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Warning: Urban Living May Be Hazardous To Your Health: A Personal Perspective, Frederick G. Adams

Trotter Review

As a result of remarkable scientific and medical achievements of the 20th century, we now know that full and quality health is within reach for all Americans. Yet, despite these achievements, the burdens of inadequate health services too often falls more heavily on some population groups more so than on others. The fact that this "gap" in health status occurs more frequently among people with low income and people belonging to racial/ethnic minority groups, in particular African Americans, has been well documented nationally. Not only does the "gap" in the health status experienced by these groups include consistently higher excess …

Coalition Building: Moving Toward Effective Coalitional Strategies Of Hiv/Aids Prevention In Communities Of Color, Lisa Roland

Trotter Review

Despite the overwhelming burden carried by blacks and Latinos in terms of AIDS, it has become evident that in keeping with the general and historical pattern of discrimination reflected in funding, allocation of resources, policies etc., communities of color have received insufficient support to effectively address the problem at hand. Further compounding this dilemma, communities of color have fought against each other to secure funding for particular community programs. While looking at our individual, immediate, and entirely valid needs, many of us have at times failed to see the impact of our individual actions and attitudes on a broader picture.

Can The Health Needs Of African American Men Be Met Through Public Health Empowerment Strategies?, Deborah Prothrow-Stith, Eric Whitaker

Trotter Review

Health promotion and disease prevention efforts, which use empowerment strategies and emphasize community control, are essential to overcoming the legacy of medical malfeasance and successfully improving the health status of black males. This discussion depicts the legacy of harm and presents the case for empowerment strategies; it also describes one Boston community-based program example of utilizing an empowerment strategy and concludes with a challenge to all health professionals to become enablers of empowerment rather than obstructions to it.

A National Minority Organ/Tissue Transplant Education Program: The First Step In The Evolution Of A National Minority Strategy And Minority Transplant Equity In The Usa, Clive O. Callender, Alvina S. Bey, Patrice V. Miles, Curtis L. Yeager

Trotter Review

In 1978, members of the Southeastern Organ Procurement Foundation approached us concerning the disparity between the large number of African American patients, 50% to 70% of all patients on dialysis (artificial kidney machines), and the small number of African American donors (3%), and asked us why and what could be done about it? From my perspective as an African American transplant surgeon at Howard University, these observations piqued my curiosity and I agreed to investigate them. Our investigation took us into three areas: 1. An evaluation of the data regarding transplantation in patients at the Howard University Hospital Transplant Center …

Programmatic Responses To The Aids Epidemic By Communities Of Color In Massachusetts, Ron E. Armstead

Trotter Review

The Centers for Disease Control found that minorities now account for more than half of all the HIV cases in the United States. For African Americans, the rate was more than 5 times as high as that for whites. Further, the disease has equally affected women and children in the African American community; 84% of the AIDS cases involving children age 12 and under can be found in the African American community. AIDS has now become the second leading cause of death for African American women. This essay describes a research project focusing on the factors involved in developing and …

Executive Summary: Prepared By Institute Of Medicine, Marion Ein Lewin, Barbara Rice

Trotter Review

The underrepresentation of minorities in the health and other professions has long cast a shadow over our nation's efforts to develop a more representative and productive society. Many laudable and durable programs nave been developed over the past 20 years to enlarge the presence of minorities in health careers, but these efforts have been unable to develop the infrastructure and momentum to produce and sustain an adequate number of minority professionals among the ranks of America's clinicians, researchers, and teachers. While there has been an increase in the numbers of African Americans, Hispanics and Native Americans enrolled in professional schools …

Increasing The Number Of Black Health Professionals: A Case Of Commitment And Belief In Students, Harold Horton

Trotter Review

The infant mortality rate is as high as ever in the Black community; dental care is yet nil or almost non-existent for the vast majority of Black children; and hypertension continues to be a major problem in the Black community. Hence, even as we approach the 21st Century, healthcare in the Black community is yet, as the song stated in the movie, Casablanca, "it's still the same old story." There is seldom, if ever, a single solution to a catastrophic problem, but some kinds of solutions do stand out as logical and effective. Training Black physicians, who would be privileged …

