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Health and Wellness Concerns for Racial, Ethnic, and Sexual Minorities. New Directions for Adult and Continuing Education, Number 142. J–B ACE Single Issue Adult & Continuing Education

  • ID: 2866035
  • Book
  • 112 Pages
  • John Wiley and Sons Ltd
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Minority status in the United States often accompanies diminished access to education, employment, and subsequently healthcare. This volume of New Directions for Adult and Continuing Education explores factors that have contributed to health disparities among racial, ethnic, and sexual minorities. Focused on developing strategies for understanding these disparities and promoting wellness in minority communities, the authors highlight social forces such as racism, ethnocentrism, sexism, and homophobia, which continue to influence not only access to and quality of care but also perceptions and trust of healthcare professionals. The authors identify several common themes, including the importance of communication, intentional and unintentional discriminatory structures, and perhaps most significantly, the role of culturally relevant learning sites. Scholars, adult educators, and healthcare professionals will benefit from these insights. This sourcebook is the first to address the concern of disparities and discrimination in healthcare experienced by racial, ethnic, and sexual minorities, but hopefully will not be the last to examine these issues within adult education.
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EDITORS NOTES 1Joshua C. Collins, Tonette S. Rocco, Lawrence O. Bryant1. Disparities in Healthcare for Racial, Ethnic, and Sexual Minorities5
Joshua C. Collins, Tonette S. Rocco

This chapter situates healthcare as a concern for the field of adult education through a critique of disparities in access to healthcare, quality of care received, and caregiver services for racial, ethnic, and sexual minorities.

2. The Black Church: Promoting Health, Fighting Disparities 15Michael L. Rowland, E. Paulette Isaac–Savage

This chapter illustrates the role of the Black church in promoting health awareness and healthy behaviors, and in fighting health disparities.

3. Literacy and Health Disparities 25Esther Prins, Angela Mooney

This chapter explores the relationship between literacy and health disparities, focusing on the concept of health literacy. Recommendations are provided for ways to bridge the health literacy gap for learners in adult basic education and family literacy programs.

4. Injection Drug Users, Aboriginality, and HIV: A Postcolonial Glance From a Strong Ally 37John P. Egan

This chapter describes the intersection of colonization, disease, and community engagement, including the author s support for Aboriginal community–based HIV research.

5. Alcoholism and Lesbians 49Julie Gedro

This chapter explores the issues involved in the relationship between lesbianism and alcoholism. It examines the constellation of health and related problems created by alcoholism, and it critically interrogates the societal factors that contribute to the disproportionately high rates of alcoholism among lesbians by exploring the antecedents and consequences of alcoholism.

6. Tobacco Use Among Sexual Minorities 63Lawrence O. Bryant, Lorenzo Bowman

This chapter addresses tobacco use among sexual minorities. It examines research on the prevalence of tobacco use in the lesbian, gay, bisexual, and transgender (LGBT) community and discusseswhy tobacco use within this group continues to significantly exceed that of the general population.

7. HIV–Negative Gay Men and Autoimmune Diseases 73Joshua C. Collins, Tonette S. Rocco

This chapter explores the factors that contribute to the disclosure and communication experiences of HIV–negative gay men with one or more autoimmune diseases.

8. African American Women and HIV/AIDS 81Lisa M. Baumgartner

This chapter examines the challenges faced by African American women living with HIV/AIDS and how they learn to live with this chronic illness.

9. Partnerships and Collaborations in Promoting Health and Wellness in Minority Communities: Lessons Learned and Future Directions 91Lawrence O. Bryant

Oppression in its many forms is so ingrained in the fabric of the legal, social, economic, educational, political, and medical systems in America that it often goes unrecognized and unaddressed. The chapters in this volume explored the evasive problem of health and wellness for racial, ethnic, and sexual minorities within a framework of adult education principles.


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Joshua C. Collins
Tonette S. Rocco
Lawrence O. Bryant
Note: Product cover images may vary from those shown