... Teplin L, et al. Health Disparities in Drug- and Alcohol-Use Disorders: A 12-Year Longitudinal Study of Youths After Detention. American Journal Of Public Health [serial online]. May 2016;106(5):872-880. Available from: Education Full Text (H.W. Wilson), Ipswich, MA. Accessed July 22, 2016. The disparity among young adults who use drugs in the United States of America has been highly an intense topic of studies. The article "Health Disparities in Drugs and Alcohol Use Disorder" was written by a group of researchers who study the racism and the ethnicity of pervasiveness of substance use disorder in youth during their twelve years after incarceration. The authors ways of reason on how the black youth are more likely to...
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...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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...I E S IN T H E U N I T E D S TAT E S THE ECONOMIC 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...
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...Health Care Disparities: Central of Disease Control and Prevention (CDC) defined heal disparities as “the differences in health outcomes and their causes among group of people.” These differences are closely linked with some racial and ethnic minorities, such as social, economic, and/or environmental (CDC, 2011). Health disparities are the metrics used to measure the health equity, where health equity represents providing qualified health care services for different groups of populations regardless there race, ethnicity, sex, sexual identity, age, disability, socioeconomic status, and geographic location (Georges, Benjamin, 2015). In the U.S. health care disparities is one of the longstanding health challenges with severe influences not only...
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...Gap in Health Disparities of African Americans Rosie Vasser Grand Canyon University Closing the Gap in Health Disparities of African Americans Historically speaking African Americans have had harder access to healthcare due to a number of socioeconomic reasons. Many are unable to even get to a facility. When thinking about poverty in America one must associate African Americans with poorer health, less access to medical care and higher risk factors than others. Stressors alone within this group places them at higher risk for hypertension, smoking, diabetes, etc. Lower income limits the availability to healthier food and quality healthcare. AA persistent struggle to achieve the American dreams translates to their persistent struggles with health. The dominate society generational connection to wealth, affords them the ability to access the best in healthcare. AA has very limited access to quality healthcare. According to Eileen M. Crimmins, Mark D. Hayward, and Teresa E. Seeman (2004), “People who are poorer and who have less education are more likely to suffer from diseases, to experience loss of functioning, to be cognitively and physically impaired, and to experience higher mortality rates” (2004), This essay will compare and contrast the health status of the African American minority group and compare to the national average. We will discuss the current health status of this minority group, how health promotion is defined by African Americans, and what health disparities...
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...provide 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...
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...Socioeconomic Status and Health Disparity in America Over the years, researchers have uncovered a strong link between socioeconomic status and one’s risk for being affected by healthy disparities (Ethnic, 2015).When examining the relationship between socioeconomic status and health, evidence shows those with the lowest income and education are the unhealthiest, while most advantaged individuals are the healthiest (Braveman, et al, 2009). It is possible through continued research and broadened knowledge surrounding different cultures and biological factors, we may be able to close certain gaps that exist today and reduce the risk for healthy disparity in America. There are many factors that are used today to measure diversity in socioeconomic status. For example, the relationships between demographics, income, and health help us understand what elevates risk for disparity. Some of the demographic factors include: race and ethnicity, gender, sexual identity, special health care needs, and geographic location (Disparities, 2015). While some groups are impacted greater than others, it is important to acknowledge that these inequities are affecting our society as a whole and should be a priority of concern for all (Ethnic, 2015). When considering how a higher income could produce a healthier future, we see that wealthier people have greater accessibility to key resources. Someone with a high income is more likely to have sufficient health coverage and live in a safe neighborhood...
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...and Alaska Natives health to that of the national average. We will be looking at the current health status of this ethnic group compared to the national average, their definition of Health Promotion, three health disparities affecting this ethnic group, and finally we will see an example of a program that promotes health prevention. Current Health Status of American Indians and Alaska Natives The American Indian and Alaska Native populations make up about 2% of the total U.S. population, numbering roughly 5.2 million, according to the 2013 census. American Indians and Alaska Natives (AI/AN), differ from the national average in culture, socioeconomic status, and education. The percentage of AI/AN’s who lacked health insurance in 2013 was 26.9% compared to the 16.6% of the national average (CDC, 2015). They have limited access to employer-sponsored health coverage due to working in low wage jobs and jobs that don’t offer insurance (Artiga, et. al., 2013). AI/AN have the highest poverty rate of all ethnic groups at 0.9% to 1.5% of the total population. This group is more likely to report being in fair or poor health. When comparing their health status to that of the national average, we see that they have a diabetes rate that is twice as high, and chronic liver disease that is three times higher. We can also see that the leading cause of death for AI/AN’s is cancer, whereas the leading cause of death for the national average is heart disease. The current health status of this ethnic...
