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Many believe that the War on Poverty, launched by President Johnson in 1964, ended in failure. In 2010, the official poverty rate was 15 percent, almost as high as when the War on Poverty was declared. Historical and contemporary accounts often portray the War on Poverty as a costly experiment that created doubts about the ability of public policies to address complex social problems. Legacies of the War on Poverty, drawing from fifty years of empirical evidence, documents that this popular view is too negative. The volume offers a balanced assessment of the War on Poverty that highlights some remarkable policy successes and promises to shift the national conversation on poverty in America. Featuring contributions from leading poverty researchers, Legacies of the War on Poverty demonstrates that poverty and racial discrimination would likely have been much greater today if the War on Poverty had not been launched. Chloe Gibbs, Jens Ludwig, and Douglas Miller dispel the notion that the Head Start education program does not work. While its impact on children’s test scores fade, the program contributes to participants’ long-term educational achievement and, importantly, their earnings growth later in life. Elizabeth Cascio and Sarah Reber show that Title I legislation reduced the school funding gap between poorer and richer states and prompted Southern school districts to desegregate, increasing educational opportunity for African Americans. The volume also examines the significant consequences of income support, housing, and health care programs. Jane Waldfogel shows that without the era’s expansion of food stamps and other nutrition programs, the child poverty rate in 2010 would have been three percentage points higher. Kathleen McGarry examines the policies that contributed to a great success of the War on Poverty: the rapid decline in elderly poverty, which fell from 35 percent in 1959 to below 10 percent in 2010. Barbara Wolfe concludes that Medicaid and Community Health Centers contributed to large reductions in infant mortality and increased life expectancy. Katherine Swartz finds that Medicare and Medicaid increased access to health care among the elderly and reduced the risk that they could not afford care or that obtaining it would bankrupt them and their families. Legacies of the War on Poverty demonstrates that well-designed government programs can reduce poverty, racial discrimination, and material hardships. This insightful volume refutes pessimism about the effects of social policies and provides new lessons about what more can be done to improve the lives of the poor.
Social epidemiology is the study of how the social world influences -- and in many cases defines -- the fundamental determinants of health. This link was substantiated in the first edition of Social Epidemiology, and the generation of research that followed has fundamentally changed the way we understand epidemiology and public health. This much-awaited second edition elevates the field again, first by codifying the last decade of research, then by extending it to examine how public policies impact health. The new edition includes: - 11 fully updated chapters, including entries on the links between health and discrimination, income inequality, social networks, and emotion - Four all-new chapters on the role of policies in shaping health, including how to translate evidence into action with multi-level interventions - Updated references, detailing the best research over the last two decades The result is a bold, brilliant text that will serve the new world of epidemiology in which scientists both observe health and design interventions to improve it. Social Epidemiology again sets an intellectual agenda and provides an essential foundation for those interested in social determinants of health around the world.
The need for informed analyses of health policy is now greater than ever. The twelve essays in this volume show that public debates routinely bypass complex ethical, sociocultural, historical, and political questions about how we should address ideals of justice and equality in health care. Integrating perspectives from the humanities, social sciences, medicine, and public health, this volume illuminates the relationships between justice and health inequalities to enrich debates. Understanding Health Inequalities and Justice explores three questions: How do scholars approach relations between health inequalities and ideals of justice? When do justice considerations inform solutions to health inequalities, and how do specific health inequalities affect perceptions of injustice? And how can diverse scholarly approaches contribute to better health policy? From addressing patient agency in an inequitable health care environment to examining how scholars of social justice and health care amass evidence, this volume promotes a richer understanding of health and justice and how to achieve both. The contributors are Judith C. Barker, Paula Braveman, Paul Brodwin, Jami Suki Chang, Debra DeBruin, Leslie A. Dubbin, Sarah Horton, Carla C. Keirns, J. Paul Kelleher, Nicholas B. King, Eva Feder Kittay, Joan Liaschenko, Anne Drapkin Lyerly, Mary Faith Marshall, Carolyn Moxley Rouse, Jennifer Prah Ruger, and Janet K. Shim.
Neonatal-perinatal medicine has a strong history of evidence based practice but unfortunately there remain many areas of uncertainty and unproven hypotheses and treatments that may harm our highly vulnerable patients. When new ideas are introduced into the labor and delivery room or the NICU we have to evaluate these procedures and therapies before they become accepted as standards of care. We need to learn from the past lessons of grey baby syndrome and chloramphenicol and of kernicterus and sulfonamide antibiotics where therapeutic good intentions actually did more harm than good and increased the mortality rate of premature babies in the NICU.This proposed edition addresses a broad range of current topics in perinatal neonatal practice. The AAP has just issued new guidelines for the approach to a neonate exposed to maternal genital herpes virus infection. The recommendations were not evidence based and are highly controversial as well as confusing. These topics are addressed in a scholarly and objective manner to both address the controversy and help the practitioner make informed decisions.
