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Based on the authors' teaching and research at the Johns Hopkins Bloomberg School of Public Health and the Keck School of Medicine of the University of Southern California, the second edition of this landmark text offers a general framework for students, researchers, practitioners, and policymakers for learning about vulnerable populations. It contains in-depth data and information on major health and health care disparities by race or ethnicity, socioeconomic status, and health insurance coverage. It is thoroughly updated to include the latest data and trends and provides a detailed synthesis of recent and increasingly expansive programs and initiatives to remedy these disparities. To keep current with recent trends it incorporates the latest Healthy People 2020 objectives, includes new sections on real-world clinical examples, and discusses the impact of health care reform on vulnerable populations. The book's Web site includes instructor's materials that may be downloaded. Praise for the First Edition of Vulnerable Populations in the United States «An excellent primer for undergraduates and graduate students interested in vulnerable populations and health disparities.» —New England Journal of Medicine «Combines thoughtful, coherent theory with a large amount of information available in a single source. It will prove to be a valuable resource for policymakers, researchers, teachers, and students alike for years to come.» —Journal of the American Medical Association «A very worthwhile read for health care administrators, health policy analysts, public health and health promotion practitioners, students of public health, and health researchers.» —Inquiry «It makes clear that, for political, social, and economic (as well as moral) reasons, the country must increasingly make vulnerable populations a national health policy priority.» —Journal of Health Care for the Poor and Underserved «I have reviewed a number of books looking for meaningful content to help my students understand and work with vulnerable populations. This is the most comprehensive, yet understandable book on the topic.» —Doody's Reviews «Provides much-needed guidance to policymakers challenged with providing solutions to this embarrassing issue in the United States.» —F. Douglas Scutchfield, MD, Peter P. Bosomworth Professor of Health Services Research and Policy, University of Kentucky Companion Web site: www.josseybass.com/go/shi

De nombreuses femmes, a un certain moment de leur existence, regardent en arriere et s'apercoivent qu'elles vivent la vie d'une autre, souvent differente et peu ressemblante a celle dont elles ont reve. Probablement, mais tout n’est pas perdu : il est possible de changer et de plaquer notre vie monotone pour en construire une nouvelle et plus interessante. Je l’ai fait. Vous voulez savoir comment ? Lisez ce « guide » et vous le decouvrirez. De nos jours, les femmes qui ont atteint l’age fatidique de la quarantaine semblent, a certains egards (relatifs a la carriere professionnelle et aux relations interpersonnelles) souvent plus sures d’elles que les femmes plus jeunes. Cependant, il subsiste fondamentalement une crainte repandue : vieillir. L’une est terrifiee par le vieillissement du corps, l’autre craint davantage la senescence de l’esprit. Souvent, ces preoccupations liees au vieillissement peuvent se repercuter sur la capacite a gerer une famille, le travail et ce que l’on cherit. Mais ce qui est plus grave encore, c’est que lorsque l’on regarde en arriere, on s’apercoit que l’on vit la vie d’une autre, souvent differente et peu ressemblante a celle dont on a reve. A un certain moment de notre vie, nous analysons notre parcours en dressant le bilan de notre existence, tout en regardant devant nous et en nous apercevant combien la « vieillesse » est proche. Les enfants, desormais grands, ont moins besoin de nous. Nous nous rendons souvent compte que les annees sont passees et que nous souhaiterions realiser encore tant de choses, regrettant ce que nous ne pourrons plus avoir ou faire. Peut-etre avons-nous le sentiment de ne pas avoir pris les bonnes decisions au cours de notre vie dans le domaine du travail, des etudes ou au niveau personnel, et qu’il n’est plus possible d’y remedier. Nous prenons alors conscience de nos erreurs. La crise qui caracterise l’epoque historique actuelle au niveau mondial peut-elle engendrer encore plus d’incertitudes ? Probablement, mais tout n’est pas perdu : il est possible de changer et de plaquer notre vie monotone pour en construire une nouvelle et plus interessante. Je l’ai fait. Vous voulez savoir comment ? Lisez ce « guide » et vous le decouvrirez.

. . . an excellent primer for undergraduates and graduate students interested in vulnerable populations and health disparities. – New England Journal of Medicine, July 7, 2005 «I have reviewed a number of books looking for meaningful content to help my students understand and work with vulnerable populations. This is the most comprehensive, yet understandable book on the topic.» – Doody's Reviews, 2005 «. . .combines thoughtful, coherent theory with a large amount of information available in a single source. It will prove to be a valuable resource for policymakers, researchers, teachers, and students alike for years to come.» – Journal of the American Medical Association, April 20, 2005 Vulnerable Populations in the United States offers in-depth data on access to care, quality of care, and health status and updates and summarizes what is currently known regarding the pathways and mechanisms linking vulnerability with poor health and health care outcomes. Written by Leiyu Shi and Gregory D. Stevens, this book provides a coherent, well-integrated, general framework for the scientific study of vulnerable populations—a framework that is compatible with the focus of public health policy and the Healthy People initiative. The comprehensive volume Vulnerable Populations in the United States Discusses the determinants of vulnerability using a broad framework that includes both social and individual determinants. Portrays the mechanisms whereby vulnerability influences access, quality, and health status. Summarizes the literature and provides empirical evidence of disparities in health care access, quality, and outcome for vulnerable populations. Focuses on influences of individual risk factors and multiple risk factors . Reviews programs currently in place for vulnerable populations. Instructors material available.

Fragile Minds and Vulnerable Souls investigates the creation of «obscene writings and images» as a category of print in nineteenth-century Germany. Sarah L. Leonard charts the process through which texts of many kinds—from popular medical works to stereoscope cards—were deemed dangerous to the intellectual and emotional lives of vulnerable consumers. She shows that these definitions often hinged as much on the content of texts as on their perceived capacity to distort the intellect and inflame the imagination. Leonard tracks the legal and mercantile channels through which sexually explicit material traveled as Prussian expansion opened new routes for the movement of culture and ideas. Official conceptions of obscenity were forged through a heterogeneous body of laws, police ordinances, and expert commentary. Many texts acquired the stigma of immorality because they served nonelite readers and passed through suspect spaces; books and pamphlets sold by peddlers or borrowed from fly-by-night lending libraries were deemed particularly dangerous. Early on, teachers and theologians warned against the effects of these materials on the mind and soul; in the latter half of the century, as the study of inner life was increasingly medicalized, physicians became the leading experts on the detrimental side effects of the obscene. In Fragile Minds and Vulnerable Souls , Leonard shows how distinctly German legal and medical traditions of theorizing obscenity gave rise to a new understanding about the mind and soul that endured into the next century.

Apple orchards in bucolic Washington state. Office parks in Southern California under cover of night. The home of an elderly man in Miami. These are some of the workplaces where female workers have suffered brutal sexual assault and shocking harassment at the hands of their employers, often with little or no official recourse. In this harrowing yet often inspiring tale, investigative journalist Bernice Yeung exposes the epidemic of sexual violence levied against women farmworkers, domestic workers, and janitorial workers and charts their quest for justice in the workplace. Yeung takes listeners on a journey across the country, introducing us to women who came to America to escape grinding poverty only to encounter sexual violence in the United States. In a Day's Work exposes the underbelly of economies filled with employers who take advantage of immigrant women's need to earn a basic living. When these women find the courage to speak up, Yeung reveals that they are too often met by apathetic bosses and under-resourced government agencies. But In a Day's Work also tells a story of resistance, introducing a group of courageous allies who challenge dangerous and discriminatory workplace conditions alongside aggrieved workers-and win. Moving and inspiring, this book will change our understanding of the lives of immigrant women.