African Americans : Low Socioeconomic Status Increase The Risk For Diabetes

The incidences of diabetes are growing annually, and predicted to increase within the coming decades. The number of cases yearly is not only increasing, but the age of onset for diabetes has decreased. This means more individuals are developing diabetes at an earlier age. Diabetes not only affects individuals and communities but countries as well. The prevalence of diabetes has gathered billions of dollars in healthcare costs. [1]Type 2 diabetes also leads to other serious medical conditions such as heart disease, renal failure, blindness, and tissue damage in extremities that will eventually lead to amputation. These illnesses, as a result, result in further costs in the form of disability and the loss of a portion of our workforce. However, incidences of type 2 diabetes are in higher occurrence amongst Hispanic groups. According to the Hispanic Health and Nutrition Examination Survey, Mexican Americans have an unusually high prevalence of diabetes compared to that of the general population [2]. Hispanic females have the highest lifetime risk of becoming diabetic – 52% [3], compared to that of the average risk of

The health disparities among the Blacks/African American is on the rise which is of being mostly affected by diabetes the United States and Maryland. Diabetes and cardiovascular diseases are connected which can lead to increase mortality among this population. In that matter, the Health Empowerment African Americans Diabetes Program proposal includes my creating awareness which will offer diabetes education as connected to other commodities and self-management and counseling. This will be done through outreach programs in the community in health classes and health fairs through health screening, blood glucose screening, A1C, exercise activities, body mass index (BMI), weight, monitoring of individual self-monitor log, and

Poor nutrition in the United States is indeed a scary factor that continues to lead our citizens to chronic healthcare conditions. The article notes “Health People 2020 states the most affected are non-White, Hispanic adult populations are disproportionately affected by obesity” (Kaiser Foundation Hospital, 2014, p. 6)

Based on the United States census, it is estimated that by the year 2050 one in three people living in the United Sates will be of Hispanic/Latino origin which include sub groups like Puerto Rican, Mexican, Cuban, Central Americans, and South Americans (Heart Association, 2014). Within those subgroups, the prevalence varied for people of Mexican descent from as high of 18.3 percent to as low as 10.3 percent for people of South American descent, Dominicans and Puerto Rican descent 18.1 percent, Central American descent and Cubans descent 13.4 percent all living in the United States with diabetes type 2. On another commentary being published in the same issue of Diabetes Care, the author wrote, “the differences in diabetes and obesity prevalence among Latinos subgroups are marked when all individuals are combined into a single group” (Heart Association, 2014). Diabetes in Latino Americans has become more prevalence with aging, by the time they reach the age of 70 years, 44.3 percent of Latino men age 70 years old to 74 years old will have develop diabetes. The same study also indicated that the longer Latino Americans live in the United States the more likely they will develop diabetes, that is according to the education and income level of the person. The study also shows

with evidence that diabetes precursors may even be more common in African American than in

Many studies have examined the link between poverty and diabetes. The CDC (2015b) have identified the following as primary factors that lead an individual to have an increased risk of developing diabetes: being overweight or obese; having a parent or sibling with diabetes; having African American, American Indian, Asian American, Pacific Islander, or Hispanic American/Latino heritage; having a history of gestational diabetes; having blood pressure measuring 140/90 or higher; abnormal cholesterol; and being physically inactive.

In 2013-2014 37.7% of adults 20 years of age and older in the U.S were obese. Among racial ethnic groups white Non -Hispanics had the lowest rate of obesity at 36.4%. Black and Hispanics populations had rates of 48.4% and 42.6% nationally. The rate for Black non- Hispanic groups were 1.5 times higher than the rate for white non- Hispanic groups.("Healthy People 2020," 2014, p. 3).

Diabetes is a prevalent health disparity among the Latino population. Diabetes is listed as the fifth leading cause of death among the Latino population in the website for Center for Disease Control and Prevention, CDC, in 2009. According to McBean, “the 2001 prevalence among Hispanics was significantly higher than among blacks.” (2317) In other words among the Hispanic or Latino community, there is a higher occurrence of diabetes as compared to other racial/ethnic groups such as Blacks and Native Americans. The prevalence of diabetes among Latinos is attributed to the social determinants of health such as low socioeconomic status and level of education. Further, this becomes an important public health issue when it costs the

Traditionally, the African American diet consisted of leafy green vegetables, fish, poultry, and beans. However, the cooking methods, such as deep frying, the heavy use of gravy, pork fat, and butter add a large amount fat and cholesterol to an otherwise heart-healthy diet. “Soul food” with its fried chicken, fried pork chops, and corn bread have become the traditional comfort food, and there is a large significant placed in the African-American culture on community and family gatherings centered around food. Historically, African-Americans lived a highly active lifestyle that compensated for a higher than average fat content in their diet. As modern trends swing toward a more sedentary lifestyle, the direct result is heart disease rising to be the leading cause of death among African-Americans (Cowling, 2006, p8).

