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.


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.


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.


The Anatomy of Racial Inequality

The Anatomy of Racial Inequality

Author: Glenn C. LOURY

Publisher: Harvard University Press

Published: 2009-06-30

Total Pages: 241

ISBN-13: 0674040325

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Speaking wisely and provocatively about the political economy of race, Glenn Loury has become one of our most prominent black intellectuals--and, because of his challenges to the orthodoxies of both left and right, one of the most controversial. A major statement of a position developed over the past decade, this book both epitomizes and explains Loury's understanding of the depressed conditions of so much of black society today--and the origins, consequences, and implications for the future of these conditions. Using an economist's approach, Loury describes a vicious cycle of tainted social information that has resulted in a self-replicating pattern of racial stereotypes that rationalize and sustain discrimination. His analysis shows how the restrictions placed on black development by stereotypical and stigmatizing racial thinking deny a whole segment of the population the possibility of self-actualization that American society reveres--something that many contend would be undermined by remedies such as affirmative action. On the contrary, this book persuasively argues that the promise of fairness and individual freedom and dignity will remain unfulfilled without some forms of intervention based on race. Brilliant in its account of how racial classifications are created and perpetuated, and how they resonate through the social, psychological, spiritual, and economic life of the nation, this compelling and passionate book gives us a new way of seeing--and, perhaps, seeing beyond--the damning categorization of race in America.


More Courageous Conversations About Race

More Courageous Conversations About Race

Author: Glenn E. Singleton

Publisher: Corwin Press

Published: 2013

Total Pages: 361

ISBN-13: 1412992664

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"Since the highly acclaimed Courageous Conversations About Race offered educators a frame work and tools for promoting racial equity, many schools have implemented the Courageous Conversations Protocol. Now ... in a book that's rich with anecdote, Singleton celebrates the successes, outlines the difficulties, and provides specific strategies for moving Courageous Conversations from racial equity theory to practice at every level, from the classroom to the school superintendent's office"--Back cover.


Beyond Discrimination

Beyond Discrimination

Author: Fredrick C. Harris

Publisher: Russell Sage Foundation

Published: 2013-06-30

Total Pages: 376

ISBN-13: 1610448170

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Nearly a half century after the civil rights movement, racial inequality remains a defining feature of American life. Along a wide range of social and economic dimensions, African Americans consistently lag behind whites. This troubling divide has persisted even as many of the obvious barriers to equality, such as state-sanctioned segregation and overt racial hostility, have markedly declined. How then can we explain the stubborn persistence of racial inequality? In Beyond Discrimination: Racial Inequality in a Post-Racist Era, a diverse group of scholars provides a more precise understanding of when and how racial inequality can occur without its most common antecedents, prejudice and discrimination. Beyond Discrimination focuses on the often hidden political, economic and historical mechanisms that now sustain the black-white divide in America. The first set of chapters examines the historical legacies that have shaped contemporary race relations. Desmond King reviews the civil rights movement to pinpoint why racial inequality became an especially salient issue in American politics. He argues that while the civil rights protests led the federal government to enforce certain political rights, such as the right to vote, addressing racial inequities in housing, education, and income never became a national priority. The volume then considers the impact of racial attitudes in American society and institutions. Phillip Goff outlines promising new collaborations between police departments and social scientists that will improve the measurement of racial bias in policing. The book finally focuses on the structural processes that perpetuate racial inequality. Devin Fergus discusses an obscure set of tax and insurance policies that, without being overtly racially drawn, penalizes residents of minority neighborhoods and imposes an economic handicap on poor blacks and Latinos. Naa Oyo Kwate shows how apparently neutral and apolitical market forces concentrate fast food and alcohol advertising in minority urban neighborhoods to the detriment of the health of the community. As it addresses the most pressing arenas of racial inequality, from education and employment to criminal justice and health, Beyond Discrimination exposes the unequal consequences of the ordinary workings of American society. It offers promising pathways for future research on the growing complexity of race relations in the United States.


Racism in America

Racism in America

Author: Steven L. Foy

Publisher: Bloomsbury Publishing USA

Published: 2020-02-24

Total Pages: 364

ISBN-13: 1440856419

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This book explains how race, once a differentiating factor, became a major basis for stratification in the United States that pervaded scientific thought, religious doctrine, governmental policy, and the patterned actions of decision-makers in all sectors of social life. Racism in America: A Reference Handbook diverges from the typical focus of accounts of racism on interpersonal prejudice and discrimination to situate racism within structural processes to demonstrate the systematic nature of racial discrimination. Racial progress, though notable, has largely addressed symptoms of the racialized social system rather than tackling the ways in which the system is inherently patterned to benefit whites. This book provides evidence that racial discrimination is not an occasional decision made by individuals. The book provides readers with a background and history of race in America; a thorough treatment of the problems, controversies, and solutions related to race; a perspectives section including essays from experts in a variety of related fields; profiles of important people and organizations; and a section dedicated to data and documents. Its organizational strategy benefits the reader, first explaining core concepts and providing context for racism in America before moving into more specific applications in the work of relevant experts and providing directions for further study.