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.

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.

Measuring Racial Discrimination
Measuring Racial Discrimination

Author: National Research Council

Publisher: National Academies Press

Published: 2004-07-24

Total Pages: 335

ISBN-13: 0309091268

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Many racial and ethnic groups in the United States, including blacks, Hispanics, Asians, American Indians, and others, have historically faced severe discriminationâ€"pervasive and open denial of civil, social, political, educational, and economic opportunities. Today, large differences among racial and ethnic groups continue to exist in employment, income and wealth, housing, education, criminal justice, health, and other areas. While many factors may contribute to such differences, their size and extent suggest that various forms of discriminatory treatment persist in U.S. society and serve to undercut the achievement of equal opportunity. Measuring Racial Discrimination considers the definition of race and racial discrimination, reviews the existing techniques used to measure racial discrimination, and identifies new tools and areas for future research. The book conducts a thorough evaluation of current methodologies for a wide range of circumstances in which racial discrimination may occur, and makes recommendations on how to better assess the presence and effects of discrimination.

Embodying Inequality
Embodying Inequality

Author: Nancy Krieger

Publisher: Routledge

Published: 2016-12-01

Total Pages: 545

ISBN-13: 9780415783859

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To advance the epidemiological analysis of social inequalities in health, and of the ways in which population distributions of disease, disability, and death reflect embodied expressions of social inequality, this volume draws on articles published in the "International Journal of Health Services" between 1990 and 2000. Framed by ecosocial theory, it employs ecosocial constructs of "embodiment"; "pathways of embodiment"; "cumulative interplay of exposure, susceptibility, and resistance across the lifecourse"; and "accountability and agency" to address the question; and who and what drives current and changing patterns of social inequalities in health.

Handbook of the Sociology of Mental Health
Handbook of the Sociology of Mental Health

Author: Carol S. Aneshensel

Publisher: Springer Science & Business Media

Published: 2006-11-22

Total Pages: 627

ISBN-13: 0387362231

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This handbook describes ways in which society shapes the mental health of its members, and shapes the lives of those who have been identified as mentally ill. The text explores the social conditions that lead to behaviors defined as mental illness, and the ways in which the concept of mental illness is socially constructed around those behaviors. The book also reviews research that examines socially conditioned responses to mental illness on the part of individuals and institutions, and ways in which these responses affect persons with mental illness. It evaluates where the field has been, identifies its current location and plots a course for the future.

Racial Identity Theory
Racial Identity Theory

Author: Chalmer E. Thompson

Publisher: Routledge

Published: 2013-04-15

Total Pages: 293

ISBN-13: 113580799X

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Racial identity theories have been in the psychological literature for nearly thirty years. Unlike most references to racial identity, however, Thompson and Carter demonstrate the value of integrating RACE and IDENTITY as systematic components of human functioning. The editors and their contributors show how the infusion of racial identity theory with other psychological models can successfully yield more holistic considerations of client functioning and well-being. Fully respecting the mutual influence of personal and environmental factors to explanations of individual and group functioning, they apply complex theoretical notions to real-life cases in psychological practice. These authors contend that race is a pervasive and formidable force in society that affects the development and functioning of individuals and groups. In a recursive fashion, individuals and groups influence and, indeed, nurture the notion of race and societal racism. Arguing that mental health practitioners are in key, influential positions to pierce this cycle, the authors provide evidence of how meaningful change can occur when racial identity theory is integrated into interventions that attempt to diminish the distress people experience in their lives. The interventions illustrated in this volume are applied in various contexts, including psychotherapy and counseling, supervision, family therapy, support groups, and organizational and institutional environments. This book can serve the needs and interests of advanced-level students and professionals in all mental health fields, as well as researchers and scholars in such disciplines as organizational management and forensic psychology. It can also be of value to anyone interested in the systematic implementation of strategies to overcome problems of race.

Ethnic Politics
Ethnic Politics

Author: Milton J. Esman

Publisher: Cornell University Press

Published: 2018-10-18

Total Pages: 292

ISBN-13: 1501723979

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In this timely book Milton J. Esman surveys a recurrent and seemingly intractable factor in the politics of nations: ethnicity. As the author notes, virtually no contemporary nation-state is ethnically homogeneous. Most address the political effects of domestic ethnic difference, and many fail in the attempt—with devastatingly violent results.Esman focuses on ethnic mobilization and the management of conflict, on the ways ethnic groups prepare for political combat, and on measures that can moderate or control ethnic disputes, whether peaceful or violent.Opening with a broad synopsis of current understandings of ethnicity and its varying political salience, he illustrates his theories by analyzing experiences in South Africa, Israel-Palestine, Canada-Quebec, and Malaysia. He also outlines the political issues and dilemmas, transnational as well as domestic, caused by the vast labor migrations of Mexicans to the United States, North Africans to France, Turks to Germany, and Koreans to Japan.Can economic growth and prosperity ease ethnic conflicts? Esman addresses this question and draws conclusions based on the empirical chapters. In his view, ethnic pluralism and ethnic politics are not collective psychoses or aberrations, to be deplored and exorcised, but rather pervasive realities that observers can confront and politicians can manage.

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.