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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.
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.
2 segregation in the United States (Taeuber and Taeuber, 1965: 28-64). Residential segregation limits the possibilities for contaets between whites and blaeks, and as a result, deereases the potential for social unity. Resi dential segregation has been seen to lead to a sense of eonfinement among ghetto residents which exaeerbates alI the other problems that affeet these neighborhoods. As a result, the spatial separation of the raees has been viewed as a serious threat to the stability of the society (U.S. National Advisory Commission on Civil Disorders, 1968: vii). Spatial separation also leads to other specific problems sueh as de laclo sehool segregation, while segregated sehools have been declared inherently unequal. Furthermore, the movement of blaeks to the suburbs that has oecurred in 2 recent years has not led to decreased patterns of isolation. Instead, this shift has refleeted an expansion of existing ghetto areas aeross city bounda ries. For example, Cleveland's black ghetto has expanded into and through East Cleveland which is a distinct municipality; (see Arthur D. Little, 1969) and Washington, D.C. 's ghetto has expanded northeast into suburban Prinee Georges County (Zehner and Chapin, 1974). 3 Glantz and Delaney (1973) in a study of 14 ofthe 18largest metropolitan are as, found that the degree of segregation of blacks within particular suburban municipalities had not changed much between 1969 and 1970. Blacks were coneentrated in the same suburban eommunities in 1970 as in 1960.
This open access book investigates the link between income inequality and socio-economic residential segregation in 24 large urban regions in Africa, Asia, Australia, Europe, North America, and South America. It offers a unique global overview of segregation trends based on case studies by local author teams. The book shows important global trends in segregation, and proposes a Global Segregation Thesis. Rising inequalities lead to rising levels of socio-economic segregation almost everywhere in the world. Levels of inequality and segregation are higher in cities in lower income countries, but the growth in inequality and segregation is faster in cities in high-income countries. This is causing convergence of segregation trends. Professionalisation of the workforce is leading to changing residential patterns. High-income workers are moving to city centres or to attractive coastal areas and gated communities, while poverty is increasingly suburbanising. As a result, the urban geography of inequality changes faster and is more pronounced than changes in segregation levels. Rising levels of inequality and segregation pose huge challenges for the future social sustainability of cities, as cities are no longer places of opportunities for all.
"Provides a rich prism through which to explore the social, economic, and political development of black Cincinnati. These studies offer insight into both the dynamics of racism and a community's changing responses to it." -- Peter Rachleff, author of Black Labor in Richmond
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.
Winner of the 2009 Book Award in Social Sciences, Association for Asian American Studies This innovative work provides a new model for the analysis of ethnic and racial settlement patterns in the United States and Canada. Ethnoburbs—suburban ethnic clusters of residential areas and business districts in large metropolitan areas—are multiracial, multiethnic, multicultural, multilingual, and often multinational communities in which one ethnic minority group has a significant concentration but does not necessarily constitute a majority. Wei Li documents the processes that have evolved with the spatial transformation of the Chinese American community of Los Angeles and that have converted the San Gabriel Valley into ethnoburbs in the latter half of the twentieth century, and she examines the opportunities and challenges that occurred as a result of these changes. Traditional ethnic and immigrant settlements customarily take the form of either ghettos or enclaves. Thus the majority of scholarly publications and mass media covering the San Gabriel Valley has described it as a Chinatown located in Los Angeles’ suburbs. Li offers a completely different approach to understanding and analyzing this fascinating place. By conducting interviews with residents, a comparative spatial examination of census data and other statistical sources, and fieldwork—coupled with her own holistic view of the area—Li gives readers an effective and fine-tuned socio-spatial analysis of the evolution of a new type of racially defined place. The San Gabriel Valley tells a unique story, but its evolution also speaks to those experiencing a similar type of ethnic and racial conurbation. In sum, Li sheds light on processes that are shaping other present (and future) ethnically and racially diverse communities. The concept of the ethnoburb has redefined the way geographers and other scholars think about ethnic space, place, and process. This book will contribute significantly to both theoretical and empirical studies of immigration by presenting a more intensive and thorough "take" on arguments about spatial and social processes in urban and suburban America.
Racial and Ethnic Politics in American Suburbs examines racial and ethnic politics outside traditional urban contexts and questions the standard theories we use to understand mobility and government responses to rapid demographic change and political demands. This study moves beyond traditional scholarship in urban politics, departing from the persistent treatment of racial dynamics in terms of a simple black-white binary. Combining an interdisciplinary, multi-method, and multiracial approach with a well-integrated analysis of multiple forms of data including focus groups, in-depth interviews, and census data, Racial and Ethnic Politics in American Suburbs explains how redistributive policies and programs are developed and implemented at the local level to assist immigrants, racial/ethnic minorities, and low-income groups - something that given earlier knowledge and theorizing should rarely happen. Lorrie Frasure-Yokley relies on the framework of suburban institutional interdependency (SII), which presents a new way of thinking systematically about local politics within the context of suburban political institutions in the United States today.
This third edition of the widely acclaimed classic has been thoroughly expanded and updated to reflect current demographic, economic, and political realities. Drawing on recent census data and other primary sources, Portes and Rumbaut have infused the entire text with new information and added a vivid array of new vignettes and illustrations. Recognized for its superb portrayal of immigration and immigrant lives in the United States, this book probes the dynamics of immigrant politics, examining questions of identity and loyalty among newcomers, and explores the psychological consequences of varying modes of migration and acculturation. The authors look at patterns of settlement in urban America, discuss the problems of English-language acquisition and bilingual education, explain how immigrants incorporate themselves into the American economy, and examine the trajectories of their children from adolescence to early adulthood. With a vital new chapter on religion—and fresh analyses of topics ranging from patterns of incarceration to the mobility of the second generation and the unintended consequences of public policies—this updated edition is indispensable for framing and informing issues that promise to be even more hotly and urgently contested as the subject moves to the center of national debate..