Factors Affecting The Development Of Asthma Among Poor And Minority Children And Interventions For Improving Outcomes A Systematic Literature Review

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Factors Affecting the Development of Asthma Among Poor and Minority Children and Interventions for Improving Outcomes: A Systematic Literature Review

Author : Nancy Jones Yadav
Publisher :
ISBN 13 : 9780438070226
Total Pages : 87 pages
Book Rating : 4.0/5 (72 download)

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Book Synopsis Factors Affecting the Development of Asthma Among Poor and Minority Children and Interventions for Improving Outcomes: A Systematic Literature Review by : Nancy Jones Yadav

Download or read book Factors Affecting the Development of Asthma Among Poor and Minority Children and Interventions for Improving Outcomes: A Systematic Literature Review written by Nancy Jones Yadav and published by . This book was released on 2018 with total page 87 pages. Available in PDF, EPUB and Kindle. Book excerpt: Children from lower socioeconomic groups and children from some minority groups experience higher rates of childhood asthma than children from higher socioeconomic groups and white children. This thesis is guided by the following research questions: 1) what are the risk factors associated with the development of asthma among poor and minority children and 2) what effect do interventions for all children, in comparison to those for poor and minority children, have on the development of asthma? This review examined peer-reviewed articles published in scholarly journals within the last ten years. Poor air quality, both indoor and outside, and socioeconomic disadvantage are associated with childhood asthma disparities. Interventions that reduced exposure to environmental triggers were effective in improving outcomes for all children with asthma. Interventions effective for children from poor and minority families targeted the child's social environment, including family and community, and took place in the home, or school. Strategies that included culturally appropriate measures were utilized effectively. Interventions that combined allergy testing in order to tailor counseling to the child with more comprehensive strategies, such as addressing barriers to care, and promoting better communication between caregiver and health care provider, were effective in improving outcomes. To inform future policy, more interventions that focus on the populations affected by childhood asthma disparities are needed. Interventions that show health benefits and cost effectiveness are especially important in order to promote wider implementation and reduce disparities in childhood asthma.

The Effectiveness of Interventions to Address Childhood Asthma

Author : Helen Lee
Publisher :
ISBN 13 :
Total Pages : 131 pages
Book Rating : 4.:/5 (16 download)

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Book Synopsis The Effectiveness of Interventions to Address Childhood Asthma by : Helen Lee

Download or read book The Effectiveness of Interventions to Address Childhood Asthma written by Helen Lee and published by . This book was released on 2016 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt: Asthma is the leading chronic health condition among children in the United States and a major cause of childhood disability. It also disproportionately affects low-income and racial and ethnic minorities. Although a wide range of interventions have been implemented to improve asthma-related outcomes among socioeconomically disadvantaged and minority children, disparities persist. This paper, which was commissioned by the JPB Foundation and conducted by MDRC in partnership with the National Academy for State Health Policy, standardizes and compares effects from rigorous evaluations across three main types of interventions: those that focus on improving education and self-management, those that focus on addressing remediation of the conditions that trigger asthma in the home environment, and those that focus on improving health care provider practice. While prior reviews have summarized findings for each intervention type, this review systematically compares findings across a range of outcomes and a spectrum of different approaches to addressing childhood asthma, drawing from about 30 independent studies and earlier published reviews. In addition, the paper includes case studies of various local programs and state-level policy initiatives to illuminate current efforts to address childhood asthma in low-income communities and barriers faced in sustaining asthma programs. Key findings include: (1) Providing education on how to manage asthma is fundamental to improving outcomes, but it may not be enough to alleviate disparities in asthma management; (2) Some local programs are clearly bridging informational gaps among low-income families and are helping them maintain a safe home environment for their children with asthma; (3) The health care benefits of interventions that go beyond education are unclear; (4) Barriers to medication management are complex and medication adherence is difficult to influence; and (5) The role of the state, and the Medicaid program in particular, is relevant for the financing and sustainability of asthma programs for low-income children. Although the long-run sustainability of some of the programs highlighted in this report is uncertain, what is clear is that combating the disparities in the prevalence of asthma among different populations will require more than an agreement on standard asthma management practices within the medical community. The following are appended: (1) Methodology for Literature Review; (2) Summaries of Asthma Studies; (3) Detailed Case Studies of Local Asthma Programs; and (4) Detailed State-Based Case Studies. [This working paper was written with Felicia Heider, Carrie Hanlon, and Taylor Kniffin.].