Disparities In The Health Care Status Of Women: Implications For Research, Marcia I. Wells-Lawson

Trotter Review

Even a cursory review of data on the health status of women reveals striking differences by race. According to data from the National Center for Health Statistics, death rates among Black women from the three leading causes of death (cardiac disease, cancer and cerebrovascular disease) exceed those of white, Asian, Native American and Latina women for each age category from 45-84. With the exception of Black women, the death rates among white women from these diseases exceed those of other ethnic groups of women. Data on two of the risk factors for cardiac and cerebrovascular diseases (hypertension and obesity), show …

The Multicultural Mental Health Research Center (Mmhrc), Castellano Turner

Trotter Review

African Americans, Asian Americans, Hispanic/Latino Americans, and Native Americans have had relatively less access to the resources of society compared to white Americans. These resources include such things as educational and employment opportunities, political and economic power, and the goods and services that a prosperous society can produce. Health care is an important resource to which access is not equal for all groups. African Americans and other ethnic minority groups are, by most indices of health care access and utilization, underserved. Mental health services, in particular, have been shown to be less available to ethnic minority populations. Jones and Korchin, …

Introduction, James Jennings

Trotter Review

The Summer 1995 issue of the Trotter Review, "Public Health and Communities of Color: Challenges and Strategies," provides a range of essays and two personal commentaries on facets of public health, race, and ethnicity in urban America. The essays are written by scholars and activists familiar with public health and issues of race, access, and diversity. The first article is the Executive Summary of the Institute of Medicine's national report, Balancing the Scales of Opportunity: Ensuring Racial and Ethnic Diversity in Health Professions. This report focuses on the problem of underrepresentation of Blacks, Latinos, and Native Americans in the …

Reconstructing Rawls And Exposing The Implicit Social Embeddedness Of Theories Of Justice, Peter J. Taylor

Working Papers in Critical, Creative and Reflective Practice

This essay prods moral philosophy towards more explicit attention to the political constructions of injustice. I do not appeal to practical or political relevance, but advance a particular kind of constructivist interpretation of moral argumentation (constructivism+) in which our interpretive horizons are extended to include the implicit views of social action, broadly construed—from the macro- to the micro-social, and from the past to the present and the possible—built into philosophical arguments. I challenge the idea that, in order to oppose injustice, we must first articulate and justify a coherent conception of justice and then theorize the social, constitutional, …

Friday Report - Vol. 04, No. 06 - May 19, 1995, University Of Massachusetts Boston

1991-1996, Friday Report

No abstract provided.

Friday Report - Vol. 04, No. 05 - May 5, 1995, University Of Massachusetts Boston

1991-1996, Friday Report

No abstract provided.

Friday Report - Vol. 04, No. 03 - March 31, 1995, University Of Massachusetts Boston

1991-1996, Friday Report

No abstract provided.

Foreword, Edwin Meléndez

New England Journal of Public Policy

This is the first of two parts of "Latinos in a Changing Society"; Part II is scheduled for Fall/Winter 1995 publication. The following articles provide new insights into several key areas of concern: immigration, employment and income, and political participation. Part II articles will address education, health, and identity and ethnicity.

Industrial Change, Immigration, And Community Development: An Overview Of Europeans And Latinos, Ramón F. Borges-Méndez

New England Journal of Public Policy

The industrial forces and conditions of Massachusetts that awaited and attracted European immigrants were vastly different from those encountered by the more recent wave of Latino immigrants. This study seeks to compare and clarify what those forces and conditions were at three different times, especially in the small mill towns of Lowell, Lawrence, and Holyoke. The objective is to delineate a historical backdrop to allow an understanding of the present situation of Latinos in those cities and, to some extent, within the commonwealth of Massachusetts.

Compatriots Or Competitors? Job Competition Between Foreign- And U.S.-Born Angelenos, Abel Valenzuela Jr.

