Health Promotion Among Black or African American Population
[Your Name]
Grand Canyon University: Family-Centered Health Promotion(NRS-429V)
January 10, 2016
Health Promotion Among Black or African American Population
The Center for Disease Control and Prevention [CDC]
(2015) notes that “Starting in 1997, the Office of Management and Budget (OMB) requires federal agencies to use a minimum of five race categories: White, Black or African American, American Indian or Alaska Native, Asian, and Native Hawaiian or other Pacific Islander.” Each minority group differs in health status and disparities and health promotion. In this paper the writer will focus on a specific minority group, the Black or African Americans, and will
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After studying and analyzing the Black or African American population the writer came to a decision of an approach for health promotion and prevention of disease i.e., Health wellness promotion fairs at local High Schools and Churches. Communication is the key to health education of promotion of health and prevention of disease. Due to a high rate of illiteracy with completion of High school being the highest education level and unawareness of basic education on disease causes, prevention and treatment, the writer sought out to deliver this approach by applying the primary prevention method and educate the community on risk factor reduction which is the core culprit of health disparities e.g., smoking cessation, vaccination, sanitation and clean environment and safe sexual practices at an location where this minority community can be reached. The African American Registry notes that “The Black Church has historically been a source of hope and strength for the African American community”. Church on Sunday is practiced widely among the African American population due to it’s significant role in the Black history. Secondary and Tertiary levels of prevention can be taught to the community by health wellness promotion fairs on Sundays at the church by targeting the older community who have been showing pre-clinical pathological changes but are unaware of their meaning and relation to health, causing them to miss
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.
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
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
Health Care reform is a major topic of discussion in today’s society, especially with the relatively novel release of the Patient Protection and Affordable Care Act (ACA) by the Obama administration. Historically, the health care system has disproportionally favored those of higher class and income, resulting in diminished health care for those that could not afford it. The Institute of Medicine’s (IOM) 2002 report, Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, states that a lack of insurance substantially contributes to the proliferation of healthcare disparities. Furthermore, racial and ethnic minorities are most subject to these healthcare disparities because they are significantly more likely to be uninsured. (1) The history of health care reform in the United States, as it pertains to under-insured urban populations, will be discussed, with a specific emphasis on its impact on African-Americans; in addition, the modern resolutions to healthcare disparities will be assessed.
Hispanics are the largest and fastest growing ethnic minority group, estimated to be 54 million living in the United States of America. (Office of Minority Health and Health Equity). They work very hard to make both ends meet and also to stay in good health. They are relatively as a source of cheap labor in the American labor market This paper will dwell more on the Hispanic current Health status, how health promotion is described by the group and what health disparities exists for this group.
The United States is a melting pot of cultural diversity. For a country that was founded by individuals fleeing persecution, it has taken us many years to grant African-Americans equal rights, and even longer for those rights to be recognized. Despite all the effort to eliminate inequality in this country, health disparity among this minority group remains a significant issue. Research in this area has pointed to several key reasons for this gap that center on differences in culture, socioeconomics, and lack of health literacy.
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 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.
The purpose of this paper is to exemplify the healthcare crisis of African Americans within the broader context of American healthcare reform. In order for one to appreciate the depth of necessity for healthcare reform in the African American community, he or she must have a general understanding of the history of healthcare for African Americans. As stated by the institute of medicine in a study assessing the health and mental health disparities of African Americans, “The sources of these disparities are complex, are rooted in historic and contemporary inequities, and involve many participants at several levels, including health systems, their administrative and bureaucratic processes, utilization managers, healthcare professionals, and
Diversity within the United States has been growing progressively within the past century. About 36 percent of the U.S. population is a part of a minority group, according to the 2010 U.S. Census (CDC, 2017). According to the U.S. Census, a “majority-minority” country is projected by the middle of 21st century, resulting in the white population becoming less than 50% of the population (Elchoufani, 2018). Overall, the life expectancy and child mortality in the U.S. has bettered; however, the minority undergo unequal distribution of illness, disease, disability, and death in comparison to non-minority (CDC, 2017). According to the U.S. Department of Health and Human Services (HHS), even with all the attempts help diminish health care disparities for minorities, the minorities continue to face these unequal disparities (BLH, 2015).
Many people are unaware of their health status further increasing transmission of disease in young adult African American(AA) women age 18-24. Human Immunodeficiency Viruses (HIV) infects and also destroy blood cells (i.e. lymphocytes) that the body need to fight off infection (Mays 2011). African American women HIV positive, age 18-24 the magnitude of issue of the health disparity in this particular population will be addressed along with the many factors of social and health determinants. The health concern is towards the increase of transmission among young AA mothers and their children who are the health outcomes in many ways than one. The many social and health determinants that affect the women today are on going cycles that have yet to be broken. African American women make 64% of new infection cases for HIV. African american obtain a vulnerability unlike other minorities. The health population’s culture and stigma has played an important role in the community. The concern for AA women is the increase of new cases and most importantly the spread of the disease to these women’s children. The mortality rate of AA women with HIV is 47.1% as of 2012. (Siddiqi 2015)
Health promotion is defined by the World Health Organization (WHO) as the process which helps people take control over the determining factors of their health which in turn will help to improve their health. With multiple determining factors of health, health promotion means working between the community and health care professionals to effectively educating the Hispanics (Journal of Cultural Diversity, 2012). “Health promotion is carried out by and with people, not on or to people” (Journal of Cultural Diversity, 2012). We as educators must have respect and not discriminate against the Hispanic population but work with them to teach them how to live healthier lives. Healthy People 2020 states that it is their dream to have a culture where all people live long, healthy lives. Health promotion means addressing the health disparities of the Hispanics so they can experience positive health
The United States is a melting pot of ethnicity, in which, the healthcare system and its benefits vary widely. Those who are able to obtain primary care insurance via a full time employer, typically have the benefits of full coverage care. However, for many minority groups, full time work alone is hard to acquire, along with the health benefits full time employment provides. Culturally competent care among the diverse populations helps increase health promotion and gain a cultural perspective. One of these mentioned groups is the Hispanic population which is steadily increasing within the United States.
One issue with underserved populations is an increase in health disparities, not only race and ethnicity, but also gender and age. The Centers of Disease Control and Prevention (2014) list a number of key findings from a report on underserved populations and health care. Mortality rates from certain diseases and different types of death were higher in different racial groups than Caucasians (Centers for Disease Control and Prevention, 2014). Morbidity of asthma, oral disease, tuberculosis, obesity, and diabetes were also higher in minority groups (Centers for Disease Control and Prevention, 2014). Preventive screening for the over-50 population was just over 60%