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Why Ethnogeriatrics Is Important

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Abstract

The population of adults aged 65 years and older is one of the fastest growing segments of the United States (U.S.) population and will more than double between the years of 2010 and 2050 from 40.2 million to 88.5 million [1]. In parallel to the aging of the population, the U.S. is also becoming increasingly more racially and ethnically diverse. In 2010, ethnoracial minorities made up 20 % of the older adult population; this number is projected to reach 42 % by 2050 [2]. This shift in the demographics of the U.S. population has broad implications for the health of diverse elders and geriatric health care delivery. Minority elders experience greater disparities in morbidity, mortality, and disability, which are related to several factors including ethnoracial differences in socioeconomic factors, cultural factors, and health care access and delivery. Given the growing racial and ethnic diversity of the older population and the recognized impact of culture on health, the topic of ethnogeriatrics is both timely and important. In this chapter, we define and explore key terms and concepts relevant to the study of ethnogeriatrics, discuss factors implicated in disparities in health outcomes among older adults, and highlight some challenges to providing health care to an aging and diverse population.

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References

  1. Vincent GK, Velkoff VA. The Older Population in the United States: 2010 to 2050 [Internet]. Current population reports. 2010. [cited 2015 Jan 1]. Available from: http://www.census.gov/prod/2010pubs/p25-1138.pdf.

  2. United States Census Bureau. Profile America facts for features [Internet] 2012. [cited 2015 Jan 1. Available from: https://www.census.gov/newsroom/releases/archives/facts_for_features_special_editions/cb12-ff07.html.

  3. Jackson J. Race, national origin, ethnicity, and aging. In: Binstock R, Shanas E, editors. Handbook of aging and social sciences. New York: Van Nostrand Rheinhold; 1985. p. 264–8.

    Google Scholar 

  4. Office of Management and Budget. Revisions to the standards for classification of Federal data on race and ethnicity. Fed Regist. 1997;62:58781–91.

    Google Scholar 

  5. Haynes M, Smedley B, editors. The unequal burden of cancer: an assessment of NIH research and programs for ethnic minorities and the medically underserved. Washington, DC: National Academy Press; 1999.

    Google Scholar 

  6. Wilkinson D. Conceptual and methodological issues in the use of race as a variable: policy implications. Milbank Q. 1987;65:56–71.

    Article  PubMed  Google Scholar 

  7. Cooper RS. A case study in the use of race and ethnicity in public health surveillance. Public Health Rep. 1994;109(1):46–52.

    CAS  PubMed  PubMed Central  Google Scholar 

  8. United States Department of Health and Human Services, Office of Minority Health. National standards for culturally and linguistically appropriate services in health care: final report. Washington, DC [Internet] 2001 [cited 2015 Jan 8] p. Contract No. 282-99-0039. Available from: http://minorityhealth.hhs.gov/assets/pdf/checked/finalreport.pdf.

  9. Davis B, Voegtle K. Culturally competent health care for adolescents: a guide for primary health care providers. Chicago: American Medical Association; 1994.

    Google Scholar 

  10. Betancourt JR, Green AR, Carrillo JE, Park ER. Cultural competence and health care disparities: key perspectives and trends. Health Aff. 2005;24(2):499–505.

    Article  Google Scholar 

  11. Tervalon M, Murray-García J. Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor Underserved. 1998;9(2):117–25.

    Article  CAS  PubMed  Google Scholar 

  12. United States Department of Health and Human Services Office of Minority Health. Health equity & disparities [Internet]. 2011. [cited 2015 Jan 8]. Available from: http://minoirtyhealth.hhs.gov/npa/templates/browse.aspx?|v|=1&|vlid|=34.

    Google Scholar 

  13. Dressler W, Oths K, Gravlee C. Race and ethnicity in public health research: models to explain health disparities. Annu Rev Anthropol. 2005;34:231–52.

