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Importance of understanding culture
The importance of understanding culture
The importance of understanding culture
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How do cultural differences affect breast cancer prevalence, prevention, and treatment in African-American, Hispanic/Latina, and Caucasian women living in the United States? Over the past decade breast cancer has become one of the most predominant diseases in the United States. Breast cancer starts out as a malignant tumor in the tissues of the breast which is formed from the uncontrolled growth of abnormal breast cells. Breast cancer is the most common cancer in women, but it can also appear in men. (Stephan, 2010) At this point in time, scientists and doctors have yet to discover the specific causes for breast cancer. However, what is known are the different risk factors that may trigger or put women more at danger of acquiring this disease. Aged women who have experienced menopause are more vulnerable at containing this disease. Women are also more at risk if breast cancer is common within their family because it is hereditary. In addition, smoking and drinking are other factors that can put women at risk as well (Stephan, 2010). Obesity in particular is a huge risk factor. Women who are overweight, especially those who have a thicker upper body, are more likely to develop malignant cancers in the breast than a healthy woman (Vona-Davis and Rose, 2009). Symptoms women often start noticing that indicate the possibility of having a cancerous tumor in the breast include a lump on the underarm or armpit, thickening of the nipple, fluid (not milk) leaking from the nipple, change in the size of the nipple or breast, changes of color, shape or texture of the nipple or the areola, and unusual pain in the breast or in the armpit (Stephan., 2010). These are the symptoms women usually start noticing before go to the doctor to ge... ... middle of paper ... ...www.webmd.com/breast-cancer/news/20050316/breast-cancer-explaining-ethnic-differences Janz, K. N., Majahid, S. M., Hawley, T. S., Griggs, J. J., Hamilton, S. A., Katz, J. S. (2008). Racial/ethnic differences in adequacy of information and support for women with breast cancer. American Cancer Society, 113, 1058-67. Stephan, P. (2010). What is Breast Cancer?. Retrieved June 21, 2010, from http://breastcancer.about.com/od/definition/a/bc_definition.htm Tejeda, S., Thompson, B., Coronado, D. G., Heagerty, J.P, Martin, P. D. (2009) Celebremos la salud: A community-based intervention for hispanic and non-hispanic white women living in a rural area. J Community Health, 34, 47-55. Vona-Davis, L. & Rose, D. P. (2009). The influence of socioeconomic disparities on breast cancer tumor biology and prognosis: A review. Journal of Women’s Health, 18(6), 883-893.
Spiegel, D., Bloom, J. R., Kraemer, H. C., & Gottheil, E. (1989). Effect of psychosocial tr@ent on survival of patients with metastatic breast cancer. Lan@t, 88:8-891.
The United States’ population is currently rising exponentially and with growth comes demographic shifts. Some of the demographics shifts include the population growth of Hispanics, increase in senior citizens especially minority elderly, increase in number of residents who do not speak English, increase in foreign-born residents, population trends of people from different sexual orientation, and trends of people with disabilities (Perez & Luquis, 2009). As a public health practitioner, the only way to effectively eliminate health disparities among Americans, one must explore and embrace the demographic shifts of the United States population because differences exist among ethnic groups (Perez, 2009). We must be cognizant of the adverse health conditions for each population and the types of socioeconomic factors that affect them. Culture helps shape an individual’s health related beliefs, values, and behaviors. It is more than ethnicity and race; culture involves economic, political, religious, psychological, and biological aspects (Kleinman & Benson, 2006). All of these conditions take on an emotional tone and moral meaning for participants (Kleinman & Benson, 2006). As a health professional, it is one’s duty to have adequate knowledge and awareness of various cultures to effectively promote health behavior change. Cultural and linguistic competencies through cultural humility are two important aspects of working in the field of public health. Cultural competency is having a sense of understanding and respect for different cultural groups, while linguistic competency is the complete awareness of the language barriers that impact the health of individuals. These concepts are used to then work effectively work with various pop...