Communities in Action

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309452961
Total Pages : 583 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Asthma Adherence

Author :
Publisher :
ISBN 13 : 9781876122041
Total Pages : 24 pages
Book Rating : 4.1/5 (22 download)

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Book Synopsis Asthma Adherence by :

Download or read book Asthma Adherence written by and published by . This book was released on 1999 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Improving Childhood Asthma Outcomes in the United States

Author : Will Nicholas
Publisher : RAND Corporation
ISBN 13 :
Total Pages : 142 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Improving Childhood Asthma Outcomes in the United States by : Will Nicholas

Download or read book Improving Childhood Asthma Outcomes in the United States written by Will Nicholas and published by RAND Corporation. This book was released on 2002 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the course of 2000, RAND Health engaged an interdisciplinarycommittee of nationally recognized leaders in childhood asthma in a structured group process to arrive at the policy recommendations proposed in Improving Childhood Asthma Outcomes in the United States: A Blueprint for Policy Action, by M. Lara, W. Nicholas, S. Morton, M. Vaiana, B. Genovese, and G. Rachelefsky, RAND, MR-1330, 2001.That report summarizes the findings of an effort funded by the Robert Wood Johnson Foundation, to 1) Identify a range of policy actions in both the public and private sectors that could improve childhood asthma outcomes nationwide, 2) Select a subset of policies to create a blueprint for national policy in this area, 3) Outline alternatives to implement these policies that build on prior efforts.This effort is part of the Robert Wood Johnson Foundation's Pediatric Asthma Initiative. The purpose of this initiative is to address current gaps in national childhood asthma care through clinical and nonclinical approaches to improve the management of childhood asthma. It is the first national initiative that simultaneously addresses treatment, policy, and financing issues for children with asthma at the patient, provider, and institutional levels.

Health Insurance is a Family Matter

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309169054
Total Pages : 296 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Health Insurance is a Family Matter by : Institute of Medicine

Download or read book Health Insurance is a Family Matter written by Institute of Medicine and published by National Academies Press. This book was released on 2002-09-18 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Insurance is a Family Matter is the third of a series of six reports on the problems of uninsurance in the United Sates and addresses the impact on the family of not having health insurance. The book demonstrates that having one or more uninsured members in a family can have adverse consequences for everyone in the household and that the financial, physical, and emotional well-being of all members of a family may be adversely affected if any family member lacks coverage. It concludes with the finding that uninsured children have worse access to and use fewer health care services than children with insurance, including important preventive services that can have beneficial long-term effects.

Children's Health, the Nation's Wealth

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309166608
Total Pages : 336 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Children's Health, the Nation's Wealth by : Institute of Medicine

Download or read book Children's Health, the Nation's Wealth written by Institute of Medicine and published by National Academies Press. This book was released on 2004-10-18 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: Children's health has clearly improved over the past several decades. Significant and positive gains have been made in lowering rates of infant mortality and morbidity from infectious diseases and accidental causes, improved access to health care, and reduction in the effects of environmental contaminants such as lead. Yet major questions still remain about how to assess the status of children's health, what factors should be monitored, and the appropriate measurement tools that should be used. Children's Health, the Nation's Wealth: Assessing and Improving Child Health provides a detailed examination of the information about children's health that is needed to help policy makers and program providers at the federal, state, and local levels. In order to improve children's health-and, thus, the health of future generations-it is critical to have data that can be used to assess both current conditions and possible future threats to children's health. This compelling book describes what is known about the health of children and what is needed to expand the knowledge. By strategically improving the health of children, we ensure healthier future generations to come.

Neurological, Psychiatric, and Developmental Disorders

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309170931
Total Pages : 458 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Neurological, Psychiatric, and Developmental Disorders by : Institute of Medicine

Download or read book Neurological, Psychiatric, and Developmental Disorders written by Institute of Medicine and published by National Academies Press. This book was released on 2001-01-01 with total page 458 pages. Available in PDF, EPUB and Kindle. Book excerpt: Brain disordersâ€"neurological, psychiatric, and developmentalâ€"now affect at least 250 million people in the developing world, and this number is expected to rise as life expectancy increases. Yet public and private health systems in developing countries have paid relatively little attention to brain disorders. The negative attitudes, prejudice, and stigma that often surround many of these disorders have contributed to this neglect. Lacking proper diagnosis and treatment, millions of individual lives are lost to disability and death. Such conditions exact both personal and economic costs on families, communities, and nations. The report describes the causes and risk factors associated with brain disorders. It focuses on six representative brain disorders that are prevalent in developing countries: developmental disabilities, epilepsy, schizophrenia, bipolar disorder, depression, and stroke. The report makes detailed recommendations of ways to reduce the toll exacted by these six disorders. In broader strokes, the report also proposes six major strategies toward reducing the overall burden of brain disorders in the developing world.