    Article  Google Scholar 

  14. Graham H. Social determinants and their unequal distribution: clarifying policy understandings. Milbank Q. 2004;82(1):101–24.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Kawachi I, Subramanian SV, Almeida-Filho N. A glossary for health inequalities. J Epidemiol Community Health. 2002;56(9):647–52.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Braveman P. Defining equity in health. J Epidemiol Community Health. 2003;57(4):254–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Dalgren G, Whitehead M. Policies and strategies to promote equity in health. Stockholm: Institute for Future Studies; 1991.

    Google Scholar 

  18. Brunner E, Marmot M. Social organization, stress, and health. In: Marmot M, Wilkinson R, editors. Social determinants of health. Oxford: Oxford University Press; 1999.

    Google Scholar 

  19. Najman J. A general model of the social origins of health and well-being. In: Eckersley R, Dixon J, Douglas B, editors. The social origins of health and well-being [Internet]. Cambridge: Cambridge University Press; 2001.

    Google Scholar 

  20. Braveman P, Egerter S, Williams DR. The social determinants of health: coming of age. Annu Rev Public Health. 2011;32:381–98.

    Article  PubMed  Google Scholar 

  21. Center for Disease Control and Prevention United States Department of Health and Human Service. The state of aging & health in America 2013 [Internet], Atlanta, GA; 2013. [cited 2015 Jan 8]. Available from: www.cdc.gov/aging.

  22. Keating D, Hertzman C. Developmental health and the wealth of nations: social, biological, and educational dynamics. New York: Guilford; 1999.

    Google Scholar 

  23. Williams DR, Sternthal M. Understanding racial-ethnic disparities in health: sociological contributions. J Health Soc Behav. 2010;51(Suppl):S15–27.

    Article  PubMed  PubMed Central  Google Scholar 

  24. National Center for Health Statistics, United States, 2010: with special feature on death and dying [Internet]. 2011. [cited 2015 Jan 8]. Available from: http://www.cdc.gov/nchs/data/hus/hus.10.pdf#24.

  25. Nguyen AB, Moser R, Chou WY. Race and health profiles in the United States: an examination of the social gradient through the 2009 CHIS adult survey. Public Health. 2014;128(12):1076–86.

    Article  CAS  PubMed  Google Scholar 

  26. Ford ES, Giles WH, Dietz WH. Prevalence of the metabolic syndrome among US adults. JAMA. 2002;287(3):356–9.

    Article  PubMed  Google Scholar 

  27. Aponte J. Diabetes-related risk factors across Hispanic subgroups in the Hispanic health and nutritional examination survey (1982-1984). Public Health Nurs. 2009;26(1):23–38.

    Article  PubMed  Google Scholar 

  28. Holland AT, Wong EC, Lauderdale DS, Palaniappan LP. Spectrum of cardiovascular diseases in Asian-American racial/ethnic subgroups. Ann Epidemiol. 2011;21(8):608–14.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Oppenheimer GM. Paradigm lost: race, ethnicity, and the search for a new population taxonomy. Am J Public Health. 2001;91(7):1049–55.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Takaki R. A different mirror: a history of multicultural America. Boston: Little, Brown; 1993.

    Google Scholar 

  31. Manly JJ. Deconstructing race and ethnicity: implications for measurement of health outcomes. Med Care. 2006;44(11 Suppl 3):S10–6.

    Article  PubMed  Google Scholar 

  32. Thomas SB. The color line: race matters in the elimination of health disparities. In: LaVeist T, Isaac LA, editors. Race, ethnicity, and health: a public health reader. San Francisco: Wiley; 2012. p. 35–40.

    Google Scholar 

  33. Brave Heart M, DeBruyn L. The American Indian Holocaust: healing historical unresolved grief. Am Indian Alsk Native Ment Health Res. 1998;8(2):56–78.

