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Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Within the Mexican American barrios of Los Angeles, gang activity, including crime and violent acts, has grown and flourished. In the past, community leaders and law enforcement officials have approached the problem, not as something that needs to be understood, but only as something to be gotten rid of. Rejecting that approach, James D. Vigil asserts that only by understanding the complex factors that give birth and persistence to gangs can gang violence be ended. Drawing on many years of experience in the barrios as a youth worker, high school teacher, and researcher, Vigil identifies the elements from which gangs spring: isolation from the dominant culture, poverty, family stress and crowded households, peer pressure, and the adolescent struggle for self-identity. Using interviews with actual gang members, he reveals how the gang often functions as parent, school, and law enforcement in the absence of other role models in the gang members' lives. And he accounts for the longevity of gangs, sometimes over decades, by showing how they offer barrio youth a sense of identity and belonging nowhere else available.
An anthology on health and illness as experienced by women of color in the US. Written by community activists, health professionals, and scholars in the social sciences and humanities, the essays address the interconnections of psychological and physical health; ideas of traditional medicine among various minority groups; historical perspectives of culture as a factor in medicine; breast cancer; and health issues affected by federal and institutional policy--rape and domestic violence, reproductive rights, substance abuse, and sexually transmitted disease. Paper edition (2302-2), $19.95. Annotation copyright by Book News, Inc., Portland, OR
The image of the "underclass," framed by persistent poverty, long-term joblessness, school dropout, teenage pregnancy, and drug use, has become synonymous with urban poverty. But does this image tell us enough about how the diverse minorities among the urban poor actually experience and cope with poverty? No, say the contributors to In the Barrios. Their portraits of eight Latino communities—in New York, Los Angeles, Miami, Houston, Chicago, Albuquerque, Laredo, and Tucson—reveal a far more complex reality. In the Barrios responds directly to current debates on the origins of the "underclass" and depicts the cultural, demographic, and historical forces that have shaped poor Latino communities. These neighborhoods share many hardships, yet they manifest no "typical" form of poverty. Instead, each group adapts its own cultural and social resources to the difficult economic circumstances of American urban life. The editors point to continued immigration as an issue of overriding importance in understanding urban Latino poverty. Newcomers to concentrated Latino areas build a local economy that provides affordable amenities and promotes ethnic institutional development. In many of these neighborhoods, a network of emotional as well as economic support extends across families and borders. The first major assessment of inner-city Latino communities in the United States, In the Barrios will change the way we approach the current debate on urban poverty, immigration, and the underclass.
The AIDS virus is spread by human behaviors enacted in a variety of social situations. In order to prevent further infection, we need to know more about these behaviors. This volume explores what is known about the number of people infected, risk-associated behaviors, facilitation of behavioral change, and barriers to more effective prevention efforts.