Health disparities in the American Indian Elderly Population by Anabel Rotger
The aim of this paper is to gain information and knowledge about health disparities. The objectives are to understand what is a disparity, to determine if in fact there are health disparities, to learn who are the target of disparities, to recognize how does a disparity affect the target, and most importantly to assess how can a disparity be eliminated. In addition, this paper will narrow its research to a specific minority: The American Indian elderly population.
For this paper and hereinafter 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 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.”(healthypeople.gov). This definition is from Healthy People 2020, the guide for the Nation’s health promotion.
Some of the background information and demographics related to the American Indian elderly population was extracted from different sources. According to an article from the American Indian Culture and Research Journal, the American Indian Tribal nations and
This is reflected by the huge gap in the health between indigenous and non-indigenous people. For example the life expectancy for indigenous people is 17 years lower than the non-indigenous people and for age groups below 65 years the death rates are double in these populations compared to non-indigenous people.
With this increased research and effort, Americans would be able to intervene and make positive impacts with the state, tribal, and local levels to best address health disparities and inequalities. In efforts to thwart ethnic and minority disparities, The Department of Health and Human Services (HHS) passed the HHS Disparities Action Plan in order to establish “a nation free of disparities in health and health care, (Cooper 97)” and to implement a series of priorities, strategies, actions, and goals to achieve this vision. States, local communities, private organizations, and providers have additionally engaged in efforts to reduce health disparities. With the HHS Disparities Action Plan, the Department continuously assess policies and programs on racial and ethnic health disparities, watching to see which policies make an impact on the level of health care received by minorities. Similarly, The Affordable Care Act (ACA) health coverage expansions significantly increase coverage options for low and moderate income populations and particularly benefit the “vulnerable populations.” The ACA also includes provisions to strengthen the safety-net delivery system, improve
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.
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.
Health disparities endure tenacious issues in the United States of America, setting certain groups at higher risk of being uninsured, limited access to care, facing a poorer quality of care, and overall negative health outcomes. The high incidence of health disparities reflects the range of individual, social, economic, racial/ethnic and environmental magnitudes. Among the minority groups, African-Americans disproportionately access health care and the health disparities clearly glow in the nationwide.
The disparities are around us every day and unless we educate ourselves and our communities these disparities will continue to wreak havoc on our neighborhoods and in the future, we will just be putting our kids and their kids in a continuing cycle of ignorance when we could have done more if it’s just educating the community we leave in, that alone could be enough to turn the tides in our people favor. In turn, I would hope this paper enlighten you on what is going on in our neighborhood and what we can do to correct this issue to preserve our autonomy. Racial and ethnic health disparities undermine what a healthcare system should stand for. Although the top three causes and seven of the 10 leading causes of death are the same for African Americans and whites, the risk factors and incidence, morbidity, and mortality rates for these diseases and injuries often are greater among blacks than whites (MMWR, 2005). Health disparities refer to differences in disease risks, incidence, morbidity, and mortality but most of all for the sake of this paper unequal access to quality health insurance amongst African American in the United States, which will also go hand and hand with the social and economic disadvantages. The disadvantages of health disparities usually affect people of African American descent who have systemically experienced a greater social and economic obstacle to health care.
Often the term “disparities” is related to a specific racial or ethnic group of people, many variations of disparities exist in America, mainly in regards to health. If any outcome from health disparities can be ascertained is populations and regions in America.
Health disparities are present in our health care system. Whether it be racial, educational, or environmental, these disparities exist and are detrimental to health care outcomes. While there have been recent advancements in how to eliminate or reduce these disparities, there is still a major inequity in health care for all individuals.
A variety of challenges including personal, social, economic, and environmental factors can determine the health of an individual as well as its community. Others determinants of health include genetics, access to medical care, and socioeconomic measures such as education and poverty. Any interference among these factors can often lead to health disparities, which are health gaps that exist between different communities and populations. Health disparities can affect communities based on gender, age, race, social status, economic status, or special care needs. Therefore to understand which factors affect the health of a community, it is necessary to examine the social and economic conditions in which people live in, as well as the rates of diseases
The surveillance wherein a specific constituent of the society receives an inferior quality of health care or health outcome in comparison with the less at risk segment is the underpinning of health disparities exploration. The meanings of health disparities are not at all times consistent and the carefully chosen comparison sets habitually do not echo a presumptive understanding. Therefore, what do we understand by the term health disparities? In brief, health disparities refers to those pragmatic statistically and clinically substantial variances in health outcomes or health care use amongst communally distinct vulnerable and less vulnerable populaces that are not elucidated by the effects of selection bias (Kilbourne, Switzer, et al., 2006). These perceived dissimilarities in health
People often interpret the word disparities as only having to do with race or ethnicity, however the term goes beyond that and includes sex, sexual identity, age, disability, socioeconomic status, and geographic location (“U.S. Department of Health,” 2011). The goal of Healthy People has changed over the decades, at first it was to reduce health disparities, then it was to eliminate disparities, and now for 2020 it is to achieve health equality, eliminate disparities, and improve the health of all groups of people (“U.S. Department of Health,” 2011).
While there is no clear definition of what health disparities are, Healthy People 2020 defines them as “differences that occur by gender, race or ethnicity, education or income, disability, geographic location, or sexual orientation” (Adler, 2008). Health disparities are not determined by solely biological differences, but rather more attributed to the environment surrounding a person. The public health industry is so concerned about racial health disparities that stem from the social environment
Health disparities are the inequalities that appear in the arrangement of healthcare and approaches to healthcare across different racial, ethnic, sexual orientation and socioeconomic group.
I will be researching and writing about American Indian health issues. When I was searching for a topic, I came across a fact sheet about the mental health and population of American Indians. And I found out that there are about 1.5% American Indians in the United States.2 I did not know that there were so many issues in their society. I would like to focus on why they are having so many health issues, what are the major issues occurring, and who is helping them get rid of these issues.
Health inequalities are preventable and unjust differences in health status experienced by certain population groups. People in lower socio-economic groups are more likely to experience health inequalities than people in higher socio-economic classes. Health inequalities are not only found between people of different