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.

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.

Social Epidemiology
Social Epidemiology

Author: Lisa F. Berkman

Publisher: Oxford University Press

Published: 2000-03-09

Total Pages: 428

ISBN-13: 9780195083316

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This book shows the important links between social conditions and health and begins to describe the processes through which these health inequalities may be generated. It reviews a range of methodologies that could be used by health researchers in this field and proposes innovative future research directions.

Racial and Ethnic Differences in the Health of Older Americans
Racial and Ethnic Differences in the Health of Older Americans

Author: National Research Council

Publisher: National Academies Press

Published: 1997-09-23

Total Pages: 312

ISBN-13: 0309175569

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Older Americans, even the oldest, can now expect to live years longer than those who reached the same ages even a few decades ago. Although survival has improved for all racial and ethnic groups, strong differences persist, both in life expectancy and in the causes of disability and death at older ages. This book examines trends in mortality rates and selected causes of disability (cardiovascular disease, dementia) for older people of different racial and ethnic groups. The determinants of these trends and differences are also investigated, including differences in access to health care and experiences in early life, diet, health behaviors, genetic background, social class, wealth and income. Groups often neglected in analyses of national data, such as the elderly Hispanic and Asian Americans of different origin and immigrant generations, are compared. The volume provides understanding of research bearing on the health status and survival of the fastest-growing segment of the American population.

The Oxford Handbook of Stigma, Discrimination, and Health
The Oxford Handbook of Stigma, Discrimination, and Health

Author: Brenda Major

Publisher: Oxford University Press

Published: 2018

Total Pages: 577

ISBN-13: 0190243473

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Stigma leads to poorer health. In The Oxford Handbook of Stigma, Discrimination, and Health, leading scholars identify stigma mechanisms that operate at multiple levels to erode the health of stigmatized individuals and, collectively, produce health disparities. This book provides unique insights concerning the link between stigma and health across various types of stigma and groups.

The Cost of Racism for People of Color
The Cost of Racism for People of Color

Author: Alvin N. Alvarez

Publisher: Cultural, Racial, and Ethnic P

Published: 2016

Total Pages: 0

ISBN-13: 9781433820953

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Introduction -- Theoretical and methodological foundations -- A theoretical overview of the impact of racism on people of color / Alex Pieterse and Shantel Powell -- Applying intersectionality theory to research on perceived racism / Jioni A. Lewis and Patrick R. Grzanka -- Improving the measurement of perceived racial discrimination : challenges and opportunities / David R. Williams -- Moderators and mediators of the experience of perceived racism / Alvin Alvarez, Christopher T.H. Liang, Carin Molenaar, and David Nguyen -- Context and costs -- Racism and mental health : examining the link between racism and depression from a social-cognitive perspective / Elizabeth Brondolo, Wan Ng, Kristy-Lee J. Pierre, and Robert Lane -- Racism and behavioral outcomes over the life course / Gilbert C. Gee and Angie Denisse Otiniano Verissimo -- Racism and physical health disparities / Joseph Keaweaimoku Kaholokula -- The impact of racism on education and the educational experiences of students of color / Adrienne D. Dixson, Dominique Clayton, Leah Peoples, and Rema Reynolds -- The costs of racism on workforce entry and work adjustment / Justin C. Perry and Lela L. Pickett -- The impact of racism on communities of color : historical contexts and contemporary issues / Azara L. Santiago Rivera, Hector Y. Adames, Nayeli Y. Chavez-Dueñas, and Gregory Benson-Flórez -- Interventions and future directions -- Racial trauma recovery : a race-informed therapeutic approach to racial wounds / Lillian Comas-Díaz -- Critical race, psychology and social policy : refusing damage, cataloguing oppression, and documenting desire / Michelle Fine and William E. Cross -- Educational interventions for reducing racism / Elizabeth Vera, Daniel Camacho, Megan Polanin, and Manuel Salgado -- Toward a relevant psychology of prejudice, stereotyping and discrimination : linking science and practice to develop interventions that work in community settings / Ignacio D. Acevedo-Polakovich, Kara L. Beck, Erin Hawks, and Sarah E. Ogdie

A Tale of Two Cities
A Tale of Two Cities

Author: Jesse Hoffnung-Garskof

Publisher: Princeton University Press

Published: 2018-06-05

Total Pages: 319

ISBN-13: 0691188394

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In the second half of the twentieth century Dominicans became New York City's largest, and poorest, new immigrant group. They toiled in garment factories and small groceries, and as taxi drivers, janitors, hospital workers, and nannies. By 1990, one of every ten Dominicans lived in New York. A Tale of Two Cities tells the fascinating story of this emblematic migration from Latin America to the United States. Jesse Hoffnung-Garskof chronicles not only how New York itself was forever transformed by Dominican settlement but also how Dominicans' lives in New York profoundly affected life in the Dominican Republic. A Tale of Two Cities is unique in offering a simultaneous, richly detailed social and cultural history of two cities bound intimately by migration. It explores how the history of burgeoning shantytowns in Santo Domingo--the capital of a rural country that had endured a century of intense U.S. intervention and was in the throes of a fitful modernization--evolved in an uneven dialogue with the culture and politics of New York's Dominican ethnic enclaves, and vice versa. In doing so it offers a new window on the lopsided history of U.S.-Latin American relations. What emerges is a unique fusion of Caribbean, Latin American, and U.S. history that very much reflects the complex global world we live in today.

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.