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...Health Promotion in American Indians/Alaska Natives Mona Reed Grand Canyon University: NRS-429V August 02, 2015 Health Promotion in American Indians/Alaska Natives American Indians/Alaska Natives (AI/AN) are people who maintain a tribal or community attachment and are descendants from any of the original inhabitants of North, South and Central America. The U.S. Census Bureau, in 2013, reported that there are greater than 5.2 million AI/AN in the United States, and that number is expected to increase to 11.2 million by 2060 (CDC, 2015a). AI/ANs have experienced a lower health status when compared to the national average of the non-Hispanic white population. The Indian Health Service (IHS), who provides health care services to those who reside on reservations, reports that this is due to inadequate education, discrimination in delivery of health services, disproportionate poverty and cultural differences. Also noted is that less than half of “AI/ANs permanently reside on a reservation and therefore have limited or no access to IHS services” (Indian Health Service, 2015a). In addition, the CDC reported in 2013 that 26.9% of AI/ANs lacked health insurance coverage. This writer will compare and contrast the health status of the AI/AN population with the non-Hispanic White population. Health disparities in the AI/AN population are well documented in research. The Office of Minority Health (OMH) Health Disparities Overview notes that this population suffers from low education...
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...Summary * Research shows that sexual orientation is a not a common question found on numerous public health surveillance surveys. * Therefore, such surveys have been considered inefficient in monitoring the trends required to achieve a national health objective that will include the health of the LGBT people. * Currently, the LGBT population has attained rights to serve in the military, to get married in some states and are making significant steps in achieving full equality in many other aspects of lives * For this reason, sexual orientation is something that needs to be included in public health surveys if the health concerns of the LGBT are to be addressed efficiently. * Furthermore, the inclusion of sexual orientation in public health surveys would permit the contrast between heterosexual and homosexual populations in disparate areas of disability, access to health facilities and disease risk factors. * It will also enable social workers to recognize health concerns that are unique to the LGBT people; hence, this will translate into finding the appropriate means of improving the healthcare of the LGBT persons. Slide 2 * Many surveys could benefit from including questions on sexual orientation. * Firstly, the NHIS, which is known to be the primary source of information on the health of the non-institutionalized citizens of the U.S by offering the relevant data to track the progress to achieving national health goals. * Secondly, the BRFSS...
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...Medical Records Assignment 4 Student Name: LaCarol Barnes Assignment Topic: ONC Goals and Objectives Introduction The Office of the National Coordinator for Health Information Technology, coined the ONC, is a part of the U.S. Department of Health and Human Services. The office was created in 2004 via an Executive Order and reinforced by the implementation of the HITECH Act of 2009 (Health and Human Services). The purpose of the ONC is to assist the nation in the implementation, exchange, and progressing information technology in healthcare (Health and Human Services). In 2011, the ONC released its first Federal Health IT Strategic Plan. This plan required changes secondary o the implementation of the Affordable...
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...Health Care Economics and the Uninsured School of Nursing Health Care Economics and the Uninsured The United States health care system is a large and complex structure organized to deliver health care services to the country’s residents (Maurer, 2013). The system is not systematically organized, but is the result of the interrelationships between numerous influences such as culture, consumers, epidemiology, health professionals, governmental policy, technology, and economics (Maurer, 2013). Due to the various, and, often conflicting, interests on the U.S. health care system, large disparities exist in the delivery of health care to consumers. In fact, according to Maurer (2013), “the consumer is the most vulnerable component and is the most likely to be hurt by ineffective functioning of the system” (p. 63). Because of the ineffectiveness of the current system for so many Americans and the disparities that exist among consumers, the American Nurses Association [ANA] (2008) described the current U.S. health care system as “in a state of crisis” (Executive Summary, para. 1). For many Americans, the major obstacle preventing them from receiving quality and reliable health care is a lack of health insurance (Agency for Healthcare Research and Quality [AHRQ], 2012; Maurer, 2013; Kaiser Commission on Medicaid and the Uninsured [KCM&U], 2012). More specifically, the way our health care system is financed, a piecemeal approach of...
