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 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.

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.

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.

Ethnicity and Gerontological Social Work
Ethnicity and Gerontological Social Work

Author: Rose Dobrof

Publisher: Routledge

Published: 2014-04-08

Total Pages: 156

ISBN-13: 131783996X

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Ethnicity and Gerontological Social Work presents a compassionate and illuminating update on ethnicity in this area of social work. This fine book looks at such topics as the relationship between white aged clients and non-white paraprofessional workers, minority elder maltreatment, the utilization of social services by the Mexican-American Elderly, the neglected Asian-American Elderly, public policies and services in Japan, and more.

Race and Social Policy
Race and Social Policy

Author: Sandra Edmonds Crewe

Publisher: Taylor & Francis

Published: 2022-11-10

Total Pages: 201

ISBN-13: 1000787761

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Social policy is not blind. It has been at the forefront of perpetuating structural inequality in many of the systems charged with serving and protecting. The impact of race on social policy is linked to historical (intended and unintended) patterns of discrimination that have resulted in disparate impact for many across their life course. This book uses critical race theory to examine key social policies. The chapters give primacy to addressing the experiences of African Americans in navigating systems that are flawed by structural racism and yet too often attribute individual pathology rather than systemic injustice to the worsening life circumstances they find themselves in. Using scholarship, personal, and professional experiences, the contributors offer valuable insight on differential treatment and the resulting missed opportunities to address historical barriers that, if not addressed, will continue the cycle of harm for marginalized members in society. The Covid-19 pandemic along with the loss of Black lives through carceral injustices have amplified the national discourse about race and social policy. Additionally, critical race theory has been championed by many as a framework for understanding the structural inequalities that plague our nation. Others have assailed the theory as promoting hate, guilt, and divisiveness. The contributors use critical race theory in combination with other theoretical frameworks to provide context for the persistent and pernicious injustices that have historically plagued society. Their work offers context with the goal of policy changes aimed at eradicating systemic injustices that negatively impact quality of life. Race and Social Policy is a significant new contribution to understanding and addressing systemic and structural racism, and it will be of interest to researchers and advanced students of social work, politics, public policy, and sociology. This book was originally published as a special issue of the journal Social Work in Public Health.