Understanding Racial and Ethnic Differences in Health in Late Life: A Research Agenda

Front Cover

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 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.

 

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Contents

Executive Summary
1
1 The Nature of Racial and Ethnic Differences
7
2 Perspectives on Racial and Ethnic Differences
32
3 Genetic Influences
46
4 Socioeconomic Status
54
5 Behavior Risk Factors
61
6 Social and Personal Resources
70
7 Prejudice and Discrimination
76
9 Biopsychosocial Interactions
86
10 Health Care
92
11 The Life Course
104
12 Interventions
111
References
122
Contents Critical Perspectives on Racial and Ethnic Differences in Health in Late Life
153
Biographical Sketches
156
Index
161

8 Stress
82

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