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...1 HLTH 21: Health Education Spring 2012 Course Orientation This course is all about what YOU want and need to know about personal, family, and community health with an emphasis on epidemiology of disease, nutritional behavior, communicable disease, disease prevention, mental health, and substance abuse. It's really up to you to decide how much you want to get out of this course in terms of meeting your personal and professional goals. Learning Outcomes By the end of this course, students should be able to: Assess health behavior choices, apply that information to everyday life for the improvement of individual, family, and community well-being. Identify preconceived ideas about knowledge, values, and behavior that affect health and compare with established research and accepted scientific evidence. How to be Successful in this Course Plan to spend at least 9 hours per week on this course. Login and keep up with readings, discussions, and quizzes on a weekly basis. Click on Course Map and get familiar with it. First, introduce yourself in the Discussion Forum. Before you begin with the Module readings, take some time to get to know your classmates. Click on the Discussion and Private Messages link to the left of your screen. Click on Discussion Forum titled: Introductions Post a message to tell us a little bit about yourself such as your major, degree plans, career goals, hobbies/interests, and why you are taking this course. Read your...
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...08/10/2014 HEALTH PROMOTION The Effects of Socioeconomic Influences of Health LO1 ICON COLLEGE (LO1) = TASK 1 1 • The notes contained in this PowerPoint presentation will cover LO1 (1.1;1.2;1.3) • Please print notes prior to attending lectures ICON COLLEGE (LO1) = TASK 1 2 1 08/10/2014 Learning Outcomes (LO) On successful completion of this lecture a learner will: LO1: Understand the socio-economic influences on health 1.1 explain the effects of socio-economic influences on health. 1.2 assess the relevance of government sources in reporting on inequalities in health. 1.3 discuss reasons for barriers to accessing healthcare. ICON COLLEGE (LO1) = TASK 1 3 Unit Content (LO1) Influences: social e.g. disposable income, unemployment, lifestyle choices, environment, access to healthcare facilities, access to information, citizenship status, discrimination. Sources of information: reports and enquiries e.g. Black Report DHSS 1980, Acheson Report ‘Independent Inquiry in ‘Inequalities in Health’ 1998, Health and Lifestyle Surveys (HALS), Health Survey for England (HSFE), census data ICON COLLEGE (LO1) = TASK 1 4 2 08/10/2014 Definitions (Class participation Review) • What is health promotion? • What is public health? • What do we mean by determinant of health? • What do we mean by environmental factors? ICON COLLEGE (LO1) = TASK 1 5 The main determinants of health Dahlgren and Whitehead's model, 1992 Figure 1: adapted from...
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...Health Needs Assessment: Practice Population BSc (Hons) Specialist Practitioner Community Nursing Word Count: 3836 Pages:17 Public health is a multifactorial approach to the health of the population and is concerned primarily with the promotion of health (Naidoo and Wills 2000). Wanless (2004) defines it as ‘The science and art of preventing disease, prolonging life and promoting health through the organised efforts and informed choices of society, organisations, public and private, communities and individuals’. Baggott (2004) agrees with the above, but suggests that public health is fundamentally concerned with the activities of the community to improve health, rather than treatment of disease in individuals. As a student practice nurse working in a GP practice in primary care I will often be the public’s first point of contact with the National Health Service (NHS) (Ewles and Simnett 1999). Primary care is increasingly being seen as the key area within the NHS for the implementation of public health strategies (Peckham 2003, p.20). It is important, therefore, that I have an understanding of the wider issues which impact on the health of individuals and the population as a whole, in my area of practice (Jones 2000). Carey (2003, p.221) suggests that it is crucial for practice nurses to deliver care that meets the needs, and addresses the public health issues of the local population. One way to review whether health services are...
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