...Running head; HEALTHCARE DISPARITIES IN AFRICA 1 HEALTHCARE DISPARITIES IN AFRICA OKECHUKWU ONYEIZUGBE DHA8013 Action Research Health Administration 1 Capella University Abstract Objective: To summarize the current literature on racial and gender disparities in critical care and the mechanisms underlying these disparities in the course of acute critical illness. Data Sources: MEDLINE search on the published literature addressing racial, ethnic, or gender disparities in acute critical illness, such as sepsis, acute lung injury, pneumonia, venous thromboembolism, and cardiac arrest. Study Selection: Clinical studies that evaluated general critically ill patient populations in the United States as well as specific critical care conditions were reviewed with a focus on studies evaluating factors and contributors to health disparities. Data Extraction: Study findings are presented according to their association with the prevalence, clinical presentation, management, and outcomes in acute critical illness. Data Synthesis: This review presents potential contributors for racial and gender disparities related to genetic susceptibility, comorbidities, preventive health services, socioeconomic factors, cultural differences, and access to care. The data are organized along the course of acute critical illness. Conclusions: The literature to date shows that disparities in critical care are most likely multifactorial...
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...society has made great strides in recognizing and accepting individuals from diverse backgrounds. However, despite these advancements, members of the LGBTQ+ community still face significant disparities in healthcare. Discrimination, lack of understanding, and stigma have created barriers to quality healthcare for individuals in these groups, leading to negative health outcomes and perpetuating a cycle of inequality. It is imperative that healthcare providers and institutions address these disparities to ensure that all patients receive equitable care regardless of their sexual orientation or gender identity. It’s not a surprise that LGBTQ+ people face disparities in both physical and mental health compared to their heterosexual...
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...Health disparities of the LGBT community Darlene Poer Grand Canyon University Minerva Gonzales May 15, 2016 Health disparities of the LGBT community Many factors contribute to a person’s health status. Among them are, limited access to care, socioeconomic, and environmental factors. According to the World Health Organization (WHO), “the social determinants of health as well as race are ethnicity, sex, sexual orientation, age, and disability” (Myers, Yoon, & Kaufman, 2013). The Lesbian, gay, bisexual, and transgender (LGBT) community falls into this category. The individuals that belong to this group come from all ethnicities, races, economic and social statuses throughout the United States and the world. The Institute of Medicines report in 2011 states, “lesbian, gay, bisexual, and transgender individuals have unique health experiences, but as a nation, we do not know exactly what these experiences and needs are ("LGBT health report," 2011, p. 4).For this reason their needs and health care inequities and inequalities should be addressed. The health promotion goal of the LGBT community is to “improve the health, safety, and well-being of lesbian, gay, and transgender individuals” ("," 2014). To understand the current health status of the LGBT community, one must understand some basic definitions. 1. Gender identity-A person’s basic sense of being male or female. 2. Gender expression- Manifestations that are defined as masculine or feminine. 3. Gender role...
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...BURDEN OF HEALTH INEQUALITIES IN THE UNITED STATES Thomas A. LaVeist, Ph.D. Darrell J. Gaskin, Ph.D. Patrick Richard, Ph.D. September 2009 foreward Not everyone in the United States enjoys the same health opportunities. Studies show that minority Americans experience poorer than average health outcomes from cradle to the grave. They are much more likely to die as infants, have higher rates of diseases and disabilities, and have shorter life spans. As the U.S. Congress and the Obama Administration work toward enactment of legislation to reform America’s health care system, a central focus of the debate has been the projected cost of ensuring accessible and affordable health care to every citizen. While some have struggled with the premise that health care reform can actually reduce health-related spending, the experience of racial and ethnic minorities under our current health care system is a strong indication that improving opportunities for good health – and minimizing inequities in health care access and outcomes – may well be good for the nation’s fiscal health, as well. This study, commissioned by the Joint Center for Political and Economic Studies and carried out by leading researchers from Johns Hopkins University and the University of Maryland, provides important insight into how much of a financial burden racial disparities are putting on our health care system and society at large. The researchers examined the direct costs associated with the provision of care to a sicker...
