilling its mission to promote the health and well-being of all Californians. As The Endowment has deepened its understanding of how to best develop and implement strategies that can meet the burgeoning needs of diverse communities, it has consistently relied on evaluation as an important…January 2005Illness/Disease/Injury/Wellbeing, Policy and Practice, Environmental/Community Health
- The biopsychosocial model is both a philosophy of clinical care and a practical clinical guide. Philosophically, it is a way of understanding how suffering, disease, and illness are affected by multiple levels of organization, from the societal to the molecular. At the practical level, it is a way of understanding the patient’s subjective experience as an essential contributor to accurate…November 2004Social/Structural Determinants
- Despite the advances of modern epidemiology, the field remains limited in its ability to explain why certain outcomes occur and to generate the kind of findings that can be translated into programs or policies to improve health. Creating community partnerships such that community representatives participate in the definition of the research problem, interpretation of the data, and application of…May 2004Chronic Disease, Communicable Disease, Environmental/Community Health
- A series of court cases litigated by the National Association for the Advancement of Colored People Legal Defense and Education Fund between 1956 and 1967 laid the foundation for elimination of overt discrimination in hospitals and professional associations.The landmark case, Simkins v Moses H. Cone Memorial Hospital (1963), challenged the use of public funds to expand segregated hospital care.…May 2004Policy and Practice, Racism
- When I was invited to submit a paper for this issue of Phylon, I immediately knew that my topic would be “Confronting Institutionalized Racism.” That is because I have become convinced that it is only by naming racism, asking the question “How is racism operating here?” and then mobilizing with others to actually confront the system and dismantle it that we can have any significant or lasting…December 2003Systemic Determinants, Racism
- Health grantmakers and government decisionmakers both care deeply about developing health systems that deliver high-quality services and promote the health of populations in need. While it is possible for the sectors to work separately, the mismatch between available resources and unmet needs and the complex determinants of health suggest that significant improvements will not be achieved by…January 2003Services & Programs
- Racial discrimination occurs on many levels, in a variety of contexts, intertwined with income, education level, and other sociodemographic factors. It can be subtle or disturbingly overt. During the eight focus groups, participants were asked to talk about their own personal experiences with racism in health care. When asked whether discrimination exists in receiving quality health care, one…January 2003Policy and Practice, Racism
- It is hard to talk about race. Discussions about race in general and racial discrimination in particular are potentially unnerving, which explains in large measure why such conversations are so few and far between. In the health care context, discussions about race and racial discrimination are particularly rare....Racial disparities in many areas of health status are well documented, disturbing…January 2003Policy and Practice, Social/Structural Determinants
- The past few years have witnessed an explosion of interest in neighborhood or area effects on health. Several types of empiric studies have been used to examine possible area or neighborhood effects, including ecologic studies relating area characteristics to morbidity and mortality rates, contextual and multilevel analyses relating area socioeconomic context to health outcomes, and studies…November 2001Social/Structural Determinants
- American Indian and Alaska Native (AI/AN) land rights, sovereignty conflicts, and health outcomes have been significantly influenced by settler colonialism. This principle has driven the numerous relocations and forced assimilation of AI/AN children as well as the claiming of AI/AN lands across the United States. As tribes across the country begin to reclaim these lands and others continue to…November 2001Historical Trauma, Environmental Injustice
- This resource provides a guide for health professionals to follow when working with Aboriginal people, employing cross cultural understanding. #P4HEwebinarJuly2023February 2001Interventions
- The author presents a theoretic framework for understanding racism on 3 levels: institutionalized, personally mediated, and internalized. This framework is useful for raising new hypotheses about the basis of race-associated differences in health outcomes, as well as for designing effective interventions to eliminate those differences.She then presents an allegory about a gardener with 2 flower…August 2000Social/Structural Determinants, Racism
- Many developing countries are increasingly dependent on donor assistance to meet the equipment needs of their health care systems. However, because not all important parameters are taken into consideration, donations sometimes do not achieve their intended objectives, and could even constitute an added burden to the recipient health care system. There is therefore a need to improve the process of…March 2000Policy and Practice
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