Compare and contrast cultural and ethno-pharmacological factors between two cultural groups of your choosing. Include cultural factors such as health beliefs, health practices, demographics, relevant education, employment considerations, relevant health care utilization practices, applicable family relationship issues, health status facts, and associated differences in pharmacokinetics responses.
The ethno-pharmacological factors are how race influences the metabolism and patient’s response to medication (Guerrero & Jones, 2016). These factors along with cultural factors are influence drug selection. The two cultural groups I compared were Asian Americans and Hispanic Americans. Asian Americans make up 5.6% of the US population are comprised of 50 ethnic subgroups, use 30 different languages; therefore, a higher percentage do not speak
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As well as the higher use of herbal medicines, this will affect the selection of prescription medication (Guerrero & Jones, 2016). In addition, Asian cultures have a lower level of CYP 2D6 a drug metabolism enzyme for antiarrhythmics, antidepressants, and neuroleptics; therefore, they require lower dose of these medications. In contrast, Hispanic cultures are at higher risk for obesity that affects the metabolism and absorption of drugs; and diabetes due to higher levels of insulin resistance and lower level of insulin sensitivity (Guerrero & Jones, 2016). There is also a higher incidence of asthma with Puerto Ricans due to them having a greater response to bronchodilators and Arg16 genotype. In addition, religion plays important role in Hispanic Americans health decisions (Guerrero & Jones, 2016). This is important because practitioner’s lack of knowledge regarding cultural differences contribute health disparities and poor patient outcomes (Hart & Mareno,
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
The Heritage Assessment Tool can be adopted as a dependable tool to gauge, health maintenance, restoration and safeguard of personal, cultural beliefs. The adoption of health assessment tool helps meet the prerequisites of diverse patient populations to offer quality all-inclusive care. The following paper reviews the assessment of three culturally dissimilar families, and demonstrate how a nurse would continue with health promotion centred on the variances in health traditions between the three cultures. The three cultures include Hispanic culture, Native American Indian culture and White American culture. The objectives of this essay are
When the scientific community begins to spread unfounded hypotheses regarding genetic differences between races, particularly differences that attribute poorer health or increased susceptibility to disease among minority groups, a Pandora’s Box is opened of potential dangers which can aid proponents of racist doctrines. Historically, scientific studies that sought to prove biological differences among races have led to violently racist movements like slavery, colonialism, and the Holocaust. Hence, as other pharmaceutical companies follow NitroMed’s path and begin marketing drugs targeted for specific racial groups, the dangers of such race-based therapeutics must be acknowledged.
It is estimated that 20% of the U. S. population use herbal medicine. “The prevalence of herbal medicine use by some ethnic and cultural groups in the US may be even higher; one meta-analysis found that 4% to 40% (mean 30%) of Latinos living in the United States regularly used herbal medicine” (Kiefer, Tellez-Giron, & Bradbury, 2014, p. 64). The growing number of Latinos in the US and their reliance on herbal remedies is something that healthcare providers are going to have to address to be able to provide culturally competent care to this population.
Discussion is clear, logical, and reflects the impact on at least one type of cultural background (patient and/or organizations).
The United States is a nation of immigrants; they have virtually every culture of the world within its borders. Due to this reason, there must be a certain level of cultural competency within its people. A comparison and contrast will be made to compare the Hispanic cultural views on medical care to the American cultural views toward medical care. I chose to explore Hispanic culture because of my background but most importantly due to its richness of unique characteristics. I will provide an overview on how heredity, culture, and environment can influence behavior in the medical office. Furthermore, I will express my opinion about why a medical assistant,
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
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
Although the United States is a leader in healthcare innovation and spends more money on health care than any other industrialized nation, not all people in the United State benefit equally from this progress as a health care disparity exists between racial and ethnic minorities and white Americans. Health care disparity is defined as “a particular type of health difference that is closely linked with social or economic disadvantage…adversely affecting groups of people who have systematically experienced greater social and/or economic obstacles to health and/or clean environment based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion” (National Partnership for Action to End Health Disparities [NPAEHD], 2011, p. 3). Overwhelming evidence shows that racial and ethnic minorities receive inferior quality health care compared to white Americans, and multiple factors contribute to these disparities, including geography, lack of access to adequate health coverage, communication difficulties between patients and providers, cultural barriers, and lack of access to providers (American College of Physicians,
Throughout this paper I will be pulling information from the Giger and Davidhizar Transcultural Assessment Model. It is pertinent for health care workers to be familiar with this model because of the growing affects that culture has on a patient’s view of disease prevention and health restoration. This model focuses on six cultural phenomena: communication, time, space, social organization, environmental control, and biological variations. It is important for nurses to utilize this tool while performing assessments on patients because of the substantial effects that each one has on a patient’s perspective. Every person is unique and knowing that no one perspective is universal will aid the nurse in treating each patient with culturally competent care.
The Hispanic community in the largest minority in the USA and the fastest growing, it is also one with a high incidence of preventable diseases such as Diabetes, periodontitis, colorectal cancer and HIV. Obesity and teen age pregnancy are significantly more prevalent in Hispanic/Latino population as well. Rate of vaccination is also below that of the majority of the population. Addressing their health care makes good public health and economic sense.
With the increasing immigrant population a third barrier affecting access to health care is a cultural barrier. Culture barriers can include values and beliefs, language and race and ethnicity. Health beliefs and behavior can become a barrier when patients decide not to seek medical treatment and instead turn to home remedies and healers when treating illnesses. Approximately 10% of Americans speak a language other than English and can be classified ad being limited in their proficiency. For these patients language becomes a barrier and they are less likely to receive optimal medical treatment (Flores, 2006). Horton and Johnson (2010) stress the importance of communication in reducing disparities and increasing the trust of patients in the health care system. As reported by the American College of Physicians, evidence reveals that racial and ethnic minorities are more likely to receive inferior care when compared with non-minorities. This occurs even when minorities have access to insurance and adequate income (Racial and ethnic disparities in health care, 2010).
There are many health disparities that exist among the Hispanic population. Many of these are chronic conditions that affect the population. Obesity is one of the many examples of conditions that have increased for the Hispanic population. The CDC (2014) states, “The prevalence of obesity among female Mexican American adults during 2007–2010 was larger than the prevalence among female white, non-Hispanic adults during the same years” (p. 1). This is one of the many statistics that show an example of a health disparity in the Hispanic population. Another example of a problem that is prevalent in the Hispanic community is the health promotion and screening rates. The CDC (2014) states, “A smaller percentage of Hispanic adults aged 50-75 years reported being up-to-date with colorectal cancer screening in 2010 than their non-Hispanic adult counterparts”
It is well known that the United States is made up of several different cultures and the health care system delivers care to a very diverse population. However, depending on ones culture-receiving care may be a challenge at times. In this paper we are going to take a closer look at the culture of Hispanic Americans. The Hispanic population has grown to over 55 million residents with in the United States in 2015, with an estimated growth rate of 2.1% per year (Krogstad & Lopez, 2015). Making this minority group on of the fastest growing populations within the United States (DeNisco & Barker, 2016).
Giger and Davidhizar’s Transcultural Assessment Model is a valuable and functional assessment tool that evaluates the different cultural variables and how those variables effect health, illness and behaviors (Giger, 2013). This philosophy considers the uniqueness of each individual, understanding that the individual is unique, a product of their culture, religion, environment socioeconomic status and diversity. Giger and Dividhizar propose that, as health care providers, we need an acute awareness of the ethnicity and culture of each individual, having the knowledge and understanding to care for them as