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Education of black folks
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According to the American Cancer Society, the third leading cause of cancer related deaths for African American men and women is colorectal cancer (CRC). African Americans have a higher CRC mortality rate than White men and women due to lack of preventative testing, increased cancer fatalism attitudes, decreased knowledge of the cancer, and late onset diagnosing. To research how to resolve this issue the “Fayetteville Area Inter-Faith Commitment to Colorectal Health and Cancer Reduction in African Americans,” or “The F.A.I.T.H Project” was created to execute a culturally targeted faith/community-based educational intervention about CRC within the African American community. The sample included 539 participants belonging to community-based organizations and Black churches. The criteria an individual had to meet to partake in this experiment included; African American that was 50 years of age or older, a resident within the Fayetteville/Cumberland county, willing to participate in both the faith/community-based educational program and the telephone follow-up interview to discuss their screening, and able to provide both verbal and written consent. Ultimately, the participants were assigned into two groups, an immediate intervention group or a delayed control group. While the control group did not receive the educational program initially, they were invited to receive it three months later. The participants were asked to fill out pre-test questionnaires in order to obtain personal and medical demographic information, as well as to evaluate their knowledge about colorectal cancer, whether or not they had screening in the past, and cancer fatalism attitudes. This same test was given to participants after the experiment as well. Th... ... middle of paper ... ...hers developed and should be used for further investigation of the issue. There were some limitations that should have been examined, however, to make this experiment more effective. One concern is that the sample allocation was not random, because people were able to choose which group they wanted to be in. These individuals could have picked the immediate intervention group because they care more about their health than others in the community. Another issue was the dada analysis because the groups were so vastly different in size and the delayed group did not give an adequate amount of demographic information for comparison. Yet, the researchers did a good job in ethical considerations by guiding their experiment with the principles of principlism. They also had a clear purpose of the research and what problem they were trying to identify and find a solution for.
Cancer is one of the 9 National Health Priority Areas (NHPA), areas which account for a significant portion of the burden of disease, but have sizeable potential for improvement. In Australia, CRC is the second most common cancer, after prostate (in men) and breast cancer (in women) (AIHW, Cancer incidence projections). The incidence has gradually increased (by 13% in males from 1982-2007) (AIHW, Cancer in Australia an overview). This is compounded by the ageing population and population growth, with 14,860 new cases in 2010 (http://www.cancer.org.au/about-cancer/types-of-cancer/bowel-cancer). This graph demonstrates this upward trend ((AIHW, Cancer incidence projections):
While this study did not produce the result we wanted, we believe that we could use the information learned from this study and develop a study that would be more effective.
Jewelll, N., & Russell, K. (1992). Current health status of african americans. Journal of community health nursing, 9(3), 161-169.
In the article “Culturally Targeted Educational Intervention to Increase Colorectal Health Awareness Among African Americans”, written by Phyllis Morgan, PhD, Joshua Fogel, PhD, Indira Tyler, MS, RN, and John Jones, MD, in 2009, CRC is evaluated in the African American community. The four, working with the Department of Nursing at Fayetteville State University in North Carolina, started a research project entitled “The Fayetteville Area Inter-Faith Commitment to Colorectal Health Awareness and Cancer Reduction in African Americans”, abbreviated “The F.A.I.T.H. Project”. The project’s intent was to increase CRC knowledge and increase CRC screening among African Americans. The doctors participating handed out educational programs to churches and community-based organizations. The study split up 539 African American men and women, all 50 years or older, into an intervention group and a control group. The intervention group received the 90 minute educational programs while the control group did not. To evaluate the effectiveness of the handouts, pre-test and post-test questionnaires were handed out to both groups. The study...
If we were to apply a longitude exposure study over the span of 42 years from the time an inner-city child is born, we may conclude that life experiences resulting from potential malnutrition, underprivileged environments, and overall lack of health education are the leading contributors to adult African American deaths. Studies show that 8 of the 10 leading causes in the deaths of African Americans are medical disease, which with proper education and care may have been prevented and/or addressed earlier in their life to diagnose and treat. The fact is Heart Disease is the leading cause of deaths for African Americans. When compared to other ethnicities, some form of heart disease causes 24.5% of African American deaths. These numbers are astounding considering Blacks make up approximately only 14.2% of the total U.S. population. The contributing factor is lack of knowledge and family medical screening. Understanding the history of your genial line specific to your race and ...
