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Challenging the dominant view of Hawai’i as a “melting pot paradise”—a place of ethnic tolerance and equality—Jonathan Okamura examines how ethnic inequality is structured and maintained in island society. He finds that ethnicity, not race or class, signifies difference for Hawaii’s people and therefore structures their social relations. In Hawai’i, residents attribute greater social significance to the presumed cultural differences between ethnicities than to more obvious physical differences, such as skin color. According to Okamura, ethnicity regulates disparities in access to resources, rewards, and privileges among ethnic groups, as he demonstrates in his analysis of socioeconomic and educational inequalities in the state. He shows that socially and economically dominant ethnic groups—Chinese Americans, Japanese Americans, and Whites—have stigmatized and subjugated the islands’ other ethnic groups—especially Native Hawaiians, Filipino Americans, and Samoans. He demonstrates how ethnic stereotypes have been deployed against ethnic minorities and how these groups have contested their subordinate political and economic status by articulating new identities for themselves.
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.
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.
This book analyses the behaviour of ethnic minority groups in China using the first comprehensive national dataset dedicated to capturing the socio-economic profile of ethnic minorities: the China Household Ethnicity Survey (CHES). Managing ethnic diversity in China has become an increasingly important subject, especially against the backdrop of the nation’s rampant economic growth and changing institutional behaviour. The book has an analytical interest in looking at the benefactors of China’s growth from an ethnic group dimension, and notably, how the economic life of the 55 ethnic minority groups compares to the Han majority. It’s one of the first publications to capture the heterogeneity of ethnic minority groups’ socio-economic experience, through intersectional analysis and multi-disciplinary approaches. Contributing factors in explaining ethnic minorities’ experiences in the urban labour market are also considered: from how linguistic capital and migration patterns vary for ethnic minorities, to the effects of pro-rural policies. Underpinning these are questions about the extent to which happiness and discrimination impact the economic life of ethnic minorities. Ethnicity and Inequality in China will prove an invaluable resource for students and scholars of economics, sociology and contemporary Chinese Studies more broadly.
Available Open Access under CC-BY-NC licence. 50 years after the establishment of the Runnymede Trust and the Race Relations Act of 1968 which sought to end discrimination in public life, this accessible book provides commentary by some of the UK’s foremost scholars of race and ethnicity on data relating to a wide range of sectors of society, including employment, health, education, criminal justice, housing and representation in the arts and media. It explores what progress has been made, identifies those areas where inequalities remain stubbornly resistant to change, and asks how our thinking around race and ethnicity has changed in an era of Islamophobia, Brexit and an increasingly diverse population.
Understanding why inequality is so great and has persevered for centuries in a number of Latin American countries requires tools that go beyond economics. Investigating the case of Peru, this book explores how inequality is embedded in institutions that constitute the interface between the economy, the polity and geography of the country.
Under increasingly intense newsroom demands, reporters often find it difficult to cover the complexity of topics that deal with racial and social inequality. This path-breaking book lays out simple, effective reporting strategies that equip journalists to investigate disparity’s root causes. Chapters discuss how racially disparate outcomes in health, education, wealth/income, housing, and the criminal justice system are often the result of inequity in opportunity and also provide theoretical frameworks for understanding the roots of racial inequity. Examples of model reporting from ProPublica, the Center for Public Integrity, and the San Jose Mercury News showcase best practice in writing while emphasizing community-based reporting. Throughout the book, tools and practical techniques such as the Fault Lines framework, the Listening Post and the authors' Opportunity Index and Upstream-Downstream Framework all help journalists improve their awareness and coverage of structural inequity at a practical level. For students and journalists alike, Reporting Inequality is an ideal resource for understanding how to cover structures of injustice with balance and precision.
Why do racial and ethnic groups discriminate against each other? The most common sociological answer is that they want to monopolize scarce resources—good jobs or top educations—for themselves. This book offers a different answer, showing that racial and ethnic discrimination can also occur to preserve particular group identities. Shifting Ethnic Boundaries and Inequality in Israel focuses on the early period of Israeli statehood to examine how the European Jewish founders treated Middle Eastern Jewish immigrants. The author argues that, shaped by their own unique encounter with European colonialism, the European Jews were intent on producing Israel as part of the West. To this end, they excluded and discriminated against those Middle Eastern Jews who threatened the goal of Westernization. Blending quantitative and qualitative evidence, Aziza Khazzoom provides a compelling rationale for the emergence of ethnic identity and group discrimination, while also suggesting new ways to understand Israeli-Palestinian relations.
Local governments play a central role in American democracy, providing essential services such as policing, water, and sanitation. Moreover, Americans express great confidence in their municipal governments. But is this confidence warranted? Using big data and a representative sample of American communities, this book provides the first systematic examination of racial and class inequalities in local politics. We find that non-whites and less-affluent residents are consistent losers in local democracy. Residents of color and those with lower incomes receive less representation from local elected officials than do whites and the affluent. Additionally, they are much less likely than privileged community members to have their preferences reflected in local government policy. Contrary to the popular assumption that governments that are “closest” govern best, we find that inequalities in representation are most severe in suburbs and small towns. Typical reforms do not seem to improve the situation, and we recommend new approaches.
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.