The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.
This edition is the 4th in a series begun in 1991 to complement the quadrennial publication Health in the Americas. Part I of this edition is devoted to a special topic--health during childhood. Part I deals with population dynamics in children under 5 years old, presents estimated death rates for broad groups of causes for children under 1 year and children 1-4 years of age, and examines selected health topics of particular importance during childhood. Part II presents data on registered mortality in specific age groups. In addition to providing a summarized presentation of causes of death in children under 5 years of age, it also includes mortality data for several age groups, immediately following early childhood. These data have not been published previously in this age detail, and they should be invaluable in the study of adolescent health. In Part III, this volume presents summarized mortality data by age group and sex for all country-years received after the previous edition (1995). With this book PAHO once more brings to analysts, researchers, policymakers, and other interested parties, the full richness of statistical information about health available in the Region of the Americas.
Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.
Technical Paper No. 262.The data provided in this report expand and update Appendix a of World Development Report 1993: Investing in Health (WDR). The report presents the data by subject (Part A) and by country (Part B). Part C contains technical notes concerning methods and data sources. This volume adds the large number of Latin American and Caribbean countries with populations of less than 3 million that were excluded from the WDR because of space constraints. It also adds data from Canada and the United States for completeness and comparison.Updates are presented for eight statistics: gross national product (GNP), GNP per capita, population, population growth rate, total fertility, life expectancy at birth, infant mortality rate, and maternal mortality rate. Newly revised figures for items related to health expenditure have made possible an extensive update of earlier statistics and the addition of more countries to one of the country tables.
In this engaging and accessibly written book, Population Health in America weaves demographic data with social theory and research to help students understand health patterns and trends in the U.S. population. While life expectancy was estimated to be just 37 years in the United States in 1870, today it is more than twice as long, at over 78 years. Yet today, life expectancy in the U.S. lags behind almost all other wealthy countries. Within the U.S., there are substantial social inequalities in health and mortality: women live longer but less healthier lives than men; African Americans and Native Americans live far shorter lives than Asian Americans and White Americans; and socioeconomic inequalities in health have been widening over the past 20 years. What accounts for these population health patterns and trends? Inviting students to delve into population health trends and disparities, demographers Robert Hummer and Erin Hamilton provide an easily understandable historical and contemporary portrait of U.S. population health. Perfect for courses such as population health, medical or health sociology, social epidemiology, health disparities, demography, and others, as well as for academic researchers and lay persons interested in better understanding the overall health of the country, Population Health in America also challenges students, academics, and the public to understand current health policy priorities and to ask whether considerably different directions are needed.
This book describes the principal conceptual, methodological, and empirical developments stemming from PAHO and WHO's institutional efforts in public health, which have entailed the broad and committed participation of the Member States. It provides and overview of the status of Essential Public Health Functions (EPHF) in 41 countries and territories of the Americas, based on self-evaluation exercises performed by health authorities to measure their performance.
During the past decade, tremendous growth has occurred in the use of nutrition symbols and rating systems designed to summarize key nutritional aspects and characteristics of food products. These symbols and the systems that underlie them have become known as front-of-package (FOP) nutrition rating systems and symbols, even though the symbols themselves can be found anywhere on the front of a food package or on a retail shelf tag. Though not regulated and inconsistent in format, content, and criteria, FOP systems and symbols have the potential to provide useful guidance to consumers as well as maximize effectiveness. As a result, Congress directed the Centers for Disease Control and Prevention (CDC) to undertake a study with the Institute of Medicine (IOM) to examine and provide recommendations regarding FOP nutrition rating systems and symbols. The study was completed in two phases. Phase I focused primarily on the nutrition criteria underlying FOP systems. Phase II builds on the results of Phase I while focusing on aspects related to consumer understanding and behavior related to the development of a standardized FOP system. Front-of-Package Nutrition Rating Systems and Symbols focuses on Phase II of the study. The report addresses the potential benefits of a single, standardized front-label food guidance system regulated by the Food and Drug Administration, assesses which icons are most effective with consumer audiences, and considers the systems/icons that best promote health and how to maximize their use.
This book is written for people who are skeptical and uneasy when they hear politicians, economists, and reporters tell Americans "You're never had it so good" as they recite lists of leading economic indicators. The Social Health of a Nation, as its subtitle indicates, tell us, "How America is Really Doing." The facts in this book confirm what many American know intuitively - they are not better off now, not with income inequality at its worst level in fifty years, not with more and more Americans dropped from insurance rolls, not with thousands of Americans feeling the effects of corporate downsizing, not with real wages on a long term decline. This book provides the facts to see the rest of the picture, the condition of the American national spirit that can never be revealed by economic indicators alone. It also provides a forceful argument that, without the social side of the picture, Americans are in the dark about the nation's progress. This book as not an ideological tract, however. It's purpose is portrayal, not prescription. Not everything reported is bad news; an entire chapter is devoted to indicators of improving social performance. Because it does not advocate, for example, a return to big government or any quick-fix solution, this book will be welcomed by readers from all parts of the political spectrum or of no particular political persuasion. It will appeal to concerned individuals from business, government, clergy, and other professions, and to those who represent no interest group. It will also be widely used as supplemental text in a variety of sociology, economics, and political science courses. The Social Health of the Nation is written by two sociologists, Marc and Luisa Miringoff. Marc is currently the Professor of Social Welfare Policy at Fordham University Graduate Center, and the founder and Director of the Fordham Institute for Innovation in Social Policy. Luisa is Professor of Socioogy at Vassar College, where she has served as Department Chair and Director of its Urban Studies Program. Both earned Ph.D. degrees from the University of Chicago. Since 1987, Marc has headed a research team to develop the Index of Social Health, a nationally recognized social barometer that has been featured in ten New York Times and four Washington Post articles. This index has commanded increasingly large electronic and print media attention because of its powerful presentation of trends in family life, income, health, housing, child poverty, and other social indicators of everyday life in the United States. The Social Health of the Nation will include the previously unreleased and very newsworthy Index for 1998. But it will contain much more. Influenced by the effectiveness of the Index of Social Health, in the summer of 1996, the Ford Foundation approached the authors with a plan. Alarmed by a lack of government attention in the United States to monitoring the nation's social health, the Foundation had a vision of creating a book building on the Index of Social Health, to show what is needed to advance this field and deepen its impact. To that end, the Foundation provided financial assistance for the book's development by funding Miringoff's Fordham Institute for Innovation in Social Policy to convene a twenty-five member team, the Working Group on Social Indicators, including nationally known pollster, Daniel Yankelovich, and Director of Research and Vice President of CNN, Judy Milestone. Each member of the Working Group was motivated to improve social reporting in the United States. They came from the media, universities, and government, representing fields as diversse as law, medicine, sociology, and economics. The vision of the Ford Foundation, with the assistance of this working group, has now become a reality in The Social Health of the Nation, a nine chapter book written by Marc and Marque Luisa Miringoff. This book does show the other side of the Official Portrait of How America is Doing, providing comprehensive coverage of improving, shifting, and worsening social performance. It fills in the blanks after all the economic indicators are posted. The book contains surprises, the same kind that have been made the yearly release of the Social Index of Health a subject of media attention for twelve years, an index whose 1998 figures will be released exclusively in this book. While some of the indicators will shock, other will give reason for hope, as we see evidence of improved performance in unlikely places. For those whose livelihoods and well-being depend on the social health of the United States, this book provides the information necessary to find creative solutions for improved performance. For students in a wide range of courses this book will become required reading.
