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.

Unequal Treatment

Unequal Treatment
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 781
Release: 2009-02-06
Genre: Medical
ISBN: 030908265X

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.

Understanding Racial and Ethnic Differences in Health in Late Life

Understanding Racial and Ethnic Differences in Health in Late Life
Author: National Research Council
Publisher: National Academies Press
Total Pages: 184
Release: 2004-09-08
Genre: Social Science
ISBN: 0309165865

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.

A Colored Woman In A White World

A Colored Woman In A White World
Author: Mary Church Terrell
Publisher: Rowman & Littlefield
Total Pages: 507
Release: 2020-11-16
Genre: Biography & Autobiography
ISBN: 1538145987

Though today she is little known, Mary Church Terrell (1863-1954) was one of the most remarkable women of the late nineteenth and early twentieth centuries. Active in both the civil rights movement and the campaign for women's suffrage, Terrell was a leading spokesperson for the National American Woman Suffrage Association, the first president of the National Association of Colored Women, and the first black woman appointed to the District of Columbia Board of Education and the American Association of University Women. She was also a charter member of the National Association for the Advancement of Colored People. In this autobiography, originally published in 1940, Terrell describes the important events and people in her life.Terrell began her career as a teacher, first at Wilberforce College and then at a high school in Washington, D.C., where she met her future husband, Robert Heberton Terrell. After marriage, the women's suffrage movement attracted her interests and before long she became a prominent lecturer at both national and international forums on women's rights. A gifted speaker, she went on to pursue a career on the lecture circuit for close to thirty years, delivering addresses on the critical social issues of the day, including segregation, lynching, women's rights, the progress of black women, and various aspects of black history and culture. Her talents and many leadership positions brought her into close contact with influential black and white leaders, including Frederick Douglass, Booker T. Washington, Paul Laurence Dunbar, Robert Ingersoll, Elizabeth Cady Stanton, Susan B. Anthony, Jane Addams, and others.With a new introduction by Debra Newman Ham, professor of history at Morgan State University, this new edition of Mary Church Terrell's autobiography will be of interest to students and scholars of both women's studies and African American history.

Medical Apartheid

Medical Apartheid
Author: Harriet A. Washington
Publisher: Vintage
Total Pages: 530
Release: 2008-01-08
Genre: History
ISBN: 076791547X

NATIONAL BOOK CRITICS CIRCLE AWARD WINNER • The first full history of Black America’s shocking mistreatment as unwilling and unwitting experimental subjects at the hands of the medical establishment. No one concerned with issues of public health and racial justice can afford not to read this masterful book. "[Washington] has unearthed a shocking amount of information and shaped it into a riveting, carefully documented book." —New York Times From the era of slavery to the present day, starting with the earliest encounters between Black Americans and Western medical researchers and the racist pseudoscience that resulted, Medical Apartheid details the ways both slaves and freedmen were used in hospitals for experiments conducted without their knowledge—a tradition that continues today within some black populations. It reveals how Blacks have historically been prey to grave-robbing as well as unauthorized autopsies and dissections. Moving into the twentieth century, it shows how the pseudoscience of eugenics and social Darwinism was used to justify experimental exploitation and shoddy medical treatment of Blacks. Shocking new details about the government’s notorious Tuskegee experiment are revealed, as are similar, less-well-known medical atrocities conducted by the government, the armed forces, prisons, and private institutions. The product of years of prodigious research into medical journals and experimental reports long undisturbed, Medical Apartheid reveals the hidden underbelly of scientific research and makes possible, for the first time, an understanding of the roots of the African American health deficit. At last, it provides the fullest possible context for comprehending the behavioral fallout that has caused Black Americans to view researchers—and indeed the whole medical establishment—with such deep distrust.

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.

Iconic Women of Color

Iconic Women of Color
Author: Candi Williams
Publisher: Summersdale
Total Pages: 160
Release: 2019-10-01
Genre: Biography & Autobiography
ISBN: 9781786857781

Discover the fascinating stories behind 38 iconic women of colour, all of them ground-breakers, risk-takers and game-changers. Whether they are sportswomen, scientists, activists or superstars, every one of these women has been a trailblazer in their field, and deserves to have her achievements celebrated the world over. Be empowered and inspired by their extraordinary life stories, their awesome achievements and their wonder-words of wisdom with this pocketbook of remarkable women, and prepare to be introduced to your new superheroes.

Presumed Incompetent

Presumed Incompetent
Author: Gabriella Gutiérrez y Muhs
Publisher: University Press of Colorado
Total Pages: 694
Release: 2012-06-15
Genre: Education
ISBN: 1457181223

Presumed Incompetent is a pathbreaking account of the intersecting roles of race, gender, and class in the working lives of women faculty of color. Through personal narratives and qualitative empirical studies, more than 40 authors expose the daunting challenges faced by academic women of color as they navigate the often hostile terrain of higher education, including hiring, promotion, tenure, and relations with students, colleagues, and administrators. The narratives are filled with wit, wisdom, and concrete recommendations, and provide a window into the struggles of professional women in a racially stratified but increasingly multicultural America.