In 2010 a study was published by Phyllis D. Morgan, Joshua Fogel, Indira D. Tyler, and John R. Jones titled Culturally Targeted Educational Intervention to Increase Colorectal Health Awareness among African Americans. This study will be examined following an objective critique of the research conducted and reported. This analysis will show areas that could be improved and avoided in future studies and reports.
This study was conducted to increase colonoscopy screening for colorectal cancer (CRC) in African Americans as well as increase knowledge of CRC and decrease cancer fatalism. This study did clearly state the four study objectives based off of their literature review. The literature review showed several studies with increased
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The authors continued with the study by allowing a larger immediate intervention group and a dramatically smaller delayed control group than envisioned. The delayed control group was only 8% of the total participants in this study. The authors provided a concise explanation of the differences in the immediate intervention and the delayed control group. The data analysis stated they used descriptive statistics for the sample data obtained. The results as described by the author did have several possible unidentifiable errors particularly in the control group. The results were discussed with relation to their objectives and the literature review however the analysis was highly focused on the success of the study and only slightly addressed the limitations of such a small control group in proportion to the immediate intervention group. The authors went in depth on the ethical consideration and justification for continuing with the study with the uneven participant groups. The conclusion of the study demonstrated the authors’ confidence in the cultural targeting of education for CRC and the resulting increase in colonoscopy in African Americans.
This study was conducted in a reasonable manner and the limitations were clearly outlined by the author. However the results
Even though there are limitations in this article, it is still useful for the research topic by
The purpose of this paper is to inform readers on the culturally competent strategies that ameliorate health disparities in this country. Over the years health issues have increase rapidly. There are different ethnic backgrounds shows that their health plays a big role culturally and also diversity.
In the United States today cultural diversity is growing more prevalent every day. The report from the Institute of Medicine (IOM: Unequal treatment, 2002) presented information that racial and ethnic minorities of all ages receive lower quality health care compared to their non-minority counterparts. Every effort should be made to stop the disparities surrounding cultural differences while attempting to understand the cultural health behaviors, increase cultural
It is probably the worst kept secret in the United States that minorities living in low income areas have the worst access to health care in the developed nation. Oftentimes they have to choose between going to the doctor to get treatment that could potentially save their lives or risk putting their families in millions of dollars’ worth of debt. Crooked CEOS jack up the prices of insulin, EpiPen’s, and a host of other lifesaving medications just to make an extra dollar. Research on Black Americans is typically underfunded, not to mention the underlying mistrust that people of color in low income communities can occasionally exhibit to doctors, police officers, etc. It is hard to trust someone in a position of authority when historically they have oppressed and hurt your people. The Tuskegee Syphilis Study, a study where black men were used as laboratory experiments to examine the effects of syphilis, is proof enough. Therefore, I propose a 3-step plan to help people livening in these situations.
In this discussion, a Hispanic or Latino group is considered. While the statistic is not available for the city of Cleveland, in Ohio this group represents a 3.7% of the total population as of July 1, 2016 (USCB, 2018). The Hispanic/Latino group represents people from Cuba, Latin America, Mexico, Puerto Rico, Caribbean and other Spanish cultures, regardless of race (Juckett, 2013). While a treatment plan in hospitals is the same for all the patients, the perception varies in different ethnic groups or races. Thus, a health care provider need to be aware of Hispanic/Latino cultural beliefs and implement this knowledge into a daily routine.
African-Americans value health education and health maintenance which suggests that they are interested in their health, and may be receptive to prevention and health promotion interventions. Prayer, spirituality and church are important to African-Americans and play a key role in the lives of many of their lives.
