Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Mortality Inequality and Race in American Cities and States written by Angus Deaton and published by . This book was released on 2001 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: A number of studies have found that mortality rates are positively correlated with income inequality across the cities and states of the US. We argue that this correlation is confounded by the effects of racial composition. Across states and MSAs, the fraction of the population that is black is positively correlated with average white incomes, and negatively correlated with average black incomes. Between-group income inequality is therefore higher where the fraction black is higher, as is income inequality in general. Conditional on the fraction black, neither city nor state mortality rates are correlated with income inequality. Mortality rates are higher where the fraction black is higher, not only because of the mechanical effect of higher black mortality rates and lower black incomes, but because white mortality rates are higher in places where the fraction black is higher. This result is present within census regions, and for all age groups and both sexes (except for boys aged 1 9). It is robust to conditioning on income, education, and (in the MSA results) on state fixed effects, and cannot plausibly be attributed to variations in the local provision of health care.

Download or read book Critical Perspectives on Racial and Ethnic Differences in Health in Late Life written by National Research Council and published by National Academies Press. This book was released on 2004-10-16 with total page 753 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Segregation by Design written by Jessica Trounstine and published by Cambridge University Press. This book was released on 2018-11-15 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: Segregation by Design draws on more than 100 years of quantitative and qualitative data from thousands of American cities to explore how local governments generate race and class segregation. Starting in the early twentieth century, cities have used their power of land use control to determine the location and availability of housing, amenities (such as parks), and negative land uses (such as garbage dumps). The result has been segregation - first within cities and more recently between them. Documenting changing patterns of segregation and their political mechanisms, Trounstine argues that city governments have pursued these policies to enhance the wealth and resources of white property owners at the expense of people of color and the poor. Contrary to leading theories of urban politics, local democracy has not functioned to represent all residents. The result is unequal access to fundamental local services - from schools, to safe neighborhoods, to clean water.

Download or read book New Horizons in Health written by National Research Council and published by National Academies Press. This book was released on 2001-03-09 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: New Horizons in Health discusses how the National Institutes of Health (NIH) can integrate research in the social, behavioral, and biomedical sciences to better understand the causes of disease as well as interventions that promote health. It outlines a set of research priorities for consideration by the Office of Behavioral and Social Sciences Research (OBSSR), with particular attention to research that can support and complement the work of the National Institutes of Health. By addressing the range of interactions among social settings, behavioral patterns, and important health concerns, it highlights areas of scientific opportunity where significant investment is most likely to improve nationalâ€"and globalâ€"health outcomes. These opportunities will apply the knowledge and methods of the behavioral and social sciences to contemporary health needs, and give attention to the chief health concerns of the general public.

Download or read book Unequal Cities written by Maureen R. Benjamins and published by JHU Press. This book was released on 2021-09-07 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The contributors to this edited volume explore the degree to which racial health disparities affect death rates in America's 30 largest cities. By examining mortality statistics related to leading causes of death, they are able to show that each of the cities in question has some serious work to do and that in many places the differences are more or less pronounced than in others"--

Download or read book High and Rising Mortality Rates Among Working Age Adults written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-12-02 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Living and Dying in the USA written by Richard G. Rogers and published by Elsevier. This book was released on 1999-10-06 with total page 375 pages. Available in PDF, EPUB and Kindle. Book excerpt: The simplicity of using one data set in addressing the relationship of single variables to mortality distinguishes Living and Dying in the USA from other recent investigations of mortality. The authors use the recently released National Health Interview Survey and the National Death Index to make a definitive statement about demographics and mortality. By surveying demographic and sociocultural characteristics associated with mortality, socioeconomic effects, health-related conditions, and health status, they reveal connections among several factors related to mortality chances. Easily understood and cited, their study emphasizes the statistical methods underlying their revelations and invites readers to duplicate their results. Comprehensive coverage of US adult mortality differentials Based on a new and innovative data set Includes factors rarely examined in related mortality research Not only documents mortality differentials, but explores explanations for them Extensive list of references associated with each chapter Consistent, straightforward methodology used throughout aids readers in both understanding the content and in comparing results from chapter to chapter

