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.




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.







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.




The Social and Economic Status of the Black Population in the United States, 1974


Book Description

Presents a statistical overview on the demographic, social, and economic characteristics of the black population in the United States. This report, which is the eighth in a series on this subject, is based on statistics from other Bureau of the.







Problem of the Century


Book Description

In 1899 the great African American scholar, W.E.B. DuBois, published The Philadelphia Negro, the first systematic case study of an African American community and one of the foundations of American sociology. DuBois prophesied that the color line would be the problem of the twentieth century. One hundred years later, Problem of the Century reflects upon his prophecy, exploring the ways in which the color line is still visible in the labor market, the housing market, education, family structure, and many other aspects of life at the turn of a new century. The book opens with a theoretical discussion of the way racial identity is constructed and institutionalized. When the government classifies races and confers group rights upon them, is it subtly reenforcing damaging racial divisions, or redressing the group privileges that whites monopolized for so long? The book also delineates the social dynamics that underpin racial inequality. The contributors explore the causes and consequences of high rates of mortality and low rates of marriage in black communities, as well as the way race affects a person's chances of economic success. African Americans may soon lose their historical position as America's majority minority, and the book also examines how race plays out in the sometimes fractious relations between blacks and immigrants. The final part of the book shows how the color line manifests itself at work and in schools. Contributors find racial issues at play on both ends of the occupational ladder—among absentee fathers paying child support from their meager earnings and among black executives prospering in the corporate world. In the schools, the book explores how race defines a student's peer group and how peer pressure affects a student's grades. Problem of the Century draws upon the distinguished faculty of sociologists at the University of Pennsylvania, where DuBois conducted his research for The Philadelphia Negro. The contributors combine a scrupulous commitment to empirical inquiry with an eclectic openness to different methods and approaches. Problem of the Century blends ethnographies and surveys, statistics and content analyses, census data and historical records, to provide a far-reaching examination of racial inequality in all its contemporary manifestations.




Mental Health


Book Description




Class and Schools


Book Description

Contemporary public policy assumes that the achievement gap between black and white students could be closed if only schools would do a better job. According to Richard Rothstein, "Closing the gaps between lower-class and middle-class children requires social and economic reform as well as school improvement. Unfortunately, the trend is to shift most of the burden to schools, as if they alone can eradicate poverty and inequality." In this book, Rothstein points the way toward social and economic reforms that would give all children a more equal chance to succeed in school. This book features: a summary of numerous studies linking school achievement to health care quality, nutrition, childrearing styles, housing stability, parental economic security, and more ; aA look at erroneous and misleading data that underlie commonplace claims that some schools "beat the demographic odds and therefore any school can close the achievement gap if only it adopted proper practices." ; and an analysis of how the over-emphasis of standardized tests in federal law obscures the true achievement gap and makes narrowing it more difficult.