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Racial, Ethnic, and Language Concordance between Patients and Their Usual Health Care Providers

March 23, 2022

Patients of color are less likely than White patients to report being the same race as their healthcare providers. The disparity could have negative implications for patient-provider relationships and patient health outcomes.

Developing Two-Generation Approaches in Communities: Final Report from Family-Centered Community Change

July 14, 2021

The Annie E. Casey Foundation launched its Family-Centered Community Change (FCCC) initiative with a goal of integrating two-generation strategies into existing place-based community initiatives. The innovative effort, which ran from 2012 to 2019, focused on supporting local partners in three neighborhoods with low economic resources: Buffalo, New York; Columbus, Ohio; and San Antonio, Texas.Over the course of the initiative, the sites worked to promote the healthy development and academic success of children while simultaneously delivering adult services focused on parenting and financial stability. In year three, the community partners also received training and technical assistance — provided by the Casey Foundation — aimed at enhancing racial and ethnic equity and inclusion.The Urban Institute conducted a formative evaluation of this effort, which included: 1) qualitative data collection from interviews and focus groups with partner staff and participants; 2) descriptive analysis of program data; and 3) a cost study.

Barriers and Bridges: An Action Plan for Overcoming Obstacles and Unlocking Opportunities for African American Men in Pittsburgh

October 1, 2015

Among the region's residents, Pittsburgh's African American men have historically and disproportionately faced unprecedented barriers to economic opportunities. This study, supported by The Heinz Endowments, focuses on structural barriers that contribute to persistent racial disparities in the Pittsburgh region. Structural barriers are obstacles that collectively affect a group disproportionately and perpetuate or maintain stark disparities in outcomes. Structural barriers can be policies, practices, and other norms that favor an advantaged group while systematically disadvantaging a marginalized group. A community touched by racebased structural barriers can be identified by the racial and economic stratification of its residents; Pittsburgh, like many large cities in the United States, fits that description.

Structural Barriers to Racial Equity in Pittsburgh

October 1, 2015

This study of Pittsburgh, supported by The Heinz Endowments, focuses on structural barriers that contribute to differences in African American and white men's access to economic opportunities, specifically in employment and entrepreneurship. Structural barriers are obstacles that disproportionately affect a certain racial or ethnic group and perpetuate or maintain stark disparities in outcomes. This report summarizes findings from statistical analysis, focus groups, and individual interviews with stakeholders and African American men in Pittsburgh. A separate document, Barriers and Bridges: An Action Plan for Overcoming Obstacles and Unlocking Opportunities for African American Men in Pittsburgh, outlines our recommendations for improving the economic position of these men.

Helping Low-Income Families Manage Childhood Asthma: Solutions for Healthcare & Beyond

April 2, 2014

Asthma is the most common childhood chronic illness, affecting more than seven million children nationwide. Managing chronic illness in a child is challenging for any family. Among the challenges is constant fear of an acute episode, a complex regimen of medications given daily or many times each day, frequent changes in prescriptions or dosages, coordinating multiple healthcare providers, and helping a child have as "normal" and active a childhood as his/her condition allows. Low-income children of color bear a heavier asthma burden than their white or more affluent peers. Those low-income children who live in urban areas such as Baltimore, Chicago, Los Angeles, and New York are particularly vulnerable. Families with limited resources struggle to provide their children with asthma the support that these children need.

Planning the Housing Opportunity and Services Together Demonstration: Challenges and Lessons Learned

February 28, 2012

Offers insights from designing and implementing a project to address barriers to self-sufficiency among low-income parents, such as poor health and low education levels, while integrating services for children and youth in public and mixed-income housing.

Fulfilling the Promise of Preschool for All: Insights Into Issues Affecting Access for Selected Immigrant Groups in Chicago

July 30, 2009

Presents findings on access to quality early education among small immigrant groups. Outlines policy implications of programs used, knowledge of "Preschool for All," value of preschool education, transportation and enrollment barriers, and other factors.