As of today, there are many programs and efforts being made that have either already decreased the gap or are attempting to bring change to the problem of increased deaths of African American women from breast cancer. One example is a study that was done in Massachusetts that gave low-income African American women aged 50-70 resources and education for six years, and it was “concluded that the Massachusetts program appeared to mitigate the disadvantages of living in high-poverty neighborhoods” for the incidence of breast cancer in that specific area (Cunningham 595). This study shows that these women need help that has not been previously provided to them in order to reduce the disparity. In this regard, the role of affordable health care needs to be available in order to decrease this problem. The same study showed that “among women without health insurance, disproportionately large numbers are [older African Americans], providing an explanation for high rates of advanced stage cancers at presentation among [African American] women in general” (Cunningham 594). If women are to be able to access affordable screenings, affordable health care must also be provided. Once again, this brings in the role of government in the lives of African American women. Federally qualified health centers offer preventative health care and screenings for a reduced or free cost to women of low socio-economic status, many of which happened to be African American women at a particular clinic, and it was found that the incidence of breast cancer in that community was reduced from the rates that were established previously (Adams 640). Therefore, if low-income women are to be able to access quality health care, then there must be more federally qualified ...
The fathers and husbands of Hispanic families are more likely to stop their children from going to the doctor until the very last minute and are more likely themselves to not do anything until they get so sick they must go to the M., Feinglass, J., & Simon, M. A. (2013). Pregnancy Intention and Use of Contraception Among Hispanic Women in the United States: Data from the National Survey of Family Growth, 2006-2010. Journal Of Women 's Health (15409996), 22(10), 862-870 Mann, J. R., Mannan, J., Quiñones, L. A., Palmer, A. A., & Torres, M. (2010). Religion, Spirituality, Social Support, and Perceived Stress in Pregnant and Postpartum Hispanic Women Mann, J. R., Mannan J., Quiñones, L. A., Palmer, A. A., and Torres, M. Religion, Spirituality, Social Support, and Perceived Stress in.. JOGNN: Journal Of Obstetric, Gynecologic & Neonatal Nursing, 39(6), 645-657. Schoulte, J. C. (2011).
According to the National Cancer Institute, cancer health disparities are defined as the adverse differences between specific populations and the achievement of an optimal state of health. These population groups are categorized by geographic location, income, disability, age, education, gender, sexual orientation, ethnicity, or race. These factors correlate with cancer mortality rates that impact specific population groups in the United States, cancer prevalence is the number of people diagnosed or living with cancer, and cancer incidence which is the number of new cancer cases in a population. According to the American Cancer Society, in 2013, there were an estimated 1,660,290 new cases of cancer and 580,350 of the new cases resulted in mortality. Individuals who have limited access to healthcare, health illiterate, and poverty stricken are more likely to develop cancer. This means a person’s socioeconomic status can determine the likelihood of their probability of developing cancer
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.,
Health Promotion Among the Hispanic Minority Health is determined in the nation by the minority health. " Approximately 36 percent of the population belongs to a racial or ethnic minority group" (CDC, 2015).One of these are the "Hispanics or Latinos are the largest racial/ethnic minority population in the United States" (CDC, 2015). "About 1 in 6 people living in the US are Hispanic" (CDC, 2015). Therefore, this student will make the comparison between the status of the health of the Hispanic minority and the nations barriers to health seeking behaviors This paper will compare the health status of the Hispanic minority with the nations, barriers to health seeking behaviors, and methods of promoting health among this population. Status of Health Among Hispanic Minorities "Heart disease and cancer in Hispanics are the two leading causes of death, accounting for about 2 of 5 deaths, which is about the same for whites" (CDC, 2015).
There are numerous risk factors for breast cancer. Genetics or family history of breast cancer in a one first-degree relative with breast cancer doubles a woman’s risk. Having two first degree relatives rises a woman’s risk by three times. A person’s personal history who have had one breast with cancer is three to four times as likely of developing a new cancer. White women are slightly more likely to develop breast cancer than are African-American women, but African-American women are more likely to die from this cancer. However in women under 45 years of age, breast cancer is more common in African-American women.