    CAS  PubMed  Google Scholar 

  34. Guadagnolo BA, Cina K, Helbig P, Molloy K, Reiner M, Cook EF, et al. Medical mistrust and less satisfaction with health care among Native Americans presenting for cancer treatment. J Health Care Poor Underserved. 2009;20(1):210–26.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Corbie-Smith G, Thomas SB, St George DMM. Distrust, race, and research. Arch Intern Med. 2002;162(21):2458–63.

    Article  PubMed  Google Scholar 

  36. Flaskerud JH. Coping and health status: John Henryism. Issues Ment Health Nurs. 2012;33(10):712–5.

    Article  PubMed  Google Scholar 

  37. Lazarus R. Psychological stress and the coping process. New York: McGraw-Hill; 1966.

    Google Scholar 

  38. Campbell J, Ehlert U. Acute psychosocial stress: does the emotional stress response correspond with physiological responses? Psychoneuroendocrinology. 2012;37(8):1111–34.

    Article  PubMed  Google Scholar 

  39. Epel ES. Psychological and metabolic stress: a recipe for accelerated cellular aging? Hormones (Athens). 2009;8(1):7–22.

    Article  Google Scholar 

  40. Hicken MT, Lee H, Morenoff J, House JS, Williams DR. Racial/ethnic disparities in hypertension prevalence: reconsidering the role of chronic stress. Am J Public Health [Internet]. 2014 Jan [cited 2014 Dec 14];104(1):117–23. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24228644.

  41. Jackson JS, Knight KM, Rafferty JA. Race and unhealthy behaviors: chronic stress, the HPA axis, and physical and mental health disparities over the life course. In: LaViest TA, Isaac LA, editors. Race, ethnicity, and health: a public health reader. San Francisco: Wiley; 2012. p. 159–74.

    Google Scholar 

  42. Turner RJ, Avison WR. Status variations in stress exposure: implications for the interpretation of research on race, socioeconomic status, and gender. J Health Soc Behav. 2003;44(4):488–505.

    Article  PubMed  Google Scholar 

  43. Paradies Y. A systematic review of empirical research on self-reported racism and health. Int J Epidemiol. 2006;35(4):888–901.

    Article  PubMed  Google Scholar 

  44. Albrecht SS, McVeigh KH. Investigation of the disparity between New York City and national prevalence of nonspecific psychological distress among Hispanics. Prev Chronic Dis. 2012;9, E52.

    PubMed  PubMed Central  Google Scholar 

  45. Center for Disease Control and Prevention. Current cigarette smoking among adults-United States, 2005-2012. Morb Mortal Wkly Rep. 2014;63(02):29–34.

    Google Scholar 

  46. Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, et al. Heart disease and stroke statistics--2013 update: a report from the American Heart Association. Circulation. 2013;127(1):e6–245.

    Article  PubMed  Google Scholar 

  47. Chartier K, Caetano R. Ethnicity and health disparities in alcohol research. Alcohol Res Health. 2010;33(1–2):152–60.

    PubMed  PubMed Central  Google Scholar 

  48. Ayotte BJ, Hausmann LRM, Whittle J, Kressin NR. The relationship between perceived discrimination and coronary artery obstruction. Am Heart J. 2012;163(4):677–83.

    Article  PubMed  Google Scholar 

  49. Bennett G, Merritt M, Sollers III J, Edwards CL, Whitfield KE, Brandon DT, et al. Stress, coping, and health outcomes among African-Americans: a review of the John Henryism hypothesis. In: LaVeist TA, Isaac LA, editors. Race, ethnicity, and health: a public health reader. San Francisco: Wiley; 2012. p. 139–58.

    Google Scholar 

  50. Todorova ILG, Falcón LM, Lincoln AK, Price LL. Perceived discrimination, psychological distress and health. Sociol Health Illn. 2010;32(6):843–61.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Barnes LL, Lewis TT, Begeny CT, Yu L, Bennett DA, Wilson RS. Perceived discrimination and cognition in older African Americans. J Int Neuropsychol Soc. 2012;18(5):856–65.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Smith SM, Vale WW. The role of the hypothalamic-pituitary-adrenal axis in neuroendocrine responses to stress. Dialogues Clin Neurosci. 2006;8(4):383–95.

