Communities in Action

Communities in Action
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 583
Release: 2017-04-27
Genre: Medical
ISBN: 0309452961

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.

U.S. Health in International Perspective

U.S. Health in International Perspective
Author: National Research Council
Publisher: National Academies Press
Total Pages: 421
Release: 2013-04-12
Genre: Social Science
ISBN: 0309264146

The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.

Critical Perspectives on Racial and Ethnic Differences in Health in Late Life

Critical Perspectives on Racial and Ethnic Differences in Health in Late Life
Author: National Research Council
Publisher: National Academies Press
Total Pages: 753
Release: 2004-10-16
Genre: Social Science
ISBN: 0309092116

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.

Divergent Social Worlds

Divergent Social Worlds
Author: Ruth D. Peterson
Publisher: Russell Sage Foundation
Total Pages: 184
Release: 2010-07-07
Genre: Social Science
ISBN: 1610446771

More than half a century after the first Jim Crow laws were dismantled, the majority of urban neighborhoods in the United States remain segregated by race. The degree of social and economic advantage or disadvantage that each community experiences—particularly its crime rate—is most often a reflection of which group is in the majority. As Ruth Peterson and Lauren Krivo note in Divergent Social Worlds, "Race, place, and crime are still inextricably linked in the minds of the public." This book broadens the scope of single-city, black/white studies by using national data to compare local crime patterns in five racially distinct types of neighborhoods. Peterson and Krivo meticulously demonstrate how residential segregation creates and maintains inequality in neighborhood crime rates. Based on the authors' groundbreaking National Neighborhood Crime Study (NNCS), Divergent Social Worlds provides a more complete picture of the social conditions underlying neighborhood crime patterns than has ever before been drawn. The study includes economic, social, and local investment data for nearly nine thousand neighborhoods in eighty-seven cities, and the findings reveal a pattern across neighborhoods of racialized separation among unequal groups. Residential segregation reproduces existing privilege or disadvantage in neighborhoods—such as adequate or inadequate schools, political representation, and local business—increasing the potential for crime and instability in impoverished non-white areas yet providing few opportunities for residents to improve conditions or leave. And the numbers bear this out. Among urban residents, more than two-thirds of all whites, half of all African Americans, and one-third of Latinos live in segregated local neighborhoods. More than 90 percent of white neighborhoods have low poverty, but this is only true for one quarter of black, Latino, and minority areas. Of the five types of neighborhoods studied, African American communities experience violent crime on average at a rate five times that of their white counterparts, with violence rates for Latino, minority, and integrated neighborhoods falling between the two extremes. Divergent Social Worlds lays to rest the popular misconception that persistently high crime rates in impoverished, non-white neighborhoods are merely the result of individual pathologies or, worse, inherent group criminality. Yet Peterson and Krivo also show that the reality of crime inequality in urban neighborhoods is no less alarming. Separate, the book emphasizes, is inherently unequal. Divergent Social Worlds lays the groundwork for closing the gap—and for next steps among organizers, policymakers, and future researchers. A Volume in the American Sociological Association's Rose Series in Sociology

Urban Place

Urban Place
Author: Peggy F. Barlett
Publisher:
Total Pages: 352
Release: 2005
Genre: Nature
ISBN:

Cross-disciplinary studies find that reconnections to place and to the natural world, which are emerging through urban sustainability efforts, build community and political action and have important medical and psychological health benefits.

Neighborhoods and Health

Neighborhoods and Health
Author: Ichirō Kawachi
Publisher: Oxford University Press, USA
Total Pages: 369
Release: 2003
Genre: Language Arts & Disciplines
ISBN: 0195138384

Do places make a difference to people's health and wellbeing? This book presents a state-of-the-art account of the theories, methods, and empirical evidence linking neighbourhood conditions to population health.

Neighborhoods, People, and Community

Neighborhoods, People, and Community
Author: Roger Ahlbrandt
Publisher: Springer Science & Business Media
Total Pages: 248
Release: 2013-03-09
Genre: Technology & Engineering
ISBN: 1461327113

This book focuses on neighborhoods and the people living in them. It describes differences among neighborhoods in terms of their social and institutional structure, attitudes of the residents, quality of life, and the characteristics of the residents. The book is based on the results of a survey of almost 6,000 residents living throughout the city of Pittsburgh. As such it provides the basis for examining groups of people as well as whole neighborhoods. The communal aspects of urban living are discussed in Chapters 1 and 2; attachment toward the neighborhood in Chapter 3; importance of reli gion, life cycle, and race in Chapter 4; various aspects of individual social support systems and neighborhood social fabric in Chapters 5, 6, and 7; the contextual aspects of the neighborhood environment in Chapters 8 and 9; and the implications for urban policy in Chapter 10. The results of the analysis described in the book pro vide a detailed understanding of differences in the struc ture and composition of urban neighborhoods, and they show why some groups of people are drawn into their neighborhoods whereas others rely more upon the wider community to meet a variety of needs. The analysis pro vides the framework in which to address the implications for urban policy, particularly with respect to mental health prevention and neighborhood and community renewal.