...Racial Disparity in U.S. Diagnoses of Acquired Immune Deficiency Syndrome, 2000 –2009 Qian An, MS, Joseph Prejean, PhD, H. Irene Hall, PhD This activity is available for CME credit. See page A3 for information. Background: Increased attention has been focused on health disparities among racial/ethnic groups in the U.S. Purpose: To assess the extent of progress toward meeting the targets of Healthy People 2010 objectives and eliminating disparities. Methods: All diagnoses of AIDS during 2000 –2009 among people aged Ն13 years in the 50 states and District of Columbia, reported to national HIV surveillance through June 2010, together with census population data were used in this analysis (conducted in March 2011). This study assesses the trend in racial/ethnic disparities in rates of AIDS diagnoses both between particular groups using rate difference (RD) and rate ratio (RR) and across the entire range of racial/ethnic subgroups using three summary measures of disparity: between-group variance (BGV); Theil index (TI); and mean log deviation (MLD). Results: The overall racial/ethnic disparity, black–white disparity, and Hispanic–white disparity in rates of AIDS diagnoses decreased for those aged 25– 64 years from 2000 to 2009. The black–white and Hispanic–white disparity in rates of AIDS diagnoses also decreased among men aged Ն65 years; however, the black–white disparity increased among young men aged 13–24 years (BGV: pϽ0.001, black–white RD: pϽ0.01) from...
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...Healthcare disparities This article entitled; Racial and ethnic disparities in health care, updated 2010, written by American College of Physicians, presents the reality of the racial and ethnic disparities in health care and made some recommendations to reduce this gaps. Although improvements have been seen in health care quality and some disparities have been reduced or eliminated, differences persist in health care quality among members of various racial and ethnic minority groups. Irrefutable evidence indicates that racial and ethnic minorities are subject to quality care less healthy than white Americans, even when factors such as insurance status are controlled. Since the population continues to grow and diversify the health care system must change and adapt to meet the needs of a patient more and more multicultural. In 2003, the American College of Physicians, which is now the greatest medical specialty society in the United States with physicians and medical student members, published racial and ethnic disparities paper Healthcare (www. acponline.org / ppvl / policies / e000904.pdf). The document provides some recommendations on how the gap between patients’s racial and ethnic minorities and their white counterparts can be reduced. Unfortunately, even though progress has been achieved in some areas the question of the racial and ethnic disparities remains a difficult and complex problem to tackle. This update of the 2003 document adopts recommendations that still...
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...Hispanics than among whites and may explain the higher prevalence of obesity among racial/ethnic minority children. Eliminating racial/ethnic disparities in health and health care is a national priority, and obesity is a prime target. During the last 30 years in the United States, the prevalence of obesity among children has dramatically increased, sparing no age group. Obesity in childhood is associated with adverse cardio-metabolic outcomes such as hypertension, hyperlipidemia, and type II diabetes and with other long-term adverse outcomes, including both physical and psychosocial consequences. By the preschool years, racial/ethnic disparities in obesity prevalence are already present, suggesting that disparities in childhood obesity prevalence have their origins in the earliest stages of life. Several risk factors during pregnancy are associated with increased risk of offspring obesity, including excessive maternal gestational weight gain, gestational diabetes, and smoking during pregnancy, antenatal depression, and biological stress. During infancy and early childhood, rapid infant weight gain, infant feeding practices, sleep duration, child’s diet, physical activity, and sedentary practices are associated with the development of obesity. Studies have found substantial racial/ethnic differences in many of these early life risk factors for childhood obesity. It is possible that racial/ethnic differences in early life risk factors for obesity might contribute to the high prevalence...
