Author: National Research Council
Publisher: National Academies Press
ISBN: 0309092116
Category : Social Science
Languages : en
Pages : 753
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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.
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309165865
Category : Social Science
Languages : en
Pages : 184
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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.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309452961
Category : Medical
Languages : en
Pages : 583
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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.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030908265X
Category : Medical
Languages : en
Pages : 781
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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.
Author: Milton J. Esman
Publisher: Cornell University Press
ISBN: 1501723979
Category : Political Science
Languages : en
Pages : 292
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Book Description
In this timely book Milton J. Esman surveys a recurrent and seemingly intractable factor in the politics of nations: ethnicity. As the author notes, virtually no contemporary nation-state is ethnically homogeneous. Most address the political effects of domestic ethnic difference, and many fail in the attempt—with devastatingly violent results.Esman focuses on ethnic mobilization and the management of conflict, on the ways ethnic groups prepare for political combat, and on measures that can moderate or control ethnic disputes, whether peaceful or violent.Opening with a broad synopsis of current understandings of ethnicity and its varying political salience, he illustrates his theories by analyzing experiences in South Africa, Israel-Palestine, Canada-Quebec, and Malaysia. He also outlines the political issues and dilemmas, transnational as well as domestic, caused by the vast labor migrations of Mexicans to the United States, North Africans to France, Turks to Germany, and Koreans to Japan.Can economic growth and prosperity ease ethnic conflicts? Esman addresses this question and draws conclusions based on the empirical chapters. In his view, ethnic pluralism and ethnic politics are not collective psychoses or aberrations, to be deplored and exorcised, but rather pervasive realities that observers can confront and politicians can manage.
Author: Henry E. Hale
Publisher: Cambridge University Press
ISBN: 1139473077
Category : Political Science
Languages : en
Pages : 283
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Book Description
Despite implicating ethnicity in everything from civil war to economic failure, researchers seldom consult psychological research when addressing the most basic question: What is ethnicity? The result is a radical scholarly divide generating contradictory recommendations for solving ethnic conflict. Research into how the human brain actually works demands a revision of existing schools of thought. Hale argues ethnic identity is a cognitive uncertainty-reduction device with special capacity to exacerbate, but not cause, collective action problems. This produces a new general theory of ethnic conflict that can improve both understanding and practice. A deep study of separatism in the USSR and CIS demonstrates the theory's potential, mobilizing evidence from elite interviews, three local languages, and mass surveys. The outcome significantly reinterprets nationalism's role in CIS relations and the USSR's breakup, which turns out to have been a far more contingent event than commonly recognized.
Author: Gabrielle Lynch
Publisher: University of Chicago Press
ISBN: 0226498093
Category : Social Science
Languages : en
Pages : 312
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Book Description
In 2007 a disputed election in Kenya erupted into a two-month political crisis that led to the deaths of more than a thousand people and the displacement of almost seven hundred thousand. Much of the violence fell along ethnic lines, the principal perpetrators of which were the Kalenjin, who lashed out at other communities in the Rift Valley. What makes this episode remarkable compared to many other instances of ethnic violence is that the Kalenjin community is a recent construct: the group has only existed since the mid-twentieth century. Drawing on rich archival research and vivid oral testimony, I Say to You is a timely analysis of the creation, development, political relevance, and popular appeal of the Kalenjin identity as well as its violent potential. Uncovering the Kalenjin’s roots, Gabrielle Lynch examines the ways in which ethnic groups are socially constructed and renegotiated over time. She demonstrates how historical narratives of collective achievement, migration, injustice, and persecution constantly evolve. As a consequence, ethnic identities help politicians mobilize support and help ordinary people lay claim to space, power, and wealth. This kind of ethnic politics, Lynch reveals, encourages a sense of ethnic difference and competition, which can spiral into violent confrontation and retribution.
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Category : African Americans
Languages : en
Pages : 28
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Book Description
Author: Jeremy Hein
Publisher: Russell Sage Foundation
ISBN: 1610442830
Category : Social Science
Languages : en
Pages : 336
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Book Description
Immigration studies have increasingly focused on how immigrant adaptation to their new homelands is influenced by the social structures in the sending society, particularly its economy. Less scholarly research has focused on the ways that the cultural make-up of immigrant homelands influences their adaptation to life in a new country. In Ethnic Origins, Jeremy Hein investigates the role of religion, family, and other cultural factors on immigrant incorporation into American society by comparing the experiences of two little-known immigrant groups living in four different American cities not commonly regarded as immigrant gateways. Ethnic Origins provides an in-depth look at Hmong and Khmer refugees—people who left Asia as a result of failed U.S. foreign policy in their countries. These groups share low socio-economic status, but are vastly different in their norms, values, and histories. Hein compares their experience in two small towns—Rochester, Minnesota and Eau Claire, Wisconsin—and in two big cities—Chicago and Milwaukee—and examines how each group adjusted to these different settings. The two groups encountered both community hospitality and narrow-minded hatred in the small towns, contrasting sharply with the cold anonymity of the urban pecking order in the larger cities. Hein finds that for each group, their ethnic background was more important in shaping adaptation patterns than the place in which they settled. Hein shows how, in both the cities and towns, the Hmong's sharply drawn ethnic boundaries and minority status in their native land left them with less affinity for U.S. citizenship or "Asian American" panethnicity than the Khmer, whose ethnic boundary is more porous. Their differing ethnic backgrounds also influenced their reactions to prejudice and discrimination. The Hmong, with a strong group identity, perceived greater social inequality and supported collective political action to redress wrongs more than the individualistic Khmer, who tended to view personal hardship as a solitary misfortune, rather than part of a larger-scale injustice. Examining two unique immigrant groups in communities where immigrants have not traditionally settled, Ethnic Origins vividly illustrates the factors that shape immigrants' response to American society and suggests a need to refine prevailing theories of immigration. Hein's book is at once a novel look at a little-known segment of America's melting pot and a significant contribution to research on Asian immigration to the United States. A Volume in the American Sociological Association's Rose Series in Sociology
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309091268
Category : Social Science
Languages : en
Pages : 335
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Book Description
Many racial and ethnic groups in the United States, including blacks, Hispanics, Asians, American Indians, and others, have historically faced severe discriminationâ€"pervasive and open denial of civil, social, political, educational, and economic opportunities. Today, large differences among racial and ethnic groups continue to exist in employment, income and wealth, housing, education, criminal justice, health, and other areas. While many factors may contribute to such differences, their size and extent suggest that various forms of discriminatory treatment persist in U.S. society and serve to undercut the achievement of equal opportunity. Measuring Racial Discrimination considers the definition of race and racial discrimination, reviews the existing techniques used to measure racial discrimination, and identifies new tools and areas for future research. The book conducts a thorough evaluation of current methodologies for a wide range of circumstances in which racial discrimination may occur, and makes recommendations on how to better assess the presence and effects of discrimination.