With a growing and diverse United States population, pursuing the goal of cultural competence in the workforce and health-care system emerges as a leading strategy in reducing disparities. Cultural competency, is defined as the ability of health-care providers to function effectively in the context of cultural differences (IOM, 2001). As a healthcare administrator it is important to employ several initiatives to increase the cultural competency within the workforce including the recruitment and retention of minority staff as well as providing training to increase cultural awareness, knowledge and skills. Another strategy to employ in strengthening the relationship between the patient and provider is to create buy-in from community leaders and stakeholders when launching initiatives geared toward the reduction of health disparities. One example of this type of approach is the Racial and Ethnic Approaches to Community Health (REACH) projects funded by the Centers for Disease Control and Prevention (CDC). REACH projects aim to reduce racial and ethnic health disparities in minority communities. For example, a 2010 study by Liao et. al., documented overall decreasing trends in the prevalence of smoking among men in Asian communities served by the REACH project. By engaging the communities that they serve and forming community partnerships, projects such as REACH can be been successful in targeting health behaviors and consequently reducing health disparities in communities of
Cultural competency not only encompasses race or ethnicity, but a quality of care for all individuals. Studies illustrate that cultural competency is currently lacking in the health care field; this results in the disparities that exist among the minority population with low
The best way to combat prior-held stereotypes that providers have about minorities in the clinical setting is to completely integrate it into their medical education. Cultural competency curricula in medical schools should not be an additional class or lesson added on top of their normal classes. It should be integrated into every lesson and every discussion about disease and medical care. They should be taught to consider how their actions in every step of the clinical encounter can contribute to health disparities, and how to work against
The main reason for choosing the African American population for this work is because of its unique array of cultural backgrounds. African American communities across the United States are more culturally diverse now than any other time in history with increasing numbers of immigrants from African nations, the Caribbean, Central America and other countries (American Psychiatric Association, 2014). The United States is among the most ethnically diverse nations on the planet (Peterson, K., 2008). With the demographics of the United States constantly changing and as ethnic cultural diversity emerges heightening of culturally competent care is at hand. All cultures have systems of health belief to explain what cause illness, how it can be
In the Public Field, we are constantly applying theories in order to better understand how the public works and to better assist the communities in different aspects of health. According to Glanz, Rimer, and Viswanath (2008), theories in which focus on beliefs and actions of individuals are the first theories of health behavior that are still being practiced around the world today. The individual theories either known as intrapersonal theories that are still being used today are the following: Health Belief Model (HBM), Theory of Planned Behavior (TPB), Transtheoretical Model (TTM), and the Precaution Adoption Process Model (PAPM) (Glanz, Rimer, Viswanath, 2008). Each one of these individual theories can be applied to different scenarios and
This study was limited due to the small sample size. Although the conclusions are valid, more research with a
I am a Brazilian black male with military experience and diplomatic knowledge who grew up in a low-income household in a developing country. In addition, I have traveled to about 35 countries and am acquainted with people from different socioeconomic backgrounds, religions, ethnic groups and nationalities. These characteristics and experiences allow me to see the world from perspectives that are unusual for most people. Besides being open-minded and non- judgemental toward all my future patients, I personally understand the difficulties faced by people of color, immigrants and individuals from low-income families. In sum, my background and my cultural literacy will allow me to be a sensitive and culturally aware patient-centered care.
The long-term health consequences of deprived prenatal nutrition are a significant concern on a global scale. Nutrition, as an environmental factor, plays an important role in stimulating alterations in various epigenetic processes such as DNA methylation and histone modifications. Specific dietary stressors can create epigenetic variations to the present lifetime but also to successive generations. Epidemiological and experimental studies highlight the association between adult health and early-life maternal nutritional stressors such as under-nutrition, malnutrition and over-nutrition. Gestational maternal nutrition is a critical intrauterine factor which changes offspring epigenome. Numerous animal and human model studies reveal that
In the present era, there are many issues that pose a threat to our way of life. Overpopulation is one of the most serious threats to mankind.Overpopulation is a serious problem that will eventually have an extremely negative effect on our countries and our planet. Overpopulation is generally defined as an inability of the environment to support the existing population of human or other living things. Overpopulation is an undesirable condition where the number of existing human population exceeds the carrying capacity of earth. If a country or city is overpopulated, it has too many people for the amount of food, materials, and space available there. Overpopulation is caused by number of factors. Reduced mortality rate, better medical facilities,