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...Running head: ASSIGNMENT 1, WEEK 6 Assignment 1 Teassa Eubanks Cultural Diversity in Health and Illness Mansour Rostami, Instructor November 13, 2010 Minority Population | Health disparities | Native American Indian Native Alaskan | Health disparities are believed to be the result of the complex interaction among genetic variations, environmental factors, and specific health behaviors. Compared with other Americans, Indians experience disproportionately high mortality from alcoholism, tuberculosis, diabetes, injuries, suicide, and homicide. Tribal leaders report that diabetes, unintentional injuries, alcoholism, and substance abuse are rising to crisis proportions in American Indian and Alaska Native communities | Asian | Lack of access to regular care. Asians are least likely to report having a personal doctor compared to other racial and ethnic groups in the US. 19.4 % of Asian adults compared to 12.9% of whites report being without a usual source of health care. Cambodians and Vietnamese are three times more likely to forgo visiting a doctordue to cost compared to all Asians or US residents.• Less satisfaction with care. Compared to other racial and ethnic groups, Asians are least likely to be satisfied with the speed of their care, doctor-patient communication, and office staff.• Fewer preventive services. Asians are less likely to have blood pressure monitoring and pap smears. In fact,cervical cancer screening...
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...December 2, 2012 ELIMINATION OF RACIAL DISPARITY IN HEALTHCARE IN AMERICA Disparity in US Health Care is multifactorial, they reflect the differences in demographics, social-economic as well as environmental factors. The Journal of the American Medical Association identifies race as a significant determinant in the level of quality of care, with ethnic minority groups receiving less intensive and lower quality care. Ethnic minorities receive less preventative care, are seen less by specialists, and have fewer expensive and technical procedures than non-ethnic minorities. Studies have shown that this disparity affects the biological vulnerability to disease, utilization of health system in US and health care interventions. Understanding and intervening in the health disparity in the US is imperative because the US population is changing. According to the American Health Association (AHA), by 2050 Minority groups will compose almost half of the U.S. population by 2050. The biggest increase will occur within the Hispanic population. In December 2007, the American Hospital Association (AHA) created the Special Advisor Group on Improving Hospital Care for Minorities as part of effort to ensure equitable treatment of all patients. This article will discuss the issues related to disparity and how the American Hospital Association is taken several steps in helping aid in eliminating the racial disparity in health care. Health disparities in the quality of care exist and are...
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...Racial Disparities In Corrections Sherkira Lowery Eastern Michigan University Abstract Racial disparities in corrections measured by the black to white per capita incarceration rates vary from state to state, This paper will analyze the current trends and the impact incarceration has on communities of color and how criminal justice policy and practice plays a role in this. According to the Justice Department’s Bureau of Justice Statistics, out of a total population of 1,976,019 incarcerated in adult facilities, 1,239,946 or 63 percent are black or Latino, though these two groups constitute only 25 percent of the national population. Some of the greatest racial disparities in rates of incarceration happen in states in which minorities are massed in urban areas, which tend to have both higher rates of crime and greater law enforcement activity. This paper will also discuss how these incarcerations affect the offenders, public safety, criminal policies and procedures. Racial Disparities in Corrections There are many factors regarding the disproportional rates of incarceration in communities of color. Data generated by the U.S. Department of Justice predicts that if current trends continue, one out of every three black males born today will go to prison in his lifetime, as well as one of every six Latino males. The rates of incarceration for women overall are lower than for men, but similar racial/ethnic disparities...
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...SECTION 4. ECONOMIC DISPARITIES Employment, income, and the accumulation of wealth are critical for quality of life. Substantial racial disparities in key economic indicators and predictors of life quality continue to be a serious problem for the Pittsburgh area and the nation. This section summarizes recent data on: • • • • • • Homeownership Unemployment Occupations Income Poverty Transportation Pittsburgh’s Racial Demographics: Differences And Disparities 39 © 2007 University of Pittsburgh Section 4. Economic Disparities HomeownersHip Homeownership is an essential part of the “American Dream”. Homeownership provides many benefits to families, children, and communities. These benefits include wealth building, tax reductions, a source of equity for education and other major expenses, a stable residential population, and greater neighborhood safety. Although the number of minorities owning homes has increased over the years, the nation is still far from achieving racial parity in homeownership. Figure 4.1. Homeownership Rates by Race and Ethnicity, 2000 100 80 60 Percent 72 75 73 60 39 34 25 20 16 43 40 38 50 36 53 46 46 40 0 Pittsburgh City Allegheny County White Source: Appendix 4.1 Pittsburgh MSA Asian Hispanic United States African American • Homeownership is lower in the city of Pittsburgh than in the other geographic areas for all of the racial and ethnic groups. • Whites are significantly more likely...