Vibrant and Healthy Kids

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309493412
Total Pages : 621 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Vibrant and Healthy Kids by : National Academies of Sciences, Engineering, and Medicine

Download or read book Vibrant and Healthy Kids written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-11-27 with total page 621 pages. Available in PDF, EPUB and Kindle. Book excerpt: Children are the foundation of the United States, and supporting them is a key component of building a successful future. However, millions of children face health inequities that compromise their development, well-being, and long-term outcomes, despite substantial scientific evidence about how those adversities contribute to poor health. Advancements in neurobiological and socio-behavioral science show that critical biological systems develop in the prenatal through early childhood periods, and neurobiological development is extremely responsive to environmental influences during these stages. Consequently, social, economic, cultural, and environmental factors significantly affect a child's health ecosystem and ability to thrive throughout adulthood. Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity builds upon and updates research from Communities in Action: Pathways to Health Equity (2017) and From Neurons to Neighborhoods: The Science of Early Childhood Development (2000). This report provides a brief overview of stressors that affect childhood development and health, a framework for applying current brain and development science to the real world, a roadmap for implementing tailored interventions, and recommendations about improving systems to better align with our understanding of the significant impact of health equity.

The Impact of School Infrastructure on Learning

Author : Peter Barrett
Publisher : World Bank Publications
ISBN 13 : 1464813787
Total Pages : 71 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis The Impact of School Infrastructure on Learning by : Peter Barrett

Download or read book The Impact of School Infrastructure on Learning written by Peter Barrett and published by World Bank Publications. This book was released on 2019-02-04 with total page 71 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'The Impact of School Infrastructure on Learning: A Synthesis of the Evidence provides an excellent literature review of the resources that explore the areas of focus for improved student learning, particularly the aspiration for “accessible, well-built, child-centered, synergetic and fully realized learning environments.†? Written in a style which is both clear and accessible, it is a practical reference for senior government officials and professionals involved in the planning and design of educational facilities, as well as for educators and school leaders. --Yuri Belfali, Head of Division, Early Childhood and Schools, OECD Directorate for Education and Skills This is an important and welcome addition to the surprisingly small, evidence base on the impacts of school infrastructure given the capital investment involved. It will provide policy makers, practitioners, and those who are about to commission a new build with an important and comprehensive point of reference. The emphasis on safe and healthy spaces for teaching and learning is particularly welcome. --Harry Daniels, Professor of Education, Department of Education, Oxford University, UK This report offers a useful library of recent research to support the, connection between facility quality and student outcomes. At the same time, it also points to the unmet need for research to provide verifiable and reliable information on this connection. With such evidence, decisionmakers will be better positioned to accurately balance the allocation of limited resources among the multiple competing dimensions of school policy, including the construction and maintenance of the school facility. --David Lever, K-12 Facility Planner, Former Executive Director of the Interagency Committee on School Construction, Maryland Many planners and designers are seeking a succinct body of research defining both the issues surrounding the global planning of facilities as well as the educational outcomes based on the quality of the space provided. The authors have finally brought that body of evidence together in this well-structured report. The case for better educational facilities is clearly defined and resources are succinctly identified to stimulate the dialogue to come. We should all join this conversation to further the process of globally enhancing learning-environment quality! --David Schrader, AIA, Educational Facility Planner and Designer, Former Chairman of the Board of Directors, Association for Learning Environments (A4LE)

Severe Asthma

Author : Kian Fan Chung
Publisher : European Respiratory Society
ISBN 13 : 1849841047
Total Pages : 360 pages
Book Rating : 4.8/5 (498 download)

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Book Synopsis Severe Asthma by : Kian Fan Chung

Download or read book Severe Asthma written by Kian Fan Chung and published by European Respiratory Society. This book was released on 2019-06-01 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Severe asthma is a form of asthma that responds poorly to currently available medication, and its patients represent those with greatest unmet needs. In the last 10 years, substantial progress has been made in terms of understanding some of the mechanisms that drive severe asthma; there have also been concomitant advances in the recognition of specific molecular phenotypes. This ERS Monograph covers all aspects of severe asthma – epidemiology, diagnosis, mechanisms, treatment and management – but has a particular focus on recent understanding of mechanistic heterogeneity based on an analytic approach using various ‘omics platforms applied to clinically well-defined asthma cohorts. How these advances have led to improved management targets is also emphasised. This book brings together the clinical and scientific expertise of those from around the world who are collaborating to solve the problem of severe asthma.

