Cancer Health Disparities

Disparities in health and health care in the United States have been a longstanding challenge resulting in some groups receiving less and lower quality health care than others and experiencing poorer health outcomes. Hispanics, Blacks, American Indians/Alaska Natives, and low-income individuals are more likely to be uninsured relative to Whites and those with higher incomes. Low-income individuals and people of color also face increased barriers to accessing care, receive poorer quality care, and experience worse health outcomes. The Department of Health and Human Services Disparities Action Plan (HHS) sets out a series of priorities, strategies, actions, and goals to achieve a vision of a nation free of disparities in health and health care.

One of the reading that illustrates the concept of the different disparities found in rural and urban areas is the findings of Capitman et al. (n.d.) in its residents. The chapter, named Racial/Ethnic Caner Disparities: Conceptual Frameworks, presents the different barriers racial/ethnicities face when it comes to seeking health care services in regard to cancer diagnoses, treatment, and prevention. As the Capitman et al. (n.d.) stated economic, political and cultural exclusion have been attributed to ethnic and social class differences in accessing good quality health care and services. According to Unite For Sight (n.d.), urban areas are likely to face high prevalence of individuals without health insurance in relation to how much socioeconomic

Many factors contribute to differing racial and ethnic health needs, including culture norms, religious mandates, and health disparities. The health disparities refers to specific differences in disease incidence, health outcomes, quality of health care and access to health care services that exist across racial and ethnic groups (Mandal, 2014). Disparities may result from inadequate access to care, poor quality of care, cultural issues and social determinants.

Through the weekly courses, lectures and readings, I have learnt a lot about racial and ethnic disparities, racism amongst minorities (Hispanics, African American-Black, Asians, Latinos). America is a nation of immigrants and their health and healthcare consists of multi-ethnic immigrant stories. I want to share some thoughts on racial and ethnic health disparities, on why I think that America is still a racist nation and racism is so insidious and pervasive. Health disparity is defined as a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial

Healthcare disparities within racial minority groups are an ongoing issue in the United States. Factors that affect these disparities are overall quality of care, access to healthcare, and access to insurance. Numerous efforts have been made to decrease the access and quality of care for minorities. The current intervention being used is the Affordable Care Act (ACA). This act was initiated by President Obama in 2010 and has had much controversy in the past years. The main arguments are the ACA increasing the taxes for Americans and the fact that all Americans must obtain insurance if proper funds are available. In 2014 the ACA Medicaid expanded and each state had the opportunity to expand if the state believed it appropriate. Out of the 50

Among minorities such as Asians, Hispanics, Indians, Native Americans, and Middle Easterners, the African American race has been affected tremendously by the health disparities in the United States. Currently, African Americans have significantly higher mortality rates from cardiovascular and cerebrovascular disease, cancer, diabetes, HIV, unintentional injuries, pregnancy, sudden infant death syndrome, and homicide than do whites Americans (Fiscella & Williams, 2004). While African Americans may lead in these categories, other minorities are not far behind in experiencing health disparities.

Health disparities are present in our health care system. Whether it be racial, educational, or environmental, these disparities exist and are detrimental to health care outcomes. While there have been recent advancements in how to eliminate or reduce these disparities, there is still a major inequity in health care for all individuals.

Often the term “disparities” is related to a specific racial or ethnic group of people, many variations of disparities exist in America, mainly in regards to health. If any outcome from health disparities can be ascertained is populations and regions in America.

