Health Care Interventions

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

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

The Eliminating Disparities in the Diabetes Prevention, Access, and Care Act (EDDPAC) aims to improve diabetes research, treatment, education, and prevention in minority populations, including Native Americans. This proposed piece of legislation would require the National Institutes of Health (NIH) to examine the various factors that lead to diabetes in minority populations, and would also require the Health Resources and Services Administration (HRSA) to provide grants for diabetes education classes and training programs for health providers on cultural sensitivity (Chow et al., 2012). HRSA would also fund Federally Qualified Community Health Center programs that provide diabetes services and screenings, and strengthen career-building programs to provide career opportunities within minority populations that are focused on diabetes treatment and care (Chow et al.,

The incidence of diabetes is rising among the residents of California at alarming rates. Approximately 55% of the adults in California are estimated to have either diabetes or prediabetes according to the UCLA Center for Health Policy Research 2016 study on prediabetes (UCLA Center for Health Policy Research, 2016). This is especially concerning for the Hispanic residents within the state as they make up the largest ethnic group in California, at more than 38% of the population (United States Census Bureau, 2015). As the total number of Hispanics in California raises so too has the number of Hispanics diagnosed with diabetes. This literature review explores some of the culture, traditions, and beliefs of the Hispanic population related to diabetes and the need for cultural and linguistic competence to improve health care delivery.

Diabetes is continuing to progress in minorities and published in 2011 indicate that about 26 million Americans have diabetes, or about 8.3% of the US population. An additional, 79 million Americans have pre-diabetes, placing them at high risk for developing type 2 diabetes. (Hill J, Galloway JM, Goley A, et al. 2013). The public health burden of diabetes is even more evident in most racial and ethnic minority groups. The prevalence of type 2 diabetes and other comorbidities, including mortality, are higher for African Americans and Hispanics, the largest racial/ethnic minority groups in the US. Despite the reported successes seen in several national diabetes prevention and control studies, there is still more to be done to understand the best mechanisms for translating the results to patient care ( Spruill, IJ, Magwood GS, Nemeth, L. S & Williams, TH

In the article “Health disparity and structural violence”, Researches suggest that minority population have high risk for diabetics than the social majority. Decreased level of education and increase level of poverty add the risk to develop diabetic in minority. “There are significant disparities associated with diabetes based on race and ethnicity”(Page-Reeves.etal,2013) Some types of common fears have been seen in this minority group which prevent them to approach health care.

When I first met Mary, the social worker and I went to her home, and she was sitting on the side of her bed staring out the window. The intervention and treatment plans were always conducted in her room because that is where her hospital bed was. The social worker that had been working with her for months gave me information about her medical history and that she was married. As I walked in to meet her, I introduced myself and began to assess Mary by asking her a few questions. She was quiet, so, I started telling her a little about me.

This link describes the importance of clinicians to provide culturally and sensitive services to diverse populations

Therapeutic sessions assist in enhancing the member’s individual’s thoughts as well as those they are building relationships with. The support that they have from family, friends, significant others and the community is essential in their well-being as interactions with others are crucial for development of a sense of self (Meyer, 2003).

In an article written by Drevdahl, Canales, and Dorcy, the authors suggest that although the idea of cultural competence is impactful in nursing, the ability of nurses to move from the theory of cultural competence to actually putting it into practice has been difficult (2008, p. 16). According to the 2011 National Healthcare Disparities Report from the Agency for Healthcare Research and Quality (AHRQ), racial and ethnic minorities usually do not have adequate access to healthcare and more often receive a poor quality of care (2012). The end goal of cultural competence is to enable the health care system, and those employed in healthcare, to deliver high quality care to all individuals regardless of their race, ethnicity, culture, or language background, and therefore reducing health

Health Status of Minority Group Medical advances and new technologies have provided people in America with the potential for longer, healthier lives more than ever before. However, persistent and well-documented health disparities exist between different racial and ethnic populations and health equity remains elusive. Health disparities — differences in health outcomes that

Just like one of the articles, Cultural Barriers to Care: Inverting the Problem by American Diabetes Association (ADA) stated “The need to consider cultural factors in the care of people with diabetes has been identified for several decades”. 1 I believe due to my background; I can shed some more light on the subject based on my personal experience because it has not been effectively addressed in practice.

Setting events, antecedents and consequences are all included in development of a hypothesis. It restates the interfering behavior while describing the behavior and determining its function. The setting events of this behavior is he home of Emilia and her family. Emilia is tired form cleaning, cooking and watching the kids all day without adult interaction. The maintaining consequences for this behavior is that once she has an outburst, the children leave her alone and Emilia is able to resume her conversation with her husband. Based on this information and the data collected, Emilia appears to be trying to avoid the interruption from her children. She yells so she can escape their interruption. The behavior is negatively reinforced because after yells the children leave her alone so she is getting what she wants by yelling. The need to escape from the interruption is the function of the behavior. There is enough evidence to develop a hypothesis statement. One could conclude this as a hypothesis statement: In an effort to maintain adult

The community conversations were successful in reaching a broad spectrum of individuals including those with extensive diabetes knowledge to those with little to no experience or previous knowledge of the disease process. Each session was started with an open-ended question by the Health Talker that allowed them to evaluate the base of knowledge of each group as well as encourage active participation in the direction of information. A strong correlation in the effectiveness of the program may be attributed to the fact that the Health Talkers themselves represented people of a similar community, with similar outlooks and values, making them trustworthier due to prior relationships. In the African American community there has been noted to be a higher distrust of health care providers to which one of the Health Talkers emphasized “ . . . the need for patients to develop a proactive stance toward their own care, actively seeking doctors with whom they can form good relationships and approaching medical visits prepared with lists of questions” (Cadzow, 2014). At the conclusion of the program study, results showed that the Health Talkers successfully increased the knowledge of prevention and self-care management of diabetes throughout the community, the subjects with the greatest benefit were adolescents and the elderly. Adolescents who had family members affected by diabetes

In order to create change healthcare providers must work together to educate their communities. According to a study found that Type 2 Diabetes is the highest among all Hispanic/Latino groups in which 16.9 percent for both men and ladies, contrasted with 10.2 percent for non-Hispanic whites. It is evident communities are not being educated on preventing Type 2 Diabetes and their risks (American Diabetes Association, 2014). The purpose of this paper is to discuss the summary of the teaching plan, epidemiological rationale for topic, evaluation of teaching experience, community response to teaching, areas of strengths and areas of improvement.