Rural Women And Cardiovascular Disease Essay

Among minorities such as Asians, Hispanics, Indians, Native Americans, and Middle Easterners, the African American race has been affected tremendously by the health disparities in the United States. Currently, African Americans have significantly higher mortality rates from cardiovascular and cerebrovascular disease, cancer, diabetes, HIV, unintentional injuries, pregnancy, sudden infant death syndrome, and homicide than do whites Americans (Fiscella & Williams, 2004). While African Americans may lead in these categories, other minorities are not far behind in experiencing health disparities.

Heart disease is the leading cause of death among women in the United States. It is estimated that one in four women die from heart disease every year. Women are at a higher risk for heart disease than men because of a lack of knowledge and information. Women often feel the need to care for others before themselves and neglect their own health needs. As mothers, and sisters, and daughters it is important to protect our health for those that depend on us. Heart disease is preventable through knowledge and awareness and taking precautionary steps.

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.

The purpose of this paper is to provide insight on health disparities seen within DeKalb County. The residents of DeKalb County are diverse in race, ethnicity, and income. Since the county is so diverse there are many health disparities seen amongst its residents. Health disparities occur within a county when one group of a population has noticeably better or worse health than another group within the same population. These groups of people can differ by income, education, sex, race, location, and even sexual orientation. This Paper will discuss the health disparities that exist within DeKalb County, and explain why these disparities exist from a historical, political and social aspect. Furthermore, this paper will give background information on health outcomes from national, state, and local epidemiological perspective in order to support the claims that disparities actually exist within this county.

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

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

People in underserved areas of the United States have higher rates of chronic disease than people in urban areas. They also have higher rates of certain types of cancer, from exposure to chemicals used in farming. A lot of rural patients who work as farmers or contractors or in family-owned businesses don’t have health insurance. Unemployment is also higher in less populated regions than in large cities.

As populations around the world continue to grow, it becomes more evident that health services provided worldwide are not growing at the same rate and instead will continue to put further strain on existing health disparities, and create new ones. In the United States alone, access to healthcare is a crucial topic of discussion principally as the American government continues to create initiatives and legislation such as the 2010 Affordable Care Act. Although, the United States has come a long way to legally create access to care to all its citizens, there is a disparity in the number of individuals that in actuality receive healthcare due to the geography of cities and the nation.

The difference in health outcomes and the determinants between parts of a population caused by social, demographic, environmental and geographic characteristics is defined as health disparities (Dore & Eisenhardt,2015). Societal, economic, and political forces impact social determinants. (Dore & Eisenhardt, 2015) have indicated that health inequities are avoidable and preventable when appropriate actions are taken to lower the risk of illness.

According to Todd Mackenzie PhD, Amy E. Wallace MD, MPH, William B. Weeks MD, MBA in their article “Impact of Rural Residence on Survival of Male Veterans Affairs Patients After Age 65” one in five veterans lives in a rural or highly rural community because of this they face many challenges when it comes to receiving adequate healthcare. The challenges faced by many rural veterans in receiving the medical attention that they need may in fact contribute to higher death rates among rural veterans. In the research done by Todd A. Mackenzie, PHD along with his colleagues Amy E. Wallace, MD and William B. Weeks, MD, they ascertained that of the 372,463 male veterans age 65 or more 80, 931 lived in rural settings. Age adjusted mortality was 5.9% higher in rural residence than urban after adjusting for age, education and zip-code median income, whereas rural

The United States is plagued with stark health disparities across its communities (Institute of Medicine, 2013). Defined as the “variation in rates of disease occurrence and disabilities between socioeconomic and/or geographically defined population groups,” disparities describe the inequality of access to basic health services in America (HSRIC, 2016). Over the past decade, health reform has attempted to address this issue of health inequality by strategizing to insure more people and provide increased access to care.

In the United States, nearly one in three women ages 18-64 live at or below the 200% poverty level. Poverty level is based on an annual earnings of a household and how many people reside within the home. A 200% poverty level for a single woman is currently set at $23,760 per year. According to the Kaiser Women’s Health Survey from 2013, 15% of women categorize their health as fair or poor and about 43% have health conditions that require monitoring and treatment. (16). Since the passing of the Affordable Care Act in 2010, there have been great efforts to improve quality of health care among patients, providers and coordinators. The rate of uninsured Americans fell from 18 million in 2014 to

“Health disparity: A higher burden of illness, injury, disability, or mortality experienced by one population group relative to another group” ("Disparities in Health," 2012, para. 7). There are many factors which contribute to the disparities in health among certain groups here in the United States. The low income populations seem to be at the greatest risk when it comes to health inequality. Whether this is due to lack of education, access to services, or even neighborhood safety, the divide between the higher income populations and that of lower income populations are growing at an alarming

National health policy is a complex and interdependent issue regarding a multitude of components including structural determinants of good health, lifestyle determinants, and socializing and empowering determinants. Structural determinants of good health can be considered key parts of our society regarding economic, political, and social areas that our culture has established (Estes, Chapman, Dodd, Hollister, Harrington, 2013). Our country has major inequalities regarding socioeconomic status and health care access, this in turn contributes to a disparity among our population and further promotes inequalities. Higher social classes have better access to health care as compared to people of lower socioeconomic status, thus further dividing

The main social problem is the higher prevalence of heart disease among the poor than the non-poor. This social problem has lead me to the following research question: in the United States, how is poverty associated with the prevalence of heart disease? To answer this question I will define heart disease, why it is an issue needing our attention, and whom it specifically affects. I will then delve into the many social mechanisms that facilitate this trend and show how they all work together to create an environment in which the poor are more likely to deal with heart disease than the non-poor. The mechanisms involved are individual and institutional, meaning that they operate and would have to be addressed at either the individual or institutional level. The individual focused mechanisms include smoking, physical inactivity, obesity, factors from early in life, and mental factors. The institution focused ones include quality of healthcare and lack of access to