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.


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.


In the Nation's Compelling Interest

In the Nation's Compelling Interest

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2004-06-29

Total Pages: 429

ISBN-13: 0309166616

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The United States is rapidly transforming into one of the most racially and ethnically diverse nations in the world. Groups commonly referred to as minorities-including Asian Americans, Pacific Islanders, African Americans, Hispanics, American Indians, and Alaska Natives-are the fastest growing segments of the population and emerging as the nation's majority. Despite the rapid growth of racial and ethnic minority groups, their representation among the nation's health professionals has grown only modestly in the past 25 years. This alarming disparity has prompted the recent creation of initiatives to increase diversity in health professions. In the Nation's Compelling Interest considers the benefits of greater racial and ethnic diversity, and identifies institutional and policy-level mechanisms to garner broad support among health professions leaders, community members, and other key stakeholders to implement these strategies. Assessing the potential benefits of greater racial and ethnic diversity among health professionals will improve the access to and quality of healthcare for all Americans.


Contentious Belonging

Contentious Belonging

Author: Greg Fealy

Publisher: ISEAS-Yusof Ishak Institute

Published: 2019-05-27

Total Pages: 302

ISBN-13: 9814843490

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Contention has surrounded the status of minorities throughout Indonesian history. Two broad polarities are evident: one inclusive of minorities, regarding them as part of the nation’s rich complexity and a manifestation of its “Unity in Diversity” motto; the other exclusive, viewing with suspicion or disdain those communities or groups that differ from the perceived majority. State and community attitudes towards minorities have fluctuated over time. Some periods have been notable for the acceptance of minorities and protection of their rights, while others have been marked by anti-minority discrimination, marginalisation and sometimes violence. This book explores the complex historical and contemporary dimensions of Indonesia’s religious, ethnic, LGBT and disability minorities from a range of perspectives, including historical, legal, political, cultural, discursive and social. It addresses fundamental questions about Indonesia’s tolerance and acceptance of difference, and examines the extent to which diversity is embraced or suppressed.


Encyclopedia of Critical Psychology

Encyclopedia of Critical Psychology

Author: Thomas Teo

Publisher: Springer

Published: 2014-01-31

Total Pages: 0

ISBN-13: 9781461455820

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Encyclopedia of Critical Psychology is a comprehensive reference work and is the first reference work in English that comprehensively looks at psychological topics from critical as well as international points of view. Thus, it will appeal to all committed to a critical approach across the Encyclopedia of Critical Psychology, for alternative analyses of psychological events, processes, and practices. The Encyclopedia of Critical Psychology provides commentary from expert critical psychologists from around the globe who will compose the entries. The Encyclopedia of Critical Psychology will feature approximately 1,000 invited entries, organized in an easy to use A-Z format. The encyclopedia will be compiled under the direction of the editor who has published widely in the field of critical psychology and due to his international involvements is knowledgeable about the status of critical psychology around the world. The expert contributors will summarize current critical-psychological knowledge and discuss significant topics from a global perspective.


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.


Racial and Cultural Minorities

Racial and Cultural Minorities

Author: George Eaton Simpson

Publisher: Springer Science & Business Media

Published: 2013-06-29

Total Pages: 492

ISBN-13: 1489905510

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We need scarcely note that the topic of this book is the stuff of headlines. Around the world, political, economic, educational, military, religious, and social relations of every variety have a racial or ethnic component. One cannot begin to understand the history or contemporary situation of the United States, the Soviet Union, China, Zimbabwe, South Africa, Great Britain, Lebanon, Mexico, Canada-indeed, almost any land-without careful attention to the influence of cultural and racial divisions. Preparation of this new edition has brought a strong sense of deja vu, with regard both to the persistence of old patterns of discrimination, even if in new guises, and also to the persistence of limited and constraining explanations. We have also found, however, rich new empirical studies, new theoretical perspectives, and greatly expanded activity and analyses from members of minority groups. Although this edition is an extensive revision, with reference both to the data used and the theoretical approaches examined, we have not shifted from our basically analytical perspective. We strongly support efforts to reduce discrimination and prejudice; but these can be successful only if we try to understand where we are and what forces are creating the existing situation. We hope to reduce the tendency to use declarations and condem nations of other persons' actions as substitutes for an investigation of their causes and consequences.


Media and Ethnic Minorities

Media and Ethnic Minorities

Author: Valerie Alia

Publisher: Edinburgh University Press

Published: 2005-12-09

Total Pages: 216

ISBN-13: 0748626301

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This book addresses cross-cultural representations of ethnic minority peoples by dominant society 'outsiders' and indigenous self-representation in the context of the 'New Media Nation'. In doing so, it explores the role of language, culture, identity and media in liberation struggles and the emergence of new political entities, and opens up issues of colonial oppression to public debate. It is intended to help inform policy in a variety of settings. Grounded in current perspectives on diaspora and homeland and drawing on Alia's work on minorities, media and identity as well as Bull's work on Maori socio-cultural issues and criminalisation of minorities, this volume offers a comparative, international perspective on the experiences of a broad range of ethnic minority peoples. These include Inuit and First Nations people in Canada; Native Americans and African Americans in the United States; Sami in northern Europe; Maori in New Zealand; Aboriginal people in Australia and Roma in Ireland and Britain.


The Legal Status and Perspectives of Ethnic Minorities in European States

The Legal Status and Perspectives of Ethnic Minorities in European States

Author: Magdalena Butrymowicz

Publisher: Rowman & Littlefield

Published: 2022-03-02

Total Pages: 223

ISBN-13: 179364604X

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The way we exist in society defines our place in its social structures and reaffirms our belonging, identity, and dignity. Europe is a continent characterized by many internal conflicts and ongoing struggles inside societies. The battlefield is society itself, where state law clashes with ethnic law over the very identity of society. Exploring debates from Scandinavia to Spain about the religious and political autonomy and freedom, this book explains that the violation of the rights of ethnic minorities and indigenous peoples, such as the Sami and Basque peoples, remains a problem in Europe. In addition to these political conflicts, Magdalena Butrymowicz analyzes the legal and religious culture within minority ethnic structures themselves. Ultimately, this book raises timely questions about the balance between state control and legal autonomy for ethnic minorities across Europe advocating for a new definition of ethnic law as the right of ethnic minorities, creating their legal and ethnic identity. The book will interest anyone exploring the dynamic between European states and the ethnic minorities that live in them.