Mcwhirter, J., Todd, L., & Hoffman-goetz, L. (2011). Comparing written and oral measures of comprehension of cancer information by english-as-a-second-language chinese immigrant women. Journal of Cancer Education, 26(3), 484-9. doi:http://dx.doi.org/10.1007/s13187-011-0219-x
Of the few people that know what breast cancer is some of them just believe that it is a lump. They do not know that there is a process to breast cancer they do not know that the tumor comes from somewhere and does not magically appear. Breast cancer can happen a few different ways in the breast, but “the most common type of breast cancer is ductal carcinoma” (cancer.gov). This type of breast cancer begins in the lining of the milk ducts. The ducts are the tubes that carry the milk from the lobules to the nipple. Think of them as little veins running from the nipple to a little pouch. Another place that the cancer could start is...
Ways to early detect would be self-breast exams at home, annual mammograms and genetic testing for the BCRA1 and the BCRA2 abnormal gene. It has been said that when people are tested for the abnormal gene and are found to carry it, it is normally passed from either parent. Not only do women develop breast cancer, but men are also at risk. If detection is caught early enough there can be a high survival rate. Some symptoms and signs are a lump, change in size or shape of breast, nipple pain, discharge or bleeding of the nipple, change of skin color and texture, or breast becoming swollen or feels warm. It is advised to seek medical attention upon discovery of signs and symptoms. It can possibly allow a better treatment option for
Breast Cancer, as well as other forms of cancer, scientists do know how it occurs, but they do not know an exact cause. There are some genes in our body called oncogenes, genes that have potential to cause cancer, that increases the speed of cell division while other genes such as tumor suppressors, cause the cells to die at the correct time. Mutations that occur in the DNA, which “turn on” the oncogenes or “turn off” tumor suppressor genes, will cause some of the cells to be cancerous in the breast("American Cancer Society"). Also, Breast Cancer can be increased by inherited gene mutations and acquired gene mutations. The risk of Breast Cancer can be increased dramatically, through the inheritance from parent to offspring, if a mutation occurs. For example, if a suppressor gene, such as BRCA, forms a mutation, then it is likely to be passed to future generations. This gene no longer suppresses abnormal growth, therefore there is a higher chance of cancer being developed. Even though Breast Cancer can be inherited it is more likely to be acquired through one breast cell. The acquired mutations could be a result of of radiation or cancer-causing chemicals. ...
Breast Cancer is defined as “a group of solid tumor malignancies arising in the tissues of the breast” (Sarah Crawford, Richard Alder, 2013) in human and other mammals. It can happen to both men and women. For women, breast cancer is one of the leading causes of cancer death. According to National Cancer Institute, in the United States, the 2014 estimated new cases and deaths of female from breast cancer are 232,670 and 40,000, respectively. For male, it’s 430 deaths out of 2,360 new cases. From these numbers, we can see that women in the U.S. are greatly affected by breast cancer, thus, it’s not difficult to imagine the impact on a worldwide level. Although these numbers look frightening, people can actually survive from breast cancer if it is detected early and treated properly, so it is extremely important for all of us, especially women, to have a better understanding of breast cancer.
Breast Cancer As defined by Majure, breast cancer is an “uncontrolled growth of abnormal breast cells” (Majure: 110). It is also one of the cancers that women fear the most. Not only do women get diagnosed with breast cancer, men do too. However, it isn't as bad, or as common, in men as it is in women, so doctors don’t recommend screening for men.
Breast cancer affects nearly fifty thousand women each year in the UK. Breast cancer in women is more common over the age of fifty however in recent years there has seen a spike in younger women falling victim to breast cancer (Macmillan.org, 2012). Cancer Research (2012) states that there are a large mixture of emotions for someone being diagnosed with Breast Cancer and this also may directly impact the families and friends of those diagnosed. Furthermore Macmillian (2012) said that the feelings and emotions that come with a diagnosis of ...