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Lit review on racial disparities in healthcare
Lit review on racial disparities in healthcare
Lit review on racial disparities in healthcare
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Racial and ethnic minorities receive poorer quality of care and have poorer health outcomes in terms of both morbidity and mortality when compared to non-minorities (Nazroo, 2003). Similarly, lower socioeconomic status (SES) is associated with poorer health outcomes including higher rates of mortality and morbidity (Adler et al., 1994). The factors that contribute to these health disparities for racial/ethnic minorities and lower SES individuals have some commonalities but are, for the most part, distinct from one another. The main similarity between the two is the issue of access to quality health care. Race, ethnicity, social class, education level, and occupation can influence provider’s beliefs and expectations about a patient (Van Ryn & Fu, 2003). This can result in conscious and unconscious stereotyping of the …show more content…
Thus, the factors that contribute to health dipartites in relation to race/ethnicity and SES must differ. Factors that contribute to health disparities in relation to race/ethnicity include language and cultural barriers as well as racism and discrimination experienced by minority groups. Individuals who are subject to racism are more likely to experience psychological distress, depression/anxiety, substance use and physical health problems (Williams, 1999). Higher rates of hypertension among African Americans can be partially explained by exposure to the chronic stress of perceived racism (Clark, 2000). Stress related to discrimination is not accounted for in SES measures. A clear example of this is the fact that African Americans with college degrees have higher rates of infant mortality than Whites without a high school degree (Jackson, 2007). This health disparity is not related to SES but instead race/ethnicity and unfortunately, the experience of racism and
D1: I have decided to look at a 6 year old going through bereavement. Bereavement means to lose an individual very close to you. When children go through bereavement they are most likely to feel sad and upset about the person’s death. Children at a young age may not understand when a family member dies. Children may not understand bereavement. For example a 6 year old’s father been in a car crash and has died from that incident. Death is unpredictable and children can’t be prepared for a death of a family member as no one knows when someone is going to die or not. Unfortunately every child can experience bereavement even when a pet dies. It is important that we are aware that effects on the child so we can support them in the aftermath.
Health Disparities and Racism is an ongoing problem that is reflected among society. Health is when an individual is physically, mentally and social well being is complete. However health disparities seems to be a social injustice within various ethnicities. Health disparities range from age, race, income, education and many other things. Even though we realize health disparities are more noticeable depending on the region of country where they live in. Racism is one of the most popular factors, for why it’s known that people struggle with health.
Many health disparities within races in the U.S. are considered to be not fully explained by commonly blamed causes such as socioeconomic status, income, and health status. In fact, research suggests that implicit bias in health care providers plays a role in these disparities since implicit bias to race can affect not only the clinical decision but also treatment(Brooks KC. 2015.) Some articles I read in the past also suggest another mechanism that chronic stress caused by constant prejudice in daily lives of minority people would activate HPA axis that regulates stress hormone and end up with hypertension, which is disproportionately common among minorities in the
The disparities in the healthcare system contribute to the overall health status disparities that affect ethnic and racial minorities. The sources of ethnic and racial healthcare disparities include cultural barriers, geography differences, or healthcare provider stereotyping. In addition, difficulties in communication between health care providers and patients, lack of access to healthcare providers, and lack of access to adequate health care coverage
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)
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
According to the institute of Medicine (IOM), racism is a problem in the health care system, that is, the difference between the quality of health care received by minorities and non-minorities is due to racism. IOM is a nonprofit organization that advises the federal government and the public on science policy. It released a report that on average, minorities receive a lower quality of care, even when factors such as income and type of health insurance are accounted for. The report by IOM states that racial stereotypes and prejudice are the cause of the health care disparities. The article by IOM points ...
Despite the substantial developments in diagnostic and treatment processes, there is convincing evidence that ethnic and racial minorities normally access and receive low quality services compared to the majority communities (Lum, 2011). As such, minority groups have higher mortality and morbidity rates arising from both preventable and treatable diseases judged against the majority groups. Elimination of both racial and ethnic disparities is mainly politically sensitive, but plays an important role in the equitable access of services, including the health care ones without discrimination. In addition, accountability, accessibility, and availability of equitable health care services are crucial for the continually growing
An individuals’ culture is one attribute that differentiates them from the person standing next to them. Ones’ culture often shapes their lifestyle, sexuality, spirituality, and their perception of common social norms. Many often overlook the importance of cultural competence, and agree that it should be approached in case-by-case scenarios. Essentially, it is our moral obligation as human beings to attempt to understand the variety of different cultures. Being aware of cultural competence is essential in the nursing field. Nurses must learn to embrace and respect the cultural differences between each patient; not doing so can impede the progress of the nurse to patient communication process; it can cause the patient to withhold information, and even result in conflict. When a nurse falls subject to being racist,
How does culture influence health? Give some examples of ethnic and cultural influences on the health of individuals or populations.
The difference in disease and death prevalence on Earth stem from environmental, political, economic and social structures within the population. Within the Canadian context, whites have always been at the top, blacks at the bottom and other groups in between. Therefore the construct of racism perpetuates racial inequalities in health. The lived experience of race and racism ultimately promote or constrain the opportunities of health.
With this in mind, Drewniak et al (2017), directed their research at identifying the correlation between health care provider’ instinctive behaviors that could impact their ability in providing culturally sensitive care to minority populations; thus, increasing the health care disparities amongst these groups. Furthermore, Drewniak et al (2017), after reviewing previous studies that were conducted to distinguish the possibly inherent and or biased behaviors of health care providers when delivering care to these specific ethnic populations, found that a combination of factors could be identified as potential barriers in delivering patient centered care. Hence, these behaviors were narrowed down to health care providers’ prejudices, communication incompatibility, and lack of knowledge in cultural differences that affect the manner in which care is delivered (Drewniak, Krones, & Wild,
The United States of America is the “Land of Opportunity”, home to people from all corners of the earth, all sharing various values, belief, and practices regarding health and healing. Immigrants to the United States represent a sizable and rapidly growing group that totaled approximately thirty-six million people, or 12 percent of the U.S. population, in 2005 (Derose, ). With so much U.S population foreign born varying beliefs and views on health pose unique challenges to health care professional, especially those in public health across the country. The importance of respect and cultural sensitivity cannot be stressed enough. Cultural pluralism is a mutual appreciation and understanding of various cultures and subcultures in society (Maurer.
Assessment and treatments vary, and there are many outside influences that shape each process. One aspect that will be identified and explored will be the impact that culture has upon each. Questions explored will help understand how differences in culture can sometimes return varying degrees of either success or failure. Latino culture has its own defining characteristics and a very distinct set of values which have to be taken into consideration when trying to asses and treat alcohol or substance abuse.