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...2015 Putting Racial Disparity to an End: My overall topic is about prisons, and why the majority of the prison make up involves ethnic groups, such as Hispanics and African Americans. I want to know could reduce racial disparity in the criminal justice system, in these prisons. I personally think that we can reduce the racial disparity rate in these prisons, and the criminal justice system. It will take a lot of hard work and take a lot of important people. It first will start with the people that get the people for the crime, and secondly on how they pursue the crime. Is it as bad as they are making it seem? Are they trying to set an example out of these ethnic groups? What specifically are they trying to do? Why haven’t they be stopped? In order to change this disparity these questions will have to be answered. African Americans make up the majority of the make up in most of these prisons. One million of the 2.3 million people in prisons are black. 60% of the populations in these prisons are of ethnic minorities. Only a quarter of the U.S. population are made up of ethnic groups. The fact that majority incarcerated in prisons are black and Hispanic seems to be impossible, this is how we know there’s some injustices going on in the criminal justice field. If we want to put this to an end it’s going to take a lot of hard work. This kind of thing would start with the police first. If the police main thing is set out to get ethnic minorities. Racial disparity needs to be reduced...
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...Health Disparities in the African American Cultures Grand Canyon University February 14, 2016 Health Disparities in the African American Culture Health care disparities affect every group of ethnic minorities. These groups include African Americans, Hispanics/Latinos, Asian Americans, Pacific Islanders, Native Hawaiian, American Indian/Alaskan Natives or multiracial people. Racial and ethnic disparities are one of the many factors that produce inequalities in the health status of an individual in the United States. Whether it is caused by the quality of care, assess to care or insurance coverage. All cause problems for these cultures. In the 2000 census, 36.4 million persons, approximately 12.9% of the U.S. population, identified themselves as Black or African American; 35.4 million of these persons identified themselves as non-Hispanic (cdc, 2012). In 2007, the U.S. Census Bureau estimated that the United States had almost 38.8 million Black or African American (12.9% of the U.S. population); more than 45.5 million Hispanics or Latinos (15.1%); almost 13.4 million Asians (4.4%); more than 0.5 million Native Hawaiians or Other Pacific Islanders (NHOPIs) (0.2%) and more than 2.9 million American Indians and Alaskan Natives (AI/ANS) (1.0%) of whom 57% reside on federal trust lands (archive. ahrq,2014). African Americans by both censuses only make up 12.9% of the U.S. population but suffer ethnic and racial disparities at a high rate. This may be due to the lack of...
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...An In-Depth Examination of Racial Disparity from Arrest to Incarceration ENG 122 English Composition II Prof. Ashton Schwarz September 13, 2014 An In-Depth Examination of Racial Disparity from Arrest to Incarceration The disparate number of minorities in prison populations is a concern for many who believe this disproportion is due to a systematic bias in the judicial system. While many factors may contribute to this overwhelming discrepancy, I contend that the disparate number of minority populations in prison is an accurate portrayal of how crime is committed in the United States. In order to understand the cause of this disparity, I will delve into the arrest rates and sentencing statistics that attempt to show why minorities are incarcerated at a higher rate, and why they're incarcerated for longer periods of time, than their white counterpart. These two focal points, arrest rates and sentencing statistics, I believe, are the best for gathering data, considering it is where the justice system both begins and ends. Though many may think that there is a racial bias concerning the disparate number of minorities in prison working against minorities, an article entitled, “Are Blacks and Hispanics Disproportionately Incarcerated Relative to Their Arrests?” provides impressive data to oppose this claim. This article boasts being one of the first studies to include the Hispanic ethnicity in their data, which other studies omitted from, or never incorporated into, their...