    PubMed  PubMed Central  Google Scholar 

  53. McEwen BS. Stress and the Individual. Arch Intern Med. 1993;153(18):2093.

    Article  CAS  PubMed  Google Scholar 

  54. Gallant MP, Spitze G, Grove JG. Chronic illness self-care and the family lives of older adults: a synthetic review across four ethnic groups. J Cross Cult Gerontol. 2010;25(1):21–43.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Zhao G, Ford ES, Mokdad AH. Racial/ethnic variation in hypertension-related lifestyle behaviours among US women with self-reported hypertension. J Hum Hypertens. 2008;22(9):608–16.

    Article  CAS  PubMed  Google Scholar 

  56. Arcury TA, Suerken CK, Grzywacz JG, Bell RA, Lang W, Quandt SA. Complementary and alternative medicine use among older adults: ethnic variation. Ethn Dis. 2006;16(3):723–31.

    PubMed  Google Scholar 

  57. Becker G, Gates RJ, Newsom E. Self-care among chronically ill African Americans: culture, health disparities, and health insurance status. Am J Public Health. 2004;94(12):2066–73.

    Article  PubMed  PubMed Central  Google Scholar 

  58. Becker G, Beyene Y, Newsom EM, Rodgers DV. Knowledge and care of chronic illness in three ethnic minority groups. Fam Med. 1998;30(3):173–8.

    CAS  PubMed  Google Scholar 

  59. Harris MI. Racial and ethnic differences in health care access and health outcomes for adults with type 2 diabetes. Diabetes Care. 2001;24(3):454–9.

    Article  CAS  PubMed  Google Scholar 

  60. Clark L, Hofsess L. Acculturation. In: Loue S, editor. Handbook of immigrant health. New York: Plenum; 1998. p. 37–59.

    Chapter  Google Scholar 

  61. Lara M, Gamoba C, Kahramanian M, Morales L, Bautista D. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. In: LaVeist TA, Isaac LA, editors. Race, ethnicity, and health: a public health reader. San Francisco: Wiley; 2013.

    Google Scholar 

  62. O’Brien MJ, Alos VA, Davey A, Bueno A, Whitaker RC. Acculturation and the prevalence of diabetes in US Latino Adults, National Health and Nutrition Examination Survey 2007-2010. Prev Chronic Dis. 2014;11, E176.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Lopez-Class M, Castro FG, Ramirez AG. Conceptions of acculturation: a review and statement of critical issues. Soc Sci Med. 2011;72(9):1555–62.

    Article  PubMed  Google Scholar 

  64. Linsky A, McIntosh N, Cabral H, Kazis LE. Patient-provider language concordance and colorectal cancer screening. J Gen Intern Med. 2011;26(2):142–7.

    Article  PubMed  Google Scholar 

  65. Snowden L. A scale to assess African American acculturation. J Black Psychol. 1999;25:36–47.

    Article  Google Scholar 

  66. Peek CW, Koropeckyj-Cox T, Zsembik BA, Coward RT. Race comparisons of the household dynamics of older adults. Res Aging. 2004;26(2):179–201.

    Article  Google Scholar 

  67. Dilworth-Anderson P, Brummett BH, Goodwin P, Williams SW, Williams RB, Siegler IC. Effect of race on cultural justifications for caregiving. J Gerontol B Psychol Sci Soc Sci. 2005;60(5):S25–62.

    Article  Google Scholar 

  68. Minkler M, Fuller-Thomson E. African American grandparents raising grandchildren: a national study using the Census 2000 American Community Survey. J Gerontol B Psychol Sci Soc Sci. 2005;60(2):S82–92.

    Article  PubMed  Google Scholar 

  69. Jennings A. The use of available social support networks by older blacks. J Natl Black Nurses Assoc. 1998;10(2):4–13.