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...Health Care Disparities Latanya Breeden Capella University Health Care Disparities America benefits when everyone has the opportunity to live a long, healthy and productive life, yet health disparities persist. A health disparity is a difference in health outcomes across subgroups of the population, often linked to social, economic, or environmental disadvantages (less access to good jobs, unsafe neighborhoods, and lack of affordable transportation options). Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health on the basis of 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. The issues that involved in education and lifestyle choice disparities are the socioeconomic circumstances of persons and the places where they live and work strongly influence their health. In the United States, as elsewhere, the risk for mortality, morbidity, unhealthy behaviors, reduced access to health care, and poor quality of care increases with decreasing socioeconomic circumstances. This association is continuous and graded across a population and cumulative over the life course. Educational attainment and family or household income are two indicators used commonly to assess the influence...
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...Three Abbreviated Research Plans Introduction Public health practitioner, when presented with a crisis, problem, or circumstances in the community can use the different research methods, such as quantitative, qualitative, or mixed methods. These advance plans of query explore not only potential clarification, but it explores different route that will conclude an exact treatment or intervention and influence an outcome. The three abbreviated research plans will be outlined in this paper, will provide possible clarification to the rising concerns in the U.S. on health disparities in to the people in the community that have limited or no health insurance that will prevent them from receiving adequate medication, health care, and the use of preventive measures such as diet and exercise (Walden, 2012). Strength and Limitation of Research Methods The two major strengths found in the quantitative research methods are that using the strategy of inquiry, the researcher have the chance to test and confirm presented theories about how and why incident happen and test theory assemble before the information is achieve to study a large number of people in a determined community or population (Creswell, 2009). The next strength of this research is that based on the findings, the investigator can make an overview when the composed information is based on casual samples of major size (Creswell, 2009). According to Creswell (2009), the strength for the qualitative methods is the data...
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...Healthcare Disparity Theresa Sellers Southwestern Oklahoma University LGBT Healthcare Disparity INTRODUCTION There is an increasing progress being made in the equal right of the LGBT (lesbian, gay, bisexual and transgendered) community. Fifteen of the states now recognize at least some of the same rights to same sex couples that are given to heterosexual couples (Krehley, 2009). Despite the progress that has been made, the LGBT population continues to experience worse health outcomes due to poor health insurance coverage, higher rates of stress due to discrimination and cultural incompetency (Lesbian, Gay, Bisexual, and Transgender Health, 2012). Same sex marriage laws and domestic partnership benefits increase the burden of health care costs. A recent study of period in disparities in health insurance coverage of same-sex couples revealed that partnered gay men are less likely (42 percent) as married heterosexual men to get employer-sponsored dependent coverage, and partnered lesbians have an even slimmer chance (28 percent) of getting dependent coverage compared to married heterosexual women. As a result of these much lower rates of employer-provided coverage, partnered lesbians and gay men are more than twice as likely to be uninsured as married heterosexuals. The exclusion of insurance benefits for gay men and women and the failure of domestic partnership benefits to provide equal access to health coverage results into more health spending push...
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...Health Disparities Health disparities are the health issues that different groups of people have based on many factors. These factors include race, gender, economic status, and age. Many types of disparities exist in the United States, mostly in health. This disparity in health has been an issue for many decades. Individuals with less education are more likely to experience a number of health risks. These health risks include obesity and substance abuse compared to those with more education. “Other influences on healthcare include the availability of access to high-quality education, nutritious food, health insurance, and decent and safe housing” (Disparities). As the population becomes more diverse it is important that we acknowledge health disparities. One of the health disparities that this diversing of the population involves is the access and quality care cannot keep up with the demands. “Today a number of groups are at a disproportionate risk of being uninsured, lacking access to care, and experiencing worse health incomes including people of color and low come individuals”. (Kaiser) Today the life expectancy of American’s is much greater than it was 50-100 years ago. Thus, meaning our elderly are much more in need or good health care and insurance. Even though health has improved for our older generation and the life expectancy has grown some do not receive equal health care based on their income. The CDC recognizes this is a continuing problem and they are trying to...
