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.

Arriving in New England first as crew members of whaling vessels, Afro-Portuguese immigrants from Cape Verde later came as permanent settlers and took work in the cranberry industry, on the docks, and as domestic workers. Marilyn Halter combines oral history with analyses of ships' records to chart the history and adaptation patterns of the Cape Verdean Americans. Though identifying themselves in ethnic terms, Cape Verdeans found that their African-European ancestry led their new society to view them as a racial group. Halter emphasizes racial and ethnic identity formation to show how Cape Verdeans set themselves apart from the African Americans while attempting to shrug off white society's exclusionary tactics. She also contrasts rural life on the bogs of Cape Cod with New Bedford’s urban community to reveal the ways immigrants established their own social and religious groups as they strove to maintain their Crioulo customs.

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.

Resource added for the Psychology (includes Sociology) 108091 courses.

The goal of eliminating disparities in health care in the United States remains elusive. Even as quality improves on specific measures, disparities often persist. Addressing these disparities must begin with the fundamental step of bringing the nature of the disparities and the groups at risk for those disparities to light by collecting health care quality information stratified by race, ethnicity and language data. Then attention can be focused on where interventions might be best applied, and on planning and evaluating those efforts to inform the development of policy and the application of resources. A lack of standardization of categories for race, ethnicity, and language data has been suggested as one obstacle to achieving more widespread collection and utilization of these data. Race, Ethnicity, and Language Data identifies current models for collecting and coding race, ethnicity, and language data; reviews challenges involved in obtaining these data, and makes recommendations for a nationally standardized approach for use in health care quality improvement.

Disparities in health and health care across racial, ethnic, and socioeconomic backgrounds in the United States are well documented. The reasons for these disparities are, however, not well understood. Current data available on race, ethnicity, SEP, and accumulation and language use are severely limited. The report examines data collection and reporting systems relating to the collection of data on race, ethnicity, and socioeconomic position and offers recommendations.

This is the first book in more than thirty years to discuss critically both the historical and contemporary experiences of Hawaii’s Japanese Americans. Given that race was the foremost organizing principle of social relations in Hawai‘i and was followed by ethnicity beginning in the 1970s, the book interprets these experiences from racial and ethnic perspectives. The transition from race to ethnicity is cogently demonstrated in the transformation of Japanese Americans from a highly racialized minority of immigrant laborers to one of the most politically and socioeconomically powerful ethnic groups in the islands. To illuminate this process, the author has produced a racial history of Japanese Americans from their early struggles against oppressive working and living conditions on the sugar plantations to labor organizing and the rise to power of the Democratic Party following World War II. He goes on to analyze how Japanese Americans have maintained their political power into the twenty-first century and discusses the recent advocacy and activism of individual yonsei (fourth-generation Japanese Americans) working on behalf of ethnic communities other than their own. From Race to Ethnicity resonates with scholars currently debating the relative analytical significance of race and ethnicity. Its novel analysis convincingly elucidates the differential functioning of race and ethnicity over time insofar as race worked against Japanese Americans and other non-Haoles (Whites) by restricting them from full and equal participation in society, but by the 1970s ethnicity would work fully in their favor as they gained greater political and economic power. The author reminds readers, however, that ethnicity has continued to work against Native Hawaiians, Filipino Americans, and other minorities—although not to the same extent as race previously—and thus is responsible for maintaining ethnic inequality in Hawai‘i.