According to the assigned article, "Health Disparity and Structural Violence: How Fear Undermines Health Among Immigrants at Risk for Diabetes," narratives tell the story of the interconnectedness between fear and health. Thematically, the issue of fear is a dominant feature that affects how an individual approaches day-to-day living and health. Explain the relationship between fear and health identified by the researchers in the article. Do you agree that structural violence perpetuates health disparity?
The article Health Disparity and Structural Violence: How Fear Undermines Health Among Immigrants at Risk for Diabetes was extremely informative. The article identified “three dimensions of fear including (a) Cost; (b) Language,
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39). Limited English proficiency lead to financial burdens, and increased their suspicion of being “discovered” when collections agencies attempted debt recovery, leading to further mistrust in the health care profession.
In modern medicine, alternative therapies are poorly understood and studied. The preference for alternative therapies, and herbal medicine were indicated, and the fear of relinquishing information regarding these practices were almost paralyzing. It seemed as though they were ashamed to admit to cultural healing practices, and did not divulge information to practitioners regarding their usage. The cultural disconnect was present as alternative/complimentary medicines are valued as a culture, and “modern” practitioners cast judgment on their usage. This perceived stigma additionally limited the information shared by the cultural participants with modern medical treatments, potentially causing additional harm, as some herbals are potentially toxic.
I do believe that structural violence perpetuates health disparities. I also think that there are services available that are often misunderstood and are underutilized. I feel that with some education, financial assistance through hospitals would be a potential avenue for diminishing the financial impact of seeking care, and
Juana Mora in “Acculturation Is Bad for Our Health: Eat More Nopalitos” argues that the United States offers many job and educational opportunities for Latinos, but acculturation in America negatively impacts their health. Mora offers research and statistics, most of which I find compelling, to explain that these illnesses are primarily due to the immigrants’ new “daily habits and environment changes” (Mora 660). After arriving in America, immigrants often live in crime-ridden, low income neighborhoods, rely on fast food, abuse alcohol and tobacco products, and have fewer safe areas for exercise. Additionally, the stress caused “by learning a new language and culture” and “living in new and sometimes dangerous environments” causes illnesses such as post-traumatic
Their specific motivation, however, can be traced back to two significant gaps in the literature. According to their comprehensive review of the literature, Hamilton et al. found that the place of birth and the arrival cohort for Hispanic immigrants in the US have been largely neglected. "These migrants," they argue, "come from a diverse set of countries and have migrate to the United States under vastly different political, social and economic contexts, which could produce immense birth-country and arrival-cohort health variation among Hispanic immigrants, dimensions of health most previous studies ignore" (473). In addition to setting out to fill the aforementioned gaps, they also clearly present two major hypotheses that they intend on testing in their
The film entitled Unnatural Causes: In Sickness and in Wealth, provided significant information on the status of health within the United States. This film mainly focuses on the health disparities in America, which is defined as “Systematic, plausibly avoidable health differences adversely affecting socially disadvantaged groups (by race/ethnicity, gender, income, (dis)ability, sexuality, age and other categories associated with marginalization)” (Jette, 2016) Though I previously held a good understanding regarding the causes of the various health disparities within America, this film proved to further supports my previous ideas concerning the root causes of the health disparity epidemic. From my prior knowledge and interest in the field of
This research is of importance because in order for individuals to function in society to their fullest capacities, they need to be the right mental and physical health. Immigrants tend to be a vulnerable group due to stigma and marginalization due to their differences with in their host countries. By pinpointing and understanding what social and cultural factors and how these factors affect them, medical measures and interventions can be taken in order to better their health and allow them to further advance their community. Current findings also show that individuals assimilate to Western culture, factors arising from the process and mechanisms of assimilation hurt health outcomes. Research as such can emphasis how medicine needs to be culturally sensitive when dealing with medical attention involving
Diabetes is a prevalent health disparity among the Latino population. Diabetes is listed as the fifth leading cause of death among the Latino population in the website for Center for Disease Control and Prevention, CDC, in 2009. According to McBean, “the 2001 prevalence among Hispanics was significantly higher than among blacks.” (2317) In other words among the Hispanic or Latino community, there is a higher occurrence of diabetes as compared to other racial/ethnic groups such as Blacks and Native Americans. The prevalence of diabetes among Latinos is attributed to the social determinants of health such as low socioeconomic status and level of education. Further, this becomes an important public health issue when it costs the
This paper will center on the vulnerable population of Mexican-American immigrants with chronic type II adult-onset diabetes and how this affects this growing population. The definition, description, steps, and method of epidemiology will facilitate the discussion. Routine data such as demographics, census, birth, death, and surveillance records, and research data such as medical and health records, will bring pertinent information to the study. The Epidemiological Triangle and which type of epidemiology study that was used will be explored. A description of the relationship of the disease levels of prevention will conclude the paper.
