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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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  • Care providers are key agents in the lives of individuals with an intellectual disability (ID). The quality of their support can be affected by manifestations of stigma. This scoping review was conducted to explore studies that provide indications of care providers’ stigmatization of people with ID. Methods: A structured search was made in four databases to identify relevant studies in English-…
    July 2019
    Isms and Phobias
  • The Community Preventive Services Task Force (CPSTF) recommends permanent supportive housing with Housing First (Housing First programs) to promote health equity for people who are experiencing homelessness and have a disabling condition. Evidence shows Housing First programs decrease homelessness, increase housing stability, and improve quality of life for homeless persons living…
    June 2019
    HIV, Healthy Housing
  • Our work is based on the idea that health and education outcomes are intrinsically linked. We seek to improve these outcomes collectively and across multiple projects. We developed ETR’s Health Equity Framework to help us, and others, think about improving interrelated outcomes from multiple, overlapping perspectives. (author abstract) #P4HEsummit2022
    April 2019
    Early Childhood Education
  • Patients with a history of intellectual disability (ID) have been noted to experience pain more frequently and to a higher degree than the general population. Previously referred to as “mental retardation,” ID occurs in approximately 1% of the population. A diagnosis of ID is generally based upon the presence of an intelligence quotient score below a specific level, along with noted impairments…
    April 2019
    Illness/Disease/Injury/Wellbeing
  • Homelessness represents an enduring public health threat facing communities across the developed world. Children, families, and marginalized adults face life course implications of housing insecurity, while communities struggle to address the extensive array of needs within heterogeneous homeless populations. Trends in homelessness remain stubbornly high despite policy initiatives to end…
    April 2019
    Environment/Context, Systemic Determinants
  • 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
  • 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
  • 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
  • Poverty has long been recognized as a contributor to death and disease, but several recent trends have generated an increased focus on the link between income and health. First, income inequality in the United States has increased dramatically in recent decades, while health indicators have plateaued, and life expectancy differences by income have grown. Second, there is growing scholarly and…
    October 2018
    Services & Programs
  • Background: Equitable access to health services is a key ingredient in reaching health for persons with disabilities and other vulnerable groups. So far, research on access to health services in low- and middle-income countries has largely relied on self-reported survey data. Realizing that there may be substantial discrepancies between perceived and actual access, other methods are needed for…
    June 2018
    Services & Programs
  • Objective: To delineate the factors inherent in caring for patients with intellectual and developmental disabilities (IDD) that lead to complexity and to provide perspectives and techniques mapped to the phases of the clinical encounter.Sources of information: The authors of the physical health section of the 2018 Canadian consensus guidelines on the primary care of adults with IDD consisted of…
    April 2018
    Policy and Practice
  • Objective: To update the 2011 Canadian guidelines for primary care of adults with intellectual and developmental disabilities (IDD).Methods: Family physicians and other health professionals experienced in the care of people with IDD reviewed and synthesized recent empirical, ecosystem, expert, and experiential knowledge. A system was developed to grade the strength of recommendations.…
    April 2018
    Policy and Practice
  • The objective of this study was to assess trends in health insurance coverage, health service utilization, and health care access among working-age adults with and without disabilities before and after full implementation of the Affordable Care Act (ACA), and to identify current disability-based disparities following full implementation of the ACA. The ACA was expected to have a disproportionate…
    November 2017
    Policy and Practice
  • Massachusetts state law includes a tremendous opportunity for city and town disability commissions to make their communities more accessible and more inclusive of people with disabilities. By persuading local government to adopt section 22G, commissions get access to the money collected from fines when individuals park illegally in accessible parking spaces (previously known as Handicapped…
    June 2017
    Advocacy
  • The significant rise in the number of international health electives undertaken by medical students and doctors in the US, Canada and UK reflects acknowledgement of the inter-connected nature of these challenges to health systems and the drive to help solve them. However, the next generation of international volunteers often operate under a conflicting duality: whilst many of their role models…
    June 2017
    Global Health
  • Too many special education students are at risk of leaving high school unprepared for the future. That’s my conclusion after making a deep dive into their backgrounds and experiences for a national study.Consider these facts:Special education students are half as likely as their peers to take college entrance tests such as the SAT.They are less likely to have paid work experience, despite…
    May 2017
    Education
  • ObjectivesTo investigate mortality and its causes in adults over the age of 20 years with intellectual disability (ID).Design, setting and participantsRetrospective population-based standardised mortality of the ID and Comparison cohorts. The ID cohort comprised 42 204 individuals who registered for disability services with ID as a primary or secondary diagnosis from 2005 to 2011 in New South…
    February 2017
    Illness/Disease/Injury/Wellbeing
  • The environmental and health consequences of climate change, which disproportionately affect low-income countries and poor people in high-income countries, profoundly affect human rights and social justice. Environmental consequences include increased temperature, excess precipitation in some areas and droughts in others, extreme weather events, and increased sea level. These consequences…
    November 2015
    Climate Change, Environmental Injustice
  • In an op-ed piece in the New York Times on Wednesday, columnist Thomas Edsall opened with a pair of provocative questions: If its goal is to move up the ladder, where should a poor family live? Should federal dollars go toward affordable housing within high-poverty neighborhoods, or should subsidies be used to move residents of impoverished communities into more upscale—and more resistant—…
    August 2015
    Housing Discrimination, Physical Environment, Systemic Determinants
  • Increasing attention is being paid to the impact of discrimination on the health of oppressed groups. In this chapter, we review the impact of the personal experience of discrimination on the health and well-being of people with intellectual disabilities. We begin by addressing conceptual and methodological issues facing research on links between discrimination and health. We then review: (1)…
    July 2015
    Social/Structural Determinants
  • This article describes a framework and empirical evidence to support the argument that educational programs and policies are crucial public health interventions. Concepts of education and health are developed and linked, and we review a wide range of empirical studies to clarify pathways of linkage and explore implications. Basic educational expertise and skills, including fundamental knowledge,…
    May 2015
    Advocacy, Communication
  • Protection and Affordable Care Act (PPACA), also known as Obamacare, has stimulated extensive debate over the way in which healthcare is financed, and whether or not the costs of healthcare are sustainable. Among publicly funded healthcare in the US, Medicaid and Medicare are primary sources of funding. In federal fiscal year 2012, Medicaid spending on acute health exceeded $275.4 billion, while…
    September 2014
    Policy and Practice
  • Even after passage of the Americans with Disability Act (ADA), persons with mental illnesses have difficulty finding a job and keeping it. In this study, the authors assessed employment outcomes among more than 1,000 individuals with a psychiatric disability who were unemployed at the start of the two-year study period. Those who received ADA accommodations not only worked more hours per month…
    September 2014
    Services & Programs
  • Introduction: While there has been impressive progress in creating and improving community healthcare delivery systems that support people with intellectual and developmental disabilities (IDD), there is much more that can and should be done.Methods: This paper offers a review of healthcare delivery concepts on which new models are being developed, while also establishing an historical context.…
    July 2014
    Policy and Practice
  • Background: An inequitable distribution of parks and other ‘green spaces’ could exacerbate health inequalities if people on lower incomes, who are already at greater risk of preventable diseases, have poorer access.Methods: The availability of green space within 1 kilometre of a Statistical Area 1 (SA1) was linked to data from the 2011 Australian census for Sydney (n = 4.6 M residents); Melbourne…
    March 2014
    Social/Structural Determinants, Physical Environment, Access, Global Health

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