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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.
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.
When originally published in Norway, Ethnic Groups and Boundaries marked the transition to a new era of ethnic studies. Today this much-cited classic is regarded as the seminal volume from which stems much current anthropological thinking about ethnicity. Ethnic Groups and Boundaries opens with Barths invaluable thirty-page essay that introduces students to important theoretical issues in the analysis of ethnic groups. Following is a collection of seven essaysthe results of a symposium involving a small group of Scandinavian social anthropologistsintended to illustrate the application of Barths analytical viewpoints to different sides of the problems of polyethnic organization in various ethnographic areas, including Norway, Sudan, Ethiopia, Mexico, Afghanistan, and Laos.
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.
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.
This is one of the most well-known and respected texts on ethnic-sensitive social work practice, diversity practice, or practice with minorities. It can also be used as a supplement in social work practice courses at either the undergraduate or graduate levels. The text covers practice not only with minority groups but with other ethnic groups as well; it includes a chapter on practice with refugees and immigrants (Ch. 10). Ethnic-Sensitive Social Work Practice takes a generalist perspective, with coverage of individuals, families, groups, organizations, and communities. It also covers many approaches to practice, including empowerment and strengths perspectives, psychosocial perspectives, problem-solving and task-centered, as well as structural approaches. This text was one of the first written in response to CSWE's mandate for coverage of ethnicity within the social work practice sequence (in 1981), and it has since led the way in exploring issues of ethnic sensitivity in practice. The new edition includes coverage of a developing "new ethnicity" in America, with the emergence of a new population with multiracial backgrounds. The impact of welfare reform on ethnic communities is covered in Chapters 1, 8 (Direct Practice) and 9 (Macro Practice), 12 (Practice in the Public Sector), and 13 (Managed Care and Ethnicity).