Diabetes is a national health problem, and the burden of the disease and its consequences mainly affect Hispanics. While social factors of health models have improved our conceptualization of how certain contexts and environments influence an individual's ability to make healthy choices, a structural violence framework transcends traditional uni-dimensional analysis. Thus, a structural violence approach can reveal dynamics of social practices that operate across multiple dimensions of people's lives in ways that may not immediately appear related to health. Working with a Hispanic immigrant community in Albuquerque, New Mexico, we demonstrate how structural forces simultaneously directly inhibit access to appropriate health care services and
The foundation of the United States was built on migration. Every year new immigrants are coming into the country. Grieco et al. (2010) stated that in 2012 there were 11.7 million immigrants from Mexico living in America. Diabetes among Mexican immigrants have been increasing over the years, and now have the highest risk of getting diabetes (Barcellos, Goldman, & Smith, 2012; O’Brien, Alos, Davey, Bueno, & Whitaker, 2014). In regards to this, one hypothesis for the escalation is that later generations of Mexican immigrants, specifically the second and third generations, due to the exposure and overstressed relationship with assimilating to a new culture (Afable-Munsuz, Mayeda, Pérez-Stable, & Haan, 2013). It was studied by Afable-Munsuz
Using the analogy of a cliff, Jones et al. (2009) illustrates how systems of oppression such as racism, sexism and heterosexism (social determinants of equity), structure inequitable access to care; and poverty (social determinants of health) determines poor health outcomes. For this reason, analysis of institutionalized structures that allow for differences in resource distribution (Jones et al., 2009), and the interconnectedness of these structures is
America is a melting pot of immigrants. First, the pilgrims, the Italians, the Polish came to America for opportunity. More recently, people from the Philippines, Syria, and Mexico have emigrated from their homes for a better future. Latinos are the largest minority in the US-making up more than 13.7% of total population. Type 2 Diabetes and its complications are a major health concern all over the world. Some racial and ethnic populations are more at risk for this disease. Type II Diabetes is well known as one of the most preventable diseases in modern times. The focus of this research paper is to determine why Latinx children are at an increased risk for Type II diabetes, compared to their peers. In order to understand the complexity of
Immigrants plays a major role in the growth of the population of the United States, (US) and it is estimated that about 82% 0f the population increase between 2005 and 2050 will be attributed to immigrants and their offspring (Passel & Cohn, 2008, as cited in Turk & Fapohunda, 2015). The African immigrant population is rapidly increasing with every passing day, in fact, it has doubled in size between 2000 and 2010; yet a large extent of the health and wellness of the African immigrant population remain unexplored (Venters & Gany, 201, as cited in Turk & Fapohunda, 2015). This monographic trends indicate a crucial need to learn about African immigrant’s beliefs and lifestyle behaviors that may impact health. According to the researchers,
There have been many studies which concluded Hispanics are at a greater risk of PTSD and experiencing traumatic events compared to non-Hispanics such as Pole, 2005 and Perilla et al., 2002. However, this did not remain true in the psychological study on Latin American immigrants, Perreira et al., 2013, where 34% of Latinx immigrant adults and 29% of Latinx immigrant adolescents experienced a traumatic event. On the other hand, Kessler et al., 1995 and Copeland et al., 2007, studies done primarily on non-Hispanic whites in the United States, report 51% of women, 61 % of men, and 68% of adolescents in the U.S. have experienced a potentially traumatic event during their lifetimes. Yet, Latinx immigrants who face traumatic events are
Similarly, feeding styles and evening family meals among current immigrants in the US have higher levels of stress on acculturative process. In combination with the lack of social support, mothers find it hard to be engaged in household routines such as family meals. Children of current immigrant women are more motivated to be engaged in certain “American” eating habits (e.g., eating in front of the TV, not having a scheduled meal time), which were unusual back in their home country, pressuring their mothers (Tovar et al. 2013). Likewise, Narayan et al. (2010) demonstrated that lifestyle characteristics include smoking status, alcohol drinking status, and physical activity affect overweight and increases diabetes prevalence among US immigrants.
As the increase in ethnic and racial minorities continue, so do the increase in health disparities among individuals with diabetes (Hispanic or Latino, 2014). Many interventions are currently being used in healthcare settings to help prevent further health complications among minorities with diabetes (Peek, Cargil, & Huang, 2007). A study by Peek, Cargil, & Huang (2007), titled, “Diabetes Health Disparities: A systemic Review of Health Care Interventions”, further examined the importance of education in the overall management of diabetes, and it’s improvement to better health outcomes (Peek, Cargil, & Huang, 2007). The purpose of this paper is to discuss the researchers report on its background of study, methods of study, results of study, and its ethical considerations towards diabetes health disparities.
Gender inequality was also associated with poor health in immigrants. Gender discrimination and stereotypes of women will more likely to cause women to experience mental health and health problems twice than men (Raphael, p.205, 2010). In addition, immigrants women are twice likely to experience mental health problems than the Canadian-born women. Also, they experience higher levels of inequality and discrimination especially in the workplace (Access Alliance, p.5, 2013). However, a case story of a female immigrants which can to Canada to find a job in their profession can show the ugly truth, which is that most immigrants women are stuck in part-time jobs as babysitter and housekeeper (Access Alliance, p.6, 2013). In addition, there is also serotypes surrounding immigrants women in the workplace that can be linked to certain ethnicities such as Filipinos, Latina, and African/black women (Zamudio, p.64, 2004). Filipinos are usually seen as caregivers and housekeepers, Latin women are more likely to work in hotels and factories jobs, while black/African immigrants women are exposed to heavy workload and taking care of the heavy tasks such as carrying heavy supplies (Zamudio, p.64-66, 2004). These serotypes are more likely to cause these women to experience stress and depression which in return lead hem to experience health issues. What is more, immigrant’s women especially the ones with no citizenship status tend to experience greater health problems because of feeling insecurity and because they have no job benefits (Zamudio, p.69-70, 2004). One of these job benefit is health care services coverage, not having that will cause them to delay getting access to health care and experience more health problems or develop chronic conditions (Raphael, p.215, 2010).