In the Article Socioeconomic Disparities in Breast Cancer Treatment among Older Women States, “Approximately 200,000 women are diagnosed with breast cancer and 40,500 die from the disease…White women have a higher of this disease than black women. However, black women have a higher mortality than white women (White, et al. 7)”. Breast Cancer is a health disparity to black women because they’re most likely to die from it than white women due to tumor differences. Many woman not only black women die from cancer because they chose not to go through chemotherapy, but According to the article Socioeconomic Disparities in Breast Cancer Treatment Among Older Women says, “Black women with node positive and node negative tumors were 25% and 17% less likely to receive chemotherapy than white women. Black people are more likely to die not only because they don’t receive chemotherapy but because of patient and tumor characteristic, and after adjusting for socioeconomic (White, et al.1)”. Breast Cancer is a huge health disparity to black women because most of them can’t survive with this disease than white

The United States is faced with multiple health disparities within the country that encompass many challenges for individuals when it comes to the fairness and access to health care. A health disparity is defined as the inconsistency of treatment between two different groups of individuals. Treatment that could be different could be seen as different care due to age, race, ethnicity, culture, or current socioeconomic status (Koh et al., 2012). Treatment may be different or delivered in different ways between literacy component individuals and illiterate individuals and be viewed as unequal care. Healthcare facilities must be cautious when providing care and be cautious of the health disparities that exist in order to provide equal and

The United States is faced with multiple health disparities within the country that encompass many challenges for individuals when it comes to the fairness and access to health care. A health disparity is defined as the inconsistency of treatment between two different groups of individuals. Treatment that could be different could be seen as different care due to age, race, ethnicity, culture, or current socioeconomic status (Koh et al., 2012). Treatment may be harmful for individuals as a result of miscommunication that may be perceived the wrong way. Individuals with low health literacy do not understand the purpose of particular drugs or the name of one’s condition, which can further leave an individual vulnerable to harm. Individuals may sign consent they do not fully understand, and will receive unwanted care and procedures (Clark, 2011). Healthcare providers need to be aware of an individual’s level of understanding before harming the individual with irreversible procedures.

Low income neighborhoods are still witnessing a rising gap in healthcare coverage. For example, patients with diabetes are more likely to undergo limb amputation than those in higher income areas (Pearl, 2015). Also, research has shown the Caucasians women have and overall incidence of breast cancer that is higher than that of African American women (Williams, Mohammed, Leavell, & Collins, 2010). On the contrary there is a higher death rate of breast cancer in African American women than in Caucasians women.

Growing up, my dad always told me that we were the lucky ones. At the age of 15, he escaped from Vietnam, leaving with only the clothes on his back. Saigon fell to the north, sending people in a final desperate exodus. He would say “If the mines didn’t kill me, the bullets surely would. If the bullets didn’t kill me, drowning would and if drowning didn’t kill me, dehydration would.” In spite of the possibilities faced by thousands like him, my dad made it onto the US Navy ship. While my parents had escaped the war, we faced a different conflict in acclimation. My dad struggled to keep a job. We could barely afford rent, nevertheless see a doctor. For some people, “health disparities” can be described in terms of statistics and terms like “preventative care” and “optimizing accessibility”. For my family, “health disparities” was just a part of life in America. It was the uselessness I felt as I watched my dad work 80 hours a week at several minimum wage jobs just so my brother and I could focus on school. It was the frustration I felt spending hours in vain researching ways to ease my mother’s pain as she suffered from years of untreated stomach ulcers. It was the worry I felt knowing that, despite ranking among the top 10% of students in my high school class, I still could not afford to go to college. In spite of everything, I am one of the lucky ones as I was able to fully fund my college education in scholarships and grants. I am lucky because these experiences taught me

Governmental agencies influence health policies by influencing the Federal government, State government, and local laws by using population health research studies and interventions studies reported of health disparities. In addition to being well informed with health disparities they have access to investing, research and collecting evidence in assisting them to gather information that can influence health care polices. With each research that is conducted can possibly create new or old policies to be improved and aimed to reduce health disparities.

“Nurses have a long and rich history of wanting to do the most good for the most people. Today, it is imperative that advanced practice registered nurses (APRNs) continue that tradition by delivering care that improves the health of populations.” (Curley & Vitale, 2016). Along with other health care providers, APRNs individually share the responsibility of promoting more healthier lifestyles among his or her surrounding community. Over the course of the past several years, much needed attention has been focused towards population based health disparities and the impact thereof on our nation. In the pursuit of obtaining a healthier society, the U.S. government has designed and utilized a program presently titled HealthyPeople2020. This program