New England Journal of Public Policy

The debate concerning job competition between immigrant and nonimmigrant groups has intensified owing to the large increase in the 1970s and 1980s in immigration and the simultaneous growth in urban poverty rates for African-American and other minority groups. It focuses on the possible wage and displacement effects an increase in immigration would cause for the U.S.-born population. Using 1970 and 1980 industrial and occupational census data and shift-share methodology for Los Angeles, the author shows that immigrants do not simply function as either competitive or complementary sources of labor. Instead, he argues, job competition between groups of workers depends in …

Puerto Rican Politics In The United States: A Preliminary Assessment, José E. Cruz

New England Journal of Public Policy

This article examines the following question: What characterizes Puerto Rican political development and what promise does electoral politics hold for Puerto Ricans in the United States? Its central premise is that an analytical framework which focuses on economic deprivation and racial prejudice is partial and inadequate to an understanding of the political experience of Puerto Ricans. Throughout the years, mainland Puerto Ricans have moved in and out of the political stage holding the banners of anti-colonialism, separatism, incorporation, and ethnic identity in search of vantage points from which they can satisfy their cultural, social, and economic needs. Despite the Airbus …

Persistence Of Poverty Across Generations: A Comparison Of Anglos, Blacks, And Latinos, Anna M. Santiago, Yolanda C. Padilla

New England Journal of Public Policy

Utilizing data from the National Longitudinal Survey of Youth, this study examines the impact of children's growing up in poverty on the probability of their remaining in poverty during young adulthood. The primary goals of the research are to examine racial, ethnic, and gender differences in patterns of persistent poverty and to identify predictors of poverty status in young adulthood. The results suggest that both women, regardless of their race, ethnicity, or adolescent poverty status, and black men who grew up in poverty are more likely to be poor as young adults than Anglo men. Logistic regression analyses reveal that …

Latinos And Labor: Challenges And Opportunities, Andrés Torres

New England Journal of Public Policy

The growing presence of Latino workers in the Massachusetts labor force presents opportunities as well as challenges for the labor movement. An overview of occupational, industrial, and unionization patterns helps to describe the potential for Hispanic contribution to renewed union strength in the region. But revitalizing the house of labor in the twenty-first century requires an innovative interplay of workplace and community strategies. As labor comes to terms with its multiracial/multicultural constituency, the relationship between class and race/ethnicity is being revisited, as is the very definition of "labor movement."

Mexican-American Class Structure And Political Participation, Jorge Chapa

New England Journal of Public Policy

This article examines the political attitudes and participation of Mexican-Americans in the context of Milton Gordon's assimilation theory and William Julius Wilson's analyses of bifurcated economic structures resulting in middle-class and lower- or underclass populations. For Gordon, civic assimilation was a step toward complete assimilation. After demonstrating that the Mexican-American population has not achieved parity with the Anglo population even when controlling for generational differences over five decades, the author specifically examines the political attitudes and practices of lower-class (high school dropouts) and middle-class (high school graduates) third-generation Mexican-Americans. The two class groups have similar attitudes about bilingual education and …

"New" Civil Rights Strategies For Latino Political Empowerment, Seth Racusen

New England Journal of Public Policy

Latinos became the largest "minority" group and significantly increased their political representation in Massachusetts in the past decade. Even with these gains, their political power is not nearly commensurate with the size of their population. Many aspects of Latino political demographics, including a large immigrant population with low citizenship rates, high poverty rates, and dispersion across many electoral districts, contribute to their underrepresentation. The political demographics facing Massachusetts Latinos have led many analysts to prescribe alternative electoral systems as avenues to achieve increased political representation. This article reviews the critiques of the 1970s and 1980s civil rights redistricting strategies and …

Latina Women And Political Leadership: Implications For Latino Community Empowerment, Carol Hardy-Fanta

New England Journal of Public Policy

Mainstream studies of Latino politics have tended to reflect a primarily male view of political participation and political leadership. In such a view, the study of Latino political leadership continues the tradition of viewing leadership as derived from official positions in elected or appointed office and informal organizations. This article demonstrates that (1) contrary to prevailing myths, Latina women in Massachusetts run for and are elected to office in very high numbers, and (2) when the definition of political leadership is expanded to include community-based, not solely position-derived, forms of leadership, Latino community empowerment may depend, to a great extent, …

