Abstract: A US Department of Health and Human Services (DHHS) report examines the impact of a broad range of behavioral, societal, and health care issues concerning the health of US blacks and minorities on current departmental program areas. Six topics were identified as priority areas: cancer, cardiovascular disease and stroke, chemical dependency (alcohol, illicit drugs, cigarettes) diabetes, homicide and accidents, and infant mortality. Subcommittee summary reports are intended for each of these 6 areas. Data also are presented on the social characteristics of minority populations, mortality and morbidity indicators, health services and resources, an inventory of DHHS program efforts, and a survey of non-federal organizations. Recommendations are provided for health information and education, health services, health professions development, cooperative efforts, data development, and research needs. (wz).

At times mirroring and at times shockingly disparate to the rise of traditional white American medicine, the history of African-American health care is a story of traditional healers; root doctors; granny midwives; underappreciated and overworked African-American physicians; scrupulous and unscrupulous white doctors and scientists; governmental support and neglect; epidemics; and poverty. Virtually every part of this story revolves around race. More than 50 years after the publication of An American Dilemma, Gunnar Myrdal's 1944 classic about race relations in the USA, An American Health Dilemma presents a comprehensive and groundbreaking history and social analysis of race, race relations and the African-American medical and public health experience. Beginning with the origins of western medicine and science in Egypt, Greece and Rome the authors explore the relationship between race, medicine, and health care from the precursors of American science and medicine through the days of the slave trade with the harrowing middle passage and equally deadly breaking-in period through the Civil War and the gains of reconstruction and the reversals caused by Jim Crow laws. It offers an extensive examination of the history of intellectual and scientific racism that evolved to give sanction to the mistreatment, medical abuse, and neglect of African Americans and other non-white people. Also included are biographical portraits of black medical pioneers like James McCune Smith, the first African American to earn a degree from a European university, and anecdotal vignettes,like the tragic story of "the Hottentot Venus", which illustrate larger themes. An American Health Dilemma promises to become an irreplaceable and essential look at African-American and medical history and will provide an invaluable baseline for future exploration of race and racism in the American health system.

This volume is a comprehensive collection of critical essays on The Taming of the Shrew, and includes extensive discussions of the play's various printed versions and its theatrical productions. Aspinall has included only those essays that offer the most influential and controversial arguments surrounding the play. The issues discussed include gender, authority, female autonomy and unruliness, courtship and marriage, language and speech, and performance and theatricality.

HEALTH BEHAVIOR AS BASIC RESEARCH Health behavior is not a traditional discipline, but a newly emerging interdisciplinary field. It is still in the process of establishing its identity. Few institutional or organizational structures, i. e. , departments and programs, reflect it, and few books and journals are directed at it. The primary objective of this book is thus to identify and establish health behavior as an important area of basic research, worthy of being studied in its own right. As a basic research area, health behavior transcends commitment to a particular behavior, a specific illness or health problem, or a single set of determinants. One way of achieving this objective is to look at health behavior as an outcome of a range of personal and social determinants, rather than as a set of risk factors or as targets for intervention strategies directed at behavioral change. The book is thus organized pri marily in terms of the size of the determinants of concern, rather than in terms of specific health behaviors, or specific health problems or conditions. With the first part of the book establishing working defmitions of health behavior and health behavior research as basic frameworks, the second part moves from smaller to larger systems, informing the reader about basic research that demonstrates how health behavior is determined by personal, family, social, institutional, and cultural factors. These distinctions reflect some arbitrar iness: the family, organizations, and institutions, for example, are social units.

Older Americans, even the oldest, can now expect to live years longer than those who reached the same ages even a few decades ago. Although survival has improved for all racial and ethnic groups, strong differences persist, both in life expectancy and in the causes of disability and death at older ages. This book examines trends in mortality rates and selected causes of disability (cardiovascular disease, dementia) for older people of different racial and ethnic groups. The determinants of these trends and differences are also investigated, including differences in access to health care and experiences in early life, diet, health behaviors, genetic background, social class, wealth and income. Groups often neglected in analyses of national data, such as the elderly Hispanic and Asian Americans of different origin and immigrant generations, are compared. The volume provides understanding of research bearing on the health status and survival of the fastest-growing segment of the American population.