Urban Disparities

Health disparities are gaps in the quality of health and health care that mirror differences in socioeconomic status, racial and ethnic background, and education level. These disparities may stem from many factors, including accessibility of health care, increased risk of disease from occupational exposure, and increased risk of disease from underlying genetic, ethnic, or familial factors (National Institute of Allergy and Infectious

disparities are exclusive to certain groups of racial and ethnic populations in the nation. Health

A number of reports from the Saint Louis Globe-Democrat and Saint Louis Post-Dispatch showed that St. Louis city, specifically the areas near Lafayette Park, were struggling (Wiitsruck 2015). According to “The Saint Louis Post-Dispatch,

Today, racial and ethnic disparities exist in the public healthcare system in the United States. It is strongly supported by data that depicts members of the minority groups receive disproportionately from different health issues such as diabetes, cardiovascular disease, cancer, and asthma, among other conditions. The main contributors to the racial and ethnic disparities in the public healthcare are the social determinants of the health external to the healthcare delivery system. In addition, social and economic status also affect people’s vulnerability to the disease and their accessibility to public health services. The article provides historical analysis that shows a deteriorating status in the

Racial and ethnic health disparities plays a significant role when it comes to those living in a what is considered a low- economic community because people are more susceptible to poor air quality, high blood pressure related to stress, and violence. Inaccessibility to healthy foods forces people to have to eat unhealthy and struggle with the risk that can lead to obesity or high cholesterol down the road (Noonan, A et al ,2016). Also social racism with having limited income, and education can cause people to act out in a negative way due to being frustrated and can cause one to act out in a violent way which can cause a spike in crime. So much can be done to strengthen low economic communities such as re-opening schools in the neighborhood,

Health disparities amongst African-Americans continue to destabilize not just the various communities but the health care system as a whole. Minority groups especially African-Americans are more probable to agonize from certain health illnesses, have higher mortality rates and lower life expectancy than another other race in the nation. Health disparities are complex and incorporate lifestyle choices, socioeconomic factors such as income, education and employment and access to care services. For the elimination of health disparities within the African-American community, there requires a need for equivalent access to health care and cultural suitable health ingenuities.

The disparities are around us every day and unless we educate ourselves and our communities these disparities will continue to wreak havoc on our neighborhoods and in the future, we will just be putting our kids and their kids in a continuing cycle of ignorance when we could have done more if it’s just educating the community we leave in, that alone could be enough to turn the tides in our people favor. In turn, I would hope this paper enlighten you on what is going on in our neighborhood and what we can do to correct this issue to preserve our autonomy. Racial and ethnic health disparities undermine what a healthcare system should stand for. Although the top three causes and seven of the 10 leading causes of death are the same for African Americans and whites, the risk factors and incidence, morbidity, and mortality rates for these diseases and injuries often are greater among blacks than whites (MMWR, 2005). Health disparities refer to differences in disease risks, incidence, morbidity, and mortality but most of all for the sake of this paper unequal access to quality health insurance amongst African American in the United States, which will also go hand and hand with the social and economic disadvantages. The disadvantages of health disparities usually affect people of African American descent who have systemically experienced a greater social and economic obstacle to health care.

Medical advance and improved technology providing all Americans more healthier and long lives more than ever before .In contrast racial and ethnic minorities experience significant number of health disparities .The major factors of these minority group health disparities are income, education, and work status, as well as poor housing,

One issue with underserved populations is an increase in health disparities, not only race and ethnicity, but also gender and age. The Centers of Disease Control and Prevention (2014) list a number of key findings from a report on underserved populations and health care. Mortality rates from certain diseases and different types of death were higher in different racial groups than Caucasians (Centers for Disease Control and Prevention, 2014). Morbidity of asthma, oral disease, tuberculosis, obesity, and diabetes were also higher in minority groups (Centers for Disease Control and Prevention, 2014). Preventive screening for the over-50 population was just over 60%

Racial and ethnic disparities can be a touchy subject when talking among many circle of people, even so with some Caucasian sub-group.US Census reported that 1 in 4 Americans are of a race other than white; 1 in 3 children are African American, Hispanic, or Asian; and 1 in 10 people are of foreign-born. When majority dictated make all decisions and the minorities does not have any power. This cultural diversity can have inferences with our health care. Ethnic culture affects our beliefs, health, illness, and medications, as well as how we interact with our healthcare providers, and even how we comply with our prescribed medications, as well as mental health status (Cultural diversity and Medication Safety , 2003).

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.

The mandatory imprisonment policies written for the judicial system are creating disparity of minority inmate population primarily due to non-violent drug crimes and the unjust mandatory minimum sentencing laws.

Although the United States is a leader in healthcare innovation and spends more money on health care than any other industrialized nation, not all people in the United State benefit equally from this progress as a health care disparity exists between racial and ethnic minorities and white Americans. Health care disparity is defined as “a particular type of health difference that is closely linked with social or economic disadvantage…adversely affecting groups of people who have systematically experienced greater social and/or economic obstacles to health and/or clean environment based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion” (National Partnership for Action to End Health Disparities [NPAEHD], 2011, p. 3). Overwhelming evidence shows that racial and ethnic minorities receive inferior quality health care compared to white Americans, and multiple factors contribute to these disparities, including geography, lack of access to adequate health coverage, communication difficulties between patients and providers, cultural barriers, and lack of access to providers (American College of Physicians,

The morbidity and mortality rates are higher in the rural areas than in the urban areas partly due to the high rates of chronic illness and poor health behaviors. The health care disparities of the rural population have led to negative bias. The bias within the health care field have affected clinical judgment and decision making (Blair, Steiner, & Havranek, 2011). Bias further lead and exponentiate health disparities, continuing the trends and challenges among the rural population. Economic status is another negative impact of health care disparities among the rural population. Their low economic status continues to effect the availability of resources to improve the health care infrastructure and specialization. Health reform is needed to improve the effects of the health care disparities and their negative impacts on the rural

Access to health care refers to the individual’s ability to obtain and use needed services (Ellis & Hartley, 2008). Access to health care affects a multitude of people. Uninsured, underinsured, elderly, lower socioeconomic class, minorities, and people that live in remote areas are at the highest risk for lack of access to health care. There are also economical and political roles that complicate access to health care. Access to health care is a multi-faceted concept involving geographic, economics, or sociocultural issues. With my extensive research on access to health care, I hope to provide influences regarding; who is affected by lack of access, geographic, economic, sociocultural access, and