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Wang And Steven Model Of The Cumulative Impact Of Multiple Risk Factors

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1. Explain the Shi and Steven model of the cumulative impact of multiple risk factors?
There are risk factors such as race/ethnicity, low socioeconomic status (SES), and lack of health insurance, which independently and strongly related with disparities (Shi & Steven, 2005). These risk factors are barriers to access to health care, quality to care, and health status. The vulnerability of an individual increases with increases of risk factors, however there is an interaction among different risk factors which escalate the impact. Shi and Steven model of the cumulative impact of multiple risk factors talks about the accumulation of effect of the multiple risk factors on health-related outcomes, poor health care access, and quality of care.
The overlap of the three risk factors i.e. minority, low income, and uninsured was represented in a Venn-diagram. According to Shi and Steven (2005), there are almost 2.8 million adults and about1 million children in the U.S. who have 3 risk factors. When an individual have all three risk factor means that they have the poorest health status and inadequate health care access. For instance: a study showed that the low income and education levels was directly related to late diagnoses of breast cancer. The rate of late diagnoses was higher when these two SES was combined with the race/ethnicity. Similarly, 14.6% Caucasian with no other risk factors report poor mental health status, while there are 37.3% of blacks with low income and low

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