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.


Investing in the Health and Well-Being of Young Adults

Investing in the Health and Well-Being of Young Adults

Author: National Research Council

Publisher: National Academies Press

Published: 2015-01-27

Total Pages: 431

ISBN-13: 0309309980

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Young adulthood - ages approximately 18 to 26 - is a critical period of development with long-lasting implications for a person's economic security, health and well-being. Young adults are key contributors to the nation's workforce and military services and, since many are parents, to the healthy development of the next generation. Although 'millennials' have received attention in the popular media in recent years, young adults are too rarely treated as a distinct population in policy, programs, and research. Instead, they are often grouped with adolescents or, more often, with all adults. Currently, the nation is experiencing economic restructuring, widening inequality, a rapidly rising ratio of older adults, and an increasingly diverse population. The possible transformative effects of these features make focus on young adults especially important. A systematic approach to understanding and responding to the unique circumstances and needs of today's young adults can help to pave the way to a more productive and equitable tomorrow for young adults in particular and our society at large. Investing in The Health and Well-Being of Young Adults describes what is meant by the term young adulthood, who young adults are, what they are doing, and what they need. This study recommends actions that nonprofit programs and federal, state, and local agencies can take to help young adults make a successful transition from adolescence to adulthood. According to this report, young adults should be considered as a separate group from adolescents and older adults. Investing in The Health and Well-Being of Young Adults makes the case that increased efforts to improve high school and college graduate rates and education and workforce development systems that are more closely tied to high-demand economic sectors will help this age group achieve greater opportunity and success. The report also discusses the health status of young adults and makes recommendations to develop evidence-based practices for young adults for medical and behavioral health, including preventions. What happens during the young adult years has profound implications for the rest of the life course, and the stability and progress of society at large depends on how any cohort of young adults fares as a whole. Investing in The Health and Well-Being of Young Adults will provide a roadmap to improving outcomes for this age group as they transition from adolescence to adulthood.


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.


The Oxford Handbook of Multicultural Identity

The Oxford Handbook of Multicultural Identity

Author: Veronica Benet-Martinez

Publisher: Oxford University Press

Published: 2015-08-01

Total Pages: 561

ISBN-13: 0199796750

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Multiculturalism is a prevalent worldwide societal phenomenon. Aspects of our modern life, such as migration, economic globalization, multicultural policies, and cross-border travel and communication have made intercultural contacts inevitable. High numbers of multicultural individuals (23-43% of the population by some estimates) can be found in many nations where migration has been strong (e.g., Australia, U.S., Western Europe, Singapore) or where there is a history of colonization (e.g., Hong Kong). Many multicultural individuals are also ethnic and cultural minorities who are descendants of immigrants, majority individuals with extensive multicultural experiences, or people with culturally mixed families; all people for whom identification and/or involvement with multiple cultures is the norm. Despite the prevalence of multicultural identity and experiences, until the publication of this volume, there has not yet been a comprehensive review of scholarly research on the psychological underpinning of multiculturalism. The Oxford Handbook of Multicultural Identity fills this void. It reviews cutting-edge empirical and theoretical work on the psychology of multicultural identities and experiences. As a whole, the volume addresses some important basic issues, such as measurement of multicultural identity, links between multilingualism and multiculturalism, the social psychology of multiculturalism and globalization, as well as applied issues such as multiculturalism in counseling, education, policy, marketing and organizational science, to mention a few. This handbook will be useful for students, researchers, and teachers in cultural, social, personality, developmental, acculturation, and ethnic psychology. It can also be used as a source book in advanced undergraduate and graduate courses on identity and multiculturalism, and a reference for applied psychologists and researchers in the domains of education, management, and marketing.


Becoming New Yorkers

Becoming New Yorkers

Author: Philip Kasinitz

Publisher: Russell Sage Foundation

Published: 2004-08-20

Total Pages: 432

ISBN-13: 1610443284

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More than half of New Yorkers under the age of eighteen are the children of immigrants. This second generation shares with previous waves of immigrant youth the experience of attempting to reconcile their cultural heritage with American society. In Becoming New Yorkers, noted social scientists Philip Kasinitz, John Mollenkopf, and Mary Waters bring together in-depth ethnographies of some of New York's largest immigrant populations to assess the experience of the new second generation and to explore the ways in which they are changing the fabric of American culture. Becoming New Yorkers looks at the experience of specific immigrant groups, with regard to education, jobs, and community life. Exploring immigrant education, Nancy López shows how teachers' low expectations of Dominican males often translate into lower graduation rates for boys than for girls. In the labor market, Dae Young Kim finds that Koreans, young and old alike, believe the second generation should use the opportunities provided by their parents' small business success to pursue less arduous, more rewarding work than their parents. Analyzing civic life, Amy Forester profiles how the high-ranking members of a predominantly black labor union, who came of age fighting for civil rights in the 1960s, adjust to an increasingly large Caribbean membership that sees the leaders not as pioneers but as the old-guard establishment. In a revealing look at how the second-generation views itself, Sherry Ann Butterfield and Aviva Zeltzer-Zubida point out that black West Indian and Russian Jewish immigrants often must choose whether to identify themselves alongside those with similar skin color or to differentiate themselves from both native blacks and whites based on their unique heritage. Like many other groups studied here, these two groups experience race as a fluid, situational category that matters in some contexts but is irrelevant in others. As immigrants move out of gateway cities and into the rest of the country, America will increasingly look like the multicultural society vividly described in Becoming New Yorkers. This insightful work paints a vibrant picture of the experience of second generation Americans as they adjust to American society and help to shape its future.


