Health Disparities Among the Poor

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

I assume that in today’s world, there is a lot of information and scholarly research available that shows factors such as economic status, income, social situations, education, ethnicity, employment, availability of affordable housing and geographical (place where one was born and lives) conditions have a tremendous impact on the health and well-being of individuals, countries and communities (Amaro, 2014). Inequalities in health and well-being are created by social determinants and economic conditions for many in our community (Brannigan &Boss). The people that are affected the most are people with low income and minority groups here in the United States. This creates health disparities and unequal care (Brannigan &Boss). In many developing and under-developed countries, the situation is dire: lack of modern health services, illiteracy, poor economic conditions has created a cultural situation of desperation and unhealthy behaviors. Corruption by African governments is rampant. To improve the health and wellbeing of communities, we need to start thinking of how we can create a culture of health.

In today’s society, there are many different factors that can contribute to one’s overall health and well-being. Since there are so many different factors that can affect one’s health, there are inequalities that exist among people and this is knows as health disparity. "Health disparities are differences in the incidence, prevalence, mortality, and burden of diseases and other adverse health conditions that exist among specific population groups in the United States” (Nhlbi.nih.gov, 2015). Health disparities can be associated with factors such as: socioeconomic status, education, gender, race, ethnicity, age, mental health, and religion. There are certain health problems that can affect different groups more than others, such as diabetes, obesity, heart disease, and HIV/AIDS (Surgeongeneral.gov, 2015). One example of a specific population in the United States that is affected by health disparities is the African American Population. While African Americans are affected by various health disparities, one that affects this population more prominently is heart disease.

Having a low income can lead to poor to health, because you won’t have access or opportunities for better health, such as safe homes, nutritious foods and good schools. “Income may not be the strongest risk factor for any particular disease or outcome, but it’s a risk factor for all of them.” (Krisberg, 2017)

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.

Some researchers in the field of public health analysis have increasingly focused on how social determinants of health influence health outcomes and disparities (Clarke, C. E., Niederdeppe, J., & Lundell, H. C., 2012). They have also explored strategies for raising public awareness and mobilizing support for policies to address social determinants of health, with particular attention to narrative and image-based information Clarke, C. E., Niederdeppe, J., & Lundell, H. C., 2012). The relationship between the social determinants of health and health disparities has been well researched. In developing policies or programs to reduce and, ultimately, prevent health disparities, upstream contributing factors, known as the social determinants of health, must be taken into consideration when addressing such issues (Dubiel, H., Shupe, A., & Tolliver, R., 2010). Progress toward reducing health disparities will involve support for community-based strategies, enhanced the understanding of SDH, and increased diversity of the health-care workforce. The coordinated efforts to address disparities take into account strategies and actions that build on community infrastructure and an increasingly diverse and culturally competent workforce (Jackson, C. S., & Gracia, J. N., 2014). These efforts will need to overcome low public awareness and concern about social determinants of health; few organized campaigns; and limited descriptions of existing message content. The established relationships

Healthy communities depend on the promotion of collaboration between health care providers, equitable utilization of health care resources and access to care for disease prevention. The Affordable Care Act (ACA) has increased access to insurance, but has not necessarily contributed to increased access to care (Lane et al., 2012). Limited access to health care and insurance, along with socioeconomic status, ethnicity, race, gender, sexual identity, and age contribute to health care disparities in the United States ("Disparities," 2014). The Appalachian Region has many factors that increase the risk of health disparities among this population, including poverty, unemployment, limited access to care,

According to the Centers for Disease Control (CDC), “health equity is achieved when every person has the opportunity to attain his or her full health potential and no one is disadvantaged from achieving this potential because of social position or other socially determined circumstances” (U.S. Department of Health and Human Services, 2015). Satcher (2010) reports that health inequities are “systematic, avoidable, and unjust” disparities (p. 6). He also states that the World Health Organization (WHO) concluded that social conditions are the most important determinant of a person’s health. Social conditions “determine access to health services and influence lifestyle choices” (Satcher, 2010, p. 6). These determinants must be addressed in order to reduce health inequity. Inequity can be

Although the overall health of the United States population has improved, large disparities in terms of health outcome and access to healthcare exist between wealthier Americans and their “poorer counterparts primarily because of differences in education, behavior, and environment.” (Longest, 2015, p8). Access to health care and other services is associated with wealth, employment, education and power. Higher education, which translates to higher income, allows people to buy healthier food, live in safer, cleaner neighborhood and access the best healthcare possible. Power on the other hand permits people to secure health for themselves and their families, while others without power have limited or no access to the resources they need to be

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 research on health disparities across the United States is still relatively new. For many within the medical field there are still many who focus on issues of disparities without addressing the structural issues at the base of those disparities. When it comes to interventions to address these disparities and inequalities, research is focused on the role of medical professionals with little research on community engagement and empowerment.

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.

It is no coincidence that it is called poor health. What I mean is that the people who have it hardest in this country, those with the lowest incomes, have the worst health. It could just as easily be called minority health, rather than poor health, because the majority of the people living in poverty are racial or ethnic minorities. Many racial minorities in the US suffer from poor health, but not because they have worse genetics, rather from worse educational opportunities. This is a problem of all those in poverty, but since a disproportionate amount of those in poverty are minorities; I am focusing my paper on how to alleviate the educational disparities within the minority population. Studies have shown that education is the ticket

Racial and ethnic health disparities have been a topic on the rise as of late. According to Flores (2010), little attention has been shown to ethic and racial health disparities in children. For example, only 5 of 103 studies in the Institute of Medicine's extensive review any findings, studies, or literature address health disparities of racial or ethnic issues dealing with children (Flores, 2010). These disparities are and persistent, and happen across the many categories of health and health care. The objective of this study was to review as many off the published literatures on these racial and ethnic health disparities.

The socioeconomic status determines who they are as a person, a community or a population. This writer believes that the Hispanics health status and their socioeconomic status go hand in hand. If they are unable to obtain stable high paying jobs, then they are unable to provide for their families or obtain good medical care for themselves. How do we as healthcare workers incorporate health promotion within the Hispanic community?