› › Racial And Ethnic Differences In The Health Of Older Americans

Racial and Ethnic Differences in the Health of Older Americans

Author : National Research Council

Publisher : National Academies Press

Page : 312 pages

File Size : 35,3 MB

Release : 1997-09-23

Category : Social Science

ISBN : 0309175569

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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.



Understanding Racial and Ethnic Differences in Health in Late Life

Author : National Research Council

Publisher : National Academies Press

Page : 184 pages

File Size : 49,34 MB

Release : 2004-09-08

Category : Social Science

ISBN : 0309165865

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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.



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

Author : National Research Council

Publisher : National Academies Press

Page : 753 pages

File Size : 16,56 MB

Release : 2004-10-16

Category : Social Science

ISBN : 0309092116

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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.



Future Directions for the Demography of Aging

Author : National Academies of Sciences, Engineering, and Medicine

Publisher : National Academies Press

Page : 409 pages

File Size : 30,62 MB

Release : 2018-07-21

Category : Social Science

ISBN : 0309474108

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Book Description

Almost 25 years have passed since the Demography of Aging (1994) was published by the National Research Council. Future Directions for the Demography of Aging is, in many ways, the successor to that original volume. The Division of Behavioral and Social Research at the National Institute on Aging (NIA) asked the National Academies of Sciences, Engineering, and Medicine to produce an authoritative guide to new directions in demography of aging. The papers published in this report were originally presented and discussed at a public workshop held in Washington, D.C., August 17-18, 2017. The workshop discussion made evident that major new advances had been made in the last two decades, but also that new trends and research directions have emerged that call for innovative conceptual, design, and measurement approaches. The report reviews these recent trends and also discusses future directions for research on a range of topics that are central to current research in the demography of aging. Looking back over the past two decades of demography of aging research shows remarkable advances in our understanding of the health and well-being of the older population. Equally exciting is that this report sets the stage for the next two decades of innovative researchâ€"a period of rapid growth in the older American population.



Retooling for an Aging America

Author : Institute of Medicine

Publisher : National Academies Press

Page : 316 pages

File Size : 37,5 MB

Release : 2008-08-27

Category : Medical

ISBN : 0309131952

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Book Description

As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.



Communities in Action

Author : National Academies of Sciences, Engineering, and Medicine

Publisher : National Academies Press

Page : 583 pages

File Size : 39,76 MB

Release : 2017-04-27

Category : Medical

ISBN : 0309452961

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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.



Unequal Treatment

Author : Institute of Medicine

Publisher : National Academies Press

Page : 781 pages

File Size : 45,70 MB

Release : 2009-02-06

Category : Medical

ISBN : 030908265X

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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.



Mental Health

Author :

Publisher :

Page : 28 pages

File Size : 40,2 MB

Release : 2001

Category : African Americans

ISBN :

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Handbook of Minority Aging

Author : Keith E. Whitfield, PhD

Publisher : Springer Publishing Company

Page : 589 pages

File Size : 28,49 MB

Release : 2013-07-28

Category : Social Science

ISBN : 0826109640

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Book Description

"The array of topics covered is amazing, making this book a valuable, significant resource for many disciplines...This multidisciplinary review of the literature on minority aging presents the scholarship related to public health and 'social, behavioral, and biological concerns' of aged minorities like no other publication. Graduate students will certainly be well-served by this book, as would faculty teaching aging at both undergraduate and graduate levels...Highly recommended."--Choice: Current Reviews for Academic Libraries "...while practitioners of gerontology, family medicine, and any professional involved in the care of the elderly will find some practical guidance in the second part of the book, it will really earn a place on the bookshelf of anyone and everyone with an interest in US sociology and the development of public policy for the elderly. With the general aging of the population and the book’s accentuation of current issues, this outstanding review will become an indispensable tool."Healthy Aging Research This text provides up-to-date, multidisciplinary, and comprehensive information about aging among diverse racial and ethnic populations in the United States. It is the only book to focus on paramount public health issues as they relate to older minority Americans, and addresses social, behavioral, and biological concerns for this population. The text distills the most important advances in the science of minority aging and incorporates the evidence of scholars in gerontology, anthropology, psychology, public health, sociology, social work, biology, medicine, and nursing. Additionally, the book incorporates the work of both established and emerging scholars to provide the broadest possible knowledge base on the needs of and concerns for this rapidly growing population. Chapters focus on subject areas that are recognized as being critical in understanding the well being of minority elders. These include sociology (Medicare, SES, work and retirement, social networks, context/neighborhood, ethnography, gender, demographics), psychology (cognition, stress, mental health, personality, sexuality, religion, neuroscience, discrimination), medicine/nursing/public health (mortality and morbidity, disability, health disparities, long-term care, genetics, dietary issues, health interventions, physical functioning), social work (caregiving, housing, social services, end-of-life care), and many other topics. The book focuses on the needs of four major ethnic groups: Asian/Pacific Islander, Hispanic/Latino, African American, and Native American. Key Features: Provides current, comprehensive information about minority aging through a multidisciplinary lens Integrates information from scholars in gerontology, anthropology, psychology, public health, sociology, social work, biology, medicine, and nursing Emphasizes the principal public health issues concerning minority elders Offers “one-stop shopping” regarding the development of a substantial knowledge base about minority aging Includes recent progressive research pertaining to the social, cultural, psychological and health needs of elderly minority adults in the US



America Becoming

Author : National Research Council

Publisher : National Academies Press

Page : 523 pages

File Size : 47,92 MB

Release : 2001-01-25

Category : Social Science

ISBN : 0309172489

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Book Description

The 20th Century has been marked by enormous change in terms of how we define race. In large part, we have thrown out the antiquated notions of the 1800s, giving way to a more realistic, sociocultural view of the world. The United States is, perhaps more than any other industrialized country, distinguished by the size and diversity of its racial and ethnic minority populations. Current trends promise that these features will endure. Fifty years from now, there will most likely be no single majority group in the United States. How will we fare as a nation when race-based issues such as immigration, job opportunities, and affirmative action are already so contentious today? In America Becoming, leading scholars and commentators explore past and current trends among African Americans, Hispanics, Asian Americans, and Native Americans in the context of a white majority. This volume presents the most up-to-date findings and analysis on racial and social dynamics, with recommendations for ongoing research. It examines compelling issues in the field of race relations, including: Race and ethnicity in criminal justice. Demographic and social trends for Hispanics, Asian Americans, and Native Americans. Trends in minority-owned businesses. Wealth, welfare, and racial stratification. Residential segregation and the meaning of "neighborhood." Disparities in educational test scores among races and ethnicities. Health and development for minority children, adolescents, and adults. Race and ethnicity in the labor market, including the role of minorities in America's military. Immigration and the dynamics of race and ethnicity. The changing meaning of race. Changing racial attitudes. This collection of papers, compiled and edited by distinguished leaders in the behavioral and social sciences, represents the most current literature in the field. Volume 1 covers demographic trends, immigration, racial attitudes, and the geography of opportunity. Volume 2 deals with the criminal justice system, the labor market, welfare, and health trends, Both books will be of great interest to educators, scholars, researchers, students, social scientists, and policymakers.