Assessing Race, Ethnicity and Gender in Health

Assessing Race, Ethnicity and Gender in Health

Author: Sana Loue

Publisher: Springer Science & Business Media

Published: 2006-08-09

Total Pages: 184

ISBN-13:

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Assessing Race, Ethnicity, and Gender in Health Sana Loue, Case Western Reserve University, Cleveland Where there are patients, clients, or study participants, there are data. And when data involve personal variables of race, ethnicity, gender, and/or sexual orientation, questions of relevance and marginalization often arise. Assessing Race, Ethnicity, and Gender in Health brings needed clarity to the debate by identifying the ethical issues as well as the technical challenges inherent in measuring these elusive concepts. Sana Loue expands on her work begun in Gender, Ethnicity, and Health Research by paralleling the evolution of racial and sexual categories with the development of health research. Her review of the literature clearly explains when and why the use of classification systems may be both clinically and morally appropriate. In addition, Loue provides a salient guide to assessment tools currently used in measuring racial and sexual constructs, identity, and experience. Overview of categories in their sociopolitical context Self-definition vs. definition by others: methodological considerations Review of the overlapping roles of race, ethnicity, and sexual orientation in health, health care, and health care disparities Selected measures for assessing ethnicity, ethnic identification, and levels of acculturation Suggested dimensions for assessing sexual orientation Current diagnostic criteria for gender identity disorder Given the prevalence of ethnic- and gender-based data collection throughout the health and mental health fields, this book’s usefulness is not limited to the research community. Physicians, therapists, social workers, and sociologists will find this clear-minded volume an important source of instruments—and insights.


Eliminating Health Disparities

Eliminating Health Disparities

Author: National Research Council

Publisher: National Academies Press

Published: 2004-08-09

Total Pages: 310

ISBN-13: 0309166136

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Disparities in health and health care across racial, ethnic, and socioeconomic backgrounds in the United States are well documented. The reasons for these disparities are, however, not well understood. Current data available on race, ethnicity, SEP, and accumulation and language use are severely limited. The report examines data collection and reporting systems relating to the collection of data on race, ethnicity, and socioeconomic position and offers recommendations.


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.


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.


Race, Ethnicity, and Language Data

Race, Ethnicity, and Language Data

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2009-12-30

Total Pages: 286

ISBN-13: 0309140129

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The goal of eliminating disparities in health care in the United States remains elusive. Even as quality improves on specific measures, disparities often persist. Addressing these disparities must begin with the fundamental step of bringing the nature of the disparities and the groups at risk for those disparities to light by collecting health care quality information stratified by race, ethnicity and language data. Then attention can be focused on where interventions might be best applied, and on planning and evaluating those efforts to inform the development of policy and the application of resources. A lack of standardization of categories for race, ethnicity, and language data has been suggested as one obstacle to achieving more widespread collection and utilization of these data. Race, Ethnicity, and Language Data identifies current models for collecting and coding race, ethnicity, and language data; reviews challenges involved in obtaining these data, and makes recommendations for a nationally standardized approach for use in health care quality improvement.


Assessing Race, Ethnicity and Gender in Health

Assessing Race, Ethnicity and Gender in Health

Author: Sana Loue

Publisher: Springer Science & Business Media

Published: 2006-12-22

Total Pages: 166

ISBN-13: 0387324623

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This book deals specifically with the historical basis for use of terms in race, gender, ethnicity, sex and sexual orientation. It brings much needed clarity to the debate by identifying the ethical issues as well as the technical challenges inherent in measuring these elusive concepts. The author expands on her work begun in Gender, Ethnicity, and Health Research by paralleling the evolution of racial and sexual categories with the development of health research. In addition, the book provides a salient guide to assessment tools currently used in measuring racial and sexual constructs, identity, and experience.


Handbook of Race-Ethnicity and Gender in Psychology

Handbook of Race-Ethnicity and Gender in Psychology

Author: Marie L. Miville

Publisher: Springer Science & Business Media

Published: 2014-02-06

Total Pages: 410

ISBN-13: 1461488605

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Multicultural aspects of psychology have received some attention in the literature in the last decade. A number of texts currently address these significant concerns, for example, Counseling the Culturally Different (Sue & Sue, 2008); Handbook of Multicultural Counseling ( Poterotto et l., 2009); and Handbook of Multicultural Counseling Competencies (Pope-Davis & Coleman, 2005). In their most recent editions, several of these books address more nuanced complexities of diversity, for example, the intersections of gender or social class with race-ethnicity. Meanwhile, other texts have addressed gender issues in psychology (Handbook of Counseling Women, Counseling Men), with some attention paid to racial-ethnic and other diversity concerns. Clearly the progression of scholarship in this field reflects the importance of incorporating multiple aspects of diversity within psychology. However, no book currently exists that fully addresses the complexities of race-ethnicity and gender together. Better understanding of the dual impact of race-ethnicity and gender on psychological functioning may lead to more effective conceptualizations of a number of mental health issues, such as domestic violence, addictions, health-related behaviors and achievement. Exploring the impact of race-ethnicity and gender also may provide a broader understanding of self-in-community, as this affects individuals, families and other social groups and work and career development. Topics of interest may include identity development, worldviews and belief systems, parenting styles, interventions for promoting resilience and persistence and strategies for enhancing more accurate diagnostic and treatment modalities. Today’s world is comprised of multiple and intersecting communities that remain in need of psychological models and interventions that support and promote both individual and collective mental health. We believe that utilizing unidimensional conceptual models (e.g. focusing solely on race-ethnicity or gender) no longer adequately addresses psychological concerns that are dynamic, complex and multi-faceted. The proposed Handbook will focus on timely topics which historically have been under-addressed for a number of diverse populations.


Race, Ethnicity, and Health

Race, Ethnicity, and Health

Author: Thomas A. LaVeist

Publisher: John Wiley & Sons

Published: 2012-09-26

Total Pages: 848

ISBN-13: 1118086988

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Race, Ethnicity and Health, Second Edition, is a critical selection of hallmark articles that address health disparities in America. It effectively documents the need for equal treatment and equal health status for minorities. Intended as a resource for faculty and students in public health as well as the social sciences, it will be also be valuable to public health administrators and frontline staff who serve diverse racial and ethnic populations. The book brings together the best peer reviewed research literature from the leading scholars and faculty in this growing field, providing a historical and political context for the study of health, race, and ethnicity, with key findings on disparities in access, use, and quality. This volume also examines the role of health care providers in health disparities and discusses the issue of matching patients and doctors by race. New chapters cover: reflections on demographic changes in the US based on the current census; metrics and nomenclature for disparities; theories of genetic basis for disparities; the built environment; residential segregation; environmental health; occupational health; health disparities in integrated communities; Latino health; Asian populations; stress and health; physician/patient relationships; hospital treatment of minorities; the slavery hypertension hypothesis; geographic disparities; and intervention design.


Measuring Race

Measuring Race

Author: Robert T. Teranishi

Publisher: Multicultural Education

Published: 2020

Total Pages: 0

ISBN-13: 9780807763612

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"Understanding the complexity of racial categories is essential for achieving equity and reducing inequality in the United States. The authors show how that by disaggregating data on race, researchers and policymakers can more fully understand how race is factored in educational settings"--