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.




From Here to Equality, Second Edition


Book Description

Racism and discrimination have choked economic opportunity for African Americans at nearly every turn. At several historic moments, the trajectory of racial inequality could have been altered dramatically. But neither Reconstruction nor the New Deal nor the civil rights struggle led to an economically just and fair nation. Today, systematic inequality persists in the form of housing discrimination, unequal education, police brutality, mass incarceration, employment discrimination, and massive wealth and opportunity gaps. Economic data indicates that for every dollar the average white household holds in wealth the average black household possesses a mere ten cents. This compelling and sharply argued book addresses economic injustices head-on and make the most comprehensive case to date for economic reparations for U.S. descendants of slavery. Using innovative methods that link monetary values to historical wrongs, William Darity Jr. and A. Kirsten Mullen assess the literal and figurative costs of justice denied in the 155 years since the end of the Civil War and offer a detailed roadmap for an effective reparations program, including a substantial payment to each documented U.S. black descendant of slavery. This new edition features a new foreword addressing the latest developments on the local, state, and federal level and considering current prospects for a comprehensive reparations program.




Racism and Psychiatry


Book Description

This book addresses the unique sociocultural and historical systems of oppression that have alienated African-American and other racial minority patients within the mental healthcare system. This text aims to build a novel didactic curriculum addressing racism, justice, and community mental health as these issues intersect clinical practice. Unlike any other resource, this guide moves beyond an exploration of the problem of racism and its detrimental effects, to a practical, solution-oriented discussion of how to understand and approach the mental health consequences with a lens and sensitivity for contemporary justice issues. After establishing the historical context of racism within organized medicine and psychiatry, the text boldly examines contemporary issues, including clinical biases in diagnosis and treatment, addiction and incarceration, and perspectives on providing psychotherapy to racial minorities. The text concludes with chapters covering training and medical education within this sphere, approaches to supporting patients coping with racism and discrimination, and strategies for changing institutional practices in mental healthcare. Written by thought leaders in the field, Racism and Psychiatry is the only current tool for psychiatrists, psychologists, administrators, educators, medical students, social workers, and all clinicians working to treat patients dealing with issues of racism at the point of mental healthcare.




Falling In Old Age


Book Description

Falling is one of the most common causes of disability in later life and is also one of the most preventable. This book provides an enormous body of fall-related research that has been organized by the author into easy, digestible information for geriatric health professionals. Extensively updated and revised for its second edition, the book has direct clinical applications and strategies for preventing and managing falls. It also contains new information on the physical, psychological, and social complications of falling. For physicians, nurses, administrators, and staff in long-term and other geriatric care settings, this book will be an essential resource.




Aging in Sub-Saharan Africa


Book Description

In sub-Saharan Africa, older people make up a relatively small fraction of the total population and are supported primarily by family and other kinship networks. They have traditionally been viewed as repositories of information and wisdom, and are critical pillars of the community but as the HIV/AIDS pandemic destroys family systems, the elderly increasingly have to deal with the loss of their own support while absorbing the additional responsibilities of caring for their orphaned grandchildren. Aging in Sub-Saharan Africa explores ways to promote U.S. research interests and to augment the sub-Saharan governments' capacity to address the many challenges posed by population aging. Five major themes are explored in the book such as the need for a basic definition of "older person," the need for national governments to invest more in basic research and the coordination of data collection across countries, and the need for improved dialogue between local researchers and policy makers. This book makes three major recommendations: 1) the development of a research agenda 2) enhancing research opportunity and implementation and 3) the translation of research findings.




Spiritual Narratives


Book Description

These narratives by four famous black woman preachers and evangelists, published between 1835 and 1907, all share a theme that continues to dominate Afro-American literature even today: the power of Christianity to give strength and comfort in the struggle for liberation from caste and gender restrictions.




What Don't Kill Us Makes Us Stronger


Book Description

A close look at black women’s physical, mental, and social circumstances reveals harmful social disparities. Yet, for decades, black women’s suicide rates have remained virtually nonexistent compared to the rest of the American population, baffling social scientists. In this book, black women speak for themselves about their life struggles and their notions of suicide. Within a framework that explores racial and gender inequalities, Spates uses interviews to uncover reasons for the racial suicide paradox. Her analysis offers a deeper understanding of the positive life strategies, including family and faith, that underlie black women’s resilience. -Provides insights into the impact of a variety of racial and gender inequalities -Vivid use of qualitative approaches to shed light on a statistical paradox -Highlights a positive image of black women and their resilience




The Black Elderly


Book Description

In The Black Elderly: Satisfaction and Quality of Later Life, authors Marguerite Coke and James Twaite present the results of an empirical study of factors that influence the well-being of older black Americans. Like all older individuals in industrial nations, elderly blacks are confronted with negative attitudes toward old people. But in spite of their minority status in society, with its economic and social disadvantages, elderly blacks have effective coping strategies for dealing with growing old. It is the success of these coping strategies that the authors reveal to readers and upon which they build recommendations to encourage healthy aging in the black community.Through comprehensive research into the subject, the authors provide readers with a theoretical framework which identifies the variables that are most closely associated with subjective well-being among older Blacks. An empirical test of the model is described and the questionnaire is included.Professionals and scholars in social work, gerontology, African-American studies, and anthropology will find The Black Elderly a positive approach to supporting the elderly black community. Readers with interests in cross-cultural aspects of counseling and gerontology will find much enlightenment in this book with its research and insight on: history: overviews West African culture and the role of history in the development of the black American family church: analyzes the function and importance of this institution on the black community family: explores the importance of family and how it affects life satisfaction health: determines how perceived health status affects individuals'feelings of life satisfactionThe authors'findings on the strong and diverse support systems of this group assist professionals, students, and policymakers in better understanding how to continue to effect healthy aging for black Americans. The Black Elderly is of particular interest to social workers, students in social work programs, and professionals who deal with aging persons or the black community and can benefit from historical background knowledge of blacks in this country and how societal institutions affect the well-being of this group.




Families Caring for an Aging America


Book Description

Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.




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.