    Google Scholar 

  70. Samuel-Hodge CD, Skelly AH, Headen S, Carter-Edwards L. Familial roles of older African-American women with type 2 diabetes: testing of a new multiple caregiving measure. Ethn Dis. 2005;15(3):436–43.

    PubMed  Google Scholar 

  71. Sarkisian CA, Brusuelas RJ, Steers WN, Davidson MB, Brown AF, Norris KC, et al. Using focus groups of older African Americans and Latinos with diabetes to modify a self-care empowerment intervention. Ethn Dis. 2005;15(2):283–91.

    PubMed  Google Scholar 

  72. Dietz T. Patterns of intergenerational assistance within the Mexican-American family. J Fam Issues. 1995;16:344–56.

    Article  Google Scholar 

  73. Tamez EG, Vacalis TD. Health beliefs, the significant other and compliance with therapeutic regimens among adult Mexican American diabetics. Health Educ. 1989;20(6):24–31.

    CAS  PubMed  Google Scholar 

  74. Wen LK, Parchman ML, Shepherd MD. Family support and diet barriers among older Hispanic adults with type 2 diabetes. Fam Med. 2004;36(6):423–30.

    PubMed  Google Scholar 

  75. Pang EC, Jordan-Marsh M, Silverstein M, Cody M. Health-seeking behaviors of elderly Chinese Americans: shifts in expectations. Gerontologist. 2003;43(6):864–74.

    Article  PubMed  Google Scholar 

  76. Goins R, Spencer S, Roubideaux Y, Manson S. Differences in functional disability of rural American Indian and White older adults with comorbid diabetes. Res Aging. 2005;27:643–58.

    Article  Google Scholar 

  77. Daly MC, Duncan GJ, McDonough P, Williams DR. Optimal indicators of socioeconomic status for health research. Am J Public Health. 2002;92(7):1151–7.

    Article  PubMed  PubMed Central  Google Scholar 

  78. Flaskerud J, DeLilly C. Social determinants of health status. Issues Ment Health Nurs. 2012;33:494–7.

    Article  PubMed  PubMed Central  Google Scholar 

  79. Braveman P, Gottlieb L. The social determinants of health: it’s time to consider the causes of the causes. Public Health Rep. 2013;129 Suppl 2:19–31.

    Google Scholar 

  80. Grundy E, Holt G. The socioeconomic status of older adults: how should we measure it in studies of health inequalities? J Epidemiol Community Health. 2001;55(12):895–904.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  81. Schneider JA. Rewriting the SES: demographic patterns and divorcing families. Soc Sci Med. 1986;23(2):211–22.

    Article  CAS  PubMed  Google Scholar 

  82. Artazcoz L, Rueda S. Social inequalities in health among the elderly: a challenge for public health research. J Epidemiol Community Health. 2007;61(6):466–7.

    Article  PubMed  PubMed Central  Google Scholar 

  83. Connolly S, O’Reilly D, Rosato M. House value as an indicator of cumulative wealth is strongly related to morbidity and mortality risk in older people: a census-based cross-sectional and longitudinal study. Int J Epidemiol. 2010;39(2):383–91.

    Article  PubMed  Google Scholar 

  84. McMunn A, Nazroo J, Breeze E. Inequalities in health at older ages: a longitudinal investigation of the onset of illness and survival effects in England. Age Ageing. 2009;38(2):181–7.

    Article  PubMed  Google Scholar 

  85. Wilson DK, Kirtland KA, Ainsworth BE, Addy CL. Socioeconomic status and perceptions of access and safety for physical activity. Ann Behav Med. 2004;28(1):20–8.

    Article  PubMed  Google Scholar 

  86. Sun VK, Stijacic Cenzer I, Kao H, Ahalt C, Williams BA. How safe is your neighborhood? Perceived neighborhood safety and functional decline in older adults. J Gen Intern Med. 2012;27(5):541–7.

