scholarly journals Reducing Inequities in Adverse Birth Outcomes among African American Women in the United States: A Focus on the Life Course Perspective

2019 ◽  
Vol 4 (4) ◽  
pp. p281
Author(s):  
Elizabeth Afibah Armstrong-Mensah ◽  
Keianna Harris ◽  
Venessa Ngom ◽  
Faith Omotor
Keyword(s):  
United States ◽  
Life Course ◽  
African American Women ◽  
Birth Outcomes ◽  
The United States ◽  
Life Course Perspective ◽  
Adverse Birth Outcomes ◽  
Racial Groups ◽  
Social Inequities ◽  
The Life Course

Adverse birth outcomes are the leading cause of death among infants globally, and the second leading cause of infant deaths in the United States. African-American women have disproportionately higher rates of preterm birth, low birth weight, and infant mortality compared to other racial groups. This is due in part to social inequities, as well as differential exposures to and experience of risk and protective factors before, during, and after pregnancy. The life course perspective framework posits that adverse birth outcomes are not primarily due to experiences during pregnancy, but experiences (environmental exposures, biological, social and behavioral factors, as well as life experiences) across the life course. These experiences negatively affect birth outcomes in current and future generations. Reducing the adverse birth outcome gap between African Americans and other racial groups requires not only increasing access to prenatal care, but also addressing the differential cumulative impact of social inequities and early life disadvantages experienced by the former. It is therefore critically important to focus on the life course perspective when framing solutions to bridge racial disparities in adverse birth outcomes.

ADDRESSING RACIAL DISPARITIES IN HEALTH USING LIFE COURSE PERSPECTIVES

2011 ◽  
Vol 8 (1) ◽  
pp. 79-94 ◽  
Author(s):  
Cynthia G. Colen
Keyword(s):  
Life Course ◽  
Racial Disparities ◽  
African American Women ◽  
The United States ◽  
Life Course Perspective ◽  
Socioeconomic Mobility ◽  
Marginalized Groups ◽  
Interactive Nature ◽  
The Life Course ◽  
Racial Disparities In Health

AbstractIn the United States, African Americans face stark inequalities in health. The life course perspective offers a unique viewpoint through which racial disparities in morbidity and mortality may be understood as the result of repeated exposures to risk factors during both childhood and adulthood. However, the utility of this approach is limited by its failure to investigate the degree to which racial/ethnic minorities are able to translate gains in socioeconomic status into favorable health outcomes, both for themselves and for their children. In order to adequately reflect the realities of marginalized groups, life course models must explore the interactive nature of linkages across lifecourse stages, pay particular attention to the unique processes that create and maintain health disparities over time, and consider the specific contexts in which these processes occur. To this end, I examine the ways in which exclusionary forces and discriminatory conditions are likely to prevent African American women and their children from reaping the health benefits typically associated with upward socioeconomic mobility.

scholarly journals A Confluence of Policy Inequality: Health Disparities in Old Age Among American Indian and Alaska Native Populations

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 37-37
Author(s):  
Sadie Giles
Keyword(s):  
United States ◽  
Health Disparities ◽  
Life Course ◽  
American Indian ◽  
Old Age ◽  
Alaska Native ◽  
Political History ◽  
The United States ◽  
The Political ◽  
The Life Course

Abstract Racial health disparities in old age are well established, and new conceptualizations and methodologies continue to advance our understanding of health inequality across the life course. One group that is overlooked in many of these analyses, however, is the aging American Indian/Native Alaskan (AI/NA) population. While scholars have attended to the unique health inequities faced by the AI/NA population as a whole due to its discordant political history with the US government, little attention has been paid to unique patterns of disparity that might exist in old age. I propose to draw critical gerontology into the conversation in order to establish a framework through which we can uncover barriers to health, both from the political context of the AI/NA people as well as the political history of old age policy in the United States. Health disparities in old age are often described through a cumulative (dis)advantage framework that offers the benefit of appreciating that different groups enter old age with different resources and health statuses as a result of cumulative inequalities across the life course. Adding a framework of age relations, appreciating age as a system of inequality where people also gain or lose access to resources and status upon entering old age offers a path for understanding the intersection of race and old age. This paper will show how policy history for this group in particular as well as old age policy in the United States all create a unique and unequal circumstance for the aging AI/NA population.

scholarly journals Bisexual Lives and Aging in Context: A Cross-National Comparison of the United Kingdom and the United States

2019 ◽  
Vol 89 (1) ◽  
pp. 22-38 ◽  
Author(s):  
Sarah Jen ◽  
Rebecca L. Jones
Keyword(s):  
United States ◽  
United Kingdom ◽  
Life Course ◽  
Later Life ◽  
The United States ◽  
Life Course Perspective ◽  
Future Research ◽  
Racial Relations ◽  
Aids Epidemic ◽  
The United Kingdom

Research on bisexual histories and identities in later life is limited and reflects only single-nation studies. This article compares findings from two independently conducted studies of bisexual aging, in the United Kingdom and the United States, using a discourse analytic and life course perspective. The goals were to compare how participants narrated and made sense of their bisexual experiences in later life and to examine ways in which historical and cultural contexts shaped their accounts. Findings indicate that similar histories around lesbian separatism and the HIV/AIDS epidemic enabled shared discursive resources, while differing ethnic and racial relations enabled distinctive discursive possibilities. In both studies intersectional experiences, particularly including being a person of color and having a transgender history, profoundly affected individual narratives. Future research will benefit from creative conceptualizations of bisexuality, applying the life course perspective in research and practice, and supporting the diverse and resilient ways bisexual older adults use language.

scholarly journals Endogenous Selection Bias and Cumulative Inequality over the Life Course: Evidence from Educational Inequality in Subjective Well-Being

