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.


U.S. Health in International Perspective

U.S. Health in International Perspective

Author: National Research Council

Publisher: National Academies Press

Published: 2013-04-12

Total Pages: 421

ISBN-13: 0309264146

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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.


Space, Place and Educational Settings

Space, Place and Educational Settings

Author: Tim Freytag

Publisher: Springer Nature

Published: 2021-12-02

Total Pages: 234

ISBN-13: 3030785971

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This open access book explores the nexus between knowledge and space with a particular emphasis on the role of educational settings that are, both, shaping and being reshaped by socio-economic and political processes. It gives insight into the complex interplay of educational inequalities and practices of educational governance in the neighborhood and at larger geographical scales. The book adopts quantitative and qualitative methodologies and explores a wide range of theoretical perspectives by drawing upon empirical cases and examples from France, Germany, Italy, the UK and North America, and presents and reflects ongoing research of international scholars from various disciplinary backgrounds such as education, human geography, public policy, sociology, and urban and regional planning. As such, it provides an interesting read for scholars, students and professionals in the broader field of social, cultural and educational studies, as well as policy makers and practitioners in the fields of education, pedagogy, social work, and urban and regional planning.


Neighborhood Poverty

Neighborhood Poverty

Author: Jeanne Brooks-Gunn

Publisher: Russell Sage Foundation

Published: 1997-11-13

Total Pages: 261

ISBN-13: 1610440862

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Perhaps the most alarming phenomenon in American cities has been the transformation of many neighborhoods into isolated ghettos where poverty is the norm and violent crime, drug use, out-of-wedlock births, and soaring school dropout rates are rampant. Public concern over these destitute areas has focused on their most vulnerable inhabitants—children and adolescents. How profoundly does neighborhood poverty endanger their well-being and development? Is the influence of neighborhood more powerful than that of the family? Neighborhood Poverty approaches these questions with an insightful and wide-ranging investigation into the effect of community poverty on children's physical health, cognitive and verbal abilities, educational attainment, and social adjustment. This two-volume set offers the most current research and analysis from experts in the fields of child development, social psychology, sociology and economics. Drawing from national and city-based sources, Volume I reports the empirical evidence concerning the relationship between children and community. As the essays demonstrate, poverty entails a host of problems that affects the quality of educational, recreational, and child care services.Poor neighborhoods usually share other negative features—particularly racial segregation and a preponderance of single mother families—that may adversely affect children. Yet children are not equally susceptible to the pitfalls of deprived communities. Neighborhood has different effects depending on a child's age, race, and gender, while parenting techniques and a family's degree of community involvement also serve as mitigating factors. Volume II incorporates empirical data on neighborhood poverty into discussions of policy and program development. The contributors point to promising community initiatives and suggest methods to strengthen neighborhood-based service programs for children. Several essays analyze the conceptual and methodological issues surrounding the measurement of neighborhood characteristics. These essays focus on the need to expand scientific insight into urban poverty by drawing on broader pools of ethnographic, epidemiological, and quantitative data. Volume II explores the possibilities for a richer and more well-rounded understanding of neighborhood and poverty issues. To grasp the human cost of poverty, we must clearly understand how living in distressed neighborhoods impairs children's ability to function at every level. Neighborhood Poverty explores the multiple and complex paths between community, family, and childhood development. These two volumes provide and indispensable guide for social policy and demonstrate the power of interdisciplinary social science to probe complex social issues.


The Public Health Effects of Food Deserts

The Public Health Effects of Food Deserts

Author: National Research Council

Publisher: National Academies Press

Published: 2009-07-02

Total Pages: 114

ISBN-13: 0309137284

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In the United States, people living in low-income neighborhoods frequently do not have access to affordable healthy food venues, such as supermarkets. Instead, those living in "food deserts" must rely on convenience stores and small neighborhood stores that offer few, if any, healthy food choices, such as fruits and vegetables. The Institute of Medicine (IOM) and National Research Council (NRC) convened a two-day workshop on January 26-27, 2009, to provide input into a Congressionally-mandated food deserts study by the U.S. Department of Agriculture's Economic Research Service. The workshop, summarized in this volume, provided a forum in which to discuss the public health effects of food deserts.


Great American City

Great American City

Author: Robert J. Sampson

Publisher: University of Chicago Press

Published: 2024-04-08

Total Pages: 573

ISBN-13: 0226834018

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Great American City demonstrates the powerfully enduring impact of place. Based on one of the most ambitious studies in the history of social science, Robert J. Sampson’s Great American City presents the fruits of over a decade’s research to support an argument that we all feel and experience every day: life is decisively shaped by your neighborhood. Engaging with the streets and neighborhoods of Chicago, Sampson, in this new edition, reflects on local and national changes that have transpired since his book’s initial publication, including a surge in gun violence and novel forms of segregation despite an increase in diversity. New research, much of it a continuation of the influential discoveries in Great American City, has followed, and here, Sampson reflects on its meaning and future directions. Sampson invites readers to see the status of the research initiative that serves as the foundation of the first edition—the Project on Human Development in Chicago Neighborhoods (PHDCN)—and outlines the various ways other scholars have continued his work. Both accessible and incisively thorough, Great American City is a must-read for anyone interested in cutting-edge urban sociology and the study of crime.


Urban Place

Urban Place

Author: Peggy F. Barlett

Publisher:

Published: 2005

Total Pages: 352

ISBN-13:

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Cross-disciplinary studies find that reconnections to place and to the natural world, which are emerging through urban sustainability efforts, build community and political action and have important medical and psychological health benefits.


Collaborative Governance for Urban Revitalization

Collaborative Governance for Urban Revitalization

Author: Michael J. Rich

Publisher: Cornell University Press

Published: 2014-05-29

Total Pages: 297

ISBN-13: 0801470900

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For more than one hundred years, governments have grappled with the complex problem of how to revitalize distressed urban areas. In 1995, the original urban Empowerment Zones (Atlanta, Baltimore, Chicago, Detroit, New York, and Philadelphia) each received a $100 million federal block grant and access to a variety of market-oriented policy tools to support the implementation of a ten-year strategic plan to increase economic opportunities and promote sustainable community development in high-poverty neighborhoods. In Collaborative Governance for Urban Revitalization, Michael J. Rich and Robert P. Stoker confront the puzzle of why the outcomes achieved by the original Empowerment Zones varied so widely given that each city had the same set of federal policy tools and resources and comparable neighborhood characteristics.The authors' analysis, based on more than ten years of field research in Atlanta and Baltimore and extensive empirical analysis of EZ processes and outcomes in all six cities shows that revitalization outcomes are best explained by the quality of local governance. Good local governance makes positive contributions to revitalization efforts, while poor local governance retards progress. While policy design and contextual factors are important, how cities craft and carry out their strategies are critical determinants of successful revitalization. Rich and Stoker find that good governance is often founded on public-private cooperation, a stance that argues against both the strongest critics of neoliberalism (who see private enterprise as dangerous in principle) and the strongest opponents of liberalism (who would like to reduce the role of government).


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.