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...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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...Eliminating Racial and Ethnic Disparities in the U.S. Healthcare Delivery System Alden Knight Health Services System – HSM541 DeVry University, Keller Graduate School of Management August 10, 2013 According to HHS when it comes to racial and ethnic disparities, they identify the lack of insurance as a significant driver of healthcare disparities. Lack of insurance, more than any other demographic or economic barrier, negatively affects the quality of health care received by minority populations. Racial and ethnic minorities are significantly less likely than the rest of the population to have health insurance. They constitute about one-third of the U.S. population, but make up more than half of the 50 million people who are uninsured (HHS 2011). Unfortunately, it has a negative impact on the U.S. healthcare delivery system. Primary care is the most important part of the health care system. According to the Agency for Healthcare Research and Quality or the AHRQ, about 30 percent of Hispanic and 20 percent of Black Americans lack a usual source of health care compared with less than 16 percent of whites. Also, Black Americans and Hispanic Americans are far more likely to rely on hospitals or clinics for their usual source of care than are White Americans (AHRQ 2013). The American Hospital Association or the AHA has convened the Special Advisory Group on Improving Hospital Care for Minorities as part of ongoing...
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...Disparity and Discrimination Ilka McCoy CJS/221 November 02, 2015 Ben Harm Disparity and Discrimination Disparity in criminal justice means inequity of arrests and sentencing for certain groups of people based on race, religion, color or sexual preference; it almost always refers to racial and ethnic disparity. Racial disparity has been definitively verified, though it may not always be related to intentional discrimination but due to the impact of the media and social networks this seems to be the main focus. Some of the stronger legal factors involved in racial disparity include severity of the offense and previous criminal record and personal history of the offender in question. Discrimination is an ugly factor of today's society, because it is the unfair treatment of one group opposed to another. For example one may dislike a person based on the color of their skin, sexuality or gender. In current situations that we have all witnessed in the media we have seen many incidents that involved white police officers and African American victims. I say victims because this is what has been presented to us by the media, and all we had for information was what was written in the paper or reported on T.V., there was no information that would show a timeline of the events that led to the situations. Recently in current events we have seen several cases in which white officers have been accused of using extreme force and in most cases the victims have been African American. The...
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...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 and more disadvantaged population, as well as the indirect costs of health inequities such as lost productivity, lost wages, absenteeism, family leave, and premature death. What they found was striking. More than 30 percent of direct medical costs faced by African...
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...SES Indicators There are 126 racial and ethnic categories in the US (Winker, 2004). It is a well-recognized fact that many racial and ethnic minorities face unique health challenges and suffer from poorer health outcomes (Dorsey, 2011). The importance of adequately reporting and collecting relevant SES parameters, including race and ethnicity is evident. However, the question of how to properly categorize, measure, and report some of these parameters has been in the center of discussion for some time. In accordance with the Affordable Care Act, The department of Health and Human Services (HHS) came up with the new data standards for the collection of race, ethnicity, sex, primary language, and disability status. It is required by law that these standards be used in all the national population health surveys (Dorsey, 2011). The new standards have been in use since November 2011, and their stated purpose is to “understand the causes of health disparities, design effective responses, and evaluate progress in decreasing health disparities” (Dorsey, 2011). With the deepening social disparities and the effect they have on the nation’s health, it is essential to have a well-established system of documentation. It is also important for the researchers to select and appropriately measure all the indicators relevant for their study. HHS’s new data standards include fourteen racial and five ethnic categories, with the option to include more than one category within each group. When...
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