Decreasing health disparity in the Hispanic community
Grand Canyon University
Family Centered Health Promotion
NRS-429V-O50
Decreasing health disparity in the Hispanic community
About 36.6% of the population in the U.S belong to or identifies as one of the 5 ethnic minority groups. These groups are Native Hawaiian, Hispanic or Latino, American Indian or Alaska Native, Asian, African American or Black, or Pacific Islander. The U.S has the most expensive health care system in the world yet many of these minority groups are worse off in regards to socioeconomic and health care status if compared to white Americans. It is plain to see this health disparity when some communities have death rates comparable to 3rd world countries.
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The leading cause of death in the Hispanic population is
1. Cancer
2. Heart disease
3. Unintentional injury
4. Stroke
5. Diabetes
6. Chronic liver disease/ cirrhosis
7. Chronic lower respiratory disease
8. Alzheimer’s disease
9. nephritis, nephritic syndrome,nephrosis
10. influenza/pneumonia
In an approach to health promotion and the prevention of diseases that affect the Hispanic community disproportionately we can look at prevention in 3 levels, primary, secondary and tertiary. Primary prevention would be preventing a disease or injury before it occurs. This could be done with the use of education and legislation on safety and health practices. Secondary prevention would be reducing the impact of the disease or injury that has occurred. This could be accomplished by early detection and health screenings. Lastly the tertiary prevention would be used to alleviate the impact of ongoing illness or an injury that has lasting effects. This would be accomplished by helping to manage chronic and complex diseases/conditions and permanent disabilities. This would help improve quality of life and life expectancy. One condition, while not a leading cause of death, but on the rise in the Hispanic community is the high incidence of HIV. The incidence rate is 3 time higher for Hispanics than white Americans. In 2013 the HIV rate in Hispanics counted as 23% of all new infections. Hispanic males were 85% of these new infections. ("CDC," 2015)
• Primary
Being a minority in the United States has and will possibly always been a struggle. With the economy being in shams and minimum wage becoming career, minorities have multiple issues that society is unaware especially in health care. A large percent of minorities are the majority of workers of America, in which requires the most of the health care distribution. But are they receiving the proper access to health care and prescription access based on their ethnicity/race? Discrimination and racism continue to be a part of the unbalancing inequality in society and have adversely affected minority populations, and the health care system in general. Analyzing some of the racial disparities in health care among Americans are modifications in both need and access. Minorities are most likely to need health care but are less likely to receive health care services, including proper drug access.
Barriers in health care can lead to disparities in meeting health needs and receiving appropriate care, including preventive services and the prevention of unnecessary hospitalizations (HealthyPeople.gov, 2012). In their 2008 annual report, the Agency for Healthcare Research and Quality lists several disparities’ in health care. They report that racial and ethnic minorities in the United States
. Addressing health inequalities and health care is not only important from the point of view of social justice, but also to improving the health of all Americans by improving the quality of care and health of their children. People. Moreover, the difference in health is expensive. An analysis estimates that about 30% of total direct medical expenses for blacks, Hispanics and Asians are excessive costs due to inequalities in health. The difference also leads to economic losses due to indirect costs related to loss of productivity and premature mortality. (Artiga,
The Centers for Disease Control (CDC) (2015) provided an overview of the Hispanic population, in which they reported the Office of Management and Budget’s (OMB) categorization of the population. Specifically, OMB defines Hispanics as a population which comprises of Cubans, Mexicans, Puerto Ricans, South and Central Americans as well as people from other Spanish cultures (CDC, 2015). According to a report compiled by the CNN Library (2015), Hispanics are the largest minority group in the United States. In fact, the size of the Hispanic group in the United States is only second to the size of the Hispanic group in Mexico. The report further explained that there were approximately 54 million Hispanic people in the United States by 2013. The number showed a 2.1% increase in the Hispanic population between 2012 and 2013 (CNN Library, 2015). The total Hispanic population in 2013 constituted about 17% of the United States total population. Gonzalez-Barrera and Lopez (2013) inferred that people of Mexican origin constituted the largest number of Hispanics in the United States. They maintained that there were approximately 33.7 million Hispanics from Mexico in the United States by 2012 (Gonzalez-Barrera & Lopez, 2013). The Mexican-Hispanics population is represented by people who are born in the United States and immigrants from Mexico.
Approximately 1 in 6 individuals are Hispanic in the United States, and the population is expected to grow to 1 in 4 by 2035 (CDC, 2015). Given that, Hispanics are the biggest minority group in the US (CDC, 2015). The leading cause of death among the Hispanic population is heart disease and cancer responsible for around 2 out of 5 deaths (CDC, 2015). Hispanics have a 50% greater chance of death resulting from diabetes or liver disease than whites (CDC, 2015). Additionally, there are 3 times as more uninsured Hispanics than whites (CDC, 2015). According to the US average, whites are 15 years older than the Latino population, so prevention will greatly benefit the health of the Latino population (CDC, 2015).
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,
Iannotta, Joah G. Emerging Issues in Hispanic Health: Summary of a Workshop. Washington, D.C.: National Academies, 2002. Print.
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.
The United States is a melting pot of cultures from around the globe. Many immigrants acclimate to American culture and customs while retaining many of their native culture and customs. However, much of their culture places these immigrants at risk for health disparities. Hispanics are the largest and fastest growing racial and ethnic in the United States (cardiosmart.org, 2014). According to CDC.gov (2004), compared to non-Hispanic whites, Hispanics experienced chronic liver disease 62% more, diabetes 41% more, HIV 168% more and cancer of the cervix 152% and stomach 63% more for males and 150% more for females.
With the development of public health in U.S., the health insurance coverage has benefited most American citizens. But there is a large ethnic minority group in the U.S. which is most likely to lack coverage, Hispanics. Concerning Latinos with health, there is a barrier for Latinos to get health care. Latinos who are not citizens or permanent residents do not have health insurance, even though PPACA legal non-citizen residents will be able to buy insurance. Without health insurance, Hispanics face health disparities that make them suffer with bad health outcomes and having a higher illness rates.
Overall this book discusses health care inequalities in America by documenting the need for the equal treatment and equal health statuses of minorities. The book was written to be a resource for students in public health and social sciences, also for the people who work with the minority populations. The book is a combination of peer reviewed research from scholars and workers in the field. These scholars give a political and historical view of healthcare through race and ethnicity, specifically focusing on inequalities of access and quality of healthcare that is provided to minorities.
Hispanics are the largest and fastest growing ethnic minority group and there are estimated to be about 54 million living in the United States (Office of Minority Health & Health Equity, YEAR). The Hispanics are a minority group that struggle every day to survive, to provide for their families, to stay healthy and to live quality lives. This paper will discuss the Hispanics current health status, how health promotion is defined by the Hispanics and what health disparities exist for the Hispanics. Lastly, this paper will discuss the three levels of health prevention and their effectiveness given the unique
These terms are relevant for improving the health of all Americans by achieving improvements in overall quality of care and population health. Moreover, health disparities are costly, resulting in added health care costs, lost work productivity, and premature death (Kaiser Family Foundation, 2012). According to a recent analysis 30 percent of direct medical costs for Blacks, Hispanics, and Asian Americans are excess costs due to health inequities) and that, overall, the economy loses an estimated $309 billion per year due to the direct and indirect costs of
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”
More than one-fourth of Hispanic adults in the United States lack a usual health care provider, and a similar proportion