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.


Rural Poverty in the United States

Rural Poverty in the United States

Author: Ann R. Tickamyer

Publisher: Columbia University Press

Published: 2017-08-22

Total Pages: 456

ISBN-13: 0231544715

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America's rural areas have always held a disproportionate share of the nation's poorest populations. Rural Poverty in the United States examines why. What is it about the geography, demography, and history of rural communities that keeps them poor? In a comprehensive analysis that extends from the Civil War to the present, Rural Poverty in the United States looks at access to human and social capital; food security; healthcare and the environment; homelessness; gender roles and relations; racial inequalities; and immigration trends to isolate the underlying causes of persistent rural poverty. Contributors to this volume incorporate approaches from multiple disciplines, including sociology, economics, demography, race and gender studies, public health, education, criminal justice, social welfare, and other social science fields. They take a hard look at current and past programs to alleviate rural poverty and use their failures to suggest alternatives that could improve the well-being of rural Americans for years to come. These essays work hard to define rural poverty's specific metrics and markers, a critical step for building better policy and practice. Considering gender, race, and immigration, the book appreciates the overlooked structural and institutional dimensions of ongoing rural poverty and its larger social consequences.


Worlds Apart

Worlds Apart

Author: Cynthia M. Duncan

Publisher: Yale University Press

Published: 2015-01-13

Total Pages: 329

ISBN-13: 0300210515

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First published in 1999, Worlds Apart examined the nature of poverty through the stories of real people in three remote rural areas of the United States: New England, Appalachia, and the Mississippi Delta. In this new edition, Duncan returns to her original research, interviewing some of the same people as well as some new key informants. Duncan provides powerful new insights into the dynamics of poverty, politics, and community change. "Duncan, through in-depth investigation and interviews, concludes that only a strong civic culture, a sense among citizens of community and the need to serve that community, can truly address poverty. . . . Moving and troubling. Duncan has created a remarkable study of the persistent patterns of poverty and power."—Kirkus Reviews "The descriptions of rural poverty in Worlds Apart are interesting and read almost like a novel."—Choice


Unhealthy Cities

Unhealthy Cities

Author: Kevin Fitzpatrick

Publisher: Routledge

Published: 2013-06-17

Total Pages: 210

ISBN-13: 1136915281

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The purpose of this book is to show the important role that space and place plays in the health of urban residents, particularly those living in high poverty ghettos. The book brings together research and writing from a variety of disciplines to demonstrate the health costs of being poor in America’s cities. Both authors are committed to raising awareness of structural factors that promote poverty and injustice in a society that proclaims its commitment to equality of opportunity. Our health is often dramatically affected by where we live; some parts of the city seem to be designed to make people sick. The book is intended for students and professionals in urban sociology, medical sociology, public health, and community planning.


Confronting Suburban Poverty in America

Confronting Suburban Poverty in America

Author: Elizabeth Kneebone

Publisher: Rowman & Littlefield

Published: 2013-05-20

Total Pages: 191

ISBN-13: 0815723911

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It has been nearly a half century since President Lyndon Johnson declared war on poverty. Back in the 1960s tackling poverty "in place" meant focusing resources in the inner city and in rural areas. The suburbs were seen as home to middle- and upper-class families—affluent commuters and homeowners looking for good schools and safe communities in which to raise their kids. But today's America is a very different place. Poverty is no longer just an urban or rural problem, but increasingly a suburban one as well. In Confronting Suburban Poverty in America, Elizabeth Kneebone and Alan Berube take on the new reality of metropolitan poverty and opportunity in America. After decades in which suburbs added poor residents at a faster pace than cities, the 2000s marked a tipping point. Suburbia is now home to the largest and fastest-growing poor population in the country and more than half of the metropolitan poor. However, the antipoverty infrastructure built over the past several decades does not fit this rapidly changing geography. As Kneebone and Berube cogently demonstrate, the solution no longer fits the problem. The spread of suburban poverty has many causes, including shifts in affordable housing and jobs, population dynamics, immigration, and a struggling economy. The phenomenon raises several daunting challenges, such as the need for more (and better) transportation options, services, and financial resources. But necessity also produces opportunity—in this case, the opportunity to rethink and modernize services, structures, and procedures so that they work in more scaled, cross-cutting, and resource-efficient ways to address widespread need. This book embraces that opportunity. Kneebone and Berube paint a new picture of poverty in America as well as the best ways to combat it. Confronting Suburban Poverty in America offers a series of workable recommendations for public, private, and nonprofit leaders seeking to modernize po