"Despite a quarter-century of constructivist theorizing in the social sciences and humanities, ethnic groups continue to be conceived as entities and cast as actors. Journalists, policymakers, and researchers routinely frame accounts of ethnic, racial, and national conflict as the struggles of internally homogeneous, externally bounded ethnic groups, races, and nations. In doing so, they unwittingly adopt the language of participants in such struggles, and contribute to the reification of ethnic groups. In this timely and provocative volume, Rogers BrubakerÑwell known for his work on immigration, citizenship, and nationalismÑchallenges this pervasive and commonsense Ògroupism.Ó But he does not simply revert to standard constructivist tropes about the fluidity and multiplicity of identity. Once a bracing challenge to conventional wisdom, constructivism has grown complacent, even cliched. That ethnicity is constructed is commonplace; this volume provides new insights into how it is constructed. By shifting the analytical focus from identity to identifications, from groups as entities to group-making projects, from shared culture to categorization, from substance to process, Brubaker shows that ethnicity, race, and nation are not things in the world but perspectives on the world: ways of seeing, interpreting, and representing the social world."

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.

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.

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.

Mexican Americans are unique in the panoply of American ethno-racial groups in that they are the descendants of the largest and longest lasting immigration stream in US history. Today, there are approximately 24 million Americans of Mexican descent living in the United States, many of whose families have been in the US for several generations. In Durable Ethnicity, Edward Telles and Christina A. Sue examine the meanings behind being both American and ethnically Mexican for contemporary Mexican Americans. Rooted in a large-scale longitudinal and representative survey of Mexican Americans living in San Antonio and Los Angeles across 35 years, Telles and Sue draw on 70 in-depth interviews and over 1,500 surveys to examine how Mexicans Americans construct their identities and attitudes related to ethnicity, nationality, language, and immigration. In doing so, they highlight the primacy of their American identities and variation in their ethnic identities, showing that their experiences range on a continuum from symbolic to consequential ethnicity, even into the fourth generation. Durable Ethnicity offers a comprehensive exploration into how, when, and why ethnicity matters for multiple generations of Mexican Americans, arguing that their experiences are influenced by an ethnic core, a set of structural and institutional forces that promote and sustain ethnicity.