The American Medical Journal explains that the heart disease is one of the deadliest medical conditions. Medical experts reckon that heart disease is a lifestyle disease, which emanates from excessive consumption of the wrong dietary combination. Foods such as fats and carbohydrates often expose individuals to the threat of heart disease. Consuming fast foods from McDonalds also expose people to the threat of heart disease. The most plausible means of mitigating the risk of contacting heart disease is by observing dietary combination. Individuals must keep a balanced diet always in order to avoid dietary concerns later on in life. The most common symptoms include chest discomfort, nausea, trouble sleeping, breathing problems, and unusual tiredness.

At the point when contrasted with whites, these minority bunches have higher rate of endless ailment, higher mortality and poor wellbeing results. Among the ailment particular cases of racial and ethnic variations in the united state is the tumor frequency rate among African Americans, which is 10% higher than among whites. Furthermore, grown up African Americans and Latinos have roughly double the danger as whites of creating diabetes. Minority likewise have higher rate of cardiovascular sickness, HIV/AIDS, newborn child mortality than whites.

Fried chicken, mash potatoes and collard greens mixed with fatback meat was my family’s favorite Sunday meal. Soul food, as it has been called, is valued by many African American families. Given the worldwide obesity epidemic that appears to be affecting most ethnic groups, there is an appreciation that the causes of obesity among African American families and others must lie in the fundamental aspects of the food supply (Capers, C et al. 2011). In my opinion, African Americans in the United Sates are more likely to be obese because there is a large number of low-income families’ and many are uninsured. According to the Office of Minority Health, African American women have the highest rates of being obese compared to other groups in

Many low income communities, dense of minorities and people of color, struggle to find fresh healthy produce readily available to them. These communities lack access to farmers’ markets, full service grocery stores, and other vendors of fresh healthy produce. Instead they are impacted with an abundance of cheap, high-fat, high-processed fast food restaurants. Without access to fresh healthy foods, a full nutritious diet is hard to achieve. The discrepancies within the food system are leading to harmful impacts on individuals’ health. These discrepancies have led to significantly higher rates of diabetes and complications amongst racial and ethnic minorities. Along with an increase surge of diabetics within marginalized groups, these groups are also faced with more diabetic related complications. For example, “African Americans have 2-4 times the rate of renal disease, blindness, amputations, and amputation-related mortality of non-Hispanic whites. Similarly, Latinos have higher rates of renal disease and retinopathy” (NCBI). The systematic oppression of marginalized groups within the food system has detrimental effects on the health of ethnic and racial minorities.

According to the Centers for Disease Control and Prevention's National Center for Health Statistics, "[By 1993] death certificates listed diabetes as the fifth leading cause of death for Blacks aged 45 to 64, and the third leading cause of death for those aged 65 and older in 1990.” (Bailey, 2007). These statistics show how serious the problem of diabetes has become in the black community. Epidemiological studies can focus the efforts of the healthcare community to effective interventions aimed at lowering the prevalence and incidence of diabetes among African Americans.

Diabetes incidence compared with childhood socioeconomic factors were concluded from several different results. In four of the ten studies, they found that risk of diabetes in children of lower SEP compared to their counterparts of higher SEP, that there was only a slightly elevated risk for diabetes. Another finding was that, “low maternal education of high school or less, was a significant factor that influenced diabetes incidence (p< 0.01)” (Tamayo et al 7). The last finding regarding diabetes incidence was from a study that found little effect of low SEP in diabetes compared to high SEP counterparts (Tamayo et al 7). As for obesity and childhood SEP some of the results from the studies included: “In one study of 1,550 participants, the results showed that belonging to a low income family (less than 26,000US$/year) was a significant predictor of obesity at an early age (p<0.05), whereas parental occupation had gender disparities. One study found that, “women had a significantly higher risk of being overweight or obese if their father had worked in blue-collar occupations (OR 3.4)” (Tamayo et al 7-11). The fact that this study lacked statistical analysis on both diabetes and obesity and their relation to childhood SEP, it makes it harder to relate to the focus of this