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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.
This widely adopted text synthesizes an extensive body of research on Asian American personality development, identity, and mental health. Uba focuses on how ethnocultural factors interact with minority group status to shape the experiences of members of diverse Asian American groups. Cultural values and norms shared by many Asian Americans are examined and common sources of stress described, including racial discrimination and immigrant and refugee experiences. Rates of mental health problems in Asian American communities are reviewed, as are predictors and manifestations of specific disorders. The volume also explores patterns in usage of available mental health services and considers ways that service delivery models might be adapted to better meet the needs of Asian American clients.
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.
An insightful text exploring health disparities in Asian American populations In the newly revised Second Edition of Applied Population Health Approaches for Asian American Communities, a team of distinguished public health experts delivers a groundbreaking resource providing an in-depth examination of the soical, political, economic, and cultural forces shaping Asian American health today. Integrating up-to-date applied public health research for assessing health interventions and programs relevant to Asian American communities and other groups that have been historically marginalized, this book highlights the different frameworks, research designs, and other methodological considerations for reaching Asian American and other ethnic communities. In the latest edition of the book, readers will find contextual explorations of the Asian American population in the United States, as well as discussions of the measurement of health and risk across the lifespan in Asian American groups. It also includes: New and updated case studies showcasing the application of different frameworks and research designs Methodological considerations for reaching Asian American and other vulnerable and underserved communities Examples of successful implementations of community engagement and community-based participatory research. A valuable resource for all levels of health professionals, practitioners, and community advocates, Applied Population Health Approaches for Asian American Communities remains the leading reference for anyone conducting or studying health disparities in Asian American communities or other groups that have been marginalized.
Asian Americans encounter a range of health issues often unknown to the American public, policy makers, researchers and even clinicians. National research often combines Asian Americans into a single category, not taking into account the differences and complexity among Asian ethnic subgroups. The definition of Asian American derives from the U.S. Census Bureau’s definition of Asian, which includes peoples from all the vast territories of the Far East, Southeast Asia and the South Asian Subcontinent. While Census classifications determine demographic measurements that affect equal opportunity programs, the broad rubric “Asian-American” can never describe accurately the more than 50 distinct Asian American subgroups, who together comprise multifaceted diversity across cultural ethnicities, socio-economic status, languages, religions and generations. This volume rectifies that situation by exploring the unique needs and health concerns of particular subgroups within the Asian American community. It consolidates a wide range of knowledge on various health issues impacting Asian Americans while also providing a discussion into the cultural, social, and structural forces impacting morbidity, mortality and quality of life. The volume is designed to advance the understanding of Asian American health by explaining key challenges and identifying emerging trends faced in specific ethnic groups and diseases/illnesses, innovative community-based interventions and the future needed areas of research.
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.
The goal of eliminating disparities in health care in the United States remains elusive. Even as quality improves on specific measures, disparities often persist. Addressing these disparities must begin with the fundamental step of bringing the nature of the disparities and the groups at risk for those disparities to light by collecting health care quality information stratified by race, ethnicity and language data. Then attention can be focused on where interventions might be best applied, and on planning and evaluating those efforts to inform the development of policy and the application of resources. A lack of standardization of categories for race, ethnicity, and language data has been suggested as one obstacle to achieving more widespread collection and utilization of these data. Race, Ethnicity, and Language Data identifies current models for collecting and coding race, ethnicity, and language data; reviews challenges involved in obtaining these data, and makes recommendations for a nationally standardized approach for use in health care quality improvement.
Leading scholars and practitioners come together in this contributed volume to present the most current evidence on cutting edge health issues for South Asian Americans, the fastest growing Asian American population. The book spans a variety of health topics while examining disparities and special health needs for this population. Subjects discussed include: cancer, obesity, HIV/AIDS, women's health, LGBTQ health and mental health. Health of South Asians in the United States presents research-based recommendations to help determine priorities for prevention, diagnosis, treatment, education, and policies which will optimize the health and well-being of South Asian American communities in the United States. Although aimed at both students, healthcare professionals and policy makers, this book will prove to be useful to anyone interested in the health and well-being of the South Asian communities in the United States.