Stress and Resilience The Social Context of Reproduction in Central Harlem

ISBN-10: 0306466384
ISBN-13: 9780306466380
Edition: 2001
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Description: Documenting the daily efforts of African Americans to protect their community against highly oppressive conditions, this ground-breaking volume chronicles the unique experiences of black women that place them at higher risk for morbidity and  More...

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Book details

List price: $89.99
Copyright year: 2001
Publisher: Springer
Publication date: 9/30/2001
Binding: Hardcover
Pages: 210
Size: 6.75" wide x 10.00" long x 1.00" tall
Weight: 1.496
Language: English

Documenting the daily efforts of African Americans to protect their community against highly oppressive conditions, this ground-breaking volume chronicles the unique experiences of black women that place them at higher risk for morbidity and mortality - especially during pregnancy. Stress and Resilience: The Social Context of Reproduction in Central Harlem examines the processes through which economic circumstances, environmental issues, and social conditions create situations that expose African American women to stress and chronic strain. Detailing the individual and community assets and strategies used to address these conditions, this volume provides a model methodology for translating research into public health and social action. Based on interactive community partnered research, Stress and Resilience: The Social Context of Reproduction in Central Harlem Facilitates more exact hypotheses about the relationship between risk factors, protective factors and reproductive health; Furnishes a better understanding of chronic disease patterns and suggests more effective interventions to reduce rates of infant mortality; Incorporates the voices of the community and of women themselves through their own words and actions; Sheds light on epidemiologic research and intervention protocols; Examines the social context in which reproductive behaviors are practiced; Provides a holistic framework in which to understand infant mortality; And more. Filling a large gap in the literature on the social context of reproduction this important monograph offers indispensable information for public health researchers, program planners, anthropologists, sociologists, urban planners, medical providers, policy makers, and private funders.

Reproductive Health, Harlem, And Research
Scenes In Harlem
Introduction
The Setting
Harlem and New York City
Demographic Characteristics of Central Harlem
Morbidity and Mortality
Reproductive Health
Methodology
Research Objectives
Ethnographic Field Research
Community Participation
Community Advisory Board
Community Dialogue Groups
Stress And Reproduction
Where People Live: The Environmental Context Of Reproduction
Introduction
Environment As A Potential Source Of Stress And Chronic Strain
The Condition of Public Space
Access to Food and Other Necessities
Drugs, Violence, and Police Protection
Community Assets
Parks and Cultural Resources
Faith Institutions and Spiritual Resources
Living in a Black Community
Housing Conditions
Types of Housing
Housing Problems
Fighting Back: Coping With Housing-Induced Stress
Housing Activism
Housing Court
Tenant and Block Associations
Access To Social Services
Schools
Public Assistance
Where People Work: The Economic Context Of Reproduction
Introduction
Work Site Descriptions
Fast-Food Restaurant
Office Site
Hospital Site
Self-Employed Women
Social Service Providers
Work Site-Related Stressors
Pace of Work
Schedule Flexibility
Physical and Environmental Strain
Role Hierarchies
Provider-Client Interactions
Perceived Stress
Current Sources Of Employment And Income Insecurity
Office Site
Hospital Site
Self-Employed Women
Social Service Sites
Consequences Of Employment And Income Insecurity
Low-Income Women
Middle-Stratum Women
Race, Discrimination, And Work As Sources Of Interrelated Stress
Social Support And Reproductive Health
Introduction
Sources of Stress
Coping: Individual Strategies
Support Systems And Reproductive Health
Family Values
Low-Income Women
Middle-Stratum Women
Differences and Continuities by Class
Kinwork
Family, Marriage, And Female-Male Relationships
Pregnancy, Motherhood, And The Social Importance Of Reproduction
Social Support and Pregnancy Decisions--"Wantedness"
The Role of Support Systems in Shaping Attitudes Toward Pregnancy
Health Care Delivery And Reproductive Health
Pregnancy Intendedness And Recognition
Seeking Out Prenatal Care: Barriers and Strategies
Types of Prenatal Care
Doctors, Patients, And Different Perceptions
Between Engagement And Distrust
Explanations For Pregnancy Loss
Pregnancy Loss and Conceptualizing Bad Outcomes
Race, Class, Gender, And Health
Implications For Reproductive Health
The Sojourner Syndrome
Community Profile Charts
References
Index

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