Ada Delpino
African Americans
Black–White Disparities in Disability among Older Americans: Further Untangling the Role of Race and Socioeconomic Status
INTRODUCTION:
Fuller-Thomson, E., Nuru-Jeter, A., Minkler, M., & Guralnik, J. M. (2009). Black--White Disparities in Disability among Older Americans: Further Untangling the Role of Race and Socioeconomic Status. Journal of Aging and Health, 21(5), 677-698. The purpose of this article is to provide insight on how the socioeconomic differences for Whites and Blacks increase the risk of disability for Black men and women aged 55 to 74. Showing that income and education play a definitive role in disability for Blacks of both genders, regarding functional limitations and activities of daily living.
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Which allowed for them to get more data that was associated with Black–White differences in the rates for functional limitations and ADL limitations. They were also able to make many subcategories that allowed for data on other levels that might also contribute to the disability rates. The sample size for the survey was able to explain that the disability rates were so varied based more on education and poverty level rather than sex and race, even though both were factors. The weaknesses and the limitations of this article out way the strengths in my opinion. The article states many limitations that they have for their own survey: “Our study had several important limitations. First, the data were cross-sectional, preventing us from assessing causality and from using a life-course perspective which has proven useful for elucidating the onset of disability. Second, our measures of disability did not distinguish between onset and progression of functional and ADL limitations. Third, only self-reports of functional and ADL limitations were available, which could have resulted in some under-or overreporting, underscoring the need to supplement this study with others that include objective assessments. Fourth, we were unable to control for such behavioral risk factors as smoking and drinking behavior which were not available in this data set. However, earlier researchers have demonstrated a strong association between functional limitations and SES even when these behavioral factors were controlled. We also were unable to control for comorbidities such as obesity or health insurance status, which, as stated above, may play a role in explaining the SES/disability relationship. Fifth, our study’s reliance solely on income rather than household wealth constitutes another limitation, particularly in studies of older people, for whom wealth measures (e.g., equity in a house) often hold particular
An article in Psychology Today explains that currently minorities become ill at younger ages, suffer from more severe illnesses and die earlier than Whites (Lyubansky, 2013). Currently, minorities of low socioeconomic status (SES) suffer from more health discrepancies than any other race in the United States. Research has shown that these health disparities against all minorities have begun to implicate all medical professionals including speech pathologists.
There are many factors that contribute to the current health status of Black Americans, but “Poverty may be the most profound and pervasive determinant of health status” (Edelman & Mandle, 2010, p. 39). Health care is expensive and can only be purchased by those who can afford to pay, so those below the poverty level are those who lack insurance. Without insurance their access to healthcare is limited, especially preventative care. No preventative care means more expensive care that comes with illness.
. Addressing health inequalities and health care is not only important from the point of view of social justice, but also to improving the health of all Americans by improving the quality of care and health of their children. People. Moreover, the difference in health is expensive. An analysis estimates that about 30% of total direct medical expenses for blacks, Hispanics and Asians are excessive costs due to inequalities in health. The difference also leads to economic losses due to indirect costs related to loss of productivity and premature mortality. (Artiga,
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.
According to Heller and Factor (as cited in Wood & Jackson, 2003) the number of “older adults age 60 and older who are diagnosed with mental retardation or developmental disabilities is expected to reach 1,065,000 by 2030.” In fact, “in the last 30 years, the life expectancy of people with intellectual disability has increased more dramatically than that of the general population” (Bigby, 2010). Doka and Lavin (2003) report that advances in medical care and a shift to deinstitutionalization have contributed to this increase in life expectancy for developmentally disabled adults. Increasingly, federal policy has linked addressing the housing needs of older adults with those of low-income and non-elderly disabled individuals, according to
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 socioeconomic status of African-Americans also plays an important part in the health disparity present in this minority group. According to the 2010 U.S. Census Bureau, the largest state population of African-Americans is seen in New York at 3.3 million. In 2000, it was estimated that 88% of the United States African-American population lived in Metropolitan areas. A 2007 article in California Law Review entitled Fast Food: Oppression through Poor Nutrition, very plainly points out that the location of most
If everyone in the United States is treated equal, then why are Americans facing health disparities regarding to race? Race has always been an issue in this country. When it comes to the healthcare system, not all Americans receive the same outcomes or came services as others. Most Americans due to race receives unfair healthcare treatment because they’re not getting appropriate medical attention, they’re more likely to do die based on their illness, and if they’re uninsured they can’t receive any medical attention. This argument is going to be based on Americans who face these health disparities in the U.S regarding to mental health disorders, breast cancer, and the people who are uninsured.
13.2% of the United States population identifies themselves as Black as African Americans, and of those over 16% had an mental illness that was diagnosable. The socio economic impact of a history of slavery, sharecropping and race-based exclusion from health, racism, spiritual beliefs, social and economic resources, education and other factors are key factors that contribute to African American disparities today. Many of these things are linked to mental health. According to the US department of health, African Americans are 20% more likely to report having serious psychological distress than in non-Hispanic whites (. Despite knowing this, African Americans are less likely to seek mental health services than white Americans.
Health disparities among African-Americans is a continuing problem that has been seen over many years. African-Americans have higher poverty rates, have lower rates of insurance coverage, and are more likely to be covered by Medicaid, than the White population (Copeland, 2005). This lack of insurance has led many of these individuals, to not seek treatment for illness, due to problem accessing health care (Kennedy, 2013). This leaves African-Americans with little to no treatment, which causes an increase of medical care that will be needed further on in their life or a sooner than expected death, caused by illness (Copeland, 2005).
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).
Over the past few decades, there have been a series of African Americans killed by law enforcement officers. Trayvon Martin, Mike Brown, John Crawford III, Eric Garner and countless others. The aftermath: the officers who murdered the unarmed men have either been acquitted or there was no indictment. What happened in Ferguson is years, if not decades in the making. African Americans are simply tired of having to bury friends and family and discovering the officers, meant to protect the law and serve the people, are killing black lives and are almost always found not guilty.
This journal evaluates the epidemiology of sexually transmitted diseases disparities of African-American in the united states in comparison to white communities. This study focuses on disparities for African American because of the massive diseases of bacterial sexually transmitted diseases such as gonorrhea, chlamydia, and syphilis that the African American communities face. Most of the US population is either white or African American. This journal focuses on African American communities instead of African Americans because of the many diversities in the US African American population. Studies took from the Northeast, South, West and Midwest
The disability community is the largest minority group in the country. It includes people of
As the life expectancy in the United States rises, the number of elderly in the population has also expanded. These increases have led to the oldest-old (people aged 90 and older) to become the fastest growing age group in the country. The oldest-old face many unique challenges because of their age, one of which is disability. Disability in the elderly has major impact upon society 1 and will continue will be a growing burden in years to come.