Rajaram, S. S., Vinson, V. (1998). African american women and diabetes: a sociocultural context. Journal of Health Care for the Poor & Underserved, 9(3), 236-247.
Autonomy was a huge part in this study; the patients could not make the decisions, only the doctors. There were 600 black men that were conducted in the study, that had no education and had no idea what was going on. If they were educated enough to ask questions about what was going on they would be able to make their own decisions and treatments that they wanted. It was the practice for doctors to make decisions for patients. Miss Evers’ encouraged the patients to trust the doctors because they knew what was best. The doctors deliberately neglected to tell the patients of the transition from treatment to no treatment believing “they won’t know the difference.” Doctors consistently withheld information from the patients. The ...
Studies have analyzed how African Americans deal with an enormous amount of disease, injury, death, and disability compared to other ethnic group, and whites, Utilization of health services by African Americans is less frequent than other ethnic groups in the country. This non utilization of services contributes to health disparities amongst African Americans in the United States. Current and past studies have shown that because of discrimination, medical mistrust, racial/ethnic background, and poor communication African Americans tend to not seek medical care unless they are in dire need or forced to seek professional care. African Americans would rather self –medicate than to trust a doctor who might show some type of discriminatory
"Eliminating Racial and Ethnic Disparities in Health." Public Health Reports. July/August 1998: 372 EBSCOhost. Available <http://www.epnet.com/ehost/login.html>. (11 February 1999)
...in to treat African American women as a whole instead of patient X, then there will be a change in the rate of deaths among African American women with breast cancer. However, these women must also decide to trust those providers and receive pre-screenings in order to be proactive about their own health, and the government needs to actively provide affordable ways for women to receive these screenings. There is plenty of evidence available that shows the problems with African American women dying from breast cancer, so people must be educated and aware of the problem in order to bring about a change in society. As Louis Giglio once said, “awareness brings about action, and action brings about change,” and hopefully, people will use this information to bring about awareness to ripple into change for African American women aged 40-80 especially regarding breast cancer.
In so doing it has created awareness and led to a discussion about the implications of social inequalities on health outcomes of individuals over the years. The theory also provides a broad perspective about disease processes. This has allowed health researcher/professionals to design holistic treatment/care plans that does not only focus on the biomedical disease process but to take other aspects of people’s life into consideration (WHO, 2010).
Williams, D. R., & Jackson, P. (2014, April 1). Health Affairs. Social Sources Of Racial Disparities In Health. Retrieved April 29, 2014, from http://content.healthaffairs.org/content/24/2/325.short
Zenka, D. (2012, October 05). African Americans: At Higher Risk for Prostate Cancer. Prostate Cancer Foundation (PCF). Retrieved May 25, 2016
For these reasons, minorities often put off the expense of seeing a doctor until they have advanced disease and are past being easily treated. A lack of education, rural or inner city residence, unemployment, and low literacy rate may also contribute to higher cancer mortality rates for some communities. In several studies researchers investigates whether socioeconomic status is the reason for the disparity in prostate cancer incidence, where African Americans and Non- Hispanic Whites are the top two candidates for prostate cancer. Some results found that the highest level of cancer incidence was positively correlated with low socioeconomic status (Cheng, et al.,
Colorectal cancer is considered to be a major cause of cancer morbidity and mortality. It accounts for over 9% of all cancer incidences; this makes it the third most common cancer cause with nearly 1.4 million new cases diagnosed in a year (WCRF, 2012) and the fourth most common cause of death (WHO, 2002). Both men and women are affected almost equally for colorectal cancer; 9.4% in men and 10.1% in women from all incident of cancer. However, it has a clear geographical variation which is not uniformly distributed throughout the world. It has been estimated that, the developed countries with a western culture accounts for over 63% of all colorectal cancer cases (Fatima AH, 2009). Though data available to show the clear situation in developing countries, growing evidences show that the problem would be also a concern for the low and middle income countries. The International Agency for Research on Cancer (IARC) was estimate that in 2008 colorectal cancer (CRC) is the 5th most common cancer in SSA (Ferlay J, 2010 and Alice G et.al, 2012)