Health Disparities

The basis of this publication assesses the progress being made to health disparities, and the efficacy of efforts being made to address social determinants of those disparities. Furthermore, it also touches on the efforts being made to reduce health disparities on the federal, state, and local level.

A proponderance of statistics derived from scholarly sources corroborates the notion that minorities who have a low socioeconomic position or have an significantly low income suffers many atrocious health disparities this includes obesity, diabetes and cardiovascular diseases thus projecting a direct correlation between the two variables. In addition, minorities, specifically African-Americans that live in low income neighborhoods have less access to fresh, healthy and organic foods. In particular, supermarkets are sparse in their area and sometimes is not within walking distance or within the vicinity of their homes. On the flipside, these neighborhoods have the highest levels of fast-food restaurants and convenient stores. These barriers

1. What does the term health disparities mean? Health disparity is a particular type of health difference that is closely linked with social, economic, and environmental disadvantage. "Health disparities affect group of people who have systematically experienced greater obstacles to health based on their racial or ethnic group." (Kotch, 2013 pg. 233) 2.

1. Why do health disparities matter? Health disparities matter from an ethical and economic standpoint. When individuals have inequitable access to social resources the ethical principle of justice is violated (Dankwa-Mullan et al. 2010).

Race/ethnicity, gender, and socioeconomic position are social determinants that lead to disparities in healthcare. Despite declining death rates, African Americans have consistently had higher mortality rates than Whites. For example, breast cancer is more prevalent in whites however the incidence of mortality from breast cancer is higher in black women. Black women are also likely to have more advanced cancer at the time of diagnosis than their White peers. Williams (2002) proposes that racial categories are more alike than different in terms of biological characteristics and genetics. Furthermore, they do not capture patterns of genetic variation. Thus, it is not biologically reasonable for genetic differences alone to play a major role

People often interpret the word disparities as only having to do with race or ethnicity, however the term goes beyond that and includes sex, sexual identity, age, disability, socioeconomic status, and geographic location (“U.S. Department of Health,” 2011). The goal of Healthy People has changed over the decades, at first it was to reduce health disparities, then it was to eliminate disparities, and now for 2020 it is to achieve health equality, eliminate disparities, and improve the health of all groups of people (“U.S. Department of Health,” 2011).

Health disparities undoubtedly exist among different racial groups with Healthy People 2020 identifying reducing racial gaps and infant mortality as a critical objective (Loggins & Andrade, 2013). Black children are reportedly two times more likely to die during their first year of life than white children (Huffington Post). Furthermore, the overall infant mortality rate is 6 deaths per 1,000 births, but for African American infants the mortality rate is 13.31 deaths per 1,000 births (CDC). There have been many medical advances, such as prescreening to find health issues that contribute to health disparities, but each racial group still do not benefit equally.

The research on health disparities across the United States is still relatively new. For many within the medical field there are still many who focus on issues of disparities without addressing the structural issues at the base of those disparities. When it comes to interventions to address these disparities and inequalities, research is focused on the role of medical professionals with little research on community engagement and empowerment.

The United States is faced with multiple health disparities within the country that encompass many challenges for individuals when it comes to the fairness and access to health care. A health disparity is defined as the inconsistency of treatment between two different groups of individuals. Treatment that could be different could be seen as different care due to age, race, ethnicity, culture, or current socioeconomic status (Koh et al., 2012). Treatment may be different or delivered in different ways between literacy component individuals and illiterate individuals and be viewed as unequal care. Healthcare facilities must be cautious when providing care and be cautious of the health disparities that exist in order to provide equal and

The United States is faced with multiple health disparities within the country that encompass many challenges for individuals when it comes to the fairness and access to health care. A health disparity is defined as the inconsistency of treatment between two different groups of individuals. Treatment that could be different could be seen as different care due to age, race, ethnicity, culture, or current socioeconomic status (Koh et al., 2012). Treatment may be harmful for individuals as a result of miscommunication that may be perceived the wrong way. Individuals with low health literacy do not understand the purpose of particular drugs or the name of one’s condition, which can further leave an individual vulnerable to harm. Individuals may sign consent they do not fully understand, and will receive unwanted care and procedures (Clark, 2011). Healthcare providers need to be aware of an individual’s level of understanding before harming the individual with irreversible procedures.

Healthcare disparities within racial minority groups are an ongoing issue in the United States. Factors that affect these disparities are overall quality of care, access to healthcare, and access to insurance. Numerous efforts have been made to decrease the access and quality of care for minorities. The current intervention being used is the Affordable Care Act (ACA). This act was initiated by President Obama in 2010 and has had much controversy in the past years. The main arguments are the ACA increasing the taxes for Americans and the fact that all Americans must obtain insurance if proper funds are available. In 2014 the ACA Medicaid expanded and each state had the opportunity to expand if the state believed it appropriate. Out of the 50

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

Growing up, my dad always told me that we were the lucky ones. At the age of 15, he escaped from Vietnam, leaving with only the clothes on his back. Saigon fell to the north, sending people in a final desperate exodus. He would say “If the mines didn’t kill me, the bullets surely would. If the bullets didn’t kill me, drowning would and if drowning didn’t kill me, dehydration would.” In spite of the possibilities faced by thousands like him, my dad made it onto the US Navy ship. While my parents had escaped the war, we faced a different conflict in acclimation. My dad struggled to keep a job. We could barely afford rent, nevertheless see a doctor. For some people, “health disparities” can be described in terms of statistics and terms like “preventative care” and “optimizing accessibility”. For my family, “health disparities” was just a part of life in America. It was the uselessness I felt as I watched my dad work 80 hours a week at several minimum wage jobs just so my brother and I could focus on school. It was the frustration I felt spending hours in vain researching ways to ease my mother’s pain as she suffered from years of untreated stomach ulcers. It was the worry I felt knowing that, despite ranking among the top 10% of students in my high school class, I still could not afford to go to college. In spite of everything, I am one of the lucky ones as I was able to fully fund my college education in scholarships and grants. I am lucky because these experiences taught me

Often the term “disparities” is related to a specific racial or ethnic group of people, many variations of disparities exist in America, mainly in regards to health. If any outcome from health disparities can be ascertained is populations and regions in America.

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.