2020 ◽  
Vol 36 (3) ◽  
pp. 333-350
Author(s):  
Fabian Kratz ◽  
Alexander Patzina
Keyword(s):  
United States ◽  
Panel Data ◽  
Life Course ◽  
Panel Study ◽  
Well Being ◽  
The United States ◽  
Subjective Well Being ◽  
Interviewer Effects ◽  
Endogenous Selection ◽  
The Life Course

Abstract According to theories of cumulative (dis-)advantage, inequality increases over the life course. Labour market research has seized this argument to explain the increasing economic inequality as people age. However, evidence for cumulative (dis-)advantage in subjective well-being remains ambiguous, and a prominent study from the United States has reported contradictory results. Here, we reconcile research on inequality in subjective well-being with theories of cumulative (dis-)advantage. We argue that the age-specific endogenous selection of the (survey) population results in decreasing inequalities in subjective well-being means whereas individual-level changes show a pattern of cumulative (dis-)advantage. Using repeated cross-sectional data from the European Social Survey (N = 15,252) and employing hierarchical age-period-cohort models, we replicate the finding of decreasing inequality from the United States with the same research design for Germany. Using panel data from the German Socio-Economic Panel Study (persons = 47,683, person-years = 360,306) and employing growth curve models, we show that this pattern of decreasing inequality in subjective well-being means is accompanied by increasing inequality in intra-individual subjective well-being changes. This pattern arises because disadvantaged groups, such as the low educated and individuals with low subjective well-being show lower probabilities of continuing to participate in a survey and because both determinants reinforce each other. In addition to allowing individual changes and attrition processes to be examined, the employed multi-cohort panel data have further key advantages for examining inequality in subjective well-being over the life course: They require weaker assumptions to control for period and cohort effects and make it possible to control for interviewer effects that may influence the results.

Harm and Resilience among Prostituted Teens: Broadening our Understanding of Victimisation and Survival

2010 ◽  
Vol 9 (2) ◽  
pp. 243-254 ◽  
Author(s):  
Linda M. Williams
Keyword(s):  
United States ◽  
Qualitative Research ◽  
Life Course ◽  
Human Trafficking ◽  
Sexual Exploitation ◽  
The United States ◽  
Life Course Perspective ◽  
Policy And Practice ◽  
Nuanced Understanding ◽  
Policy Communities

Based on qualitative research completed in the United States on pathways into and out of commercial sexual exploitation of children (CSEC), this article focuses on themes of harm, resilience and survival-focused coping by prostituted teens and makes recommendations for policy and practice. The research on which it is based takes a life-course perspective on pathways into and out of CSEC. Analyses of the narratives of homeless, runaway and sexually victimised (prostituted and trafficked) teens suggest the need for a more nuanced understanding of both harm and survival that has important implications for practice and policy communities responding to human trafficking within and across borders.

scholarly journals Further decoding the mystery of American pain: The importance of work

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0261891
Author(s):  
David G. Blanchflower ◽  
Alex Bryson
Keyword(s):  
United States ◽  
Life Course ◽  
The Elderly ◽  
The United States ◽  
Cross Sectional ◽  
Wear And Tear ◽  
Educational Groups ◽  
Employment Rates ◽  
The Life Course ◽  
What Matters

A recent paper showed that, whereas we expect pain to rise with age due to accumulated injury, physical wear and tear, and disease, the elderly in America report less pain than those in midlife. Further exploration revealed this pattern was confined to the less educated. The authors called this the ‘mystery of American pain’ since pain appears to rise with age in other countries irrespective of education. Revisiting this issue with the same cross-sectional data we show that what matters in explaining pain through to age 65 is whether one is working or not. The incidence of pain across the life-course is nearly identical for workers in America and elsewhere, but it is greater for non-working Americans than it is for non-workers elsewhere. As in other countries, pain is hump-shaped in age among those Americans out of work but rises a little over the life-course for those in work. Furthermore, these patterns are apparent within educational groups. We show that, if one ascribes age-specific employment rates from other OECD countries to Americans, the age profile of pain in the United States is more similar to that found elsewhere in the OECD. This is because employment rates are lower in the United States than elsewhere between ages 30 and 60: the simulation reduces the pain contribution of these non-workers to overall pain in America, so it looks somewhat similar to pain elsewhere. We conclude that what matters in explaining pain over the life-course is whether one is working or not and once that is accounted for, the patterns are consistent across the United States and the rest of the OECD.

Second-Generation Contextual Mobility: Neighborhood Attainment from Birth to Young Adulthood in the United States

2019 ◽  
Vol 54 (2) ◽  
pp. 356-387 ◽  
Author(s):  
Van C. Tran
Keyword(s):  
United States ◽  
New York ◽  
Longitudinal Data ◽  
Life Course ◽  
Young Adulthood ◽  
Second Generation ◽  
The United States ◽  
Neighborhood Context ◽  
The Life Course ◽  
Over Time

This article examines trajectories of neighborhood mobility for the post-1965 second generation in the United States. It advances the concept of second-generation contextual mobility, defined as the change in neighborhood context over the life course among the second generation. This analysis uses unique geocoded longitudinal data over three decades to documents patterns of second-generation neighborhood attainment. Compared to US blacks, the second generation has achieved significant contextual mobility both over time and across generations. Specifically, the second generation in this New York sample lived in better neighborhoods in young adulthood compared to birth neighborhood where their parents once lived. Most groups moved away from the most disadvantaged areas, with the exception of Dominicans. While the second generation has yet to achieve neighborhood parity with US whites, they have already surpassed US blacks in neighborhood attainment. Second-generation contextual mobility is thus an important, but missing, piece in established accounts of neighborhood mobility in the United States.

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