From public health luminary Nancy Krieger comes a revolutionary way of addressing health justice and the embodied truths of lived experience. Since the 1700s, fierce debates in medicine and public health have centered around whether sources of ill health can be attributed to either the individual or the surrounding body politic. But what if instead health researchers measure--and policies address--how people biologically embody their societal and ecological context? Ecosocial Theory, Embodied Truths, and the People's Health represents a daring new foray into analyzing how population patterns of health reveal the intersections of lived experience and biology in historical context. Expanding on Nancy Krieger's original ecosocial theory of disease distribution, this volume lays new theoretical groundwork about embodiment and health justice through concrete and novel examples involving pathways such as workplace discrimination, relationship abuse, Jim Crow, police violence, pesticides, fracking, green space, and climate change. It offers a crucial counterargument to dominant biomedical and public health narratives attributing causality to either innate biology or decontextualized health behaviors and provides a key step forward towards understanding and addressing the structural drivers of health inequities and health justice. Bridging insights from politics, history, sociology, ecology, biology, and public health, Ecosocial Theory, Embodied Truths, and the People's Health presents a bold new framework to transform biomedical and population health thinking, practice, and policies and to advance health equity across a deeply threatened planet.
Black people and people with disabilities in the United States are distinctively disadvantaged in their encounters with the health care system. These groups also share harsh histories of medical experimentation, eugenic sterilizations, and health care discrimination. Yet the similarities in inequities experienced by Black people and disabled people and the harms endured by people who are both Black and disabled have been largely unexplored. To fill this gap, Embodied Injustice uses an interdisciplinary approach, weaving health research with social science, critical approaches, and personal stories to portray the devastating effects of health injustice in America. Author Mary Crossley takes stock of the sometimes-vexed relationship between racial justice and disability rights advocates and interrogates how higher disability prevalence among Black Americans reflects unjust social structures. By suggesting reforms to advance health equity for disabled people, Black people, and disabled Black people, this book lays a crucial foundation for intersectional, cross-movement advocacy to advance health justice in America.
This book provides a focused and comprehensive overview of the status of children across society, with special reference to emerging features and measures of child safety, welfare, and overall well-being. The book is arranged into four parts covering various dimensions of child welfare and well-being. In this second edition, highly experienced academics, researchers, child rights activities, and policymakers from both developed and developing countries have contributed chapters on topics such as status of children living under institutional care, sexual abuse of male children and tribal girl children, issues and challenges faced by children living in conflict zones, children living on the streets, COVID-19 and its impact on the education of children. The status of marginalized children gets special importance in the second edition. The new chapters include field-based experiences of researchers in protecting child rights and preventing child abuse. It also considers the promising strategies and promising future directions in enhancing effective prevention, intervention and responses to child abuse and neglect. This volume is essential for a wide range of professionals and researchers from the social sciences, law, medicine, and behavioral sciences. It is also beneficial for policymakers and law enforcement agencies working with children.
Essentials of the U.S. Health Care System, Sixth Edition is a clear and concise distillation of the major topics covered in the best-selling Delivering Health Care in America by the same authors. Written with the undergraduate in mind, Essentials of the U.S. Health Care System is a reader-friendly, well organized resource that covers the major characteristics, foundations, and future of the U.S. health care system. The text clarifies the complexities of health care organization and finance and presents a solid overview of how the various components fit together. Key Features: - Updated new data for tables, charts, figures, and text based on the latest published data - Coverage of COVID-19 - The latest on the Affordable Care Act including its effects of insurance, access, and cost. - Navigate eBook access (included with each print text) provides online or offline access to the digital text from a computer, tablet, or mobile device.
At the turn of the 21st century, several important reports and events designed to raise awareness of health disparities and to describe initial efforts to reduce health disparities took place. The Surgeon General's office released several reports that showed dramatic disparities in tobacco use and access to mental health services by race and ethnicity. The first real legislation focused on reducing health disparities was signed into law, creating the National Center for Minority Health and Health Disparities within the NIH. In 2001, the IOM released its landmark report, Crossing the Quality Chasm: A New Health System for the 21st Century, highlighting the importance of a focus on health care quality rather than a focus on only access and cost issues. Building upon these reports and events, the IOM held a workshop on April 8, 2010, that discussed progress to address health disparities and focused on the success of various federal initiatives to reduce health disparities. How Far Have We Come in Reducing Health Disparities? summarizes the workshop and explains the progress in the field since 2000.
Social epidemiology is the study of how the social world influences -- and in many cases defines -- the fundamental determinants of health. This link was substantiated in the first edition of Social Epidemiology, and the generation of research that followed has fundamentally changed the way we understand epidemiology and public health. This much-awaited second edition elevates the field again, first by codifying the last decade of research, then by extending it to examine how public policies impact health. The new edition includes: · 11 fully updated chapters, including entries on the links between health and discrimination, income inequality, social networks, and emotion · Four all-new chapters on the role of policies in shaping health, including how to translate evidence into action with multi-level interventions · Updated references, detailing the best research over the last two decades The result is a bold, brilliant text that will serve the new world of epidemiology in which scientists both observe health and design interventions to improve it. Social Epidemiology again sets an intellectual agenda and provides an essential foundation for those interested in social determinants of health around the world.