Changing Numbers, Changing Needs


Book Description

The reported population of American Indians and Alaska Natives has grown rapidly over the past 20 years. These changes raise questions for the Indian Health Service and other agencies responsible for serving the American Indian population. How big is the population? What are its health care and insurance needs? This volume presents an up-to-date summary of what is known about the demography of American Indian and Alaska Native populationâ€"their age and geographic distributions, household structure, employment, and disability and disease patterns. This information is critical for health care planners who must determine the eligible population for Indian health services and the costs of providing them. The volume will also be of interest to researchers and policymakers concerned about the future characteristics and needs of the American Indian population.










Public Health Reports


Book Description




Racial and Ethnic Differences in the Health of Older Americans


Book Description

Older Americans, even the oldest, can now expect to live years longer than those who reached the same ages even a few decades ago. Although survival has improved for all racial and ethnic groups, strong differences persist, both in life expectancy and in the causes of disability and death at older ages. This book examines trends in mortality rates and selected causes of disability (cardiovascular disease, dementia) for older people of different racial and ethnic groups. The determinants of these trends and differences are also investigated, including differences in access to health care and experiences in early life, diet, health behaviors, genetic background, social class, wealth and income. Groups often neglected in analyses of national data, such as the elderly Hispanic and Asian Americans of different origin and immigrant generations, are compared. The volume provides understanding of research bearing on the health status and survival of the fastest-growing segment of the American population.




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.







Black and Not Baptist


Book Description

Known only to each other, they walk among us, invisible and undetected. Now, the secret is out! Atheists exist in the African American community. In the African American community there is an unspoken rule to never air dirty laundry in public, and for years the inner workings of the black community stayed hidden beneath a veil of dark silence, but with integration came a mingling of the races and now few secrets remain. Now, there is one there is one less. Not only do black nonbelievers exist, they walk unnoticed among the "true-believers" along with a host of other religious skeptics and freethinkers. Any hint of atheism or freethought in the African American community remain virtually invisible, camouflaged by indignant denial and indistinct expressions, which help conceal clear atheistic, agnostic or freethought connections . Despite more than 90% of African Americans claiming Christianity, Black and Not Baptist explores how there is a significant chasm between belief and behavior with a searing look at the statistics for adultery, alcohol abuse, drug abuse, gambling and other social problems in both the white and black communities. In the manner of Norm Allen's African American Humanism: An Anthology, Black and Not Baptist exposes another side of the black religious experience with the individual stories of black atheists and agnostics, including a historical and current listing of black freethinkers and nonbelievers similar to Warren Allen Smith's Who's Who in Hell.