    Article  PubMed  Google Scholar 

  87. Li F, Fisher KJ, Bauman A, Ory MG, Chodzko-Zajko W, Harmer P, et al. Neighborhood influences on physical activity in middle-aged and older adults: a multilevel perspective. J Aging Phys Act. 2005;13(1):87–114.

    Article  PubMed  Google Scholar 

  88. Franco OH, de Laet C, Peeters A, Jonker J, Mackenbach J, Nusselder W. Effects of physical activity on life expectancy with cardiovascular disease. Arch Intern Med. 2005;165(20):2355–60.

    Article  PubMed  Google Scholar 

  89. Ross CE, Mirowsky J. Disorder and decay: the concept and measurement of perceived neighborhood disorder. Urban Aff Rev. 1999;34(3):412–32.

    Google Scholar 

  90. Prentice JC. Neighborhood effects on primary care access in Los Angeles. Soc Sci Med. 2006;62(5):1291–303.

    Article  PubMed  Google Scholar 

  91. Lehning AJ, Smith RJ, Dunkle RE. Age-friendly environments and self-rated health: an exploration of Detroit elders. Res Aging. 2014;36(1):72–94.

    Article  PubMed  Google Scholar 

  92. Corriere MD, Yao W, Xue QL, Cappola AR, Fried LP, Thorpe RJ, et al. The association of neighborhood characteristics with obesity and metabolic conditions in older women. J Nutr Health Aging. 2014;18(9):792–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  93. Keita AD, Judd SE, Howard VJ, Carson AP, Ard JD, Fernandez JR. Associations of neighborhood area level deprivation with the metabolic syndrome and inflammation among middle- and older-age adults. BMC Public Health. 2014;14(1):1319.

    Article  PubMed  PubMed Central  Google Scholar 

  94. Kim ES, Hawes AM, Smith J. Perceived neighborhood social cohesion and myocardial infarction. J Epidemiol Community Health. 2014;68:1020–6.

    Article  PubMed  PubMed Central  Google Scholar 

  95. American Geriatric Society. The American Geriatrics Society: Advocacy Public Policy, Geriatric Workforce Policy Students Center, Frequently Asked Questions. [Internet] 2015 [cited 2015 March 10]. Available from: http://www.americangeriatrics.org/advocacy_public_policy/gwps/gwps_faqs.

  96. Betancourt JR, Green AR, Carrillo JE, Ananeh-Firempong O. Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Rep. 2003;118(4):293–302.

    Article  PubMed  PubMed Central  Google Scholar 

  97. Association of American Medical Colleges. Diversity in the Physician workforce: Facts and Figures 2014 [Internet]. [cited 2015 March 10]. Available from: http://aamcdiversityfactsandfigures.org/section-ii-current-status-of-us-physician-workforce/#fig1.

  98. Evans RM. Increasing minority representation in health care management. Health Forum J. 1999;42(6):22.

    CAS  PubMed  Google Scholar 

  99. Komaromy M, Grumbach K, Drake M, Vranizan K, Lurie N, Keane D, Bindman A. The role of black and Hispanic physicians in providing health care for underserved populations. N Engl J Med. 1996;334(2):1305–10.

    Article  CAS  PubMed  Google Scholar 

  100. Cooper-Patrick L, Gallo J, Gonzales J, Vu H, Powe N, Nelson C. Race, gender, and partnership in the patient-physician relationship. JAMA. 1999;282:583–9.

    Article  CAS  PubMed  Google Scholar 

  101. Saha S, Arbelaez JJ, Cooper LA. Patient–physician relationships and racial disparities in the quality of health care. Am J Public Health. 2003;93(10):1713–9.

    Article  PubMed  PubMed Central  Google Scholar 

  102. Van Ryn M. Research on the provider contribution to race/ethnicity disparities in medical care. Med Care. 2002;40(1 Suppl):I140–51.