Social Networks And Employment For Latinos, Blacks, And Whites, Luis M. Falcón

New England Journal of Public Policy

Despite the immigrant character of Latino groups in the United States, little attention has been given to the role of social networks in the job-search process and in labor market outcomes for Latinos. The literature on social networks describes their use as important in providing access to jobs but neutral as to affecting earnings or attainment of prestige. This study uses data from a 1988-1989 Boston survey to examine the effect of finding employment through social networks on the income attainment of white, black, and Latino workers. Job seekers in all groups rely on such networks, but Latinos exhibit the …

Immigrant Workers In The Cleaning Industry: The Experience Of Boston's Central Americans, Karen M. Lado

New England Journal of Public Policy

This study has two objectives: to describe Central Americans' employment experience in the Boston area by focusing on cleaning workers and to explore the reasons why Central Americans in particular, and immigrants in general, become concentrated in industries like cleaning. The study highlights a number of characteristics of immigrant workers and of cleaning work that contribute to employment in the industry. Recent immigrants need jobs that do not require English skills or formal training, can be accessed informally, and offer schedules that allow them to take on additional work. Cleaning companies, in turn, need a constant source of reliable workers …

Latinos Need Not Apply: The Effects Of Industrial Change And Workplace Discrimination On Latino Employment, Edwin Meléndez, Françoise Carré, Evangelina Holvino

New England Journal of Public Policy

The objective of the research described here is to assess how recent changes in the organization of industry and discrimination in the workplace affect the employment of Latinos. One of the most important developments in labor markets during the past two decades is the erosion of internal labor markets. Employers are responding to intensified competitive conditions that developed during the 1980s: increased international competition in domestic markets and deregulation in telecommunications, banking, insurance, and other industries. The development of information technologies and the diffusion of secondary and postsecondary education have enabled organizations to cut labor costs. In particular, firms are …

Friday Report - Vol. 04, No. 02 - February 24, 1995, University Of Massachusetts Boston

1991-1996, Friday Report

No abstract provided.

Does Service-Learning Have A Future?, Edward Zlotkowski

New England Resource Center for Higher Education Publications

Until very recently the service-learning movement has had an "ideological" bias; i.e., it has tended to prioritize moral and/or civic questions related to the service experience. Such a focus reflects well the movement's past but will not guarantee its future. What is needed now is a broad-based adjustment that invests far more intellectual energy in specifically academic concerns. Only by paying careful attention to the needs of individual disciplines and by allying itself with other academic interest groups, will the service-learning movement succeed in becoming an established feature of American higher education.

Missing Links In The Study Of Puerto Rican Poverty In The United States, James Jennings

William Monroe Trotter Institute Publications

This Occasional Paper, based on a presentation to the National Puerto Rican Coalition in Washington, DC, in 1992, proposes some limitations in "quantitative-only" research focusing on Puerto Rican poverty in the United States. An overreliance on quantitative-based analysis, as well as overlooking historical and comparative data, may not allow for a full understanding and awareness of the nature and maintenance of poverty in Puerto Rican communities in the United States. While the presentation acknowledges the importance of sophisticated quantitative research, it implies that joined together with historical and comparative analysis, investigations of Puerto Rican poverty would be vastly improved. An …

An Economic Profile Of Women In Massachusetts, Randy Albelda

Publications from the Center for Women in Politics and Public Policy

This report provides a profile of women's current economic position in Massachusetts. It examines the age, race, and geographical distribution of women and girls across the state; family structure, income and poverty; and women's labor force participation, occupational and industrial distribution in jobs, and earnings. When relevant 1990s Massachusetts data are compared to national data and to Massachusetts data from the 1970s.

Women across the Commonwealth have experienced tremendous changes in their lives over the last two decades as a result of changes in the economy and family structure. For women, the changes provide new opportunities, but they also exacerbate …