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Hispanics and the Future of America presents details of the complex story of a population that varies in many dimensions, including national origin, immigration status, and generation. The papers in this volume draw on a wide variety of data sources to describe the contours of this population, from the perspectives of history, demography, geography, education, family, employment, economic well-being, health, and political engagement. They provide a rich source of information for researchers, policy makers, and others who want to better understand the fast-growing and diverse population that we call "Hispanic." The current period is a critical one for getting a better understanding of how Hispanics are being shaped by the U.S. experience. This will, in turn, affect the United States and the contours of the Hispanic future remain uncertain. The uncertainties include such issues as whether Hispanics, especially immigrants, improve their educational attainment and fluency in English and thereby improve their economic position; whether growing numbers of foreign-born Hispanics become citizens and achieve empowerment at the ballot box and through elected office; whether impending health problems are successfully averted; and whether Hispanics' geographic dispersal accelerates their spatial and social integration. The papers in this volume provide invaluable information to explore these issues.
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.
Randomized clinical trials are the primary tool for evaluating new medical interventions. Randomization provides for a fair comparison between treatment and control groups, balancing out, on average, distributions of known and unknown factors among the participants. Unfortunately, these studies often lack a substantial percentage of data. This missing data reduces the benefit provided by the randomization and introduces potential biases in the comparison of the treatment groups. Missing data can arise for a variety of reasons, including the inability or unwillingness of participants to meet appointments for evaluation. And in some studies, some or all of data collection ceases when participants discontinue study treatment. Existing guidelines for the design and conduct of clinical trials, and the analysis of the resulting data, provide only limited advice on how to handle missing data. Thus, approaches to the analysis of data with an appreciable amount of missing values tend to be ad hoc and variable. The Prevention and Treatment of Missing Data in Clinical Trials concludes that a more principled approach to design and analysis in the presence of missing data is both needed and possible. Such an approach needs to focus on two critical elements: (1) careful design and conduct to limit the amount and impact of missing data and (2) analysis that makes full use of information on all randomized participants and is based on careful attention to the assumptions about the nature of the missing data underlying estimates of treatment effects. In addition to the highest priority recommendations, the book offers more detailed recommendations on the conduct of clinical trials and techniques for analysis of trial data.
Latinos are the fastest growing population in America today. This two-volume encyclopedia traces the history of Latinos in the United States from colonial times to the present, focusing on their impact on the nation in its historical development and current culture. "Latino History and Culture" covers the myriad ethnic groups that make up the Latino population. It explores issues such as labor, legal and illegal immigration, traditional and immigrant culture, health, education, political activism, art, literature, and family, as well as historical events and developments. A-Z entries cover eras, individuals, organizations and institutions, critical events in U.S. history and the impact of the Latino population, communities and ethnic groups, and key cities and regions. Each entry includes cross references and bibliographic citations, and a comprehensive index and illustrations augment the text.
"Health is a universal topic although complex to understand because to adequately cover it requires the introduction of an historical context and socio-cultural factors. Health and health inequities touch the lives of millions of people of color across all regions, and a desperate search for innovative ways of reaching them in an affirming and cost effective manner. This search translates into cultural and linguistic programs that empower and foster social change, bringing immense rewards and challenges. Community health workers offer tremendous promise in getting much needed health care to those in most need, allowing for innovative practice in reaching those in greatest need. Health care, health workers, urban communities"--
Hispanic Voices is the second in our series of books on the health iss ues that affect distinct communities. Here, prominent educators explor e the pressing cultural and health needs of Hispanics. Discussions on poverty and children, risks of immigration, HIV/AIDS, stress and depre ssion, the homeless, migrant farm workers, racism, lifestyles, communi ty/spiritual values, and more depict the complexity of problems affect ing the health of Hispanics everywhere. Essential for all health educa tors, students, community activists - anyone interested in the future of health care.
How do you solve population-level health problems, develop nursing inventions, and apply them to clinical practice? This problem-solving, case-based approach shows you how to apply public health knowledge across all settings and populations. You’ll encounter different case studies in every chapter as you explore concepts such as community assessments, public health policy, and surveillance. Step by step, you’ll develop the knowledge and skills you need to apply public health principles across a variety of health care settings, special populations, and scenarios and to evaluate their effectiveness.
Essential reading for health and mental health administrators, community agencies, and policy makers as well as students and general interest readers, this book details the state of the physical and mental health of many Latina/o American groups. While Latina/o Americans originate from more than 25 countries, most health or mental health texts largely focus on Mexican Americans and often fail to address other Latina/o groups, such as South Americans, Central Americans, Puerto Ricans, and others. Moreover, most works address either health or mental health, but not both together. In contrast, Latina/o American Health and Mental Health addresses both the health and mental health of diverse Latina/o heritage groups. An interdisciplinary approach enables readers to identify both similar and divergent areas that affect the health and mental health of Latina/o Americans. Strengths-based and social justice perspectives, rather than a deficit perspective, guide the work in its assessment of disparities among treatment for different groups. This text is ideal for graduate students, practitioners, researchers, and policy makers in public health, community health, family studies, psychology, counseling, social work, and Latina/o studies who are interested in understanding Latina/o health and mental health in the United States and providing culturally responsive services.