Download or read book Unequal Cities written by Maureen R. Benjamins and published by JHU Press. This book was released on 2021-09-07 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: Across the United States, Black people have shorter life expectancies than white people—reflecting structural racism and deep-rooted drivers of population health. But are some cities more equal than others? The elimination of racial and ethnic inequities—differences that are avoidable, unnecessary, and unfair—has been one of the overarching health-related goals of the United States for decades. Yet dramatic differences in health outcomes between Black people and white people persist, rooted in structural and social determinants of health. Nationally, a Black baby can expect to live four years less than a white baby. But mortality outcomes and inequities vary widely across cities. In Washington, DC, for example, the average life expectancy for Blacks is twelve years less than that of whites. But in other cities, mortality differences between races are less striking or nonexistent. If health equity can be achieved in some cities, why not all? This is arguably the most important health equity issue of our time. In Unequal Cities, Maureen R. Benjamins and Fernando G. De Maio gather a team of experts to explore these racial inequities, as well as the ten-year gap in life expectancy between our healthiest and unhealthiest big cities. Rigorous analyses give readers access to previously unavailable data on life expectancy, mortality from leading causes of death, and related Black-white inequities for the country's 30 biggest cities. The theoretically grounded essays also explore how characteristics of cities, including their levels of income inequality and racial segregation, impact overall health and Black-white inequities. The first book to specifically examine racial health inequities within and across US cities, Unequal Cities offers a social justice framework for addressing the newly identified inequities, as well as specific case studies to help public health advocates, civic leaders, and other stakeholders envision the steps needed to improve their cities' current health outcomes and achieve racial equity. A powerful call to action for health equity advocates and city leaders alike, this book is essential reading. Contributors: David Ansell, Darlene Oliver Hightower, Jana Hirschtick, Sharon Homan, Ayesha Jaco, Emily LaFlamme, Brittney S. Lange-Maia, Kristin Monnard, Nikhil G. Prachand, Pamela T. Roesch, Michael Rozier, Nazia Saiyed, Eve Shapiro, Abigail Silva, Veenu Verma, the West Side United Metrics Working Group, Ruqaiijah Yearby

Download or read book Problem of the Century written by Elijah Anderson and published by Russell Sage Foundation. This book was released on 2001-07-19 with total page 479 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Challenges and Successes in Reducing Health Disparities written by Institute of Medicine and published by National Academies Press. This book was released on 2008-06-13 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: In early 2007, the Institute of Medicine convened the Roundtable on Health Disparities to increase the visibility of racial and ethnic health disparities as a national problem, to further the development of programs and strategies to reduce disparities, to foster the emergence of leadership on this issue, and to track promising activities and developments in health care that could lead to dramatically reducing or eliminating disparities. The Roundtable's first workshop, Challenges and Successes in Reducing Health Disparities, was held in St. Louis, Missouri, on July 31, 2007, and examined (1) the importance of differences in life expectancy within the United States, (2) the reasons for those differences, and (3) the implications of this information for programs and policy makers.

Download or read book The Future of the Public s Health in the 21st Century written by Institute of Medicine and published by National Academies Press. This book was released on 2003-02-01 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

Download or read book Health Disparities in the United States written by Donald A. Barr and published by JHU Press. This book was released on 2019-08-20 with total page 377 pages. Available in PDF, EPUB and Kindle. Book excerpt: Challenging students to think critically about the complex web of social forces that leads to health disparities in the United States. The health care system in the United States has been called the best in the world. Yet wide disparities persist between social groups, and many Americans suffer from poorer health than people in other developed countries. In this revised edition of Health Disparities in the United States, Donald A. Barr provides extensive new data about the ways low socioeconomic status, race, and ethnicity interact to create and perpetuate these health disparities. Examining the significance of this gulf for the medical community and society at large, Barr offers potential policy- and physician-based solutions for reducing health inequity in the long term. This thoroughly updated edition focuses on a new challenge the United States last experienced more than half a century ago: successive years of declining life expectancy. Barr addresses the causes of this decline, including what are commonly referred to as "deaths of despair"—from opiate overdose or suicide. Exploring the growing role geography plays in health disparities, Barr asks why people living in rural areas suffer the greatest increases in these deaths. He also analyzes recent changes under the Affordable Care Act and considers the literature on how race and ethnicity affect the way health care providers evaluate and treat patients. As both a physician and a sociologist, Barr is uniquely positioned to offer rigorous medical explanations alongside sociological analysis. An essential text for courses in public health, health policy, and sociology, this compelling book is a vital teaching tool and a comprehensive reference for social science and medical professionals.