Traffic-Related Air Pollution

Author : Haneen Khreis
Publisher : Elsevier
ISBN 13 : 0128181230
Total Pages : 650 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis Traffic-Related Air Pollution by : Haneen Khreis

Download or read book Traffic-Related Air Pollution written by Haneen Khreis and published by Elsevier. This book was released on 2020-08-20 with total page 650 pages. Available in PDF, EPUB and Kindle. Book excerpt: Traffic-Related Air Pollution synthesizes and maps TRAP and its impact on human health at the individual and population level. The book analyzes mitigating standards and regulations with a focus on cities. It provides the methods and tools for assessing and quantifying the associated road traffic emissions, air pollution, exposure and population-based health impacts, while also illuminating the mechanisms underlying health impacts through clinical and toxicological research. Real-world implications are set alongside policy options, emerging technologies and best practices. Finally, the book recommends ways to influence discourse and policy to better account for the health impacts of TRAP and its societal costs. Overviews existing and emerging tools to assess TRAP’s public health impacts Examines TRAP’s health effects at the population level Explores the latest technologies and policies--alongside their potential effectiveness and adverse consequences--for mitigating TRAP Guides on how methods and tools can leverage teaching, practice and policymaking to ameliorate TRAP and its effects

Clearing the Air

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309064961
Total Pages : 457 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Clearing the Air by : Institute of Medicine

Download or read book Clearing the Air written by Institute of Medicine and published by National Academies Press. This book was released on 2000-05-24 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since about 1980, asthma prevalence and asthma-related hospitalizations and deaths have increased substantially, especially among children. Of particular concern is the high mortality rate among African Americans with asthma. Recent studies have suggested that indoor exposuresâ€"to dust mites, cockroaches, mold, pet dander, tobacco smoke, and other biological and chemical pollutantsâ€"may influence the disease course of asthma. To ensure an appropriate response, public health and education officials have sought a science-based assessment of asthma and its relationship to indoor air exposures. Clearing the Air meets this need. This book examines how indoor pollutants contribute to asthmaâ€"its causation, prevalence, triggering, and severity. The committee discusses asthma among the general population and in sensitive subpopulations including children, low-income individuals, and urban residents. Based on the most current findings, the book also evaluates the scientific basis for mitigating the effects of indoor air pollutants implicated in asthma. The committee identifies priorities for public health policy, public education outreach, preventive intervention, and further research.

Shock Waves

Author : Stephane Hallegatte
Publisher : World Bank Publications
ISBN 13 : 1464806748
Total Pages : 227 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis Shock Waves by : Stephane Hallegatte

Download or read book Shock Waves written by Stephane Hallegatte and published by World Bank Publications. This book was released on 2015-11-23 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ending poverty and stabilizing climate change will be two unprecedented global achievements and two major steps toward sustainable development. But the two objectives cannot be considered in isolation: they need to be jointly tackled through an integrated strategy. This report brings together those two objectives and explores how they can more easily be achieved if considered together. It examines the potential impact of climate change and climate policies on poverty reduction. It also provides guidance on how to create a “win-win†? situation so that climate change policies contribute to poverty reduction and poverty-reduction policies contribute to climate change mitigation and resilience building. The key finding of the report is that climate change represents a significant obstacle to the sustained eradication of poverty, but future impacts on poverty are determined by policy choices: rapid, inclusive, and climate-informed development can prevent most short-term impacts whereas immediate pro-poor, emissions-reduction policies can drastically limit long-term ones.

