Doctoral Study Premise Essay

Juana Mora in “Acculturation Is Bad for Our Health: Eat More Nopalitos” argues that the United States offers many job and educational opportunities for Latinos, but acculturation in America negatively impacts their health. Mora offers research and statistics, most of which I find compelling, to explain that these illnesses are primarily due to the immigrants’ new “daily habits and environment changes” (Mora 660). After arriving in America, immigrants often live in crime-ridden, low income neighborhoods, rely on fast food, abuse alcohol and tobacco products, and have fewer safe areas for exercise. Additionally, the stress caused “by learning a new language and culture” and “living in new and sometimes dangerous environments” causes illnesses such as post-traumatic

The health of a nation plays an integral part in the overall success and economic well being of a particular country. The United Stated, while pouring more money into the healthcare system than any other country, still stands as a broken system with inadequate care for many citizens. One of the most marginalized groups of people, African American women, continually score alarmingly low on basic measures of overall health. The healthcare discrepancies between white and black women in the United States are alarming, and they reveal flaws in the American health care system as a whole.

As the daughter of an immigrant, I have witnessed the various barriers faced by immigrants, and this experience has motivated me toward my career objective. According to the Pew Research Center Hispanic Trends Project, there were about 11.3 million immigrants living illegally in the United States in 2013 (Passel et al., 2014). These immigrants come from all parts of the world for several different reasons. Whether to provide better resources for their family back home or to live a better life, these immigrants usually work in environments that can be harmful and dangerous to their health.

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).

In order to provide culturally safe and effective primary health care for all we must address the social determinants of health that result in health inequities across our population. Some of the key determinants of health inequities that are seen across most cultures are language, education, lack of appropriate health infrastructure, employment and racism.

Many people are reluctant to seek medical attention due to fear of costs and causing more financial constraints. Most especially for individuals or families who have to choose between paying rent and securing their meals, in which case, diabetes (or other diseases for that matter) is not seen as an imminent threat, therefore it is not a priority. While some may have health coverage, they may not have the advantage to cover co-payments for the visit, medications, diagnostics, or other treatments.  Second, language barrier and other discriminations contribute to health disparity. Because they are unable to communicate their concerns and in fear of judgment, language/discrimination discourages people from seeking medical help— the assumption that they (minorities) will be treated unfairly or not given enough or of equal treatment. Undocumented individuals are also less likely to seek help in fear of being caught. Lastly, the issue of cultural disconnection— in this dimension,  participants admitted to the fear creating a stigma and receiving negative feedback from their providers (who only favor biomedical treatments).  There is fear of being an object of ridicule and rejection if they admit to the use of alternative medicines and remedies. Fear of reporting use of other remedies may adversely affect provider’s recommended regimen. In considering these social and economical factors, people become chronically ill and progressively worse until the situation becomes acute and no longer manageable. These dimensions, and other contributing factors, place limitations and restrictions in individual’s power to make health decisions, and inevitably create health disparities. Page-Reeves and others state, “ although disparity can take many forms, health disparities can be understood as one of the most concrete manifestations of inequity, often  determining who will live and who will die— with the poor and immigrants suffering

Financial barriers to access health care are common in a low-income family when they are uninsured or underinsured. Many uninsured and undocumented immigrant received federal and state health care coverage. Latinos and African American are the ethnicities that are disproportionally get affected. Limited access to a doctor when they are sick, taking non-prescribed medication and holding off recommended treatment is only some of the problems they encountered (Carrillo et al., 2011).

Despite improvements, differences persist in health care quality among racial and ethnic minority groups. People in low-income families also experience poorer quality care (U.S. Department of Health and Human Services, 2013). Access to care measures include facilitators and barriers to care and health care utilization experiences of subgroups defined by race and ethnicity, income, education, availability of health insurance, limited English proficiency, and availability of a usual source of care (Mandal, 2014).

In an article that looked at the immigrant healthcare needs of the United States, Dudas (2012) found that

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,

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.

Health disparities amongst African-Americans continue to destabilize not just the various communities but the health care system as a whole. Minority groups especially African-Americans are more probable to agonize from certain health illnesses, have higher mortality rates and lower life expectancy than another other race in the nation. Health disparities are complex and incorporate lifestyle choices, socioeconomic factors such as income, education and employment and access to care services. For the elimination of health disparities within the African-American community, there requires a need for equivalent access to health care and cultural suitable health ingenuities.

Canada has always been recognized as a multicultural country with a diversity of ethnic groups. According to the 2006 census (Statistics Canada, 2006), there was a total of 1,109,980 new immigrants arriving Canada from various countries between 2001 and 2006. The Multiculturalism Act (1988) is adopted to encourage ethnic groups to preserve their own languages and cultural heritages while integrating into the Canadian culture (Minster of Justice, 1984). Despite that, constant barriers remain in immigrants’ experiences of acculturation. Newcomers who failed to acculturate into the host country may experience social exclusion, which could result in a reduction in their health statuses. Although recent immigrants are often healthier than the general Canadian population, their health status tend to converge to the Canadian-born population with increased length of residence; for instance, statistics revealed worsening immigrant health in chronic conditions like diabetes and tuberculosis (Statistics Canada, 2002). This is referred as the “healthy immigrant effect”. Immigrants’ initial healthy status is explained by self-selection reasons, and screenings that are regulated by the Immigration Act (Statistics Canada, 2002). However, it is more crucial to understand the reasons for their deterioration in health over time. In this paper, we will explore a framework that explains the pathway between social exclusion, an important social determinant of health, and the deterioration in the

The 13 million people who live along the United States - Mexican border1 face unique health issues and disparities than their northern and southern residing counterparts. Access to health care is a great health determiner for the many foreign-born residents living in the United States, especially for undocumented immigrants2. The topic to be addressed in this review will include current health issues and accessibility of care for the people living along the US – Mexico border. This study will include infectious diseases, substance abuse as well as issues facing women and children. The combination of many social factors including increased poverty and drug use, limited healthcare and low self-efficacy are all impacting the rates of

Changes in access to health care across different populations are the chief reason for current disparities in health care provision. These changes occur for several reasons, and some of the main factors that contribute to the problem in the United States are: Lack of health insurance – Several racial, ethnic, socioeconomic and other minority groups lack adequate health insurance coverage in comparison with people who can afford healthcare insurance. The majority of these individuals are likely to put off health care or go without the necessary healthcare and medication that is needed. Lack of financial resources – Lack of accessibility to funding is a barrier to health care for a lot of people living in the United States