Download or read book Unequal City written by Carla Shedd and published by Russell Sage Foundation. This book was released on 2015-10-20 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chicago has long struggled with racial residential segregation, high rates of poverty, and deepening class stratification, and it can be a challenging place for adolescents to grow up. Unequal City examines the ways in which Chicago’s most vulnerable residents navigate their neighborhoods, life opportunities, and encounters with the law. In this pioneering analysis of the intersection of race, place, and opportunity, sociologist and criminal justice expert Carla Shedd illuminates how schools either reinforce or ameliorate the social inequalities that shape the worlds of these adolescents. Shedd draws from an array of data and in-depth interviews with Chicago youth to offer new insight into this understudied group. Focusing on four public high schools with differing student bodies, Shedd reveals how the predominantly low-income African American students at one school encounter obstacles their more affluent, white counterparts on the other side of the city do not face. Teens often travel long distances to attend school which, due to Chicago’s segregated and highly unequal neighborhoods, can involve crossing class, race, and gang lines. As Shedd explains, the disadvantaged teens who traverse these boundaries daily develop a keen “perception of injustice,” or the recognition that their economic and educational opportunities are restricted by their place in the social hierarchy. Adolescents’ worldviews are also influenced by encounters with law enforcement while traveling to school and during school hours. Shedd tracks the rise of metal detectors, surveillance cameras, and pat-downs at certain Chicago schools. Along with police procedures like stop-and-frisk, these prison-like practices lead to distrust of authority and feelings of powerlessness among the adolescents who experience mistreatment either firsthand or vicariously. Shedd finds that the racial composition of the student body profoundly shapes students’ perceptions of injustice. The more diverse a school is, the more likely its students of color will recognize whether they are subject to discriminatory treatment. By contrast, African American and Hispanic youth whose schools and neighborhoods are both highly segregated and highly policed are less likely to understand their individual and group disadvantage due to their lack of exposure to youth of differing backgrounds.

Download or read book Inequalities in Life and Death written by Richard Mitchell and published by . This book was released on 2000 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: This follow up report to Death in Britain (Joseph Rowntree Foundation, 1997) - a study of changes in death inequalities from the 1950s to the 1990s - contains further evidence of the widening geographical gap in mortality in Britain, but shows how this gap might be narrowed through social and economic policies. The Death in Britain report claimed that Britain was failing to reach Target One of the World Health Organisation - to reduce inequalities in health by 2000. Inequalities in life and death provides conclusive evidence that Britain has failed to reach that target and argues that this failure need not continue.The report presents research which shows what the effect on mortality would be, in terms of actual numbers of lives saved, if full employment were achieved, child poverty eradicated and material inequalities reduced. The geographical analyses are primarily based on parliamentary constituencies.Inequalities in life and death:illustrates and explains Britain's changing geographical pattern of mortality;explains the role played by age, gender, social class and employment status in producing geographical inequalities in mortality;explains the impact of changes in social injustice throughout the 1980s and 1990s;demonstrates the potential impact of current policy in tackling health inequalities.·[vbTab]The evidence is clearly portrayed with extensive use of full-colour maps and graphs. This report is essential reading for policy makers, academics and all those interested in reducing inequalities, particularly with respect to health policy.

Download or read book Understanding Racial and Ethnic Differences in Health in Late Life written by National Research Council and published by National Academies Press. This book was released on 2004-09-08 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.