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...There are several forms of mental illness that those who are physically disabled have a higher risk of attaining than those who are not. Collingwood (2010) noted that people who have any type of physical disease or disability tend to feel more psychological distress than their counterparts who are healthier. Those who have poor physical health have an increased problem of depression, as do the social and relationship problems that are common among chronically ill patients. Nosek and Simmons (2007) stated that for the longest time, health disparities among Americans with disabilities have been ignored within the field of public health. There has been proven evidence that mental health can be a secondary complication to a person aqcuiring a disability according to Honey, Emerson, Llewellyn, and Kariuki (2010). Wisdom et al., (2010) noted that health disparities affecting the nearly 40 million Americans with disabilities (U.S. Census Bureau, 2005) have begun to gain more recognition over the past decade, as reflected in the release of several publications by the federal government intented to inform and guide policy and practice (U.S. Department of Health and Human...
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...Health Promotion Among Black or African American Population [Your Name] Grand Canyon University: Family-Centered Health Promotion(NRS-429V) January 10, 2016 Health Promotion Among Black or African American Population The Center for Disease Control and Prevention [CDC] (2015) notes that “Starting in 1997, the Office of Management and Budget (OMB) requires federal agencies to use a minimum of five race categories: White, Black or African American, American Indian or Alaska Native, Asian, and Native Hawaiian or other Pacific Islander.” Each minority group differs in health status and disparities and health promotion. In this paper the writer will focus on a specific minority group, the Black or African Americans, and will compare the minority group’s current health status to the national average. Further the author will discuss which health disparities exist in this particular minority group and what health promotion means to them and then will discuss an a approach using the three levels of health promotion prevention that is the most effective given the unique needs of the minority group with an explanation of why it might be the most effective approach. The Black or African Americans make up 15.2% of the total United States population and consists of people of African American, Sub-Saharan African or Afro-Caribbean decent. It is the second largest minority population. The current health status of this minority group is continuing to get...
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...Term Paper On Gender Discrimination in Bangladesh Submitted by WWW.ASSIGNMENTPOINT.COM Dialogue over the issue of Gender Discrimination is not a recent phenomenon. During the 1950s and 60s, the emphasis on women was on their reproductive roles as mothers and homemakers. This approach was based on Western stereotypes of the nuclear family in which women are economically dependent on the male breadwinners. In the early 1970s, researchers began to focus on the division of labor based on sex, and the impact of development and modernization strategies on women. The WID (Women in Development) concept came into use in this period. The philosophy underlying this approach is that women are lagging behind in society and the gap between men and women can be bridged by remedial measures within the existing structures. The WID approach started to recognize women as direct actors of social, political, cultural and working life. Therese Blancher mentioned gender disparity of Bengali society as: The birth of a boy is always greeted with joy. The birth of a girl is welcome when it is a first child (the first fruit which announces the fertility of the plant), or when there are already boys and no girl in a family. Otherwise, it is often received with resentment. Boys represent wealth, but girls are seen as a cumbersome responsibility. They are born to be given in marriage. This will require a dowry and impoverish the family most prefer a large number of sons...
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...Term Paper On Gender Discrimination in Bangladesh Submitted by WWW.ASSIGNMENTPOINT.COM Dialogue over the issue of Gender Discrimination is not a recent phenomenon. During the 1950s and 60s, the emphasis on women was on their reproductive roles as mothers and homemakers. This approach was based on Western stereotypes of the nuclear family in which women are economically dependent on the male breadwinners. In the early 1970s, researchers began to focus on the division of labor based on sex, and the impact of development and modernization strategies on women. The WID (Women in Development) concept came into use in this period. The philosophy underlying this approach is that women are lagging behind in society and the gap between men and women can be bridged by remedial measures within the existing structures. The WID approach started to recognize women as direct actors of social, political, cultural and working life. Therese Blancher mentioned gender disparity of Bengali society as: The birth of a boy is always greeted with joy. The birth of a girl is welcome when it is a first child (the first fruit which announces the fertility of the plant), or when there are already boys and no girl in a family. Otherwise, it is often received with resentment. Boys represent wealth, but girls are seen as a cumbersome responsibility. They are born to be given in marriage. This will require a dowry and impoverish the family most prefer a large number of sons...
