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"The authors argue that much of the research into later life has neglected ethnic and cultural variation. Their aim is to help us to understand what is important in older women's lives across a range of ethnic groups. They have certainly achieved this in what is a readable and detailed analysis of their findings. Highly recommended." Nursing Standard "…the first book to comprehensively examine the lives of older women from ethnic minorities in the UK as well as non-migrant White women. The authors draw on extensive qualitative research to provide novel ways of looking at the priorities and concerns of older women, providing insights into what enhances their quality of life. Mary Maynard and colleagues have written an outstanding book... Women in Later Life will be essential reading for students on undergraduate and postgraduate courses on gender, ethnicity and later life." Sara Arber, University of Surrey "…what is it like to be an older person and, particularly, an older woman? This carefully crafted and wide-ranging book seeks to answer this question…The book reminds us that age is a social construct, one which profoundly disadvantages women. For minority ethnic women, where this book makes an important contribution to a largely unexplored territory, the situation is even more dire. The authors have opened up a huge area of policy, demonstrating, despite the rhetoric of government, how badly we treat our elders." Professor Gary Craig, University of Hull Britain, along with other Western and industrialized countries, has an ageing population. We already live in one of the demographically oldest societies to have ever existed and the population is going to get older. By 2020 it is estimated that one third of the population will be aged over 50. Furthermore, older women outnumber older men, since men tend to die at a younger age than women. In the academic mainstream relatively little is known about older women from minority ethnic communities. This groundbreaking book is based on interviews and focus groups with women of different backgrounds and ethnicities whose lives illustrate the strength of character and optimism that have often enabled them to live through hard times but who, in general, view later life positively. In seeking to understand the relationships between age, gender and ethnicity, the authors focus on a number of key themes including: Family and networks Health and well being Religion, faith and spirituality Income, pensions and housing The meaning of identity and life course events Death and dying Women in Later Life will be key reading for students and practitioners with an interest in gender and/or issues surrounding later life.
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.
This fascinating book brings together an extraordinarily diverse collection of insights, from a wide range of experts. A broad overview is created by the foreword, from Jumbo Klercq. This sets the scene for the subsequent chapters which examine more specific approaches and ways of tackling age diversity and ageing in the workplace. A key contribution, by Sarah Harper, analyses the research and evidence on factors which impact on older workers. This is complemented by an exploration of older workers’ attitudes to work based on primary research undertaken by Stephen McNair and Mat Flynn. Chiva and Manthorpe also include examples of innovative practice in working with individuals, employers and intermediaries and feature contributions from researchers in the UK, France, Poland, Spain and Norway. Older Workers in Europe is ideal for students of gerontology, social policy, sociology and human resource management. It will also be of interest to policy makers and professionals working in the fields of employment and guidance, policy, economics, labour force development and research.
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.
Older Americans, even the oldest, can now expect to live years longer than those who reached the same ages even a few decades ago. Although survival has improved for all racial and ethnic groups, strong differences persist, both in life expectancy and in the causes of disability and death at older ages. This book examines trends in mortality rates and selected causes of disability (cardiovascular disease, dementia) for older people of different racial and ethnic groups. The determinants of these trends and differences are also investigated, including differences in access to health care and experiences in early life, diet, health behaviors, genetic background, social class, wealth and income. Groups often neglected in analyses of national data, such as the elderly Hispanic and Asian Americans of different origin and immigrant generations, are compared. The volume provides understanding of research bearing on the health status and survival of the fastest-growing segment of the American population.
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.
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 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.
Ethnic Studies in Academic and Research Libraries serves as a snapshot of critical work that library workers are doing to support ethnic studies, including areas focusing on ethnic and racial experiences across the disciplines. Other curriculums or programs may emphasize race, migration, and diasporic studies, and these intersecting areas are highlighted to ensure work supporting ethnic studies is not solely defined by a discipline, but by commitment to programs that uplift underserved and underrepresented ethnic communities and communities of color.