    PubMed  Google Scholar 

  103. Van Ryn M, Burgess D, Malat J, Griffin J. Physicians’ perceptions of patients’ social and behavioral characteristics and race disparities in treatment recommendations for men with coronary artery disease. Am J Public Health. 2006;96(2):351–7.

    Article  PubMed  PubMed Central  Google Scholar 

  104. Penner LA, Hagiwara N, Eggly S, Gaertner SL, Albrecht TL, Dovidio JF. Racial healthcare disparities: a social psychological analysis. Eur Rev Soc Psychol. 2013;24(1):70–122.

    Article  PubMed  PubMed Central  Google Scholar 

  105. Brewer M. A dual process model of impression formation. In: Srull T, Wyer R, editors. Advances in social cognition, vol. 1. Mahwah: Erlbaum; 1988. p. 1–36.

    Google Scholar 

  106. Phillips KA, Mayer ML, Aday LA. Barriers to care among racial/ethnic groups under managed care. Health Aff. 2000;19(4):65–75.

    Article  CAS  Google Scholar 

  107. Xakellis G, Brangman SA, Ladson Hinton W, Jones VY, Masterman D, Pan CX, et al. Curricular framework: core competencies in multicultural geriatric care. J Am Geriatr Soc. 2004;52(1):137–42.

    Article  PubMed  Google Scholar 

  108. Glymour MM, Kosheleva A, Wadley VG, Weiss C, Manly JJ. Geographic distribution of dementia mortality: elevated mortality rates for black and white Americans by place of birth. Alzheimer Dis Assoc Disord. 2011;25(3):196–202.

    Article  PubMed  PubMed Central  Google Scholar 

  109. Sisco S, Gross AL, Shih RA, Sachs BC, Glymour MM, Bangen KJ, et al. The role of early-life educational quality and literacy in explaining racial disparities in cognition in late life. J Gerontol B Psychol Sci Soc Sci [Internet]. 2014 Feb 28 [cited 2014 Jul 10]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24584038.

  110. Arias E, Xu J, Jim MA. Period life tables for the non-Hispanic American Indian and Alaska Native population, 2007-2009. Am J Public Health. 2014;104(Suppl):S312–9.

    Article  PubMed  PubMed Central  Google Scholar 

  111. Denny CH, Holtzman D, Goins RT, Croft JB. Disparities in chronic disease risk factors and health status between American Indian/Alaska Native and White elders: findings from a telephone survey, 2001 and 2002. Am J Public Health. 2005;95(5):825–7.

    Article  PubMed  PubMed Central  Google Scholar 

  112. Choi S. Longitudinal changes in access to health care by immigrant status among older adults: the importance of health insurance as a mediator. Gerontologist. 2011;51(2):156–69.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Meharry-Vanderbilt Alliance, Vanderbilt University Medical Center School of Medicine, 1005 Dr. D.B. Todd Jr. Blvd, Biomedical Building, Nashville, TN, 37208, USA

    Jeannine S. Skinner Ph.D., Lauren Duke M.A. & Consuelo H. Wilkins M.D., M.S.C.I.

  2. Meharry Medical College, Nashville, TN, USA

    Consuelo H. Wilkins M.D., M.S.C.I.

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  1. Jeannine S. Skinner Ph.D.
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Correspondence to Consuelo H. Wilkins M.D., M.S.C.I. .

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  1. Division of Geriatrics and Nutritional Science, Washington University in Saint Louis School of Medicine, St. Louis, Missouri, USA

    Lenise Cummings-Vaughn

  2. Division of Geriatrics Medicine Department of Internal Medicine, Saint Louis University, St. Louis, Missouri, USA

    Dulce M. Cruz-Oliver

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Skinner, J.S., Duke, L., Wilkins, C.H. (2017). Why Ethnogeriatrics Is Important. In: Cummings-Vaughn, L., Cruz-Oliver, D. (eds) Ethnogeriatrics. Springer, Cham. https://doi.org/10.1007/978-3-319-16558-5_1

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