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...Health disparities among racial and ethnic groups present a complex national issue. ….Health disparities are the differences in frequency, commonly occurring, raising the death rate, diseases that are difficult to bear, and other adverse health conditions or outcome that exists among specific population groups in the United States. …The specific population groups can be based on gender, age, ethnicity, socioeconomic status, geography, sexual orientation, disability, or special health care needs. Health disparities occur among groups who have persistently experienced historic trauma, social disadvantage, or discrimination. They are widespread in the United States as demonstrated by the fact that many minority groups in the United States have a higher incidence of chronic diseases, higher mortality, and poorer health outcomes when compared to whites.” ( Multicultural Health. n.d., p.14) …The causes of health disparities are due to both voluntary and involuntary factors. Voluntary factors are related to health behaviors, such as smoking and diet, and can be avoided. …Factors such as genetics, living and working in unhealthy conditions, limited or no access to health care, language barriers, limited financial resources, and low health literacy skills are often viewed as being involuntary and unfair, because they are not within that person’s control.”(Multicultural Health., n.d., p.19) From the research reported by the institute of medicine an overwhelming body of evidence in the...
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...1 HEALTH DISPARITIES 2 The Health of Hispanic and Latinos Health disparities in the diverse American demography creates challenges in the overall health status of ethnic minorities. Tragic disadvantages on obtaining optimal health care can be linked to variables such as being from a specific socioeconomic status, race, geographic location, age, gender, mental health, genetic background, or having a disability. This injustice on how health care is being provided is debilitating for patients and the communities that they live in. Statistics Reviewing the statistics for Hispanics in the community against other groups indicates that the overall health of ages is fair or poor health in 9.6% of the population (National Center for Health Statistics, 2015). Another alarming statistic is that 16.4% of men and 7.4% of woman above 18 smoked cigarettes (National Center for Health Statistics, 2015). The rate of people under the age of 65 who did not have health insurance was over 25.5 percent (National Center for Health Statistics, 2015). Many of the diseases in the top categories that caused death in this population were cancer and heart disease (National Center for Health Statistics, 2011). Ethnic Disparities The racial ethnic disparities was greatest in both income and education for Hispanics and Non-Hispanic American Indians/ Alaskan Natives in the year 2011 (Disparities in Healthcare Quality Among Racial and Ethnic Minority Groups, 2014). Hispanics struggle...
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...sufficient care to all individuals. Nurses have to be able to provide medical needs to all types of people, regardless of personal beliefs and customs. The purpose of this paper is to discuss the relevance of diversity and nursing including the significance it can have on patients receiving nursing care, problems with the low minority population in nursing, and a summary of the generational aspect of diversity in nursing. Importance of Diversity in the Workplace Across the nation, as the diversity of the population persistently expands, it is paramount the nursing workforce mirrors this evolvement to “effectively meet patient care needs and ensure cultural competency” (Mason, Leavitt, & Chaffee, 2014, p. 378). One important reason for nurses to study the effect of diversity is to improve the community and help promote the need for social change. There is a connection between the absence of variation in the workplace and health inconsistencies. If more nurses were to work with the indigent and minority populations, this “improves access among underrepresented groups” and would help with the discrepancy in health care (Huston, 2014, p. 137). Competent transcultural nursing care impacts the quality of care a patient receives by understanding the client’s needs holistically. Clark (2014) states that humility or the ability to learn from others and having an open mind is needed to impact a diverse population. Influence of Diversity on Nursing Care Diversity can affect nursing care in many...
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