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.




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.




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.




Engaging Black and Minority Ethnic Groups in Health Research


Book Description

This crucial contribution exposes the misconception that health research and health services are equally effective for all and highlights their failures in reaching Black and Minority Ethnic (BAME) groups. It provides essential case study examples on recruitment, engagement and partnerships with BAME groups in research and public engagement.




A Life Course Approach to Healthy Ageing


Book Description

This title investigates the lifetime determinants of healthy ageing and their implications for policy and practice, bringing together authorities in ageing research and knowledge transfer from across the world.




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.




Ethnic Differences


Book Description

A sample of nearly 12,000 Irish, Italians, Jews, Blacks, and non-immigrants from Providence, Rhode Island provides the material for assessment of variations in educational patterns and economic success.




Our Children, Their Children


Book Description

In Our Children, Their Children, a prominent team of researchers argues that a second-rate and increasingly punitive juvenile justice system is allowed to persist because most people believe it is designed for children in other ethnic and socioeconomic groups. While public opinion, laws, and social policies that convey distinctions between "our children" and "their children" may seem to conflict with the American ideal of blind justice, they are hardly at odds with patterns of group differentiation and inequality that have characterized much of American history. Our Children, Their Children provides a state-of-the-science examination of racial and ethnic disparities in the American juvenile justice system. Here, contributors document the precise magnitude of these disparities, seek to determine their causes, and propose potential solutions. In addition to race and ethnicity, contributors also look at the effects on juvenile justice of suburban sprawl, the impact of family and neighborhood, bias in postarrest decisions, and mental health issues. Assessing the implications of these differences for public policy initiatives and legal reforms, this volume is the first critical summary of what is known and unknown in this important area of social research.




Understanding Race, Ethnicity, and Power


Book Description

foreword by Alvin Pouissant.505::Introduction--Culture, social interaction, and the human services--Understanding difference--Understanding ethnicity--Understanding race--Understanding power--Assessment--Treatment--Afterword: Beyond the cultural interface--Appendix: Teaching methods--Notes--References--Index.




Ethnicity Without Groups


Book Description

"Despite a quarter-century of constructivist theorizing in the social sciences and humanities, ethnic groups continue to be conceived as entities and cast as actors. Journalists, policymakers, and researchers routinely frame accounts of ethnic, racial, and national conflict as the struggles of internally homogeneous, externally bounded ethnic groups, races, and nations. In doing so, they unwittingly adopt the language of participants in such struggles, and contribute to the reification of ethnic groups. In this timely and provocative volume, Rogers BrubakerÑwell known for his work on immigration, citizenship, and nationalismÑchallenges this pervasive and commonsense Ògroupism.Ó But he does not simply revert to standard constructivist tropes about the fluidity and multiplicity of identity. Once a bracing challenge to conventional wisdom, constructivism has grown complacent, even cliched. That ethnicity is constructed is commonplace; this volume provides new insights into how it is constructed. By shifting the analytical focus from identity to identifications, from groups as entities to group-making projects, from shared culture to categorization, from substance to process, Brubaker shows that ethnicity, race, and nation are not things in the world but perspectives on the world: ways of seeing, interpreting, and representing the social world."