Understanding Racial and Ethnic Differences in Health in Late Life

Understanding Racial and Ethnic Differences in Health in Late Life

Author: National Research Council

Publisher: National Academies Press

Published: 2004-09-08

Total Pages: 184

ISBN-13: 0309165865

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As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.


Critical Perspectives on Racial and Ethnic Differences in Health in Late Life

Critical Perspectives on Racial and Ethnic Differences in Health in Late Life

Author: National Research Council

Publisher: National Academies Press

Published: 2004-10-16

Total Pages: 753

ISBN-13: 0309092116

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In their later years, Americans of different racial and ethnic backgrounds are not in equally good-or equally poor-health. There is wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.


Unequal Treatment

Unequal Treatment

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2009-02-06

Total Pages: 781

ISBN-13: 030908265X

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Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.


Ethnic Groups and Boundaries

Ethnic Groups and Boundaries

Author: Fredrik Barth

Publisher: Waveland Press

Published: 1998-03-11

Total Pages: 156

ISBN-13: 1478607955

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When originally published in Norway, Ethnic Groups and Boundaries marked the transition to a new era of ethnic studies. Today this much-cited classic is regarded as the seminal volume from which stems much current anthropological thinking about ethnicity. Ethnic Groups and Boundaries opens with Barths invaluable thirty-page essay that introduces students to important theoretical issues in the analysis of ethnic groups. Following is a collection of seven essaysthe results of a symposium involving a small group of Scandinavian social anthropologistsintended to illustrate the application of Barths analytical viewpoints to different sides of the problems of polyethnic organization in various ethnographic areas, including Norway, Sudan, Ethiopia, Mexico, Afghanistan, and Laos.


Racial and Ethnic Differences in the Health of Older Americans

Racial and Ethnic Differences in the Health of Older Americans

Author: National Research Council

Publisher: National Academies Press

Published: 1997-09-23

Total Pages: 312

ISBN-13: 0309175569

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Older Americans, even the oldest, can now expect to live years longer than those who reached the same ages even a few decades ago. Although survival has improved for all racial and ethnic groups, strong differences persist, both in life expectancy and in the causes of disability and death at older ages. This book examines trends in mortality rates and selected causes of disability (cardiovascular disease, dementia) for older people of different racial and ethnic groups. The determinants of these trends and differences are also investigated, including differences in access to health care and experiences in early life, diet, health behaviors, genetic background, social class, wealth and income. Groups often neglected in analyses of national data, such as the elderly Hispanic and Asian Americans of different origin and immigrant generations, are compared. The volume provides understanding of research bearing on the health status and survival of the fastest-growing segment of the American population.


A Life Course Approach to Healthy Ageing

A Life Course Approach to Healthy Ageing

Author: Diana Kuh

Publisher: Oxford University Press, USA

Published: 2014

Total Pages: 299

ISBN-13: 0199656517

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This title investigates the lifetime determinants of healthy ageing and their implications for policy and practice, bringing together authorities in ageing research and knowledge transfer from across the world.


The Psychology of Ethnic Groups in the United States

The Psychology of Ethnic Groups in the United States

Author: Pamela Balls Organista

Publisher: SAGE

Published: 2010

Total Pages: 425

ISBN-13: 1412915406

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Providing students with a readable, basic text on fundamental issues and methods that distinguish the field of ethnic psychology within mainstream psychology, the authors overview the field of ethnic psychology with emphasis on the experiences of African American, Asian American/Pacific Islander, American Indian/Alaskan Native, Hispanic/Latino, and multiethnic individuals.


Our Children, Their Children

Our Children, Their Children

Author: Darnell F. Hawkins

Publisher: University of Chicago Press

Published: 2010-02-15

Total Pages: 471

ISBN-13: 0226319911

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In Our Children, Their Children, a prominent team of researchers argues that a second-rate and increasingly punitive juvenile justice system is allowed to persist because most people believe it is designed for children in other ethnic and socioeconomic groups. While public opinion, laws, and social policies that convey distinctions between "our children" and "their children" may seem to conflict with the American ideal of blind justice, they are hardly at odds with patterns of group differentiation and inequality that have characterized much of American history. Our Children, Their Children provides a state-of-the-science examination of racial and ethnic disparities in the American juvenile justice system. Here, contributors document the precise magnitude of these disparities, seek to determine their causes, and propose potential solutions. In addition to race and ethnicity, contributors also look at the effects on juvenile justice of suburban sprawl, the impact of family and neighborhood, bias in postarrest decisions, and mental health issues. Assessing the implications of these differences for public policy initiatives and legal reforms, this volume is the first critical summary of what is known and unknown in this important area of social research.


Engaging Black and Minority Ethnic Groups in Health Research

Engaging Black and Minority Ethnic Groups in Health Research

Author: Natalie Darko

Publisher: Policy Press

Published: 2022-12

Total Pages: 184

ISBN-13: 1447359135

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This crucial contribution exposes the misconception that health research and health services are equally effective for all and highlights their failures in reaching Black and Minority Ethnic (BAME) groups. It provides essential case study examples on recruitment, engagement and partnerships with BAME groups in research and public engagement.


Communities in Action

Communities in Action

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-04-27

Total Pages: 583

ISBN-13: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.