African American Acculturation

African American Acculturation

Author: Hope Landrine

Publisher: SAGE Publications, Incorporated

Published: 1996-03-28

Total Pages: 200

ISBN-13:

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Should African Americans be construed as a race or as an ethnic group? If African Americans are defined as an ethnic group, what role does culture play in their lives and how can we measure their culture? This groundbreaking volume argues that we should reject the concept of race and define African Americans as a cultural group. It presents the first scale ever devised for measuring acculturation among African Americans, along with powerful studies that empirically explore the role of culture and acculturation in African American behavior, health, and psychology. Among the authors' findings are how acculturation predicts symptoms, such as depression and anxiety, and physical problems, such as hypertension.


Imagined Communities

Imagined Communities

Author: Benedict Anderson

Publisher: Verso Books

Published: 2006-11-17

Total Pages: 338

ISBN-13: 178168359X

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What are the imagined communities that compel men to kill or to die for an idea of a nation? This notion of nationhood had its origins in the founding of the Americas, but was then adopted and transformed by populist movements in nineteenth-century Europe. It became the rallying cry for anti-Imperialism as well as the abiding explanation for colonialism. In this scintillating, groundbreaking work of intellectual history Anderson explores how ideas are formed and reformulated at every level, from high politics to popular culture, and the way that they can make people do extraordinary things. In the twenty-first century, these debates on the nature of the nation state are even more urgent. As new nations rise, vying for influence, and old empires decline, we must understand who we are as a community in the face of history, and change.


West Indian Immigrants

West Indian Immigrants

Author: Suzanne Model

Publisher: Russell Sage Foundation

Published: 2008-06-12

Total Pages: 252

ISBN-13: 1610444000

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West Indian immigrants to the United States fare better than native-born African Americans on a wide array of economic measures, including labor force participation, earnings, and occupational prestige. Some researchers argue that the root of this difference lies in differing cultural attitudes toward work, while others maintain that white Americans favor West Indian blacks over African Americans, giving them an edge in the workforce. Still others hold that West Indians who emigrate to this country are more ambitious and talented than those they left behind. In West Indian Immigrants, sociologist Suzanne Model subjects these theories to close historical and empirical scrutiny to unravel the mystery of West Indian success. West Indian Immigrants draws on four decades of national census data, surveys of Caribbean emigrants around the world, and historical records dating back to the emergence of the slave trade. Model debunks the notion that growing up in an all-black society is an advantage by showing that immigrants from racially homogeneous and racially heterogeneous areas have identical economic outcomes. Weighing the evidence for white American favoritism, Model compares West Indian immigrants in New York, Toronto, London, and Amsterdam, and finds that, despite variation in the labor markets and ethnic composition of these cities, Caribbean immigrants in these four cities attain similar levels of economic success. Model also looks at "movers" and "stayers" from Barbados, Jamaica, Trinidad, and Guyana, and finds that emigrants leaving all four countries have more education and hold higher status jobs than those who remain. In this sense, West Indians immigrants are not so different from successful native-born African Americans who have moved within the U.S. to further their careers. Both West Indian immigrants and native-born African-American movers are the "best and the brightest"—they are more literate and hold better jobs than those who stay put. While political debates about the nature of black disadvantage in America have long fixated on West Indians' relatively favorable economic position, this crucial finding reveals a fundamental flaw in the argument that West Indian success is proof of native-born blacks' behavioral shortcomings. Proponents of this viewpoint have overlooked the critical role of immigrant self-selection. West Indian Immigrants is a sweeping historical narrative and definitive empirical analysis that promises to change the way we think about what it means to be a black American. Ultimately, Model shows that West Indians aren't a black success story at all—rather, they are an immigrant success story.


To Be an Immigrant

To Be an Immigrant

Author: Kay Deaux

Publisher: Russell Sage Foundation

Published: 2006-08-17

Total Pages: 273

ISBN-13: 1610441532

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Immigration is often discussed in broad, statistical terms, with a focus on how it affects labor markets, schools, and social services. But at its most basic level, immigration is a process that affects people and their identities in deeply personal ways. In To Be an Immigrant, social psychologist Kay Deaux explores the role of both social conditions and individual capacities in determining how well immigrants adapt to life in their new homelands, and makes a strong case for the relevance of social psychology in immigration studies. To Be an Immigrant looks at how immigrants are defined, shaped, and challenged by the cultural environment they encounter in their new country and offers an integrated psychological framework for studying the immigrant experience. Deaux argues that in addition to looking at macro-level factors like public policies and social conditions and micro-level issues like individual choices, immigration scholars should also study influences that occur on an intermediate level, such as interpersonal encounters. Each of these three levels of analysis is essential to understanding how immigrants adapt to a new homeland and form distinct identities. As a case study for her framework, Deaux examines West Indians, exploring their perceptions of the stereotypes they face in the United States and their feelings of connection to their new home. Though race plays a limited role in the West Indies, it becomes more relevant to migrants once they arrive in the United States, where they are primarily identified by others as black, rather than Guyanese or Jamaican. Deaux's research adds to a growing literature in social psychology on stereotype threat, which suggests that negative stereotypes about one's group can hinder an individual's performance. She finds that immigrants who have been in the United States longer and identify themselves as African American suffer from the negative effects of stereotype threat more than recent immigrants. More than a discrete event, immigration can be understood as a life-long process that continues to affect people well after they have migrated. To Be an Immigrant takes a novel approach to the study of immigration, looking at how societal influences help shape immigrants and their understanding of who they are.