Within a large health care system, Latino, African Americans and Pacific Islander patients with diabetes had 30% lower rates of myocardial infarction, stroke and heart failure at 10 years but a marked increase in the rate of end-stage renal disease relative to Whites. This research has used a number of approaches to ascertain the underlying determinants of population differences. The vast majority exceeded this threshold based on an independent review of a random subsample. The framework represents an effort to organize factors examined in health disparities research related to aging. She received her undergraduate education at Bryn Mawr College and her medical degree from University of Pennsylvania. Quality indicators such as teacher credentialing, rigorous academic counseling, connections with colleges, universities and school building deterioration are influenced by local tax bases that are linked to residential segregation.
Critical Perspectives on Racial and Ethnic Differences in Health in Late Life. Moreover, cellular senescence disrupts intercellular communication, which is important for the endocrine and nervous systems to function properly and regulate the inflammatory processes for tissues. Adolescents and young adults are more likely to die from unintentional injury than middle-aged adults, and older adults are more likely to die from heart disease than adolescents and middle-aged adults. Moreover, shows differences in specific causes of mortality among racial and ethnic groups of men that may result from both behavioral and biological processes and variations in exposure to social and environmental factors. However, a focused lens of American society highlights the existence of many population groups that have endured historical trauma that may influence shared experiences and beliefs about the authenticity of the American Creed. For example, research finds that populations that live in chronically stressful environments, and engage in coping behaviors such as smoking cigarettes, drinking alcohol in excess, and eating poor quality food in excess, also had higher reports of cancer, stroke, hypertension and heart attack. The E-mail message field is required.
This book provides the most current frameworks, research, and approaches for understanding how unique features of the urban physical and social environments that shape the health of over half of the world's population that is already residing in large cities. First, cultural factors are influential in determining the impact of environmental risks such as inadequate health care and criminalization on population health. Takes a practical focus to introducing researchers and graduate students to the connections between population health and social justice, the variety of approaches to studying those connections from an interdisciplinary vantage point, the creation of interventions to address disparities, and potential applications of these approaches for research. Takes a practical focus to introducing researchers and graduate students to the connections between population health and social justice, the variety of approaches to studying those connections from an interdisciplinary vantage point, the creation of interventions to address disparities, and potential applications of these approaches for research. Health disparities research should prioritize biological processes that help explain mechanisms of observed differences in disease incidence and outcomes that are most relevant for populations that suffer premature mortality and endure harsh environmental conditions with exceptional resilience. Telomere shortening leads to a durable dismantling of the cell cycle. Others, like tobacco use, alcohol abuse, illegal substance abuse and poor nutritional habits may ignite processes that ultimately diminish health status and when enacted over the lifespan, comprise healthy aging and reduce life expectancy.
Phillip Thompson -- An interdisciplinary and social-ecological analysis of the U. One very important resource for protecting health is access to quality health care. The threshold for identifying health disparities research projects was calculated based on the number of specific aims addressing health disparities relative to the total number of aims. The sections below provide descriptions of each of these levels of analysis and include examples of relevant factors for health disparities research related to aging. Introduction Population-level differences in health status and life expectancy are well-documented. However, for other behaviors with potential adverse consequences, a vexing issue for health disparities research related to aging is to consider these behaviors along with biological processes that impact population health. Individual attitudes, including optimism, pessimism, and sense of control can also serve as additional risk or resilience factors that shape encounters with social and environmental stressors.
His 2014 bo Nicholas Freudenberg is Distinguished Professor of Public Health at the City University of New York School of Public Health. These cultural factors affect vigilance and confidence that individuals may summon when faced with limited access to health resources. Investigating sociocultural factors related to this type of group resilience is important for health disparities research related to aging. She was the endowed professor and founding chairman of the Donald W. For example, if one of four aims for a grant was devoted to this type of research, 25% of the total funding was considered to be devoted to health disparities research. The editors and contributing authors succeed with a book that provides examples of and formulas for interdisciplinary research in a variety of fields related to urban health. For example, mortality rates have decreased for all men in the United States, yet there are differences in this decline among racial and ethnic groups.
Thus, research designed to understand, prevent, and ameliorate health disparities should be a public health research priority. The authors do a superb job of tying the chapters together, beginning with why these approaches to research and practice are warranted and ending with potential limitations and benefits. Sociocultural Group norms, beliefs, values and collective responses are important for considering the impact of environmental risks on population-level differences in health status and life expectancy. The inclusion of these factors in the framework emphasizes both the importance of social factors for population health and collective responses to environmental factors that threaten health. Phillip Thompson -- An interdisciplinary and social-ecological analysis of the U.
For example, challenges to intercellular communication disrupt the normal secretion of hormones to the bloodstream. Description: 1 online resource xv, 333 pages : illustrations. This book provides the most current frameworks, research, and approaches for understanding how unique features of the urban physical and social environments that shape the health of over half of the world's population that is already residing in large cities. For example, of all grants focused on health disparities research, almost 58% were R01 funded grants, 13. Mortality rates and causes also vary substantially by racial and ethnic classifications among men. This book provides the most current frameworks, research, and approaches for understanding how unique features of the urban physical and social environments that shape the health of over half of the world's population that is already residing in large cities. Its interdisciplinary research and practice focus is a welcome innovation.
Some of these, such as physical activity, meditation or prayer and social engagement activities such as volunteering may actually be helpful to a certain threshold. For example, individuals may identify negative interactions with clinicians to be culturally insensitive, perceive restricted access to quality health care as institutional racism, and view this hardship as discrimination. This Wiley app-book is developed by MedHand Mobile Libraries. Throughout the chapters, the book's attention to community participation, social justice, and equity as well as interdisciplinary research methods make it an invaluable resource. In the case of tobacco use, there is unequivocal evidence of harm when used even in small quantities and in fact, second-hand smoke causes disease as an unintended consequence. This book brings practical knowledge together from a variety of disciplines to enhance population health and social justice research. The editors and contributing authors succeed with a book that provides examples of and formulas for interdisciplinary research in a variety of fields related to urban health.
Moreover, other research finds increased survival for racial and ethnic minority populations in the setting of several chronic diseases, suggesting potentially important biologic resilience factors that may protect health. Hence, it is important to clarify biological factors along with all of the other previously cited levels of analyses when considering health disparities research related to aging. One important question is whether this genetic damage may be accelerated in the face of chronic stress. Better understanding of these population differences can lead to developing interventions, critical insights for new therapeutics and public health recommendations that may improve the lives of all elderly populations. Series Title: Responsibility: Nicholas Freudenberg, Susan Klitzman, Susan Saegert, editors. While most Americans die from heart disease, various cancers, respiratory disease, stroke and unintentional injuries, there are differences among population-level groups.
Finally, a consideration of multiple levels of analysis broadens the scope of our search for malleable targets for intervention, aiding in our efforts to ameliorate or reduce health disparities in the aging population. Its interdisciplinary research and practice focus is a welcome innovation. Another example is lung cancer that disproportionately affects African Americans and Native Hawaiians, even after adjusting for cigarette smoking intensity. He is also co-director of the New York City Food Policy Center at Hunter College. Certain psychological capacities, such as problem-solving skills or emotional regulatory strategies represent a spectrum of coping behaviors that can be used to manage demand.