Understanding Racial and Ethnic Differences in Health in Late Life


Book Description

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.




Unequal Treatment


Book Description

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.




The Legal Status and Perspectives of Ethnic Minorities in European States


Book Description

The way we exist in society defines our place in its social structures and reaffirms our belonging, identity, and dignity. Europe is a continent characterized by many internal conflicts and ongoing struggles inside societies. The battlefield is society itself, where state law clashes with ethnic law over the very identity of society. Exploring debates from Scandinavia to Spain about the religious and political autonomy and freedom, this book explains that the violation of the rights of ethnic minorities and indigenous peoples, such as the Sami and Basque peoples, remains a problem in Europe. In addition to these political conflicts, Magdalena Butrymowicz analyzes the legal and religious culture within minority ethnic structures themselves. Ultimately, this book raises timely questions about the balance between state control and legal autonomy for ethnic minorities across Europe advocating for a new definition of ethnic law as the right of ethnic minorities, creating their legal and ethnic identity. The book will interest anyone exploring the dynamic between European states and the ethnic minorities that live in them.




Mental Health


Book Description




In the Nation's Compelling Interest


Book Description

The United States is rapidly transforming into one of the most racially and ethnically diverse nations in the world. Groups commonly referred to as minorities-including Asian Americans, Pacific Islanders, African Americans, Hispanics, American Indians, and Alaska Natives-are the fastest growing segments of the population and emerging as the nation's majority. Despite the rapid growth of racial and ethnic minority groups, their representation among the nation's health professionals has grown only modestly in the past 25 years. This alarming disparity has prompted the recent creation of initiatives to increase diversity in health professions. In the Nation's Compelling Interest considers the benefits of greater racial and ethnic diversity, and identifies institutional and policy-level mechanisms to garner broad support among health professions leaders, community members, and other key stakeholders to implement these strategies. Assessing the potential benefits of greater racial and ethnic diversity among health professionals will improve the access to and quality of healthcare for all Americans.




Communities in Action


Book Description

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.




Media and Ethnic Minorities


Book Description

This book addresses cross-cultural representations of ethnic minority peoples by dominant society 'outsiders' and indigenous self-representation in the context of the 'New Media Nation'. In doing so, it explores the role of language, culture, identity and media in liberation struggles and the emergence of new political entities, and opens up issues of colonial oppression to public debate. It is intended to help inform policy in a variety of settings. Grounded in current perspectives on diaspora and homeland and drawing on Alia's work on minorities, media and identity as well as Bull's work on Maori socio-cultural issues and criminalisation of minorities, this volume offers a comparative, international perspective on the experiences of a broad range of ethnic minority peoples. These include Inuit and First Nations people in Canada; Native Americans and African Americans in the United States; Sami in northern Europe; Maori in New Zealand; Aboriginal people in Australia and Roma in Ireland and Britain.




Evidence-based Psychological Practice with Ethnic Minorities


Book Description

Mental health practitioners are most effective when their services respond to the client's lifestyle, cultural and linguistic heritage, and life circumstances. Thus, an essential component of evidence-based psychological practice (EBPP) is attending to the ethnocultural background of the client. A significant challenge in using EBPP to guide treatment interventions with ethnic minority clients is that relatively little applicable research has been conducted, especially research that satisfies rigorous methodological criteria. In this book, experts in the field of ethnic minority mental health treatment discuss why research on culturally informed EBPP has not made more progress and suggest tangible strategies for conducting more meaningful and impactful studies in this area. The chapters address measurement issues such as test translation and adaptation, and research design issues such as meta-analytic strategies and mixed-method approaches. Inspiring examples show how EBPP can be tailored to meet the specific needs of ethnic minorities. This volume is an important step in reducing disparities and promoting effective mental health treatment for underserved populations.




Ethnic Minority Migrants in Britain and France


Book Description

This book analyzes migrants' labor market and political integration outcomes. It argues that assimilation trade-offs shape access to economic and political resources. Migrants who are more segregated have group mobilization resources to achieve economic and political success. Migrants who are more assimilated have fewer mobilization resources and worse economic and political outcomes. The book offers a unique perspective on why migrant groups have different integration outcomes, and provides the first systematic way of understanding why assimilation outcomes do not always match economic and political outcomes.




Critical Perspectives on Racial and Ethnic Differences in Health in Late Life


Book Description

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.