Damp Indoor Spaces and Health

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309091934
Total Pages : 369 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Damp Indoor Spaces and Health by : Institute of Medicine

Download or read book Damp Indoor Spaces and Health written by Institute of Medicine and published by National Academies Press. This book was released on 2004-10-01 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: Almost all homes, apartments, and commercial buildings will experience leaks, flooding, or other forms of excessive indoor dampness at some point. Not only is excessive dampness a health problem by itself, it also contributes to several other potentially problematic types of situations. Molds and other microbial agents favor damp indoor environments, and excess moisture may initiate the release of chemical emissions from damaged building materials and furnishings. This new book from the Institute of Medicine examines the health impact of exposures resulting from damp indoor environments and offers recommendations for public health interventions. Damp Indoor Spaces and Health covers a broad range of topics. The book not only examines the relationship between damp or moldy indoor environments and adverse health outcomes but also discusses how and where buildings get wet, how dampness influences microbial growth and chemical emissions, ways to prevent and remediate dampness, and elements of a public health response to the issues. A comprehensive literature review finds sufficient evidence of an association between damp indoor environments and some upper respiratory tract symptoms, coughing, wheezing, and asthma symptoms in sensitized persons. This important book will be of interest to a wide-ranging audience of science, health, engineering, and building professionals, government officials, and members of the public.

Policies to Address Poverty in America

Author : Melissa Kearney
Publisher : Brookings Institution Press
ISBN 13 : 0815726473
Total Pages : 508 pages
Book Rating : 4.8/5 (157 download)

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Book Synopsis Policies to Address Poverty in America by : Melissa Kearney

Download or read book Policies to Address Poverty in America written by Melissa Kearney and published by Brookings Institution Press. This book was released on 2014-06-19 with total page 508 pages. Available in PDF, EPUB and Kindle. Book excerpt: One-in-seven adults and one-in-five children in the United States live in poverty. Individuals and families living in povertyÊnot only lack basic, material necessities, but they are also disproportionally afflicted by many social and economic challenges. Some of these challenges include the increased possibility of an unstable home situation, inadequate education opportunities at all levels, and a high chance of crime and victimization. Given this growing social, economic, and political concern, The Hamilton Project at Brookings asked academic experts to develop policy proposals confronting the various challenges of AmericaÕs poorest citizens, and to introduce innovative approaches to addressing poverty.ÊWhen combined, the scope and impact of these proposals has the potential to vastly improve the lives of the poor. The resulting 14 policy memos are included in The Hamilton ProjectÕs Policies to Address Poverty in America. The main areas of focus include promoting early childhood development, supporting disadvantaged youth, building worker skills, and improving safety net and work support.

Cycle of Segregation

Author : Maria Krysan
Publisher : Russell Sage Foundation
ISBN 13 : 1610448693
Total Pages : 336 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis Cycle of Segregation by : Maria Krysan

Download or read book Cycle of Segregation written by Maria Krysan and published by Russell Sage Foundation. This book was released on 2017-12-13 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Fair Housing Act of 1968 outlawed housing discrimination by race and provided an important tool for dismantling legal segregation. But almost fifty years later, residential segregation remains virtually unchanged in many metropolitan areas, particularly where large groups of racial and ethnic minorities live. Why does segregation persist at such high rates and what makes it so difficult to combat? In Cycle of Segregation, sociologists Maria Krysan and Kyle Crowder examine how everyday social processes shape residential stratification. Past neighborhood experiences, social networks, and daily activities all affect the mobility patterns of different racial groups in ways that have cemented segregation as a self-perpetuating cycle in the twenty-first century. Through original analyses of national-level surveys and in-depth interviews with residents of Chicago, Krysan and Crowder find that residential stratification is reinforced through the biases and blind spots that individuals exhibit in their searches for housing. People rely heavily on information from friends, family, and coworkers when choosing where to live. Because these social networks tend to be racially homogenous, people are likely to receive information primarily from members of their own racial group and move to neighborhoods that are also dominated by their group. Similarly, home-seekers who report wanting to stay close to family members can end up in segregated destinations because their relatives live in those neighborhoods. The authors suggest that even absent of family ties, people gravitate toward neighborhoods that are familiar to them through their past experiences, including where they have previously lived, and where they work, shop, and spend time. Because historical segregation has shaped so many of these experiences, even these seemingly race-neutral decisions help reinforce the cycle of residential stratification. As a result, segregation has declined much more slowly than many social scientists have expected. To overcome this cycle, Krysan and Crowder advocate multi-level policy solutions that pair inclusionary zoning and affordable housing with education and public relations campaigns that emphasize neighborhood diversity and high-opportunity areas. They argue that together, such programs can expand the number of destinations available to low-income residents and help offset the negative images many people hold about certain neighborhoods or help introduce them to places they had never considered. Cycle of Segregation demonstrates why a nuanced understanding of everyday social processes is critical for interrupting entrenched patterns of residential segregation.