Looks at a number of ethnic neighborhoods including Afro Caribbean and Dominican communities. The predominant post-1965 immigrant groups have established distinctive settlement areas in many American cities and suburbs
Uses data on both region and country of birth for black immigrants in the United States and methodology that allows for the identification of arrival cohorts to test whether there are sending country differences in the health of black adults in the United States. Results show that African immigrants maintain their health advantage over U.S.-born black adults after more than 20 years in the United States. In contrast, black immigrants from the Caribbean who have been in the United States for more than 20 years appear to experience some downward health assimilation.
Background: Parenting programs have been shown to work when delivered to motivated ethnic majority parents in demonstration projects, but comparatively little is known about their impact when delivered to high-risk, multi-ethnic populations by routine local services. Methods: The Primary Age Learning Skills (PALS) trial was a randomized controlled trial of an evidence-based parenting-group program that targeted the parent-child relationship and child literacy. Parents of 174 children were selected from a population of 672 5- and 6-year-olds attending four primary schools in a high-risk, ethnically diverse, inner-city area. Eighty-eight children were allocated to the Incredible Years preventive program plus a shortened six-week version of the SPOKES literacy program, delivered by local services; 86 to usual community services; 152/174 (87%) of families were successfully followed up. Parent-child relationship quality and child behavior were measured using direct observation and parent interview; child reading was assessed psychometrically. Results: Two-thirds (58/89) of those offered the parenting program attended at least one session, with similar enrolment rates across the Black African, African-Caribbean, White-British and Other ethnic groups. Mean attendance was four relationship-building sessions and one literacy-development session. Satisfaction questionnaires were completed by 43/58 starters; 93% said they were well or extremely satisfied, with equally high rates across ethnic groups. At follow-up after one year, those allocated to the intervention showed significant improvements in the parent-child relationship on observation and at interview compared to controls; effects were similar across all ethnic groups. However, child behavior problems and reading did not improve. The cost was 1,343 pound ($2,100) per child. Conclusions: Programs can be organized to be engaging and effective in improving parenting among high-risk, multi-ethnic communities, which is of considerable value. To also be cost-effective in achieving child changes may require a set-up that enables parents to attend more sessions and/or an exclusive focus on children with clinically significant behavior problems.
To strengthen Haiti's primary health care (PHC) system, the country first piloted performance-based financing (PBF) in 1999 and subsequently expanded the approach to most internationally funded non-government organizations. PBF complements support (training and technical assistance). This study evaluates (a) the separate impact of PBF and international support on PHC's service delivery; (b) the combined impact of PBF and technical assistance on PHC's service delivery; and (c) the costs of PBF implementation in Haiti.
At the beginning of the twentieth century there was a brief period of imperialist rhetoric among the Canadian business elite, the bankers of Toronto and Montreal in particular, who argued the benefits of an annexationist policy for the British West Indies to complement their deepening financial links to the Caribbean region.
Landslides pose a serious physical and environmental threat to vulnerable communities living in areas of unplanned housing on steep slopes in the Caribbean. Some of these communities have, in the past, had to be relocated, at costs of millions of dollars, because of major slides triggered by tropical storm rainfall. Even so, evidence shows that: (1) risk reduction is a marginal activity; (2) there has been minimal uptake of hazard maps and vulnerability assessments and (3) there is little on-the-ground delivery of construction for risk reduction. This article directly addresses these issues by developing a low-cost approach to the identification of the potential pore pressure changes that trigger such slides.
Discusses words from Jamaican dread talk that are integrated into the Spanish spoken by Rastas in Cuba. Existence of international dread talk words in lists of Rasta words; Translation of the term Cabeza Creadora as head of family; Categories of Cuban Rastafarian community.;
"Although Annie John is commonly categorized as primarily Caribbean (a precursor to Kincaid’s “American” sequel, Lucy [1990]), my proposed comparison elucidates the Western and transnational leanings of this foundational “Caribbean” work and the ways in which it implicitly expands on Morrison’s representations of female autonomy and visual culture." --The Author
