The book has two parts: The first part describes Africa’s burdens, without the defensive shield that often blinds Africans to reflective insights. The second part offers practical solutions to address the enormous deficits in development that persist throughout black Africa. Devising and implementing lasting solutions that can lighten and eventually lift black Africa’s many burdens is a challenging prospect. But Africans must reverse the crippling effect of their burdens and negative influences, and lead the way to transform their lives.
Current data and trends in morbidity and mortality for the sub-Saharan Region as presented in this new edition reflect the heavy toll that HIV/AIDS has had on health indicators, leading to either a stalling or reversal of the gains made, not just for communicable disorders, but for cancers, as well as mental and neurological disorders.
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.
Prior to South Africa's democratic transition in 1994, studies of families and households were limited by the structure of apartheid and the lack of adequate social and economic data. Large social changes since that time have had a profound effect on public-policy planning and service delivery, and this monograph takes a new look at the lingering effects of colonialism and apartheid on South African families, as well as their economic gains. Experts from the fields of demographics, economics, psychology, and sociology report their findings on living arrangements across rural and urban divides; on access to toilets, electricity, water, and housing; on rates of marriage and divorce; on fertility and infant mortality; and on the housework and other chores performed by children.
This edited book includes new policy-relevant research on women’s health issues in Africa. Scholars explore critical topics from different disciplinary traditions using a variety of research methodologies and data sources. The contributors include African scholars with in-depth knowledge of their home contexts, who can furnish nuanced interpretations of local health issues and trends; international researchers who bring vigorous comparative viewpoints; emerging scholars adding to scientific knowledge; and more established researchers with a deep global knowledge of women’s health issues. The range of women’s health issues is vast, including the HIV epidemic and its impacts; domestic violence; the persistence of homebirths; and abortion. In addition, the book investigates emerging health concerns such as CVDs and cancers. Readers will learn that, while old health issues have persisted and assumed new dimensions, newer concerns have materialized and are gaining momentum. The inability of health systems to tackle these issues complicates matters in Africa, creating a sense of desperation that can only be successfully confronted through strong political will and strategic planning, grounded in further research. This book was originally published as several special issues of Health Care for Women International.
As early as the eighteenth century, white Americans and Europeans believed that people of African descent could not experience nostalgia. As a result, black lives have been predominately narrated through historical scenes of slavery and oppression. This phenomenon created a missing archive of romantic historical memories. Badia Ahad-Legardy mines literature, visual culture, performance, and culinary arts to form an archive of black historical joy for use by the African-descended. Her analysis reveals how contemporary black artists find more than trauma and subjugation within the historical past. Drawing on contemporary African American culture and recent psychological studies, she reveals nostalgia’s capacity to produce positive emotions. Afro-nostalgia emerges as an expression of black romantic recollection that creates and inspires good feelings even within our darkest moments. Original and provocative, Afro-Nostalgia offers black historical pleasure as a remedy to contend with the disillusionment of the present and the traumas of the past.
Mothering While Black examines the complex lives of the African American middle class—in particular, black mothers and the strategies they use to raise their children to maintain class status while simultaneously defining and protecting their children’s “authentically black” identities. Sociologist Dawn Marie Dow shows how the frameworks typically used to research middle-class families focus on white mothers’ experiences, inadequately capturing the experiences of African American middle- and upper-middle-class mothers. These limitations become apparent when Dow considers how these mothers apply different parenting strategies for black boys and for black girls, and how they navigate different expectations about breadwinning and childrearing from the African American community. At the intersection of race, ethnicity, gender, work, family, and culture, Mothering While Black sheds light on the exclusion of African American middle-class mothers from the dominant cultural experience of middle-class motherhood. In doing so, it reveals the painful truth of the decisions that black mothers must make to ensure the safety, well-being, and future prospects of their children.
This book compiles the contributions of mental health professionals, and scholars of humanities, to offer a multifaceted perspective on the transgenerational trauma of slavery, the hardship of single parent families, the ruthlessness of anti-black racism, and the burden of poverty and social disenfranchisement on the African American individual.
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.
