“Social justice is a matter of life and death” (WHO, 2008). This was a statement made by the World Health Organization (WHO) in their Commission on the Social Determinants of Health. This statement illustrates the impact that power, privilege, and oppression can have on an individual’s life, and ultimately their health. Health inequity is largely rooted in ageism, classism, sexism, homophobia and racism, this inequity is apparent in the differential outcomes seen across the respective demographics (McGibbon, 2012). Racial health inequity is a systemic and persistent issue in the United States of America; and the disparity in outcome, access and quality of healthcare afforded to White and non-White patients is significant. In America, people of color: have higher rates of non-genetic illnesses, are less likely to have health insurance or a usual source of health care, and show greater mortality rates from cancers that are controllable with early diagnosis and treatment (Russell, 2010). In this essay, I will claim that racial oppression in healthcare and the general society create and perpetuate racial health inequity; whilst also acknowledging the role that intersectionality plays in this issue. Furthermore, I will use tools of philosophy and social psychology to present ways to reduce the disparity in healthcare - focusing on the implicit biases of healthcare providers and stereotype threat experienced by minority patients.
Racial discrimination has been exceptionally
In the field of health care there is a pervasive notion that many blacks are presumed to be low income. It is interesting to see how blackness is associated with low income and class. For example, questions regarding where black patients reside and what their current occupation is can be directly linked to racial profiling in health care. The author contends black patients are more likely to receive a lower quality of health care due to one’s insurance status and income. Here, too, one can maintain that race is deeply interwoven into the construct of class and accessibility (Smedly 2012). As a result, class serves a higher purpose of being granted access to the accessibility of better medical resources and standard of care. Conversely, the construct of class not only gives and takes away in its relation to recieving appropriate resources in
In this paper, I will argue that the healthcare system has responsibility in taking care of the racism that is apparent in this system. First and foremost, the word “racism” must be defined in order to prevent confusion on the line of reasoning in this argument. According to Camara Jones’s framework that was developed to highlight how racism can lead to health disparities, there are two levels of racism that will be looked at: institutionalized racism and personally-mediated racism. Institutionalized racism, defined as “differential access to goods, services, and opportunities by race, includes differential access to health insurance”. What is significant to note is that institutional racism does not require personal bias commonly associated
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.
When attempting to understand health care disparity, one must first also understand race. As race applies to health care inequity, Williams and Sternthal (2010) suggested that race is not purely biological but also a social classification system created by the hegemonic class. As such, favorable traits are those attributable to whites, thus creating an atmosphere predisposed to prejudices. In a health care setting where providers rely on swift judgment and scientific data to arrive at decisions, culturally ingrained norms are bound to influence attitudes
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 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
Despite vast advancements in healthcare African-American men lack appropriate necessities when it comes to health care. Continuous efforts to bridge the gap among African American men with prostate cancer still remains high in the United States. Evidence shows how disproportionate this ethnic population leads in both incidence and mortality rate concerning social determinants of health, as well as health disparities. Major key factors that contribute to this health disparity among African Americans men are low socioeconomic status (SES) and being medically offered inadequate services. According to Richardson et al. (2004), "Prostate cancer (PCa) is most common and the second leading cause of cancer death among American men." However, prostate cancer incidence and mortality rates are higher in African-American men, as compared to other race. One of the main barriers hindering the care of this ethnic population is the lack of knowledge. As an Advanced Nurse Practitioners, it is crucial to identify areas in SDoH and health disparities that affect African American men health. False perceptions, misunderstanding and improper information must be replaced with factual information, and communicated accurately (Richardson et al. 2004).
African Americans are twice as likely to die of an illness such as cancer and heart disease as well as, less likely to have health access compared to any other race. African Americans are yet subject to racial discrimination and stereotypes in the health care, that leads them without the correct health screenings and treatments. The root of these racial disparities connects with the intersectionality of race, class, gender and education.
One of the major obstacles for researchers in the field of Health Psychology and Aging is understanding the role of health disparities across different populations. Health disparities can be understood in terms of differences in some facet of health and well-being across different groups of people. The issue of health disparities across different populations is one that must be understood not only in the context of genetic and biological factors, but also in the context of a broader sociocultural perspective. The influence of health disparities are implied in the context of aging, but are discussed across the entire lifespan. The existence of health disparities in later life is often a product of a lifelong experience and life-course trajectory. This essay will address some of the major
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
In recent discussions of health care disparities, a controversial issue has been whether racism is the cause of health care disparities or not. On one hand, some argue that racism is a serious problem in the health care system. From this perspective, the Institute of Medicine (IOM) states that there is a big gap between the health care quality received by minorities, and the quality of health care received by non-minorities, and the reason is due to racism. On the other hand, however, others argue that health care disparities are not due to racism. In the words of Sally Satel, one of this view’s main proponents, “White and black patients, on average don’t even visit the same population of
This paper focuses disparities and if racism has any influence on treatments given by healthcare providers. The results of the study showed that of the 37 cases tested, 26 of them showed slightly significant evidence of racist beliefs. One of the more confusing aspects of this paper was that I didn’t understand how the researchers measured racism. I felt that measuring racism was an almost daunting task as there is an element of human subjectivism. Furthermore, a better are of study would have been to analyze the geographic influence on disparities. Similar to what we learned in class, disparities often occur because people of a particular region do not have direct access to healthcare. Overall, I felt that this paper had numerous statistics about how and why racism plays a role in disparities, but the results were rather ambiguous in my eyes.
These terms are relevant for improving the health of all Americans by achieving improvements in overall quality of care and population health. Moreover, health disparities are costly, resulting in added health care costs, lost work productivity, and premature death (Kaiser Family Foundation, 2012). According to a recent analysis 30 percent of direct medical costs for Blacks, Hispanics, and Asian Americans are excess costs due to health inequities) and that, overall, the economy loses an estimated $309 billion per year due to the direct and indirect costs of
In a study done by Praphul et al. (2012) health disparities collaborative were implemented in three federally qualified health centers in Louisiana in order to improve the delivery of quality care and improve the outcomes of patients diagnosed with diabetes and heart failure. A qualitative study was conducted with interviews done with the chief operating officer, lead physician, and nurse coordinator. Data was analyzed by interpretative coding. The study was limited by staff turnover, learning curves of employees, remote location of facilities, lower economic status meant limited ability for follow-up visits. Despite these limitations the study concluded that in order to use a collaborative approach in order to improve patient outcomes several